HomeMy WebLinkAbout14-15692 � � CITY OF Z PHYRHILLS .
, �� " 5335-8 H STREET
(sis)� o-oozo 156 2
BUILDIN PERMIT
� - -- Y , - _ � �.,.-.n�:..,,K
�� ��`��� ' ` �PERMIT=INFORMATION LOCATION,INFORMATION - ` y,�s..,v . ..�:��"�
Permit.Number: 15692 Address: 5735 5733 20TH
' 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: 11-26-21-0010-07800-0030
.. .�. r.:- -- , -- ----- ; �;�� x�- :��:,.
Improv. ost: .0 .OWNER INFO,RMATION;:����:�.s:�'%`��-`..�=s
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 - ` r � ��' � :`�
OWNER BUILDING FEE 40.00 AFTER THE FACT 40.00
��� �a
'�ti ,� '
a
\� ,�1�
'c�
_ Ins ecfions�- e�uired - , � � .
� _ , .�. 5.�:
.�.
FOOTER 2ND ROUGH PLUMB MI C INSULATION CEILING
FOOTER BOND DUCTS INSULATED SE ER MISC.
ROUGH ELECTRIC LINTEL MI C MISC.
1ST ROUGH PLUMB PRE-METER IN ULATION WALL MISC.
DUCTS INSTALLED WATER MI C DRIVEWAY
PRE-SLAB SHEATHING MI C. MISC.
CONSTRUCTION POLE FRAME MI C. MISC.
REINSPECTION FEES: Reinspection fees will comply wit 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, tate agencies or federal agencies.
"Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for
improvements to your property. If you intend to obtai financing,consult with your lender or an attorney
before recording your not ce of commencement."
Complete Plans,Specifications Must Accompany Applic tion.All work shall be pertormed in accordance with
City Codes and Ordinances. N OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 OUR NOTICE REQUIRED
PROTECT CARD F OM WEATHER
I
813-780-0020 City of Zephyrlhills Permit Application Fax-813-780-0021
Buil ing Department
Date Receivec6
Phone Contac for Permitting __
Ovuner's Mame �`8'� �j� !�� /�/pc'�--��5 �C� Owner Phone Mumber � 3�� , ���d
�
Oevner's e4ddress � D ,� 11 "(�1� ��5 35 � �nrner Phone Mumber
Fee Simple Titleholder fdame Owrner Phone fdumber
Eee Simple Titleholdee Alddress
JOB ADDF2ESS ,� � �� ��� �,� �
LOT#
SUBDIbISIORI PARC d.ID#
--- — - -- - --
- --- - - --- --- - - TA t ED�RQP7 PROPERTY TAX NOTiCE)- ----
HNOR�C PROPO�ED B NEW CoNSTR B ADD/A T 0 SIGN Q Q DEMOLISH
INSTALL REPAI
�ROPOSE,D USE Q SFR Q COMM [� OTHER
TY.PIEOF COPISTRUCTIOM Q BLOCK Q FRAM � STEEL Q
DIESCRI�TIOId OF!lNORK E� ��fJY�
BUILDtR1G SIZE SQ1 FOOTAGE HEIGHT
, OBUILDING $ � OO VALUATIO OF TOTAL CONSTRUCTIOfV
QELECTRICAL $ AMP SERVI E � PROGRESS EMERGY Q W.R.E.C.
�� .
OPLUMBING $ `r v� �/
� 1 J
OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION
QGAS Q ROOFIMG Q SPECI LTY 0 OTHER
FIIVISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES fV0
I BUILDER CO PANY ��'/� ��OC f� 6TB�5 II C
SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
, ELECTRICIAN CO PANY
SIG�dATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUAflBER CO PANV
SIGfdATURE RE ISTERED Y I N FEE CURRE� Y/N
d►ddress L(cense#
MIECHANICAL CO PAMY
SIGfdATl9RE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PAMY
SIGNATURE REGI STERED Y/ N FEE CURRE� Y/N
Address License#
RIESIDEtdT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for s bdivisionsllarge projects
COIlAl1AERCIAL Attach(3)complete sets of Building Plans plus a Life S�fety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submlttal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpster.Site Work Permft for al new projects.All commercial requirements must meet compliance
SIGR!PERAAIT Attach(2)sets of Engineered Plans.
'•'°PROPERTY SURVEY required for all NEW constru tion.
Directlons:
Fill out applicatfon completely.
Owner S Contractor sign back of application,notarized
9f over�2500,a Motice of Commencement(s required. (!A/C upgr des over$7500)
°° Agent(for the conVactor)or Power of Attomey(for the owner)would b someone with notarized letter from owner auth,.orizl�l9:�a71e:._,.._,.,;
.
ONER THE COUNTER PERMII7TING (Front of Application Only) ' _ ''� ''' ,
... �',:!:,:�;�.� ! : .
Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) • ' _ r ,
Driveavays-Not over Counter if on public roadways..needs ROW .,..�„ ,. :. ....,.--..�a..���.�.tn.` •��.
td�Tp�CE OI� DEED RfE�Y�21C�"IORI�; The undersigned understands that this permit may be subject to"deed" restrictions°
which may be more restrictive than County regulations. The unclersigned assumes responsibility far carnpliance v+rith any
applicable deed restrictions.
UNL1C��1�lED �C}idTRA�YO�t� �6dD CCDN�'��"�"��2 �����t�5tl�IL�YY�S: lf the ouvner has hired a contractor ar
', contractors ka undertake work, #hey may be required to be iicensed in accardance with state and local regulations. Of the
� contractar is not licensed as required by lav�r, bath the owner and contractor may be cited for a misdemeanor violation
under s�ate law. if fhe ovvvner or intended confractor are uncerfain as to vtirhaf licensing requirements may appty for the
intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
80Q9. Furthermare, if the awrner has hired a contractor or contraciors, he is advised to have the contractar{s} sign
portions of the "contractor Block" of this application for which they wili be responsible. tf you, as the ovvner sign as the y
cantractor, thaE rnay be an indication that he is r►ot properly licensed and is no# entitled #o permitting privileges in Pasco
,
County.
T�tV�POR'�'�YION I�i�'�CYII�TILi'TIfE� VfiflP�C1f(�R9� i����U��� R�CO`VfERlf f��fES: 'The undersigned unders#ands
that Transpartation tmpact F�es and Recottrse Recov�ry �ees may apply to the cortsteuction of ne�buildings, change of
use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-Q7,, as amended. The undersigned also understands, that such fees, as may be due, wil! be identified at the time o#
� permit#ing. It is fur#her understood that Transpo�#afion lmpact Fees and Resource Recovery Fees must be paid priar fo
� receiving a °certificate of occupancy" or final povver release. If the project does not involve a certificate of occupamcy or
fina( power reiease, the fees must be paid prior to permit issuance. Furtherrr�are, if Pasco County Water/Sevver lmpact
fees are due, they must be paid prior#o permit issuance in accardance with applicabl�Pasca County ordinances. �
Ct�NS"C�l1CT10�1 �.IIE�I l�►1ii�{Cha�p��r 713, �la��rid��t������, �� �rr��e�d���: Ef valuation af wark is$2,500.00 ar more, 1
certify that I, the applicant, have b�en provided with a copy of the "Florida Constructian Lien Lavu—Homeowrner's
Protectian Guide" prepared by th� Fiorida Department of Agricu(ture and Cansumer Affairs. If the applicant is someone
other than the Nowner", t cerfify#hat I have obtained a copy of#he above described document and promise in good faifh to
deliver it to the"owner"prior to commencement.
CO�lT�E�GT43R'S/C31l9l6��(�°�t�►��1�l;�tl1Y: I cerfify tha# ali the infarmafion in this application is accurate ar�d that all vrrork
will be done in compliance with all applicable lawrs regulating construction, zoning and land development. Applicatian is
hereby made to abtain a permit ta da uvork and instatlation as indRcated. 9 certify that no wark ar ins�allatian has
commenced prior to issuance af a permit and that all work vvill be perFarmed to meef standards of all laws regulating
construction, County and Ciky codes, zon9ng regulations, and land development regulations in the jurisdictian. I also
certify that 1 undersfand fihat the regulations of athe� government agencies may apply ta fhe infended vvork, and that it is
my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited ta:
- Departtnent of Environmental Pro#ection-Cypress �ayheads, W�tland Areas and EnvironmentaNy Sensifive
Lands, VVat�rNVastewater Treatment.
- Sauthwest Flarida Wa#er �anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Enginesrs-Seawalls, Docks, PVavigable Waterways.
- Depa�#ment af Health & t�ehabilitative Services/Enuironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US �nvironmentai F'rotection Agency-Asbestas abatement.
- Fede�al Aviation Authority-Runvuays.
I understand that the Following restrictions apply to fhe use of fill:�
- Use of fili is not allaweci in Flood Zone"V"unless expressly permifted.
' - If the fill material is to be used in lFlood Zone "A", it is understaod that a drainage plan addressing a
"compensating valume" will be subrnitted a� time of per►nitfing vvhich is prepared by a professional engineer
licensed by the Sta#e of Florida.
- If the fill material is to be used in Flood Zone "A" i€� connectior� v�rifh a permifted buitding using stem vuaH
consfruction, I certify that fill will be used only to fill the area within the stem wall.
- If fil! material is to be used in any area, ! certify that use of such fil! uvill not adversely affect adjacent
properties. if use of fiil is found to adversely affect adjacent propertiss, the owner may be cited for vioiating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fi11, an er�gineered drainag�plan is required.
If I am the AC��Rllf fFOR�'HIE �Jl�liV��t, I promise in good faith to inform #he owner of#he permitting conditions set forth in
this aff4davit prior to commencing construction. ! understand that a separate permit may be required for electrical uvork,
plumbing, signs, wrells, pools, air canditioning, gas, or ofher installations nof specifically included in the applicatian. l�
permit issued sha!! be construed to be a license to proceed with the v►rork and not as aukhority to violate, cancel, alter, or
set aside any provisions af the technical cades, nor shall issuance of a permit prevent the Building Official firorn thereaffer
requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
un(ess the work authorized by such permit is commenced within six months of permit Essuance> or if wotk authorized by
the permit is suspended or abandoned for a periad of six(f) months after the time the work is commenced. An extension
may be requested, in vuriting, from the Building O�cial for a period not to exceed ninety {9Q) days and wif! demonstrate
jusfifiab(e cause for fi�e �xfensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
1�ilARNO�#� T� �{filRilE�: Y09J�2 �F���UR� T� R�C�lR� � i�QT@G� t�� COi�ii�E�l����NT �HAY ���lll.'f 1�9 Yt3tl�
I��YIP1C �1filICE �O� IiVi9�9t01J�91N��9'�� �'Ll YO�D�t fPfRO�ER'Y�'. YCF YOII �P1Y��D li'ID O�1�AIN f�IN�P�CONIC, CON�lJ�.lf
Uif13N YOI��t���I�IEFf C1i� �i1fYt?1���Y���t"�(����G�1�1�1�lC Yt)t�l� t�0�'IC� C)!�CO�Ii���dC��l(��T.
FLORIQA JURAT(F.S.117.03)
� 01�l�f�l2{?Ft AGE�7'F �QRITft�iGT'C}�
Subscrlbed and swom#o(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
' bY bY
' Who islare persanaNy knawn ta me ar haslhave produced Wha Islare personally known to me or hasthave produced
� as(dentificatian. as identificaGon.
� 'MF,��g o ry Public Notary Public
�'•:'j� +� Cammission#FF 137073
' Co ml lon No. ��.: ' Commission No.
--�� ' _,,..�9,�^o;�---
��r 9atdedikuTroyfeinlrstrzrtMPDG385•JOt4 �
Name of Notary typed,printed or stamped Name af Notary typed,printed or stamped
I
i