HomeMy WebLinkAbout13-14738 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 1�,�8
BUILDING PERMIT :
Permit Number: 14738 Address: 38940 1 ST 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21600-0010
Improv. Cost: 4,883.14
Date Issued: 11/18/2013 Name: FUNES, MANNY
Total Fees: 90.00 Address: 38940 1 ST AVE
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/18/2013 Phone: (813)601-1475
Work Desc: REPLACE FRENCH DOOR-(NON-BEARING WALL)
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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 e�ctra 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 fl 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 wmmencement 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.
CONTRA OR SI NATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
__ Attachment(s) to permit 14738
PERMISSION GIVEN TO DWIGHT DOUGLAS GRACE CONSTRUCTION TO SIGN AND OBTAIN PERMIT-
11/12/13
. ." �'""" �.Ily VI G��►lyff11115 YefRlli HP�.111C8[IOrI Fax-813-780-0021
Building Department
Date Received //— �� _,
Phone Co�tact for Permittln
Owner's Name -I/t/t G �f l/ti�s Owner Phone Numb �f 3' � �j���� 7S
Owner's Address � 97� � ST �/� Z�/✓� /j�liL� � P ._
Fee Simple Titleholder Name C�'y"� / ,
Owner Phone Number �p � �
Fee Simple Titleholder Addresa
JOB ADDRESS 3 !YP�✓ %�✓D' Y� Zl�,�,�yn��c�s �L LOT# /1�/�
SUBDIMISION PARCEL ID* � - 7i�o ' Z I '' lN O t �{���(�()l�
(OBTAINED F�pROPERTY TO rice)DEMOLISH
1NORK PROPOSED � NE ONSTR AD /ALT � SIGN
TALL q
PROPOSED USE � SFR Q COMM �� OTHER
�YPE OF CONSTRUCTION Q BLOCK �] FRAME �� STEEL [� ----,
DESCRIPTION OF WORK JZ� f� �� � � /�y��C,,�L �y ���p ���fa� LO /� � �C
BUILDING SIZE —� gQ FOOTAGE U HEIGHT
QBUILDING $ VALUATION OF�L ONSTRUCTION
, l
QELECTRICAL $ ' A SE ICE Q PROGRESS ENERGY Q yy.R,E;�;
_G% °�—� oa
QPLUMBING a �
�� �X I' S`d�d ��r-�( �
��� �`'r''�. 1 Sz �3, �7 �
OMECHANICAL a VALUATION OF MECHANICAL IN TION
OGAS Q ROOFING Q SPECIALTY [�] OTHER � (�� ��
FINISHED FLOOR ELEVATIONS �� /�`�� FLOOD ZONE AREA QYES � '� �
w c�1
BUI�DER ! � "��'r � COMPANY " �
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address l.icense#
PLUMBER � COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGMATURE 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 oi Buflding Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
Minimum ten(10)woricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaclflNes 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)wotking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Wor1c 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.
Directions:
Fill out application completely.
Owner 8 Contractor sfgn back of applicatlon,notar(zed
If over:2500,a Notice of Commencement ia requlred. (A/C upgrades over ET500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
01/ER 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
�OTICE OF DEED RESTRICTIONS: The und ulat9ons. The undersigned aissumes e p nsib Ibty for compl anceStw th any
�hich may be more restrictive than County reg
pplicable deed restrictions.
INL.ICENSED CONTRACTORS AND beNe�`Qa to be E ensedsiBac'coEdance th s ate and local egulations.c Ifrthe
ontractors to undertake work, they may q
ontractor is not licensed as required by law, both the ow�er and contractor may be cited for a misdemeanori��for the
nder state law. If the owv'sed toncontact the Pasc�o County B ildingslnspectioni Divgs onr—L cie s ngtSection aP 27-847-
�tended work, they are ad
�009. Furthermore, if the owner has' haed'icationtfor which they will�be espons bleelf youaas the ownea sign asSthe
�ortions of the "contractor Block of th s pp
:ontracior, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco
;ounty.
'RANSPORTATION IMPACTIUTILITIES IMPACT In►ND RESOURCE REC�oVh R onstrusti n of new b 9di gsnchange of
hat Transportation Impact Fees and Recourse Recovery Fees may app y
ise in existing buildi�gs, or expansion of exisni�nerstand's9that such fees,'asPmay be d erywOilabe dentfed at he_tmenof
)0-07, as amended. The undersigned also u
�ermitting. It is further understood tha�'finals ower'eleaseaclf the p ojecRdoesrnotRnvolve a ce ifi atetof occ pancy or
eceiving a "certificate of occupancy P
inal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
ees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
„ONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
;e�tify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
��otection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
�ther than the"owner", I ce�tify that I have obtained a copy of the above described document and promise in good faith to
�eliver 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 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:
- Depa�tment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Ftorida 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 u�derstand 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 ce�tify 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. p
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 O�cial for a period not to exceed ninety (90) days and will demonstrate
juslifiable cause for the extension. If work ceases for ninety(90)consecutive days, the`job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD �► NOTICE OF COMMENCEMENT MAY RESULT tN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT'
WI7H YOU LENDER AN ATTOR BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 1 7 /'��
�� ���6QNTRACTOR�v� ' ����
OWNER OR AGENT Subscxi6ed and swom to(or a rtned)before me this
Su sc ed and swom (o ffirm �ej� r this �y _ "
i( l3 bY m���2' �' "�C wn to me slhave produced
Who i re personally known to me or has/have produced Who Islare personally-knt2.� as idendflcatlon.
� `b� as identlficatlon.
Notary Public
Notary Public
Commiss(on No. C f� U �� Cop�mission No.
� Name of Notary typed�Printed or stamped
Name of Notary type� d ��� �,State ot Florida
R Cpmmfseion N FF 28996
My comm.expires June t 8,2017
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Expit�es Febuary 22,2016
����1'f+��va�e 800�857019
11-26-21-0010-21600-0010 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Property Appraiser
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http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&... 11/15/2013
' D2SCLOSURE S'f'n'►'F•*�'NT .FOR OWNER
CITY OF ZEPHYREi22�LS BiT2I,DSNG DEPARTt�NT
_, ��v /�' � �� � have read and fu11y understand and
agree •to e provisions of �this instrument.
The undersigned .states and affirms that he or she is desirous of' c�nstructing,
renovating, adding to or reroofing his or her oam domicile, •that he or she
actually occupies, or wi11 occupy by said domicile, and same is not for
•rent, laase or sal.e. That he or she shall comply vrith the following conditions:
1. That the owner and_he or she alone shaZ1 act as the builder for al1 phases of
construction.
2. That the owner will comply with a11 provisions o£ �the City of Zephyrhil'1s
ordinances and dodes �*-*;neat to ttie building.
3. fihat in the event various phases of' coastructian are subcontracted, he wi11
engage only properly licensed subcontractors and will pPSSOna11y supervise
such work,
4. That in the event the Building Inspector sha11 rez+*ire corrections to be made,
the owner will assume fv11 respoasibility ~to insure •they are made, and upon
cumpletion wi11 ca11 for a reinspectioa before proceeding with the building.
5. That the owner sha11 assume fu11 responsibility for the construction and wi11
not expect_ supervision af' his work f'rom the City .of Zephyrhills Building
Depar�ent.
6. That prior to final inspection any additiona.l fees, including reinspection
fees, must be paid ia fu11. A writtan raquest from this office sha11
constitute an official notice to pay additioaal fees.
7. That the owner sha11 comply with al1 City, State and Federal laws in reCJc-srd to
social security, workman's c�+��*+�atioa, lien 1aws, etc. , where applicable.
8. That the owner shall comply with a11 the safety codes issued by the Florida
Iadustrial Comms.ssion.
9. State 1aw rern�ires constsuction to be done by licensed contractors. You have
applied for a permit under an exemptioa to that law. The exemption allows
you, as the owner of yovr propE+rty, to act as your own contractor with certain
restrictions evea though you do not hane a license. You must provide direct
onsite supervision o�' the constn3ction yourself. You may bvild or i�pr�ve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial �+,;i�;rq, p=ovided your costs do not exceed $25,000.
R�he building or resideace must be for your own use or occupancy. It may not
be built or substaatially improved for sale or lease. If you sell or lease a
building you have built or substantially im�r�ved yourself with.in 1 year after
the construction is complete, the law w3.3.1 presume that you built or
substantially i.mproved •if for sale or lease, which is a violati.on of this
exemptioa. You may not hire an ualicensad pErson to act as your contractor or
to supErvise people working on your builcling. It is yovr responsibility to
make sure that people P�ployed by you 2zave licenses required by state law and
by county or municipal licensing ordiaances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to pesform the work being done. Arsy p@rson working on yovr building
who is aot licansed must work under your diract supexvision and must be
P�ployed by you, which means that you must deduct F.2.C.A. and withholding taa
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ord9siances, building
codes, and zoning re 'oas.
OWNER'S SIG[ZATLTFiE - DAI'E �� ��
ADDRESS �
PHONE
W=TNESS � PEFtMLT #
� 1111111111111111111111111lIIIIIIIIIIIIlIIIIlIIllllllllllllll
2013195673
NOTICE OF COMMENCEMENT
PermitNo. R�Pti:1863729 Rae: 10.00
DS: 0.00 IT: 0.00
Property Identification No. �/- „Z�p —oZ/— CJ+ D/O-a idoo—QQ/� 11/18/13 D. Bonl l la, Dply Cle�k
TF�UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following informat�on is provided in the NOTiCE OF COMMENCEMENT.
c �"�)• pF Z t/��+y r Ge i I 1 t /�/,� / ESC Q /G�L�� /�G.s�
1. Description of property(legal description:) o s / � �,� � c.k a i �� 7 /� / ,$
a) Street Address: , ,r.
2. General description of improvem w' 2P_ � . �e
u� � N
3. Owner Information ,
a) Name and addross: .3 . O lS ��l� � jj�G G �'J7s�
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property lD/LliYf�v�
4. Contractor Information
a) Name and address: Q� �9: � �C� C'm•�t7'2u�Tid y �.t� �
b) Telephone No.: ,�/3 �/O 9��9' Fax No.(Opt.) �
Surcry Information �
-� a) Name and address:_���� „t�r�G� �'���y�•- �� /`L
b) Amount of Bond: � ,
c) Telephone No.: Fax No.(Opt.)
6. I.ender
a) Name and address: s° /��
7. Identity of person within the State of Florida designate y owner upon whom notices or other documents may be serv�;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
R'ARNING 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 IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU TNTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF C NCEII�NT.
STATEOFFLORIDA �'C •
COUNTY OF PASCO
/
PFiULR S 0'NEIL,Ph D Pq5C0 CLERK 6 COMPTROLLER 5�8��+rc OF Owner or Owner's Authorized p}'fi�er uxtor/p�p./�y�gQ
li/18/13 i:1 1 of i /r��N� �}. w��
OR BK �9�� P� 14'�$ r�,acN�,e
The foregoing instrument was aclrnowledged before me this j Q' day of_ ��QiA�h y 20(�,by��V6L (� �nC"�
� (type of authority,e.g.officer,trustee,attomey in fact)for
�name of party on behalf of whom i t was executed.
Personally Known_OR Produced Identification_ Notary Signature r ELISA P.SAVAGE
Type of Identification Produced •� QL L((, Name(print) � Commission i�EE 814599
17
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that 1 have read e foregoing and thai the facts stated
in it are we to the best of my knowledge and belief.
FORMS/NOC.rvsd2009
Si�uoce ofN�ned Pason Si�inp Above
��°`c',��
,��j► . � . � STATE OF FLORIDA,COUNTY OF PASCO
�� THIS IS TO CERTIFY THAT THE FOREGOING ISA
��' �► TRUE AND CORRECT COPY OF THE DOCUMENT
� ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� rn Go�t�ve r„�sr � � WIT MY HAND AI�ID FFI lAL SEAL THIS
•
'�" DAY OF I��I �v13
�r � � *
� • PA LA S.O'NEIL,CLERK&COMPTROLLER
� l�7 * �
� , • • S � ' DEPUTY CIERK
�����
.a
' a
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�
Contractor/Homeowner: `�i1 F-�
Date Received:
Site: �CJ�� � S
PermitType: !<�'�QI�C� `(-��'iC..dt �Z�C,�2__
Approved w/no comments:❑ Approved w/the below comments: L�l� Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
l�� ��� - = ,�.
�/�S� �� ;
Kalvi ' zer-Plans Exanuner Date Contractor and/or Homeowner
(Required when comments are present)