HomeMy WebLinkAbout16-17968 i�
i CITY OF ZEPHYRHILLS
;, I , 5335-8TH STREET
(813)780-0020 17968
� BUILDING PERMIT
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1 PERMIT INFORMATION " ' LOCATION INFORMATION '
Permit N�mber: 17968 Address: 37541 LAUREL HAMMOCK DR
I Perm;t Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
SquarIe Feet: Subdivision: OAK RUN
Est` Value: Parcel Number: 34-25-21-0100-00000-0240
Improv. Cost: 10,000.00 OWNER INFORMATION
Date �ssued: 11/29/2016 Name: SODERSTROM, EARL & MARIE
Total Fees: 127.50 Address: 37541 LAUREL HAMMOCK
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33541
Date Paid: 11/29/2016 Phone: (813)779-4053
Work Desc: CONSTRUCT 12 X 12 SHED
'I CONTRACTOR S APPLICATION FEES
BOB LARKIN CONSTRUCTION INC BUILDING FEE 127.50
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Ins ections Re uired
FRAME I
SHEATHI G
FINAL I '�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b�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. _
"Wa� ing to owner: Your failure to record a notice of commencement may result in your paying twice for
imprc�vements 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 pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
� iCONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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BUILDING PLAN R�VIEW�OMMENTS
Contractor/Homeawner. ,��,�'�� r�-��_��Dt��1'?�d��
Date Re I eived: /
Site: ��,,?�l �..,�11�-�E� �/�YYlt1/tl��';1�� ��
Permit T. e: ��,�5�1.�(.,�°CT �4ff'�;�
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Approve� wlno cc�mrnents:❑ Approved w/the below comments: ❑ I3enied wlthe below comnnents: ❑
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This coac�us� t sheet sha1l be kept with the pennit andlor plans.
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Kal ' Swi� —�Ians Examiner I3ate ontractor andlar Homeowner
(Required when comments are preserat}
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s�3-ieo-oo2o City of Zephyrhills Permit Application Fax-813-780.0021
'I , Building Department I
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Date Receive il � � / � r �(� Phone Contact for Permittin 3S z-- ��"-'��-r Q
Owner's Plamll 50DE.P�-ST�O� El��L� r'1 F�1�. Owner Phone Number ���—y 5-1—g��-5
Owner'sAddress �7�4 f ���'��- ��M��� �D��1�E OwnerPhone Number
I �Fee Simple Tltleholder Mame Owner Phone Number
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Fee 5imple Tttleholder Address
JOBADDRESS 375y ( L.P��LHAMMtxJCDR. �P'1-4y�1L1-5 F�-335�{,-y LOT# �4
suBoivesioN bRt� (��N �HAs�1 pARCEL ID# �y"Z5 7J-e�1�o-�c�op-ozs4o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED�SE Q SFR Q COMM � OTHER SSO¢Z, l!L t tJ�
TYPE OF CONSTRUCTIOM Q BLOCK �'=FRAME Q STEEL �] �
UESCRIPTION OF WORK �►JST�V�T S4�ED
BUILDING SIZE � 2-� � �Z� SQ FOOTAGE . � �I'c-I HEIGHT }�j t b��
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UI DING $ 1 O�ooOQ° VALUATION OF TOTAL CONSTRUCTION
QEL CTRICAL $ �,�� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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�PL MBING $ �,�� �_� �
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OME� HANICAL $ �/� VALUATION OF MECHANICAL INSTALLATION
QGAi Q ROOFING Q SPECIALTY � OTHER
FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER � �7� COflAPANY �$ �'A`��� ��ST�VC,TIOI�
SIGIdATURE� U� REGISTERED %Y N FEE CURRE� Y/N
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Address ��'' �-� � ��AE C�T�r F�-335ZC�—�47�-f License# �'-�t- ��54'�
ELEC'�RICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUIMBER COMPANY
SIGtdATVRE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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AAECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres I� License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence instalied,
Sanitary FaciHtles 8�1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIA,L Attach(3)complete sets of Building Plans plus a.Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction.
, � —� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
� Sanitary Facilities&1 dumpste�.Site Work�Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMI� Attach(2)sets of Engineered Plans.
� ""PROPERTY SURVEY required for all NEW construction. ,
Directions: i
Fill out application completely. �
Owner&�IContractor sign back of application,notarized
.• If over 52500,a Plotice of Commencement is requlred. (AIC upgrades over�7500)
Agent(foir the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �
OVER THE CIOUNTER PERMITTING (Front of Application Only) -
Reroofs if shiigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �
Drivewiys-Not over Counter if on public,roadways..needs ROW ' ' �
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IdOTICE OF DEED RESTRICTIONS: The undersigned understands that this permi#may be subject to"dee:d" restrictions"
wrhich may be more restrictive than County regulatlons. The undersigned assumes responsibility for com�liance with any
applicable deed restrictions.
URtI,lCENSED CONTRAGTORS AND CONTRACTOR RESPONSIBILITIES: !f the owner has hired �a contractor or
contractors to underfake work, they may be required #o be (icensed in accordance with state and local regi.tlations. #f the
cont�actor is no# licensed as required by law, both the owner and con#ractor may be cited�for a misdem�sanor violation
under state law. if the owner or intended contractor are uncertain as to what licensing requirements ma;y apply for the
intended work, they are advised ta contact the Pasco County Building Inspection Division—Licensing Secti��n at 727-847-
8009. Furthermare, if the ovuner has hired a contractor or cantractors, he Ps advised ta have the caratractot(s) sign
portions of the "contractor Biock" of this apptication for which they wiN be responsibte. If you, as the owrier sign as the
contractor, that may be an indicatian that he is not properly licensed and is not entitled ta permitting privileges in Pasco
County.
TFZANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigne.d understands I
that T�ansportatian Impact Fees and Recaurse Recovery Fees may apply to the canstruc#ion of new buildii�gs, change of �
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance num�ber 69-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifiscl at the time of �
permitting. it is further undersfood #hat Transportation Impact Fees and Resource Recavery Fees must �+e paid prior to '
receiving a "cer#ificate of occupa�cy" or final power release. If the project does nat involve a certificate oi`occupancy or
final power re{ease, the fe�s must be patd prior to perm�t issuance. Fu�fhennore, if Pasca Cotanty VllaterlSewer 4rnpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ordina�nces.
CQ�MSTRUCTIDN LiEN LAW{Chapter 713, Ftorida Statutes� as arr�ended}: lf valuatian af work is$2,5QO.QQ or more, t
certify that i, the applicant, have been provided with a copy of fhe °Florida Construction l.ien Law--Homeowner's �
Protection Guide" prepared by the Florida Depa�tment a#Agriculture and Consumer Affairs. !f the applic�int is someone
other than the"owner", t cettify that i have abtained a copy af the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
COMTRACTOR'S/0�4tNER'S A�F1DA1tIT: 1 eertify that all the �nformation fn this applicat9on is accurate ar�d that all work
will'be done in compliance with all applicable laws regulating canstruction, zoning and land development. Application is
hereby made to ob#ain a permit to da wrork and installatiore as indicated. I certify that no work or instaliatian has
commenced prior to issuance of a permit and that alt work wil) be petformed to meet standards af all iaws regulating
construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
cer#ify that 1 unders#and that the regulafians of other governmenf agencies may apply to fhe intended worl�c, and fhaf it is
� my responsibility to identify what actions I must take ko be in compliance. Such agencies include but are not timited to:
- Department of �nvironmental Protec#ion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland A,reas, Altering
Wafercourses. .
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department o# Nealth � Rehabilita#ive ServiceslEnvironmental Health Unit-Wells, Wastewater Treatmen#,
Septic Tanks.
- US Env�ronrr�ental Protection Agency-Asbestos abatement.
�' Fede�al Aviation Autharity-Runways.
� !understand that the following restrictions apply to the use of fill:
I - Use of fill is not aliowed in Fiood Zone"V"unless expressty permitted.
- If the fill material is to be used in Flood �one "A", it is understood that a drainage plan� addressing a
� "campensating volume" will 6e sub�itted at time of permitting which is prepared by a profes:�lanal engineer
licensed by the 5tate af Florida.
' - If the fill material is to be used In Flood Zone "A" in connection with a permRtted building using stem wal!
construckion, I cerfify that fill wiN be used oniy to fill the area within the stem wail.
� - If fill material is to be used in any area, I certify that use of such fill will not adversely ,�ffect adjacent
praperties. (f use of filt is faund to adversely affect ad�acent properties, the owner may be cited for vioiating
the conditions of the building permit issued under the attached permit application, for lots le��s than one (1)
acre which are elevated by fili, an englneered drainage plan is rec}uired. °
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting canditions set forth in
this a�davit prior to cammencing construc#ion. I understand that a separate permlt may be required for �electrica! work,
plumbing, signs, weHs, pools, air conditioning, gas, or other instaliafions not speciftcally inciuded in the applica#ian. A
permit issued shall be construed ta be a license to proceed with the work and not as authority to violate, c;ancel, alter, ar .
set aside any provisions of the technica! codes, nor shail issuance of a permif prevent the Bui#dirig OfficRal from thereafter
requiring a correction of errors in plans, construction ar violations of any codes. Every permit issued shall become invalid
� unless the work authorized by such permit ls cornmenced vuithin six months of permit issuance, or if wor�;authorized by
the permit is suspended or abandoned for a period af six(B) months af#er the time the wark is cammenceci. An extension
� may be requssted, in writing, from the Building Qf�cial for a Qeriod not to exceed nineky (90) days and will demonstrate
justifiable cause for the extension. If wark ceases for ninety(90)consecutive tiays,the jab is cansiclered at►andoned.
Vl/Al2NING TO t�1NNER: YOUR FAtLURE T{,� RECORD A Nt�TICE O� G MENT NiAY RESULT li� YOUR
PAYING"T'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF INTEND T OB IN FINANCIING, CCINSULT
- -l�fTN YO�lR�Ed!l�EEt-�R_AN-AITORNEY BEFORE RECQRDIN OUR Nt� OE C MENCEMEI�tT.
FLORIDA JURAT(F.S. 11�.03) o,,.. �— -� - �-- - - -�' _
� OW�IER 4R AGEtdT �G�- CQMT C ft
Subscrlbed and swo to(o� efore me this Subscrtb r at� ed)before m thi
I �L��f–((d by�a ����_ i I-1 y-�! by `����• ����
Wtro islare personalty known ta me or haslF�ave produced Wha Islare persanally known to me or hasthave produced
as entlfication. as iden�ficatian.
��� '` � �"�"� Notary Public
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_ otary Public �
Commission No. 1�� 1 Vk��„� Commiss(on Ne, �" � � b � �� �
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Na e of Motary typed,prl e Na e of IVotary iyped,ptinted or stamped
o a ublic BARB�RAA.ALLIS06'�
S#ate of Florida �lota�yr Public
My Comm. �xp. Mar.28,2018 State c�f Fforida
Comm.#F�' 106553 My Comm. Exp. Mar.28,,�p98
E Comm.##FF 1�6553
Pasco County Properiy Appraiser-Map Page 1 of 1
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Pasco County, Florida
� Section 34, Township 25, Range 21, 2.2 miles NNW of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 11/7/2016 at 11:26:00 AM.
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2016182031
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Rept:1815910 Rec: 10.00
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11/15/2016 E. 11 , Dpty Clerk
PertnilNo.� ParcellDNo �'Z-S-21-0100-OOOUO-02�0
I NOTICE OF COMMENCEMENT
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Stateof I F���DF� Counryot �P7�S�
THE UNDERSIGNED hereby gives notice that improvement will be made lo certaln real property,and in accordance with Chapler 713,Florida Statutes,
the following infortnation is provided In lhis Notice of Commencement:
1 Description of Property: Parcel Identification No. S4 7�-Z-)-o��"'���`OZ�}O
I treet Address: 3�5�1 I r.-AU RE.�- f-4AMMOG'1-�PZI VEt Z�Pf�h�l�.N 1 LLS FL 33541—4��i
2. �eneral Descriplion of Improvement C6N STRULT S�-1ED
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3. IOwner Information or Lessee information if the Lessee contracted for the improvement:
�I D EAfZL� Af2
375�-F I tAcrREL i-FArHr�toCK-"D21 VE T�PI-4YKHiuS � FL 33541-4Z54
!�,ddress Ciry State
Interest in Property: 6k11JElZS
�i ame of Fee Simple Tiqeholder
iQf different from Ovmer lisled above)
Pddress City State
�4. Contractor, Ziob �-A2k��1 CDNST�-UCIlOP�1 (6oRDot�1 2 LRRKIlJ �{ZES�DE4JT�
Name
P.O�Yyox�4-lu �ADE CiT`/� FI- 33Sz�-1474
rdress City State
Contractols Telephone No. .35��7-s�4 3
5. Surety�
Name
Address City State
Amaunt of Bond: $ Telephone No..
6. Lender:
Name
Address Clty State Q�z U �
LendeYs Telephone No. � W I.L �
� W J
7 Persons wilhin the State of Florida designated by lhe ovmer upon whom nolices or other docurnents may be served as provided by O z � � � J }
Section 713.13(1)(a)(�,Florida Statules: � — U (n J 0 f-
QO� — cV �
Name O � Wz � a p
Q = �
Address City State � w � � U U
Telephone Number of Designated Person:
's = � � u- �7/
8. In addilion to himself,the owner designates pt_ � F- } U �
O � a � O Y
to receive a copy of the LienoYs Notice as provided in Section 713.13(1)(b),Florida Statutes. () Q 0 �
Telephone Number o(Person or Enlity Designated by Owner F-=- U V z J
0 >- Uo'�D � �
9. Expiration dale of Notice of Commencement(the expiratian dale may not be before ihe completion of construction and final payment to the � V- W � z O J
centractor,but will be one year from the date af recording unless a diHerent date is specified): {J � � a Q � W
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT -� L�J �j 0 = 0 Z
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN u- Li U } -
RESULT IN YOUR PAYING iWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �
WITH YOUR LENDER OR AN ATTOR EY BEFORE�COMMENCING WORK ORI RECORDWG YOUR NOTI�CE OF CO MNENCEM NTSULT � � � O �
W � Q J
Under penalty of perjury,I deciare that I have read the foregoing notice of commencemenl and lhat the facts stated therein are true lo the besi k- � W � w J
of my knowledge and belief. � Q — � �.
�Q. cA 5���� �- _ � z
STATE UF FLORIDA � F' �' � � a m
COUNN OF PASCO
Signature of Owner or Lessee,or Owners or Lessee's Aulhor¢ed
OfficedDirectodPaAnerlManager _`` � � �
��� 'e
Signatory's TitlelOffice • b
The foregoing instrument was acknovrledged before me this I�day of 1�D�. ,20�b,by �� ����� (���
I� as D(�i`Q� (lype of authority,e.g.,oHicer,trustee,atlomey in tacl)for � � `•�� m
�� (name oj.�r�ty on�b/eJh�ai(�of whory,mstrument was executed). � �
Personlally Known�OR Produced Identifcation❑ Nolary Signature �L )C.�-ti-�G-n-� J�-- � . ° o � � O
A � �� �
Type ol Identificalion Produced Name(Print) ��.-�_ & .-1'z1,<is� � • ,� �• ��j•
� �/
IPRULR 5 0'PJE1L,Ph D PRSCO CLERK 8 G011PTRGLLEF
11/15/2016 04:22pm 1 of 1 `� a •
I OR BK 9458 P� 1479 �
BARBARAA.ALLISON �S � `�
� Notary Public
State of Florida
� My Comm.Exp.Mar.28,2018
wpdat� bcslnoticecommencement�c053048 Comm.#FF 106553
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