HomeMy WebLinkAbout12-13267 , , CITY OF ZEPHYRHILLS
5335-8T'H S11tEET
�sis)�so-oozo 13267
BUILDING PERMIT
Permit Number: 13267 Address: 37700 NEUKOM AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLA�EMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 3425-21-0090-00000-0120
Improv. Cost: 2,500.00
Date Issued: 7/20/2012 Name: DELANEY JOHN 8� CONSTANCE
Total Fees: 50.00 Address: 37700 NEUKOM AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33541
Date Paid: 7/20/2012 Phone: 813-715-6097
Work Desc: REROOF SHINGLE
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TAPE JOINT ROOF INSP
FINAL � ���Z--�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are neoessary due to any one of the following reasons: a)wrong address b)oondemned work resulting
from faulty construction c) repairs or correc�ions not made when inspections called d)work not ready for
inspection when called e) permit not pos�ted on job site� plans not at job sibe g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 reoord a notice of aommencement may result in your paying twioe for
improvements to your properly. if you intend to obtain financing,consult with your lender or an attorney
before recording our notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� .�� ���� a
CONTRACTOR SIGNAT E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DEPARTMENT
�� 'E'- � � 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 o�cial notice to pay additional fees.
7 That the owner shall comply with all City, State and Federat 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 Fforida 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
prope�ty, 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 worker's 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 �—�� -�n/;�
ADDRESS � `
PHONE r�'�� --�� S —fQ r�c� 7
WITNESS PERMIT
UMasterforms/OwnersAffidavit/Nov07
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin _.
Owner's Name �..�ph -� �
'e Owner Phone Number �j,� '7L,s—G��'%
Owner's Address � �J� � Owner Phone Number �—
Fee Simple Titleholder Name Owner Phone Number
Fee Sfmple Titleholder Addresa
JOB ADDRESS I'T' !/C...° � LOT� �
SUBDIVISION PARCEL�DAt
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT [ J SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �' SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DE3CRIPTION OF WORK �C — �,p�
BUILDING SIZE 3Q FOOTAGE C� HEIGHT
QBUILDING S � VALUATION OF TOTAL CONSTRUCTION
a so o, .
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION �I�� ` �
QGAS Q ROOFING Q SPECIALTY � OTHER ��,, !�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO `r
BUILDER G�/�� ,R_„ COMPANY O
SIGNATURE y, ' L�/UXL�� REGISTERED Y/ N FEE CURRE� Y/N
Address '�47�GO � �
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
PLt1MBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# � —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Addresa License#
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 Pertnit for new construcGon,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster;Site Work Permit for subdivisions/targe projects
COMMERCIAL Attach(3)complete sets of Bufld(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�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 construcdon.
Directions:
Fill out applicatlon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over t2500,a Notice of Commencement la requlred. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Onlyj
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 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 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 Biock" of this application for which they wiil 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 °ce�tificate of occupancy" or final power release. If the project does not invoive a cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fu�thermore, 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� Florfda Statutes, as amended): if valuation of work is$2,500.00 or more, 1
ce�tify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment 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 prom(se 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
certify that I understand that the regulations of other government agencies may appiy 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:
- Depa�tment 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-Welis, 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 flll is not allowed in Fiood 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 materiai 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 eng(neered 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 constn.�ed 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 cor�ection 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 Officiai for a period not to exceed ninety (90) days and will demonstrate
just�able 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 NUTICE OF COMMENCEMENT MAY RESULT iN YOUR
PAYING uR�LE DER OR AN ATTORNEY BEFORE R�CORDING YOUR NOTIC OF OA' ENCEMCNT.' CONSULT
WITH Y�
FLORIDA JURAT(F.S. 117.03)
OWNER OR A(iEN'�,�l�l�tL�-- CONTRACTO
Subscribed and swoT to(or afflrmed)before ri,�thi� Subscribed and to(or aiflrmed)before me this
byC�'�t'�h"t"�3L��� l) � u b �'.,r� �-�-�� �1ec� ir�. �� � � � �
Who is/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced
as Identlflcadon. as identlfication.
Public Notary Public
N ' r�.n •:
,�,�c:tiy�;: JAC�i�#EE 04052C � Commission "i . �'`- �0m���#EE 04052C
Commission 0. �Pires � �"%�R,''. �'� e«�an,�,r�Fa;,,�„�eoo�s��y,
=•'';� �� a �.«x.�
`� BO�MBdThNTfOjF2111�&Ifd1i�1•�'�5'i;l�l�:
Name of No �
Name of Notary typed,printed or s mp
Pasco County Parcel: 34-25-21-0090-00000-0120 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, July 14, 2012
Parcel ID 34-25-21-0090-00000-0120 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Property Value
DELANEY JONN J &CONSTANCE A Ag Land �p
37700 NEUKOM AVE �nd $28,214
ZEPHYRHILLS FL 33541-9301 Building $59,939
Physical Address Extra Features $1,778
37700 NEUKOM AVE
ZEPHYRHILLS FL 33541-9301 )ust Value ;89,931
Assessed (Save Our Homes) $89,931
Leaal Descri�tion (First 4 Lines) Homestead 196.031 - $25,000
�Plat for this Subdivision,�" Non-School Additional Homestead Exemption - $25,000
GRAND HORIZONS-PHASE ONE
PB 34 PGS 99-102 Non-School Taxable Value �39,931
LOT 12 School Distrid Taxable Value �64,931
OR 3760 PG 1561 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zonin� Units Type Price Condition Value
1 0200 MSUBM OOM1 6,000.00 � $3.75 1.00 $22,500
I � 0200 MSUBM OOM1 10,389.00 SF $0.55 1.00 $5,714
L_
Additional Land Information
Acres 0.38 Tax Area H FEMA Code X P1
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1997 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Sheet Vinyl Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C None Baths 2.0
Line Description Sq. Feet Repl.Cost New
1 � 1,512 $72,848
2 FEA 208 $8,528
3 � 480 $4,625
4 ��T. 40 $867
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � 1997 572 $822
2 A -4 1997 1 $420
3 � 2007 260 $536
Sales History
Previous Owner GRAND HORIZONS INC
Year Month Book/Paye Type Amount
2000 12 4517/0930
� $0
1997 06 3760/ 1561 yyp $22,000
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