HomeMy WebLinkAbout16-17089 CITY OF ZEPHYRHILLS .--�'`
` � 5335-8TH STREET
(si3pso-oo20 �89 I,
BUILDING PERMIT '
� PERMIT INFORMATION LOCATION INFORMATION -� ��
Permit Number: 17089 Address: 3410 MALACHITE DR '�
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0020-00000-0290
Improv. Cost: 8,000.00 OWNER INFORMATION�
Date Issued: 3/03/2016 Name: PAINTER JERRY L &JEAN
Total Fees: 112.50 Address: 210 IRON WOOD CIR
Amount Paid: 112.50 CROSSVILLE TN 38571-0235
Date Paid: 3/03/2016 Phone: 931-248-9245
Work Desc: REPLACE CONCRETE SLAB 26 X 63 FOR RV
- CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 112.50
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� ' Ins ections Re uired " •
FO TER
SLAB
' FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
, NO OCCUPANCY BEFORE C.O.
_ ���� ��
C T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
a�saso-oozo City of Zephyrhills Permit Application Fax 813-780-0021��
,, • Building Department ��(\/ ���
l)/�r�, 17 n`" I
�(� j/tJ \'
Date Recetved "--'-^-• i � �
Phone.Contact for Permittin - �^ �
� Owner's Name •�-�i�-j' �+'�'L/ Owner Phone Number )- g-�� �
� Owner's Address �J � � v / Owner Phone Number /
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address "
a JOB ADDRESS � 1 �� 1����'��J LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN' Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR �] COMM Q OTHER
TYPE OF CONSTf'tUCTlO� Q BLOCK ' Q FRAME Q STEEL Q
DE3CRIPTION OF WORK C�crY%Ch.e�� .,��� a�x �3
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING �( $ p �-� -�- �
p� O d p VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ' _� �C� C�
� cJ J
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER _ / ��"CpMpq� �
SIGNATURE� GG���~-' REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
ELECTRICIAN COMPANY
SIGNATURE y REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N Fee Cur�te� Y/�N .
Address ' License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address License#
RESIDENTIAL Attach(2).Plof Plans;(2)sets�of Building'Pians;(1)set of Energy�Form's;R-O-W Pertnit for new construction,
Minimum�ten(:10);working days after_subrriittal date. Required onsite,ConstrucUon�Plans;Stormwater Plans w/Sflt Fence instatled,
Sanitary FadltUes.&,1.dumpster,Site Work•Permit for subd(VislonsAarge pro)ects
COMMERCIAL Attach(3)complete sefs of Buildiog Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for neuv construcUon.
Mtnimum ten(10)working days-after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed, -
Sanitary Facilitles&1.dumpster.Site,Work Permit for all new projects.All commercial requlrements must meet compilance
SIGN PERMIT AttacFi(2)sets of Engineered Plans.,�,
'""'PROPERTY SURVEY required for all NEW construction.
Dlrections:
Ffll out applicatlon completely. '
Owner&Contractor sign back of applfcaUon,notarized
If over 52500,a Notice of Commencement is requlred. (AfC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for tfie owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII'iING- -, (Front of Applicatlon Only)�.,..r_�: ., , . � .�1. � � - -- - ��
Reroofs if shingles Sewers Service.Upgrades A/C.- Fences�:(PIoUSurvey/Footage) ., • � • . .
'� . :�.� � . .
Driveways-Not over Counter If on public roadways,:needs ROW. - ,� ' � , : ry . : _�
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NOTICE C►�DEEQ RESTRIGTlO�S: The underslgned unde�stands�sth�t�#h1s.,��cmlt.mayybe,sub�ecfi to_"deed"res#rictlons"� �
whlch may-be�more�[est�icttvea'�tha�n Cbuntyregulatlons:�'Ther�under�lgneclµassumes=responsibilt'tyfar�compliance°with any ' �
applicabls deed restrictions. � -,�_��
UNl.ICENSED CONTitACTORS -ANQ GONTRACTOR RESPONSIBlGITlES: if the awner-has fiired�es cantrac#or or
contractors to undertake work, they may be;required:.ta.be:licensed in accordance.with state.and�local regulations. If=the- =
contractor is not llcensed as required:tiy taw, both�the owner and contca+ctor�i»ay be�atfed�for-a misdemea»or violation
under state law. if the owner or Intended�contractor are uncerteln as ta what pcensing.requlrements.�may�apply.�far°th'e-
intended work; they are advised to caintact the Pasco County BuIIdC�ng (nspectiairi Dlvislon-Licensing Sectlon at 727-847-
8009. Fur#hermore, If the awner has hired' a +contr�ac�ar or'contractors, he ts advised ta have the contractor js), sign
portions of the "contractor Black" of thts appifcation for,whtch they wilt be responsible, If you� as,.the awner stgnyas the ` "
contrac#or, that tnay be an lndication that he is nat�.properly ticensed and��ts not en#itleii to psrniitting�prtulleges tn Pasco
County. e
TRANSPORTATION�IMPACTIUTIl:1'fIES�1MPAG7�ANC?�RES►OU�tCE REGOVERY FEE3:�The�underslgned understands
that Transpor#ation Impact Fees and.Reco.urse Ftecave.ry Fees may apply�to:the canstruction af new buitdings�.�change of`= �=' �'°
use in existing buildings;�or.expansion�of��existin,g�6uildings, a§ specffied in Pasco Caunty Ordinance number 89-07 and
90-07, as amended.. The underslgned atso:understaads, tha�t such fees;-;as jrr►ay�be:.due;.wi#1:6e identif�ed a#the'tirrie;of, �
permitting. It Is furtFier understood that Transpartation impacf Fees and Resource Reco�ery Fees.must be pald prior to
rece9ving a "cerflficate-of�occupancy" or ftrtal-powar.�releass. :If-the pro�ect.does not fnvaive:a certiEtcate o#occupancy or
finat power release; the.fees mu�t be paid prior#o permit Issuance. Ft�r.#hermate;�1f Pasca County�lNater/Sewerlmpact - ,
fees are due, they must be:pald.prio�to permiE•I�suance�ln accordance witli�appilaable�Pasco�County ordinances,
CONSTRUCTION"lIEN't:AW{Cliapter 793,FloNcla Stafutes�as amendedj: It valuation of woric ts$2,500A0,ar mare, i�- .
certify that I, the, applicant,. have•been provided with� a-copy� of the �Florida~Constructian Llen .Law—Hameowner's
Protectton Gu#de" prepared by.itie 1�torlda Departinertt af Agcicu[ture and Cansumer A#fairs. If the appllcant Is someone .
other than the"owne�', i certify that i have,obtalned�a�c�apy;of.,the,above..described document�and.promise�in.gaod:faith•to _
deliver it to.the'owne�pcior.torcommencement: � '�� +
CONTRACTOR'S10WNER'8 AFFIDAViT: I.cei�tify.t�iat aii.the•,Infarmation.,in�thi�applicatlon is accurate end that atl work
wfll'be done in comptiance with ail�appltcable laws regulating construction, zoning and•.land�develapment. AppUcation (s
hereby made to abtain .a permit.to do.work..and lnstatla#lon as indEcafed.<< '1 certify-tFiat no-intork�:or Installatton has
commenced priar to issuance`of a�permit and that`all work will be perFormed to meet standards of all laws �egulaking-
constr�ction, County and City codes, zoning regulations, and land dsvelopment regulations-in the �urlsdlctian. # also
certiiy that I undersfand that the regulations af a#her government agencies may appiy�to the intended woric, and thak it is
my responsibility to identify•what.actions I must t�ke:to be,in:.canlpl(ance;_Such agencles lnclude bwt-are..not Ilmited ta.
- Depar#ment of Etivironmantal Frofectlon=Cypress:`Bayhead�� 111►etlend Areas and Environmentafty Sensitive
Lands, WateNWastewater Treatmenk.
- Southwsst Fiorida WaEer Management .DEstrlct WellsF Cypress`' Bay.�eads; Wettart� Areas, Altering
Watercourses.
- Army Corps of Englneers-Seawalls,Docks, Navigatile Waterways.
- Department of Health � Rehabilltaf€ve ServlceslErnironme»fat Heaith ttnit Well.s, Wastev�rater ?restment,
Septic Tanks. ,
- tIS Envi�onmentai Protec#ton Agency-Asbestos abatemenE. �
- Federai Avlatton.Authority-Runways.
I understand that the foAowing:restrictions apply to the use of flik•
- Use of fill is nat allowecf in F1ood"Zane"V"unless expressty permttted. �
- If the fill material is #o be used, in �Flood Zone "A", It. is understood that a dralnage pla� addresstng a
"campe�saEing valume°will be sub�itted at time of petmttting wlilch Is prepared by a professlanat engineer
Ifcensed by�he S#ate�of Florida.
- !f th� fill ma#erla!.Is to be used In Fload �one "A" in;cannection�with,a permftted buiiding ustng stem wali
� construction, i certify tha#fiil-w#Il.be used onty to fill the area within the�stem�waii.
- If flll materlal is to be used in any area� I�cer#Iry that .use. of such flll wil! not adversely affect adJacent
propertles. If use o#f�ll is found to adversely,�ffect ad�aee�t��p�ope�ties,.the owner may be cited for vio�atirig
the condl#ions of the tiuilding,permit issued under the.at�ached�permit appiication� far lots less than.one (1)
acre whEch are elevated by`t�ll,a�t engineered drainage ptan 1s required .
tf i am the AGENT FOR THE OWNER, I;promise tn good fatth to Inform the�owner of the permitting conditlons set forth (n
this aftidavtt'prior to commencing construction. f understand that a�separate permlt may be requtred for elscMca! work,
plumbing, signs, wetls, paals; a1r condit�oriing, .gs�s;or ather Instatl�itlons na�.spectf�calty lncluded�in.the applicatian. �A
permit issued shall be canstrued to be a'Iicense,to proaeed with the work and not as:authorily to.vialate; cancel, alter, or
seE aside any provlslans of tt�e technical-codes;�nor shali fssuance�of a.pe�m1#.pr.event the Buildlrig C?#itclal from thereafter
requiring a aorrection.af errors In.pians; canstnictlon or vloiat(ons of any codes. Every permit Issued shall became invalid
unless the work authorized by such perm(t•ls.commanced�wtth(n s[x months of pe�rnit Issuance, ar if wark authorfzed by
the permit 3s suspended or.abandonad for s:period af�six�}monf�s:aftec the time tha�worik�ts commenced. An extension
may be requested, in writing, from tFie Building,fJtflcial for a period.not to exceed nirl�ty�(90) days and wili demonstrate
�ustl#iabfe cause for.the ex#ension: tf work ceas�s for nlnety{9Q}conseoutive days,..th�Jab��s.considered aba�doned.
IAfARNING TO OWNER: YOUR,FAILURE-TO.,REC.t?EtQ.A.MQTIGE OF�-GOMMENCEMENT�MAY RESt)LT IN YUUR
PAYING TW10E.FOR�IMPRt)VEMENTS T�.YOUE�:PROPER'iY.�:IF°YOU=1N'F 'D:`TQ OBTAiN�FINANCING,�C.ON3U�T �
WIT D O A A'�TORN �B ORE� . ECOR�� G:YOU ' C :a .� ' - E N �
F�o��aa�u�t���.s..�.�T.o _ � . -
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OWNER OR AOENT G��"Z�"--=� CONTRACTO
Suhscttbed and swo tg� afltrmed fare�qte thls Subst�l6e and' or affl d)'befor,e�i,-t�:�e't�tit��. )_ �,
2 f�R"I�C'l by �c1 �'"'" �,R.'�-4,f` 2-I�j;�, t,.�,:.."��+�... '
11�e Is/a�r-ep e-rsona�qy known M.me or has/haye produced Who�re personal own(t�me or has/h8ve�produced �
/e.�t/�52.�'�11 L,, ss tdenB�caBon. t�°rcYtes S P� �.. as identi�cation.
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C�wG Notary Publlc G�i� �� Notary Pubiic
Gorttm on Comrs� on-No
*.�tit'+::i:g�� JACCIUELINE BOGES ,••�'.�r:p�""�••, JACQUELINE BOGES
lVame at No t� Q�+Li���J�r 92,20i8 Name ot Not i� (I
'�-.R;;;�0.` 8ondedThruTro Fm�,����, :�; �ExpiresDecem6er92,2018
Y 80P385-7018 �•.�j�P��kae`�� Bondad ThN Troy Fofn In�urono�800•385•7019
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Recd�,��i !`'� LQT IMPR4VEMENT REQt3EST Fermit �3a�/�
, , EPPOA Lot Improvement Cam.-nittee & Boa�a cf �irectors
ra�►: ��/��.�! �� ��A1s..1 �i�l�/ ]'t �P,
:
,�������s: �.o r� ��9 �3 �f c r� �/�� �- � c� �t r- r� 7�R►L�� - ;
9�3 t �- a y� � 9 a �� �,. 9,3( - �o� - d a,g �
Zone number where you can be reecheci: �
� request EPPOA approval for construction, addition to aur instal.lation, ozs the following:
)Shed ( )Lanai ( )RV Pozt. ( )Park Model ( ) Cottage (x)Concrete Slab ( ) Pavers �(�'f�RZI� ��^'J,
11 requests for cons�.ructian/addits.ons/remodeling are requi�ed to have a camplete, '
etailed/sketch or pazaphle� af Park Model to be purchased with gicture�, to includs footprint, •
etbacks, front elevation, back elevation, 3eft � right side elevatian and top elevation, AlI ;
levations ntust include all sixes and lacatior�s of windows and doors, with length, width and
eight of the overa2l struature. Zn additian, all zequests reguire and must inclade the full �
escription, including color of siding, trim, shutters, doors and pavers i£ appli.csble. "PRIOR �
O BEGIN1dING CONSTRIICT20N" a copy of the Zephyrhills building permit and a copy of the �
ompleted engineering plans must be RETURNED ta the "LOT II�ROVEMENT COMMITTEE", these will be #
i eturn�d to you for construction. Upon completion af your canstruation a complete copy of the '
ngineesing dzawings of the structu=e, {as bua.lt} permi�s, inspections and final perm,'tt ;
.gprovals must be returned to the Emerald Pointe Lat Improvement Comm�.ttee for Cttfice filing. �
i
:OXS12SiBA'GS: ' i
'ermission is requesied #o make the following improvements to laf°29:
�
• Create 2 mu4ched shrub beds on the rear camer of the lat and plant 4 young trees within these beds. These betls will ;
completely coverthe 5'set�k area from ttte 1at baundaries to c�r�nete slab�see attached drawing} �
• Remove existing concrete and replace wrrth new concrete that covers the entire fot, exciuding both the 5"setback aneas
surrounding tF�e entire iot a�d the base of the existing shed. '
�ppraval is requested ro 2eave the shed in' current loca6osl. Although a recent survey has st�own the shed to�����3��1y 7t'�i����i �
'setback area,its positianing was ap pv both by Emeral inte and e cIty of Zephyrhilis in March of 1998. water Shutoff va4v�� ;
�ot owner's signature �ate � { � c� /--���-f.gre proceedinc� v�'i�i (
cons#ruction,
Giv+e locatiar� ;
�ot �mprovement Camzaittee to off ce for f�s�� ;
�ontingent Approval Date � I.�,__I �� Recomnaended to be Denied 1 !
:omments: �A...� , �.U�� �.C� (l '�� �C�l.eC1G� '�j1 � t,A.0 (��'�'t ��
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PLEASE �tETi'R:V TC) L()T [xVt PR.�VE'.ViE?�1T CO►MMITTEE
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nisc�osmz� sxA��rrr �aR ovar�R �
CITY OF ZEPHYRIiILLS BtTILDING DF�PARTMlyNT
_. ��/�c 6P�/ L-- �.���^''���C have read and fully uaderstaad aad i
agree to the pravisiaxxs of this instrume,nt.
The undersigaed states and affirms that he ox she is desiraus of caastructing,
renovatiag, addiag ta or reroofiag his or her owa domicile, that he or she
ac�ually occupies, or will occupy by said damicile, aad same is aot fos
rent, lease or sale. That he ar she sha23 comply �rrith the fallawiag caziditioas:
1. Tha� the owaer and he or she aZoae �shal]. act as the builder far all phases of
constructioa.
2. That the owner wa.11 camply vaith all grov3sions of the City af Zephyrhille
ordiaances and aodes pertiazeat to the building.
3. Tha� in the eveat variaus phases of coastruc�3on axe subcoatrac�ed, he will
engage oaly pxoperly liceaset3 subcoutractars aad will persoaally supervi,se
sueh woxk.
4. Tha� ia the event the Suilding Iaspector shall require eorxections �o .be made,
the owaes will aeeume �ull r�spoasibility to insure they are made, aad upoa
completioa wi].l call �or a reiaapec�ion before proceeding with the build3.ag.
5. Tha� the owaer sha2l assume fu12 respoasibiiity far the cos�struetion aad will
aot expect superva.sioa of his work fxom the City af Zephyrhills Suildiag
Depastmeat.
� 6. Tha� prior ta fiaal iaspection aay additioaal fees, iacludiag reiaspectiaa
fees, must be paid in tull. A writ�en request fram this office sha11
coastitute an afficial aotice to gay additional fees.
7. Tha� the ov�raex ahall comply with all City, State and Federal laws in regard ta
soaa.al security, warkman's compensatian, �Iien lavrs, etc. , where app2i.cable.
S. Tha� the owaer shall comply with all the safe�y codes issued by the Florida
Iadustrial Commisaioa.
9. State law requires constructioa ta be doae by lic�ased coatractars. You have
applied for a perrnit wsder aa eacemption to that law. The exemptioa allows
ycu, as the oc,raer of your praperty, �o act as your av�a contractor �rs.th certain
res�rict3.oas evea though you do aot have a licease. Yau must provide direct
aasite supervi.sioa of the constructioa yourself. You may build or improve a
oae-fami3y or two-family resideazce ax a �arm autbuildiag. You may also build
or improve a commercial bu3.ldiag, provided your casts do not exceed $75,OQ0.
The building or residence must be for your owa use or oacupaney. It may aot
be built or substaatially 3.mproved for sa].e or lease. If yau sell or lease a
buiZdiag you have built or subs�aatially imgroved youraelf withia 1 year after
the cons�ruction is complete, the law will presume tha� you built or
substaatially improved if for sale or lease, which is a viol.atiaa of this
e.�cemptioa. You may ao� his� an ualicen$ed pezsan ta act as your con�ractor or
to aupervise people workiag on your buildiag. It is yaur responaibility to
make sure that geople employed by you have liaens�s required by state law and
by county or municipal liceasiag ordiaaaces. You may aot delegate the
respaasibility for aupezvia3ng work to a liceased coatracter who is xlot
licensed to perfarm the work beiag done. Any persaa warkiag an your bui3.ding
who is nat liaensed must work uader your direct supervi.sion and znust be
�mployed by you, whieh means that you must deduct F.I.C.A. and withholdiug ta.�c
and provide workers' campensation far that employee, a11 as pre�cribed by law.
Your coastruc�ioa mus omply with a11 apglicable laws, ordiaan,ces, buildiag
codes, and zoaing r atiosas.
C�{ OWNER'S SI6NA'PiJRE DATE � �C�I
�/'ADDRLSS „� fa
p4 PHONE - - S
WITNFSS �'ERMTT #
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�-
Contractor/Homeowner: � `f�►�� �J� T r'`
Date Received: Z `��—�,�
Site: � 7'�v �p� ( �-C'�i� S�2 dJi—
Permit T e: ���-y� S(�`� Z�' � �-3 7�- ���
YP
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.
��'3���
Kalvin Switzer- Examiner Date Contractor and/or Homeowner
(Required when comments are present)
36' Permit No�� ��9
i �i cc�-Gt.e�,
� Sfr Setback
i � iAr
�
� I �7
�� � TYPICAL 36' X 68' LOT
With
� MAX Concrete 26' x 63' -'- `- -
' ` ' `( ALL WORK SHALL CUMPLY I'l"H ALL
PREVAILING CODBS,FL� CdDE A DG
CODE,NATIONAL BLEC
CITY OF ZEPHYRHILI.�� IN�NCES
�d��v� �;-�it a` 3_
CITY OF ZE�Hy FilLLS
,—� PL4fVS EXA�fII�
Sft Setback Sft Setback
68' �
a
Lo�� Ad�eSs: 3 y � � M���.�► ,��:
Owne�e i^ry �4,i n'�Q,y-+ Date: � as ic�
20 ft Setback from Inside of Curb to building
15 ft Setback to coach.
Page 3`of 3 .R- LotLayout_2o15-01-12
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