HomeMy WebLinkAbout12-13006 CITY OF ZEPHYRHILLS
' S335-8TH STREET
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BUILDING PERMIT
Permit Number: 13006 Address: 38714 REMORA AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Seation:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-0000-1030
Improv. Cost: 900.00
Date Issued: 4/25/2012 Name: GREENWOOD, RALPH
Totai Fees: 60.00 Address: 38615 LANSING AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/25/2012 Phone: (248)320-8988
Work Desc: REPLACEMENT 3 DOORS SIZE/SIZE
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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 con�ections 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 oommencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Oate Received ' y�
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Owner's Name ,/(fi<,.t�lf �/� C�-� /I,Lc�[�Q� Owner Phone Number � y� vZC��� ��
Owner's Address ' / �� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS ��•�/� ��/YJ fJ�.¢ ��'��', ] LOT# ���
SUBDIVISION SG. � � ! L C.p(� ��pA CEL ID#�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE � SFR Q COMM � OTHER �
TYPE�F CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � � CCC.'� � c�UU (� 5 � Ze S� 2�-
BUILDING SIZE SQ FOOTAGE�] HEIGHT ��
QBUILDING $ � b� VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�%3��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUI�DER j COMPIC�IY �I�� ��(�`
SIC�IATURE REGISTERED Y/ N FEE CURREh Y/N
Address ' License# � �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP, Y/N
Address License# �
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(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 wl Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Wor1c PeRnit for subdivisions/large proJects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-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 dumpster.Site Work Permit for all new projects.Ali commercial r,e�uirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"""PROPERTY SURVEY requfred for all NEW construction.
Directions:
Fill out application completely
Owner&Contractor slgn back of apptication,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(fo�the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (Front of Appliption Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/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"cestrictions"
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 ticensed as requi�ed 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 IMPACTIUTILITIES 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, will 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 appticant, 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 pertormed 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 regulations of other government agencies may apply to the intended wo'rk, 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.
- Depa�tment 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 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 th�reafter
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 TWtCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT.
FLORIDA JURAT(F.S 117 3)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn or bef9iey� � Subscribed and s to r affi ) ore e thys���
-s�-l�" by . CT.�� �ll0�0 'ef'2�-( s" by � �
Who i are person II known to me or has/have produced Who is/ar personally�known to me or ha�Jhave produced
��f� � �r c�Sx---as identlfication. �)�r(;ce:t Sr— as identification.
C'`'� �� �� B ry ublic � � ��'"'� Notary Public
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Name of Notary typed,printed or stamped Name of Not�ry' _rinted or stamped �JOf9
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Pasco County Parcel: 02-26-21-0260-00000-1030 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, April 21, 2012
Parcel ID 02-26-21-0260-00000-1030 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Property Value
SLEEPY HOLLOW MOBIIE Ag Land $0
ESTATES INC Land $11,500
38615 LANSING AVE Building $0
ZEPHYRHILLS FL 33542-6312
Physical Address Extra Features $207
38714 REMORA AVE 7ust Value ;11,707
ZEPHYRHILLS FL 33542-6356 Assessed (Non-School Amendment 1) $11,707
LeQdl D@SC�IDt1011 (First 4 Lines)
SLEEPY HOLLOW MOBILE ESTATES Taxable Value �11,707
RESIDENTIAL COOPERATIVE
OR 4507 PG 292
LOT 103
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0200 MSUBM OOM2 1.00 LT $11,500.00 1.00 $11,500
Additional Land Information
Acres 0.08 Tax Area 3 ZH FEMA Code �Residential Code H PLP1
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1972 SMries 1.0
Exterior Wall i Pre-Finished Metal Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. ar Sh M)
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C None Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 BA�S 720 $18,662
2 1�EA 336 $6,091
3 F�A 540 $2,799
4 F�T 144 $1,685
Extra Features (Card: 001 of 001)
Line Description Year Units Value
I 1 � DWC 1975 240 $207
Sales History
Previous Owner N/A
Year Month Book/Page Type Amount
2000 10 4482/0710 WD $0
1997 10 3818/ 1909 WD � $0
1997 10 3818/ 1907 �C $0 �
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0260&b... 4/25/2012
� DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
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I, vC�1,I�iT �'������Q.�have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9 State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide workePs compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE DATE
ADDRESS o• " ff/�LS
PHONE «� ti�,�D 5�'J ,!�'�'
WITNESS PERMIT
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