HomeMy WebLinkAbout13-14339 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oozo 14339
BUILDING PERMIT
,
Permit Number: 14339 Address: 37618 LANDIS AVE
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0960
Improv. Cost: 1,500.00
Date Issued: 7/03/2013 Name: RAY PAUL & CAROLYN
Total Fees: 67.50 Address: 37618 LANDIS AVE
Amount Paid: 67.50 ZEPHYRHILL FL 33541
Date Paid: 7/03/2013 Phone: 813-355-3406
Work Desc: 10 X 21 CONCRETE PAD W/ALUMIUMN ROOF OVER
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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 cailed 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 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 rewrd a notice of commencement may result in your paying twice for
improvements to your properly. 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
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ONTRACTOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contrac r/Homeowne •
Date Received: �-�;� " � �
Site: `�� n �����` ^ '
9
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This co�rnment sheet shall be kept with the permit andlor plans.
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- 3 - �3
Ka vin Sw' er—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received� a -,�Q�,3 Phone Contact for Permittin ��� 3'SS -3 /Q(O
Owner's Name , h _ �/�` S Owner Phone Number
Ow�er's Address � ���� ��e Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titlehotder Addresa
JOB ADDRESS ����� ��1 �v LOT# �
SUBDIVISION PARCEL ID�
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED e NSTALLS7R e REPAIR � SIGN Q [� DEMOLISH
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �-�9�� l�GC 1`- �,CX.���'u""'� �
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ ��G � VALUATION OF TOTAL CONSTRUCTION
�,
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� ����
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
J��} �
BUILDER `-'� /d�� �l � � COMPANY �:-
SIGNATURE '� �/� � ` REGISTERED Y FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
PLUMBER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon,
Minimum ten(10)wo�lcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facf�ities&1 dumpster;Site Worlc 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 constructlon.
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 constructlon.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of appiication,notarized
If over 52500,a Nottce of Commencement is required. (AIC upgradea 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 Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) .
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTtONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibiliry 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 licensi�g 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation 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 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 Construction Lien Law—Homeowne�'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 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 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
ce�tify 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.
- Fede�al 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 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�II 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�II 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 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 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 shalt 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR-NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 3) - ' . �
`.OWNER O AGEN ` CONTRACTOR���,�.�
u ed and (or a ed)b re ne Subscribed and swom to(or a rmed) e re me this
by by
o is/ar person y known o me r as/ ve prod ced Who ts/are personally known to me or haslhave produced
as I e catlon. as identlfication.
` ' ' Notary Public
C p Commission No.
_:'�� Commission#EE 1A0709
N � � ry���� Name of Notary typed,printed or stamped
DISCI,OSURE S'r'�'r'F*'�'NT .FOR OW1�R
CITY OE ZEPFiYRHII+I+S BIIII.DSNG DEPARTMENT
2 �� � � � � have read and fully understand and
agree �to the provision of �this inst=ument•
The undersigned states and affirms that he or she is desirous of constructing,
res,ovating, adding to or seroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she s2kzl.l comply vrith the following conditions:
1, That the owner and_he or she alone sha11 act as the builder for a11 phasas of
construction.
2. That the ovrner will comply with aZl provisions of the City of Zephyrhil'ls
ordinances and codes pertineat to the buildixiJ•
3. That in the event vasious phases of construction are subcontracted, he wi11
engage only prop�rly licensad subcontsactors and will personally supervise
such work.
q. That in the event the Building =nspector sha11 rac�,;re corrections to be made,
the owner will assume full respoasibility to insure •they are made, asid upon
campletion will ca11 for a rei*+-�ction be£ore proceeding with the building.
5. That the ownes sha11 assume fu11 responsibility for the constsuction and wi11
not expect_ supervision of his work from the City of Zephyrhills Building
Depar��t.
6. That prior to final inspection aay additional fees, inclndin4 reinspection
fees, must be paid in ful1. A written raquest from this office shall
constitute an official notice -to pay additiorial faes. .
7. That the owner sha11 comply with a11 City, Sta.te and Federal laws ia reC3aSd to
social security, workman's c�+�p*+�ation, lien 1aws, etc. , where applicable.
B. That the owner sha11 comply with a11 the safety codes issued by the Florida
Industrial C��ssion.
9. 5tate 1aw re�T�Tes 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 oavner of your propErty, to act as yovr owa contractor with certain
restricti.ons even though you do not have a license. You must provide direct
onsite supesvision o� the cosistructi.on yovrself. You may build or improve a
one-family or two-family residence or a fazm outbuilding. You may also build
or improve a eommescial building, provided yovr costs do aot exceed $25,000.
The building or resideACe must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you se]:l or lease a
building you have bvilt or su2�stasitially improved yourself within 1 year after
the constniction is complete, the la�v wi11 prest�e •that you built or
substantialZy improved •if for sale or lease, which is a violation of this
exempt�.on. You may not hire an unlicansad person to act as your coatractor or
to supervise people working on yovr building. 2t is your responsibility to
make sure that people e�ployed by you have licenses rez,;red by state law and
by county or municipal licensing ordinaaces. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensgd to perform the work beirig dnae. Any person working on yovr building
who is not licensed must wor3c under yovs dirsct supervision and must be
P�ployed by you, which means tha.t you must deduct F.I.C.A. and vrithholding tax
and provide workers' comperisatioa for that employee, a11 as prescribed by law.
Your construction must comply with a11 applicahle 1aws, ordinances, bua.lding
codes, and zoning r� s. )
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OWNER'S S2GDIATURE �L Z DATE ' a -
ADDRE 5 S ��.�/B ✓
PHONE - S
WZTNE S � PERMIT #
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EURVE RADiUS A�iC CFiORD CHOR� BEARING DEL�A A�(G�.E ����CE W.
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