HomeMy WebLinkAbout12-12745 CITY OF ZEPHYRHILLS
5335-8TH STREET �
` (sis)�so-oozo 12745
BUILDING PERMIT
Permit Number: 12745 Address: 38919 12TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04400-0080
Improv. Cost: 1,400.00
Date Issued: 1/31/2012 Name: PETRIE, JAMES & SHIRLEY
Total Fees: 62.50 Address: 4087 GRAHAM RD
Amount Paid: 62.50 EAST JORDAN MI 49727
Date Paid: 1/31/2012 Phone: (813 783-7495
Work Desc: CLOSE IN EXISTING CARPORT W/4 WINDOW & 1 DOOR 12 X 24
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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 acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Fr13-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received ry� � g Y �y q�
-' �� � Phone Contact for PermitNn d
Owner's Name e J'/ Owner Phone Number i- g'3� 7 g
Owner's Address Owner Phone Number C
Fee Simple Titleholder Name S� �� F, . r i Owner Phone Number � -�
Fee Simpie Titleholder Address `�?� � � �`~ ,�� ,��°���� �=� ,��f�"� � ' ���,� � �j y�y�;?
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID# i�� ��/��d
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q
DESCRIPTION OF WORK F��nu�O►W� /Qob�- 9�/y`�r�i ,��,�;r:y n v r l' iri-r I� �o e i r Of' 116�
BUILDING SIZE ��l X �y SQ FOOTAGE � � � � �x�sTi r�y l��vm ��G�°by,�r�
�� HEIGHT �
�BUILDING $ /�o o �
� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C.
�yo � e Ae. /�a 6/�e, �o a a' 2 C�7�"e. /�in i.��in� Proc/. �o�e.. y�o y, L
QPLUMBING $
/l�a n �.- Be-tI`e�-6vrl�"v✓inolow� 37xS'� Sin�rl��unr� ProdGad� /635�, /6
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION :�' 2? �S"
0 h t'.
��GAS �i ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS O n � FLOOD ZONE AREA QYES NO
BUILDER f �COMPANY ��//'I � ''
SIGNATURE �� .�y�� REGISTERED Y/ N L FEE CURRE� Y/N
Address ' License# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C -�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y!N
Address License# � --�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construcGon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects
COMMERCIAL Attach(3)complete sets of Buiiding Pians 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/Siit Fence installed,
Sanitary Facilities&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 construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A!C upgrades over;7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application 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 complia�nce w�!#� 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, 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 properly licensed and is not entitled 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 aiso understands, that such fees, as may be due, wili 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
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, 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.
CONTRACTOR'SIOWNER'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, Counry 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 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 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 IMP VEMEN S PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER N ATTOR Fb E RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117,; i'
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OWNER OR A � CONTRACTOR
Subscribed and swo to r affi e this Subscribed and swom to(or affirmed)before me this
j'�3 ,/� bY by
Who is/are perso ly known to m or has/have produced Who Is/are personally known to me or has/have produced
��/C f/ �j�. • as iden8flcatlon. as identiBcation.
,l'1 � - ,, �
� t j �� Notary Public
Commissi _�Y�y�'-. BOBBIE S.SWETLAND Commission No.
_.: :.- ion
:� ��;` Ex ires Februa 22 2012
Name of �-�•7079 Name of Notary typed,printed or stamped
� � D25CLOSURE S'r'n'�'G'•�'NT .FOR OW[�R
CITY OF ZEPHYRHIL�+S SU2I+D2NG DEPARZ'L��NT
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_, `� �f/'��,�,��y a f ,L %,�( � ,,� have read and fully understand and
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agree •to the pr visions of �this instrument.
.The undersigned states and a£firms that he or she is desirous of constsucting,
renovat.ing, adding to or reroofing his or her ov�n domicile, •that he or she
actually occupies, or wi11 occupy by����"� said domicile, and same is not for
•rent, lease or sale. That he or she shall a mply vrith the following conditions:
1. That the o�asier and�he or she alone sha11 act as the bvilder for a11 phases of
construction.
2. That the owrier wi11 comply with a11 provisions o£ the City of Zephyrhills
ordiziances and aodes �*-*;neat to the buildiag.
3. That in the event various phases of constrtzction are subcontracted, he will
erigage osily •properly liceased subcontractors and will personally supervise
such work.
4. That in the event the Huilding Inspector sha11 rec�,;Te corrections to be made,
the owner wi11 assume full responsibility to insure •they are made, and upon
completion will ca11 for a reiaspectioa before proceeding with the building.
5. That the owner sha11 assume fu11 responsibility for the constr�acti.on aad v�i11
not expect_ supervision of his work fro� the City of Zephyrhills Building
Depart�ertt.
6. R'hat prior to fixial 3.ISSpection aay additional fees, including seinspection
fess, must be paid ia full. A written request from this office sha11
constitute an official notice rto pay additional fees.
7. That the ownar sha11 ccmply with a11 City, State and Federal laws in regard to
soci.al sec�urity, workman's compensation, lien laws, etc. , where applicable.
8. That the oFrsier sha11 comply with al1 the safety codes issued by the Florida
Industsial C��ssion.
9. State 1aw requires coastrtiction to be done by licensed contractors. You have
applied £or a �*�+++;t under an exemption to that law. The exempti.on allows
you, as the owner of your property, to act as your own contractor with ce =�
restrictions even though you do not have a licease. You must .provide direct
onsite supervision of the coastruction yovrself. You may build or i�prove a
one-family or two-family rasidea.ce or a farm outbuilding. You may also build
or improve a commerci.al bvilding, provided your costs do not exceed $25,000.
The building or resideace must be for yovr own use or occupancy. st may not
be bvil�t or substanti.ally i�proved for sale or lease. If you se]:1 or lease a
bvilding you have bvilt or su2�stantially improved yourself within 1 year after
the constxzictioa is complete, the law will presume .that you .built or
substantially improved if for sale or lease, which is a violation of this
ezemption. You may not hire an ualicensad person to act as yovr contractor or
to supervise people wosking on your building. 2t is your responsibili:ty to
make sure that people smployed by you have liceases re?,;red by state law and
by county or municipal liceasing ordivances. You may not delegate the
responsibility for supervisa.ng work to a liceased contractor who is not.
licensed to perform the mork being dnae. Any person working on yovr building
wlzo is not licensed must work under your direct supervision and must be
employed by you, which meaas that you must deduct F.I.C.A. and withholciing tax
and provide workers' compensatioa for that employee, a11 as prescribed by law.
Your constrtiction must comply ovith a11 applicable 1aws, ordinances, building
codes, and zoning regulations.
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owr7ER�s s=c'�IxTLrt�E �{/ '�G°r ✓ , „J.-' K�--�'--••���..Y DATE �=- ��J ° %�..
ADDRESS � '
PHOIVE
W2TNE55 � PERL�T #
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contrac r omeowner_� J � "y � ����
Date Received: f a�-��
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Site: r���1���1 " ,/� � ( �
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Permit Type: --=,, �� �
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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.
/��6-��
Kalvi witz ans Exanuner Date Contractor andlor Homeowner
(Required when comments are present)