HomeMy WebLinkAbout13-14844 CITY OF ZEPHYRHILLS
5335-8TH STREET
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BUILDING PERMIT
Permit Number: 14844 Address: 38526 REMORA 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: 02-26-21-0260-00000-0840
Improv. Cost: 300.00
Date Issued: 12/20/2013 Name: MYOTT, RAYMOND
Total Fees: 60.00 Address: 38526 REMORA AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/20/2013 Phone: (813)779-2053
Work Desc: SHED ADDITION EXTENSION 8 X 8
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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.
REINSPECiION 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 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.
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CONT CTO SIG ATURE 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 Zephyrhilis Permit Application Fax-813-780-0�21
Building Department
Date Receiaed a /f /2� ��-� �l3 � 3.S 3 �
Phone Contact for Permittin
Owner's Name . i4 �lG�v�Ci � f f Owner Phone Number S�(!�/�C
Owner's Address .���a� /�e�r o��y /�v.Q
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �Ss`t /E�F/�'/o�p� LOT# ��
SUBDiVIS10N PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) "
WORK PROPOSED NEw CONSTR ADD/ALT �� SIGN Q [� DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q
DESCRIPTION OF WORK iY�d`�io� �`�, S�j�d ��(�' y.,r'r'��s,�
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
3�0.��
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ , ��
�MECHANICAL $ VALUATION OF MECHANICAL INSTALIATION
.� I `� �
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILDER l Q t COMPANY ��
SIGNATURE s�lpyr� � , REGISTERED Y/ N FEE CURRE� Y 1 N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address License!k �-
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �- -�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r-
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,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivlsionsAarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
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 construcNon.
Directions:
Fill out application completely.
Owner&Contractor sign back of applicaHon,notarized
If over s2500,a Notice of Commencement is required. (A/C upgrades over s7500)
*" 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
appiicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a con4ractor 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 contractor may be cited for a misdemyanPoP y iolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 cont�actor 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 "ce�tificate 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 WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapte�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 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 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 Watervvays.
- Department of Heatth & 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 1 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, wel{s, 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 EN'TSTO YOUR PROPERT1f.TIF YOU INT�END TO OBTAIN FI�NANC NG CONSULT
PAYING TWICE FOR IMPROVEM
WITH YOUR LENDE OR AN ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEM NT.
� FLORIDA JURAT(F.S.1 3) �� �
�� CONTRACTOR �
OWNER OR AGEN this Subscribed and swom to(or afflrmed)before me th�s
Subscrfbed and s to r affirme � by
�_�—by Who is nally known to me or has/have produced
"Who islare perso �1 wn to me or has/ha roduced as identiflcation.
as Identl ion.
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f �� ;���;, ;; -, . ��' � � (,�, Notary Public
,� "' Notary Public ,
j " Comm ion o
issi ,
""' JACQUELINE BOGES
r�'�� .�=� ed, rinted or stamped
� Name of Notary tyP P
Name of N r� (�i"12,2014
� ���� BoidedTlruTroyFalnlnwrancs1800�385-7019
' DISCLOSVRE S'►'A'�•*�'•NT .FOR OWNER
CITY OE .ZEPHYRHS?iLS BIIII.DING DEPARTi�NT
_ .�
Z� � Y�0i2 V�,�� have read and fully understand and
agrae�o the prov'sions of �this instrument.
The undersigned .states and affirms that he or she is desirous of constructing,
renonating, adding to or reroofing his or her o�vn domicile, •that he or she
actually occupies, or wi11 occupy by said domici:le, and same is not for
•rent, lease or sale. That he or she shall comply wi-th the following conditions:
1. That the owner and_he or she alone sha11 act as the builder for a11 phases of
constrncti.on.
2. That the owner will comply with all provisions of tlie City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he wi11
engage only properly licensed subcontractors and will personally supervise
such work.
A. That in the event the Building 2nspector sha11 re�+��re corrections to be made,
the owner will assume full responsibility to insure •they are made, and upon
ec�pletion will ca13 for a rei*+_�ction before proceeding with the building.
5. That the owner sha11 ass�e full responsibility for the construction and wi11
not expect_ supervision of his mork from the City. .of Zephyrhills Building
Depart��t.
6. That prior to final inspection aay additional fees, including reinspection
fees, must be paid in ful1. A written requast from this office sha11
constitute an official notice -to pay additional fees..
7_ That the owner sha11 comply with a11 City, Sta.te and Federal laws in regard to
social security, workman's compensatian, lien laws, etc. , where applicable.
8. That the owner sha11 comply with all the safety codes issued by the Florida
Iadustrial Commission.
9. State 1aw re?+,;res construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. �he exemption allows
you, as the owner of your propesty, to act as your own contractor with certain
restsictions evan though you do not have a license. You must provide clirect
onsite supervision of the constructioa yourself. You ma.y build or improve a
one-family or two-family resideace or a farm outbuilding. You ma.y also build
or improne a commercial building, provided your costs do not exceed $25,000.
The building or.residence must be for yovr own use or oceupancy. St may not
be btii.lt or substaritially improved for sale or lease. If you sel:l or lease a
building you have built or substantially �.mproved yourself within 1 year after
the constx�iction is complete, the law will presume .that you built or
substantially improved if f'or sale or lease, which is a violation of this
E7Cemption. You may not hire ati unlicesisad person to act as your contractor or
to supervise people working on yovs building. It is your responsibility to
make sure that people e�ployed by you have lic�ses re�,;red by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not.
licensad to perform the work being dnne. Ariy parson working on your building
who is not licensed must work uncier your direct supervision and must be
employed by you, which means that you must deduct E.I.C.A. and withholcling tax
and provide workers' compensation for that employee, a11 as prescribed by law.
Your const-suction must comply with a11 applica2�le laws, ordinances, building
codes, and zoning re ations.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contract omeow . _
`-_-_---
Date Received: /�,_f1_ / �
Site: --
Permit Type: `'" � � s
�o� � X� ��44����
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.
C�� -� �
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Kalvin Swrtzer-Pl s Examm� er Date
Contractor and/or Homeowner
(Required when comments are present)