HomeMy WebLinkAbout11-12635 , . CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020 ��
BUILDING PERMIT
Permit Number: 12635 Address: 5537 12TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11700-0050
Improv. Cost: 2,350.00
Date Issued: 12/30/2011 Name: PARRISH, LEE
Total Fees: 75.00 Address: 5537 12TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/30/2011 Phone:
Work Desc: 8x8 SLAB & PATIO COVER
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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.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�� � � �
CONT CTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 Cifiyol�Gepnyrnius► ��rliu�r - �NN��������� •
• Buiiding Department
Date Received �,.; Phone Contact• for Permittinc� /�� "� __ __
tHtl - - iN • - " �
Owner's Name L-�- ,��-�� • Owner Phone Number
Owner's Address �3 �� v Owner Phone Number
f-'ee 5imple Titleholder Name Owner Phone Nurriber
Fee Simple Titleholder A�ldress
S�C�-/Jl� � !�-�O-vC� LOT # � .
JOB ADDRGSS .
SUBDIVISION � • � 6� Z � N PARCGL ID# �� °� — �� ` a �
(OI3TAINE� FROM PROPERTY TAX NOTICE)
WORK PROP05ED ' NCW CONSTR ADD/ALT 0 SIGN [� MOVE Q DCMOLIShI
� INSTALL � REf'AIR
PROPOSED USE' 0
SFR ' C� • COMM � OTHER
TYPG OF CONSTRUCTION � DLOCK �� FRAME '. 0 STEEL � OTHER
DCSCRIPTION OF WORK � X � � � � � —" - � C �� �
BUILDING SIZE O x d SQ 1=00TAGC (,¢ Y 1-IGIGFIT � r r
BUILDING $� j fJ� VALUATION Of= TOTAL GONSTRUCTION
,� W.R.E.C.
� ELECTRICAL ;� , AMP SL-RVICC 0 PROGRESS �NCRGY Q
� PLUMBING I� � ��Z� JS
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0 M�CI-IANICAL $ VALUATION OF MECI-IANICAL INSTALLATION .
� GAS � ROOFING � SPECIALTY � OTHER ,
1=1N1SI-IED FLOOR GLEVATIONS 1=LOOD ZONE AREA [�YES ONO
BUILD�R �� � � COMPANY , �`'� � �J IOA =/�C -
SIGNATURE REGISTERED Y/ N �EE CUftRENT Y/ N
Address � �S �� ` /� !� � ' . Licanse �k
CLCCTRICIAN • COMPANY
SIGNATUR6 REGISTGRCD Y/ N FGE CURREN7 Y/ N
Address � License #
PI.UMBER • COMPANY
SICtiNATURE f{EGISTERED Y/ N F�E CURRENT Y/ N
Address License # �
MECMANICAL ' COMPANY
SIGNATURE • REGISTERED Y/ N �FCE CURRENT Y/ N .
Address • License #
OTHEFt � COMPANY '
SIGNATURC RCGISTERED Y/ N PE6 CURRGNT Y/ N
Address � , License # �
R�SID�NTIAL Attach (2) Plof Plans; (2) sets of Building Plans; (1) set of Cnergy Forms; R-O-W Permit for new construcfion,
Minimum ten (10) worlcing days afEer submittal date. Required onsite, Copslruc�ion Plans Stormwater Plans w/ Silt Fence installed,
Sanftary Facilities & 1 dumps�er; Site Worlc Permif for subdivisionsllarge projects •
COMMERCIAL Attacli (3) complete sets of Building Pians plus a Life Safety Page; (1 } set of 6nergy Forms. R-O-W Permifi for new construction.
Minimum ten (10) worlcing days after submittal date. Requir�d onsite, Construction Plans, Slormwater Plans w/ Silt Fence installed,
Sanilary 1=acilities & 1 dumpster. Site Worlc Permit for ail new projecfis. All commercial requirements must meet compllance
51GN PERMIT Attach (2) sets of Engineered Plans.�
****PROPERTY SURVEY roqulred for all NCW construction. ' •
-I-F-I-I-I-f-1-1-hf-f-I-I-{-I-1-I-1-H+1-I-i-I-I+H-i-1-I-1-1-1-t-1-f-1-I-1-I-1-H-H-H - i - FI - H - t - FI - 1 - hl - 1 - I - 1 - i - } - I -1- h }-1- I -1- I - H - I -1-1- I -1- i -1-1- I - H -I-1-I-(-I-l-1-1-1-1-I-1-hhl-H-H-H-FI-i-H-H-H-l-I-1-1-1-I-I-h{-l-hl-N-li-l-i-i-1-H-1-FI-1-i-I-1-F
Directions: , .
Fill out application completely. '
Owner & Conlractor sfgn bacic of application, notarized '
Ifi over $25UD, a Notic� of Commencement is required. (A1C upgrades ov�r $5000)
** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner auEhorizing same •
OVCR THE COUNTCR PERMITTING (Front of Application Only) '
Reroofs Sewers Service.Upgrades A/C f=ences (PlotlSurvey/f=aotage) •
Driveways-Not over Counter if on public roadways.:needs ROW
NOTICC OI= DCGD RGSTRi � n C u regulafi ons Ti�e und� signed s� esponsih'Iby 1'or�ompl a w th�any
which may be more resiri
applicable deed restrictions.
UNLICENSED CONTRACTORS AND COIVTRACTOR RESPONS113ILiTICS: f( the owner has hired a confirac or or
contractors to undertake work, they may be required to be licensed in accordance with siafie and local regulafiions. If the
contracfior is not licensecl as required by law, both the owner and coniraclor may be ciied �for a misdemyan�opyiolation
under state I�w. I�( fihe owner or intended confir�ctor are uncerfiain as to whaf licensing requirements ma a I for the
intended worlc, they are advisecl to�confiacfi fihe Pasco Counfy Building Inspec�ion Division—Licensing Section ai 727-8�1•7-
8009. f=urthermore, if the owner has hired a contracfior or coniractors, he is advise.d to have the conlractor(s) sign
portions o�f'the "coniracior 131oc1<" o�F fihis application �for which ihey will be responsib(e. IF you, as the owner sign as the
contractor, that may be an indication that he is riot nroperly licensed and is not entil:led to nermiiting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AI�D RCSOURCC RCCOVCRY FCCS: The undersigned understan s
that Transportafiion Impact Fees and Recourse Recovery Fees may �pp1Y to the construciion o�f new buildings, change of
use in existing buildings, or expansion of exisfiing buiidings, as speci�fied in Pasco County Ordinanc� number 89-07 �nd
90-07, as amended. The undersigned also understands, i:hat such �fees, as m�y be due, will be identified �fi the fiime of
permitting. It is furlher und�rstood thafi Transporfiation Impac� Fees and Resource Recovery Fees must be paid prior to
receiving a"certificafie of occupancy" or �(inal power release. I�F the project does not involve a certificate o�f occupancy or
•Final power release, the fees must be paid prior to permifi issuance. Furthermore, if P�sco County Water/Sewer Impact
fees are due, they musi be p�id prior to permifi issuance in accordance with �pplicable I'asco Couniy ordinances.
CONSTRUCTION LICN L.AW {Chapter 7�13, 1=lorida 5t�tutes, as amended): If valuation o� woric is $2,500.00 or more, I
certify ihat I, fihe applicant, have been provided with � co�y o�F tl�e "Florida Consfiruciion Lien Law—I-lomeowner's
Protection Guide" prepar�d by the �lorida De�artmeni o�f Agriculture and Consumer A�ffairs. If the applic�nfi is someone
other than fihe "owner", I cerlify thai I have .obiained � copy o�f the above described document and promise in good �faifih to
deliver it to the "owner" prior to commencement.
CONTRAGTOR'SIOWNER'S A1=I=lDAVIT: I certify fihal all �he information in fihis application is accurate and thafi all worlc
will be done in compliance wifih afl applicable laws regulating consfirucfiion, zoning and land developmenl. Application is
hereby made to obtain a permifi fio do worlc and installafiion as indicated. I cerfii�Fy ihafi no worlc or installation h�s
commenced prior i:o issuance of � permi[ and th�i all work will be performed fio meefi sfiandards of all laws regulating
construction, Counfiy and City codes, zoning regulations, �nd land developmenfi regulations in fihe jurisdiction. I also
certify thafi I understand thai fih� regulafiions o( other governmenfi agencies may apPly io the infiended worlc, and fihat it is
my responsibility to identify whafi actions 1 musl t�lce fio be in compliance. Such agencies include bufi are not limited to:
Department o�F Environmenfal Protection-Cypress Bayheads, Wetland Areas and Environmenfially Sensifiive
Lands, W�fier/Wasfiew�ter Tre�tment.
_ Southwesi Fforida Wafier Management Disfirici-Wells, Cypress Bayheads, Wetland Areas, Alfiering
Wafiercourses.
Army Corps oF Engineers-Seawalls, Docks, Navigable Wafierways.
., DeparCment of I-lealth & Rehabilitative ServiceslEnvironmental I-lealfili Unii-Wells, Wastewaier Treatment,
Septic Tanks.
_ US En�.ironmenfial Protection Agency-Asb�sfios abalement.
Federal Aviafiion Authority-Runways.
I undersfiand thafi the iollowing resfiricfiions ap�ly to� ihe use o�( fiill:�
Use o�F�fill is not allowed in Flood Zone "V" unless expressly permitfied.
If the fiil materia( is io be used in Flood Zone "A", it is understoocl that a drainage plan addressing a
"compensating volume" will be submifiled at fiime of permifiting which is prepared by a professional engineer
(icensed by the Si:ate of Fiorida.
If the �fill mafierial is to be �used in Flood Zone "A" in connecfiion wilh a permitted building using sfiem wall
� consfiruction, I cerlify thafi �fill will be used onfy i:o �fill fihe area wifihin ihe si�m wall.
IF. �fill material is to be used in any area, I cerfiify fihat use of such �(ill will not adversely aFfect adjacent
� properties. ff.use o�f fill is •found to adversely a�ffect adjacent �roperlies, lhe owner may be cited for violating
the conditions of fihe building permit issued under lhe afitached permit ap�lication, �for lofis less than one ('I)
acre which �re elevafied by �fill, an engineered drainage plan is required.
I�F i am the AGENT FOR TI-I�C OWN ons�tru�cfiion! s I un al �arai �ermifi may u� equi�red for l electr cal�w�orl<,
this affidavit prior to comm n 9 as , or ofiher insiallations not specifically included in the a�plication. A
plumbing, signs, wells, pools, air conditioning, g
permit issued shall be consfr� ��h bcal codesenorp hall ss u It nce ll of a pe miaprevent the i ding Offiici�l thereafter
set aside any provisions of th
requiring a correction oF errors in plan eC�ii s I d , within six�moniis perm t i�ssua wo aufl oeized by
unless the woric authorized by such p
fhe permit is suspended or ab�ndoned �For � periorroiali fo not to xc ne y d ys and demonstrale
may be requested, in writing, from the Building ' P
justifiable cause �for the exi:ension. If worit ce�ses �for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR.rlall..� TO YOUR PR��PC-RT�'.T1r YOU INTC D�TO Of3TA N NANC NG C
PAYING TWICC I=OR IMPi�.OVEMCNT
WITH YOUR LENDE oOR AN ATTORNEY d�I=01�C RCCORDING YOUR NOTICG 01= COMMENGEMENT.
�LORIDA JURAT (f :S. 117. ) � � �
CONTRAC"fOR
OWNER OR AGCNT Subscrib d and sworn t d) bef r h�
ubscrib�` (�d sworn t f d) b fd me this / ! �
/ by Who islare personally I<nown to me or has/have produced
Who is/are personal� �o`Nn to me or has/have producecl as identificafion.
as idenEifcation.
� , k�ll1 ��i�/(�',r"'t'�� NotaryPublic
L� Notary Public
Commission No. - � -
Commission No. \ � AIt ,>L I.� ' - „
� � ;.'tsvi� ��, rinted or
`� ,�, Name of Notary iyp P , ,
Name of Notary tYpe f , ` 2013 -•
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-„� , ,�,,�r
.,UM1i�FL 'ik "
, � City of.Zephyrhills
. BUII.,DING 3'LAN REV�W <CONIlvIENT5
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�.o�,trac�etlHomeowner; �
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Date Received: /�,�/� �/ /
Site: , � ��� � ' /�1 �� ,
Permit Type: � X � ����/`� `'' ��� ��
Approved w/no comments: Approved w/the below comments• . Denied w/the"below comments: ❑
v
This comment sheet shall tre kept with the permit and/or plans.
�a ���� ;
B' � s ' ding Official ate Contractor and/or Homeowner
(Required when comments aze present)
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9 other la� � ���'�" ��� � — y�
ceipt rn:�. + r�� . � r�l�nar�ca,. Issuar�ce d � 1
- , �" �r place of bt�s F;'o` �=eriir�.� ��mpfianc- w�th
j xpires S�r#ember 3C'-
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ACCOUN7 �'�
� SIC CODEN� 1541 ,�`�� � �_� "-�� TYP BU
� '" E OF SINESS:
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BUILDING CONTRAC7'OR
ri - ' 'ti_i; ''�
�j B�BBY HILTON CONSTRUCTION INC • f• lOCAtION ADDRE
39942 OTIS AL L EN RD � ���
� ZEPHYRHILLS ` r �=�'� 39942 OTIS ALCEN �RD
, FL 335 40-7715 "�o ''- .': �:
� ��a�' ��.:�`'__ ZEP
, �II• 1. 11.1 e° �, '�'�y��� HYRHILLS
111 II I 1��1�1�4il�hl�h�y��•q..����.,��.�.i141 �,� �- � 09i16,11 RECEiPT
612827 AMOUNT
31.25
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Pasco County Building Schematic Page 1 of 1
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