HomeMy WebLinkAbout13-14267 CITY OF ZEPHYRHILLS
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� BUILDING PERMIT �..,
Permit Number: 14267 Address: 5612 BEECH ST
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-006B-00000-0130
Improv. Cost: 2,499.00
Date Issued: 6/11/2013 Name: BULL, SHIRLEY
Total Fees: 75.00 Address: 5612 BEECH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/11/2013 Phone: 813-788-3036
Work Desc: CONCRETE PARKING PAD 15 X 39 eax-
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FINAL (��,-1 L°I
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 f) 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 commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City 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
PERMIT APPLICATYOI�
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THI� AREA, IF ADDITIONAL SPACE IS U R D,Al� CH TO THIS
APPLICATION.
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AFFIDAVTf: Application is hereby made to ob in aep�rm�t to d�ork and installations as indicated. I certify that all foregoing
information is accurate and that ail work will comply with all applicable codes. I understand these codes shati take p�ence over all
approved construction documents,and issuance of this permit is verification that I will notify the properly owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit dces not ensure compliance with deed restrictions and I understand that additional deed
resfictions may apply to this property.
All work shall comply with the current Florida Buiiding Code, Pubiic Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual onli�e link: www.ci,zephyrhills.fl.us/public works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFIG4TION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of 2ephyrhilis is not responsible for mair�tenance or repairs of driveways. Driveways shall not alber/
intertere with existing sbormwater treatment and/or oonveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/buiider disclosure
statement. (please initial)
�/��,rr� !1 (.v,�5��r r�,��'�:.�-.�C' ".J�.�� �'�'l�.c.�-� ��-- �— j 3
Applicant Print Name Applicant Signature Ddte
Permit Technician Signature (or) Notary Signature Date
Applicant is( ) personally known to me or produced as identi�cation.
(type of identification)
Page 2 cf 3
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contr omeowner: ���_�o�'G �,,���}y�
Date Received: � —�� � �'?�
Site: �
Permit Type: >- - LJ� f.� ,x�� ,
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet hall be k p with the permit and/or plans.
V�����
Kalvin Switze —Plans iner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-002� City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � - �— }2 7 jj� __ g.7�
Phone Contact for Permlttin J E-�
Owner's Name ,.] / ,� 1 Owner Phone Number ��� ���g' S7 D�(�
Owner's Address �(9 � � �J�Q.e. � � Owner Phone Number �—
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �tp I � /J�Q `� S � . LOT# C�
SUBDIVISION CPARCE�ID� �.l' - - ��
�"^�-- �v°v�NnGY rRVni�RVYCKII I/VC NUTIGE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� [� DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER p. -�, �
TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEI Q
DESCRIPTION OF WORK 8✓ICt?i� P`"Q,/��%/I !f� ��l � - �
BUILDING SIZE - SQ FOOTAGE�� HEIGHT
BUILDING IS ��-�� VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
�, V"
BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— —1
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflltles&1 dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructfon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construcBon.
Directtons:
Fill out applicatlon completely.
Owner&ConVactor sign back of application,notarized
If over=2500,a Notice of Commencement ls required. (AIC upgrades over s7500)
"' 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 Appllcation Only)
Reroofs if sh(ngles 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" r�strir,tions"
which may be more restrictive than County regulations. The unde�signed assumes responsibility for compliance with�any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor vr
contractors to unde�take 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 understan s
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 invoive a ce�tificate 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� Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, 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 document and promise 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 ali 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 ail 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 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 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 ihe filt 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 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
justi�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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FO R'OR AN ATTORNEY B FORE RECORDING YO R'NOTICE F COMMENCEMENT.' CONSULT
WITH Y�UR LEN�E
FLORIDA JURAT(F.S. 117 03)
OWNER OR AGENT CONTRACTOR
Subscrtbed and sworn to(or affirmed)before me thfs Subscribed and swom to(or affirmed)before me this
by ---bY
Who is/are personally known to me or has/have produced Who Islare personally known to me or haslhave produced
as ldentlficaBon. as identificaGon.
Notary Public
Notary Public
Commtssfon No. Commission No.
ed, rinted or stamped Name of Notary tYped,printed or stamped
Name of Notary typ P