HomeMy WebLinkAbout11-12433 .i''"
_ CITY OF ZEPHYRHILLS
5335-8TH SIREET
(si3)�so-oozo 12433
BUILDING PERMIT
Permit Number: 12433 Address: 5727 6TH ST
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: 11-26-21-0010-02800-0040
Improv. Cost: 1,500.00
Date Issued: 10/11/2011 Name: SAJAN, SUBA
Total Fees: 45.00 Address: 1804 E WHEELER RD
Amount Paid: 45.00 SEFFNER FL 33584
Date Paid: 10/11/2011 Phone: (813)523-6492
Work Desc: SMALL RENOVATIONS INTERIOR PLUMB,ELECTRICAL, SLAB
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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 bo any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or co�rections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl 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 oommencement may result in your paying twice for
improvements to your properly. 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7-,�-OOZ�? City of Zephyrhills Permit Application Fax-813-780-0021
• - Building Department
Date Received
Phone Contact for Permittin _
`i�Owner's Name f�� .� 9" �G� � � C�, I C, Owner Phone Number 1 �]� ,- y� ]
�Owner's Address � �. �/�� Y'e e Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
xJOB ADDRESS t"�° LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FR�OM pROPERTY T�ricEl DEMOLISH /
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN
INSTALL B REPAIR
PROPOSED USE [� SFR Q COMM �] OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME [� STEEL Q
� DESCRIPTION OF WORK —' K '���P� � /);f �„r c, ���,��- j ,n`�' G��(.�C �P''e C� I�
BUILDING SIZE � � Sq FOOTAGE�� HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING $ �
�( �3
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
OGAS Q ROOFING Q SPECIALTY [_] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
�BUILDER � COMPANY �������--
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
a/ELECTRICIAN � �(,J�(/ -
COMPANY L�D�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# �— �
n/PLUMBER COMPANY d C-cJ I�IC^�
�` SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
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&1 dumpste�.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Enqineered Plans.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersig�d u�erstands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildinqs, 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 fu�ther 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 invoive 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 Coun ty or dinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida 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.
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CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali work
will be done in compliance with all appiicable 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 ali 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. 1 also
ce�tify 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 & 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 cannection 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�II, an engineered drainage plan is required.
If I am the AGENT FOR THE OWN�ER�tructionls I'understand thatna�s parat permit may be�r qu ed for'electr c I�work,
t h i s a ff i d a v i t p r i o r t o c o m m e n c i n g
plumbing, signs, wells, pools, air conditioning, gas, or other ins ta l la tions n o t s p e c i f i c a l l y i n c l u d e d i n t h e a p p l i c a t ion.
permit issue d s ha l l be co n s t r u e d t o beal codesenor shall i sualncehof a pe mitprevent thehBu ding I O ff icea l f r o m t h e rt eafter
set aside any provisions of the techrnc ,
�equiring a correction of errors in plans, �'{srGOtmmenced'within si amonths of perm t p s a'nce,uor�if wolrk authori ed by
unless the work authorized by such per
the permit is suspended or abandoned for idp�erioOd�c al foga per od not to excl edtn netyr(90) days and will demonstrate
may be requested, in writing, from the Bw g
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the�job is considered abandone .
WARNING TO OWNER: YOUR FAILURE TO UR PROP RTl(.TIF YOU INTEND TO BTAtN F NANC NG C'ONSULT
PAYING TWICE FOR IMPROVEMENTS TO YO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) ' �
CONTRACTOR
OWNER OR AGENT 7 Subscribed and swe o(or rmed)before me this
Subscribed and s to o m►qd before me this � by
b �U Who Is%are personally known to me or haslhave produced
Who is p rsonally known to me or ha ave produced ����k� as identification.
as Identlflcallon.
Notary Public
Notary Public
Commisslon No.
Commission No.
Name of Notary tyPed,p�inted or stamped
Name of Notary typed,Printed or stamped