HomeMy WebLinkAbout15-16344 CITY OF ZEPHYRHILLS �'
5335-8TH STREET .' �
(si3)�so-oozo ',6344
� ' BUILDING PERMIT ;-'�
PERMIT INFORMATION LOCATION INFORMATION {
Permit Number: 16344 Address: 3820 LAUREL VALLEY BLVD LOT 47
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL. �i
Class of Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
, Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 1,400.00 OWNER INFORMATION
Date Issued: 6/09/2015 Name: NHC FL 115 LLC(GERALDINE MCC) I
Total Fees: 97.50 Address: 3820 LAUREL VALLEY BLVD LT 47 �
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/09/2015 Phone: (813)695-9998
Work Desc: SLAB 14 X 15
CONTRACTOR S APPLICATION FEES
RO CILLO CONCRETE&M SONRY INC. BUI DING FEE 67.50 CONTRACTOR CERTIFICATE 30.00
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Ins ections Re red
F OTER
SLAB i
FINAL �
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 fi) 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 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
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 Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED IiVSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS BLTILDING DEPARTMENT C �
Owner: � `���ti��T�.�� �f iJ ��.
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Job Location/Address: �� r'��.,;�� �,��� � .- �=��Y�`�
. Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVIl�G DIMENSIONS &SETBACKS
UTILIT'Y BUILDINGS MUST SHOW SIZE &FOLTNDATION INFORMATION
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FRO�TT P PER'I'3� LI2�T
— — — STR.E�T — — — — — — — — — — —
(1�T��'�E�1�F.�S 1&2)..
Example 1. Setbacks for Rl �i It2 Zoning Example 2. Setbacks for R3 Zoning
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60'
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10'
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10' p T 10' 140'
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PROP05m
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FRONT PROPERTY LINE }RC7HT PROPER7Y IIHE
- - - SfREE1' - - - - - - - - - - - - -- SfREEI' -- - - - - - - - - -
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Majestic Oaks � . ��,�stl� �a�s
car.�free rv ' '
car�f re�
rv resorts
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Beth Hickman
Manager
office 813.783.7518 �
mabile 813.650.3192
fax 813.7823559
majesticoaksC�carefreeRVresorts.com _ __ _ __
3751 Laurel Valley Blvd., '
Zephryhills,FL 33542
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- 3751 Laurel Valley Blvd. * Zephryhills,FL 33542
' Telephone (813) 783-7518 * Facsimile (813) 782-3559
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City of Zephyrhills __^ /
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BUILDING PLAN REVIEW COMMEN S �
Contractor/Homeowner: ���� L l U 1.�C61.'�
Date Received: �P—7 � ��
� Site: 3�j 7� �G(s�! llQ,Cl ey ��I�y
Permit Type: S�f Gt� l��l�
Approved w/no comments❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comme t s t sha e ept with the pernut andlor plans.
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Kalvi witzer—Pl"ans aminer Date Contractor and/or Homeowner
(Required when comments are present)
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a�3aso-oa2o Gity of Zephyrhills Permit Application Fax-813-T80-0029
" Building bepartment
Date Received � �Q � � phone Gontaat for Permitting' -- ��
� Owner's Name {' � � Owner Phone Number
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Owner's Address � ( � 'Owner Phone Number � �
. Fee-Simpie TlHeholdar;N�me Owner Phone Number d�{-1 ����7_'�?����
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Fee Simqle Tit eholder Address
J08 ADDRESS -� i�{Z'G-� ��"�YL I.OT#.
SUBDIVISION PARCEG 1D# '
� (OBTAINED FROM PROPERTYTAX NOTICE) � .
WORK PROPOSED , ,� " NEW GONSTR 8 ��ADDlA�T' � 31GN� Q Q DEMOLISN
INSTALL �REPAIR
PROPQ3ED USE � SPR Q COMM`` � O'fHER
TYPE OF CONSTRUC7'ION� [� BLOCK Q ` FRAME � S7EEL Q
DESCRIPTION OF WORK �`'
BUtE.DING SIZE' ��"'� �� � S4 F'OOTAGE r.� .� _ HEI�HT, ��
QBU!l.DING � ,�n . `T3 P��. .VALClATION'OF TOTAL CONSTRl7GTION
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QELECTRICAL. � � AMP SERVtCE Q PROGRESS ENER�Y Q W,R.E.C.
QPLUIV181NG ' $ . ��" 1� ..
� 0�ilf
OMECHANlCA� $ VALUATlQN OF MECHANIGA�iNSTAi.tATlON ���"� �
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[�GAS . Q ROOFING Q SPECIALTY � OTHER � �
� FINISHED FLOOR ELEVATIONS ��-� FLQOD ZONE PiREA QYES NO�V�^'""���' ��'Q"�
I BUll.DER � �l COlVIPANY 1;,�,J C� � � ����J�I�
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I SIGNATURE REGISTERED N , FEE CURRE� /N
Address � t�of� �" License# �� ��
ELECTRICtAN- . GOMPANY �
$IGNATURE Re�is7ERe� Y/ N �E cuRrte� ''Y/N �
( Address LEcense#•�� �
P�Ul4iBER COMPANY '
:51GNATURE � ,REGISTERED. Y/ N Fe�cuRR�n . Y/N
Address � license# � �
MECl1ANICAl. CQMPANY -
SIGt�ATURE Rec�s7�Re� . Y/ N ,„FEE CURRE� Y/N
Addrgss. � - � ' l.ic:ense# � �
C?TH�R `� CQMPANY
SIGNATURE ' • "' " - REGISTERED Y/ N FEE CURRE� .Y/N .
t�ddress '.� " � 't�icense#��^ �
RESIDENTfAl.. Attach{2}.Plot;Plans;{2�,sets•.of:Buitding{P_lans;(;f).set 6f Energy=Fbrnis;R-O=Nt:Permit for new canstruction,
� . MiNmum ten.(�10};wpr,icing days�,af#er submiital;date:��'Requir`eri'ons{te,=Construction i?lans;$iom►water Pians w!Siit Fence instailed,
Sanita"ry FaciliUes;&.1 dumpste.r,-;Site;lNork,Rermit;for.subdlvisions/lairge pr,ajects �
COMMERCtAL Attach{3)compiete siats�of�Buiiding°Pians pius a`life Safety Page;`{1)set of Energy Forms.R-O-W Permft far new canstnaction.
Minimum ten(10}warking days after submiktal date. Required ans�te,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities�1 dumpster.Site Work Pertnif far ali new projecks.All•commercial requlrements must meet compliance
SIGN RERMIT Attach�{2)sets o#Engi�eered,Fians.. " ;�, .;, , , �. . • "
""PRdPERTf SURVEY�required for�all NEW construction. , -
( 5lrectians: . . -
i Fiil out appiication completely. .
'Owner 8�Contractor sign back of applicatlon,notadzed �
If over�2500,a Notice of Cammenaement ts required. {AlC upgrades over�,T500}
'" Agent(for khe contraotor)or Power of Attomey(for the�owner)would be sorrieone with no#a�ized letter from owner authorizing same
�VERTHECOUFITER_PEl2MiTTING_ ..,.�.{Frontof.Apptication._Only}. '
teroofs if shingles 8ewers Service Upgrades A/C Fenoes(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways::needs ROW
NOTICE OF DEED RESTRICTIONS: The u�ders(gned under.stands°that this.p�[mit.may be subject to"deed"restrictions°
which may be:more restricttve than County rogalations. �The undersigned assumes responsfbility for compliance with any
appNcable deed restrictions. •
UNLICENSED CONTFtACTORS 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 regulattons. If the
contractor is not licensed as required by lavw, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing requirements may apply�for the
intended work, they are advised to contact tha.Pasco County Bullding Inspection DIvPslon-Licensing Sectton at 727-847-
800J. Furthermore, (f the owner has hired a contracfor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of thfs application for whlch 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. -
— T��'�L°�°:'�TICL�-lRJl���YfI�T��iTi@S-Oi'APPaC�'-i.�i�=R�S�iiR�e-RE�01iEPtY-�E��:-'fhetindersigned-unde�stands --�
- 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 specifled 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 fucther understood�that Transportation Impact Fees and Resource Recovery;Fees must be paid prior to
' receiving a °certificate of occupancy° or flnal 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,-pald prior to permit issuan'ce-in accordance with applfcable:Pasco County.ordinances.
CONSTRUCTION LIEN LAW(Chapter-713, �lorida 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
Protection Guide° prepared by theFlorida Departmenf of Agricultu�e and ConsumerAffairs. if the applicant is someone
` other than the"owner", I certify that I have.obtained a copy.of the above.described document and promise in,good faith to
deliver it to the nowne�'•prior to:commencement:' - •
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ceitify,that.all,the Information in�this appl(catlon is accurate and that all work
will�be done in compliance with all appltcable 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 perFormed to meet standards of aIF laws regulating-
construction, County and City codes, zoning regulations, and land development regulations in the jurisdictfon. I. also
certify that I understand that the regulations o�other government agencies may�apply�to the intended work, and that it is
my responsibility to identify what.actions I mus�take to be,in.corr�pliance. Such agencies.include but are,not limited to:
- Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentaily Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management .Distrlct-Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabfiitative Serv(ceslEnvironmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. ` � _ _
, - US Environmental ProQectio�Agency-Asbestos abatement. ,
- Federal.Aviation Authority-Runways. �
I understand that the following restrictions apply to the use of flll:�
- Use of fll is not allowed in Flood Zone°V"unless expressly permitted.
- If the fill material-ris ta be_ used in .Flood Zone "A", It (s understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting which (s prepared by a professional engineer
Iicensed by the;State•of Florlda. �- -
- If the fill mater(al-is-to be used in Flood Zone °A" in:connection with.a permitted building using stem wall
construction, I certify that fill.w111=be used oniy.to#ill the area withln the stem waii. -
- If fill material is to be�used in any area, I�certify that .use .of such'flll'will not adversel affect ad acent �
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. properties. If use of flll is found to adversely.affect ad)acent properties,,the owner may be cited for viofating
the conditions of the building.per►nit issued�under the attached permit-application, for lots less than one (1) -
acre whfch are elevated�by flll, an engtneered drainage plan is required. .
If I am the AGENT FOR THE O.WNER, I;:promise in good faith to inform the�owner,of the:permitting conditfons set forth in I
this affidavtt prior to commencing construction. I'understand that a;separate permlt may be required for electrical work,
plumbing, signs, wells,..pools,,air,condltioning,.gas,�.or,other.lnstallati'ons�not specificaily lncluded-in the application. .A
permit issued shall be consfcued�to be a license to.p�oceed with the work and,.not;as-authority;to.,violate, cancel,.alter, or
set aside any provis(ons of tfie"fecfinicai codes; nor shall Issuance�of a�permit prevent the Buildirig Official from thereafter " ,
requiring a coccection.af-errors,in-plans;,const�uctbn orviolat(ons of�any�codes: °Every-parmlf issued shall tiecorrie invalid
unless the work authorized by such permit��is-commenced�withln sGc,m.onths of permit issuance, or if work authorized by
the pe�m(t is suspended or.abandoned for a period of sGr(6) months after.the time the work'is commenced: An extension
may be requested, in writing, from,the`Buildtng.Officfal for a period.-not-to,exceed�ninety(90)days�a�d•will°demonstrate �
justifiable cause for the extension: If work ceases.for ninety(90)consecutive days,..th�job:is considered abaFldoned:
WARNING TO'OWNER: YOUR..FAILUR�E TO,;REC.ORD A�.NOTiCE:OF,�COMMENCEMENT-�MAY�RESUlT IN YOUR
� , PAYING TWICE�FOR,IMPROVEMENTS TO:YOUR-:PROPERTY.,IF�YO.U�INTEND�TO�OBTAIN�FINANCING,�CONSULT
WITH YOUR LENDER OR AN ATTORNEI�BEFORE RECORDING-YOUR`N"OTICE`OF�COMMENCEMENT�
FLORIDA JURAT(F.S.-1.17 . , ' , . , . � � ., ,
�, OWNER"OR A(3ENT CONTRACTOR� _` ' /'����� ,
I_, Subscribed and swo o aRirmed) fore me this Subscribed and om to(or affirm d)�before me thts
by. .by.,..�:;,. .. .,•,-: ..;.;.:��,. �
, VYho Isfare personally known.to.me.or.haslhape.produced„ _ Who ls/are personally knoum:to me or�has/heve•produced; � _ ,�
' as Ideritlflcatlqn, as IdendBcatlon.
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Notary Public . �� Notary Public
Commission No. • Commission No. !
0
N�mg,of Notary typed,printed or stamped Name of Notary typed,printed or stamped .