HomeMy WebLinkAbout14-15767 � ; CITY OF ZEPHYRHILLS
. 5335-8 H STREET
(sis)� o-oozo 157
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15767 Address: 5754 13TH 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: 11-26-21-0010-07200-0910
Improv. Cost: 2,490.00 OWNER INFORMATION
Date Issued: 11/07/2014 Name: SLACUM MARK
Total Fees: 195.00 Address: 5754 13TH ST
Amount Paid: 195.00 ZEPHYRHILLS FL 33542-4145
Date Paid: 11/07/2014 Phone: 813-3232630
Work Desc: REMODEL BATHROOM / REPLACE INDOW
CONTRACTOR S APPLICATION FEES
ME NER BUILDING FEE 75.00 ELECTRICAL FEE 60.00
HOMEOWNER PLUMBING FEE 60.00
HOMEOWNER � � - R ^ L
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Ins ections e uired
F TER 2ND R U PLUMB MI C INSULATION CEILING
FOOTER BOND DUCTS INSULATED S WER 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 wi h 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 properly 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 of commencement may result in your paying twice for
improvements to your properly. If you intend to obta n financing,consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans,Specifications Must Accompany Appli tion.All work shall be pertormed in accordance with
City Codes and Ordinances. N OCCUPANCY BEFO C.O.
CO URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTION '
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
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By order of the �uildin O�'ficial: �VZCC�am�. �urgess �
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A!I �uilding, plurt�bing, ele rical and rnecha�i�al work �;
shall cease at the bel onr mentionecl property. � '
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Acldress: ,� � �� �� ���
� Date: t�'�� 0�
� Code Errforcernent Officer: �t�
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Zephyrhills �uildi c� Departr�ent �,
5335 - 8th treet
�13-780- Oa0
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' DISCLOBL7RE ST 23T .E'OR tJWNER
CZTY OF ZEPF3YRHI?iLS 'BVTI.D�7� DEPAR�i�Nfi
�, ` have reac3 and fully uziderstand a,zic3,
� ag�ee •to rovisions o� �thi5 instrumen .
.The undersigned .states and af�'irms tha� h ar she is desa.rous o£ constructing,
sQSSOVatiz�.g, addizag to or seroo�ing his or er owsi damicile, �that he or she
aetualZy occupies, or wi12 oacupy by said c3a�ics:le, and same is not foz
•rent, lease or sale. That he or she comp].y with the followiirg condi-Y,�.ons:
1. That the owner and.he or she alone sh � 1 act as -�he builder far all vhases of
ccnstr�aa�ion. _
2. Tha� the ownes w3:3.Z coraply with al�: p ovisians of 'the City of Zephyrhi�..1s
ordiriances arrd codes perti.rieat to �e vildixig.
3. That in the event various phases of e nstrciatior� are �ubcontra�t�d, he wi11
engage oxiZy •prop�sly licensed subcon actors and will personal�.y supervise
such work.
�. �ha-t in the event tbe Huilding Inspec nx sha11 re ,;.�e cosrecti,ons to be made,
the owne�t will assume full responsikti i.�y to insure •they �xe a�,ade� and upon
comglefiion will c�I'i for a r�;*+�ecti n before proceeding with the buil.ding.
5. That the owner sha11 asstm,e fu11 resp nsibility �or the aoastruction and will
no� axp�at_ superv�.siari �f his work fr the Ca.ty .af Zephyxhills B:za.lding
" Departm�sa.t.
6. That. priar ta firu-�1 izaspection aay a '�a.ena7. fees, iaclucling seinSpection
fe�s, must be pai.d in ful2», A Ftritt s�equest f�om �his office sha11
constitute asi of�icial not.i.ce -to pay idi.tioxYal. �ees..
7. 2`hat. th� ownc�r s�r,a11 comply wi�h a21 �ty, Sta-te and Fedes-a1 laws 3.n regard to
social aecuri�ky, workaian's compensati n, lien 1aws, �!tc. , whexe applicable.
B. That the own�r sh�1.1 co�ply, with al.l e saf�.ty cades issued by the Flarida
Industsa,al Commission.
9. Sta�e law r�z+,;res canstrtxctiosa. to be doz�e by li.ces�sed contractors. You have
app�.iect �ar a permit under an escempti. u to '�.hat law. '1'he exemgtiaz� allows �
you, as the ownes of your proFl4+Sty, t act as your owsi cor�tractor wi,th cert�in
resl:sia�.ons even thoug� you do na� v+e a Zicens�. �You must .provs.de di.rect
onsi.te supervision of the constructi.o yourself, gou may build or improve a
one-family or two-fam�.ly sesideace or a faxm outbuilding. You may alsa bui.ld
or 3.mprave a commerci.al bs�.Iding. P=o ided your costs da not �ceed $25,OOQ.
, �he building or z�esidence must be �or yavr ot�m use oz ocaupancy. ,It may nat
be built or subs�tially a,�praved fc sale or lease. If you s�3:1 or Zease a
buil.diag you have built os sutastaatz. ly i�proved youtself wit'.hin 1 year a�E'ter
the censtruction is camplete, the laar wi.11 ptesume •that you built or
substan�.iaZly impsoved if' for sale or l�ase, wha.ch is a v3.olation of thas
P�Cempt�.aan. You may not h�,.re ar�. ualic sed persori to act as yavr aontsactor or
to sup�rvisa peaple working ox� yous 'ldiz�g. It is your responsibilzty to
make su�e that people P�ployed by you ve licenses acez,;red by s�ate law azid
by county or municipal liceasing o= � ces. Yatt may not delegate the
respons�.bil.ity fox supesvising work t a Zicensed contractor who is no�.
1ic�nsed to perfoz� the wcrk bc>_a.ng dn aa. Axay p�rson work.ing on yaur building
who is aot 2iaeus�d mszst work uzides y us dix+�ct supe�rision and must be
P�ployeci by you, whi.ch meaas t.hat yau ust deduat E.I.C.A. asxd wit�iholriing tax
and provide workess' aa�peusation for that �mployee, aZl as p�escribed by law_
Your cons�-suctioz� must comply with a1 applicabl.e laws, axdinances, buiZdin;g
codes, arid zoning regvlations.
OWNER'S S I GNATUFi� DATE /tf!.�
ADDRES& ,�
PHt7NE �
T�TITNESS PERMIT # I � 7 6?
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City of ephyrhills
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BUILDTNG PLAN VIEW COMMENTS
Contractor/Homeowner: ��R��. ��— �-��
Date Received: �� °` 3 — � �
Site: S? 5� I3 �u �TkT C i
Permit Type: {�LM�(�Et� $�}'i" R.t�bM �EP�1�CC wt�i�bu3
Approved w/na comrnents:�1� Approved w/the below camments: ❑ Denied w/the below com.ments: ❑
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This connment sheet s,all be kept with the permit and/ar p ans.
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Kalvi w — Ians Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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813-780-0020 City of Zephy ilis Permit Application Fax-813-780-0021
Buil ing Department
Date 6Eeceiaed /������
/ Phone Contac for Permitting __
Owrner's Mame /"`�,t k .5�,w r... �vvvner�'hone Mumber g�� 3�� %Z�''"
I �nrne�'s Address � 7$-�l �3-�'�+ Owner Phone Number
Fee SiQn�ie Titleholder idame Owrner Phone tdutnber
Fee Simple Titleholder Address =
JOB e4DDEtESS �A �'C , LOT# ��
- - 51���7B�91Si��9 �— - PAPtC L ID# � t � Z-b � 2( "' �Q�� � �-07 Z4� - O l [0
(OBTAIPIED FROM PROPERTY TAX NOTICE)
kHOR6C PROPO�ED B NEW CONSTR B ADD/ T � SIGN Q 0 DEMOLISH
� i�NSTALL REPAI
PPtOPOSEp USE Q SFR Q COAIi 0 OTHER
YYE'�OF COMSYRUCTIOid Q BLOCK Q FRAM 0 STEEL Q
D�SCRIPTIOfd OF WORK ��M���L apT�-I 2o0c'V� R�P j,/�C� W t N�()`,�;
BUILDIFdG SIZE �� 7� �oZ. SQ FOOTAGE �0� FLEIGHT �
QBUILDING $ !�5� cu VALUATIO OF TOTAL CONSTRUCTIOfV
d�
��LECTRICAL $ AMP SERV CE � PROGRESS ENERGY 0 W.R.E.0
LUMBING $ A������l�
� �S
�MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �✓I
� ���
OGAS Q ROOFING Q SPECI LTY � OTHER
FIIJISHED FLOOR ELEVATIONS FLOO ZOIVE AREA �YES NO
- _IBiDILDIER a - ��r-�/1 ----C RAPANY - -- -- - - - - ^---�'r'�-- Sls;:,_ .Y, - --- - _
SIG�PaTURE Re ISTERED Y/ FEE CURRE� Y/1�I
�4ddress License#
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��.ECTRICIAfN _ � ���, C NIPAF�Y v�� SI y��,.�
I SIGMA�URE �' RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
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�aUAfl�ER ���' C AAPAMV �•�"'• Sl���,..•
SIGR�c�TURE �--------_. � RE ISTERED Y/ IV FEE CURRE� Y/M
�,ddvess License#
flAECF9AfdICAL C IVdPAMY
SIGRIATUEZE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
p��qE� C MPANY
SIG��I�URE R ISTERED Y/ N FEE CURRE� Y/N
,l4ddress License#
RIESIDIEINTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)se of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)worlcing days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects
C�MIMERCIe4L Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms. R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance
SIGtd PERMIT Attach(2)sets of Engineered Plans.
•'""PROPERTY SURVEY required for all fVEW const ction.
DiPectlons:
Fiil out application completely.
Owner 8 Contractor sign back of application,notarized
6f over 52500,a Notice of Coenmencement is required. (9UC upg ades over�7600)
°° Agent(for the contractor)or Power of Attomey(for the owner)would e someone with no4arized letter from owner authorizing same
O!/ER THE COd1NTER PERMITTIMG (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fence (PIot/Survey/Footage)
.:.. :� ,
�riveways-Not over Counter if on public roadways..needs ROW �• '"` - , � �
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6V0'TICE�� C1E�D RE�T�ICTIOW�: The undersigned understands that this permit may be subject to"deed" restrictians"
which may be more restrictive tiian County regulations. The undersigned assumes responsibili#y for compliance with any
applicable deed restrictions. ' `_ � �-� �
UW�ICE(�SED CUNTRA�CT{}�Z� A�1� CQ�IT�CT�� ���I�Ofl1�1�9L1�"t�S: #f the owner has hired a contractor or
contractors to undertake v�ork, they may be required to be licensed in accardance writh state and lacai regulations. lf the
contractor is not licensed as required by law, both fhe owrner and contractor may be cited for a misdemeanor violation
under state law. If fhe av�ner or intended confrac#or are uncertain as to what licensing requirements may appty fior the
intended work, they are advised to cantact the Pasco County Building Inspection Divisian—l.icensing Section at 727-847-
8009. Furthermore, if the ovtrner has hired a contractor or contractors, he is advised to have the cantractor(s) sign
� portions of the "contractar Block" of this applicatian for wrhich they will be responsible. If:�ou,as the avvner sign as the
cant�actor, that may be an indication that he is not properly licensed and is not �ntitled to permitting privileges in Pasco
Counfy.
�"B�idSB�OR'T�TION-fiiNP,AC�IUTILI�'IE� 16�1��►�'Y(�►W� �f��1�U��� RE�OVfERY I���S: 1"he undersigned understands
#hat Trarispar#ation Irripac# F�es and Recourse Recavery Fees may apply to the car�structian of new builiiings, change�of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Clydinance number $9-07 and
90-07, as amended. The undersigned alsa u�ders�ands, that such fees, as may be due, wii! be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Ftesource Recov@ry Fees must be paid prior to
rec�iving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
finai power r�lease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty 1tNaferlSewrer Impact
fees are due, they rnust be paid prior ta permit issuance in accordance with appllcable I�asca County ordinances.
GQNSTftU��'IQN �I�N L�i�fi►{Cha��rt��'�'93, Fl�ri�9aa����cat��, �s �rn�e��1�c�}: !f valuation"o#wrork is $2,500.OQ or more, t
certify that I, the applicant, have been pravided with a copy of the °Florida Constructian Lien Law—Hameowner's
Prc�tectioe� Guide" prepared by the Florida Department of Agriculture and Consutner Affairs. Ef the applican# is someone
other than the"owner", I certify that I have obtained a copy of fhe above described document and promise in gaod faith to
deliver it ko the"owne�"prior to commencement.
CONT'iR��Tt3�t'�101iiiN(E(�'��►��Ii��iV1Y: t certify that a11 the information in this application is accurafe and that aH v�rork
uvill be done in compliance with all applicable lavvs regulating construction, zoning and land develapment. Applicakion is
hereby made to obtain a permit ta do vtirork ar�ci installatior� as Indicated. 1 ce�ti#yr that no wark or installation has
commenced prior #o issuance of a permit and that all work will be performed to meet standards of all (aws regulaking
construction, County and City codes, zoning regulations, and land development regu4ations in the ju�isdiction. ! also
cerfify thaf I unders#and #hat the regulations of other government agencies may apply to the infended wark, and fhat it is
my responsibility to identify vvhat actions I must take to be in campliance. Such agencies include bu#are not limited ta:
- Department oi Environmental Protectian-Cypress �ayheadsr V1letland Xreas and Environmen#ally Sensitive
Lands, VVat�r/Vllastewater Treatmenf. -
- Southwrest Fbrida Water Nlanagement Dis#rict-Wells, Cypress Bayheads, VVe#lanc4 Areas, R{tering
Watercourses. '
- Army Corps of Engineers�Seawalls, Docks, �lavigable Watsrnrays.
- C3epartmenf of Heaith �� ftehabilitative Services/Envi�onmenta! Health Unit-Vllells, Wastewater Treatment,
Septic Ta,nks.
- �JSEnvirc�r►rttental P�ot�ctian Agency-Asb�sto�aba��t�ent. y
- Federal Aviation Authority-Run�ays.
E understand thaf the follawing restrictions apply to th�use of filh�
- Use of fill is not aliowed in F1ood Zone"V"unless expressly permitted.
- If the fill makeria! is to be us�d in Flood Zone "N", it is understood that a drainage plan addressing a
"compensating votume" will be submitted at time of permifting vtrhich is preparecf by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in �lood Zone "A" in cannection writh a permifted building using stem waEl
construction, I certify thak fill will be used only to fill the area within the stem irvall.
- If fill material is to be used in any area, ! certify that use of 'such fil) will not adversely affect adjacent
properties. 1f use of fiil is found #o adversely affect adjacent properties, fhe owner may be cited for vioia#ing
the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre which are elevatecf by fill, an engineered drainage ptan is required.
If I am the A,GIENT �OR T�IE OViPWI�Y�, I promise in good faith to infarm the ovvner of the permitting condi#ions set forth in
fhis affidavi# prior to commencing cot�struction. 1 unde�stand that a separate permit may be required for electrical vuark,.
plumbing, signs, wells, pools, air canditioning, gas, or ather installafions not specifically included in the application. A
permit issued shall be construed to be a license to praceed writh the work and nat as authority to.violate, cancel, alker, or
set aside any provisions of the#echnicai codes, nar shall issuance,of a permit prevent fhe�uilding tJ�cia!from thereafter
requiring a cc�rrection of errors in plans, construction or violations of any codes. Every permik issued shall become invalid
uMess the work autharized by such permit is camtnenced vuithi❑ six monfhs of permit issuance, or if v�rark aetthorized by
#he permit is suspended or abandoned for a peripd of six(6) months after the time the work is commenced. An ex#ension
may be requested, in vtirriting, #rom the �uilding C7fficial far a periad nat to exceed nineEy (94) days and vsriH demonstrate
justifiable cause for the �xtension. (f v�ork ceases for ninety.(90)consecutive days, the job is considered abandoned.
t�/Ai2lVIPIG 'Tf3 01NP1��: YOUR �dl1L��� �O 92�C{31RD � �1��'1�1� O(� COii��i9EtVC��fl��IT 6��►lf ��SUE.'T 9N Y{DUR
6��YING YV�IGE �dJR III��ROV�6W�W1��7�YOL9�I�RCifPf��t'�'Y. lf�YOII GRIY�ND TCt O��'�i11V.f�IN�►WCIFI(�, �COiV�l1�.V
IlittTF!YQt1�t�E�iDIEi��R#��t d�'�T�t���Y(���0��������}���-Y0�1� �l��'�G��!���Il�i�iE1�C��fi��Y'�.
FLORIDA JURAT(F.S. 117.03)
OUVPdER Oi�AG��'T...���—� ���1'FRAGTO�2 '
Subscribed and swom to( irmed)before me this...,.._ Subscribed and sworn to(or affirmed)before me this
by by
Who i re personal3y known to me or haslhave produced Who isJare personaNy known to me or haslhave proclaced
as Identlfication. as identificakion.�
v'" Notary Public Notary Public
C isslo No. Commission iVo.
.�''ic"Y�:y��.
ame oC PJ t8� et4�pQp���� ed Name of Notary typed,printed or stamped .
n
`.;�,���a' �xPrres Jene 29,20�8Q�3
6aeded7h�y}'�F�:n Insuran�e 8
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