HomeMy WebLinkAbout13-14733 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 147 �
� BUILDING PERMIT
Permit Number: 14733 Address: 5237 5TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13100-0070
Improv. Cost: 743.65
Date Issued: 11/15/2013 Name: SWARTS, CHARLES & BEVERLY
Total Fees: 60.00 Address: 5237 5TH ST
Amount Paid: 60.00 ZEPHYHRILLS, FL. 33542
Date Paid: 11/15/2013 Phone: 582-301-6037
Work Desc: CONSTRUCT METAL CARPORT
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SHEATHING
FINAL I'2
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 re�cording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�_
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� �ISCLOSVRE S'�'a'rF•*�N'►' .FOR OW1�R
CITY OF ZEPHYRF327+'LS BLTIS,DING DEP1�1F�'�'►�'NT
_ • have read and fully understand and
,
agree 'to the provisions o£ 'this instrument.
The undersigned states and affirms that he or she is desirous o£ constnicting,
renovating, adding to or seroofing his or her o�an damicile, •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 shall comply with the f'ollowiing conditions:
1. That the owzier aad_he or she alone sha11 act as the builder for a.11 phases o£
constructi.on.
2, That the owner wi11 comply with a11 provisions of the City of Zephyrhills
ordinances and codes �*'*;nent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only �properly licensed subcontsactors and will pPSSOna11y supervise
such viork.
4. That in the event the Huilding Inspector sha11 rei,;re correcti.ons to be made,
the owner will assume full responsibility to insvre •they are made, and upon
cc�pletion will cal'1 for a reinspection before proceecling with the building.
5. That the owner sha11 assume fu11 respoasibility for the consi-suctioa aad v�i11
not expect_ suppsvision of his work from the City of Zephyrhills Building
Department.
6. T2iat prior to final inspection aay additional fees. including reinspection
fees, must be paid ia full. A written raquest £rom this office sha11
constitute an official notice -to pay additional faes. .
7. That the ownes sha11 comply with a11 City, State and Federal laws in regard to
social security, workman's compesisation, lien 1aws, etc. , where applicable.
8. That the owner sha11 comply with a11 the safety codes issued by the Floric3a
Industrial Commissioa.
9. State 1aw rec�,;res coastniction to be done by licensed contractors. You have
applied for a permit under axi exempt3.on to that law. The exemption allows
you, as the own@r of your prope.rty, to act as your owa contsactor with certain
restrictions even though you do not ha.ve a licease. You must provide direct
onsite supervision of the coxistruction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial buildin4, provided your costs do not exceed $25,000.
The building or residassce 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
bvildiag you have built or substanti.ally improved yourself withia 1 y�ar after
the construction is complete, the la�v wi.11 pres�e that you built or
subst�ntially improved •if for sale or laase, which is a violation of t�is
eaemption. You may not hire aa ualicaasad person to act as your contsactor or
to supervise people �vorking on your building. It is your responsibility to
make sure that people employed by you have licenses rei,;red by state law and
by covnty or municipal liceasing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not.
licensad to pgrform the work beissg doaa. Any parson working on your building
who is not licensed must wor3c under your direct supervision and must be
amployed by you, which meaas that you must deduct E.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with a11 applicable 1aws, ordinances, building
codes, and zoning regulatioas.
OWNER'S SIQ�TLTRE 7'° � _ �� J��r-e�✓'b ` DATE
ADDRESS
PHONE
W2TNESS PEFIM2T #
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received � / phone Contact for Permittin ,3
Owner's Name : .`1 a r �S ��v ?T Owner Phone Nu ber S" �"-3oi-lo a 37
Owner's Address ,3 -�?�` S'7� ' r F�/, Owner Phone Numb
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS �a 3 7 - � T� �1 .. LOT# % � y �1=
SUBDIVISION � d� /� � PARCEL ID# f��a 6�-a� -DD l D -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEw CONSTR 8 ADDlALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER � �, �p
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL �
DESCRIPTION OF WORK Gorvsi 2d G(` �'" L c,92 (�2 T �CfZ C' PGf��S .
BUILDING SIZE r� �� p��� 3Q FOOTAGE�� HEIGHT e a�� r
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�
[�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [] W.R.E.C.
QPLUMBING $
( � ���
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI�
���-�3�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
�;r ^
BUILDER %�� � COMPANY {J C'
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP 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 1 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 aRer submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sitt Fence installed,
Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wo�lc 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 consVucUon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of applicaGon,notarized
If over 52500,a Notice of 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 Application Only)
Reroofs if shingles 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" 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 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 IMPACTlUTILITIES 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 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Flo�ida 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 instaltation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed 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 & 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 professiona) 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 Iots 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
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. 117.03)
OWNER OR AGENT�f ic`� •,� � i � y° � CONTRACTOR
Subscribed and swom to(or affirm tiefore m this Subscribed and swom to(or afflrmed)before me this
ll'?-13 by C'I-}1!�12,�eS �1�1�}Q�r'� Y
Who�are personally known to me or has/have produced Who Islare personally known to me or has/have produced
—L -n� as Identlfication. as identification.
L�_ Notary Public Notary Public
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Commission No. I—� 2"� 7�� Commission No.
C�T i
Name of Notary typed,;p�yed or s mped ��� Name of Notary typed,printed or stamped
� ��� Notary Publc�State vf Florida
{ Commi�sion#FF 28996
My comm.expires June 18,2017
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���
Date Received: l��—��
Site: �� ��
Permit Type: ����-f' Y 2���
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.
Kalvin S zer s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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