HomeMy WebLinkAbout11-12018 � CITY OF ZEPHYRHILLS ✓
5335 - 8TH STREET
• (si3)�so-oo20 12018
BUILDING PERMIT
Permit Number: 12018 Address: 39735 CHANCEY RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0000-00100-0050
Improv. Cost: 70,000.00
Date Issued: 6/22/2011 Name: AGAPE BAPTIST CHURCH
Total Fees: 547.50 Address: PO BOX 1505
Amount Paid: 547.50 ZEPHYRHILLS, FL. 33539
Date Paid: 6/22/2011 Phone: (813)788-0283
Work Desc: FOUNDATION ONLY PERMIT (PADS PLACED AT OWN RISK ) NO SWFMWD/SP APPR
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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."
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CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �d ���> ��� L�S ll"u C A C�
Date Received: �p - 9- //
Site: 3� 73�j ��1�Cey /��
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Permit Type: . ��?,( Y� �1 � �
Approved w/no comments: ❑ Approved w/the below comments:� Denied w/the below comments: ❑
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This comment sheet sh 1 be k t with e permit and/or plans.
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Kal ' wi er - s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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u,�-�uu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021
Building Department ,
iv,N GLEu
Date Receiv�d
"� � Phone Contact for Permitting �' �� 3� _ �,�, a
Owner's Name r E Pj �C `^ � 1'}�} 7 r S T � L'/� Owner Phone Number � � 3 7 0/-��f� F'
Owner's Address �l � 3 S �t-�} �j,� � � q�� .- �L -N ��,. 5 3 3S`/ Owner Phone Number � j 3- a� �� - y� 5�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �j 7 35 �' }1� N� �, 7 Q, �� � Z� r � � y F • 3 3 S y� LOT # ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDlALT [� SIGN � --7 DEMOLISH
INSTALL 8 REPAIR �� - - " -- �"' — ' 1 — •,
� _ _ ,
PROPOSED USE Q SFR Q COMM � OTH ,� U 17 tiDhlS oN1
TYPE OF CONSTRUCTION O BLOCK Q FRAME � STEEL
DESCRIPTIONOFWORK �i.+5��tit,»� „ b 7�ti 5 o�s �, 7�y�_ Pp�t�►8�� {�vitn�vC S
BUILDING SIZE ��� n �'I � ��= � 3Q FOOTAGE L 5� � HEIGHT ��T •
QBUILDING $ ,_,
! v, c� v c VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBWG $ � � � h � �
r� L/
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
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BUILDER ✓ ���•�' �l COMPANY ,vaN S'fiN� ��,vSTlzdC7�cr✓
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/ N
Address � / �t 5" S 7 �
License # C�L' D
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 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL 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. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit 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 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
Dtrections:
Fill out application completely.
Owner 8� Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500)
*' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITi't1�M - (Front of Appiication Only)
Reroofs if shingles Sewers � Service Upgrades A/C Fences (PIoUSurvey/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" restrictions"
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 cont�actor 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 appiy for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, 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 will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properiy licensed and is not entitied 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 buildings, 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 identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or final power release. If the project does not involve a. c�rtifiicate 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, I
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'SIOWNER'S AFFIDAVIT: I certify that ali the information in this application is accurate and that ali work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
he�eby made to obtain a permit to do 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-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- 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 material 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 a�davit 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 construed to be a license 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 shalt 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 the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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 NOT CE OF COMMENCEM T.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR f ' `��`
Subscribed and sworn to (or affirmed) before me this Subsc�bed and swom� {or afflnned) before m his
b k `"✓'r� by �rzJ�N L /�'�c�t�aD
Who is/are personally known to me or has/have produced Who is/are personally �wn to me or has/have produced
as idenUficatlon. as identification.
Notary Public � �� Notary Public
Commission No. Co mi on � '" �.
,�,.� , Commiasion# 13 Z014
Name of Notary typed, printed or stamped Name of Not ' rirdsdaawel�M'bpltlel�+� �o
,�� �,
Jacqueline• Boges
From: Todd Vandeberg
Sent: Tuesda��,,lune 07, 2011 11:06 AM
To: J�cqGeline Boges
Cc: 'FZJ KeeEoh; Bill.�urgess; Kerry Barnett
Subject: �` Agape Baptist Church
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In regards to the Agap�ptist Church site plan�he-epplicants had previously requested if the City Building Department
would be OK with issuing foundation pads for the proposed modular units. We have communicated and confirmed that
the units are planned for educational uses associated with the school that they are applying for. Therefore, I assume
that the 20 foot setback will apply between all of the units. The applicants also need to be aware that they are
proceeding without a site plan approval and without SWFWMD approval; therefore the foundation pads would be
placed at the applicant's risk without the site plan and SWFMWD approvals. If the applicants have any questions
concerning these issues they should contact the City.
Todd H. Vande Berg
Director of Development
vandeber�@ci.zephvrhills.fl.us
813-780-0006
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201t3-2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30-2U1'1 FOLIONO
FACILITIES OR MACHINES ROOMS SEATS EMPLOVEES
' � 0 0 20 RENEWAL ' 1965 0000
OCC. CODE BUSINESS TYPE H. WASTE - r,vc
SURCHARGE
090 028 CONTRACTOR-GENERAL CLASS B MECHANICAL & BUILDING 40.00 36.00
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eusiNess 2509 TURKEY CREEK BLVD
LOCATION PLANT CITY 33567
NAME STINE DONALD K/STINE CONSTRUCTION
MAILiNG 2509 S TURKEY CREEK RD .
ADDRESS PLANT CITY FL 33567-1766 i
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B U� I N E S S TAX R E C E I PT DOUG BELDEN, TAX COLLECTOR PAI D- 10639 - 85
HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813-635-5200 07 � �**� 76.OQ
IN BUSINESS PROFESSioro, ort occuPnrioNSaEaFim �ReoN. TkiS BECOMES A TAX RECEIPT WHEN VALIDA7ED.
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