HomeMy WebLinkAbout16-17858 r
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CITY OF ZEPHYRHILLS
5335-8TH STREET
� (813)780-0020 17858
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL �'��
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PERMIT INFORMATION LOCATION INFORMATION _ _t
Permit#:17858 Issued: 10/26/2016 Address: 3410 MALACHITE DR
Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: �
Propose"d Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet�: Est. Value: Book: Page:
Cost: � 450.00 Total Fees: 80.00 Subdivision: EMERALD POINTE RV RESORT
Amount��Paid: 80.00 Date Paid: 10/26/2016 Parcel Number: 24-26-21-0020-00000-0290
;' CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: PAINTER JERRY L & JEAN
Addr: � Address: 210 IRON WOOD CIR
� CROSSVILLE TN 38571-0235
Phone: � Lic: Phone: 931-248-9245
Work Desc: HOOK UP SEWER, WATER AND ELECTRIC TO EXISTING SHED
� APPLICATION FEES
ELECTRICAL FEE 40.00 PLUMBING FEE 40.00
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'' Ins ections Re uired
FOOTER N 2ND ROUGH PLUMB MIS INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB E-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY '
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINS��ECTION 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
fir,st reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES:
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.
"Wau�ning 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." '
Comp'lete Plans,Specifications and Must Accompany Application. All work shall be pertormed in accordance
� with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
�� NO OCCUPANCY BEFORE C.O.
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CONT CTORS SIGNATURE PERMIT OFFI
�� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
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e PROTECT CARD FROM WEATHER
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813-7f30-0020 City of Zephyrhills Permit Application Fax 813-780-0021
•' ' '�i� Building Department �
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Date Recelved� � Phone•Contact for Permittin � � I �
OwnePs Name' �� ✓7� N�� Owner Phone Number "n1� '"Z`"����z� �
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Owner's Address J"E�8 t4 �+,� • .a✓T ' Ow�er Phone.Number I ,
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Fee Slmple Tltleholder Name � � � Owner Phone Number �
N 1� • ;
Fee Simple Titleholdec Address ° ;
JOB ADDRESS L �U l��� �(` LOT# �� '
SUBDIVI�ION /� (/'o o �r..� PARCEL ID# - •
- , ., (OBTAINED FROM PROPERTY.TAX NOTICE) '
WORKPROPOSED t NEw.CONSTR� ADD/ALT Q` SIGN' 'Q Q DEMOLISH '
� e INSTALL B , ,REPAIR . i
PROPOSED�U3E Q � SFR Q COMM ' Q OTHER �
TYPE OF CONSTRUCTION � Q� � BLOCK ' �Q FRAME 'Q �STEEL 'Q �
DESCRIPTIO�OF WORK w;,�, ��� �n ���eT' � I D 5�,� '
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BUILDING SIZE � C� • SQ FOOTAGE� . . HEI,GHT� �� � / �
BUIt�DING $ VALUATION'�FTOTAL'CONSTRUCTION % "
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EL�CTRICAL $ Q� • - AMP SERVICE �Q Q PROGRESS ENERGY � -W.R.E.C. !
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�PLUMBING $ ls� ' /��/i� �
q � J 7 '
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
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QGAS Q ROOFING Q SPECIALTY Q OTHER�
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, FINISHED FLOOR ELEVATIONS FLOOD ZOP1E AREA YES NO %�( �
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BUILDER � �
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SIGNATURE I, R G�isP�� Y/ N . FEE CURREN Y/N'.
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Address� % Llcense#
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ELECTRICI. �,s�. � ' �COMPANY ' • �
SIGNATURE� � � REGISTERED Y/ N FeE'Cuwte�° �Y/-N' '
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Address � , License# � - � �
. , �f �
PLUMBER ' � COMPANY
SIGNATURE ' , REGISTERED Y I.N FEE CURREP " Y/N. �
IAddress� � _ :License,# . .
MECHANICAL , , .^ �
SIGNATURE " � ' ' �• � COMPANY.
REGISTERED Y./ N � FEE CURREP Y/�N - I
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� Addres' F�_. _ , . .. ; `= � ' License# i
OTHER • _ - . � ,. ';COMPANY -
SIGNATURE ,.- .- ,,,� ,:: ,. .. , . � � . . , , , �...
' �'REGISTERED " Y/ N . FEE CURRE� Y/N
�.I. ,lt- ._ . : ' . -
Addresg - � - - � '.' - , Cicense# � '
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R�SiD�FiTIFiL: •_-Attac�i'(2).:Plof�?la�is;,(2)sets o��Bullding�Plans;�(1)�set'of'En�rgy�Foirn§;�R=O-W=Perrriit-for naw construcUon,
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: Minimum:ten�(1,0);working'days;after"submiftal date."•Requlrei!onsite,�Coristiucdon Flans;'Stortnwate'r'Plans w/SIIt Fence�instelled,
- .•,.. _. . ... _
j� Sanitery FaclllUes:&.:1n,dumpste,r,-31te°.W.orktiPertnit fo,r,subdivislons/large:_proJects4, ;`.�;� � '� �
COMMERCIAL Attach(3)com'plete sets'of Builiitrig Pians'plus a'Life 8'afety Page;(1)set of Energy Forms.R-O-W Permft for new construction.�
I Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence fnstalled,
�, Sanitary Facilides&1 dumpster.Site Work-Permit for all new projects.All commercial requlrements.must meet compliance
SIGN PERRIIAIT Attacfi(2)"sets'of`Engineered�Plans.:�� �;-� ;. .,, �
p ""PROPERTY SURVEY regufred for,all_NEW construction._
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� Directlons: � . .-. , � '
Fill out applicatlon completely.
Owner&Contractor sign back of applfcatlon,notarized
If over 52500,a Notiee of Commencement is requlred. (AIC upgrades over 57500) :
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Agent(for the contractor)or PoYue�ofAttomey(fo�tFie�owner)would be someone with notarized letter from owner authorizing same
��
DVER THE COUNTER:PERMITTING• -�- (Front of�ApplicaUon Only)� - ' ;
' Reroofs if sh�ngles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW � �
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NOTICE OF DEED RE$TRICTIANS: The undecsigned undergtands�:#h�t--thi�:�p�rmif,Tmay_be,sub)ecfi;tok°deed",cestrtcttons"_`;:�_��,�,�:r
which may be-more�-resttictive�th��Counfy re'gulatlons:=TFie`.underslgned�assumeslresponsitillt'ty'.for�compiianc�with='any-"' �`" `�
applicable.dee�rest�ictions. - ,-.. �, .; �_, : � . • , .� _ .. .._ .__ .„� : -�;: � -.
UNLICENSED-COMTRACTORS��AND COW�R�►CTOR RESPONSIBILITIES:• rlf=ttie°��owner�has���hiced�=a�`contcactor or
contractors to undertake work, they rinay:be,re�qulred�_to.:be-;licensed 1n•.accordanc�e>wlth:state.and�Iocal�regulaQio�s.:�-1f=the-���� �� '-
contractor Is not I(aensed as requlced'tiy law, tiotFr�the ovmer.andwconteactor'may���be�cited�for°�a misdemeenor violatlon
under state law. If the owner or Intended>,contcactor;�ere;:uncertaln as to what Ilcensing.requireRnents��may�appty��-for-�tfie'=_��• �- �-�� �'
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intended work,they are advlsed:to coritact tFie Pasco�County Building�lnspectfon Divislon._,-Licensing Section at 727-847-
8009. Furthermore, ff the ovimer"has'Filred��a conUacfo��or contractors. h'e ls advlsed to have�the contractor(s)sign., . , . .
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portlons of the contractor Block .of.this.,appilcation..foc,which.:they. wilt.beYr,esponsible.•.. If.-you;�as-�the owner`"sJgn as'�the�" '
contractor� that�tnay be an indlcatlon that�he=1s not`.properiy'licensed°and"is not'entitled�to perriiitting privllege§ In Pasco _ _,
County. � - • ; a::�:;.,.�� ;.:,....�...
TRANSPORTATION�IMPACTIUTILITIE$�IMPAC'��ANb RESOUi2CE RECOVERYfEES:�The underslgned understands
that Transportation Impact Fees�and.Reco.urse Recovery.Fees,may�:apply:�tv�tfie:;construction_of ne_w.rbulidings,�change'�of`�`'�� =��°�`=
use in existfng buildings,�or,.expansion�of�eziattn;g.��fiuildings, as spec�ted.in P�scv�County Ordinance number 89-07 and
90-07, as amended.,,:.The undetsigned also;understands, thait`such fe.es;�,as��may��e�;due;;�wlll:�.be identified at the-�time�of��� �-��F°-'�'-`
permitting. It is fur'ther understood that Trai�sportation Impact'�Fees and��Resource:Reco�ery�Fees..must be paid prior to
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receivUg-a "certfficate�of occupancy"-or flnal•-powec�-release:��:if°the.proJect.does�.not involve�a�.certff,icafe of o�cupancy�or-���='•��=`%�"
flnal power release;the,fees mu�t be paid,pclor to.,permft Issuance. Ft��thermore;_ff:Pasco;County��Water/Sewer�.lmpact . .
fees are due,they.must be:paid=prlor,#o permiY lssuance-ln accord'_ance with:appllcabFe�Pasco�.County ordinances. •
CONSTRUCTION'LIEN�LAVII'(Ci�ap4�r 713� Flor�d�Statutes�.a�amended):. If valuatlon of work Is$2,500.00,ormore;.l��._� =.t�.
certify tFiat I, -�he applicant,: have.been provided �with=-a-copy of the "_Florida� �onstructton� Llen.:Lav�Homeowner's ,
Protection Guide" prepared by tfie Flo�lda Departme�t�of Agriculture and Consumer.:Affairs. if the applic�nt is.someone= ;. ; ,. �
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other than the"owner", I certi :.that�l�h�ve,obtained`a�copy;of..the:aboya.cles.c�lbed tfocuii�ent-and.promise�.tn.,good;.faith�.to ._ ..,
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delive�it to the:"owne�':.p�ior:to�commencemenE:-' � � � � � -- .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ceit�y;tli;at�all,:the,information,in�this applicatlon is accurate and that all work
will'be done in compliance with all.appllcabie'laws regulating constructlon, zoning and�_land��development. Applicatlon fs
hereby made to,obtatn .a .permit;:to.;do_.work,,;and'Installation ag indi�efed..>-.•:I. cenity that no work=:or Installation fias • '
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commenced P�lor to issuance of:a permit-and that.all work will be pertormed�to meet standards-of ail laws regulating-
construct(on, County and City codes, zoning regulatians, and land development cegulaUons�tn the'�,jurtsdtct(on.=�=1:a1'so
certify that I understand that the regulations of other government agencies may�appty.�to the.intended work, an�that it ts
my responsibility to Identify�wh�t.actions I must�take:to be.In:.00rrlpllance:.,,S,uch,agencles�include but-are.not limited to: •
- Department of E�lvironmental�Protection=Cypress`Bayheads; 1Netland Areas and Environmentally Sensitive �
Lands,WatedWastewater Treatment. .
- Southwest Florida W�ter Management .Dlstrict-VVelis;' Cypress.` Bayheads;- 'Wetland: Areas� Altering
Watercourses. - -
- Army Corps of Engineers-Seawalis,�Docks, Navigatile Waterways.
- Department of Health;;�&.,Ret�abllltative,Ser,v(ces/Environmenfal:.Health Unit Well.s,-Wastewater-Treatment,
Se�tic Tanks._.r � _ . _ - _- , .- :- -
- US Environmentel Protection Agency-Asbestos abatement. � �
- Federel Avlatlon:Aut�iori,ty-Runways:� •
I understand.that the.following:�restrlctlons apply'to the use of fltl:
- Use of flll is not allowed in Flood:Zone"V"unless expcessly permltted. '
- If the-fill materlal-ls to b.e used..`�In_�flood Zone. "A"� It Is understood that a d�ainage plan addresstng a
°compensating volume"will be submttted at time of•;perr�ftting whlch ts prepared by a profess(onal engineer
Ilcensed by�he State of Flotlda:
- If ih� flll-materlal�Is to be used In Flood �bne 'A" In�connection�wlth�a��ermltted building using stem wall
� construction, I certify that fill:tirall.�b.e used.only.to.flll the area wlthlt��the�stem�u�rall: �
- � If fill materlal Is to be used in any a�ea; ( �cettfiy t#�at .use. of such flll wlil not adversely afFect adj�cent
propertles. If use of fill Is found,to adversely:�ffect adJaEent-properties,.the owner m�y be clted for vlolating
the condl#ions of the building-;permlt Issued�uFlder the�attached�ermlt applicatlon� for lots�.less�.than one (1)
acre whtcfi are elevated�tiy flll,��r,engtneered dralnage plan Is requlred. .
If I am the AGENT FOR THE OWNER; I;promise In good_falth to Inform the owner of-the permltting conditlons set forth In
this aifidavit'prtor to commencing constructlon. �I understand theta�separate petmlt may be requlred for electrlcal'work,
plumbtng, signs, wells,:pools;, alr condltloning,-.gas� or othe'r. Install�tlons not•spec�ically included-in.the�appl(cation. .A .
permlt Issued shall be construed to be`a�Ncense`to proceed v�rlth"tFie work and not as�authoNty-to.vlolate,.'cancel, alter, or
set aslde any provistons of the technlcal codes; nor shall Issuance�of a.perm(t.ptevent the Bulldirig Offlclalfrom thereafter
requlring a conection af errors In.plans; consfructlon.or vlolatlons of-any codes. Every permlt lssued="siiall become Invalid
unless the work authorized.by such permlt:is-commenced;wlthln.sGc_months of�permlt Issuance. or if work authorfzed by
the permlt Is suspended�or.abar�doned-for:a;perlod.of�slx f8)monffis,.aRer the tlme the�work ls commen�ed. An extenslon
may be requested, In wrlting, from tNe:�Bullding,Offlclal for a perlod.not.to_exceed ntnety-�(90)=days a�d wlll`demonstrate
justlfiable cause for.�the extenslon�. If work.ceases.for ninety.(90)cons.ecutive�day.s...th�job�is considered abandoned. "
VlIARNIIVG T_O_QYNl�EIt: _XOU���►16l��E_.T�.R��Ol�n-�,::,�g�!GE:O�,�C��lIMEM�E!��6�4..'�4AY=:3��9L4'P➢Y��R- - -- -
PAYING TWICE;FOR IMPROCIEMENTS�T�.YOUE�,:PR�PERTY:`�I�°YO.U=1N'FEND:T�'�BT`AIN=FINiA1�E1NG;'C.ONSULT
WIT D A � O FORE��,�ECO f�� OU � _ 'O .`� : . . E , . T. ,.
FLORIDA JURA�•(F.S:1. .; ) -. . . _ - . . .
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OWNER OR AOENT � CONTRACT
Subsdlbed and saro, � or a ed bef �e thls��,, Subecrlb .bY �t aHlrmed� re me I�
b = rIA'ts
Who Islare personelly knovm to.� e or ha Ihave.produced �Who.Is/aee;p.eraonallyJcno to me�orheslhave:produced •
`ae IdenUflcatlpn. ` a�Identlflcadon.
Notery Publlc . Notary Publlc, �
Commisslon No:` Comr�Isslon.No. -
Name of Notary typed,printed or stamped Name of Notery typed,pdnted or atamped