HomeMy WebLinkAbout15-16765 CITY OF ZEPHYRHILLS
- 5335-8TH STREET
' ' _ (sispso-aozo 65
BUILDING PERMIT -
PERMIT.INFORMATION LOCATION INFORMATION .
Permit Number: 16765 Address: 3720 GARDEN CITY WY LT 6
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est.Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 6,923.00 OWNER INFORMATION
Date Issued: 12/01/2015 Name: NHC-FL 115 LLC
Total Fees: 97.50 Address: 3720 GARDEN CITY WAY
Amount Paid: 97.50 ZEPHYRHILLS, FL
Date Paid: 12/01/2015 � Phone: 8137837518
Work Desc: GLASSROOM 16X13
CONTRACTOR S APPLICATION FEES
U STATE A M N N B I DING FEE 97.50
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Ins ections Re uired
FOOTER 2ND ROUGH PL MB MISC INS TION CEILIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC - LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECiION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the I
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 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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�-_ - - ;� �4-Tv'
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
11NIII1111111illllllilllilllilllillifl11111111illfillli1111
� , 2015190584
Rcpt:1730784 Rec: 10.00 �
D5: 0.00 IT: 0.00
12/0II2015 J. R., Dpty Cle�k
Permit No. Paroe7 SO No
HOTICE OF COMMEFSCEMENT
Stata q( "i LS��\� Caunty ot. 'Y�G�
THE UNDERStGNED heceby gives�otice that improvement wili be made to certain real property,and tn accardance with ChaDter 713,Flo�ida SSatuCes,
lhe following informalion is pravided in this Nolice of Commencement: �
t Oescripiion oi Property: Parcel Identifecation No.�,4 .�-�.p 2( QQI.�� "(,�"'}Q�Q� {'[�'�� 4 ,
StrnetAddress: ����Q �.'t��4��1� �'.»1'� �.�1�� 7_�,S,�.S `1 �
2. Genera4 DascriPtion of improvement C?u�L� ,_��`,�_ F�,���
3. Owne�tnEomiation or lessee intomaation it tfie lessee con4racted tor the improvement N�-����r�_���,`^`J �--�.-5.
C!� d � '0 �� .Z--�l 2 --�i
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��?.C�ame �S'�i2���.P� �' �`� �Q� Z��N\l���l � � �m��i
Atldress �,,,� ��, �— Ci y�� ��y State r A v��U3 1�i Z --1�
Interest in ProPerty ' 16 J�"�� (f) '�'(/) �� ��
Name o�Fee Simple TiGeholder. (' �� C� C�?'"T1
((t ditferent Gom Owner Iisted above) z Q x a���
� Address City Sta2e Ill -{ �' "C� �--� y��
Conlraclor. 's l.).`N '�S"C��-'(� n�a 1�'� 1�V R�1 f� ����,�
�Nam�� `'�..�-�r �� �--+c�+.G�._4^'.� ����.._h��\\ `� � � � � -�J�'"
Address �^r 6,, t' City T�� State r �� �~
Co�tractor's Telephone No. ��� l C.l� ��QD � � r�1� —�,{��
5. Surery: �L 1.. Qo Q� � � �
Name ` 7_��(`"'~s{_y � (7 � '��� �
TI �Q;
Address � City &tate � �? � �Q �
Amount of Band: S ��.��� Telephone No.. � � � (� � -�
6. Lender. � —'� m �� � �
Name � Q N � � � � �
Address City Stale = � y(") ��,'
lender's Telephone No. " C7
r ���0 �(!�
7 Persons within the State of Florida designated by ihe owoer upan whOm nolices or other dowmenls may be servad as provided by � m ---1 x'
Sackian 713.13{i}(a){7),Flocida SSatutes: �
Name
Address ' Ci(y SfaiO ,� � � �/'�
Teiephone Number o1 pesignated Person: T�/
8. in addition t4 himse7f,tha owner designatas o�� �'�,, •�q�
ti
to reCeive 2 copy af lhe Lie�or's Nolice as provided in Seclian 713.13('I j{b),Flodda Stalules. � . � • ��,
Telephone Number of Person or Enliry Designated by Owner Q � � � , m
'�[ Oo � �
9. Expiralion date of Notiae oI Commencement(ihe expiration dale may not be before the comple(ion of constructioo 8nd fina(paymeni to the � o .,�y y
contrector,6ut wi11 be one year/rom the date of recumi�g untess a diHerent date ia specified}: O � � � �
WARNlNG TO OWNEit: ANY PAYMENTS MAOE 8Y THE OWNER AF7ER THE EXPIRATION OF THE NO710E pF COMMENCEMENT � .f,�:,.°
ARE CONSlDERED iMPROPER PAYMEt�ITS UNDER CFiAPTER713, PART'f, SECTtON723.t3, FLORtOA STATUTES, At�lD CAN .j',�'� �,��
RESU�T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIGE OF COMMENCEMENT MUST BE
ftEC4ftDEp AND POSTED 4N THE JOB SITE BEFQRE TH£FIRS7 tNSPECTtON. tF YQU tNTEPiD T4 OBTAIN FSNANClNG,CflNSUIT � �
WITH YOUR LENDER OR AN AT70RNEY 6EFpRE COMMENGING WORK OR RECOROfNG YOUR NOT�CE OF COMMETJCEMENT � � �, `�
Under panaity oi perjury,t deciaee that I have read the taregoing notice of commencernant and fhat the fads stated theretn are true to the 6sst * .k' �
, ol my knowletlge and belie(. /'�'
STATE�OF FlORIOA �`J!� / ��dl' ��
COUN7Y OF PASCO n.a.1 t�� �..�A�G��
Signalure ner or Lessee, Owner'S or Lessee's Aut oriied
ONcerlDiredorlPartnerlManagsr
�!�'✓,��!2_.
Signetary's TitlelOtFloe
The toregoing instrument vias acknowiedg�eryd before me this�f��y ot �7� ,ZOl�6y�GI`/r�N ��.vL���i
_,,,as 6/�K3/c'Q.. (type oT authodry,e.g..aKcer,lrustee,attomey in fact)Cor
��• (name o arty on behall ol whom Inst9�eM wa�5 execuied).
Personally Known O l R Produced Ide,nJtifi ation� NotBry SignaWr� �/• ����/'`L��1 S�f��C_.._�-s_ri<tti//
Type of Identifcation Produced /V 7 �l�Ila�.J-���.. Name(Prinq�"�'7.H/,Q�.bf.t.� t\ /-i�._t",wf2T 77'��
�e"��p���i�; St4R�BiK�RUUaTR1
'�e T��= AiYCOhA11S5fON1EE198857
�. :3 EXPIRES:June 28.2pte
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wpdatal6cs/noticecammeneemeni_pc053048 PRULR &0'NEIL,Ph D PRSCO CLERK B� COMPTROLLER
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C1Ty Of Z�IlyI'�1111S
BUILDING PLAN REVIEW COMMENTS
, ,
Contractor/Homeowner: -(;{,�� ��i����C d�'l
Date Received: _�I— �2-- �s
Site: � � � �
�
Permit Type: � 1.�� � �l0 �l `��'l �
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.
� .
������
Kalvin Switzer Pl � ' aminer Date Contractor and/or Homeowner '
;
� (Required when comments are present)
,
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department .
4 �
Date Received � l 2 Phone•Contact for Permittin — �
Owner's Name �1`V 1� ��l7 �(')►r Owner Phone Number
�
Owner's Address �" ��' � � Owner Phone Number
Fee Simple Titleholder Name �/ l � � �i V"'' ` Owner Phone Number
Fee Simple Tftleholder Address
JOB ADDRESS 2 �C?.�� G��,� LOT# �
SUBDIVISION � �\L,. OO�(, PARCEL ID#
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED:USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK " � FRAME Q STEEL Q
DE3CRIPTION OF WORK �u�� C]� ���
BUILDING SIZE ��� �3 _SQ FOOTAGE�, HEIGHT
QBUILDING $ / Q �1� VALUATION�OF'TOTALCONSTRIJCTION
�p 1 ot�
QELECTRICAL $ � AMP SERVICE Q P OGRESS ENERGY Q W.R.E.C.
PLUMBING - l�� � �
o $ . C��
� ��J��✓ �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � !
OGAS Q ROOFING Q SPECIALTY OTHER ��
� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ��V
BUILDER � C�Mp� !�� ���, rpL�,�...,
SIGNATU REGISTERED Y/ N FEE CURRE� Y/N
Address � 5 � �. Ltcense# '
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N
Address License#
PLUMBER COAAPAPIY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Addres$ License#
RESIDENTIAL Attach(2)PIoE Plans;..(2)sets of Building'Plans;(1)set of Energy�Forms;R-0-W Permit for new construction,
Minimum.ten(1.0):working days after_submittal date. Required onsite,Constructlon Plans;Stormwater Plans w/Silt Fence instailed,
Sanitary FaciliUes;&1,.dumpster,,Site WortcFRertnit.for subdiVisionsAarge projects
-- COMMERCIAL Attach(3)complete'sefs of Buildin'g'Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construcUon.
Minimum ten•(10)working days'after submittal date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities-&1 dumpster.Site Work Permit for all new,projects.All commercial requlrements must meet compllance
SIGN PERMIT Attach�(2)sets of Engineer.ed P.lans.._- � .,i
""PROPERTY SURVEY required for all NEW constructlon. _
Directlons:
Fill out applicadon completely.
Owner&Contractor sign back of appl(caUon,notarized
If ovar 52500,a Notice of Commsncement Is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)ot Power.of i4ttomey.(fo�,tFae owner)would_be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMIT�lMG. ,,' (Front ofApplication.Only)'.: ;`
Reroofs If shingles Sewers�' ;'Service Upgrades A/C-• Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if-on-public coadway§.Peeds ROW�° '�,
, � � ..
NOTiCE OF DEED RESTRICTIO�IS: The undersigned under.stands�;th�t:this,pQcm[f,.may.be,sub)ect to"deed"restrictions" ' _
which may be;more r.est�ictive-•than County��regulatlons:`=THe�undersigned�assumes responsitiility forcompliance`with'�any `
applicable deed restrictions. , � �, �_ :-; : ` • . ,
UNLICENSED CONTRACTORS AND -CONTRACTOR RESPONSIBILITIES: �tf the owner has �hired a contractor or
contractors to undertake work, they may be;requlred.:to:�be;ltcensed In accordance.with state.and•local,regulations: If the
contractor_is not Iicensed'as requlred`-by law, both the owner and cont�aoto��may be�ci'ted�for�a-misdemeanor violatton
under state law. If the owner or Intended>contractot,are:uncertaln as to what Iicensing.requirements may:.apply��or�the -
intended work, they are advised to contact tlie Pasco County Bullding�In§pection Divislon—Licensing Sectton at 727-847-
8009. Furthermore, tf the owner' has�hlred a contractor or conti�actors, he is advlsed to have the contractor(s). slgn
portfons of the "contractor Block" of thls appllcatlon for whlch they wlll be responslble. If.you� as.#he owner sign�as the
contractor, that may be an Iridicatlon that�he�ls not.properly flcensed and�ls not entitled to perrriitting p�iv(leges In Pasco
County. . _ - ._ � , � . � .. � � .
TRANSPORTATION:IMPACT/UTILITIES=IMPAC7'ANb RESOURCE RECOVERY�FEES: The undersigned understands
th�t Transportatfon Impact Fees and.Recourse Recove.ry.Fees may�:apply�to:the constniction�of�new�bulldings,�,change of ' "
use ln existing bulldings, or:expansio�.of ezlstiii�g'6uildings, as spectfled (n Pasco County Ordinance number 89-07 and
90-07, as amended._,The undetsigned also�understands, thalt:�such fees�-,as�may�be�.due;:wfll,�tie Identified at the=time of
permitting. It Is furifier understood that Transportatlon Impact Fees and Resource Recovery'Fees must be pald prlor to
receiving a �certlficate.of occupancy" or flnal�powec-release. :If�the project;;does not Involve a:.certificate of occupancy�or
final power release;the fees mu�t be paid prlor to permit Issuance. F�rthermoce��ff Pasco County�llUaterlSewec:lmpact �
fees are due, they must be�pald prlor to permlf-I'ssuance=ln accordance wltFf appllcabte Pasco'County o�dinances.
CONSTRUCTION LIEN"LAW(Chapte�713� Florlda Statutes;as amended): If valuatlon;of work ls$2,500.00 or more, I
certify that I, the appllcant,'have.'been provlded with. a-copy- bf the° "Florida-Constn,�ct(on� Llen�L"aw—Homeowner's
Protectlon Guide" prepared by tFie Florida Department of Agrlculture and ConsumerAffairs. If the appl(cant�ls someone
other than the"owner", I certify that I have.obtalned�a•copy,of.the.above..riescrlbed�ocument°and pcomise In.good.faith to
deliver It to.the�°owne�"'-pdor:to�commencement: ' � ' � •
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify that all the lnf.ormatlon�.ln thl.s appllcatlqn is accurate and that all work
will�be done in compliance with all appl(cable laws regulating constructlon, zoning and-land�devetopment. Appltcatton is
hereby made to obtain.a permit.to do. wor`k,and (nstallatlon as indlCafed:-� 'I cettify that no work�or Installatton has
commenced prior to Issuance of a permlt and that all work wlll be performed to meet standards of all laws regulating-
construction, County and City codes, z�ning regulations, and land development cegulatlons�ln the�jurisd(ctlon. I al'so
certlfy that,I understand that the'regulations of other government agenc(es may�apply�to the intended work, and that it is
my responsibllity to identify what,actions I must take to be,ln:.corr�pllance: S.uch agencles-Include but are.not Ifmlted to:
- - Department of Er�vltonmental Protection-Cypress.�Bayhead�, Wetland Areas and Envlronmentally Sensitive
Lands,V1later/Wastewater Treatment. �
- Southwest Florida VUater Management� .Distrtct-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Englneers=Seawalls, Docks, Navlgatile Waterways.
- , Department of Health� & ReMabllltative Servlces/Environmenfal Health Unit Well.s, Wastev�tater�Treatment,
Septtc Tanks.� _ "
- US Ernironmental Protectlon Agency-Asbestos abatement. � � � - � ,
Federal Avlatton.Authorlty-Runways. ��` _ . �,y.�
I understand that the following,restrlctlons-apply to the use of flll:�
- Use of fill Is not allowed tn Flood Zone"V"unless expressly permftted: . � � ' - �
- If the fill materlal�Is to be used:In �Flood Zone. "A", It Is uraderstood that a drainage plan addressing a
"compensating volume" wlll be submltted at time of petmitting whlch (s prepared by a professional englneer
Ilcensed by-the State of,Flor(da:
- If the fill material._is,-:to ,be used in Ftood Zone °A" In�connec�lon�wlth-a permitted bullding using stem wall
construction., I certify that fill•:wlll�b.e used only.to.fill the area withln the�stem wall.
- If fill materlal Is to be used In any area, 1 �certlfy that .use. of such flll wlll not adversely affect adJacent
propertles. If use of flll is found to adversely:�fFect adJaeent�propertles,.the owner may be clted for vlofattng
the conditions of th"e"6ullding:perm(t Issued under the.at�ached {�ermit application, for�lots less than one (1)
acre whfch are elevated�by f111,an englneered dralnage plan fs requlred.
If I am the AGENT FOR THE 01MNER, 1-promise In good falth to Inform the owner of the permltting condit(ons set forth tn
this affidav(t�prtor to commencing constructlon: I understarid thet:.a�s�parate permlt may be requlred for electrical work,
plumbing, signs, wells, pools, alr condltioning, .gas, or othec Insfall�ftons not•spec�lcally included�in.the applicatlon. .A
permlt lssued shall be construed to be a license to proceed wlth the work and not as:authorlty to.violate, cancel, alter, or
set aslde any provisions of the.technlcal codes;�nor shall issuance�of a permit.prevent the Bulldirig Officlal from thereafter
requfring a correction nf er�ors In plans; constructlon or vlolat(ons of any codes. Every p�ermlt Issued shall become invalid
unless the work authorized.by such permlt�Is.commenced•wlthln sfx months of permlt Issuance, or If work authorized by
the permtt ts suspended or.abandoned for a:perlod of�six E8)montFis.after the tlme the�work�s commenced. An extension
may be requested, tn writing, from the Building.Offlclal for a perlod.not to exceed n(nety(90) days and wlll demonstrate
justifiable cause for.the extension. If work ceases:for ninety(90)consecutive:days...th�)ob�is cons(dered abandoned.
WARNING TO OWNER: YOUR.FAILURE.TO.RECOItD.A NOTIGE OF�COMMENCEMEMT�MAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS�TO•YOUR�PR�OPERTY. IF�.YOU�INTEND'�T � � `NEING��CONSULT
WIT. YOIJR[.END _A � M-A�CJItN�I(��8 F91tE�,. E�A �A � - --- - --
FLORIDA JURAT�(F.S.117.03)
OWNER OR AOENT
Subscrlbed and swom to(or aflirmed)before me thls Su or aflirmed)'before me fhl�
by
Who Is/are personally known to.me or haslhave produced Who Is/are p onalty kno tu me or haslhave•produced •
as Identlflcatlon. as Identlflcatton.
Notary Publlc _ �. ��- 'Notary Publlc
- , ,
Commisslon No`: Comml on.No ,.���Y�o�-., LINE BOGES � � �
;;' ';:: Commission#F
= 'e December 12,2018 , ,
Name of Notary typed,printed or stamped Name of Nolery ty d'y,, •''OB�ElIT1Q�'Fmn�nswance
i�
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- � :i �I� � , � . , ,, �} , � , Page No. of Pages
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' .. . � SUIV STATE ALUIVIINUI!!I, INC.
� ' � 6154 Fort King Rd.
, ZEPHYRHILLS, FL 33542
_ � (813) 788-7308
SUBMITTED TO PHONE DA E � �
`C~�\�,�1�.._'� �� `'�.`; •"����;. ��-�''.� �i5 °'i�.� �" �U����- ��C� I �r=�_ �t �I .��-
STREET ' JOB NA�dE � � '�� � 1'
I'"��R�� ^'Sf��.2...�c�s� �\ \�.� � r:�.��, � �� `"l� �.•,
CITY,STATE and ZI^P CODE'� �,�.A-- �� �OB LOCATION � � "
.+.ca�' 1 1 �\� �
� � �\1,a� �. 1\ � �- .
ARCf�GTECT. `� ".�� � Lj' ' � DATE OF PLANS - i � - _ JOB PHONE .
We hereby submit specifica�ions and estimates for: , , -
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�C �D1ltT�Ct heteb -to=�u nish fn}aterial and labor—complete in accordance with above specifications, for the sum of:
���� �����`��% - - —....—'_"" ' dollars($ �+�1����� ),
Payment to'be made as follows: t,j.� '
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All unpaid balances subject to 1.5°/a monthly interest fee. �• ,�r''� ,:..-��"��_�....._....--•��"�-`..�
All material is guaranteed to be as spec'rfied.All work to be completed in a workmanlike � _ ,�-•^., � ..,;,;,�:�T�~~�~��� ^'= �
manner according to standard practices.An�y alteration or deviation from above specifications �litltQflZe�'" � -�'""���„�Y„�,�,,.m..r-�=-^""��J�
involving extra costs will be executed only upon written orders,and will become an extra Sig 1�3tu�T eY. �'=_-.---- _ -- -'
charge over and above the`estimate. All agreements contingent upon strikes, accidents �~�� � ! '
or delays bsyond our control.Owner to carty fire,tomado and other necessary insurance. Note:This proposal may be
our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within ddys.
�I,CCe�1�YICCe D� KLDYCLT�I�1—The above prices,specifications �� �� •'' i 7 /� _y,�) ,
and'conditions are satisfactory and are hereby accepted. You are authorized Signatur�'-r,�=�`��C,� " ` �' .f iL_._.-�'i _ _ ��c
to do the work as spec'rfied. Payment will be made as outlined above. �'
Date ofAcceptance: Signature