HomeMy WebLinkAbout12-13390 CITY OF ZEPHYRHILLS
, � 5335-8TH STREET 13390
(813)780-0020
BUILDING PERMIT
Permit Number: 13390 Address: 4949 6TH ST see notes
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: 14-26-21-0010-01000-0010
Improv. Cost: 1,375.00
Date Issued: 8/30/2012 Name: SWEENEY, SANDRA& MICHAEL
Total Fees: 67.50 Address: 4949 6TH ST
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/21/2003 Phone:
Work Desc: INSTALL AWNING 25 X 60'
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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 oomply with Florida Statu�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 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 record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,wnsult with your lender or an attorney
before recording your notice of commenaement."
Complete Plans,Speci tions ust Accompany Application.All work shall be performed in accordance with
Ci es and Ordinances. NO OCCUPANCY BEFO C.O.
O T SIG PERMIT OFFI R
P MIT PIR IN 6 MONTHS WITHOUT APPROVED INSPECTION
C LL R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
airinu-uuzu c:iry ot Lephymills Permit Application Fax-813-780-0021
Building Department
Date Received �� — /� Phone Contact fo�Permittin --
Owner's Name iG .� �- <P•-� Owner Phone N 'ber �/` �--..._
` �__ " �.�r.��'-�?�.�
Owner's Address 0� T��r �S Owner Phone Number /,u� /Q��y�
Fee Simple Titleholder Nama Owner Phone Number C �
Fee Simple Titleholder Add►ess �
JOB ADDRESS /�// (� � ST�� LLS , LOT# �-�6S
SUBDIVISION PARCEL ID* �— - �"Od/4 �C�/DoQ —GC�/j�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q C] DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �G(�/�//�C� /iY/S T Ll�
BUILDIN(3 SIZE SQ FOOTAGE � OD HEIGHT / S'T6�=
�BUILDING �-- � VALUATION OF TOTAL CONSTRUCTION '� / S ° O(�
QELECTRICAL S AMP SERVICE Q PROGRESS E'NERGY Q W.R.E.0
OPLUMBING a 3�a
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION
� ��
OGAS Q ROOFING Q SPECIALTY Q OTNER
FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO
BUILDER ' � COMPANY �� ��/U�I�--/
SIGNATURE REGISTERED Y! N FEE CURREI� Y/N
Address License# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N fEE CURREn Y/N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas License# C
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N
Address License# �
OTHER COMPANY �
SIGNATURE REGISTERED Y! N FEE CURREI� Y I N
Addross License# C
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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles d�1 dumpster;Site Work Permit for subdivislonsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans pius a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities 8 1 dumpster.Site Woric Permit for all new projects.All commercfal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••••PROPERTY SURVEY required for all NEW constructlon.
Directiona:
Fill out application completely.
Owner 8 Co�tractor sign back of applfcatlon,notarized
If over i2300,a Notice of Commencement is required. (AIC upgrades over 57500)
•• 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 AppllcaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW . �
s
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permft may be subject to"deed"restrictions"
which may be mo�e restrictive than County regulations. The undersigned assumes responsibility fo�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 cont�actor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Biock" 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 entiHed 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 also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpo�tation impact Fees and Resou�ce Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a ce�tificate 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 appiicable 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 "Fiorida 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°owne�"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that ali work
wili 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 a!I work wiil be performed 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 work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but a�e 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 Watervvays.
- 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 flll 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" wilt be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
tf 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 adve�sely affect adjacent
prope�ties. 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 1 am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
this a�davit 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 tv proceed with the work and not as authvrity 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 FAILU TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENT O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULY
WITH YO L DER AN A O Y FO E RECORDING YOU OT C F T•
FLORIOA JURAT(F.S. 117.0 )
OWNER OR AGENT� CONTRACTORL —
S scribed an o qr a e e thls Subscrlbed and swom to(or atflrmed)before me thls
_ �v - � • , , , , ._ _ by
o islare p�rsona y kn wn to _e-�has/ha produc Who Is/are personally known to me or haslhave produced
� ' as IdentlBcat on. as identlfica8on.
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� � ` ' Notary Public
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Commissfon No. .•�.:.:� .• :.......,�. Commission No.
;�,�:r esy� BOBBIE S.SWETLAND
"' �'�' Name of Notary lyped,printed or stamped
Name o ���16
�•.,�rrv,°,.•` BoiMe�f ihru Troy Fain Iraurance E00-3857079
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
�
� �� .������ �/ . ��-v� have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous af 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 Ftorida 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 finrafamily 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#his 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 cegulations.
OWNER'S SIGN/jTURE � DATE t�_�' � ��
ADDRESS �� / -
PHONE �
WITNESS � ' PERMIT_
I/Masterforms/OwnersAffidavit/Nov07
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ACCEPTANCE OF PROP03ED
PricQs.specifk�Uons ana •. s are sath�actory and are hereby accepted. You ere author�d to�o the
w�k , 'ec�d• Pennents vWN be outf��ed above.
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Date: � � / Date:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS �
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Contra tor/Homeo . L
Date Received: � �-� `"1�
Site: ,�!t1,�f�1�' �`�-.L� ,_� �
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Permit Type: / � �.�o y('
Approved w/no comments: Approved w/the below comments: � Denied w/the below comments: �
....---
This comment sheet sha11 be kept with the perinit and/or plans.
- ��y -�z
Kal ' Swi Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)