HomeMy WebLinkAbout12-12731 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 12731
` BUILDING PERMIT
Permit Number: 12731 Address: 6272 ABBOTT STATION DR
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-OOGO
Improv. Cost: 15,000.00
Date Issued: 1/27/2012 Name: SMITH CATTLE & GROVES INC
Total Fees: 60.00 Address: P.O. BOX 1536
Amount Paid: 60.00 ZEPHYRHILLS FL. 33539
Date Paid: 1/27/2012 Phone: 8139973981
Work Desc: FOUNDATION SLAB ONLY(PER BB CHARGE PRMTMIN. FEE)
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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.
"Warning to owner: Your failure to record a notice of commencement 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.
C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'�O°� CERTIFICATE OF LtABILITY INSURANCE °"'�'"�°"""'
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THIS CERTIFICATE�ISSUED AS A MATTER OF M�FORINATION C�M.Y AAD CONFERS NO RKiHTB tJPON TFE CERT�ICATE NOL.DER THIS
CER7I�ICATE L�DE8 NOT AFFIRMATNELY OR NEQ�ATNELY AM�ID.EXTE�D OR ALTEit TME CONERA�OE AFFORDED BY TNE POLIqE8
BELOW. TH18 C�RT�ICATE OF INSt1RANCE DOE8 NOT CONBTITIJTE A CONT'RACT BETVYEEM THE�IG��AUT!lORIZED
REPRESENTATNE OR PRODUCER AND T1E CERI'�ICATE NOLDER.
a�ouvwr: K n�e aruneaie hoa.r r an�oaT�a+�r.�.a�.no��tw�)mwc a aworsaa. r ai�oonrow a w�.�t ee
the le�ms and oorrdltlo�a of 1M PoMe7.oarfaln PoNeks fp�r nqwre an�ndo�aw�N.A stab�ent on tlrs aNtlfiale do�s nd ooehr Aplks�o tM
oartlfitatt hoNl�t In N�u af a11eh andnnunrws}
pRpp� 811lIDftA 6/4JER
Btuer 8 A� �� 73702
12210 US Hf�tlway 301 ���'0Om
Oads CMy,FL 335?S ��� ��
PFwns �702 Faot �: AUTO�OWt�ER8NiSlJRANCECaNPANY
IfIwRED IqEU 6:
VILLAGE SQUARE BUiLDER3INC/LANCE SMITH rau�ec: _
PO BOX 1536 � �o:
2EPHYRHILLS,FL 83536�1536 (813)788-8257 '
u�suieee s:
CO�YERl4<3E8 CERTIFICATE NUM� ����
TMIS IS TO CERTiFY ThY1T THE POLK�ES OF NIBtJRN�iCE llST�lEICW HAVE BEEN�SI�D TO THE NIStJRED NAMED ABONE POR TFE POLICY PERIOD
IPIDICATED. PlCT1MTNSTAI�Q+Ki MIY REQU�NT�7EfiYi OR�ITION OF MIY t)ONTRACT OR OTMER DOGI��I'T 1MTH IiE3PECT TO11MF#GI�THIB
CERTiFK'J1TE MAY BE IS�JED OR W1Y PERTAW,TFE II�StJRAtdL'E AFFORDED$Y 71iE POUCES DE9f�ED Fi6i6N IS 8UdJEC'T TO ALL TME 7EIiM6,
DCCUJSIOfr6 AND OOI�TIONB CF 8tJCFi POtJC1E8.1/YMTS BFIOYYN IMAY HAVE BE�i�IJCED 8Y PAID qJIMA6.
� TYPC CF Nla!lRAUCE POL,ICY ��s
OlN�IA.LIA�ITY EACH 0� S 300.�0.00
� 001AMERCNL GEN�AL LN8Lt1Y i SO,OOO.00
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GENERALCONTRACTOR
CER7'IFICATE FIOIDER C/I�ICELJ.ATION
t110tlLD At11f OF TNE A�ON!DpCItlMO rOL1C1ls�E CADIC6L.LlD l�OAE
CITY OF ZEPHYRHILLS THE lXPM1A11oN d►Tt Ti�lllOF,M0710E MIN.L d!0lUNl9l�Ni
$UILDING DEPARTMENT ACOOIID�IINCE1NRq 11iElOLICY�IIOVq10Ni.
Si35 8TH STREET nunio�o�r�n�
ZEPHYRHILLS,FL 336�C `�7��
G 1lp�91. CORPORATION. AN rigl�ls nt�vrd.
ACORD ZE�2010106�0F The ACOItD and lopo an aytarrd narks of ACORD
s��-�ao-ooso City of Zephyrhiiis Permit Application F�-s��-7��
e�d�oepanme�t
�1� � �" Z�"" y ��� 813 997 3981
owrwrs� Smith Cattle i Grova, Inc. ���,�N�� 813-997-3981
own.rs Aaanss PO Bo,7[ 1536 ownsr Pnon.Number C �
Fe�srnpls 77WIwIdK N�ne I �th Cattle own.r?hons Nwnb.r C
F�sSimpleTitleholderAddnqs � �x 1536 Zsphrylzills, FL 33539
����� 6272 Abbott StatiOn Dr. �.OT# �
silvar oaks villaqw 03-26-21-0200-00000-OOGO �
SU901ViS10N P�l ID/
(OQTAMi�FROM PROPERTY TAX N0710E)
WORK PROPOSED e NEW CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSEDtf8E Q SFR Q COMM � OTHER
rnE oF coNS�neuc�oN Q s�oc�c p F� � s�e� O C
p��N�� Foundation Permi t �lab only
BUI�DIN(i 812E 60 � 40 � SQ FOOTAIiE 2400 HEIOHT ��
OBU����� a ��� VALUATION OF TOTAI CANSTRt1CT10N
�J
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGti' Q W.R.E.C.
Q PLUMBING 5
Q MECWINICAL y VALUATION OF MECW1NiCAL INSTALLATION �.I ?j ( '" �
(
Oc�s Q ROOFING p sPECUUrY Q on�eR
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
���R � l� �P� Villaqe Square Buildwrs
�Q��� ` REG�sTERED Y/ N FEE CURREA Y/N
�d� G a � � ° ,�: (--
EIECTRICIAN Cpyp�y �i -�
SKiNA771RE REOISTERED Y/ N �Cu�tE� Y J N
Address Lio�se f � �
PLUMBER �p/�/ �- �
SI(iNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addnq Lk�nae� � �
� � �� � �
81dNATURE REGISTERED Y/ N FEE Ct�RE� Y/N
Addreas Ucense� � �
OTHER �p�y
��TV� REGISTEREO Y/ N PEE CURREI� Y/N
Addnss Llcense# �- �
I � � � � � 1 � 1 � 1 � � � � � I � � 1 � 1 1 � � I 1 � � � � � / � � � 1 � � � � � � � � 1 i � � 1 � � � 1 1 1 1 � � � � I 1 1 1 �
RESIDEM1Iil. Attach(2)Plot Plans:(2)sefs of BuiMing Plat�;(1)set of Energy Forms:R-O-W Pertnft for new�on,
Mhtim�rn ten(10)woAanO days sRer s�mittal date. Required onsite�ConsUudion Plens.Stortnwater Plans w/SiR Fence instaNed,
SaNtary FaciNdes 81 dwnpster;Site Work Pertnit tor subdivisior�sJlarge ptojec�s
COMMERqAL Attach(3)oomP�seffi of&�tfirg Ptans plus a Life Safety Pape:(1)set of Energy Fortns.R-O-W Permk for new ca�struc�ion.
A�nimtun Ean(10)waAdng days afEar su6mittal date. Required onsite.Construdion Pia�.Stormwater Pkurs w!5Nt Fence inataNed,
Senitaiy Fadlides 61 Aurnpster.Si�Work Permit tor ap new projects.AM camner+cial iequi�ert�must meet comp�ance
SKiN PERMIT AUsch(2)sets of ErgMeered Plans.
""PROPERTY SURVEY required for all NEW consfrudion.
. ■ ■ ■ . ■ ■ . ■ ■ ■ ■ ■ . . . ■ . ■ ■ ■ ■ . ■ ■ ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ . ■ ■ ■ . ■ . ■ . . ■ ■ ■ ■ . ■ ■ ■ . . ■ ■ . ■ ■ ■ ■ .
DlnCtlota:
Fql out appliCatia►completely
Owner&Contredor sign badc of a�plicntion,notarized
M owr t2600�a NotM:o o►Con�ncarNnt is rsquind. (MC upprad�s ow►i7600)
"' Ayent(for the confrador�or Pawer of Attomey(for the owne�would be someone wflh notarized letter irom owner auttwrizing same
OVER TME COUNTER PERMITTINO (FroM of Appwqdon OnIY)
Reroofs N ahingles Sewers SetviCe UpgrBdea Al� Fet�ces(PbVSixveylFoota9el
Drlv�waya-Not over CouMer if on public roadrrays..needs ROW
NOTICE OF DEED RESTRICTION3: The undersigned unde�ds that this permit may be subjec�to'deed"restridions°
which m$x be more re�ve than County reguiabons. The ur�dersigned aissumes responsibiiity for oompiianoe with any
applicable deed restric�ions.
UNUCEHSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owne� has hired a ca►trador or
contractors to undertake v�ork,they may be repuired to be licensed in aocor�dance wlth state and local regulatior►s. if tl�e
contrador is not licensed as required by law, bath fhe owner and c�ntractor may be ated for a misdemeanor violation
under state law. If the owner or intended contrador are uncertain as to what licensing requiremerrts may app�y for the
inter�ed wonc,they are advised to c�ntact the Pasco CouMy Buik�ng InspecUon Division—Lic.ensing Secdpn at 727-847-
8008. Furthermore, if the owner has hired a contractor or contradors, he i� advised to have the contrador(s) sign
portions of the 'contrador Blodc' of this application for which they will be responsible. If you, as the ovmer sign as the
contrador, that may be an indication that he is not propeMy liaensed and is not entitted to permRhng privileges in Pasco
Courrty.
TRANSPORTATION IMPACTN'i1L1T1E81MPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
that Transportation Impar.t Fees and Recourse Reo�very Fees may appiy to the construc�on of new buiidings, change of
use in euisting buildings, or expansion of ebsting buildings, as specified in Pasco Courrty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that six�fiees, as may be due, will be ident'died at the time of
pennitdng. It is further unde�ood that TransPortation impact Fees and Resouroe Recovery Fees must be paid prior to
fi���9 a"certficate of occupancy'or finai poMrer release. If the project cbes not involve a oertficate of occupancy or
Power release, the fees must be paid prior to permit issuance. Furfhem�ore, if Pasco County WateNSewer Impa�t
fees are due,they must be paid pricx to permit issuanoe in aocordance with applicabie Pasco Couirty ordinances.
CONSTRUCTION UEN LAW(Chapter 713,Fbrida Statutes,as amended): If valuabon of woric is$2,500.00 or more, I
certify that I, the appiicaM, have been provided with a capy of the 'Florida Construclion Lien Law—Homeowner's
Protection Guide"Prepared bY the Florida Department of Ac,�riculture and Consumer Affairs. If the
otFter than the"oMrner", i applicant is someone
deliver it to the"o�nmer" ��that i have obtained a c�py of the above descxibed documerrt�d promise in�od'faith to
p�ior to canmerx�ement
CONTRACTOR'3/OVYNER'3 AFFIDAVIT: I certify that ali the informaticn in�is application is axurate and that all work
wiil be done in c�mpliance with ali applicabie laws regulating con�on, zoning and land development
hereby made to obtain a permit to do work and installation as indicated. 1 cerdfy that no worlc or install�as
commenced prior to issuance of a pe►rnit and that all w+ork will be performeci to meet standards of aii laws regulating
conshuction, County and City c�des, zoning regulapons, and land development regulations in the jurisdiction. 1 also
��Y�� �de�stand that fhe regulationa of ot#ier govemment age�x�es+naY a�plY to the interxied work, and that it is
mY�e3P��b��y to iderrtify what acbons I must take to be in compliance. Such agencies inGude but are nat limited to:
- Department of Environmental Protection-CYpress gayheads, yyetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management Distric�-Wells, Cypress gayheads, Wetland Areas, Attering
Watercourses_
- Army Corps of Engineers-Seawails, Dodcs, Navigable Waterways.
- �epa�trnent of Hea�h 8 Rehabilitative ServioeslErnironme� Healtl� Unit Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protedion Agency-Asbestos abatemer�t.
- Federal Aviation Authority-Runvvays.
i understand that the foilowing restriqions a�ly to the use of fill:
- Use of fill is not ailowed in Flood 2one"V'uMess expressly permitted.
- If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan adc�essmg a
'compensatin9 volume'wiN be submitted at time of permitpng which is prepa�ed bY a P��ai engineer
lioensed by the State of Florida.
- If the flil material is to be used in Flood 2one "A' in connection with a permitted building using atem wall
c�nstruction, �certify that flll will be used only to fill the area within the stem wall.
- If fili material is to be used in any area, i certify that use of such fili wi8 not adversely affe�t adjacent
properdes. If use of fiN is found to adversely affect adjscent properties, the awner may be cited fnr violeting
the condi�ons of the building permit issued under the attad�ed permit application, for Nats less than one (1)
acre whic���e elevated by�ii,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the awner of the permitti�g mndition$�t fotth in
this affidavit prior to commencing conshuction. 1 understand that a separate pertnit me be
plumbing, signs, weils, pools, air conditioni Y �u�����I "rO�,
�9, 9�, or other installations not speci�icaiy induded in the �piication. A
Pe�mit issued shsll be construed to be a license to prooeed with the yvorlc and not as authority to vidate, cancel, aiter, or
set aside any provisbns of the technic;al oodes, nor shall issuance af a pemiit preverrt the guitding p�icia�from the���
requiring a c�ection of errors in plans, �uction or violations of any codes. Every permit issued shall beoome invalid
uMess the w�ork autl�orized by such permit is commencad wRhin six mo�hs of permit issuanoe, or if MFOrk authorized by
the permit is suspended or aband�ed for a period of six(B)morrths after the time the v�roric is commenced. qn extension
may be requested, in writing, from the g�ailding Officiai for a period not to exceed ninety (90) days and yvill demonstrate
justifiable cause for the extension. K work ceases f+or ninetY(9p)c�r►secudve days,the job is considered abandoned.
WARN�NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO�NENCEMENT MAY RESULT IN YOUR
PAVINC;TYYICE FOR IMPROVEMENTg TO YOUR PROpERTY. IF YOU INTEND TO�TAIN FINANCiNG,CONSULT
Y F
FLORIDA JURAT(f.S.117.03) -
OWNER OR AOENT nCA 3�R� '1 ��T LaACe $mi.tti �
a ��oy e�,�,«� e m��� a ��„��a.,�,►,��� �
/L�e�lc� ��iil ,e r
Who ai I known to me or hasfiave produced VUho is/ieP apY known to me or hasR�e
as ide�cstion, Produced
as idendflCedor�.
v Notary Public ------�`���
Notary Public
Commiasion No. �J Comm�sion No. 0��— �� �cl�e
�"" ""� LINDA D.BOAN �`�°� —'
Name of �� Name of Nota
'�� �= Expires June 15,2012 N� ;�us -.; . AN
�„;;�� BadedThruTroyFah�..�waoaaos�mo :•• ':.� Commission DD 769g64
��� ��q��= Expir�s June 15,2012
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractar/Homeowner: / /l� e � !.� � , �,-�
Date Received: �' Z ,5- f Z
Site: l0 2 7 Z ��dd�� S� �� �2
Permit Type: ���j� �o p X �d
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�`/�
Ka in S 't —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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