HomeMy WebLinkAbout11-11612 . CITY OF ZEPHYRHILLS
5335 - 8TH SIREET �
(si3)�so-oozo 11612
BUILDING PERMIT
Permit Number: 11612 Address: 6055 10TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: TYSON
Est. Value: Parcel Number: 02 -26-21-0080-00100-0300
Improv. Cost: 1,600.00
Date Issued: 3/09/2011 Name: RANK, DAVID &SHIRLEY
Total Fees: 67.50 Address: 12311 OSCEOLA RD
Amount Paid: 67.50 CAMDEN NY 13316
Date Paid: 3/09/2011 Phone: (813)395-6307
Work Desc: INSTALLATION CARPORT 24 X 17 ON CONCRETE SLAB
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SHEATHING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the
person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
✓� �
CONTRACTOR SIGN TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: _ � f oC..v1 G7 J�jq.yl �
Date Received: �- � — � I
Site: � �s� l � � �
Permit Type: p� '� Z�� � 7
Approved w/no comments � Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept wi he permit and/or plans.
Kalvin S i zer — 1 aminer Date Contractor and/or Homeowner
(Required when comments are present)
a�saso-oo2o City ot Lephymills rermit App�ication rax-��;�-�au-uuz,
8uilding Department
Date Recefved � �
Phone Contact for Permltttn _
Owners Name �7Qv 1� ipPV � Owner Phone Number �� 3 3� S �o� �i
Owner's Address C� � J� / ��� S I Owner Phone Number 3� S � 1 G
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS l4 � SS ��� S r LOT # ��
SUBDIVISION / ��� � , PARCEL ID#
(OBTAINED FR�OM pROPERTY T riCe) DEMOLISH
WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN
INSTALL REPAIR
PROPOSED USE � SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL �
DESCRIPTION OF WORK C� 1e �Z� �T � �j ?G 1� (_a rv 6
BUILDING SIZE SQ FOOTAGE C] HEIGHT C�
�]BUILDING
l� $ � 6 d0 � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $ f I� I�'"
QMECHANICAL $ VALUATION OF MECHA �
NICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY
�] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � /�
SIGNATURE '` � y COMPANY ^�� � f� 2 � N�
REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # r
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/ N
Address
License #
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/ N
Address �
License # �
OTHER
51GNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address License # —�
ZESIDENTI Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,.
-- — Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdlvisions/large projects
:OMMERCIAL Attach (3) complete sets of Bullding Plans plus a Ufe Safety Page; (1) set of Energy Forms. R-O-W Permlt for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpste�. Site Work Permit for all new projects. All commercial requirements must meet compliance
iIGN PERMIT Attach (2) sets of Englneered Plans.
""*PROPERTY SURVEY required for all NEW construction.
Ilrections:
Fill out application completely.
Owner & Confractor slgn back of applicatlon, notarized
If over =2500, a Notice of Commencement is requlred. (A/C upgrades over s7500)
' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Applicatlon Onty)
eroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restricti�ns"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wiil be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing bufldings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be idenfified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior tv
receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Fiorida Statutes, as amended): If valuation of work is $2,500.00 or more, 1
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic "fanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill materiat is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be constn.ted to be a Iicense to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from f Work oe es or ety ( 0) ecutive days, the job is de ed'aba doned
justifiable cause for the extension. ,
WARNING TO OWNER: YOUR FA �TS TO YOUR PROPERTY TIF YOU NTEND TO BTA N F NANC NG C
PAYING TWICE FOR IMPROVEMEN
WITH YOUR LENDER OR AN ATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 1 ) �J
�' [— �' CONTRACTOR
OWNER OR AC3 Subscribed and swom to (or aflirmed) before me this
ubscribed and m to (or affirmed) before me thls bY
by yyho �Sjare personally known to me or has/have produced
Who is/are person_� k_�o� to me or has/have produced as idenHficatlon.
asldentlflcatlon.
�' � Notary Public
` tary Public
• ""' � , JACQl1ELINE C�ES Commission No.
Commis "' �2, 2014
a• ; :K Expirss IJecember
�0�9 Name of Notary typed, printed or stamped
Name of
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