HomeMy WebLinkAbout13-14845 + CITY OF ZEPHYRHILLS
5335-8TH STREET
, � (si3)�so-oozo 148
BUILDING PERMIT
Permit Number: 14845 Address: 5243 5TH ST
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: 11-26-21-0010-13100-0040
Improv. Cost: 3,856.00
Date Issued: 1/07/2014 Name: CASTEN, CARL & SUMILE, ANICETO
Total Fees: 82.50 Address: 5243 5TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/07/2014 Phone: (813)788-5459
Work Desc: PATIO COVER OVER EXISTING SLAB 12 X 32
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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 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 pos�ted on job site f) 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 properly. 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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NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
{`ItI PASCO PE�1MI�'SEFIVICE � p,� Z�,�
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Pertnit No. Parcel ID No �
NOTICE OF COMMENCEMENT
State ol �/QrI� County of ���
THE UNDERSIGNED hereby glves notice that improvement wiU be made to cenaln real properry,anC in accordence wtth Chapter 773,F�orida Statu es,
Itie following infortnation is provided In thia Notiee of Commencerrent�J, �_� �� /�/ � f 7�%�
1. Deseription of Property: Parcel IdenGfication Na. L L.
Street Address: s�" .� J ' � � � �
2. General Descripdon ot Improvement�� ,0 `���
3. Owner Inlormation or Lesaee intortnation if the Lessee contracted for the improvement:
Ca.-r/ C�Jylz/�
S�s�3 "��✓� � ,3�g"
Addresa Ciry State
Interest in Property:
Name of Fee Simple TiUeholder:
(If different from Owner Usted above)
Addresa Ciry State
Contractor: ^J ��C- • 7
Name�yyo � ��C (Q
Address Cit State
Contrectors 7elephone No.:
5. Surety:
Name
Rept:1673680 Ree: 10.00 — State
'�df°" DS: 0.00 IT: 0.00
AmountoiBond: E 01/07/14 D. Bonllla, Dpty Cls�k
6. Lender:
Name PpULii 5.0'NEIL,Ph.D.Pq5C0 CLERK L COMPTROLLER
Address ,01/07/14 Q2:4jpm PGo�l 0 State
OR BK 8979 5
Lenders Telephone No.:
7. Peroons within Ihe Stete of Florida deaignated by the owner upon whom nodces or other documenls may be served as provided by
Sectlon 713.13(t)(a)(7),Fforida Statutes:
Name
Address Ciry State
Telephone Number of Dealgnated Person: -
8. In addilion to himsell,the owner designates ot_
to receive a copy of the Lienars NoGce as provided in Sectlon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Enlily Deaignated by Owner.
9. E�IroBOn date af Notice of CommeneemeM(the expiration dale may nol be before the canpletion of consWCUon and finat payment to the
contraUOr,but wlll be one year 6om tha date of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING NYICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTE�ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FtNANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO'fICE OF COMMENCEMENT.
Under penatty ot perjury,I dedare that I have road the foregoing notice of c encement d tha acts stated tberein are true to the best
of my knowledge and bebel.
STATE OF FLORID 'o""��.,��ACIE LYNN HARTVYIO
COUNTY OF PASC /+° :.
� i MY COMMISSION MFF004897 Signa ure er or Lessee,or er's or Le see s Authorize0
��••,, L-kF'RES Octobsr 21,2017 OfficedDlredw/PaAnedManager /�
(407)�:IJU�".�.:1 :;HOM SON�Ol.Cp�l �f/ � ��"•
�Signatory's TitleJOffice
The foregoing insWment was ackrrowledged befae me this�day ofT�,20�by C�-� � // LLl/�I
as��l (type of authoriry,e.g.,'offieer,trustee,anomey in ted)tor
f[ (name of p y behal4of whom i t ent p executed).
Personatly Knovm O 4$Produced IdentificaNOn� Notary Signature
Type of Identification Produced Vy Name(Print) (f '� � �
wptlata/bcs/nolicecommencemeM�c053048 _
g� i STATE OF FIOR�flA,COUNT����'AS�O
� THIS IS TO CORRECT COPY OF HE D CUMEN
' TRUE AND
� � ON FILE OR OF PUBLIC RECORD IN THIS OFFIC
�� WITNESS MY HAND A D OFFICIAL SEALT IS
* � DAY OF 2�
� &CO TROLLE
` s'r r ~ PAUL ' EIL,C
. +'�� �•�* p�tYF CLERK
. *
BY
�
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department P*.500 PERMITi�3�i�ib''!��
(813)78g-5314
Date Received �/o _`.3 �,.7�
Phone Contact for Permittin _
Owner's Name ��-�/ � Owner Phone Number ��3-' �/s ����
Owner's Address � �-7.3 ��`J �- Owner Phone Number �
Fee Simple Titleholder Name . Owner Phone Number � —1
Fee Simple Titleholder Address
JOB ADDRESS So2-7.� J ' " - � �Q� LOT# �� � �/
SUBDIVISION 6� /' , PARCEL ID# !/-��/-Ud/d-/3/� �d�
(OBTAINED FO pROPERTY T�TiCe)DEMOLISH
WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN
INSTALL B REPAIR
PROPOSED USE 0 SFR Q COMM � OTHER �—
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK �--lO D�UL°/' � C
BUILDING SIZE �� X c�a—' 3Q FOOTAGE �/6 / HEIGHT �
�BUILDING
$3, �f'� � VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ T�
����5
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
OGAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
f
BUILDER � �� � � COMPANY �/1/`J' _ ..L//C -
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Address �2 y�r4_ /��/! � `^ � �
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/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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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.
Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'*PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over;2500,a Notice of Commencement is requl�ed. (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
appiicable 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 appty 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 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 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'S/OWNER'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 ce�tify 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 & 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 exp�essly 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 ce�tify 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 specificalty 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 p�ovisions 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
justi�able 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 � � CONTRACTOR C-��'��- �c�
Subscribed and sworr�tp(or��r d)before me this �� Subscribed and b�o�rn,�C/p��{�d_ 4- !Se me this / —
b �1�LLCJ� ��^�Gru! �F/u�tJ
Y �.,�w�t�ma or has ave produced Who is/are perso�atly known to me or has/have produced
Who Islare personally.,,,,.�.._� '-"— as identlfication.
as identlflcatlon.
Notary Public
Notary Public
NOTARYPtiBLIC-STA"CEOFFLORIDA Commission o. NOTARypL7;iiC-S�;a�rr. n�,-,..
Commission No. �,�T�� ,"" ""n
: ��uz�nne Bahr
=Catr^:�;<_sio^#EE044504 :�'--C.:r ,�,; ��a, n
� � Name of Notary typed,printed oP� �km���:, �,'p�22 Zp14
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �J�-�f f'" ,,5
Date Received: �'2- �p-/ �
� Site:_. T�/�' _ �ZX��� �ril� p �_e'�-�� G�/ '��S�s��
pe��r�: 5�✓� .�Z SL,3 j�� S 1
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.
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Kalvin Switz Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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