HomeMy WebLinkAbout14-15530 �
CITY OF Z PHYRHILLS
5335-8 H STREET
(sisp o-oozo r-5 30_.�
BUILDIN PERMIT '
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- �,�,� ° PERMIT�NF�ORIVIATI'ON= .��;�"`�' � • - ;�-�� .�.LOCA#�I.O.IV�INFORMATION�:��;:,���:� ,.��:��
Permit Number: 15530 Address: 5850 19TH 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: 11-26-21-0010-04600-0065
Improv. Cost: 419.00 ` '"��'�' ��'�N� . OWNERR�INF�ORMA�TI"ON -
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Date Issued: 8/07/2014 Name: METZLER, SUSANNE & JEREMY
Total Fees: 60.00 Address: 5850 19TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/07/2014 Phone: (813)469-3658
Work Desc: GARAGE DOOR REPLACEMENT SI E/SIZE
� � �CONTRAC�iOR S�~��,;�� ` `��.. a '�, �� .��. : �M;,,.._ � s ���.���m �� � �,� �r =��m�
�� �- �APPL"ICATION�.F,EES. � � � �.,..�..:
3-R GARAGE DOORS,INC BUILDING FEE � 60.00
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�`�����.�;�w.� ;R,`:�`���:.;w. a�,�lns ections;Re.'�uir:ed���. � �§= �y.�:x'� :�xw�.� :�� ,y ��:
FOOTER 2ND ROUGH PL MB M SC INSULAT ON CEILING
FOOTER BOND DUCTS INSULATED S WER MISC.
ROUGH ELECTRIC LINTEL M SC MISC.
1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC.
DUCTS INSTALLED WATER M SC DRIVEWAY
PRE-SLAB SHEATHING M SC. MISC.
CONSTRUCTION POLE FRAME M SC. MISC.
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 re sons: 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 posted on jo site fl 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 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 o 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 n ice of commencement."
Complete Plans, Specifications Must Accompany Appli ation.All work shall be performed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFO C.O.
CONTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
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City of ephyrhills
BUILDING PLAN VIEW COMMENTS
Contractor/Homeowner: � ��R � L- � (ZS
Date Received: � " �� � � �
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PermitType: �at`cd,oe �Jc�o� t� ��-ce�,e.t ��Z��S2e.
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Approved w/no comments: Approved w/the belo comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�r��"�
Kalvin r 1 s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhi Is Permit Application Fax-813-780-0021 ,
Buildin Department
Date Received �, Z� 2 V�L.� phone Contact f Permitting ��Z -- v
Owner's fVame eY r(1 5 11ne �� � Owner Phone Number 'V I _ '-1�15�� - ���
Oxvner's Address � 1�r, �� • Owrner Phone fdumber
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titieholder Address
JOB ADDRESS �J � I -J S� • LOT# �
SUBDI!lISION PARCEL ID# I 0 " V ' I • O 'V� O ` �Ol(t�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/AL Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PFtOPOSED USE � SFR Q COMM 0 OTHER
�PE OF COMSTRUCTIOR9 Q BLOCK Q FRAME Q STEEL Q
DESCf21PT10N OF WORK �VIr � (�OUY � �QI,C � SI7L_. S�(JL�
BUILDING SIZE SQ FOOTAGE HEIGH'�
QBUILDING $ p �B .O O VALUATION F TOTAL CONSTRUCTION
�,_0
QELECTRICAL $ AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION J�
� �
QGAS Q ROOFING Q SPECIA 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
I
- Bl91LDER CO PANY --- -- � �� -- --- - -_ - � Y_ _ _ _
SIGIdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN CO PAMY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLURflBER CO PANY
SIGIdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
MiECHAMICAL CO PANY
SIGRlATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER , 4 CO PANY � �6J V��
SIGfdAYURE REGI TERED Y/ N F CURRE� Y/N
Address � . License# C�a o a bR�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facflities&�1 dumpster;Site Work Permit for su divisionsAarge projects
COiMR11ERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ty Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all ew proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY requlred for all NEW construc on.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
tf over b2500,a Notice,of Commencement Is required. (A/C upgra es over�7500)
# .�.,_,�,:�.,� , �"-.n,.r�e,�_:r.._:...,....:e..i...,u,.... _.._�,..,.,.k.�,;..•�.,..,:a
•' Agent(for the contractqr)or Power df'Attomey(for,the.owner)vi{ould be someone wlth notarized Igtter from ownef,�authorizing same�:��.,, �
OVER THE COUNTER PEF�MITTING�� �',�:}(Front'of;AppliCationtOnty) � . n; ` � '_^��;•r`�`.�f � _`; `
•; " .�;':�,;i,., �, ,
Reroofs if shingles Sev�ers._. ,.,;�.,,�Seniice'Upgrades�•A,/C��4�`�`��Fences( IoUSurvey/Footage) � _. :`;'""r -','"','"'`�` "
.. .. � .�,, s. � . • s;; ,.i ^• -.,..-, ��:;.�',• .�' �
•'�*'i+�.e'rr.u_C.lo, v...-�M.fnt-x• .+.tn-�oK�..e wn .�g��� �•rs9.saiai.•.va �:Q-i_v�frt raaW,F�.. Knv�`.�•�om-.ua+w�:xrNf±;
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRIGTIOIdS: The undersigned understands that this permit may be subject to�"desd°rest�ictions"
which may be more restrictive#han Caunty regulatians. The unciersigned assurnes cesponsibility for campliance with any
applicable deed restrictions. ,
UNLlCENSED CC'?NTRACTflRS AND GONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors #o undertake work, #hey may be required to be licensed in accordance with state and-local regulations. If the
contractar is not ticensed as required by law, both the owner and contractor may be cited for a misdemeanvr violakion
, �nder state iaw. If fhe owner or intended confractor are uncertain as to what licensing requirements may apply for the
iintended wark, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
, 8009. Fu�thermore, if the owner has hired a confrac#or or cantractors, he 3s advised to have the contractor(s) sigrt
portions of the "cvntractor Black" of#his application for wrhich they will be respansible. If you, as the owner sign as the
cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
' County.
, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REGOVERY FEES: The undersigned unders#ands
that Transpa�tatiori Impact Fees and Recaurse Recovery Fees may appiy to the canstruction of new buiiciings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
90-07, as amended. The undersigned also understands, that such fees, as may be due, w�ll be identified at the#ime of
permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or fina! power release. If the prajec#does no# involve a certificate of occupancy or
finai pawer retease, the fees must be paid prior to permit issuance. Furthermare, if Pasco County WaterlSewer Impact
fees are due, they must be pafd prior to permit issuance in accordance with.applicable Pasca County ordinances.
CONSTRUCTION LIEN �AW(Chapter 7'!3, Flarida Statutes�as amencled): (f valustion af work is$2,500A0 oc moce, f
certify that I, the applicant, have �been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depattment of Agriculture and Consumer Affairs. if the appEicant is sameone
other#han the"owner", 1 certify#hat 1 have obtained a copy of the above described document and promise in gaod faith to
deliver it to the"owner"prior to commencement.
CQNTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all fhe information in this application is accurate and that ali work
will�be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
hereby made to obtain a perrnit #o do work and installation as �ndicateci. 1 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
cons#ruction, County and City cades, zaning regulations, and fand development regulations in the jurisdictian. 1 a{so
certify thaf t understand that the regulafions of other government agencies may apply #o fhe intended work, and that.it is
my responsibility#a identify what actions t must take to be in compliance. Such agencies include but are not limited to:
- Department of Enviranmental Protection-Gypress Bayheads, Wet4and Areas and Enviranenentatly Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wet3and Areas, Altering
Watercourses. ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Heaifh & Rehabilitative ServiceslEnvironmentai Fieaith Unit-We(ts, Wastewater Treatment,
5eptic Tanks.
- US Environmental Pratection Agency-Asbestos aba#ement. "
- Federal Avia#ion Authority-Runways,
!understand that the follawing restrictions apply to the use of fill;�
- Use af fill is not allowed in Flood Zone"V"uniess expressly permitted.
- If the fill materia! 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 permifting vtrhich is prepared by a professional engineer
licensed by the State of Florida.
- If the fili material is to be used in Flood Zone "A" in cannection with a permitted building using stem wa41
construction, I certify that fill will be used only to fill the area within the stem wall.
- !f fi11 material is to be used in any area, 1 certify that use of such fill wi!! rtot adversely affect adjacent
properties. If use of fill is found to adversety affect adjacent properties, the owner may be cited for viatating
the conditions of#he building permit Issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR 7HE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set farth in
fhis afficlavit prior to commencing cans#ruction. 1 understand that a separate permit may be requirecf for eleatrical work,
plumbing, signs, wells, pools, air canditioning, gas, or other installations not specifically included in the applicatian. A
permiE 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 proyisions of the technical codes, nor shal) issuance of a permit prevent the�uitding Official frorrf thereafter
reguiring a correction of errors�in plans; construction"or violatians-of any�codes: Every permit issued=shall-hecome_invalid_�
unless the work authorized by such permit is commenced withirt six months of permtt issuance, or if work au#horized by
#he permit is suspended or abandoned for a period of six(6) months after#he time the work is commenced. An extension
may be requesfed, in tinrri#ing, from the Building tJf#icial for a periad nat ta exceed ninety {90� days and will.demonstra#e
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abancioned.
WARNING TO OWNER: YOUR �AiLURE TO RfGC1RD A NQTICE C1F COMMENCEMENT MAY R�SULT IN YQUR
PAYING TVVICE FOR IIMPROVEMf�NTS TO YOUR PFtOPERTY. IF YOU INTEND TO OBTAIN FINARICING, CONSULI'
V4tITN YOUR�.ENDER OR AN AT"�ORNEY BEFORE RECORDtNG YQUR NOT#CE C}F C�MMENCEtVlENT.
FLORIDA JURAT(F.S. 117.03) •
OWl�l�R 012 AGENT CONTRACT01t ��l i�
��
Subscribed and swom to(or affirmed)before me this Subscr1bed and sworn to(or affirmed)before me this
by bY
Who is/are personalty knawn to me or haslhave produced Wha Eslare personally knawrt to tne or haslhave produced
as IdenUficaUon. as identifica6on.
.��a.b��hy � u�u rn�
-'�► ota Public .�"��"•y''' � �Notary PubIIC
;; ;� Expires June 29,2Ui8 ;�. ?�= Expires 3une 29,2018
Co ls on o:, Com ss No:
�R;��•� `oy "
Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped
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Garage Doors
Sales$Service
7/28/14
To whom it may concern:
I Kerry Ryman hereby authorize the following pe ple to pull/pickup permits on my behalf for 3R Garage
Doors Inc.
Monica Berrios
Holly Hopper
Christian Ryman
Chad Ryman ;
Sinc ely,
�
Kerry Ryman
3R Garage Doors Inc.
d�
/��� �
�
;o�'��N�e�,,, ANNA MARIE LYNCH TERRY
2• ��- Notary Public-State of Florida
;f• �P; My Comm Expires Apr 4,2p16
=,;•F oP°,� Commission�EE 166865
. ,�,���",, 9
Bonded Throu h National Notary Assn.
36413 SR 54 •Zephyrhills, Florida 33541• elephone: 813 782-5926•Fax: 813-788-6773