HomeMy WebLinkAbout12-13758 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
Permit Number: 13758 Address: 5913 12TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02200-0050
Improv. Cost: 1,240.00
Date issued: 1/15/2013 Name: MOYEIS. J OR MERRIMAN. P
Total Fees: 67.50 Address: 5913 12TH ST
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/15/2013 Phone: (813 406-3652
Work Desc: WINDOW REPLACEMENT SIZE/SIZE 5 &WATER HEATER REPLACEMENT
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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 reoording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR 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 Zephyfiills Permit Application � Fax- 0-0021
, ,��( 2 , . �Building Department
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Date R�ceived _ _ Phone Contact for Permitti - ` "� i
Owner's Name �^. r Phone Number
Owners Address .� � � rR"t '�- Owner Phone Number C -�
Fee Simple Titleholder Name ��p � Owner Phone Number �
Fee Simple Titleholder Address -�
JOB ADDRESS � ' � ' -
.l� ' �, '"Li LOT# '�i- \ O
SUBDIVISION 1.,��r�/ �, `�.�;-„p�.,a��,��s PARCELID# \�-a�-al-c�c��. ��aoe� �;�c-+c-�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEw CoNSTR� ADD/ALT [J SIGN Q �] DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK �' FRAME � STEEL Q
DESCRIPTION OF WORK � t pc:y c �F \�`� �- �� C� --� ��` ,,._ y ..�
BUILDING SIZE � SQ FOOTAGE�� HEIGHT
�✓BUILDING $ �jg(,�;•c�r� `�3�S� u'a �\
VALUATION OF TOTAL CONSTRU ION � , Z�O' � r�'�
�----'
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C.
�PLUMBING $ �
�
� �}0 }
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, �-
,�� � , 1'
OGAS � ROOFING Q SPECIALTY 0 OTHER � ��� �
U ��r►'�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO p,x,p��`
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BUILDER COMPANY ��}i � -' p�a �w��
SIGNATURE REGISTERED Y/ FEE CURRE� Y/N
Address O�,3 ti t�� ���9 . �'• • N. 3�b`� License# L�'�C_c�5 g S'S 3
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# C �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# r-
OTHER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address license# r- �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon,
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 subdivisionsAarge 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 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construction.
Directfons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If aver E2500,a Notice of Commencement is required. (AIC upgrades over;7500)
"' Agent(for the contractor)or Power of Attomey(tor the owner)would be someone with nota�ized le�er from ownet authoriziri�same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands tNat this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes �esponsibility for compliancE with any
applicable deed restrictfons.
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 also understands, that such fees, as may be due, will be identified at the time of
permitting. It is fu�ther 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 Const�uction 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'S10WNER'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 ce�tify 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 a�d 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 & 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 filt 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 materiat 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.
tf 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 commenci�g 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT.
FLORIDA JURAT(F.S. 117.03) A�--�'" �
OWNER OR AGEN CONTRACT
Subscrlbed and a nned)before me this Subscribed an swo 0 or afflrmed)before me this
�-�-� � bY : -- J_ �-��by �`�. _�,��e���:--.�-�_
Who is/are personally known to me or haslhave produced Who islare personally known to me or haslhave produced
�C as identlficatlon. br ��«�� � as idenHfication.
�t� �rn„,• —
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' � ��V Notary Public �- Notary Public
l� � � �� I
-: JACQUELINE ES co s �' �••, �ACQUElIN ES
Com I�on ' ` '; �pj�p�p�r 12,2014
= ExPir�s December'12,2014
Name of Notary typ , Name of
,�` �
_ �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
-�
Contractar/Homeowner: `�`j �� �)'1'i� �� ,-�-/1,N��f�/
Date Received: r— �—��j
Site: �S�l� � ,�� �� � �
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Permit Type: ,�j ',{�r�'l�f OLc.� ��: ��Cr' S�Z� <S� � C�G�«�rL�C'� 'r�
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
.� ,�, ( ` � �
`1 ' �C% f C�(�l f f F-r.
This comment sheet sha11 be kept with the permit and/or plans.
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Ka . �n Swi — ans Examiner Date ` Contractor and/or Homeowner
(Required when comments are present)
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Cltent Name: Portta Merrtman C�Lrtty: PASCO.. .
Atldnsx 5813 12th s� . 2ephyrhflls F� 33b42 owell�ng-rypa: Site Bullt
p��N�� 813-446-3652 Year Buiit '1 g48�..
li�m. nsta .. ... .
� Yss No Requlred�Measuies� ' �� '
1 ' ;X � Pleak+dFNAC�710ars-HeeUCool ' Ma(e�ial Labo
Instal• Leave� '��. '
�2 � X Install towFlowShotilerhead s Hand• - Fie ular.
� 3 . X. InstaltAerators Kf�hen� = �, .Bath• -
4 X InaulateWaterHeatQ�(�r�es U Ta 10 FeetFrom� �HotMdCokl�flnes'
8. X ' 1Nater Fieater . .. ... ...
.. Requlred Measures'�fotdl:,
�t0!� • Itra on aasures: Not to axcee 53;000 MBL: � ' -' ��
t Yaa. No Ceiftn Pioor 8.Watl Re atrs Not To Exceed 'f 600�M8L �'
H X GauOc M��+� Lebor
7 _.X �►� FeeC - • _
IN kR 3 n bathrtn �10 . .
8 X Ocor Re � #Re sf�• . �
9 � 7� Oaor lace lace badi�door&.lodcset �#: face'... ._ 1 . -
10: X Floot "eir -• ' " Y -�-- ' -.--
. t i X� 7TuesFio �fnstall '
12. X. Wall •- . -
13: X Weathershi - "�Insiap
14 . X Wfndow alr #, -
15 X ' Wutdow Replace Z• 2 e, i r[ . . . �.. �faca . .:5: . a
Itam • • Infiltratton Measurs's 7:►fa1: .... '
Yes o W,e,athgf�t�oq MAes�res � --
'15��.'X.� '... ACJC ItuuleqonTo R 30 ExlsUn R• 11 Instalt_ 240 S Maln etttc Matedat �b�
16 X IIVea(F�et•Strf :�'Irigitlate Attfc Ao�ess• - - VWS'6 IrutaU 4:icam behtnd:each a�fe dooir .
17., . ., X: Fioor•hsulallon-R-18 InstalC ' - .
;18 .': �;X;- DensaPadtWalfs•. . " . 7nstall: - S -
19 X 5oterVNndowSaeer►slFliin- Uistal� 'Insfalh °s ° -
;,21' X CH:Bu�s��� _ #To MsffiIt. �. -
;� "X::, See1,DUdS - , . "� �
��:. .All retuma 8. y��. „, r
�'j x ' ' ��s• . . , Re ce Ne�i Onder harie
'24 • ' X StarRefrt eralcr.Exlstln ca!
� X . Coof � ow - BT111.10v' s ! -
' � `=X- Hset/Cooh Wlndow AC . .. . _ _gN 22ov -
27 X � . en+lce Ce�l FIeaLCool � -
2B. ..X.. � /��..�,.�1u-�.,I/���� - ._ .
K11YWi1�W/VW�. . . =, J _ ..- . .. ,
29. X. Vented'GeaFU ace .
30 ' X• Venh�d Geg �''ce Heater . -
'.31 .. X WaterHeate� aJr -
�32� X Water �eatef�Re lace Eicistln Gat�. 3 Re lace 9 e!d en.. . r . ' -
33 . X. Attic.YentAation. ' ... .. 1 O
- ,
34`. X Mobiblioit�eRoofCoat - S .:Ft �� ± Y"' -
ttem WeattieitmHon Meastues7o�l:.
'� •. � o Haalth&3afety; Not To Exeeed•S600.00 Material8 Labor
� X Smoki Alarnis f�e��� • RAalerlaf Labar
36- X COAlartni Ins Ik
�H X Lead Sefe Rractice's OooFs"SVlrtridows, .
99 X �Exhaast Fans .
39, :'X CombtuttDk �l. - , , . . . •° •
�_ .•.- : .x. . ..:��.��,�... ..�,.. . " . . ._... ..... . .. . . . .,_... ..__ .. ....
,,.x -
41 �.. U.. . .. _.... �. . -. _. .. . .. . , . .._ .. .
, , : <- ...,- ._,
�4x Remove Old F.umece . " " `; .: . .
X' ..
. ,. '.. .....; ., . , ... - ... . - . _. ..
. . ,
43„ ._X Mlnor:Plilmtif •" .. : . �(ace outside fa'u`cat" , .. . _ + _
44.v:.,:.. ..,X.. Mbror E7eifrlcal' ,. ; , _.. • . : . ,..._ ,. _... .. ..
.� . .
,, , ... ,.. . . ., _ _ _
- � � �Healtti 8 Safety Total: -
WAP TotaL•
LH-Tohal:
Confractar: , Qate:
MFC'S: �� .
Grand.Total:
. ' • ' � ��
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HOME IMPRWBNBrT�NBtNAN�,INC.
"QuatityThrough Experience"
Bonded/ Insured
Patrick Webster-Owner/Operator
Resideretiai•Commer+clal•NeN►Conswction•Renovations
O1/02/13
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
5335 8th. STRF.F_.T
ZEPHYRHILLS,FL. 33542
813-780-0000
PORTIA MERRIMAN
5913 12th.STREET
ZEPHYRHILLS,FL. 33542
813-406-3652
SCOPE t7F WORK AS FOLLOWS:
Remove 5-existing windows and replace with new,
size for size.
Ph#(352)799-2316•Fax#(352)544-5614•Gell�#(352) 279-831 I
20237 Twin Oaks Road•Spring Hill,Florida 34610•State Certified#�CBC058553
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HOME IMPROV9UIENT OF HERNA�1D0,11�.
"QualityThrough Experience"
Bonded/ Insured
Patrick Webster-Owner/Operator
ResidenUal•Commercfaf•New Conswction•Renovatlons
O1/02/13
CITY OF ZEPHYRHILLS
BUILUING DEPARTMENT
5335 8th.STREET
ZEPHYRHILLS,FL. 33542
813-780-0000
PORTIA MERRIMAN
5913 12th.STREET
ZEPHYRHILLS,FL. 33542
813-406-3652
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Ph#�(352)799-23 I 6•Fax#{352)544-5614•Cell�#(352)279-83 I I
20237Twin Oaks Road•Spring Hill,Florida 34610•State Certified�#CBC058553
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CERTIP�CATB NUM�R: It�VISION NUMBER
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CER71F1CATE DOES NOT AFFlRMA7IVELY OR NE4A4NELY AMEND, EX7END OR ALTER 7NE � AFFOROED 8Y ifE POLICES
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REPRESENTATWE OR PROOUCER,AND 7fE C�i11FICIITE HOLDER.
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PRODLICER
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5258 Appleqat� Driv�e : (352)664-2166 ��.(352)684-2188
3prinq Hill, FL 34606 ss:�=fasy. Qatt.net
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.�su�A.Atlaatic Casual
INSURED y��a tar, Patrick ��e.
C�T Hc�e Improve�ant of Hamar►do „���
20237 TMin Oaka �Rp.
Brooksville, FL 34610 ���
INBt�tER F.
COVERAGES CERIIFICATE NI�R: REVISION NUMBER:
THIS IS TO CERTIFY THA7 THE POLICIES OF INSURANCE LIST�BE HAVE BEEN ISSUED TO THE M3URED NANED/18pyE FOR THE POUCY PERIOD
INDICATED. WOTVYIT}I3TANDMrG NM/REQUIREMENT,TERM pR CON���pF qNy Cp1�A�'{'OR OTHER DOCUNEI�1MTH RESPECT TO 41MICH 1NIS
CERTIFICA7E MAY BE ISSUED OR MAY PBtTA1N, T1iE INSURANCE DED BY TNE POLICIES pESCRIgED HEREMI IS BUB.IECT TO ALL TiiE TERM3,
D(CLUSIONS AND CONDRION3 OF SUCH POLICIES.L�AITS SH01M�1 MAY BEEN REDUC�BY pA�CU1�IS.
� TYPE OF q�IBURANCE � PpLICY
OENERAL LIA6ILRY �8
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CERTIFlCATE HOLOER �uq��
Clty Of $@pl'lnt11118 SHOULD ANY pF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
5111�.CI�l1Q D6lQt THE EXPIRATqN TE 1'HEREOF, NOTICE WILL BE DELNERED IN
5335 Sth St A POLICY PROV131pNS.
Zephyrhills, 8'L 33542
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O 1988-2010 ACORD CORPORA'TIpM. All r�ghts reaenred.
ACORD25(2010�5) The ACORD name and iogtl a�e�egistered marlta of ACORD �