HomeMy WebLinkAbout14-15083 CITY O�'ZEPHYRHILLS
� �� 5335—8TH STREET
(sI'ispso-oozo 15083
BUILD�ING PERMIT
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� �`�'�`_� PERMIT INFORMATION ` �'�LOCATIONFINFO.RM�ATION `n-� � ��: �`_g�_:,;
Permit Number: 15083 Address: 3504 MALACHITE 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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0040-00000-1340
Improv. Cost: 1 480.00 � �4`�. ';�``=O'-T �, �'- _ �"'��'
, ,�„�"'°;'��.. _�>W, ,NER�INF�ORMA�TION "�..�: ���,
Date Issued: 10/24/2014 Name: KENNEDY DAVID E & MARGARET E
Total Fees: 127.50 Address: 106-2367 ROUTE 106
Amount.Paid: 127.50 BOUNDARY-CRK NB E1G 4L7 CANADA
I Date Paid: 10/24/2014 Phone: 813-602-4629
Work Desc: 14 X 34 SITTING RM W/ DECK 1, FT
' i-'�-��"��CO.NTRACTOR S ' APPLICATION`�FEES.�r... ���-�`�'-
� HOMEOWNER BUILDING FEE 67.50 ELECTRICAL FEE 60.00
HOMEOWNER
�SQ. ��-3-�5� s.ee.�►d
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��.:� .�.. . ��� Ins` ections°�Re uir.ed;�` :�- � :�"�,.-�����:�.��'� rs�
FOOTER 2NDfROUGH PLUMB I MISC .�INSULATION CEILING
FOOTER BOND DUCTS INSULATED I SEWER MISC.
ROUGH ELECTRIC LINTEL I MISC MISC.
1ST ROUGH PLUMB PRE—METER I INSULATION WALL MISC.
DUCTS INSTALLED WATER I MISC DRIVEWAY
PRE—SLAB SHEATHING I MISC. MISC.
CONSTRUCTION POLE FRAME I 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 followir�g 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.
NOTICE: In addition to the requirements of this permit, 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 manag ment, state agencies or federal agencies.
"Warning to owner: Your failure to record a no�ice of commencement may result in your paying twice for
improvements 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 pplication.All work shall be pertormed in accordance with
, City Codes and Ordinar�ces. NO OCCUPANCY BEFO C.O.
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CZf/�cGe
CONTRACTO IGNATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
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, s�aaso-oozo City of Zephyrhilis Permit Application ax-B 3- 0021
� Building Department
Date�Received y �' �� � �p� __ �
Phone Contact for Per ing i
ONrner's Name ��/��� � �1�N E� ner er �✓�'�o�-�oZ
Owner's Address �y����,�T�-�O ����A" !�/r,lT� Owner Phone Number ��5-�°��T���
' Fee Simple Titleholder Name � V/���'/a/�//���i�T����� Owner Phone Number �O� ���/
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Fee Simple Titieholder Address Q�////����������"'e ���C�C� /(�s�� /a�{ �� � /��$ � �7�� 'i
JOB ADDRESS �%%�v��D LOT# �/�
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SUBDIVISION �i/u:�D � �JN�� PARCEL ID# °�Y���������� r�3�G� , I�
I (OBTAINED FROM PROPERTY TAX NOTICE) �i
WORK PROPOSED e NEW CONSTR B ADp/ALT � SIGN Q Q DEMOLISH �
INSTALL AIR
PROPOSED USE � ,SFR Q CO�M 0 OTHER
Tl'PE OF CONSTRUCTIOId Q BLOCK � RAM 0 STEEL Q
DESCRIPTION OF WORK �����e J`}�ZPS �d� I�� S��/�C�o�pJj� � �'fA'�(,G�C`I�.-
�
BUILDING SIZE �T X ��"' SQ FOOTAGE ��� HEIGHT ����'
�BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
0�
[�ELECTRICAL $ �� AMP SE VICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
/ �""�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS ���� FLOOD ZONE AREA QYES NO
�
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BUILDER -„I� � � � `COMPANY ��I•GOGCJNE/2
SIGNATURE ��^�u� REGISTERED Y/ N FEE CURRE� Y/N
I Address 5��/�i.�ffi��° _ �%�> License#
ELECTRICIAN � � � COMPANY ����0����
SIGRIATURE REGISTERED Y I N FEE CURRE� Y/N
� i
Address � /�%���,JP• ��'�� U/{��� License#
PLUMBER COMPANY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
MECHANICAL COMPANY
SIGRlATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPANY
SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wotking days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Permit�for subdivisions/large projects
COfi�'7AAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittai date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciUtfes&1 dumpster.Site Work Permit�for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"`•PROPERTY SURVEY required for all NEW co�sVuction.
Directions:
Fili out application completely.
Owner&Contractor sign back of application,notarized
!f over 52500,a Motice of Commencement Is required. (AIC i pgrades over E7500)
•' Agent(for the contractor)or Power of Attomey(for the owner)wiuld be someone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING _ (Front,of,Application Only�), -
Reroofs if shingles Sewers ,• -Service Upgrades �A/C `, Fehces(Plot/Survey/Footage) � '' , , � �
Driveways-Not over Counter if on public roadways..needs:ROW �� , '� ,' , . �
`
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" �
which may be more restrictive than Caunty regulatlons. The undersigned assumes responsibility for comptiance with any
applicable deed restrictions.
UNLICENSED Ct)NTRACTORS fiND CQNTRACTOR RESPONSI�ItITlES: If the owner has hired a contractor or
contractors to undertake work, #hey may be required to be licensed in accordance with state and locai regutations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under stata law. If the owner or intended contractor are uncertain as to what licensing requiremesets may appiy far the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8409. Furthermore, if the awner has hired a contracfor or contracfors, he is advised to have the con#ractor{s} sign
, portians of the "contrac#or Black" of this application for which they will be respons(ble. If yau, as the awner sign as the
cantraetor, that may be an indication tha# he is nat properly licensed and is not en#i#led to permitting privileges in fi'asco
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
� thaf Transportatian impact Fees and Recaurse Recovery Fees may apply to the constructian 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 aiso understands, that such fees, as may be due, wiil be �dentified at the time of
permi#ting. It is further understood that Transportafion Impact Fees and Resource Recovery Fees must be paid prior fo
receiving a '"ce�tificate of occupancy" or final power release. !f the project does no# involve a ce�kificate of oceupancy or
finai power retease, the fees must be paid prior fo permit issuance. Furthermare, if Pasco County WaferlSewer lmpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
; CONSTRUCTION �IEN LAVIt{Chapter 713, Florida Statutes, as arr�endecf}: (f valuatian of work is$2,500A0 or more, E
'� certify that I, the applicant, have been provided with a aapy of the °Florida Construction Lien Law—Homeowner's
� ProtecEion Guide" prepared by the Fiarida Department of Agricuiture and Consumer Affairs. If the applicant is someone
, othe�than the°owne�', 1 certify#haf I have obtained a capy of the above described document and promise in good faith to
ideliver it to#he"owner"prior to commencement.
CQNTRACTOR'SlOWNER'S lAFF1�AVIT: f certify that all#he informafion in this application is accurate and that ali work
will�be done in compliance with all applicable laws regulating construction, zoning and land develapment. Applicatian is
hereby made to obtain a permit to do work and installation as indicated. 1 cert�fy that no work ar ins#al4ation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
conslruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
� certify thaf t undersfand that fhe regulations of other governrnent agencies may apply to fhe infended work, and tha# it is
' my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
' - Departmenf af Environmental Protectian-Gypress Bayhesds, Wet}a�d Areas and Errvironmentally Sensitive
� Lands, Water/Wastewater Treatment.
- Souti�west Florida Water Management District-We11s, Cypress Bayheads, Wetland Areas, Attering
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways. -
- Department of Health � Refiabilitafive Services/Environmental Health Unit-Wel(s, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that#he following restrictions apply to the use of fill:�
- Use of fill is not allawed in Fload Zone"V"uniess expressly permitted.
- If the fill ma#erial is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensating vaiume" will be submifted at time of permifting which is prepared by a professional engineer
licensed by the Sta#e of Florida.
- If the �IE material is to be used in Flood Zone "A" in cannection with a permifted 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 tn any area, I certify tha# use of such fil) will not adversely affect adjacent
properties. If use af fill is found to adversely affect adjacent properties, the owner may be cifed for viotafing
the conditions of the building permit issued under the attached permit applicatian, far lots less than one (1)
acre which are elevafed by fi11,an ertgineered drainage plan is required.
If I am the AGEN'T FOR THE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set farth in
this affidavit prior to commencing construction. 1 understand that a separate permit may be requfred for electrical wark,
plumbing, signs, wells, pools, air conditioning, gas, or ofher installations not specifically included in fhe 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 af the fechnical codes, nor shall issuance of a permit preven#the Building Officia!from fhereafter
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
unless the wark aufhorized by such permit is commenced within six months of perm�t issuance, or i#worlc autharizecf by
#he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension �
may be requested, in v+tri#ing, from the Building Officia) for a period not to exceed ninety (90) days and wil! demonstrate
justifiable cause for the exfension. If work ceases for ninety(90)cansecutive days, the job is considered abandoned.
WARNiNG TtJ OWNER: YOUR �AILURE TO REC�RD A NOTICE OF COMMENCEMENT lVIAY RESULT iN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIfV PIPlA1�ICING, CONSULT'
{t1ttTH'YOUR LENDE�OR 1�N AT�ClRNEY BEFi�E�E RECOQ2UING Y�4362-N�TICE-ClF-C�lNINlEtdGE�tiENT. - - - - -
FLORIDA JURAT(F.S.117.Q3)
OWNER OR AGENT {:/�� " ,t.��~ CQNTRACTCtFt �.•t't-f _ (
Subscrlbed nd swo�n o(pr�affirm )befo e me this bsaribed and swom t (or af f�rme b fore e this ��
�—�" ' b y r!.�f t U`I r� e JnT�"' �-�—/�F b y Pr✓oD �En/rf�2► �
W hn,�s lare person 1 ty known ta me or has l ha v pro d u ce d W hq�s l s r e p e r s o n a l n o w n t o m e o r h a s l h a v e p ro u c e d
1��� �a/�;F+-�- as Identlficadan. 1�2�rcPa��-� as identificaGon.
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- Notary Public ' Notary Public
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,�t+��e�; Jf�iC� �LtNE BOGES zg' 'ps�;; JACQUEL E BOGES
C missl n N ?*. �������_ � Com Issi N . .
� b�: �cpires t?ecembar 12,2094 =;�,. .��= �cpires Deeember 12,2Q94
�g�•�.
Name of Nota ; , Name of Nota , �ofs
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SET BACK
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SET BACK SET BACK
7YPICAL 36'X 68'LOT
WfTli
� CONCREfE 28'X 63'
20'
SET BACK
FROM ROAO
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� DISCLOSURE S�'�''A'►'F•M�NT .FOR OWI�R
C2.R.'Y �F ZEPF3;YRF32L"LS BtTSIsDT.N� DEPAR2MERtZ'
3 � I have read and fully uzzdQrstand aad
r •
agree to the ovi.s ons o� � 's inst'suinen't• -
.The undessigza,ed .states and aff�.rms tha he os she is deszrous af constsuati.ug,
renovatisig, adcii.ng to or reroa�ing lzis or her owsi domicile, •that he or she
actual.2y ooctapies, ar wi11 cacupy by said domic:i:le, and same 3.s not foz
•ren'�, lease or sal.e. That he or she s�l comply wi-�h the followiizg caadi-t�.oas:
1. That the ownes and.he or slze aZan sha11 act as -Ghe b�czzZder for a11 pha�es o£
cons'�rua'ra.an. -
2. That the owner wi:1.Z aomp2y with ' Pr°visiaxas o� �the City of Zephyrh.il.ls
ord�.riances arid dodes pertixaent to f the buildirig.
3. That in �he event vasious phases c��' construetzon are subaoritsacted, he vrill
engage or�1.y •properly licensed subcontractors and will persorial�y supervise
such wask.
�1. �.`ha-� in the event the Building ?nspecto� s3za1Z rec}T�'re aasrea�s.cns to be made,
the owner will as�ume full responsibility ta insure �they ase m�de, and upon
eamgletion w3.11 aa1.7. for a reixxspectioa befare prceeeding vzi.th the build3ng.
5. Tha,� the own.er sha11 assume fu11 iespons�.bility for the coristruction aad wi1Z
sso�t �apect_ supesvisiazr of his prork from the City .of Zephyrhills Huilding
Depastment. '
6. Z*ha� prior to final ixzspection aay addi�.ios�..7. fees, iricluding rein�pec�a.oa
f�s, must be pai.d in full. A wr�.tten saqu�st f�om t��.s office shall
constitute asx official no�.ice -to pay add'i.tiot�al �'ees.. .
7. Tha� the owner sha11 comply with al1 Ci'�.y, State and Fedeacal laws �.0 reC�ax'd to
socs.al seaut�ity, workman's comp+ensat-ian., 1ic-:n 1av�rs, etc. , where applicable.
e. That the owner sha11 compl.y wi�h the safe.ty codes issned by the Flarida
Indus�-sial Go�i.ssian. �
9. State law requires cori,structiota. �t,o ]�e daxie by licensed corxtractors. You have
appl.ied tar a pez�ti.t uadex an e�emgtz.ori to that law. The exemptian allows
you, as the ovmer of yovs property� to act as yaur oara cozxtractor vrith aertaia
restric�.ions even thaugh you da no� have a licease. You must ,provide direct
ansa.te stapervisioa a� the cosis�c�.an yourse7.f. Yov. may bui�.d or improve a
one-fam,i,ly or twa-famti.ly resid+�ace ar a faxm. outbvil.cling. You may also build.
or imprav� a commercial buildi.ng� provid�d your cost� do riat exceed $2�,D00.
, �he buildinc� or residexzce•must be �'or yovr awn use o� occuparxcy. 2t may nat
be built or subs�tially improved for sale or lease. If ycu sel:l or lease a
bv3.lding you have built or subst.ant.2a1.2y i�praved yo�,xseZ�' within 2 y�as a.ftES
the const-sua�.oa is cc�mplete, the 3.a�v wr.11 pres�e •that yau .built or
substan�i.a11.Y improv�d � �'or sale or 1�ase, which is a v.iala-�.-i.on of t'Ysi.s �
exemption. You may not h�.re a�. uGalicensed persoa to act as yovr aontsacto� or
to supesvise people wcarkir�g cn yaur bu�.lding. It is your responsiTail�:ty to
. make sure that people employed b� yau have Zicexases �e?,;red by s�ate law and
by county or muna.cipal lic�sing, ozdi.aarices. You may no� delegate the
r�spons�.bility �or supervisiag w�rk to a li.censed cozztractar �s�rho is na�.
1icr�sgd to per�orm -�ie wcrk b�iag dna�. Arsy posson working oa yous b�.ti.ldizig
who is zsot 1a.ceased must wosk �n�3es yavs' disect supez`�rision azid must be
P��1loyed by you, which meaas �thai you must deduct F.S.C.A. and wi�zhoZ,cli.ng }__
and provide work�rs' compeasa�.i.o� �'or �hat etaplaye�, a11 as presc=ibed by law.
Yotzs constssYCtion must comply wi�th a11 appl.3.cab3.e lav�zs, orcEis:aizces, bua.ldixsg
codes, and zoning re atioas,
owwr�R�s s=crt�,�tE � • a.ta� ,a,�,_C�.�O/�
�x�x�ss o .�A�?N � 'v' �cb %►/ F -
PFIC?NE .. D�- ?'..-C� ' �i/ldl5 .�"� .�� '
WITNESS I ' PERMIR.' #
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City iof Zephyrhills
BUILDING PLAN REVIEW COMMENTS
' � /C�h
' ��Contractor/Homeowner: � `
Date Received: �' �'` T �
'/ �p f �/�� �
Site: �s"'d 71 �� �C/�i `' �1�''�
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Permit Type: l���j �1��j `7'►') (���'_�
Approved w/no comments: Approved w/the b low comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit an or plans.
,/Q�� .
��
Kalvin Switzer—Plans Examiner te ' Contractor and/or Homeowner
(Required when comments are present)
I
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Procedure for �.ot Improvement Requests
{Please refer t "Rules and Regulations')
1. All requests are to go to Chairman of the Property Evaluation Con�mittee, for the committee
ta review. T�l�t'6 iS��ltD�dCP 1$�#�lC� "Froxrertv Evalttativn & Iranrvvemertts"in #he librarv
for Z,ot ownets xo.ola►ce their aom�e,d(;�orm�in and thcse for.�n�will be�icic,ed uu fr.am
t3�e Librrnrrv hv�e F�erlv Eva���tion I commi�t#ee.
2. Any req�est which is NQT filled out p operly or in detail, which includes, cornplete plan
layout,elevations (where applicable}, wri en details of unprovement being rec�uested, incituding
color, etc,and any other informativn pertu�ent ta the grocessing of#he request,r�ili be�ned
to the La�ow�,fer coai�►2�a befluce b+�m�reviewed bv the Cam�mittee. ,
3. Committee will review requests and visit the site of the request as necessRry.
4. After the Committee has approved or d nied the request, it wilt be presentec3 to the Board of
Directors for th�ir�gpraval or denial.
i 5. T'here wiil be Nd? mare one day approvals or lasi minute approvals. Request will Cake 7- I4
C�c1}rS�4S S�?I'O�TZIA�C i'BYIeW�Tit� CtTI1Si{��I8.ti0I2, thus giving the Committee and Board members
time to review and consider the request in a thorough manner.
6. The original request will be stamped approved ar denied, and after being copied the origina3
�ill go into to the members file az�d the cop returned to the Lat awner by the Baard of Director
liaison tv the committee.
7. The cammittee will follow up on reques s ta determine that the request as presented and
aFproved is being adhered to.
As the owner of Lot#_ f�4� , I uz�derstand ttze Property Evaluation Committee andior the
Boazd of Directors will enter the property to�ollow the external prc�gress vf the cons�cvctian or
improvement,as submitted on the Lot Impro) ernent Request.
� �.e� � ' �. :.�'-��.� ����.
Lot Owner's Si � � Da#e �
4/03/06
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