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HomeMy WebLinkAbout14-15487 CITY OF Z PHYRHILLS ' S335-8 H STREEf (si3)� 0-0020 1 87 BUILDIN PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15487 Address: 5230 4TH 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: 11-26-21-0010-13100-0150 Improv. Cost: 8,645.00 OWNER INFORMATION Date Issued: 11/05/2014 Name: COLFIN AI-FL 2 LLC Total Fees: 160.00 � Address: 3904 CORPOREX PARK DR STE 125 Amount Paid: 160.00 TAMPA FL 33619-1131 Date Paid: 11/05/2014 Phone: , Work Desc: INTERIOR REPAIRS/A/C CHANGE UT CONTRACTOR S APPLICATION FEES � GCLS CONTRACTING INC BUILDING FEE 80.00 PL MBIN FEE 40.00 BADGER'S PLUMBING INC MECHANICAL FEE 40.00 BOB WILSON MECHANICAL INC I �`��.._. � _ � i� � f/ � ( Ins ection Re uired FOOTER 2ND ROUGH PLUMB ISC IN ULATION CEILI G I FOOTER BOND DUCTS INSULATED EWER MISC. � ' ROUGH ELECTRIC LINTEL ISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER ISC DRIVEWAY PRE-SLAB SHEATHING ISC. MISC. CONSTRUCTION POLE FRAME ISC. MISC. REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following r asons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections n made when inspections called d)work not ready for � inspection when called e) permit not posted on jo site t� plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agencies. "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ob in financing, consult with your lender or an attorney before recording your otice of commencement." Complete Plans, Specifications Must Accompany App ication.All work shall be pertormed in accordance with City Cod_ and Ordinances. NO OCCUPANCY BEFO C.O. •_� 'J'/J .�-� ��'''� � � /� ,-� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED , PROTECT CAR FROM WEATHER I - -- • s��-�eaoozo City of Zephyrhills ermit Application Fax-813-780-0021 Building D partment Date Received 9 ( �S� �6 3� _'�O Phone Contactfor P ittin -t-fTI-1-1-t 1- /� -� / - '1-'1"'1"1-� - - Owner's Name L,D L � L.L-�-% Owner Phone Number OwneYs Address �/�Y �( ./L', a✓� ��l S-1 e,l�� ��e'�umber Fee Simple Tltleholder Name /v � Owner Phone Number Fee Simple Titleholder Address I�t JOB ADDRESS 3 a h• S-� Z �� �( �— 3���� LOT# 1�^(� SUBDIVISION PARCEL.ID# ��^�^'� Z[`��O�"I�1C7 C7�'O��O (OBTAINEO FROId PROPERTY TAX NOTILE) WORK PROPOSED B NEW CaN57R e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR � COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK D' �'!�'�l�{ � G, � S � l� ��� (p. �1r�t-✓ ��°„• ��� ! ' �/'j4�/'S 7'/!O � BUILDING SIZE � �J SP,�j� SQ FDOTAGE I !� HEIGHT �� � Q$�UILDING S ���� VALUATION OF TAL CONSTRUCTION �ELECTRICAL��{' $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. dPLUM8ING $ ��� � �i/�' / /= , l `` ' (�� �MECHANICAL S y/�LUATION OF ECHANICAL INSTALLATION � � �` r J\�J� ��2"�<.J ci'•� �. ,� v QGAS'�U�R 0 ROOFING Q � SPECIALTY � OTHER �� � FINISHED FLOOR ELEVA710NS FLOOD ZON AREA �YES NO � � � � � BUILDER MP Y �G,�..�S � o ,Or r�� �n ��!� SIGNATURE REGISTE o Y! N3� �ECURREA Y!N '7 �// u Address S7 o{t •'� �7<K 5 r,j�1%� %'� �.�� License� ELECTRICIAN COMP Y '`�'I!� SIGNATUR£ REGISTE o Y! N FEE CVRREP Y/N Address License# ,� PLUMHER � COMP Y J� S ��Yrl Si•'7- SIGNATURE EGIST o Y/ N FEE CURREA Y!N Address .� ) i,tij�(? f �i�;�)�1 3�,��y �Z l7 J cense# MECHANICAL ` ll / / COMP Y P,)Ci�✓ :1J�1�$r%}1 I'�'1�1 J9Yl:�i! SIGNATURE G REGI57e D Y! N FEECUrut�n Y/N Address /���Ca. /�1 Oi'1 �� � r1� ��� �� �� �� License# OTHER COMPA Y SIGNATURE REGISTE o Y I N FEE CURREA Y 1 N Address License# IIIIIIIIIIIIIIIIIIIIIIf1111111111111111i111111111111tllllt111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, Minimum ten(10)working days aRer submittal da1e. Require onsiie,ConsWction Plans,Slormwater Plans w/Slt�Fenr,e Installed, Sanitary FeciliUes 8 1 duinpster;Site Work Pertnit for subdivi ionsAarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life'Sa(ety age;{1)se[of Energy Forms.R-O-W Pertnit for new construdion. Minimum teri(10)working days after submittal dale. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facililies&1 dumpster.Sile Work Permit for all ne proJects.All commercial requiremenLS must meel compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERIY SURVEY required for all NEW consWction. Directions: Fill out application completely Owner 8 ConVactor sign back of applicatlon,notarized If over S2500,a Notfce of Commencement ls required. (A!C upgrades ver 57500j " Agent(for the contractor)or Power ot Attomey(for the owner)arould be so eone�vith notarized letter Gom owner authorizing same OVER THE COUNTER PERMfTTING (Front ot Applicalion Onty) ' Reroofs'rfshingles Sewers ServiceUpgrades A!C Fences(Plolf urvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTIGE OF DEED RESTRICTIONS: The undersigned und rsCands that this permit may be subject to"deed"restrictions" which may be mare restric#ive than County regulations. Th undersigned assumes respansibility for compliance with any applicable deed restrictians. UNLICENSED CONTRACTORS AND CONTRACTCIR R SPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be 1 censed in accardance with state and tocal regulations. If the cantractor is�of licensed as required by taw, both the aw er and contractor may be cited far a misdemeanor violation under state law. If the owner or intended cantractor are u certain as to what licensing requirements may apply for the iMended wark,they are advised to contact the Pasco Coun Building inspection Division—Licensing Section at 727-847- 8409. Furttisrmore, if the owner has hired a cantracior r contractors, he is advised to have the contractor{s} sign portians of the"contractor Block°of this application for whi h they will be responsible. If you, as the owner sigh as the contrac#or,that may t�e an indication#tiat he is not praperl licensed and is not entiUed to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND R QURCE RECOVERY FEES: The undersigned understands that Transportation lmpact Fees and Recourse Recover}r F es may apply to the construction of new buifdings,change of use in existing buildings,or expansion of existing buildings as specified in Pasco County Ordinance number$9-07 and 90-07,as amended. The undersigned also understands,t at such fees,as may be due,will be identified at the time of permitting. It is further understood that 7ransportation Imp ct Fees and Resource Recovery Fees must be paid prior to receiving a"certifrcate of occupancy"or ftnal power release If the project does�ot involve a cettificate of occupancy ar final power release,the fees must be paid prior to permit i suance. Furthermore, if Pasco Caunty WatedSewer Impact fees are due,they must be paid prior to pertnit issuance in a ordance with applicable Pasco Caunty ordinances. GONSTRUCTION LIEAi LAtN(Chapter 7i3,Fiorida 3tatut s,as amended}: tf valuation of work is$2,5Q0.�0 or ri�ore,I certify that i, the applicant, have been provided with a opy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Flarida Department of A riculture and Consumer Affairs, If ihe applicant is someone ofher than the"owr�er",!cerkify that 1 have obtained a capy f the above descril�ed dacument and promise in good faith to detiver it to the"owner"prior ta commencemenk. CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that ail t e information in this application is accurate and that all work wili be done in camp[iance with a!I applicable laws regulati g constntction,zaning and land developmenf. Agplicafion is hereby made to obiain a permit to do work and instatiat on as indicated. i certify that no work or instellation has commenced prior to issuance of a permit and that all wor will be pertormed to meet standards of all laws regulating construction,.County and City codes, zoning regulatians, nd land development regula6ons in the jurisdiction. 1 afso certify that 1 understand that khe regulations of other govern ent agencies may apply to tfie intended tivork,and that it is my responsibiliry to identify what actipns I must take ta be in ompliance. Such agencies include but are not limited to: - Departmenf of E»vironmenta! Protection-Cypre s 8ayheads, Wetland Areas and Environmentally Sensitive Lands,WaferiWastewater Treatment. - Southwest Florida Water Management Dis ict-Wells, Cypress Bayheads, Wetland Areas, Aitering Watercourses. - Army Corps af Etiginsers-Seawalis,Docks,Navi able Waterways. - pepartment of Health & Rehabilitative Senric s/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Ager�cy-Asbestos batement. - Federal AviaGon Authority-Runways. i understand that the following restrictions appiy to the use o fill: - tlse of filt is not allowed in Flood Zane"V"unles expressly perinitted, - If the fill material is to be used in Fiood Zo "A", it is understodd that a drainage plan addressing a "compensating volume"will be submitted at tim of permitCing which is prepared by a prafessional engineer licensed by the Skate of Florida. - If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill wiil be used only to ill the area within tlie stem wall. - if fill materiai is to !�e used in any area, I ce 'fy that use of such fili wil( nat adverseiy aSect adjacent properties. If use of fiil is found to adversely a ect adjacent properties, the owner may be cited for vio(ating the conditions of the building permit issued un r the attached perrriit application,for lots less than one (1) acre which are elevated by fill,an engineered dr inage plan is required. if I am the AGENT FOR THE OWNER,I promise in good fai h to inform the owner of the permitGng conditions set forth in this affidavit prior to commencing cons#ruction. I understan Utat a separate permit may be required far electrical wprk, plumbing, signs,weUs, poois,air conditioning, gas, or othe insta0ations nat specificaily incEuded in the apgiication. A pe�it issued shait be constnaed to be a Iicense to proceed ith ihe work and not as autharity fo viaiate,cancel,alter,or set aside any provisions of the technical codes,nor shall iss ance of a permit prevent the Building Official.from ttiereafter requiring a correc8on of errors in plans,constn�ction or uiola ions of any.codes. Every petmit issued shal!become invalid unless the wortc autharized by such perm9t is commericed ithin six manths of permit issuance,or if work au#horized by the permit is suspended or abandoned for a period of six(6) anths after the lime the work is cammenced. An extension may be requested,in writing, from the Building O�cial for a period not to exceed ninety(90}days and will demonsttate jusEifi�ble cause for the extension. If wark ceases for ninety O)cansecu#ive days,the job is considered abandoned. WARNING TQ OWNER: YOUR FAILURE TO RECORD` NOTICE QF COMMENCEMENT MAY RESULT IN YOUR PAYiNG TWfGE FOR IMFRdVEMEiVTS TO YOUR PR4PE TY. I�YOU INTEhid TO Q8TA1N FlNANCIN�,CON5t7t�T WITH YOUR L,ENDER.OR AN ATTORNEY BEFORE RECO DING YOUR NO710E OF CDMM CEMENT. FLORIDA JURAT(F:S.1'17.Q3) �� OWNER OR A6ENT CON RACTOR Subscrihed and swprn to(or aKrmed)4efore me this bs ' and sworn t r aftirmed)bef r me thi by by ,�,��,Y4 Who isfara personaliy known to me or haslhave produced ha are petsonallv knov�n{o me or sihave pro8uced as identifica&on. —.r as identification. ' Notary Public Notary Pubtic Cammissfon No. Com ission No, Name of Nolary typed,printed orstamped Nam aC Notary typed,printed or stamped ,�a�u�M.y 1L� f� :}pit�r p �( �#��iG�i7�� �. � Not*ry�ubflc-st�ie ot florldr zN„ tr AAy Comm.Expires pec IZ,2017 °:`„o����;:A`� Commi��lon r�fF itl63t� . ' PUWER U ATT4RNEY Date: � 1 d��� 1 hereby name end appoint ��� ��i� w, L�''�`� • of ��--�``�' C��'�•��' � c.� to be my lawful aftomey-in-fact to act for me, and apply ta the Division of B itding Safety far a ���L��� perrrt�t . for work to t�e pertormed at a Iocation descr bed as: ' Parcel !D#:Section Township Rang Subdivision Slock �.�� Lot t�7�o (45 t7igit Parcel Number) Subdivision Name: Owner of Property: �d��"" ���"t' �- �.�-�- Project Address: �02 j� �� City:`�T��7�^f?,-�� Zip de: �,�.�f Z -- ' and to sign my�name and do a(I things nece sary to this appointment. C�Y,s ��>��,,. - �� s �r� �r,� _ �'�-��z�:�3 I (Conirac#or Name)( e or Print} (Contractor's License Number} , (Contractor Si ture} The foregoing instrument was acknowledged bef re me this��ay af�_ of 20�,by wha is personaliy known fa me or who produced as iclentification and who did not take an oath. Seal Notary lic riitt name N ublic (Signature) :o;:aY p"",•,,� NICOLE POWER �` ' "� =r; := Netary Pubflc-Stntl al Flal�a Rev 03t13113 :,.Y 'T=My Comm.ExptrEs Dec 12.2017 ••,% H,��;A`� Commission M fF 07631� : . � ' POWEI2 OF ATTORNEY Date: � � r r t hereby name and appoinf [�'V� l/� �,li�� o€ �.,US f4c.���v� � #o be my Iawfui aftomey-in-fiact to act for me, and apply to the Division of Bui! ing Safety for a �����n��1 permit for work to be per€ormed at a location descri ed as: Parcel ID#:Section Township Range Subdivision BIbGIC! � � Lot ��'l to - (15 Oigit Patcet Number} Subdivision Name: Owner of Property: o j�',r� � �--� �,.�L�,. Project Address: �+�7 l �f c�ty: l ������zp c a�: �3s�z� �G� and to sign my name and do all things neces ary to this appointment. o G�/. f� -,�5 �-�� �.�� ;� � �n, � l G4�.-18'r��Z.s� {Contra ar me Type or rint {Ccrntractor's License Number) � (Contractor Signatzire} The foregoing instrument was acl�owledged befo e me this��day o£_�� of 20�,by 0 who is personatly kziawn to me or who produced ^' as identification and who did noC take an oath. A�t(�w"'�OY►�t' Seal Natary u lic{Print naine) Nota'1�u ic(Signature) iii�,,,,��,,,�i .tiN'��••,,� . Rev 43J33193 =� � ��G��'���� _• . ��*ry Pubtic..SUIe af Flofld� :�'yff �,�r�My Calnm.E�tplres Dec 12,201 i %a.°;;,...� Commts:icn t.FF OZ63t�