HomeMy WebLinkAbout15-16233 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oozo � 33
.� BUILDING PERMIT
- PERMIT INFORMATION LOCATIOfd INFORMATION
Permit Number: 16233 Address: 3505 BERYL LANE
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: EMERALD POINTE
Est. Value: Parcel Number: 24-26-21-0020-00000-0650
Improv. Cost: 17,000.00 OWNER INFORMATION
Date Issued: 5/01/2015 Name: ROGERS RONNIE & DIANN
Total Fees: 300.00 Address: 10835 OLD LAKELAND HWY
Amount Paid: 300.00 DADE CITY FL 33525-1514
Date Paid: 5/01/2015 Phone: 616-366-3910
Work Desc: ROOM ADDITIOPV 43 ' X 12 ' W/ BATHROOM
CONTRACTOR S APPLICATION FEES
H MEOWNER BUILDING FEE 180.00 ELECTRICAL FEE 60.00
HOMEOWNER PLUMBING FEE 60.00
HOMEOWNER �_�
��Q��' �z,`�-�-✓
�o �- ✓ .
`�7 — ��? �e ��
� C �
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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 comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g) work not accessible.
NOTlCE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property 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 management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
ienprovements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRAC R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,
. ,
813-780-002(� Gity of Zephyrhills Permit Application Fax-813-780-Q021
Building Department
r
Date Received Phone Contaat for Permitting ��f� �(�f0 — � ���
Owner's Name C7 hJ iC/ � i° I� � /�G� e�/',f Owner Phone Number lD/ � " �����rj�
Owner's Address � �, f �f� ��-° �l }'Nj�� dwner Ptione Number �� �
Fee Slmple Titl�halder Name Owner Phone Number �Y � .
Fee Simple Tltleholder Address °
J08 ADDRESS ��j L�,� " y^ I rc N �E�/�� �r��!j�✓ LOT# U7. '�
suea�v�sioH ��,�,.-u 1� �a i.,��� ra�cE�.ia# oZ��-���'�l-v��r3� o a o 0 0 �-d('i..S�c�
(OBTAINEd FROM PRBPERTY TAX NdTICEf
WORlC RROFQSEQ NEW COHSTR ADDlALT � StGN Q Q DEMOLISH
e INSTALL � REPAIR
pROPOSED USE [�] SFR [� COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEE� Q
DESCRIPTION OF WORK �U ��'1 !���{ � t� �i.,!
BUlLQING StZE �:3� ��G � SQ FOC►TAGE .�I rv HEIGHT ���
Q BUILDING $ �� O a�.�� �ALUATtON OF TQTAL CONSTRUCTION �1���3
1�
QELECTRICAI. ($ i�� AMP SERVtCE Q PROGRESS ENERGY [� W.R.E.C.
�
QPLUMBING �^-� �
QMECHANICAL $ VALUATlON QF MECHANICAL IN37ALLATION � r��S���
��U
[�GAS Q ROOFING Q SPECIALTY �� O7HER ,
FINISHED FLOCIR ELEVATIOh1S �� FLOOD ZONE AREA QYES NQ
BUII.DER � � d �pMpqH�.
SIGNATURE � �Yf/'CQ � ��� REC�ISTERED Y! N FEE GURRER Y 1 N
Addre$s License# �— � �
ELECTRICIAN J^' ` �� p � ��Jy�p�Y j�'�,7 Jy,j�'' '�
SIGNATURE ��CJ��y'�?i(..2 ��C�-fJ""� REGISTERE4 Y! N FEE GURREP Y Yly
Address License# I �
� �
PWMBER '' • COMPANY G� � hl�'"1�
31GNATURE / REGISTERED Y! N PEE CURRE� Y/N
Address License# �! �
MECHAIdICAL r:`_ <y��--� �,{ (� �" �p{y}ppHy
SIGNATURE a�)i``' , �'"I� REGISTERED Y/ N FEE cUt�ttES� Y/N
Address License# � ��
OTHER COMPANY
81GNATURE REGISTEREb Y/ N FEE CURRE� Y/N
Address --- -4 - License# � ��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permlt for new canstruction,
Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
5anitary FaciEities&1 dumpstee,S(te Work Permit for subdivislonsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(7}set af Energy Fotms.R-Q-W Permit Fo�new canstructian.
Minimum ten(10)working days after submittal date. Required onsite,Construc#ion Plans,Stormwater Plans w/Silt Fence InstaAed,
8an3tary Paciiities&1 dumpster.Site V{lork Permit for atl new projects.Aii commercial requirements must meet compliance
SIGN PERMIT Attach{2)sets of Engineered Plans.
""PROPER7Y SURVEY required far all NEW construction.
Directlons:
Fill out application completely.
Owner&Contractar sign back of application,natarized
If over 52500,a Natice of Commencement is requlred. (RtC upgratdes over�T540}
'" Agent(for the contra�tor)or Power of Attomey(for the owner)waold be sameone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTlNG (Front of Applicatian Qniy)
Reroofs if shingles Sewers Service llpgrades A/C Fenoes(PIotJSurveylFootage)
Rrtvaways-Not aver Gounter if on pubitc roadways.,needs ROW
�
0
��O
n�u_A�
-��s =,�
.. . %
� City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
,
Contractor/Homeowner: �d 1�(�1 E J �a G��
Date Received: i � ;r $ � �� ,
site: 3 S o s S�.RYL c.I�J•
Permit Type: ���� A D D i-r�a�1
.
- Approved w/no comments: � Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�� ��
Kalvi S`wrt s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
�
DISCLOSIIRE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, (�Z�- have read aad fully understaad aad
agre�e to the pr v' oas of this iastrumeat.
The undersigned states aad affirms that he or she is desirous of conatructing,
renovating, addiag to or reroofing his or her o domicile, that he or she
actually occupies, or will occupy by - - said domicile, aad same is not for
rent, lease or sale. That he or she shall comply with the following coaditioas:
1. That the owaer aad he or she alone shall act as the builder for all phases of
conatruction.
2. That the owner will comply with all provisioas of the City of Zephyrhills
ordinances and codes pertineat to the building.
3. That in the eveat various phases of coastructioa are subcoatracted, he will
engage only properly liceased subcontractors and will personally supervise
such work.
4. That ia the eveat the Building Iaspector shall require corrections to be made,
the owner will assume full respoasibility to iasure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owaer shall assume full respoasibility for the coastruction aad will
aot expect supervision of his work from the City of Zephyrhills Suildiag
Departmeat.
6. That prior to final inspection any additioaal fees, iacludiag reinspection
fees, must be paid ia full. A writtea request from this office shall
constitute an official aotice to pay additioaal fees.
7. That the owaer shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
S. That the owaer shall comply with all the safety codes issued by the Florida
� Industrial Commission.
9. State law requires construction to be doae by liceased contractors. You have
applied for a permit under aa exemptioa to that law. The exemptioa allows
' you, as the owner of your property, to act as your owa contractor with certain
restrictions evea though you do aot have a licease. You must provide direct
onsite supervisioa of the coastructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuildiag. You may also build
� or improve a commercial buildiag, provided your costs do not exceed $75,000.
The buildiag or residence must be for your owa use or occupaacy. It may not
be built or substaatially improved for sale or lease. If you sell or lease a
buildiag you have built or substantially improved yourself withia 1 year after
the constructioa is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violatioa of this
exemption. You may aot hire an ualicensed person to act as your contractor or
to supervise people working on your buildiag. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensiag ordiaances. You may aot delegate the
responsibility for supervising work to a liceased contractor who is not
liceased to perform the work beiag done. Any person workiag on your building
who is aot licensed must work uades your direct aupervision aad muat be
employed by you, which means that you must deduct F.I.C.A. aud withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your constructioa must comply with all applicable laws, ordinances, buildiag
codes, aad zoning regulations.
OWNER'S SIGNATURE ���Y� ., _ DATE ��''p(����7
ADDRLSS .�sdS v' � �e S
PHOIdE �/�_,����`�f�''r�
WITNBSS PLRMIT #
1- = -•�
� '
.�.� Y&
Name���,�� � ��-�%��° ,��.���..����� Lot # �` ..-
. ��
L4T IMPROVEMENT
, P E R M I T # r-��m-��x��..�
EMERALD POfNT BOARD OF DIRECTORS
. .,>, -' .� . -�� � ,,' �
•i✓ r. x s�� � f�.
APPROVED BY. � �%�=y�:L�_ �;%r�::��;r�=�.�'�.;;.-�-�.f. � DATE. � � - -�.�. F �-_.
— ,_;r '�;r�';�r,e,.
PROPERTY EVALUATION COMMITTEE
APPROVED BY:�='��.f�"�.�-L,����.. DATE: '� �' �
_ ,- , �,�_ ,
��,����
EXPIRATION DATE: ������-� ,����-
1NSPECTION BY: _
FlNAL INSPECTION BY:
PLEASE RETURN TO LOT IMPROVMENT COMMtTTEE
� . i isiiii iioii iiiii iiiii iiiii idiis iiiis iiiii iiiii iviii idii irii
2015069188
Rcpt:1679363 Rec: 10.00
DS: 0.00 IY: 0.00
05/01/2015 E. M. , Dpty Clerk
. PHULR S 0'NEIL,Ph D PRSCO CLERK & COh1PTROLLER
NOTICE OF CO1VdMENCEMENT 05 ORl BK01�1��,m PG ���
Pezmit No.
Property Idenrification No. �7 -�(D`� ��"�Q p7�Q�QQ(� ^C7 r0�7 d
THE UNDERSIGNED hereby give infortns you that the improvement will be made to certain real pmperty,and'm accordance with
Section 713,13 of the Florida 5tattrtes,the following inforntation is provided in this NOTICE OF COIVIMENCEMENT.
1.Description of property(legal descripNon:) `�%� a�"��-d��O "�OOQ O .- Q�',_$"—Q
a)Sh�eet Address: ..� S"�S"' �1^S� .E�Nc�'Y'�/ f�c+ I�.v f P � ✓/PQSO✓/ �uT`'���
2.Qeneral description of improvements: ,Pa B i-�,,, �4 n/�./�;�j p�nJ
3.Owner Information "�
a)Name and address: .�vr`Our .f��' Y�i�N �e��1!'/ir'�/S �'�
b)Name and address of fee simple htleholder(if other than owner)
c)Interest in property Q W/V B �/
4.ContractorInformation . ' - / '—
a)Name and address: /!if� �"i �S � 7n/itJ G"y
b)Telephone No.: _ //_ . ��_Fax No.(Opt.)
5.5urery Information
a)Name and address:
b)Amount ofBond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone Na.: Fax No.(Opt.)
8.In addirion to himsel�owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name end address•
b)Telephone No.: � Fax No.(Opt.)
9.Expira[ion date of Notice of Commencement(the expirarion date is one year from the date of recording unless a diffePent date is
speci5ed):
� WARNAYG TO OWNER: ANY PAYMENTS MADE BY THE O'WNER AFPER THE EXkIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED�1'IPROPER PAYMENTS[JNDER CHAPTER 713,PART I,SECTION 713.13,
FT:ORIDA STATUTES;AND CAN RLSULT IN YOUR PAYWG TWICE FOR IMPROVEMENfS TO YOUI2 PROPERTY.
A NOTICE OF COMIVIENCEMENT MUST BE RECORDED AND POSTED ON TIiE JOB SITE BEFORE THE FIRST I
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING VVORK OR RECORDTNG YOUR PiOTICE OF MMENCEMENT.
STATE OF FGORIDA � � '� �
COUNTY OF PASCO , �N� �
SigneW f Owner or Owner's Autho' d Off/iC�t/Directar u/M�eger ` � � O�
�rl QiC V C� /J W � N
O
'Q N 7 �
Prmt ame C7 A '+ �
� � � y. � � •
e foregoing trument was acimowledged before me this 1 day of 20?,by �0 Yl fl l�e- u�,� � 'n o
� ._ x ._
�� �C'�G'�es ����'12� (type of authority,e.g.officer,trustee,attomey Z = LL y �
in fact)for (neme of party on behalf om instrument w exec W d, E �E
' o � � g
Personally Known_OR Produced Identi8eetion ✓ Notary Signatur c� c�
T
Z � m
♦ \ � ,,,�y�aui0�
Type of Identi£cation Produced�� �d 1�9 Ll � Natne(print) d '-11/�Z y '
:a��•• ��'-
Verification piusuant to Section 92.525,Florida Statutes.Under penalties of perjury,I dec]aze that I have read tfie fore oing and that '.+o' 4P�;`
the facts stated in it are hve to the best of my lrnowledge end belief. ,� � �'%�n�n�`'��
V �
Signazure ofNehual Persan Signing Above
FORMSINOC,md7M7
I