HomeMy WebLinkAbout15-15925 CI OF ZEPHYRHILLS
5335-8TH STREET
,. �sis)�so-oo20 15 5
� BU LDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15925 Address: 6604 NORTH LAKE DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0150-00000-0250
Improv. Cost: 5,660.00 ` OWNER INFORMATION �
Date Issued: 1/21/2015 Name: MERCHANT ROBERT & MARY
Total Fees: 97.50 Address: 45 COUNTRY CLUB EST
Amount Paid: 97.50 SWANTON VT 05488
Date Paid: 1/21/2015 Phone: 8133553520
Work Desc: REPLACE EXISTING SCRE N RM /W REMOVABLE WINDBREAKS
CONTRACTOR S APPLICATION FEES
HOME PERFORMANCE ALL ANCE INC BU LDI G FEE 97.50
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Ins ections Re uired
FOOTER 2 D ROUGH PLUMB MISC INSULATION CEI N
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 pos ed on job site� plans not at job site g)work not accessible.
NOTlCE: 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 wmmencement may result in your paying twice for
improvements to your properly. 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.
CONTRACTOR G TURE PERMIT OFFI R
. PERMIT IRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
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City of Zephyrhills
BUILDIN PLAN REViEW COMMENTS
ContractorlHomeowner: }�a� ��'flR����E �1►�-���G�
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Date Received: � ! 2 "" t '� ',
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sxt�: 6 b o A�a R7N �.A uf �DQ
Peimit Type: RL'A�C! E�CIsT�Ni Sc/t�@1�1 QpaliR,
+�� Mov�ts� w�aa,��te�Ks
Approved wlno comments:C1 Approved wlt e below comments: � Denied w/the below comments: �
f'�'`` �i`Y�I�1C �/6 � L
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This comment sheet sh 1 be kept with the permit cUoz plans.
. I c� °t f�
Kalvin S 'tzer lans Examiner Date r Contractor antUor Homeo
(Required when comme e present}
i'
aisaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Buiiding DepaAment
' Date Received Z� S�� 1 lr�
Phon ContactforPertnittin
� Owners Name �pct�.T f ��- l:, f�'�� Owner Phone Number c�13-�SS-�SZo
Owners Address lD� l� �.-�-� �1� J"� � �7 Owner Phone Number
V
Fee Simple Titleholder Name '� 1 Owner Phone Number
Fee Simple Titleholder Address �,
JOBADDRESS l0([�D �.Cl �J�-I � �l: I��- �/'�I�J2-1-I11—�-5 LOT# �
SUBDIVISION �I-��-S ���_ 'S� �PARCEL ID# (?3-?�-Zl'O I��'��CC�" D L�^�
(OBTAINED FROM PROPERTY TAX NOTICE)
i WORK PROPOSED e NEW CONSTR - ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE ��SFR Q COMM Q OTHER
� TYPE OF CONSTRUCTION Q✓� BLOCK Q FRAME Q STEEL Q
, DESCRIPTION OF WORK �C�x�Gl- GX� 7 l N�. ��2�EiV 200/h W GLCM OU�3� �.✓I J�.L� 2��C J
BUILDIMG SIZE SQ FOOTA E� HEIGHT �
�BUILDING $ / � ALUATION OF TOTAL CONSTRUCTION
lf'
QELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /
QPLUMBING $ Sati' I
QMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � 1 I
QGAS Q ROOFING Q SFECIALTY�Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER 1 �L�� � COMPANY �f��E /'��-�� �1�L<��C-�
SIGNATU h REGISTERED Y/ N FEECURRE� Y/N
dress ��� S C���� � �� ��=� 3 7��o � � Ljce�se�#
� .
ELECTRICIAN , ,COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �License#
PLUMBER COMPANY
SIGNATURE REGISTERED YI N FEECURRE� YJN
Address License#
MECHANICAL COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, �
Minimum ten(10)working days after subm ltal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, �
Sanitary Facilities&1 dumpster;Site Wo Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after sub ttat date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Wo Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all EW construdion.
Directions:
Fill out applicatlon completely
Owner 8 Contractor sign back of appliration,notarized
If over 52500,a Notice of Commencement is required (AIC upgrades over 57500) �
" Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owner aulhoriang same
OVER THE COUNTER PERMI771NG (Front of Applicat n Only)
Reroofs if shingles Sewers Service Upgrades A/ Fences(PIoUSurvey/Footage)
Driveways-NOt over Counter if on public roadways..nee ROW
NOTICE OF DEED RESTRICTIONS: The under gned understands that this permit may be subject ta"deed"restrictions"
, which may be mare restrictive than County regul 'ons. 7he undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors fo undertaice work,they may be requi ed to be(icensed in accardance with state and Iocal regulations. if fhe
conVactor is not licensed as required by law, bo the owner and contractor may be cited for a misdemeanor viola6on
under state law If the owner or intended contra tar are uncertain as to what licensing requirements may apply for the
intended work,#hey are advised to contacf the P co County 8uilding(nspection division—Licensing Section at 727-847-
8009. Furthermore, if the awner has hired a ntractor or caotractors, he is advised fo have the corttractor(s) sign
portions of the"contractor Biock"of this applicati n for which they wili be responsible. If you,as the owner sign as the
contractor,tttat may he an indication that he is n t properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION tMPAGT/UTILITIES IMPAC AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recaurse R covery Fees may appiy to the cansWction af new buitdings,change af
use in existing buildings, or expansion of exis6n buildings,as specified in Pasco County prdinance number 89-07 and
90-07,as amended. The undersigned aiso unde stands,thaf such fees,as may be due,wip be identified ak the time of
permitting. it is further understood that Transpo tion Impact Fees and Resaurce Recavery Fees must be paid prior to
receiving a"certificate of occupancy"or final po r release. If the project does not invalve a certificate of occupancy or
finai power release,the fees must be paid prior permit issuance. Furtfiermore, if Pasco County Water/Sewer tmpact
fees are due,they must be paid prior to permit iss ance in accordance with appiicable Pasco County ordinances.
CONS7RUCTiQN i.IEN LAW(Ghapter 713,Flor da Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify fhat 1, the appiicant, have been provide with a capy afi fhe "F(arida Gonsfructian Lien Law—Hameawne�s
Protection Guide°prepared by the Florida depa ent of Agriculture and Consumer Affairs. If the applicant is sameane
ofher than the"awner",I certify that I have obtain d a copy of the abave desoribed dacumen#and promise in good faith ta
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi that all the information in this application is accurate and that aU work
wi!!be done in compliance with all appiicabie la regulating canstruc6on,zoning and land developmenL Appiicatian is
hereby made to obtain a permit to do work a d insiallation as indicated. i certify that na work or instaila6on has
commenced prior ta issuance of a permit and at all work will be performed to meet standards of all laws regulating
canstruction, County and City codes, zaning re utations, and land development reguiations in the jurisdiction. I also
certify that I understand that the regulations of o er govemment agencies may apply ta the intended work,and that it is
my responsibility to identify whak actians I must ta e to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Prote 'on-Cypress Bayheads, Wetland Areas and Environmentally Sensi6ve
Lands,WaterNl/astewater 7reatment.
- Southwest Ftorida Water Manage ent District-WeOs, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, ocks,Navigable Waterways.
- Departrnent af Heaith & Rehabititati e Services/Environmentat Health Unit-Wel(s, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency Asbestos abatement.
- Federal Aviatian Autharity-Runways.
I understand that the following restric6ons apply t the use of fill:
- Use of fill is not allowed in Flood Zon "V"unless expressly permitted.
- !f the fii! materiat is to be used in Flood Zone "A", it is understood that a drainage pian addressing a
"compensating volume"will be subm ed at time of permitting which is prepared by a professional engineer
ticensed by the State of Fiorida.
- If the fiii material is to be used in F ood Zone "A°in connection with a perrnitted building using stem wa(I
construction,I certify that fill will be u d anly to fill the area within the stem wall.
- if fi(i materiai is to be used in any area, I certify that use of such fiil will not adversely affect adjacent
propertiss. !f use af i�ii is found ta a versely affect adjacent properties,the owner may be cited for violafing
the conditions of the building permit ssued under the attached permit application,for lots less than one{1)
acre which are elevated by fiR,an en meered drainage plen is required.
If I am the AGENT FOR TFlE OWNER,I promise in good faith to inform the owner of the permitting canditians set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
piumbing, signs,welts, paals, air canditioning, g s,ar other installations nat specificatly included in tfie application. A
permit issued shall be construed to be a license proceed with the work and not as auihority ta violate,caneei,aiter,or
set aside any provisions of the technical codes,n r shall issuance of a permit prevent the Building Official from thereafter
requiring a correc8on of enars in pians,cortstruc an or viofations of any codes. Every permit issued sha3l became invatid
unless the work authorized by such permit is co menced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a perio of six(6}months after the time the work is commenced. An extension
may be requested,in writing,trom the Buitding fficiai for a period nat to exceed ninety{94)days and wili demonst�ate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO QWNER: YQUR FAILURE TO ECQRQ A NUTICE dF COMMENGEMENT MAY RESULT 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YO R PROPERTY. IF YOU INT D TO OBTAIN FINANCING,CONSULT
WIi'H YOUR LENDER OR AN AtTORNEY BEF RE RECORDtNG YOU O ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWNER QR AGENT GONTRACTO
Sabscribed and swam to(or affirmed}before me this Subscribed a d sworn to(or affirmed}b ore me t ' ��
by by
Who is/are personally known to me pr hasfiave produced Who is/ar ersonally known tp me or has/have roduced
as idendficatlon. as ident Gon.
Notary Publi Notary Public
Commission No. Commission No.
Name of Notary typed,p�inted or stamped Name of Ttotary typed,printed or stamped
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�?s.. .=?��: �'���g�..::�;��.',:'_��'��19' PAULA S.O'NEIL,Ph.D PASCO CLERK 8 COMPTROLLER
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' 850 Scherer Drive-Unit 550 �����
H o m e Pe r f o r m a n c e St.Petersburg,FL 33761 f
A L L I A Phone 727-538-4140•FaY:727-538-4217
NCE .
License#CGC 1508826 �'w'�+'•hpawindows.com
CONTRAC
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Ad s: 1 Cell Bhone E-mail
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Sales R Customer Alternati e Ph ne: " • -
General Description of Work: To fumish and install � �� / `- � '�' U�p(1 .��� �nSa.Q, �7p
+ , �i Suy e��.� � -1
�""+} �D T �"h�� �t�ng g1�Mo���.t"yJS
entry doors . We will remove.and dispose of all debris from job site.Includes building permits and warranty. '
-which is further described in the de[ailed specification sheet attached hereto as Exhi it"A"and initiated by the parties.
The above work will be completed in accordance with[he terms,condiGons and speci cations herein,with payment to be made accordance with the
' following payment schedule:
' 1. PRICE $ �j(� °:
2. TAX $ ,
3. TOTAL $ .6 'y
4. DOWN PAYMENT $ �'°
5. BALANCE C.O.D. $
6. BALANCE FINANCED $ � ,
'BALANCE DUE UPON INSTALLATION OF WINDOR'S&DOORS NOT A� �R THE FINAL INSPECTION.
*COMPANY NOT RESPONSIBLE FOR RECONIVECI'ING BURGLAR ALA SYSTEMS.
IF PAYMENT TO BE MADE BY CHECK PAYABLE TO"HOME PERFORMANC ALLIANCE,INC."ALLAPPLICABLE DISCOUNTS HAVE
BEEN APPLIED AT TIME OF SERVICE.
Additional Comments:
THIS IS A AOME SOLIGTTATION�SALE,AND IF YOU_DO NOT WANT.:1'HE• DS.OR SERVICFS,YOU MAY'CANCEI,TgLS AGREEMENT BY
PROVIDING WRIITEN NOTiCE TO THE�+i.r.ira'y�•pgggpN BY TEI,E.GRAM,OR Y MAII:,THIS NOTICE,MUST INpICATE THAT:YOU.DO NOT
�VANI'THE.GOODS OR SERVICES AND 111USI'HE DELIVER�D'OR' BERORE 11�N[(:BT:OF THE 1'ffiiiD BIISII�'S4 D'AY.AFfER
YOU SIGN TIDS AGREEMENT. IF YOU CANCEL TlIIS AGREEMEN'1;`1�E'SE �ly�►y pp'r�p,�;�OR P'ART OF ANY CASH ppp+N
PAYMENT.
�O STATUTORY NOTICE REGARDING CONS UC�'ION LIENS: ACCORDING TO
` , _FLORIDA STATUTES),
THOSE'WHO'WOItK.ON'YOiJR`'PRO�ERT;Y',OR`�pR V1DE.1ViATEItIAI:S AND.�SERVICES AN�
ARE NOT PAI1D.;IN,,FULI. �HAVE. A...ItIGHT..T.O. ORGE..THEIR CLpIM FOR PAYMENT
AGAINST YOUR PROP�RTY. THIS CLAIM IS KNO AS A CONSTRUG°I'ION�LIEN. IF YOUR
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1V�AY .LOOK �O YOUR PROP.ERTY��.rFOR. PAY1V� � ; EVEN. IF`YOU. :HAVE PAID YOUR �
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MAY AI:SOrHAVE A�I:,IEN'ON��'sY0i7R°PROPERTY:":: :: MEANS;IF;A LIE1�F;�,S FII;ED YOUR., '
PROPERTX'.COULD��BE �OLD AGAINST'.YOUR-• � ' "�T.O.PAY-FOR� •LABOR;=MATERIAL.S,=�OR �
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TO PAY. TO.PROTECT YOURS�LF,•YOU-SHOULD STIPULATE��.IN.-THIS.CONTRACT THAT
BEFORE ANY PAYMENi' IS MADE;'YOi7R=CO � GTOR IS-REQiJIRED '�O PAOVIDE`YOU
WITH A WRiTTEN RELEASE OF LIEN FROM 'RPERSON' OR COMPANY THAT HAS
PROVIDED TO YOU A KNOTICE..TO.,,O .W.NER", FL�RIDA'S.CON.S.TRUC�TON LIEPT LAW IS
CONYPLF.X AND TI'IS RECONIIVI�NDED TAAT YOU C NSULT AN AITORNEY.
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HOME PE ORMANGE ALLIANCE INC.
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