HomeMy WebLinkAbout11-12634 CITY OF ZEPHYRHILLS ,.�
5335 - 8TH STREE7
(si3)�so-oozo 12634
BUILDING PERMIT
Permit Number: 12634 Address: 5131 GALL BLVD
Permit Type: SITE PLAN REVIEW ZEPHYRHILLS, FL.
Class of Work: SITE WORK Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-2 6-21-0010-18500-0030
Improv. Cost: 4,200.00
Date Issued: 12/19/2011 Name: BBHARTI INVESTMENTS INC
Total Fees: 60.00 Address: 2151 SOUTHERN OAKS LN
Amount Paid: 60.00 LAKELAND FL 33813
Date Paid: 12/19/2011 Phone: (863)409-6422
Work Desc: STRIPING, PAINTING, CLEANING, SEAL COATING & STABLIZED PER SITE PLAN
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra ins
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work result g
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 th's county, and there may be additional permits required from other governmental
entities suc s water management, state agencies or federal agencies.
"Warning to owner: Your fail to record a notice of commencement may result in your paying twice for
improvements to your pro . If you intend to obtain financing, consult with your lender or an attorney
Com lete Plans S �f°re recording your notice of commencement."
P . pecif ions Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3 �ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � I
Phone Contact for Permlttin _
Owner's Name �� Owner Phone Number
Owner's Address �� S� �V � ��-- Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS U � LOT # �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CoNSTR 8 ADD/ALT �] SIGN [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM � OTHER
TYPE OF CONSTRU [� BLOCK [� FRAME �� STEEL Q
( DESCRIP710N OF WORK � � ` ' � �' � ,
BUILDING SIZE SQ FOOTAGE HEIGHT
UILDING --
$ �• �Q ��Vf{LUATION OF T�TAL CONSTRUCTION �
� � � � G't' S p� �(r�iv� vu S
�EL CTRICAL $ A1�Ap SERVICE �
Q PROG.RfSS ENERGY � W,R.E.C.�j �/�w�
Y'
QPIUMBING $ " r ��� Q� �
. /
QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION ' ����
�i r
QGAS Q ROOFING Q SPECIALTY OTHER �� -�-'"'� f �
FINISHED FLOOR ELEVATIONS � ��
FLOOD ZONE AREA QYES NO f�1�
/
BUILDER .
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address � '"
License #
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/ N
Address
L(cense # �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/ N
Address
License #
IAECHANICAL
31GNATURE COMPANY
REGISTEREO Y/ N FEE CURRE� Y/ N
Address �
License #
)THER
�IGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y! N
Address
License #
;ESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) worlcing days after submlttal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities $ 1 dumpster; Site Work Per►nit for subdivisions/large projects
OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construc6on.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
IGN PERMIT Attach (2) sets of Engineered Plans.
""*PROPERTY SURVEY requlred for all NEW constructlon.
irections:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over $2500, a Notice of Commencement ts required. (A/C upgrades over 57500)
Agent (for the co�tractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
/ER THE COUNTER PERMITTING (Front of Application Only)
�roofs 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" 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 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. Furthermore, ff 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 properly licensed and is not entitled to permitting privileges in Pasco
Counry.
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, wiil 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 certificate of occupancy or
finai 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, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
ce�tify 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 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 �egulations of othe� 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 buitding 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
prope�ties. 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 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 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 the Building Official for a p � er consecutive days, the job is� on side ed b
justifiable cause for the extension. If work ceases for ninety ()
WARNING TO OWNER: YO VE R NEN I TS TO OUR PROP R'TY. YOU INT TO OBTAIN F NANCING, CONSULT
PAYING TWICE FOR IMPRO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and swom to (or affirmed) before me this
Subscribed and swom to (or affirmed) before me this bY
by Wha �S /a�e personally known to me or has/have produced
Who isjare personally known to me or has/have produced as identificatfon.
asidenNflcaBon.
Notary Public
Notary Pub1lc
Commission No.
Commission No.
Name of Notary tyPed, Printed or stamped Name of Notary typed, printed or stamped
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