HomeMy WebLinkAbout14-15491 CITY OF ZE HYRHILLS ;'
5335-8T STREET
(si3)�s -oozo 154g
BUILDIN PERMIT s�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15491 Address: 5045 19TH STREET
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21500-0030
Improv. Cost: 1,831.00 OWNER INFORMATION
Date Issued: 7/16/2014 � Name: MCGOUGH WILLIAM G III
Total Fees: ��1�7°� Address: 5045 19TH ST
Amount Paid: 67.50 ZEPHYRHILLS FL 33542-2166
Date Paid: 7/16/2014 Phone: 407-765-5233
Work Desc: INSTALL 8'X10' SHED AND MOVE E ISTING (5'X7')SHED
CONTRACTOI� S APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50 �(��� .
`�j7 dtti��'t�-t �ilh`►rt/'s �2l�'.�n,�—
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Ins ections e uired �`
FRAME
SHEATHING
' FINAL f'� '�
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REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade when inspections called d) work not ready for
inspection when called e) permit not posted on job ite� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 obta n financing, consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans, Specifications Must Accompany Applic tion. All work shall be pertormed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFO C.O.
� �
CONTRAC O S NATURE PERMIT OFFI R
PERMI EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
• nzscz.osvtz� S N`S .FOR aWI�iER
' c�.�' a� z�Px��.s ��rtc ���A�rrr
=t c.1�\ �f 1/1 . � have read ar�.d fully undess tand and
agree ta the provisions of �thi.s in ent.
.The tsndezsigned .states and affzrms tha� he c�r she is des�.xous af constsucting,
resiavatirig, addix'Yg ta or �eroafing Yiis ar er owm dom`icile, •that he os she
actually occupi�s, or wi11 oacupg by said domicale, and same is not f'oz
•rent, lease or sale. That he or she sha11 comp3.y wi-th the followiing aondi-�.ons:
1. Tha� the ownes asid,he or she alone sh � �. act as -f�he builder for aI1 ahases of
' constructz.on. .
2. �`ha� t�e awsies w.�:x.Z comp3.y with a11 pr visions of �the City of Zephyrhil:3.s
ordinanaes and cades pertineat to the ua.ldixig.
3. That in the even�. var�.ous phases fl� co truction ase subcantracted, ha wi11
engage or�.y �proper7.y I.ieensed subcantr ctors and will p�ssoz�al.�.y supervise
such work.
4. �ha-� in �ie event -the 8uilding =nspect x sha13 requi�re cosrec�i.ons to be macle,
�he ownex wa.11 assume fu11 responsibil'ty to insure •t�a,ey are made, and upon
coatpl�tion wa.11 ca13 for a reinspectio befoze p�oceeding �rith the building.
5. fihat the ownes shall assume fuZ1 respo sibili�ty for the const�u,ct�.an and wi�.2
not expeat_ superv�.sian of his work fr the City of Zephy�hills Building
Departsieza.t.
6. 2'hat pra.or to firial iszspection any a 't.ional fees, including reinspect-a.on
fees, must be paid in fu11. A �sitten sequest �rom ttiis office sha11
constitu�e an offi.cia]. no�.ce to pay a 'tioxial. fees..
7. Tha� the ownes sha11 aomply with a1�. 'ty, State and Fedesal laws i.a reG,�eS'd to
sac.�.a1 sectzrity, workman's camp�satio , liea la�rs, etc. , whese applicable.
8. Tha� the ownes sZza.Il co�ply with aZl e sai-"e.ty codea issued by the Flo�ida
Iadustri.al Comm.ission.
9. Sta�e 1aw re�,+,;*-es corrstruatiorl to be ozie by lic�sed contractors, You have
agplied �or a pesmit under an exP��t�.� to that law. The pxemptior� allows
you, as the owne= of your property, ta act as your Qwn cos�.tractor vtit.h aer�ain
restrict.i.ons ev� though you do no� e a ].icestse. You must .prova.de clirect
ons�.'te sup�svision o�' t�e canst-..ruc�.c yaurself. You may build or �.mprove a
one--fama.].y ar twa-fam�.ly resid�nce ar a faxm outbuilding. You may also b�i.ld
� ar a mprove a cammrarcial b�uilding, psa z.ded your costs do ziot �cceed $25,000.
, The building or residence must be �or our own use ar aecupancy. 2t may na�
be buil-� or subs�antially 3�p�oved �o sale ot lease. If' you sell or lease a
btzi.lding you havc b�i.1.t or substan�.i ly im�z'oved yourself within 1 year a�ter
the construatioa a.s aomplete, fihe 1.aw will presume•that you built or
substan�.i.a12y imprav�d if far sale or l�ase, whs.�h is a v.�.oZatian r�f this
P_Xemptioz�.. You may aat hire ara, un3.a.c aed persoxY �to act a's your caatsactor or
to supexviae people workiag on yowc �lding. It is your responsibili:ty to
make sure th�t people employed by you have licexxs+es �ez,�red by s�ate 1.aw a,nd
by coun�y or mur�.nipal liaensi.�ng or ' ces. You ma�,► not delegate the
respan��.bility for supervising work t a licensc=_d contsactar �caho i.s not.
1ia�nsecl to per�orm the wosk bcing do B. Ar�.�,r p�+sson work.i.ng oxi yaur b�.].lding
who is aot 1ic�nsed mus�t wor3c undes y us di,sect supervision asid must be
P�ployecl by you, whi�h meaas that you must dec3uct �'.=.G.,A.. and withholding tax
and provide workers' co�asation �ar that e:mplayee, all as presc�ibed by 1aw.
Yous canstrraation must comply wi�i al appl3cable laws, o�cLixiance�, building
codes, axid zoning� reg7alatz.oas.
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ADDRESS „Sc� ' .
PHOZ�1'E t'}
W2:L'�1ES5 ' PERMIT #
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City of Z phyrhills
BUILDING PLAN VIEW COMMENTS
Contractor/Homeowner: r �L f Gc-v►�� �I�L° �,t
Date Received: /- l r� -l `�
Site: '���s — S�
Permit�,Type: �E�.(,� �j �(� �" `� /�,G,�2�, �`1� � S��
Approved w/no comments:❑ Approved w/the below omments: � Denied w/the below comments: ❑
����s��t� �:� ��' �` e ' �.
This comment sheet shall be kept with the permit and/or p ans.
�Q� -���� .�UL 1.5 201� � �`
Kalvin Switzer—Plans Examiner Date Contractor and/or o owner
(Required when comments are present)
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� I -ro p at �ook 1 a pa9 54 �� I
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� � Legend
P.O.C. Potat of Commencement � Iadicmtec Asphalt Surt oe
P.C.P. Permanent Control Potat '
P.R.1[. Pamenent RetaYnce llonuffimt � In�icnteo Concreto ace I �
P.O.B. Point of Be�tnnity� I
P.O.L Point on Liae CONC. Concrete I
F.I.R. Found Iroa Rod A3PH. Amphalt -
F.I.P. Found Iron Pipe 1dAS. 1[euonrq �
F.N.& D. Found Idail k Dlec FR. Ph�me I I
F.C.1[. Found Coacrete ltonumen4 R.F. i�ire Fence �
(R) Pcr fa�l Daaiption or Plet(Beaxdod) iID.F. wood Fence � �
(C) Cnlculated C.L.F. Chnin Link Fenoo �
(Y) Fleld Yeaeucad 3.P. 3crees Porch
B/D Propnrttoaed 3ectioa�akdOrm C.P. Carport FC.AQ. 4 z 4' I
RAD. Radius OFII. Overhend Utility Ltne Recoasad �f'Top i
Ch.L. Chord Lon$th U.P. Utilitq Pole SE Carear Bdock 215 I
Ch.H. Chord Heerin� E.P. Ed�e oi Pmvemeat
3.I.R. Set 1/2'Iron Bod Cap�ilth 9EC. Sectioa _ _ _ � _ _ _ _
Idea�iiteatioa °LS O81" R/ffAY Ri$lbt of Wa�
S.N.de D. Se����1� � Ceaterline �,�jj�� � �&,�Tj�,
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e�saso-oozo � City of Zephyrhill Permit Application Fax-813-780-0021
; Building Department
Date Received .� .� �� phone Contact for Permitting --
Owner's Name ��t u /h • � �-�`(�� � '�,� Owner Phone Numb (� �
Owner's Address .�� S Owner Phone Numb
Fee Simple Titleholder Name Owner Phone Number
_ Fee Simple Titieholder Address
JOB ADDRESS �Nl� LOT# �
SUBDIVISION PARCELI # I � �.Zt�` Z I �— Db� — �I P�d° � �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
. INSTALL REPAIR
PROPOSED USE � � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �. �a-Il g xf�'s � A � �r7� r��c.��dN si'l.P� ��
BUILDING SIZE SQ FOOTAGE HEI T
QBUILDING $ �3 � a� VALUATION O TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ����
QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION � �
QGAS Q ROOFING Q SPECIAL 0- OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER �, ) /_n� F�/1 `�OM ANY J�NL2 W N'e✓L.
SIGNATURE LL/�U � j� REGIS ERED Y/ N FEE CURREP Y/N
Address License#
ELECTRICIAM COM ANY
SIGMATURE � REGIS ERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � � COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COM ANY
SIG(dATURE REGIS ERED Y/ N FEE CURRE� Y/M
Address - License#
OTHER COM ANY
SIGNATURE rte�is eReo Y/ N FEE CURRE� Y/N ,
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new consUuction,
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
' Sanitary Facflities 81 dumpster;Site Work Permit for sub ivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. '
"""PROPERTY SURVEY required for all NEW constructi n.
Directions:
Fill out application completely. �
Owner&Contractor sign back of application,notarized
If over�2500,a Notice of Commencement is required. (A/C upgrad s over a7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same
::.: :_.,...
OVER THE COUNTER PERMITTING";_; :(Front-of-Application Only) _ ._
Reroofs if shingles Sewers• `,;;�Service:Upgrades AlG�' Fences(P oUSurvey/Footage) � � � _ - - � _ . , ,, , ' ;`
Driveways-Not over Counterif on public'roadways..needs ROW , , _ � �, ,_ ,, v �
IVOTICE 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
applicable deed restrictions:
UNLIC�NSED 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 Co 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 IMPACT/UTILITIES IMPACY 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 powrer 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.
CONSTRl1CTION�LIEN LAlnl(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.
COIVTFtACTOR'S/OWNER'S AFFIDAVI�': 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_pertormed 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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 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 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 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 wilf demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNIIVG TO OWNER: YOUR FAILURE TO RECORD �► N0710E OF COMMENCEiVIENT MAY RESULT IN YOUR�
PAYING TWICE FOR InAPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN�FINANCING, CONSUL.T
- 1fi11Tfi YOl1Ft"LEPIDEF�"ORia►N AT'T�FZNEl�BEFORE RECORDIPiG�YOiJR�P70�'iCE 0�-COMM�eNCEnAENT: -`—� - -- - --
FLORIDA JURAT(F.S. 117.03) '� /J
OWNER OR AGEN7 w� � COMTRACTOR � ��/�y�
Subscribed and swor t ( irmed) efor e is Subscribed and swom to r t med) ef y,L
- a bY �'���n � �-�,� k�- ��_,� by� �`�i��M �-- �rr-0�e�
Whg�y�/ar�.pe sonally known to me or has/have produ ed Who 1�7r persqn?�ly,�kn�ow to me or has/have produced
%`(�r �l�'a� (..i�CP�' --as 1denUfication. ,,f`�- U�rY`�'�' ��'So as identificaGon.
Notary Public � � Notary Public
C i t '•,, Com ion „�,���,,, E BOGES
, =*:� �:= Commission#EE 040520 :�'�� ''�= Cammission#E
:�
ber 12,2014
Name o „ e �19 Name of Notary ty '� ����, �F�^�'�"Ce
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