HomeMy WebLinkAbout14-14946 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 946
� ` BUILDING PERMIT
Permit Number: 14946 Address: 6553 TEAK CT
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: DRIFTVI/OOD
Est. Value: Parcel Number: 02-26-21-021A-OOH00-0020
Improv. Cost: 2,500.00
Date Issued: 2/03/2014 Name: DOVE AUBREY F JR
Total Fees: 67.50 Address: 6553 TEAK CT
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33540
Date Paid: 2/03/2014 Phone: 813-602-8234
Work Desc: REPLACING (4)WINDOWS
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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 con�ections not made when inspections called d)work not ready for
inspection when called e) permit not posted 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 properly that
may be found in the public records of this counry, 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 reoording 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 CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
__._
Contract omeow . ,. ey.� �
Date Received: �'�"� 7�— �� �
s�te: ��:�-��.� �����
,� o s
Permit Type: Z
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��. oa-r---
Approved w/no comments:� Approved w/ e b ow comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
' - �
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Kalvm Sw er—Plans ammer Date Contractor and/or Homeowner
(Required when comments are present)
� DISCLOSUR,E S'r'n'�'F•*�•NT .FOR OWNER
� CZTY OF .ZEPHYRFIII�I+S BLTII.DING DEPARTb�NT
_ ' have read and fully usderstand and
agree •to the provisions of �thts instrument.
The undersigned .states and a£firms tlzat 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 domicile, and same is not for
•rent, lease or sale. That he or she shall comply wi�th the following conditions:
1_ That the o�rsier axid.he or she alone sha11 act as the builder for al1 phases of
construation. �
2. That the ownes wi11 comply with a11 provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such .work.
4. That in the event the Suilding 2nspector sha11 rez+�ire correcti.ons to be made,
the o�aner will assume full responsibility �to insure •they are made, and upon
completion wi11 ca13 for a reiT�ction before proceeding with the building.
5. That the owner sha11 ass�e full responsibility for the coastruction and wi11
not azQect_ supp�.vision of his work from the City_ .of Zephyrhills BUildi.ng
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid ia ful1. A written request from this office shall
constitute an official notice -to pay additional fees.
7. That the owner sha11 co�ply with a11 City, Sta.te and Eederal laws in regard to
social security, workman's compensatian, li� laws, etc_ , where applicable.
B. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commissioa.
9. State 1aw rec�,;res construction to be done by licensed contractors. You have
applied for a ppT+�+�t under an exemption to that law. The exemption allows
you, as the owner of' yovr prOp2Sty, to act as your owa contractor witb certain
restrictions enen though you do not have a license. You must provide direct
onsite supervision of' the construction yourself. You may build or improve a
one-family or two-family residence or a farm outl�uilding. You may also build
or improve a commercial buildiag, provided yovr costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may aot
be bLU.lt or substantially �.mproved for sale or lease. If you se]:l or lease a
building you have built os substantially i�proved yourself within 1 year after
the construction is complete, the law will presume •that you .built or
substantially improved if for sale or lease, which is a violation of this
E]CP�Ptioa. You may not hire an unlicensed person to act as yovr contsactor or
to supervise people working on yovr building. It is your responsibility to
make sure that people P�ployed by you have licenses 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 mork beiag doa�. Ariy persoa working on yovr building
who is not licensed must work uncier your direct supervision and must be
�ployed by you, which means that you must deduct F.I.C_A. and withholding tax
and provide workers' compensatioa for that P�ployee, all as prescribed by law.
Your construction must comply with al1 applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S S= TURE V � DATE � '^ � �/
ADDRE55 I ER � �. E. iF I-/-/!GL L •
PHONE ! —�p 1 � 1 -
WZTNESS i PERL�IIT #
813-78�-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � - Phone Contact for Permittin � �-J v°�- __ � a 3�
Owner's Name cf,a�£� �- ��t0�- J f• F3�.�'(�a! - $02 �
Owner Phone Number J
Owners Address �'.S.S� 7EA,L � 7-�.�H7/�'ry��-� `�L Owner Phone Number �
Fee Simple Titleholder Name � Owner Phone Number �
Fee 3imple Titieholder Address
JOB ADDRESS 6.� "�� A C � Z�- P N ��j[.L.S F L ;�35'yG Z- LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
VYORK PROPOSED B NEW CONSTR[�, ADD/AL7 � SIGN Q Q DEMOLISH
INSTALL Q REPAIR
PROPOSED USE � SFR [] COMM [—� OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK F�- PL LI � /h/C w� � v �'"�f , `
BUILDING SIZE SQ FOOTAGE� HEIGHT ' .
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGjESfrENERG'�-- _... �\W.R.E.C.
::�/—
OPLUMBING $ " � �
QMECHANICAL $ VALUATION OF MECHANICAL I . /j���
f ��.`
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER Y �v��� �1�� COMPANY Dv✓n � �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
ELECTRiCIAN COMPANY
SIGNATURE ReGisrERe� 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 FoRns;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 Facllities 8�1 dumpster;Site Work Permit for subdivisionsllarge 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 te�(10)working days after submittal date. Required onsite,Constructfon Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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 consUuction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor}or Power of Attomey(for the ovmer)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(PIoVSurvey/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"deesi" 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 regutations. 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 buiidings, 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 Transpo�tation 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 ce�tificate 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(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 Ag�iculture 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, WaterlWastewater 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 expressly permitted.
- If the fill material is to be used in Flood Zone A , it is understood that a drainage plan addressing a
v ,�
"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 specifically included in the application. A
permit issued shalf 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 the�eafter
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
FAYtNG TINICE FOR IMPROVEM�NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTOR EY BEFO E RECORDING YOUR NOTICE OF COMMENC MENT.
FLORIDA JURAT(F.S. 11 . 3) n � ,L%��F "`" �
v
OWNER OR AGENT CONTRACTOR
Subsc�fbed and swo o(o ffi d) ore e thi Subscribed d swom (or ffirm )befo , this ` �
by 7 u ' .�" -��- by .
Who,j�are per all known to e or as/have pr d c ho Is/�e yers�al y knovm to me or haslhave produ
.��e� f•-�C- ,(�_ as identificati n.
�� .J�S��'�k:•;� BOB �E �/r 1.�. � -) - i �� �. �
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' � �6� eb ary 2 1�`6 �f�n "°"'' / ' � , , Notary Public
� �� y e�i �. �-3 TIAND
.� �°"..,, BOBBIE S.SWE
� Commissi n,�tl:! �- �
Commissfon No. ,., :*� 22�2016
;;• = Expires�ebruary �7o,a
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Name of Notary typed,printed or stamped Name of
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App11c011on Status �p��d
'A Otl by DBPR.Approvqls by DBPR:.Noll pa rovlowed�nd ratltiod by
u+e POC and/or tno Commisslon�1 no�easary.
Commentc �
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G�to Pending FBC Apprpvol
Dato Approvotl OeiOtl�O�2
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