HomeMy WebLinkAbout13-14540 CITY OF ZEPHYRHILLS
5335-8TH S11tEET
(si3)�so-oozo 14540
BUILDING PERMIT
Permit Number: 14540 Address: 4241 SKYDIVE LN
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: 18-26-22-0010-08600-0000
Improv. Cost: 5,900.00
Date Issued: 9/26/2013 Name: CITY OF ZEPHYHRILLS
Total Fees: 235.00 Address: 4241 SKYDIVE LANE
Amount Paid: 235.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/26/2013 Phone:
Work Desc: REMODEURELOCATE OF RESTROOM INTERIOR ONLY MANIFEST OFFICE
.5
DOUBLE M ELECTRIC PLUMBING FEE 67.50 FIRE PLAN REVIEW FEES 25.00
CHRIS BAHR PLUMBING
.
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�- 2�- 13
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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 �EES: 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 vvhen 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 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.
��
CONTRACTOR SIGNATUR PERMIT OFFI R
P�RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/ v ��V'�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �(,�� ��S yy2t.Q���
Date Received: 9' ��`- ��
Site: �2,(( �iC�U( �� G�
--��--r-/
Permit Type: ���i�p / `�, ����e �..t'���
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co she shall be kept with the permit and/or plans.
.t� _�Z,� �
Kalvin Switzer ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
o i,s-iou-uutu C;ity of Zephyrhills Permit Application Fax-813-780-0021
Building Department
� Date Received �C�_/�— ZO�3 Q/3
Phone Contact for Permittin C� 3ss __ //9s ��c� �'
Owner's Name SK�d 11�E C�rY GTY oF ZE'py y,Q,yju pWner Phone Number 8/3—783-� 93 9
Owner's Address �Z�/ S`1�CYd�f�E' (��/E Owner Phone Number /3-398-698/�T.�f', y ,�
Fee Simple Titlehalder Name C�r y o,F �Hl�c�s �iR�,e7� /,�t_ _er Phone Number �
-Ju�Nn
Fee Simple Titleholder Address
JOB ADDRESS �ZYI sK�,d�vE L��✓E Z,6P1�YI�f//l,LS� �G 33 s�f2 LOT# r��
SUBDNISION /Y�A• PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
1NORK PROPOSED B NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER [�—
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK �'���L ���7'io�/oF ,P�srRoa,h ��r�o,e o�vcy �►,�,✓r<6-sr a,cFic.�
BUILDING SI /,Z�X �i'`O� ��itqX. 3q FOOTAGE �8o HEIGHT / �D oR— .�
BUILDING $3����, o o VALUATION OF TOTAL CONSTRUCTION
�LECTRICAL a qoo• oo AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�
PIUMBING $/�600 • o0
� /�s��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
.. �
BUILDER � �OMPANY �A�K �'��r��i�� •
SIGNATURE W/LLIA� �.•B�CK REGISTERED Y/ N FEE CURRE� Y/N
Address 39035 C/T9QEL C1d. Z/fius,Fi 33sy2 ST. (,+&�.T. �
aDtJBLE ��/n����C. License#
ELECTRICIAN l �' ��' COMPANY ^,� ��L� ��C-- n po��jL2 � � 'C.
� �`l r.5 lf-�/� � ��1� ��'f1
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address T�� �G !l���� ���' �/`f l��L Gl l �G �,j,7 � L(cense# b:���3 ����..0
;/h01C d�N� PLd� �� �
r�.UMBER �, '� t��9Me � � �.0 l�C �U�
SIGNATURE '��� TERED "� / N FEE CURRE� Y/N
Address � � l 4 ' LlJ}, Z�{ �� �l.-T"� l�Z6 ��
License#
IMECHANICAL ��� `���� " � G . � tiv�
COMPANY
SIGNATURE S � REGiSTERED Y/ N FEE CURRE� Y/N
Address License# � —1
OTHER COMPANY
--___.___._.--
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
RESIDENTIAL Athach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woiicing days aiter submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 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 construction.
Minimum ten(10)working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities 8�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.
Dlrections:
Fill out application completely.
Owner 8 Contractor sign back of applicaHon,notarized
If over t2S00,a Notice oi Commencement is required. (A/C 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 AppHcaUon Only)
Reroofs if shingles Sewers SeMce Upgrades A/C Fences(Plot/Survey/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" restrictions"
which may be mo�e restrictive than County regulations. The undersigned assumes responsibility 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 Iocal regulations. If the
contractor is not licensed as required by law, both the owner and conuactor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what Ifcensing 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 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 involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County WaterlSewer 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—Homeowner's
Protection Guide" prepared by the Ftorida Departme�t 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'SlOWNER'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. 1 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 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, WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cyp�ess Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I undersiand that the following�estrictions 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 filt 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 flll, 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
justifiable cause for the extension. tf 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 YOU�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULY
WITN YOUR LE DER OR AN ATTORNEY BEFO E RECORDING YOUR TICE OF T�
FLORIDA JURAT(F S. 117. 3) • ��� �fiK CO�t/�ST. /.c/C.
OWNER OR AGEN7 /�/X�• a� ���'^J r CONTRACTOR
Subsc�ibed and swom to(or aHirmed)before me thls Subscribed and swom to(or aflirmed)before me thf
by bY
Who is/are personally known to me or has/have produced Who ts/are personally known to me or haslhave produced
as IdenGficaHon. as identlfication.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped
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09/26/13 B. McBee, Dpty Clerk
Pertnit No. �',�p��DOIO—D�l�oOO—DOOD
ParcellD No
NOTICE OF COMMENCEMENT PQ�LA S 0'NESL,ph D PqSCO CLERK 6 COMPTROLLER
State of �L��d�j 09/26/13 ��i�m 1 Of 1
County of P�s� 0� BK 7 PG 24$3
THE UNDERSIGNED hereby gives notice that tmprovement will be made to certain real property,and in accordance with(:hapter 713,Florida Statutes,
the following irNortnaUon is provided in this Notice ot Comme�cement:
�• Description oi Property: Parcel Identificatlon No. /R�—Z,Z—OO��—0860����OQ
�S aNE (aT�I// 2
Street Address: ({ t�t� s�j}J�/�E , ./ z��yY�L�
lJV. �Ft 335YZ 5�17
2. General Desuiption otlmprovement�/�Dd�(�jI^r(� O� ���'/�,+E /����4/e
—Gd D� //1/S%DE /!1 i✓ D�i'/CE �R'��1�200/y!
�.�.vv�•i��v,e�'e—7-.�i[.�el
3• Owner Infortnation or Lessee information if the Lessee contracted for the improvement: �
� r/iD AYES GF�✓,�,4qL /�/AA�/i7G�e� S ye1�,� GTy, ��c
�2y/ Sk 1�'d�P/E' L.q.�,r� 7Ep�yy,4,y-j�CS' ,�G 33S5�Z I�G
Address
Interest tn Property: Aji17 ��ty State
Name of Fee Simple Titleholder. _G� Q/C Z1E���/�/�Q.�L�
��� �-y� �,� (If different from Owner bsted above)
Addr�ss ��V.e/ti��s-�GL 33Sy.2 �L
Contraccor. /✓cS' veT�ON i.✓c. �G// L/A�9 /1, � p �- State
amC/T�9.�EL C/e2 ZEr/N Y.e1�i»c ti 33S�f �
Address ? 2
Contractor's Telephone No.. ��3 !J�S��9s C� State
5. Surety: —' jJ'r U/
Name
Address
Amount of Bond: $_ /{�07 /(�,E�(f��Q,�',Q �rtY State
Telephone
6. Lender , —�—
- Name ,/g• .
ir
Address ,/
Lender's Telephone No.. /Y/9• �� State
7• Persons within the 5tate of florida designated by the owner upon whom notices or other doqurients may be served es provided by
Sedion 713.13(1)(a)(�,F rida Statutes:
C t D• c�e — c,e �o.✓S�/c�.J /.vC-
Name
.39038 C�T•�d6'G Claecr� cZ'F.��IYRf�'juS-�fs 3.3S�Z /�{.
Address
Telephone Number of Designated Person: D������� State
8• In addiUon to himself,the owner designates �B,
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity peslgnated by Owner: �V/�,
9• Enpiration date of fYotice of Commencement(the expiration date may not be before the compleffon ot construction and final payment to the
corrtrador,but will be one year from ihe date of recording unless a different date is speafled): �/�,
WARNfNG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE J08 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OHTAIN FINANCING,CONSULT
WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I dedare that I have read the foregoing noC of commencement and that the facts stated therein are true to the best
sr ���,,. „ y �'�s�.�w GE_._.�,�,
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• fi�res December 1 ,201 � � /w` �v�Q��O
��'� ' ��'r�F°�'�"°"'�° � S gnature of Owner or Lessee,or Owners r Lessee�s Authorized
OfficedDiredorlPartneNManager
��v� ci,pC �.���°;��� i�;�: �-� +�«�r�'�,�C�UNTY OF PASGQ
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