HomeMy WebLinkAbout15-15887� i
, CI OF ZEPHYRHILLS �,
5335-8TH STREET
�s�sj�so-o�zo 1588
� ' B ILDING PERMIT
PERMIT INFORMATION � I LOCATION INFORMATION
Permit Number: 15887 Address: 6616 WIRE RD LOT 93
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: SCREEN ENCLOSURE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):93 Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0010-04500-0000
Improv. Cost: 2,300.00 ; � OWNER INFORMATION
Date Issued: 1/05/2015 Name: KEN CAMPBELL & LISE JUTRAS
Total Fees: 75.00 Address: 6616 WIRE RD LOT 93
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/05/2015 Phone: (813)701-1575
Work Desc: SCREEN ROOM 12' X 24' �
CONTRACTOR S . APPLICATION FEES
HOM O NER BUILDING FEE 75.00
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In ections Re uired
FOOTER 2ND ROUGH P MB MISC INSULATION EI IN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
' inspection when called e) permit not po ed on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, there 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 m nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing, consult with your lender or an attorney
before recordi g your�notice of commencement."
Complete Plans,Specifications Must Accom any Application.All work shall be pertormed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
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CONTRA OR GNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION � 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
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I ity of Zephyrhills
BUILDING LAN REVIEW COMMENTS
Contractor/Homeowner: q�p E�,L
Date Received: l 2 2 9 — /y
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� Site: �i 6 l 6 W l RE R� LO T 93
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' Permit Type: NEW CREEAI 00 R�S vBM�TE� W►-rK �E i�1�,$
Approved w/no comments:❑ Approved w/th below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit d/or pll ns.
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Kalvin witzer=P xaminer Date Contractor and/or Ho wner
(Required when comments are present)
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o�a-rov-wc� uiry or cepn m�ns Permit Appiication Fax-813-780-0021
t B Rding bepartment
Dafe Received � _
Phone Conta t for Permitting
Owriar's Name Owner Phone Number V�� r� �
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Dwner's Address I �',.. � � C?wner Phone Number p 1.�-�7� 1- 1�7�
Fee Simpie 71Neholder Name Oumer Phone Number r� �
Fee Slmple 7ttleholder Address
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JOB ADDI2ESS. � � I �� L07# L�1
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SUBDNlSlOM �� � PA CEL Ip# �
_._ _ _ —_ �-_ _._ - __ .� - --- - -- _ I�_______(OBTAfNEQ_ERqM.P_ROP_ERTY�AX NC?TlCE)-=----—�`-_ - -_— �
WORK PROPOSED � � NEW CONSTR 8 AD A�T [� SIGN 0 Q DEMQL4SH
INSTAI.L RE IR '
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PROPOSED USE Q SFR [� CO M � OTH�R
IYPE OF CONSTRUCTION [� BLOCK L] F E ,� : BTEEL Q
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DESCRtPT10F1 OF WORK �
BUILDING SlZE � � �� SQ FOOTAGE FlEIGHT ��
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QBUILDING $ G�� ,ry� t5'L�� yq��AT N OF T4TAt�GONSTRUCTlON
flt t)lJ
QELECTRICAL ��� AMP SE VICE Q PROGRESS ENERGY � W.R.E.G.
QPLUMBING ($�--^-� ��
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QMECHANiCAL $ VALUAT ON OF MECHANICAL INSTALLATION � ��
�GAS �] ROOFING Q SP CIALTY I�„�� OTHER
=1NISHED FLOOR ELEVATIONS (� � FLO D ZONE AREA QYES NO
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�UII.DER r f� � COMPAMf
3�fi�!'+OIA3UP.E �CQ.�,,,,�-'„ti�i'� , REGISTERED Y/ N FEE CURRE� Y/N
add��ss �E��S�# �— _._ ..�.�
:LEGTRiC1AN � COMPANY
31CiNATURE REGISTERHp Y/ N FEE CURRE� Y/N
Address Lfcense# �— `�
�1.UMBER �� COIlAPANY
31GNA�URE ,,," EGISTERE� Y J N FEE CURRE� Y/N
Address Ucense# �� ��
AEGFIANICA� � COMPAN'Y
ilGNATURE EGtsTERED Y! Td FEE CURRER Y/N
Address License# � �
)7FiER CQMPANY
{IGNATURE EGISTERED Y I �1 FEf CURREh Y J N
Address License# � ��
tESiRENTtAL Attach{2)Ptot Ptans;{2)sets of Buliding Pians;(1) et of Ene� Forms;R-O-W Permit for new cons#rucfton,
Minimum ten(10�worktng days after submittal.date. Requlred�onsite,ConsWc@on Pians,Siarrnwa#et Pians wt Slit Fence instalted,
Sanitary FaclNtles&1 dumpster,Site Work Permit f r subdivistonsAarge projects
:4MMEttC1AL Attach(3}comptete sets of Suitdtng Ptans ptus.a Lif Safeiy Page;(1j set of Energy Forms.R-O-W Permlt for new canstruction.
Mtnimum ten(10)warktng days after submitta!date. Required�onsite,Constructlon Plans,Starmwater Plans w!Sfit Fence instaiied,
Sanitary Facilitles 81 dumpster.Site Work Permit f r all new proJects.All commerclal requiremants must meet compllance
�IGN PERMI7 Attach(2j sefs of Engineered Ptans. �
""'"PROPERTY SURVEY required for all NEW con cttan. (
i }irections:
F411 out applicaUon oompietely.
Owner&Contractor sign back of applicatlan,notarfzed .
tf over�2500,a Notice af Cornmencement Is requtted. (A/C u grades over�7500) � . , r
' ' Agent(for the coMractor)or Power of Attomey(for the awner)wou d be sameone with notarized tetter fram awne�authorizing same� ' � `
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NER THE COUI�TER PERM117tNG (Front of Applica�on On1y} �"" w..r ,X•^. �t•:° --�"'"•`•' " `;
;eroofs it shingfes Sewers Servlce Upgrades AfC Pen s(PiotlSuroeylFootage) ;'v - . `''•�".''',,r: �-3 ''`^ -t„�"" ';
$ G ;�: : " �,: `'�'�'���.' . ; �." c.
Driveways-Not over Caunter lf on pubtic roadways..needs ROW „ ���� �. '�"' '"'� `�" °`�::'� ;
,F ..—. ——.c ._.rr'i.,:.r:. ,_.�",t:.._.....—_ .._w..
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NOTiCE OF DEED RESTRICTtONS: The undersigned understands that#his permit rnay be subject to"deed"restrictions"
which may be more ces#rictive than County regulations. The undersigned assumes responslbility for carnpiiance writM any ,
applicable deed restrictions.
UNLICENSED CONTRAC70RS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
confractors fo undertake work, fhey may be required to be iicensed in accordance wifh state and Iocal regulations. lf the
contractor is nat licensed as required by iaw, bofh the owner and contractar may be cited fvr a misdemeanor violation
under state law. If the owner ar intended confracfor are uncertain as to wha# licensing requirements may apply for the
in#ended work, they are adv9sed to contact the Pasco County Building inspection Divis�an—�icensing Sectton at 727-847-
8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the contractot(s) sign
portions of the "cantractor Block" of this application for which thPy will be responsible. If you, as the awner sign as the
contracfor, #hat may be an indication fhat he is not prapely�licensed and is naf entitled to permifting privileges in pasco
County.
TRANSPORTATIUN IMPACTtUTlL1TIES IMPACT AND RESOURCE REG�VERY FEES: The undersigned understands
that Transportation Impact fees and Recourse Recovsry Fees may apply ta the constructian of new buiidings, change of
use in existing bulldings, or_expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be identi�ed at the time of
permitting. It is further understood tha#Transportation Impact Fees and Resource Recavery Fees must be paid prior to
receiving a "certifrcafe of occupancy" or final power release. Ifi the project does nat invoive a certifieafe of occupancy or
final pawer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewet impact
fees are due,they must be paid priar to permit issuance in�accordance with applEcable Pasco Courtty ordinances.
C+DMSTRUCTIQN LlEN LAW(Chapter 713, Flarida Statutes, as amended�: If valuation of work is$2,5Q0.40 or more, !
cerkify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protecfian Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
ofher than the"owner�, I certify that I have obtained a copy of the above described documenf and pramise in good faifh to
deliver it to the"owner"prior to cammencement.
C�}NTRACTOR'S/OWNER'S AFFIDAVIT: i certify that a41 the information in this appiicaEion is accurate and that a!f work
will be done in compliance with al! applicable laws regulat[ng construction, zontng and land development. Applfcation is
hereby made to obtain a permit to do work and installatian as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and #haf alI work will be performed to meet standards af all laws regulating
construction, County and Cify codes, zoning regulations, and land deveiopment regulations in #he jUrisdiction. I aiso
ce�tify that ( undersfand that the regulations af otfier governmenf agencies may appiy ta the intended work, and that it is
my responsibiiity to identify what actions i tnust take to be In compiiance. Such agencies include but are not fimitec!ta:
- Department of Environmental Pratectian-Cypress Bayheads, Wetland Areas and Environmen#ally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- depar#ment af Health & Rehabilita#ive SarviceslEnvironmenta! Nealth Unit-We!!s, Wastewater Treatment,
Septic Tanks. -
— - - –US Environmen#al�Pro#ectianAgency-Asbestas_abatemen#._ _.._ . _ _ _ __ �_ _
- Federal Aviation Authority-Runways. --
I understand that the following restrictions apply to the use of fi(I:
- Use of fiil is not allowed in Flood Zone"V"unless expressiy permitted.
- If the fili material is to be used in Flaod Zone "A", it is understaod that a drainage pian addressing a
"campensating valume° wiii be submitted at time of permitting which 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 permifted building using stem wall
construc#ion, I certify that fill will be used only to fill the area within the stem watt.
- if fill materiat is fo be used in any area, i certify that use of such fifl wiil not adversely affect adjacent
properties. If use of fi11 is found ta aduersety affect adjacent praperties, the auvner may be cited for violafing
fhe condit9ons of the buifding permit issued under the attached permit applicatian, for lots less than one (1}
acre which are elevatsd by�II, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in gaod faith ta inform the owner of the permitting conditians set forth in
th3s affidavit prior to commencing canstruction. I unders#and that a separate permit may be required for electricat work,
plumbing, signs, wells, pools, air condifioning, gas, or other installations nof specifioaily included in the application. A
permit issued shafl be cons#rued fo be a license ta praceed with the work and nof as authority to.violate, cancel, ai�er, or
set aside any provisions of the technica) cades, nar shaii issuance of a permit prevent the Building OfficiaE from thereafter
requiring a correction of errors in pians, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is cammenced within six months of permit issuance, ar if work authorized by
th�permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Officiat for a period nof #o exceed ninety (90} days and wilt demonstrate
jusfifiable cause for the exfension. If work ceases for ninety(90)consecutive days,the job is cansidered abandoned.
WARNtNG TO OWNER: YOUR FAIE.URE TD R�CORD A NQTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYlNG TWtCE FOR IMPROVEMENTS TO YOUR PROPERTY. IP YOU lNTEND TO OBTAIN FINANCING, CONSULT
?NQ7H YCIUR LEND�R-OR-AIV ATTC#RNEY BEFORE RECORDING YOUR N0710E OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) - i—— -- ~- - - --��_ y � _ "_
OWNER OR AGEiVT�� .����-!_.. .,- CON7RACTOR
Subsc�ibed and swom to(or affirmed) efore me th(s Subscribed and swom ta(or affirmed}before me this
bY �Y �
Who istare persanally knowr�to me or haslhave produced Who is/are personally known to me or has/have produced
s Identificatlon. as identifieation.
, Notary Publlc Notary Public
; ti 'y�'�. �.�.$��r`Q�
Commis ��J �'.�' CommisSi/R�F�,�� �� Commission No.
;. �== _xp�res June 29,20i8
,��"Rf.•v+��,` 8wded Thv TrgFak�lnt
Name f Notary type ,p Name of Nofary typed,prinfed or stamped
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ity of Zephyrhills
BUILDING P AN REVIEW COMMENTS
Contractor/Homeowner: �< �q (� ��L a. ��S� ��•T 4L��
Date Received: �� � �ic{ _ � �
Site: �(o t � ll� i� P..� LOT ��
Permit Type: �t1�D e,RC�iv� �iUl
Approved w/no comments:❑ A r I
pp oved w/th below comments: ❑ Denied w/the below comments:' "�
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This comment sheet shall be k ' t with the permit d/or p ans.
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Kalvin ''tzer—Pl s aminer Date � Contractor and/or Homeowner
i (Required when comments are present) '
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Sleepy H Ilow Mobile Estates, Inc.
38615 La sing A�enue, Zephyrhills, FL 33542
Telephon : 813-782-1111, fax: 813-783-7681
Email sleepvhollowparksCcr�yqmail:com
,slee hollow arks.com
December 18,2014
Ken Campbell&Lise Jutras
Park 1, Lot 93
Ken&Lise:
Your application for a permit t build a Florida room on your unit has been approved by the
Board of Directors,with conditions:
At such time you should decid to mo le from Sleepy Hollow RV Park 1,all additions will have to
be removed at the same time. If you s II your unit in place,the additions may remain.This includes
storage sheds as well.The new buyer ould be responsible for the same conditions.
�reed on /� /9 1
Park Representative �c' ✓P
Ken Campbell �� � �
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Lise Jutras �
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� BAHR'S ALUMINUM, INC.
� 6440 Fort King Rd.
I ■ I � Zephyrhills, FL 33542 -
I � Phone: (813)782-3513-
� � Toll Free & Fax: 1-866-296-4316
� � www.bahrsaluminum.com
� NAME � �� `�\\ DATE �_ _ /
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; ADDRESS ` ' ❑DEL ❑CPU
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� SUBDIVI I�N� ���( C�1' ' 1 ��� PHONE ^ O Ir �75
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I ❑CASH ❑CHARGE ❑C.O.D.
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