HomeMy WebLinkAbout14-15704 CITY OF ZE HYRHILLS '�
5335-�T STREET
,;, (8i3)7g -0020 704
BUILDIN PERMIT
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._.._ � PERMIT�INFORMA4�ION ` " :�. `"` • � � -.p _ �LOCATION�INFORMATIO,N � � ���- _ _
Permit Number: 15704 Address: 5215 RIDGE 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: SHAW LAKE RIDGE
Est. Value: Parcel Number: 10-26-21-0040-00300-0051
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Improv. Cost: 1,670.00 " -
_:��'�A OW,NER�INF�ORMATI;ON��x�� ,�,�' ��
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Date Issued: 10/06/2014 Name: WYSZYNSKI MARY
Total Fees: 67.50 Address: 5215 RIDGE ST
Amount Paid: 67.50 ZEPHYRHILLS FL 33542-5484
Date Paid: 10/06/2014 Phone: 813-788-9977
Work Desc: 3 DOORS PREVIOUSLY INSTALL IN ORRECT/CORRECTION BEING DONE ON INSTALI
�-�CONTRACTOR S � � APPLICATION�:FEES�„ ;�;_� `<_ :;�- - �'�
iBAILEY CONTRACTING LLC BUILDING FEE 67.50
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FOOTER 2ND ROUGH PLUMB ISC � INSULATION CEILING
FOOTER BOND DUCTS INSULATED S WER 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.
REINSPECTION FEES: Reinspection fees will comply w th 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 no 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 properly 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 managemen , 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 n tice of commencement."
Complete Plans, Specifications Must Accompany Appl cation.All work shall be performed in accordance with
Ci Codes and Ordinances. O OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNAT E PERMIT OFFI R
PERMIT EX RES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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City of Z hyrhills
BUILDING PLAN VIEW COMMENTS
Contractor/Homeowner: ��
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Date Received: '�j � �b--�
Site: s�[J� �`-' `S�
Permit Type: 3 �-.}0��0 �i�L ('Pnl t�/1e51 (ns`l�e-�..c-�(
Approved w/no comments: Approved w/the below omments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or lans.
, - -
- ��_
K �i —Plans Examiner Da e Contractor and/or Homeowner
(Required when comments are present)
613-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021 �,
Build ng Department
Date Received R—�b...! Phone Contact or Permitting ��� �?7 --78��
Owner's R1ame �' � W r5Z J✓��, � Owrner Phone Rlumber I � •
Owner's�4ddress s��Sw �Gi e, eg�'. O�nmer Phone Mumber
Eee Sienple Titlehalder R9ame Owner Phone Idumber
I Fee Simple Titleholder Address � ° �:
JOB d1DDRESS J?•1 S IZ�� G �S'F. Z t Q�y /�i( ��• .��6�2. LOT� �
suaDidisiora PARC LID# In���"Z �" 00'f0-op3oo -OC6(.__ __ __ ___
_ - , - -- -— - - ^ ` (OBTAIkED FROM pROPERTY TAX NOTICE)
MlORK PROPOSED NEW CoNSTR ADD/A T 0 SIGN Q Q DEMOLISH
B INSTALL B REPAI
PROPOSED U�E Q SFR Q COM 0 OTHER
TVPE OF COfdSTRUCTlO(d Q BLOCK Q FRAiVi � STEEL Q �
DESCRIPTIOM OF HHORK 3 t�+.r a r eN-4�' �oc�� ��,o��s! ,�',�,s�4//e i.ueof e�f
ISUI�DIfdG SIZE 1 Z�V � . SQ FOOT�4GE 1 z1 EiEIGH�
. BUILDING $ ( r ��. o� ,VALUATIO OF TOTAL CONSTRUCTION
�Q
QELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPEC ALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA �YES fV0
BUILDER pwr �,o��/ � C IVIPARIY ��1 LI
SIGMATURE " ° �-�_=e:--�:=- :� R GISTERED Y/ N FEE CURRE� Y/N
4►ddress �+0'f' �}+G�l al✓C� Z �l /'lLi�� /• s3`'S�L- License# �-'�- � Z S!o 1 g�
�LEC'TRICIAfd C MPAIdY
SIGtdATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUIMBER C IlAPAidY
SIGMATURE " R GISTERED Y/ N FEE CURRE� Y/I�I
s4ddress License#
MECHANICAL OMPAMY
SIGk1ATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER OMPANY
SIGMATURE GISTERED Y/ N FEE CURRE� Y/N
dlddress License#
RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
Minlmum ten(10)working days aRer submittal date. equired onsite,Construction Plans,Stormwater Pians w/Siit Fence installed,
Sanitary Facilities 8 1 dumpster;Site 1Nork Permit fo subdivfsions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)workfng days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster.S,ite Work Permit fo all new projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of Engineered Plans. - �.
°"*"PROPERTY SURVEY required for all NEW cons ctlon.
Dlrections:
Fill out applicatfon completely.
Owner 8 Contractor sign back of application,nota�(zed
If over 52500,a tdotice of Commencement ts required. (A/C u grades over�7500)
•" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same
ONER TNE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
r . .
PJOTICE OF DE�D�RES'��iCYIORI�:' The unde�"signed understands that this permit may be subject to"deed" restrictions"
wrhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable,deed°restricti�hs. : � , � � � = +�:
l9RfLIC�N��D COFI7F�ACTO�� AP1D CORI��i�CY�R ft���PONSII�ILI�'I��: If the owner has tiired a contractor or
contractors to undertake vvork, they may be required to be licensed in accordance with �tate�and local r:egulations. 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 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-
SOOJ. Furthermore, if the owner has hired a contractor or contrartors; 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 ouuner sign as the
contractor, that may be an indication that he is not,_properly,licens�d„and is not entitled to permitting privileges in Pasco
� � - . .. .., �- • .
County. �
i"��9SPORYATIOPI I�fI�ACYll1TIL9Tl�� ����CY�P�.D �tf��OUf�Cf� ��COVE�Y�f��5: T'he undersigned understands
that Transportation Impact Fees and Recour'se 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 undersfands, 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 �e'es mus4 be paid prior to
receiving a "certificate of occupancy" or final povver release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuan�e. Furthermore, if Pasco County VVater/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance wit#� applicable Pasco County ordinances.
�:COFVST�2lJCYlON.L�IE�I,,�d�ldV(Chap��e,7''�3, fFl�rida� ���Q�a4�s, �5 �e�aee�d�d): •If yaluation 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 AgriculQure,and Consumer Affairs. �f 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.
�0�9T�dk�CYO�i'�/Olf��ll�ff7'� k���l�ld►VIY: I certify that all the information in this application is.accurate and fhat all work
vvill be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do uvork and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permiQ and that all work will be perFormed fo meet standards of all lavvs 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 fo 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, 1lVater/VVastevuater Treatment.
�� �, �
- Southwest Florida Water iVlanagement District-Vl/ells, Cypress Bayheads, Wetland ,4r�as, Nltering
Watercourses. `
- Army Corps of Engineers-Seawalls, Docks, Navigable VVaterways.
- Department of Health � Rehabilitative Services/Envirnnmental Health Unit-VVell,s, VVastewater Treatment,
Septic T,anks._ �''' '; � .
- US Environmental Protection Agency-Asbestos abatement. , _ � , � • •
- Federal Aviation puthority-Runvuays. "" °- _; � �
I understand that,the followin�restrictions app�y fo the use o,f fill:� _ ,
- Use of fill is not allowed in Flood Zone"V" unless expre'ssly pe�rriitted. - � - '� ' ' �
- 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 �rvhich 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 AG�N�' FOR Y�V� 01i1l�IE�, 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 vio►ations 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) monfhs after the time the work is commenced. pn extension
may be requested, in writing, from the �uilding Official for a period not to exceed ninety (90) days and will demonstrate
j�stifiable cause for the extension. If work ceases for ninety(90)consecutive days, fhe job is considered abandoned.
�i11iARPlIP1� 7'O 04RlW�(�: YOl1R IF�►ILUR� TO Rf���RD � �IOYIC� OF CORflliflfENCEflfl�iVT §1HAY RESULT I�l YOl1R
�'AYIIVG Y49iiIGfE FOR IIf��R04/l��ill�it97� YO YOU�2�'i70fPIEFt1Y. I�VOU IF1Y�6VD YO OBYP►IW FIPV�►F➢CINI(°s, COP1Sl1L.�'
1iVIVl�YOl9�L.��IfDIE�i Oli��iP➢s�7Y01(��9�1(���Of�l� f��C�I�fDIf�C YO1193 P10YIC� OF CONfi�ihlf�iVC��iiEG�Y.
FLORIDA JURAT(F.S. 117.03)
OIRIPIER OR AGEWT COWTRACYO
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Subscribed and sworn to(or affirmed)before me this Subscrlbed m (or a�rmed)before me this
by bY
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identification. as identificaGon.
PJotary Public Notary Public
Commisslon FJo. Commission PJo.
Name of Notary typed,printed or stamped Name of IVotary typed,printed or stamped
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HiStON Subwtegory:Swinging Exte"or poor (804)684-5124
Assemblies
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CaMact!!s::1940 o Mo Street Tatiateassee 32399 Phane:850-4$7-�.824
7rie stafe oP Florida[s an Aa/g0 employer. - ::ffiY�HpLSffiLtfi�nt::B,4'��S�IImL�::Befund Sta�ement
Undee Florida law,email addr�es are public tecords.lf you do not want your e-mai!address refeased in respot�se te a pubticremrds reqvest,da not send
etectronic mait ta this eMity.Z�ad,caatact ihe ofRce by phen cr by tradGOnal mait.If you have aity quesCor�s,ptease ooatac[85fl.q87.1345.'PUrsseaat Yo
SecUon 455.275(1),Florida Stahrtes,eRective Ockober 1,2012,11 �iaensed under Chapter 455,F.S.must provide the Departrnent with an ematl address if
they haVe one.'ihe emails provided rtuty be�sed for offidal oom unlcadon with the Itce�ee.However emal addresses are pubiic record.If yau do not wish to
suppty a personal addmss,p�ease provide the DeparUnent wfth an il address whkh on be made availa6le to tltc public To de6emvna if you are a liaensee under
Cha r 455,E.S.,ptease dkit here.
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hrip://www.floridabui.lding.org/pr/pr app._,lst.aspx 9/30/2014
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Assemblies
°Approved by DBPR.Approvals by DBPR shall be reviewed and re' 6y the POC and/or the Cammissian if�e�ssary.
Con�ct Us:; o StrePt Talla 239 Pho�_850-487-1824
The SmLe of Florida is an AA/�0 empbyer. - ::privacv S�tement::Amesibiiitv sr te�nt;•ttPfi���d „„��„
Under Fbrida law,em�il addresses are public records.If you do not want your rmail address released in response to a publirremrds request,do not send
electronic mall tn thls eMity.Itstead,coMa�the offlce by phon or by traditlonal mail.If you have arry questlons,.please mntac[850.487.1395.'Pursuant to
Secdon 453.275(1),Florida Statutes,eftecdve October 1,2012,II ees Itoet�sed under Chapter 455,F.S.must provide tl�e Departrnent with an emall address H
they have one.The emails provided may be used tor offidal oom unimtion witfi the iicensee.Flowever emafl addresses a�e pu6Gc reaord.If you do trot wtsh to
wpply a personal address,please proWde tlie Department wi[h an il addre�s whkh mn be made avallable Oo the public.To de[ertnine If you are a licensee under
CF�a er 455,F.S.,please didc�re.
ud Approvel Aooapt�
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Code Version 2010 FL# 4904.6�
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fI-listorv 'FL#:FL4904.6 ;Institute, '
� ; Model:Wood-edge Steel Sid Hinged Door Units ;{804)684-5124
f � ;Description:6'-S"Glazed I/S and O/S Door wl or
? ;w/o Sidelites
' � ;Category:Exterior poors
� i ;Subcategory:Swinging Exte ior poor Assemblies �
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'App�oved by DBPR.Appravals by DBPR shall be reviewed and ratifie by lhe POC and/or Ihe Commission if necessary.
Contact Us••1940 NoAh onroe Street.Tallahassee FL 32399 Phone:85a487-1824
The Stale of Florida is an ANEEO employer.Co ri ht 20 7-2073 State o(Florida::Privacv Statement::Accessibilitv Statement..Refund Slatemenl
Under Florida law,email addresses are pubiic records.It you do not ant yaur e-mail address released in response to a public-records requesl.do not send electronic mail
lo this entiry.Instead,contacl the oKce by phone or by tradilional m 'I.If you have any questions,please conlact 850.487.1395.'Pursuanl to Section 455.275�1).Florida
Slalules,eflecdve October t.2012,licensees ticensed under Chapt r 455,F.S.must provide the Department with an email address il they have one.The emails provided
may be used for offidal cammunication wilh Ihe licensee.However mail addresses are public recard.tl yau do not wish to suppty a personal address,please provide the
DepartmeM with an email address which can be made availa la to lhe pubfic.To determine ii you are a licensee under Chapter 455,F.S.,please click here
Product Approval Aceepts:
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;FL4904R5�Revision i Masonite Intemational �National Accreditation 8 Management ,Approved
�Flistorv � ;FL#:FL4904_6 ;Institute. . .
t 'Model:Wood-edge Steel Sid Hinged Door Units ;(804)684-5124
� � ;Description:6'-8°Glazed 1/S nd O/S Door w/or .
� i w/o Sidelites .
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; ;Category:Exterior poors .
� ; �Subcategory:Swinging Exte or poor Assemblies
'Approved by DBPR Approvais by DBPR shall 6e reviewed and ra01' by Ihe POC and/or tlie Commission i(necessary—•---� - ------ �-_ -
Conlact Us::7940 Nor1h omoe Street Tailahassee FL 32399 Phane:850-487-1824
'Tt�e Shate of Florida is an AAlEEO em�oyer. i t 7-2013 State o(Rorida_:Privaw Statemenl:Aaesa'6iLry Statement::Relund Statement
Under Florida law,email addresses ara public rewrds.If you do not nt your e-mal address released in response to a pubiictecords request,do not send electronic mal
lo ttus entiry.Irrstead,contact Ihe oFfce by pAone or by IradiGonal m'.It you have arry questions,please contad 850.487.1395.'Pursuant to Sedion 455275(1),Florida
Statutes,eflective October 1.2012,licensees ticansed urtder Chapte 455,F.S.must prohde the Department with an email address if they Aave one.The ema�ls provided
may 6e used fot offidal communintipn with ihe 1lcertsee.However e 'I addresses are pubfic record II you do nol wish lo suppty a persanal address,p�ease pmvide Ihe
DepartmeM with an email address which�an be made ava0 b Ihe pubGa To determine if you are a Gcensee under Chapter 455,F.S.,please�pc here.
Product Approval Accepts: - —
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