HomeMy WebLinkAbout12-13581 • ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13581
BUILDING PERMIT
Permit Number: 13581 Address: 5548 23RD ST
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: HAZEL HEIGHTS
Est. Value: Parcel Number: 12-26-21-0070-00000-0040
Improv. Cost: 5,000.00
Date Issued: 11/13/2012 Name: LUCE, BARBARA
Total Fees: 90.00 Address: 5548 23RD ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/13/2012 Phone: (813)782-5032
Work Desc: SCRN RM 8X 21 W/ OPEN PATIO 8 X 14
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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� pians 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 wmmencement 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 commencement."
Complete Plans, Specifications Must Acxompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
6 .
CONT 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
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��r ����C�\n ��>C CI`�
Date Received: � �` -- 'j� �1 L
Site: `SS �� ��r� ��
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Permit Type: � � �
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalvi witzer— s iner Date Contractor and/or Homeowner
,�` (Required when comments are present)
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e�3-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
, Building Department �?���
Date Received 0- p '�Z Phone Co�tact for Permittin ��J �� "' �v/
Q�� L UGC. Owner Phone Number
Owner's Name
Owners Address J��� 0�� S� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number ,_
Fee Simple Titleholder Addreas
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JOB ADDRESS �`'�-1�� � ��e' LOT�f
SUBDIVISION ��� ���"� PARCEL ID� ��"O�"'0�'�� Od7()- �J� ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION [� BLOCK Q FRAME C7 STEEL Q
DESCRIPTION OF WORK �C�'�� �DO� �" �/�� �D
X� u.
BUILDING SIZE 0 S(i FOOTAGE O�� HEIGHT
�BUILDING a �� �O� �� VALUATION OF TOTAL CONSTRUCTION
�]ELECTRICAL S AMP SERVICE � [� PROGRESS ENERGY Q W.R.E.C.
QPLUMBING S /V�C� l PASCO PERMIT SERVICE
� Z�=�pl� (813)788-5314
QMECHANICAL S VALUATION OF MECH NICAL I ST�'LLATION ✓ F��-Sf)6-8�247894
.3° C�eGC C7�'�
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER (�cJ ����G�l, p � "OMPANY C.-��' l.Gvc7'�([G�/�1 ��l•Pl 1LlG �
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address (�� ��� N�' � ' / �/ License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
License#
Address
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address
License#
MECHANICAL COMPANY
SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N
License#
Address
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
License#
Address
RESIDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RA-W Permit for new construction,
Minimum ten(10)woiicing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w!Silt Fence instailed,
Sanitary Fadlities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcrion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliHes 8 1 dumpster.Site Woric 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 constructlon.
Directions:
Fill out applicaUon completely.
Owner 8 Conhactor sign back of application,notarized
If over i2S00,a Notice of Commencement fa required. (AIC upgrades over i7500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI'TTING (Front of Appilcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drfveways-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
appiicable 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 Iicensing 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 responstble. If you, as the owner sign as the
cont�actor, 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 expansio� 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 invalve a cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter T13, Flortda 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 docu'ment 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 applicatfon 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 indfcated. 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 regulat(ons, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other government agencies may appiy to the intended work, and that it is
my�esponsibility 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, WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- 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 flll:
- 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 buiiding using stem wall
construction, I certify that fill wili 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 wili not adversely affect adjacent
properties. If use of fiil 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 appiication, 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 Buitding 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 pe�mit 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 ni�ety(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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S. 117.03)
OVYNER OR AGENT ����i�--- L��/��� CONTRACTOR � �������Z�IJ
bscrtbed and swom to( �r�rmed)be re�me� �is . Sub crlbed and swom to(�r-afl�imfed)b3� m this
��-d0-/d- by �i�-�se ��'��rX�v�� !D-�Q�e1- by UX�cI� ��-��il,�
Who is/are personally known to me or has/have produced Who Is/arepersonally known to me or has/have produced
as Identlficatlon. as ideritlficatlon.
Notary Public Notary Public
Commfsslon No. Commfssion No.
NOTARY PLBI,IGSTATE OF FZpRIDA NOT.4RY PI'BI.1C-S1'P.i F,OF fZORIDA
Name of Notary typ:,, B. �#EEo44504 Name of Nota ed, rinted or stam' ' EE044504
�cRfi rY tYP P ;CoT--:��s:.,;� �
�'•- �'`EXP�'z� :`OV.22,2014 �=-,, ,, �L�P�'�' �. 22,2014
BO*�'DE1:tHRL':?7'I?L�T'� ttU\"i�;\GCO.,INC. BOh"Pr�:,'_rR .. . -�,�c.�� Iyr
, C� o� z�/,G
SER!/ �
NOTICE OF COMMENCEMENT �813��gg_�14 / '• ,
FAX 1-�66-�24-7894 (s�7a- �,6v�cJ�i�a�- �J r_
PERMIT NUMBER PARCEL I.D.NUMBER �Q /
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STATE OF FLORIDA (�QC�—��d Z��1' '°" �/ `�`��
✓_
The UNDERSIGNED hereby gives notice that improvement will be made to certain real property � I IIIIII(IIII III�I IIIII�IIII IIIII I�III IIIII IIIII IIIII IIII IIII
and in accordance with Chapter 713,FLORIDA STATUTES,the following information is provlded 2012193036
in chis NoGce of Commencement.
LEGAL�E�SCRIPT^ION�Mustjncl�eith�r Iqto�dc,subdivision,or section township,range) R�p�:1474968 Ree: 10.00
,c-u.� �� jyel IT: 0.00
OS: 0.00 Clerk
11/13/12 E. Munguia, Dpty
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� HAZEL HEIGHTS PB 6 PG 21 LOT 4 EXC NORTH 25 FT THEREOF; & NORTH
�vM._._ 10 FT OF LOT 5 OR 4961 PG 95 _
� OWNER INFORMATION
a��,/y�_ �(fC e ADDRESS `S`S yd 0�3�� v��� �"
NAME ` � ,3
INTEREST IN PROPERN
NAME&ADDRESS OF FEE SIMPLE TITLEHOLDER(if other than owner) �
� PAULR 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLi
' 11/13/12 �1��a�n 1PG°1889
GENERAL DESCRIPTION OF,IMPROVEMENT OR BK l 3 _ _
�_ --�
�S�/� /'G� � � �/d
CONTRACTOR L1 //'.' /�
NAME
�/' �//�-�/l�C�/i( �l/GN�- ADDRESS ���� C�D�,.U/� �(/r
BOND AMOUNTS NAME 8 ADDRESS OF SURETY -
LENDING ORGANIZATION (Name and Address)
Persons within the State of Florida,designated by owner upon who notices or other documents may be served as provided by SECTION 713.13(1)(a)(7),
I
FLORIDA STATUTES.
NAME
ADDRESS
of ,
In addition to himself,owner designates (Name) (Address)
to receive a copy of Lienors as provided in SECTION 713.13(1)(b)FLORIDA STATUTES. i
EXPIRATION DATE NOTICE OF COMMENCEMENT (One year from date of recording,unless speafied)
Signature of Owner �
Printed Name
CERTIFICATION
�lQ/'7�� COUNTY OF ����
STATE OF �e.
�,.,.Y �.�-
� ,20��; by ����
The foregoing instrument was acknowledged before me�js� v vr�rda,ot�.� I
a�,���^�••. St�cie I►:iriwig xoT ���A �( d n ) ake an oath.
^L ARYpUHa�id�anti�c� ho(did di ot t
who is personally kn n to me or h s rodu _^;^.��:_ . •.; ,,.L
` =;, ��;.•'�ii^e:; `�16 201�,�'a'� �t,.�..t. �ttvig
��✓l) o=�.��."�,=.._,-ricao L Numtiero:���• '�:�� i
Q/2 / �Cvb'QEI.�:�l...�,, :�u,�:.j ' ..' tamP)
Notary Signature BO�DtJ 7Y,:��I ;, �� ,�� 16�Z�l
_....����: •.INR
PERM 4(2l01)
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��,,,C • ' • • �� SHISTISOO CERT�I D�H OuHE FOREGC7 NG�I�T
G TRUE AND CORRECT COPY OF THE QOCUM
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my.��,e ON FILE OR OF PUBLIC RECORD IN TH�S OFFI
yt � 7i�'Y . �c WITNE MY HANDAN�OFFICI S�z TH!i�
� '� '�� ' DAY OF� .
� � . * pq LA S O' E�L,CL RK&C MPTROLL.ER
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BOUNDARY SURVEY �prr.r F T s E
Client: HARBARA LUCE
Work order number: 13522—ZH � a9•s�'rs'
Date oi Survey: MAY 7, 2002 � 90'36'20' _ ,
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