HomeMy WebLinkAbout13-14682 , CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 1468
BUILDING PERMIT
Permit Number: 14682 Address: 38411 18TH AVE
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: 02-26-21-0080-00200-0210
Improv. Cost: 500.00
Date Issued: 10/31/2013 Name: CARDEN PHILLIP & ERIN
Total Fees: 60.00 Address: 38411 18TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/31/2013 Phone: 863-604-0564
Work Desc: 12 X15 PATIO IN REAR
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SLAB
FINAL °' � �
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� ptans 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 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.
,(/� ��.�/Lv
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 Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin �f/J (��� "�j�0�
Owner's Name �-�'�i'fl ��� ��� /�/•� Owner Phone Number 1(13 'lQ(��� �JS��
Owner's Address �O l 1 � u "' f'N� • Owner Phone Number —�
Fee Simpie Titleholde�Name - - Owner Phone Numbe� —�
Fee Simple Titleholder Address �•
JOB ADDRESS 'J��I l� ���` J�V� , _ Y� 1 FL �3�'JN LOT# ��
SUBDIVISION PARCEL ID# Q�--Z� ^2� - �Q 0�" vD 2-OO�- U 2l�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL /� REPAIR
PROPOSED USE � SFR Q COMM C� OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK d C�6� ��C��� �'�'1 b � ,1 IpQ L(� C'�,�- l
BUILDING SIZE -� SQ FOOTAGE� HEIGHT
QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [J W.R.E.C.
QPLUMBING $ �� ����
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILDER ��a � � � � COMPANY �'�G�tTYI�-✓
SIGNATURE �.� ` REGISTERED Y/ N FEE CURRE� Y/N
Add�ess 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 I N
Address License# �
OTHER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlitfes&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 Permit for new construcUon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciiities&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 atl NEW construcUon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of appflcation,notarized
If over 52500,a Notice of Commencement is required. (AJC 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 PERM�TTING (Front of Application Only)
Reroofs if shingles Sewers Service 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 more 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 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 IMPACTIUTILITIES 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 O�dinance 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 certficate 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, Fiorida 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 "Fiorida 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"p�ior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify 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 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, 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 8� 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 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 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 spec�cally 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. .03)
n CONTRACTOR� �� �'�'` � �)
OWNER OR AGENT' �L
Subscrfbed nd swq m to r affirmed)before me this Subscribed and swom to r affirm�)beforq�this
(D 2 31�j by �\ �T� ' �[.�-�2[et� 10 r 13,�3 by� /l ��.. Y G[ '�
Wl�i�lar p rso al y known to me or has/have produced Who_Is/ar�.p�erson Ily known to me or has/have produced
� � ����e.vv-e as IdenBficatlon. ��- ���� ��� Q�^�- as identiflcation.
� r
'�' ����� �� tary Public (� ^� C-�' Notary Public
JACQUELINE ES '�'""
Comm s ,, � � 0 Commission, o ,
="'� I.�,: Expi�December 12,201 -- :''�R� :.= Commission#EE 040520
��" ° eoa�es-7ota �� . -
•:�•..•d,: -rtn,r Friirwrarce '_ '
Name of No, rq ,�, ��1e
Name of ,.„� �..,
, , � �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractar/Homeowner: �-1� (��'1�'��.Yl
Date Received: ��•-Z 3- �3
Site: '�g T �� � �
Permit Type: ��,f,(_kU �� � �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�� ��' ��
Ka vin ' er—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
DISCLOSLJRE S'�'�R'F•*�•NT .EOR OWI�R
CITY OF ZEPF3YRFiS�LS BIIII�DSNG DEPARTMENT
_� ��7'�� �+ (�t�e,,((� have read and f'ully understand and
agree �to the provisions of �this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by said domiczle, and same is not for
•rent, lease or sal.e. That he or she shall comply with the following conditions:
,1. That the owner and.he or she alone sha11 act as the builder for al1 phases of
const-suction. �
2. That the owner wi11 comply with a1l provisions of �the City of' Zephyrhills
ordinances and codes pertinesit to the building.
3. That in the event various phases of construction are subcantracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspactor shall rez"re corrections to be made,
the owner will assume full respoasibility to insure •they are made, and upon
completion will ca13 for a rein_�ction before proceeding with tYie building.
5. That the owner sha11 assume full responsibility for the coastruction aad vri11
not axpect_ supervision of his work from the City of Zephyrhills Building
Departmesit.
6. That prior to final inspection aay additi.onal fees, including reinspection
fees, must be paid ia fu11. A written requast from tt�is office sha11
constitute an official notice to pay additional fees. _
7. That the ownar sha11 comply vrith a11 City, State and Federal laws in regard to
social security, worlcman's compensation, lien laws, etc. , where appli�able.
B. Tlzat the owner sha11 comply with a11 the safety codes issued by the Florida
Industrial C��ssion.
9. State law ree+,;res constr�iction to be done by licensed contractors. You have
applied for a permit uader an exempts.on to that law. The exemption allows
you, as the owner of yovr property, to act as your own contractor with certain
restsictions even though you do not ha.ve a license. You must provide direct
onsite supervision o�' the construction yovrself. You may build or improve a
one-family or two-family residesice or a farm outbuilding. You may also build
or improne a commercial building, provided your costs do not eaceed $25,000.
The building or residence must be for yovr own use or oceupancy. =t may not
be built or substaati.ally improved for sale or lease. 2f you se1.l or lease a
bvilding you have built or substantially improved yourself withia 1 y@as after
the const-suction is complete, the law wi.].1. presume •that you built or
substantially improved •if for sale or lease, which is a violation of this
EXP�Ptioa. You may not hire aa vnlicensad pErson to act as yovr contsactor or
to supervise people working on your bvildiag. It is your responsibili:ty to
make sure that people e�ployed by you ha.ve licenses re?,;red by state law and
by county or municipal licensing ordinances. You may not delegate the
responsa.bility for supervisiag work to a licensed contractor who is not.
1ic�nsad to perform the mork being dnae. Arsy pgrson worki.ag on your building
who is not licensed must work under your di.rect supervisioa and must be
P�ployed by you, which meaas that you must dsduct F.I.C.A. and withholding tax
and provide workers' compesisatioa for that P�ployee, all as prescribed by law.
Your const-suction must comply with a11 applicable lavrs, ord.iaances, building
codes, and zoning regulations.
�R,S��� ��L� n� :i ro-a � � ��
ADDRE S S /� "�?� Q r L
PHONE - � - S'
W2TNE5S PEFtMIT #
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I N, AS PER PLAT THEREOF RECORDED
�N R�A�� K 4, PAGE 109, PUBUC RECORDS OF PASCO COUNTY,
FLORI DA.
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PREPARED BY : , ` i�
MAURIC� W
Protessi��a
Flo�ido Reg
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