HomeMy WebLinkAbout14-15684I i '
`� CITY OF Z�PHYRHILLS
'� : � h 5335-8T�H STREET
(813)7so-oo20 156 4
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15684 Address: 5807 20TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07700-0080
Improv. Cost: 200.00 OWNER INFORMATION i
Date Issued: 9/26/2014 Name: F&R BLOCK HOMES LLC
Total Fees: 80.00 Address: PO BOX 566
Amount Paid: 80.00 ZEPHYRHILLS FL 33539-0566
Date Paid: 9/26/2014 Phone:
Work Desc: INSTALL 2 EXTERIOR DOORS �
CONTRACTOR S APPLICATION FEES
OWNER BUILDING FEE 40.00 AFTER THE FACT 40.00
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Ins ection Re uired �
FOOTER 2ND ROUGH PCUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED �EWER MISC.
ROUGH ELECTRIC LINTEL IIIIISC MISC.
1ST ROUGH PLUMB PRE-METER II�NSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING IJI/-IISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTIOfd 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 t made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� 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 there 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 properly. If you intend to ob in financing,consult with your lender or an attorney
I� before recording your otice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be perFormed in accordance with
ity Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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sa�aso-oo2o City of Zephyrhi�ls Permit Applicatian Fax-843-780-0024
Building Department
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pate Received phone Contact f r Permitting --
O�roner's Mame ��- 1ti,,, �L�c .�?,,Kj �. Owner Phone Mumber 0 l �` �� 0 �l�`T � (
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Owner's Addr�ss � J�.9� � ti ,n� � � (.� O�nmer Phone idumber
Fe�Si¢nple Titleholder ldam� � y1-� ���,. � ( �Wk Z �wne��hone t�tumber �� �
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Fes SimpEe Tttieholder Addr�ss
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JOt3 ADDRESS � (�` i�'` f°i �J g--�r,. � �.QT:# �� "
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su���v�stat� � � �s�c��"t�# �♦�
_,_ I _ (OBT9INEDFROPoIPROPERT_YTAX.MOTICE)_____._____ _ ____ __ __
WOFtGt 1'6tOPOSED NEW CONS7R ADDlAL�T [�] $!GN Q � DEMOLISH
iNSTALL 8 REPAIR
�'ftOP03�[�USE Q SFR � COfVIM � OTHER.
'T'1'�'E€JF COMSTEtUG'fiiOM � B�OCK Q FRAME�� [� STEEL Q
t��xCRt�'TIQM OF Fhf�lRiC �7P 1,�C>eJ
1��JI�.�tMG SIZE ���� St�pOOTAGE�� H�IGtfT ���
OBUlLDlNG � L j--� �AtUATlC} OF TQTAL CQt�STRUC710N
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�ELEGTRtCAL �5 --� AMP SERVlCE � PROGRESS EPVEf2GY Q W.f2.E.0
�PLUMBING � �
QMECHANICAL � � VALUATIO OF MECNANICAL INSTALLATIOfV
�GAS � ROOFING Q SPECI� LTY QTHER
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FIN(SNED FLOOR ELEVATtONS (��� FLOO ZONE AREA [�YES NQ
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+�u��.��� c I M ATdY � �2 t�1 c�c� ��5
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S1Gid41TURE R�GISTERED Y J (V FEE CURRE� Y/N
�ddress � L9cense# �� �
IEt E�TRICIAM C�IUIPA�lY
a1GidATl1RE R GISTERED Y/ IV FEE Cl1RRE� Y/IV
Address � Llcense# �— �
P�!!l4�BEl2 COMPA[dY `.
SIGRId►TURE REGtSTERED Y J N FEE CURRE� Y J(V
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�ddress ( License# �— �
14�IE�HANtCAL OIMIPAtdY
SIGINATURE tiEGISTERED Y I N FEE CURRE� Y/(V
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Address � �icense# �—i ��
C?THEF€ OMPANY
SIGTIA'Tt1RE EGtSTERED Y/ N FEE CURREt� Y/IV
Address - I License# � �
ftESID1EMTiAL Akkach{2)Plot Plans;t2)sets of Building Plans;{1) et of Energy Forms;R-O-W Permit for new construction,
Minimum ten{14�working days alter submittal date. Required onsite,Construc#ion Pfans,Starmwater P1ans wl Silt Fence instailed,
Sanitary Fecllities&1 dumpster;Site Work Permit f r subdivisians/large projects
GOt�iM�RC1AL Aftach(3)complete sets of Buitding Plans ptus a�!f Safety Page;(1)set of Energy Forms.R-C1-VY Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construcfian Plans,5tarmwater Pians wJ Sitt Fence installed,
Sanitary F�cilities&1 dumpster.Site Work Permit f r ail new projects.All commercial requirements must meet compliance
S1GTd PERMIIT Attach{2}sets af Engineered Plans. �- � �
•'*"PROPERTY SURVEY required for aif NEW construction.
—_ iu�riuiar����ia,L�i�.s�iuya.��
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Dir�ctlons;
Fill out apptication completefy.
Owner&Contractar sign back of application,notarized
if over 52500,a Notice ot�ommencement is required. {A1C u grades over�7500}
"b Agent(for the contractor)or Power ot Attomey(far the awner)wou d be someane with notarized letter from owner authprizing.same•�•-- �;
4
OlfER THE COt3NTER P�RMl7TING {Front of Apptica�on Only} _ _' �._''
Reroots if shingles Sewers Service Upgrades A/C Fen es(PIot/SurveylFaotage) ' ` '„ " ' -
Drivevuays-Not aver Caunter if an public roadways..needs RQW - �'� _ -�� ° ' `"'�"� .
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�!O'TICI� O� DE�D RES'�RICl"IOR9�: The undersigned understands that this permit may be subject to"deed" restrictians" •
uvhich may be more �estrictive than County reguiations. The undersigned asstttnes responsibility for compliance rrvifh any
applicable deed restrictions.
t3NLlCENSED CONTR��C1F��t� �P1D �C9NY�C�'O!� M�f���OP1�8�9���'Y��: !f the owner has hired a contractor ar
confractors ta undertake v�ork, #hey may be required ta be licensed in accordance with state and loca{ regulations. If the
contractor is not licensed as required by law, both the ouvner and contractor may be cited for a misdemeanor violation
uncfer state law. !f the ovuner ar intended contractor are uncertain as ta vtirhaf licensing r�quiremenfs may apply far the
intended work, they are advised to contacf the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the awner has hired a cantcactar or contractors, he is advised to havs the contractor(s} sign
� portions of the "contractar 81ock" of #his application for which they will be responsible. tf you, as the awner sign as the
contractflr, thak may be an +ndication that he is noY properly licensed and is not �ntitled to permitting privileges in Pasco
� County. �
� T92d�NSi�OR�'�7'ION iM�AGY/IUTILIYIE� i���►C"�'�,�C� �E�d�U��f� Rf��O@l��21(��E�: The undersigned undersi`ands
� thaf Transportation lmpact Fees anc# Recourse Recovery Fees may apply�o the construction af new buildings, change af
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-07, as amended. The undersigned also understae�ds, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpor#ation Impact �ees and Resource Recovery Fees must be paid priar to
receiving a "certificate of occupancy'" or final powrer release. If the project does not involve a certificate of occupa�icy or
final pawer release, the fees must b� paid prior #a permit issuance. Furthermare, if Pasca County WaterlSevfrer Impact..
fees are due, they rnust be paid prior to permit issuance in accordance with applicable F'asco County ordinances.
GQNS"fE�t1CT1�N 1.���4 �.�1f�1{CF�ap��r 713, �1ae�ic9��t��ut��, �s acnend�e�): Ef valuation of work is$2,540.00 or mare, 1
certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowrner's
�rotection Guide" prepared by the �lor4da Depar#ment of Agriculture and Consumer/-1ffa�rs. !f the applicant is someone
other than the"owner", I cert+fy fhat i itav�obtained a copy of the above described document and promise in goad faith ta
deliver it to the "owner" prior to commencement.
�O�IT�2�GYO�t'Slt}t�IP���'��A�IFIID�VIIf: 1 certify that ail the infarmation in this application is accurate and that all tnrork
will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Applicatian is
hereby made to obta'sn a p�rmit to do uvork and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that ail work wili be perfarmed to meet standards of afl laws regula#ing
construction, County and City codes, zoning regulations, and land development regulations in khe jurisdictian_ I also
cerfify that I understand fhat the regulafions of ather gavernment agencies may apply to the intended uvark, and that it is
my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited to:
- Depa�tment of Environmenta} Protectian-Cypress Bayheads, VVetland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
- 5authuvest �lorida Water �r4anagement District-Wells, Gypress 6ayheads, Wetland Areas, Altering
tlVatercourses.
- Army Corps af Engineers�Seawalls, C�ocks, Navigable Waterways.
- Deparfinent af Flealth � Ret�abilitative Services/�nvironme�tal Nealth Uni#-�1Vells, Waste�nrater Treatment,
Septic 7anks. -
- US Environrrtentai Protection Agency-Asbestos abatement. -
- Federal Aviation Authority-Runvvays.
I understand thaf the follovving�estrictions apply to the use of fill:
- Use of fill is not allavved in Flood Zone"V"unless expressly permitted.
- If the �II material is to be used in Flood Zone "p", it is understood that a drainage plan addressing a
"campensating volume" will be subtnitt�c3 at time of permitting vuhich is prepared t�y a professiona! engir�eer
licensed by the State of Florida.
- If fhs fill material is ta be usecS in Ffiood �ane "A" in cannection v�riEh a permifted building using stem vtirall
construction, I certify that fill�nrill be used only to fill#he area within th�stem wrall.
- If fiN material is fo be used irt any area, 1 certify that use of such fil! wr911 not adversely affect adjacent
properties. !f use of fiit is faund to adversely affect adjacent properties, the owner may be cited for viola#ing
the conditions of ihe building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by�iN, an engineerecf drainage plan is required.
If I am the�G�P9�' �OR 1'HE OWlNE�, I promise in good faith to infarm the owner of the permitting conditions set forth in
fhis affidavit prior to commencing construction. I understand that a separate permit may be requsred for electricaf work,
plumbing, signs, wefls, paols, air conditioning, gas, or other insfalfations not specificatiy included in fhe app(ication. A
permit issued shal! be construed to be a license to proceed with the work and nat as aukhority to.violate, cancel, alter, or
set aside any provisions of the technical cades, nor shall issuance of a permit prevent the�uilding tJfFicial from the�eaffer
requiring a correction of errors in plans, construction or violations of any codes. Every permi# issued shall become invalid
un(ess the work au#horized �y such permit is commenced uvithin six months of permit issuance, or if worfc authorized by
the permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
may be requesEed, in writing, from_the 8uilding Official for a_period not to exceed ninety {90) days and �nril! demonstrate
justifiabie cause far fhe extension. If work ceases for ninety(90)cons�cutive days, the job is considered abandoned. - � -
1f�ARR1M�� T4 �1�tRl��: Y�U�Z ����UR� TQ IR�C�(R� � 1��Y9C� O� �t��fl�il��C��il�l��' ��iY I�I��f�C,Y 11� VC3¢�R
F'd�Y1NC �i1PIC� �OY� If�II��OVE�1iiE�Y1(� TCE YO�DI� f��OfPER7Y. ��YOl1 O�T��1D li'�1 0�7',�I�l 1�9P1�►�l�IR9C°s, �OF1��J�.�'
�tittYH Y�t1�2 L�N�E�t OI� �iTY��t�1�Y'���'Cd�� ��CO(R�i�IC V�IJR�lOY#C(E C►F�t�11�iVl�EVCIEWI�NT.
FLORIDA JURf1T(F.S. 117.03)
OVY�t�Ft OF�AG�N'� C�RITF2�iC'PO�t
Subscribed and swom ta(or affirmed}before me this Subscribed and sworn to(or affirmed)before me this
by by
Who 3stare personally known to me or hasl�ave prodctced Wha Is/are personally known to me or haslhave produced
Identification. as idenGfication.
.
�'� `'� �'i%'•• ry Public Notary Public
'*� :: Commissian#Ffi 137073
Com fo � �o: Ex ' Commission PJo.
���11F„h°`'� eor�dee r '
�uu Troy F�n Insurancs gpQ,g85.74f8
Name of Notary typed,printed or stamped " Name of Notary typed,printed or stamped