HomeMy WebLinkAbout15-15975 CI OF ZEPHYRHILLS
• ' � 5335-8TH STREET
(sis)�so-oozo 159
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15975 Address: 6616 WIRE RD LOT 48
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0010-04500-0000
Improv. Cost: 1,500.00 OWNER INFORMATION
Date Issued: 2/02/2015 Name: SLEEPY HOLLOW MOBILE ESTATES IN
Total Fees: 67.50 Address: 6616 WIRE RD LOT 48
Amount Paid: 67.50 ZEPHYRHILLS FL 33542
Date Paid: 2/02/2015 Phone: (813)782-1111
Work Desc: METAL AWNING ON PAD 1 ' X 30 '
CONTRACTOR S APPLICATION FEES
HO EOWNER BUILDING FEE 67.50 '
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Ins ecti Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATI N CEI ING
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 mply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the foll wing 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 f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this pe mit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, nd 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 inte d to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans, Specifications Must Accomp ny Application.All work shall be performed in accordance with
City Codes and Ord nances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED
PROTEC CARD FROM WEATHER
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ity of Zephyrhills
BUILDING LAN REVIEW COMMENTS
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Contractor/Homeowner: � �
Date Received: z � S
Site: � ��-�'� ,
Permit Type: ` 2� d �P�IP�%'-,� CJ .����iG�Y/>�?, I
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Approved w/no comments: Approved w/t e below comments: ❑ Denied w/the below comments: ❑ I�
This comment sheet shall be kept with the permi and/or plans.
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Kalvin Swi er— s Examiner Dat Contractor and/or Homeowner i
(Required when comments aze present) '
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� Si��py Mol� w 11Aobile Estates, Inc.
3$615 Lansin� Avenue, Zephyrhills, FL 33542
Telephone: 81 -782-1111, fax: 813-783-7681
Email: sle hollow arks mail.com
� www. lee hollow arks.com
Date Janua 21 2015
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Name Claudette Tellier and Cecile Laport I
' Park 1& Lot 48
Claudette&Cecile
Your application for a permit to po r a cement pad and cover with metal awning on your unit
has been approved by the Board of Direct rs, with conditions:
� At such time you should decide to ove from Sleepy Hollow RV Park 1 all additions will have to -
be removed at the same time. If you sell y ur unit in place,the additions may remain. This includes
storage sheds as well. The new buyer woul be responsible for the same conditions.
Agreed on ��
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Park Representative ��{/ �
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Claudette Tellier �
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Cecile Laporte L� � r
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a�saso-oozo City of Zephy itls Permit Application Fax-813-�80-0021
Bui ding Department
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Date Received Phone Canta t for.Permitting -
Owne�'s Name �,.�Q t i?t.{� rn t�'1�{��' t,� ��J ��-Owner Phoae Number ��J�`'��o�- 1�1�
F ,� ,'t)s �L 33S�l2 (� �
Owner's Address .�� i� F�-�►� ��l � ���� Z�- �/f �` O�er Phane Number �
Fee Simple Titieholder Name Owner Phone Number i , �
Fee Simple Titleholder Address
JOB ADDRESS � i,;,t�i'Q {,(,.l °" �1 � �� ,j���C LOT# �t>
SUBDlVlStON � � �,��i� pA EE.iLT# �--�� "'yUD I�}- D�'SD� -' D�DD
(09TAINED FROM PROPERTY TAX NOTICEa
WORK PROPOSED e NEW CONSTR 8 AD AL7 �] SIGN C] [� DEMOLISH
IhtSTALL FtEP iR
PROPOSEDiJSE Q SFR Q CO M � 07HER
7YPE OF CONSTRUGTION C] BLOCK [� F E . �� STEEL [�
n��DESCRtPT10N OF WQRI{ 1'� °E"' � � � �=�- �
BUILDING SlZE �� � SQ EOQTAGE l�IEIGHT � �v " �
'c BUILDING $ �7� VALUAT Q!�!QF TOTAL GONSTRUGTlQI�f
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QELEC7RICAL ($S -----�� AMP SE VICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING ($ '�_ ,,
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QMECNANtCAL $ VALUA 0(V OF MECHANICAL INSTALLA710N ,�(1
QGAS Q ROOFING Q 8P CIRLTY �� OTNER
FtNISHED FLOOR EI.EVATIONS � i. � FL OD ZONE AREA QYES NO
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BUILQER ��� COMPANY f11-�V�'ltc•' V`
SIGNATURE �UP.�R t YGt,UL� REGISTERED Y/ N FEE CURRE� Y/N .
Address Lfcense# � `�
ELECTRICIAfd � � COMPANY
StGNATt1RE � REGISTERED Y/ N FEE CURRE� Y/N
Add�ess lfcenSe# � �
PLUMBER " COMPANY.
S1,t'aNATURE Re��s�Reo Y/ N FEE CURRE� Y/N
Address Llcense# �— ���
M�CN��l9CAl. _ COMPANY
SIGAIATIlRE REGISTEREp Y 1 N FEE CURRE� Y J N
Address Ltaense# �— ^� �
OTHER ` COMPANY
31GNATURE tt���s7ER�o Y 1 Rt FEE CURREt+ Y/N
Address Lfcense# �—i �
RESIDENTlAi. Attach{2}p!o#Plans;{2)sefs of BuitdEng Plans;(1 set of Energy Forms;R-O-W Permit for new construction, �
Minimum ten{10).working days after submittal.dat . Requlred onslte,ConstrucQon Plans,Stormwa#er Plans w/Stlt Fence tnstatied,
Sanitary Eacllities 81 dumpster;Stte Work Permft or subdivlsionsAarge proJects
COMMERCIA� Attach(3)camptete sets of Buildtng.Plans plus a fe Safety Page;(1}set of Energy Forms.R-O-W Petmit for new constructlon.
Mlnlmum ten(1Q}wrorking days after subrrsfttaf dat . Requlred onsite,GonstrucUon Plans,Stortnwater Plans wf Siit Fence insta!led,
Sanitary Facflities&1 dumpster.Site Work Permit far all new proJects.All commerclal requirements must meet compqanae
SIGN PERMIT Aftach(2}sets af Engineered Ptans.
'•"*PROPERTY SURVEY requlred for ail NEW co strvction. ,
Directtans:
FIR ou#appllcatlon completely.
Ovmer 8 Contractor sign back of app!{cation,notarized
If over�2500,a Notice af Commencement Is requlred. (AIC pgrades over 5T500)
'* Agent(for the contractor)or Power of Aktomey(for#he owner)w uld be someone with nota�ized letter from owner authorizing same
OVER 7HE COUNTER PERMITTING (Front of Applicatlon Oniy
Reroots 3fi shingles Sewers ��. °�:',Setvice Upgrades��A/G..�.�..=Fe ces(P1otJSurveyJFoatage} �- - _= .- � . . --. , _
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Driveways-Not over Counter if on,public roadways;.needs ROW ' ' � ' � ° � , " �,
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrlctions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES: If the owner has hired a contractor or
contractors to undertake work, they may be-required to be licensed in accordance with state and local.regulations. 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-
8009. Furthermore, if the owner has hired a contractor or contractors, 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 owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse 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 understands,.that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a °certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due; they must be paid prior to-�permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, as amended): If valuation 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
Protectio� Guide" prepared by the Florida Department of Agriculture and>Consumer Affairs. If the applicant is someone
other than the"owner", I certify ttiat I have.obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all'the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
ce�tify that I understand that the regulations of other government agencies may apply to the intended work, ,and that it is
my responsibility to ident'fy,::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, WaterMlastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells; Wastewater Treatment,
Septic Tanks. '
- US Environmental Protection Agency-Asbestos�abatement.
- Federal Aviation Authority-Runways. �
I understand that the following restrictions apply to the use of fill:�
- Use of fill is not allowed in.Flood Zone"V"unless expressly permitted.
- 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 submltted 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 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 eleuated by flll; an englneered drainage_plan is required.
If I am the AGENT FOR THE OWNER, 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 s�parate permit may-�e iequired ior-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 Buildirig Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced withln six months of permit issuance, or if work autho�ized.by
the 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 Official for a perfod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases-for ninety(90)consecutive days, the�job,.is considered abandoned.
WARIVING TO OWNER: YOUR'FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEfVIENTS TO YOUR PROPERTY.'IF�YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR-LENDER OR AN ATTORNEY.BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � -- -�
-FLORl�-JA JtJRAT(F:S.-947:03) - - -' --- - - -- -- -- - -
OWNER OR AGENT��������� CONTRACTOR r ��%U�c2�J�-.GCca %�'�'�'�-7/�
�ubscribed and swor¢to(gr afflrmed)before�n e thls Subscribed a�d swom to(or afflrmed)before me this
�V' i �by �C ' f3�.h � T�,�� �`�.a2 I��-(S by C �\ T- b—P-� �,L-�i t�
Wh Is/ pQrso ly known to me or has/have produced Who Is/ar pers nally nown o me or haslhave produced •
�/�r�d �L as Identlflcadon. + L as Identlfication.
, �{�� i Nota Publlc '�^2 � NotaryPubllc
ry
Comm Commiss No.
aoi�'S:l;ge; '?, .Y�:k:
=2• :�: Commission#FF 150422 ::= Commission#FF 150422
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Name of N f p ' Name of Notary ty � o '
���F��.� PBorid N roy e�n 7a o PA0.385dOt9 ��pp F.°.�` Bonded ThN Tray Fafn Insurenea 000-385•7019
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' DISCLQS S�ATEI�NT .FOR ClWZ�R .
C2TX OF ZEP 2T.�.5 BLJII.DING LIEPAR�MENfi
�, � � have read and fu.1.1y understand and
agsee •ta the" prcrvisi.ons of �tha.s in trument.
.The undersigned .states and af�'irms tha� he or she is desirous o£ constructiag,
reriovat.ing, adding �to or 2eraofing his or her own domici.le, that he os she
ac�ual3.y occupies, or will occupy said domiczle, 'and same is not for
�resYt, lease or sa1e. That he ar s e sha11 co�p].y wi.-th the followiizg cnndi-�ions:
1. That the owsxar aad_he or she ane sha11 ac� as ~the bvilder for a7.1. phases af
� constsuction. .
Z. That the owzxer wxZZ co�ily wi al�. provisians a� �t�;e City af Zephyrhil.ls
ordinances axid cades pertinent to '�he l�uildixig.
3. fiha� in the even� v�ious phas s of' construction are s�rcontraatad, he will
eTigage only �propesly 1.icexzsed uboontractors and will pessonal.�y supervise
� such wark.
I 4. �hat in the even'� tlze Building 7nspectar sha11 xe�,;�se casrec'�ions to be made,
the owz�er will assume full re ons�.biZi�Ly -ta insure �they are 7made, and upon
� comglet�,.on wa.11 ca1l �ar a r�' ection before p=oceeding with the building.
5. That the owner shall assume f 1 respoasibility for the const�uctZ.on ax�,d wi�.1
not axpect_ sup�svisian of his ark from the Gity .of Zephy�shill.s Bzzi.lding
Depart�esit. �
6. That, prior to fiss,�l i.nspection aay additional fees, including reinspecta.on
fees, must be pai.d iu �full. A wri�ten x�quest from this affice shall
constitute an;official no�,ice o pay additiax3al �ees..
7. fihat 'the own�r sha11 comgl.� wi a11 City, St�ate and Fedesal Zaws i.n regard to
social �eeurity, work�uan's c ensation, lie.0 laws, etc. , where applicable.
8. That the owner sha11 compZy wi. a1.1 the sa£e.ty codes issued by the Flarida
Industra.al Commission.
9. State 1aw re�,;res cozastruatia to be done by li.aensed contractors. You have
appliecl for a pe�mit under an e�gt�.an to that 1.aw. fihe exemptioz� a2l.ows
you, as the awnes of your pro ty, to act as your ov�an coritractor w�ith aertaia
' r�strietions even though you d no'� have a lic�ts�. You must .prova.de 3irect
onsi.te supesvision o� the coas c�.on yourself. You m�y bvi3.d or i.mprove a
one-family or two-family sesi 'ce or a farm outbvildiag. You may also bui.,ld
or improve a commercial bui1. ' g, pravi.ded yaur costs do x�.at �caeed $2�,000.
, The bui].d.ing cr z�esidence�mus be tor yaur awn use or occupancy. St may nat
be buiZt or siabs��anti.all.� �p ov8d for sale or lease. If you sei:1 or 3.ease a
bvildiag you have .bvi.lt o�c s stant.ially improved yovsself wi�hi.a 1 year a.��,er
the censtruction is comple�te, e 1aw wr3.11 presume•that ycu _built or
subs�ant.ial2y improve$ if f'�r sale or Iease, whic�i is 'a violatioa af �i.s
eXemption. You may nat hire unlicenaad person t� act as your cantsactoz or
to supervise peop,7.e working a yaus building'. =t is you= responsibilzty ta
- make swce t]a.�t people f�ploye by yau ha.ve licExases xern�i red by state law aszd
by courity or mun.i.cipal licens' g ordiaances. You may not d+elegate the
responsabil.a.ty far supervisin work to a Iic�nsed contractar who is not.
1ic�nsecl to perfo� t2ae warlc �asag den�. Aa�.y pexson wor]c.s.ng as� your b133.1d3.xig
who is zxot 2zaena�d must work unc2�s yaur di.rect strQervision axad must be
P�ployeci by you, which meaus t yau must deduct F.I.C.A. and withholding ��Y
and pravide workers' comp�asa 'on for that c=�ployee, all as pzescribed by law.
Yous cozxstruction must compZy with a1I applicab7.e lavrs, ardis�xices, building
codes, and zoning regulatioas.
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OWNER' S SIGZ1'ATL7RE i`� DA''L'E�, m _ ���f f„ �
ADDRES � .
PH02+7� / - • F{•
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