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CITY OF ZEPHYRHILLS
5335-8TH STREEi'
' ' (813)78p-0o2o 17014
BUILDING PERMIT �
RERMIT INFORMATION L4CATION INFORMATION
Permit Number: 17094 Address: 3417 TOURMALlNE DR LT 216
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Ctass of Work: 434-ADDlA�T RESIDENTIAL Tawnship: Range: Book:
Proposed Use: NOT APPLICABL.E Lot(s): Block: Section:
Squaee Feet: Subdivision: EMERALQ POINTE RV RESORT �
Est. Value: Parcel Number: 24-26-21-0050-00000-2160
Imprav. Cost: 60.00 OWNER INFORMATIQN
Date lssued: 2104I2016 Name: 1NINSLOW URBIAN & MARY ANN
Total Fees: 60.00 Address: 3417 TOURMALINE DR
Amount Paid: 60.00 ZEPNYRNILLS FL 33540-7438
Date Paid: 2/04/2Q16 Phone: 704-616-0223
Work Desc: INSTALL 6 SMAL.L WlNDOWS SCRN RM AREA
- CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00
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Ins ectians Re uired
F TER 2ND OUG PLUMB MI INSULATIO EILWG
F04TER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER lNSULATION WALL MlSC.
QUCTS INSTALLED WATER M(SC dRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTiON PQLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect#o Reinspection fees will comply with Flarida Statute 553.80(2)(c)the
locai government shaii impase a fee af four times the amount of the fee imposed far the initiat inspection or
first reinspection,whichever is grea#er,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,there rnaybe additional restrictions applicabl�to this property that
may be found in the public recards of this caunty, and there may be additianal permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to recard a natice of commencement may result in yoar paying twice far
improvements ta your property. Tf you intend to abtain financing, consult with your lender or an attorney
befare recording your notice of cammertcement."
Complete Plans,Specifications Must Accompany Application. All work shall be perfarmed in accordance with
Ci Codes and Ordinances. NO QCCUPANCY BEFORE C.O.
NO OCCUPANCY BEF�JRE C.O.
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CONTRAC �O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MC1iNTHS 1NITHOUT APPRt}VED INSPECTION
CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FRBM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Bntlding Department
� , .
iDate Recelved ���� phone Contact far Permittin —
Owner'�Name f 11�5 Q Owner Phone Number �� -"fC� b `���4,.J
,. „ , J��`.,�f
Qwner's Address f �U��/Q �!/V �'`� Qwner Phone Number
,_,. ,,.._...
Fee Stmple Tltleholder Name � —� Owner Phane Number � �
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Fee Simple Titleholder Address • �
i JOB AbDRESB � /cs I�L f� lf � /( LOT# a`` l v
SUBDIVISION � �� PARCEL ID# `
(OBTA4NED FROM PROPERTY TAX tiQTICE)
WORK FR8P4SED NEW CONSTR ADD/ALT �� 51GN Q Q pEMOLISH
e INSTALL 8� R�PAIR
PR4POSED USE � Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION . Q BLOCK � Q FRAME � TEEL Q
1
DESCRIPTION OF WQRK 'hJ.t�/1� G,� /(�1j,r'i` ,Q ��i /.2, e %, S'O"/J ib /�/{ �Cl",�
BUiLDING SIZE � � SQ FOOYAGE�� HEIGHT .
-�cv,�-rdvt�
.�'�_� s ��
QBUII.DihtG $ / VALUATION QF�TOTAL CONSTRUCTION
�.� 1 � /��—
[�]EIECTRiCAI. ($ � AMP SERVICE Q PRQGRESS ERGY ��"R.C. ^
��
OPLUMBING $ ���. � � � �Zt� �!'�r�/��.
� /,1r ZG,'Ih%7v ,
QMECMANICA! . $ VAIUATlON OF MECHANICAI.INSTALLATIt.1N �, �� ��,,��
Q�� Q' ROOFING, Q SPECIALTY �� qTHER / /�I7
FINISHHD FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NQ
�e �r.�.�'
BUIIDER COMpANY / '��''J'�'j �`G�JIS/�'/�
31GNATURE e""�i ��/L�a REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
ElEC7RtCtAN �a COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ticense# � �
PLUMBER � COMP.ANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAt. COMPANY
SIGNATURE REGISTERED Y/ N F�e cuwtEn Y/-N `
Address License# r� �
OTHER COMPANY
SIGNATURE ' REGISTERED Y/ N . FEE CURFtE� Y/N
Addre�s License# r� �
RE3tQE1+1"1'1AL Attach(2�Plot Pia�s;(2)sets.of.Bullding Plans;{1)se#of Energy�Farms;R-O W Permit for naw canstruction,
Minimum ten(10)worliing days,after,.subrtilttal date. Requlrecl onslte,Construction Plans,Stormwate��Plans w/Sflt Fenae instailed,
Sanitary FaciltUes&�1.clumpster Site Wodc-Permit for subdivisfonsltarge proJeats
COMMERCIAl. Attach{3)cample#e sets of Buildirig Plans ptus a Zife Safety Page;(1}set of Energy Forms.R-O-W Permit for new canstruc8on. �
Minimum ten(10)warlcing days after submittal date. Required onsite,Constructlan Plans,Stormwater Plans wl Silt Fence Installed,
SaMtary FactliUes&7 dumpster.Site Work Fermtt for afl new projects.Ali commetciat requlrerrsents rszust meet comptlance
SIGN PERMiT Attach{2)sets of Engineered Plans. ° �
'*""PROPERTY SURVEY required for all NEW conshuction.
Dlreetlons: .
Fill out appUcatlon completely.
4wner�Contraatar sign back of appt(catlon,notarized
lf ovar 52500,a Nottce af Commencement is required. (A!C upgrades over$7500) ` _ _._ 4 ,Y .. ,
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner sutharizing satne � � �
OVER THE CQUNTER AERMI1TiF1G (Fronfof AppiloatiorrOniy) '"': ` , � „ ' , �
Reroofs if shingles Sewers ',; Service Upgrades A/C'. Fences(Plot/Survey/Footage) �
Driveways-Not over Counter if on pubiic roedways..need's;ROW ,
, �
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� , DISCLOSDRE STATEMENT FOR OiVNSR
CITY OF ZEPHYRHILLS SIIILDING DE:PARTMENT
_, have read and fully underatand and
agree to the provisioas of this instrument.
The undersigaed states and affirms that he or she is desirous of constructing, �
renovatiag, addiag to or reroofiag his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not �for '
reat, lease or sale. That he or she shall comply with the following condstioas:`�� �
1. That the owaer and he or she alone shall act as the builder for all phases of
construction. �
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertiaent to the building.
3. That ia the eveat various phasea of construction are subcoatracted, he will
engage only properly liceased subcontractors aad.will personally supervise
such work. -
4. That in the eveat the Building Iaspector shall require corrections to be made,
the owaer will assume full respoasibility to iasure they are made, aad upoa
completion will call for a reiaspection before proceediag with the building.
5. That the owaer shall assume full respoasibility for the constructioa aad will
aot expect supervision of his work from the City of Zephyrhills Building
Departmeat. �
6. That prior to final inspection any additioaal fees, includiag reinspectioa
fees, muat be paid in full. A written request from this office shall
constitute an official aotice to pay additional fees.
7. That the owner shall comply with all City, State aad Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the aafety codes issued by the Florida
Iadustrial Commiasion.
9. State law requires constructioa to be doae by licensed coatractors. You have
applied for a permit uader aa exemptioa to that law. The exemption allows
you, as the owner of your property, to act as your owa contractor with certaia
I restrictions evea though you do aot have a license. You must provide direct
oasite supervision 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 building or residence must be for your owa use or occupaacy. It may aot
' be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substaatially improved yourself withia 1 year after
the coastructioa ie complete,. the law will presume that you built or
substantially improved if for sale or lease, which is a violatioa of this
exemptioa. You may not hire aa unliceased persoa to act as your coatractor or
to aupervise people working on your buildiag. It is your respoasibility to
make sure that people employed by you have licenses required by state law and
by couaty or muaicipal licensiag ordinances. You may aot delegate the
responsibility for supervisiag work to a liceased contractor who is aot
liceased to perform the work beiag done. Any person workiag oa your buildiag
who is not liceased must work under your direct supervisioa and must be
employed by you, which meaas that you must deduct F.I.C.A. aad withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your constructioa must comply with all applicable laws, ordinaaces, buildiag
codes, and zoning regulations. '
OWNER'S SIGNATURE (� _ DATE � � � �G/6
ADDRESS � U
PHONE — / �- . . . .., ,
WITNESS PERMIT #_
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��i' . 36� Permit No i
Sft Setback
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S� ���� ;
f,eJt�`H v.1��v�o Gt1 S
TYPICAL 36' X 68'LOT
w�th }y , l�
MAX Concrete 26'g 63' REVI ENIi /�r� ,l
CITY O� EPMYRI�IL �
PLANS E MI�IEF� �
'' a� �) 17 � ALLWO SHALL COMP �TH�'L
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�� � ��a�� C � p���, G CODES,FLO ABUILDI�G
.._� �. CODE;N IONAL ELECT �INANCES�
Sft Setback �i � �TY�F Sft S�
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68'
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Lot#�/(o Address: ���7 �D��'1-�f��
Owner:�!/1�/ �t/`/R/�!2/ Date:
20 ft Setback from Inside of Curb to building ,
15 ft Setback to coach.
Page 3 of 3 JL LotLayout_201�-01-12
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����==�e�� Recd � j LOT IMPROVEMENT REQUEST Fermit No /
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Co: EPPOA Lot Improvement Committee & Board af Directors
?ram (please print) : �1�'c1�' IZ�i',�SG.o�
:,ot#/Address: o?/Ca ��/,�'7' �%��i�r�.,�1.1.� 1/�
Phor.e number where you can be reached:
�7e request SPPOA agproval far aanstructiaa, addi�..ioa to our iaatallaticn, oa the follawing:
( ) shed t l Lanai t�{)Rv Port t )Pax-k Model t ) Cottaga ( )Conarete Slab ( a Pavers
{ ) Conarete Painting ( j RV Skirting { ) Laadscapa.ng
All requesta for coastruction/additione/remodeliag are xequired ta have a ecmpiete,
detailed/sketch, ar pamphlet af Park Model to be purchaeed w3th pictures, ta irnclude footpzint,
setbaeks, frant elevation, back elevaCioa, left & right si8e elevation and tap e2eva.tian. All
elevations muat iaclude all aizes aad locations o� wiadows and daors, erith leagth, width aad
height af the av�ral3 atructuze. Park Madels are to include pamphlet with pictures. Ia
addition, all ra+quests require aad must iaa3uda the full deacriptioa, iacludiag color o£
siding, trim, ahutters, Haare, gavers and caaarete p�iating if applicable. `"P&IOR TO BEGTNNING
CONSTRIICTION" a capy of the Zephyrhills huilding peru�it and a eagy cf the campleted engineeriag
plans muat be RETURNSD to the "LOT TMP8.Ov8�sNT COffi�tITTSB', these will, be returrted ta you foz
aonstructian. Upoa oompletioa o£ your couetructaoa a cam�lete eapy of the eagineeriag drac�riag�
af the structure, (as built) permita, iaspectious and f3.aal permik approvaZs must �se returasd
to the Emerald Poa.nts I,ot Zmpravement Comm3ttee #or O£fice fi.liag.
t�LL R�QUESTS MUST COMPLY WiTH CURRENT REQUIRED PERMITS FRQM THE CITY OF ZEPHYRHILLS,PASCO
C OUNTY,OR STATE OF FLORIDA CURRENT BUILDING CODfiS.
Comments:
�'h`A'�C�> 141��T-pC.t�� fN ��.'D.vT" ���/� t�� ,�'�'k� 'r� ,r�k- �n�.�-�z.
i^.��'n��
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s � �. � � r-` s �
Lot Owner's Signature-,_=�'��:�� �,'`--='-E=-�,' Date .� J �,�/�.
Pagr !of 3 OFlotimp-r.adt IUt1�120I5
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: G'Y ` /� ��-
Date Received: � �� Z���i�
Site:., � �7 � 7 / U�✓�I�'c.le�e�
Permit Type: �b Gc��1'tCf� ��%t� � Ozi.T ��'rh ���D G��,1�((h,Js
Approved w/no comments:❑ Approved w/the�elow comments: Denied w/the below comments: ❑
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This comment sheet shall. kept with the permit andlor plans.
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Ka vin Swit r ans Examiner Date - Contractor and/or Homeowner
(Required when comments are present)