HomeMy WebLinkAbout14-15521 ,. � ' CITY OF ZE HYRHILLS
5335-8T STREET
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BUILDIN PERMIT
PERMIT�NFORMATION�:����':���� °�' `' �`�s�'���".J���O.CATION�INF�O:RMA�TION'.,� - �
Permit Number: 15521 Address: 6137 17TH ST ,
Permit_Type: A�B�'T'^"'�^' T�onT"�'� �� ZEPHYRHILLS, FL.
Class of Work: �� Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
Est. Value: Parcel Number: .02-26-21-0180-00000-0210
Improv. Cost: 800.00 �:�4:����`g: , 'k`� �OWNER�INF�ORMAiTION� �
Date Issued: Name: JONTRA JAY E
Total Fees: 80.00 Address: 6105 17TH ST
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-2694
Date Paid: 7/25/2014 Phone:
Work Desc: INSTALLED 8' X 8' WOOD SHED\ D UBLE PERMIT AFTER THE FACT
.�. _ ._-,-T---T$ • - �.Z � . . w .. - -- - - -—r i-�� ��
; =�'��CO.NTRACTOR�S "�� "'�`� �APPLICATI.ON,FEES ��" �' �R~�������.
HOMEOWNER BUILDING FEE 80.00
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� � t��� °�., =��r����-��� _ _�� :;Ins ection �ReY,..uired:......:�'`_..��-..��� .��e.�.w- '��.:��"� y �,:
FOOTER 2ND ROUGH PLUMB ISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED EWER MISC.
ROUGH ELECTRIC LINTEL ISC MISC.
1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC.
DUCTS INSTALLED WATER ISC DRIVEWAY
PRE-SLAB SHEATHING ISC. MISC.
CONSTRUCTION POLE FRAME ISC. MISC.
REINSPECRON FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessaty 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 j site f) 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 property 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 performed in accordance with
City Codes and Ordinances NO OCCUPANCY BEFO C.O.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
. 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021
' Building De artment
Date Received � 2 � phone Contact for Pe mitting — _ I'
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�Owners Name � �� r� Owner Phone Number �� 1— 1 � l�`�
�Owners Address �o ( 7 � ���,\ /�''r�'e-� Owner Phone Number
Fee Simple Titleholder Nama Owner Phone Number
Fee Simpie Titleholder Address
g.IOB ADDRESS I�i �� ! 1�� t2� LOT# �
SUBDIVISION PARCEL ID#
(08TAINED FROM PROPERN TAX NOTICEJ
WORK PROPOSED NEW coNSTR e ADD/ALT SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK� ���7�\��'` � �� S�� • �
BUILDING SIZE SQ FOOTAGE HEIGHT � V\
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�BUILDING 5�. $ � VALUATION OF OTAL CONSTRUCTION � �
�c�a.ov
,�.
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ F/11 !�°�G'�/��,
�.1--��I�..r �G .-�[ {�g/yi,�i;�—.
QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � + r `� �I �
�_
OGAS Q ROOFING Q SPECIALTY � OTHER o�
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA OYES NO �`6° 1��t�^ k
9°'S���, ����`
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BUILDER COMP Y D� f
SIGNATURE REGISTE ED Y/ N FEE CURRE� Y(N h�kQ�W��•
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Address License#
ELECTRICIAN COMP NY
SIGNATURE REGIST ED Y/ N FEE CURRE� Y I N
Address License#
PLUMBER COMP Y
SIGNATURE REGIST REO Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMP Y
SIGNATURE REGIST RED Y I N FEE CURRE� Y/N
Address License#
OTHER COMP Y
SIGNATURE REGIST RED Y I N FEE CURREA Y I N
Address License#
IIIIIIIIIIIIIIilEA911i1111091l91111171AE009EOBBlQIia � aelE111C91iBEA
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of ergy Forms;R-O-W Permit for new wnstruction,
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwaler Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subd visions/large projects
GOMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance
SIGN PERMIT At[ach(2)sets of Engineered Plans. ,
""PROPERTY SURVEY required for all NEW constructio .
Directions:
Fill out application wmpletely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencemant is requirad. (AIC upgrad over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A(C Fences(PI tlSurveylFootage)
Driveways-Not over Counter if on pubtic roadways..needs ROW
NOTICE OF DEED RESTRICTIOMS: The undersigned under tands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITlES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are un artain 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 o contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they wiil be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly I censed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATlON IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,th t such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impa t 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 is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Sta4ute ,as ameeeded): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a c py 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 o the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNEi2'S AFFIDAVBT I certify that all t e information in this application is accurate and tnat all work
will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
, - Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navi able Waterways.
- Department of Health & Rehabilitative Servic /Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- U5 Environmental Protection Agency-Asbestos batement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use o fill:
- Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
- If the fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 ill the area within the stem wall.
- If fill material is to be used in any area, I c rtify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued un er the attached permit 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 fa th to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 is uance of a permit prevent the Building O�cial from thereafter
requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin 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 O�cial for 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.
WARNIMG TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMEPICEMENT MAY RESULT IM YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU lFITEtJD TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMEPICEMEIdT.
FLORIDA JURAT(F.S.1ry7`03)
OWNER OR AGENT 7"IT� CO TRACTOR
I Subscribed and swom to{or affirmed Lbefore me this Su scribed and swom to(or affirmed)before me this
by �a� �O��t'� by
Who is/are personally known to ma or has/have produced Wh is/are personally known to me or haslhave produced
as'dentification. as identification.
u lic Notary Public
� a �5 , �„,, JACQUEL �
�520 Co mission No.
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