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HomeMy WebLinkAbout15-16012 CITY OF ZEPHYRHILLS � 5335-8TH STREET , • (813)780-0020 16012 BUILDING ��l�MIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16012 Address: 3445 ALABASTER DR Permit Type: PARK MODEL SETUP ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0040-00000-1150 Improv. Cost: 4,800.00 OWNER INFORMATION Date Issued: 2/19/2015 Name: CHEATHAM, DONALD &ADRIANNE Total Fees: 180.00 Address: 376 S. SHORE RD Amount Paid: 180.00 CRYSTAL FALLS, MI 49920-8437 Date Paid: 2/19/2015 Phone: 906-284-2146 Work Desc: REPLACEMENT PARK MODEL SET UP 37 X 13 CONTRACTOR S APPLICATION FEES WEST OAST MOBILE H E ET&MOV MOBILE HOME SET-UP 60.00 ELECTRICAL FEE 40.00 LILLEY AIR CONDITIONING INC PLUMBING FEE 40.00 MECHANICAL FEE 40.00 WEST COAST MOBILE HOME SET&MOV LILLEY AIR CONDITIONING INC � ��� , � �� �i � Ins ections Re uired PARK M DEL ET-UP PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL ELECTRIC REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra 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 f) 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRA SIGNATURE PERMIT OFFI R RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �� o O � ��\f' -'''�1A71t�A � �� � ,�.,._ �yy' t- '_'i^"a.. :�� - City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � T eA T �0 a!LE FL�Q ME Date Received: � — (� — J S' Site: 3 yY5 14LA$qSTEa �R Permit Type: t�A 1�K M ODEL cS eT (�P Approved w/no comments:❑ Approved w/the below comments:� Denied w/the below comments: ❑ � ,qM � � � !/ i'�L�� �S � V" A� :��� � cJ'� /•Y�`t✓� l�V,' / `��l�C �'(,� l T •-�e�d,�` /� � � 1`• l �A�7 �/ �, ���:l l ) 9� d ?" 1 /Ly 'l t J �'�{(I f V'��.�r , a-� L This comment sheet shall be kept with the permit and/or plans. ; �, .- �f� /.� .. Kalvin Switzer ans Examiner Date Con to d/or Homeowner ° (R ' ed when comments are present) - -- --- a��=�so=oo2o City of Zephyrhills Permit App(ication �ax-813-784-0021 � Building Department � � � � Date Received �J� phone Contact for Permitting — � Owner's Name 1�. �� �''`-�._ flwner Phone Number �lo ^� '— � `'" Owner's Address ��s%ys� ��'�`��S +�/� �`�� Owner Phone Number �� � Fee Sfmple Titleholder Name � Owner Phone Number � � Fee Simple Titleholder Address J08 ADDRESS /J �.�� �'J��� U� /1 �`Yt�/tS . 3�.SY° LOT# � �%�� su�orvts�oH � � p,a�c�i io# �--'� - �-� ° 2! - � C�`'�O — �'.'v�t��- t�IS`C3 (08TAtNED PROM PROPERTY TAX NQTtCE} WORK PRQPOSED � New corasrR 8 ADDlA�T � SlGN C] [,� DEMOLlSH INSTALL REPAIR PROP05Ep USE Q SFFt Q COMM � OTHER TYPE OF CONSTRUCTION 0 BLOCK [� FRAME �] STEEL Q DESCRIPTION OF WORK � /� r�/G .�C� SUtl.DING SIZE � X 1 SQ FOOTAGE �C3 }iElGNT 2- �i r,_„� ;��BUILDING $ rJ l/�p E�''� VALUATI4N OF TOTAL CQt3STRUCTtON ��� � � `„�� Y G, S� �, ��si �ELEC7RIGAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.f2.E.C. � 4� �]PLUMBING $ ��� � ' � � OMECHANICAL $ � � VALUATION OF MECHANICAL INSTALLA710N �� �:~k�-�t �'1". C�(}Q �� l �GAS 0 ROOFING Q SPECIALTY � OTHER � �'� `r ` � I / I �� • � �j ��""y L o FINISHED FLOQR ELEVATIONS FLOOD ZQNE AREA DYES NO �""Z ���, 11 A�. ' UJ iv 4 �� BUlLDER GOMPARAY � �c�J��'� �t� I�r^�'---�-- --- - SIGNATURE REGIS7ERED / N FEE GURRE� Y/N Address � � �i'�� ,�f License# �j">'j6 Z..,S,,,�.�Z�� ELEC7RIClAtd r-" 1 � COMPAI@Y 4—i {�- SIGNATURE ��Jf`^�./ REGISTERED Y/ FEE CURFtE� _. -Y-/-N--__� Address ��„! ' 1 3 Licerise# ' � ._ .GtJG� �� `� ), PLUMBER �j� , CQMPANY �1 `-�L�lS/ G'L'Id�tlz�, -.�H. �._- SIGNATURE (/'- REGISTEREp Y/ N FEE GURREA Y/N Adclress License# ��y�fll Z...�5��� .._..., ----_�°____...._..___. _�_._.___._--.....,._�� , ! " MECHANICAL � GOMPA�IY �Q&�,��,2 �t� Q`���� SIGNA7URE REGISTERED Y/ �FEE CURRE"�"� Y'/°N��.�_._ (" /�h ///�T • (�� /��, � ��J �ICJ�✓ Address r/r �� . �; license#�-_ _'-`%�' �—•-�. �� CITHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ' License# � � RE5IDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructian, Niinimum ten{10)woricing days after submittal date. Required ansite,Construction Plans,Stormwater Pians w/Silt Fence installed, Santtary Facilities&1 dumpster,Site Work Permit far subdivisionsllarge projects �OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;{1�set af Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days'after submittat date. Required ansite,Construction Plans,Stormwater Pians w/Silt Fence installed, Sanitary Faailities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet comptiance SIGN PERMIT Attach(2)sets of Engineered Plans. """PROPERTY SUF2VE�uired far all NEW construction. 7lrections: � � Fill out application completely. Owner 8 Contractor sign back of application,notarized !f over$2504,a Notice of Commencemeni Ps required. (A!G upgrad'es over$7500} '" Agent(for the conVaator}or Power of Attomey(for the owner)woufd be someone with notarized letter from owner authorizing-same °° -��r-° , • �VER THE COUtdTER PERMITTING (Front of Rpplication Oniy) - � � � 2eroafs if shingles Sewers Service Upgrades A/C Fences(Plat/SurveylFootage) , . ' Qrivewaps-Not over Caunter if on pubiic roadways..needs RQW . . . - - , :� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACYOR RESPONSIBILI�'IES: 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 h'ave 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 IMP�►C'T AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fee"s 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 Transportation 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 LAIiV(Chapter 713, Florida Statute�, 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 the Florida Department of Agriculture and Consumer Affairs. 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"owner"prior to commencement. CONTRACTOR'S/OlRINER'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. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify 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, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. ' - US Environmental Protection Agency-Asbest�s 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 submitted 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 elevated by fill, an engineered drainage plan is required. If I am the I�GENT FOR THE OIfVNER, 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 separate permit may be required for 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 �uilding 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 within six months of permit issuance, or if work authorized 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 period not to ex�eed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. �, WARNING TO OUVNER: YOUR FAILURE TO RECOMtD A iVOTICE OF COMMENCEMENT M�►Y RfESULT IPI YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERYY. IF YOU IPITEND TO OBTAIN FINANCING, CONSULT __ __ _ {fVITH YOUR LENDER OR AN_A-_ ARIdE�l�EFOIRE R�COl2�99VC:YOlJR P TICE rf COII��IEiVCE1YlENT. FLORIDA JURAT(F.S. 117 � OWNER OR AGEN CONTRACTOR � Subscribed and swo to(or affirmed)befor e thls S bs bed and swom to(or affirmed) e me this �1:�by � � 1,1c, by a personally known to me or has/h ve produced Who Is/are personally known to me or has/have produced as Idendfi ation. as identification. ry Public Notary Public � � �..�y�.� . Co ml lo �. :�= Cammt�'s_si�oTn�#2FF 137 3 Commissi No. :��P �g� BaidadTtwTmyFeinlnswen� �esao�e ,••ti::�*:ei%'•• JOEL E.BACON Name of Notary typed,printed or stamped Name o ��`'►, �o� xpires June ,2 18 '��i,pi�(�;,°.�P��` Bonded ilw Troy Fmn Insurenee B0038&7019 . • ��� . �'���n��1�I� � � Sft Setback il" �C7t/�� ���� �YPICA�36' 6�' ��T y` �-,��vx� �Coa�cre 26'x 63' _ - � ���b �`t 1 3� � � � � - � ,� � � � � - - a - � �--d � Sft Setback ��� Sft Setback Il �; r�� ' 6S � �E�� j �•�1;����'1't�iP� >��� 9 � � C �"���i4� ��l jA,v� � fl ��' ..�y � � C��j�� , � . ., -- . .. h�a . � t`��i�' '���� ��T� . ��`�N,�c�`�'�N�-�, �`�i- ,� - ��,����. I��S � R � C� Lo� Address: Owner. Data• � . � � 20 ft SetUack from Insic�e of Curb to building 15 ft Setback to coach. �-�-„-�-..- ......_.�...�..�,_ _._..�. Page 3 of 3 �- LotLayout 2015-01-12 �'�. a ,� � � hl � , ���� � �,���� �M ��� , ��� ���� ������ ��� ����� i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2015026615 " " � Rcpt:1662201 Ree: 10.00 DS: 0.00 IT: 0.00 ONOTICE OF COMMENCEMENT 02/23/2015 D. W. , Dpty C1 erk Permit No. aau R sL 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER Z��j�'2(-�� Z� �p p�p --�����,�f��J 02/23/2015 10:36am 1 of 1 Property Identification No. OR BK g 151 PG ��� THE IJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COM1i�IENCEIVIENT. 1. Description of property(legal descri t�ion:) a) StreetAddress: ���IWri ��1(��n,5�"�i� r�� U ; Z�,� �i��'iiil �: �/ 33� O 2. General description of improvements ,r,�.� ,t�i �t � P, � 3. Owner Information I LI a) Name and address: � �t' 0-1^ l� t'i 7 f�a��� b) Name and address of fee simple titleholder(if other than owner) .� � n � ?1 S 7, ��� c) Interest in property 4. Contractor Information a) Name and address:� � �2 /. � � ' /' P h � ,3�� i, b) Telephone No.: d ^ Fax No.(Opt.) i 5. Surety Information I- -� � G �✓' e�t a) Nzme and aldress: ��G1 �I .Sb ,� �-Ca'y /����7�,. �� b) Amount of Bond: - c� I c) Telephone No.: Fax No.(Opt.) �i ' 6. Lender I a) Name and address: , 7. Identity of person within the State of Elorida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fa�c No.(Opt.) 8. In addition to himself,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 and address: b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is ispecified): WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF i COMMENCEMENT ARE CONSIDERED IIVYPROPER PAYMENTS UNDER CHAPTEIZ 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYII�TG�'WICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMII�ENCEMENT MUST BE RECORDED AND POST�D ON THE JOB SITE BEFORE THE FYRST INSPECTION.IF YOU INTEPTD TO OBTAIN FINANCING,CONSiTLT YOUR LENDER OIi AN ATTORNEY BEFOI� COI�MENCYNG WORK OR RECOY2DING YOU NOTICE OF COMMENCEMEN'�. STATE OF FLORIDA COUNTY OF PASCO ` Signature OF Owner or Owner's u orized O cer/Direc r/Par�er/Manager �� � Print Name ' The forego'ng instrument was aclmowledged before me this �o day of FiE$�JA�� ,20�,by 11A�„D C�,l7a��,A1ti as (type of authority,e.g.officer,trustee,attomey in fact)for (name of party on behalf of whom' trum nt was executed). Personally Known_OR Produced Identification�/= Notary Signature . i Type of Identification Produced �'G�' � �r LI C. Name(print) 0�.�. � �/}G t!'�"' � Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC.rvsd2007 Si�anue otNahual Person Signing Above ' .,���l:%PY�; JOEL E.BACON e�: :.= Commission#FF 137073 =r�•. p�= Expires June 29,2018 �i,P,.�u���� BaMedThruTroyFeinlnaurence800.385-7018 I