HomeMy WebLinkAbout17-18182 ,, CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis��so-oozo 18182
RESIDENTIAL SWIMMING POOL
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18182 Address: 39045 3RD AVE
Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL.
Class of Work: POOUNEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-03700-0000
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 2/27/2017 Name: MARTIN SHIRLEY
Total Fees: 60.00 Address: 39045 3RD AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2017 Phone: (813)294-1736
Work Desc: INSTALL ABOVE GROUND POOL
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00
.
Ins ections Re u ed
POOL STEEL
POOL DECK & FOOTER
POOL ELECTRIC BOND
POOL PLUMBING/P�SSUR
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 may be 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 fnancing, consult with your lender or an attorney
before recording your notice of commencement."
1-�' � ° G�'� -�,
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED IPISPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER '
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
�- Building Department
Date Received Phone Contact for Permittin �/�J - �
9 -:
Owner's Name �S� ^v � Owrner Phone Number U�c,J�' �'
Owner's Address V � � � Owner Phone Number
Fee Simple Titleholder Name - Ov�Iner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� � ��� ~ `7 LOT# �
SUBDIVISION PARCEL ID# '- �D�- °-�O�O
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B ,. NEW CONSTR� ADD7ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROP..OSED:USE Q SFR Q COMM � OTHER , ' �
TYPE':OF CONSTFtUCTIOM Q BLOCK •• Q FRAME �] STEEL ��
.. �, �! �
DESCRIPTION OF WORK / /X� �`J(, / � �t�
I BUILDING SIZE SQ FOOTAGE� HEIGHT •
OBUILDING $ , Q VALUATION'OF TOTAL CONSTRUCTION
.c,
QEL:ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
_, .
QPLUMBING $ �j ����
G
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q,GQS Q ROOFING Q SPECIALTY 0 OTHER
, FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
9
BUILDER �` � COMPAPIY , 1�
SIGNATURE /� -. REGISTERED Y/ N FEE CURRE� Y%N
Address License#
, _ ,
ELECTRI,GIAN COM PANY
SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
Address . . License#' ' - 'u
PLUMBER:;.:,, _ COMPANY- ,: - •
•SIGNA7'URE :Re��sTeReo �Y./-N-" ' FEECURRE� Y/N
_ Address, � •� L(cense#� �
:; ,.�:>< .:
;;";MECHANICAL � _ :.COMPANY; . ._
'' 'SIGNATURE�"`' � � ` � ' ' REGISTERED - ,' Y/ N ' FEE CURRE� Y/N - .
Aild�ess�'• ` -� � � " " L-icense.# �_� �
:.r:;se4, • • . : - _ - . � .,. �
�,OTHER'�.,.;;._� ,, . . � , � - 'C:OMPANY . , �
�`�SIGNATURE,�;� ••* � • ' '� REGISTERED Y/.N-. � FEE CURREK Y_/N _ ; ,
: ;Address�., , _ .,�,.. ' , ... ,:�; . .. : - - ', License# � , . .
�.:RESIDENTIAL� ,� .i4ttacFi:,(2)Plot�;Plans;;(2);"seCs�of�Building�Flans'(1)°•setof'�Energy;Forriis;�R=O;VUP.ermit;f,ocnew.construction,� . - --
,� _ �•r�f�;;.x.x,;,,.-;Minimum,:ten;(1Q).working�;days'aftec,sutirriittal�date.�,Required onsite;`Constru'ction Plan's;�Sformvirater Rlans,w/��Silt Fence�iristalled,-
._, � - � ' ` Sanitary.;Facihhes.8;;1��dumpster Site:Worlc.Rermit.for.subdi'vis'ions/large'.p�oject§-...� � ' ` - = •- -
:,.COMMERGfAL' Attach�(2).qorripleCe�sets:of:Builtling�Plans=plus a'Life,Safety Page;;(.1)set of Energy-Forms.R-O-W Rermit.for new construction. " ` '
� � . Minlmum ten..(10);working days afte�,submittal'date.. Required onsite,.Constniction Plans;:Stormwate�Flans w/�Silt Fence installed,._
` ' - Sanitary Facilitles 8 1`dumpster,�Site VUork;Fermit:fo�all new projects.All:commerciaLrequi�ements,must meet:compliance -
•� � SIGN;PERMIT -Attach'(2)sets of,Engineered Plans:�'t. .• 3. � ' ' - ' � �
' , ` "'"*PROPERTY SURVEY�equired for,all,.NEW.construction:.: � . • -_- � - • '
't,�^Directions: . ._ , �.--.:�ii .. .. - ' ' . � r, - _ _- . , ... .
�-� ; Fill�'out applicatlon completely. .. , :�� � - -
Owner.&�Contractor sign.back'of.app.lication,notarized _� : . . . , : .
I . If-over$2500,a,Notice;.of Commencement isrequir'ed. (AIC`upgradesover$7500),- �,_ , , ,
`-,� ,.�;; ,
, . Agent(fo��th'e�contractor)�orFower`of.'Attomey.(for;tFthe owner)would tie;someone witFi�notarized:lette�from�owner authoriiing:same
�,'�.OVER".,THE.COUNTER;PERMI,T;TING.. ._. (copyo_f-oontraatirequired)•�",`� � �:;`',� �, ' , ' - . �� �
�,Re�oofsifshingles Sewers ,Service_Upgrades..A/C= �Fences:(PIot/Survey/Footage)� � ' �
' � �Driveways-Not�ove�Counter.if on�public rdafJwa s'z:^r�e2"dsRO, ' ,:�.�.»<.._..,�.�,„�..>,,,.�..�..��y:._..,...;_,.. ,"
Y. �G^'6;
i .., � ` - ` ' , � ,. � . „ _.i..�:F:'lif:i .;i�{r��.l:�i�1lc!���.ai�� �'�C!: '� , __ , •! '::It::. .. � .:�(' , . .
- �� � , ` , . .,. �.i�.�„ilio.,.�t10� ,l�.ii ?� ; .(.'.._.,ir_.c: ,..,c., , -
I �` - ' , _ " . .�`�t�_ .� ���,'s,!?•rJi:l'-i�l{:::.<' •.;"'�::: '� i 6:�.C'`�, :'t�i11'",',':�ii,;.:�I��:" " , .
- , �:�.:::�.��` .1 d, ,, � �".,
" � . _ � :i..y_�i±`.f;l;-.n,-C:1�;: ��., ';S�'.;'A(''`;�.^.. �:;:� •f , • ,.ifti"o".l;'v' .:�L:b:��i�;G�.6tif:.�?'1M,y`::: �},r;,r.
� ' ��� -_-•.��a nr.a�c.-:�.t,ax�w.o�a,...ssa..is�-,e:}sw. -w�. ,;:e., . , . .-•-' --- - ---- -
-- � .v .y-,,,�.
...__ ����--�-�-�_��
- . , � . . . _ `.
�
. �
• • , '
NOTtCE OF DEED RESTRICTII�NS: The unders�igned understands:that this;permit may be_subject.toi"deed"trestriction's":�";zi��:
. .��- .�.,.. .:v.�. �. �.s - � �, ..
which,may,�be.mare,.cestrict'�ve:,than,County.regulations:'�:'The undersiglned'��assumes�responsititiity�for compliance:with:ariy ?
applicable deed restrictions. `� � ; :;�s;ia�., :��-_=�,� �;�;,.
UNI.ICENSED- CONTRACTORS ANC1 Ct?fdTRACTOR RESP.ONSIBlLITlES:�=1f-ttie-oviriier nhas`fiireti�:a�-con#ractor or �'
contractors�to undertake work;they mayr be r.equired to be�licensed in accordance with state=and'�loea!_r,egula#ions:.'If�tfies`;�r.._`:E
: . ._. ,.��•.�,.�:._�.,,..
contractor is not licensed-.as requi�ed by`law, botti-the awner.and'cont�acfor�map�tie�=cited�fur�;a:misd'emeanorviolation°� `;��:
under sta#e-law. If the owner or intended.contrac#ar are uncectain as ta what.licensing requirements;;rnay;sapply.for;atlae.��.��"�.'�.
..,i11:`., ..,...._z..., . _,. _ ., f-
intended work,.they:are�advised to�contact tFie'Pasco Caunty Baitding�tnspection`D�ivision�Licensing S:ecfion af 727`-84?- -w-.
8009: �Furthermore, if the owner has`Fiired`a coritractor ar contractors, he is advised to�=have fhe confractor(s,)r�sign_:,µ,,;r:��;
,.,.��.;:..:,:=�,.< . ,_, . _.
portions of the °contractor Black" of this application_fo�which they will be-responsible,:-If�you, as�`the�ovirrier s�gn as?thek y `"�,j�
contractoc, that.may-be�an indication that he�is not properly licensedV ant! is not entitled to permitting pri`vileges�,in,�Pasco:_:,.;=�
County. _ . , .. ._ : ,' :F.. . .��;,, :1�:�n
TRANSPORTATiON IMPACTIUTit-iTtES�IMPACT AND RESOURCE RECOVERY FEES:-The'undersigned under.stands k�; .<�;
f .r 6�.,.vzvns.. �.�Pa.
that Transpartafion lmpact Fees and Recourse Recovery Fees��may:apply ta:fhe construction,of,new,6uildings,�ciiange>af'µ"':F4,I:
use in existing buifdings,,,or•expansion��o€.;existing buildir�gs, as specified in Pasco County Ordinance number 89=07=and_ �"�.�
90-07, as amended. The-undersigned also understands, that.such.>fees, as'may_:�;b.e.due, wift"be;identified at=ttte}:tiine=a,f°g�'<:��`;;�
permitting. �It is further-understoad that Transpoitation Impact Fees�and Resource`FRecovery-Fees must be paid prior to
receiving.a �certificate of-occupancyn or final,power release. If the project does not involve.a certificate of occupancy=�oc��'•4-�=;�
final_.power release,:the fees.must be:paid pr�or to permit issuanc,e... Furtliermare,�if Pasco Gounty Watec/SewerF�lmpaet�-.��� #�
fees.are due,tfiey must,be paid prior to permit issuance in accordance with�applica�le Pasco County ardinances. " ..
CONSTRUCTlON LIEN�LAW(Chapter 71'3, Florida Statutes,as amended): tf valua#ion of wor'k is$2,500.00.or mar.e;,;i.���� ;
certify that 1, the appli+canf, have been provided with a copy of #he °Florida Constructian :�ien.t�a�%:Homeowner`s�
Protection Guide" prepa�ed�by the Florida Department of Agriculture and Consumer.Affairs. If the applicant�is,s.ameane;, , _
other than the°owne�', I-certify that L ha�e obtained a copy of the above described`tlocument and promise�in;go,o,d':;fa�th to i;,,. :
deiiver.it.to the',owner".:pnar;ta-cammeneement�. -" �
CONTRACTOR'S/aWNER'S AFFIDAVIT:. .I.cer#ify that ail the informa#ion in this application is accurate and`that all�inrork
will be done in corr�pliance with a11 appl'icable�laws regula#ing construction, zoning�and 1and�development. Application,is
hereby roade to obtain-.a ,permit to.do:.,work and installation as indicated. 1~certiFy that na work ar-installatian�.has �
commencei� prior to issuance cif a perinEt and=�that aEl work wi!! be per€armed to.meet standards of al! faws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in.�.the jurisdiction: �I��also
certifiy that i understand that the regulations af other gavernment agencies may apply to the in#erided wo�k, and that it is .�
my responsibility to identify what actions I must fake to be in compliance. Such,agencies include.but are not limi#ed,to:
- ,Department af Environ►inentat„Pr'6tectian-Cypress BayFieads; Wettand Areas and Environmentaily Sensitive �
Lands,V1later/Wastewat�r Treatment.
- Southwest F4or�da Water Managemen# District Wells, Cypress� Bayheads, Wstland Areas, Rlter�ng �
Watercourses, '
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departmen# of Health & .Rehabilitative Services/Environmental Health ,Uni#-Wells, Wastewater 1'reatment, ;
Septic-Tanks: 3 ' �
- US Environmental Protection�Agency-Asbestos abatement. 'c � .
- Federal Aviation-buthority-Runways. -,�,•:.. ..-..�:' + '� - � 4;..., , _. ,.-_
I understand that�.the following.restricfions apply to the use of filL• ,
- Use af fill is not allowed in.Flood Zone"V" unless expressly permitted.
- If the fi8 material:-�is to be used in Flood Zane "A", it is understaod that a drainage plan addressing a
"compensating volume" wi(( be submitted at time af permitting which is prepared by a prafessionai engirieer ��
licensed by the State af Flarida. �
- IP the fil! material is to be used in Flood Zane "A° in connection with a permitted buifding using stem wa!!
construction, !cerkify that fill will be used only to fil!the area within the.stem wall. '
- If fill material is to be used in any area, I certify that use of suoh�fill will not adversely affect adjacent i
properties. If.use of fill is found to adversely affect�adjacent properties, the owner may be cited for violating, '
the cvnditions of#he building permif issued under the attached permit.application, for Iots iess than ane (1) '
acre which are elevated by fiil,an engineered drainage plan is requi"red.
If I am the AGENT FQR THE QWNER, 1 pramise in good faith to 9nform the owner of.the permitting conditians set forth in �
this affidavit prior to commencing construation. ! understand that a separate permit may be required for eleatr'rca! work, ' I
plumbing, signs, wrells, pools, air conditioning, gas, or other installations nat specifically included in the application. A. , ,
permit issued shall'be canstrued to�be a license to proceed with the work and not as.authority ta violate, cancel, alter, or
set aside any provisions of the technicai codes, nor shall issuance of a permit prevent the Buitding tJfFicial fram #heceafter ,
requiring a carrec#ian af ecrors in plans,;constructian ar violations af any codes. �Every permit�ssued stiall becorne invat9d
unless fhe work autharized by such permit is commenced wi#hin six months of permit issuattce, or i�work aufhorized by ?
the permit is suspended or abandaned for a period..of six(6�months after the time the work isacammenced. An extension �
may be requested, in'writing, from the Building C)fFicial for a period not to exceed ninery (9q) days and will demonstrate
justifiable cavse for the extension. tf work ceases for ninety(90}consecufive days,#he job is considered abandoned.
WARNtNG TQ OYYNER: YOUR.FAILURE TQ RECORD,,A_NClTlGE QF COMMENCEMENT MAY�RESULT tN YC1UR
PAYlNG TWlCE'FOR lMPROVEMENTS�C1 YOUR:PRQPERTY.: !F Yt?U=.INTEND=TO OBTAIN'FINANClNG, GONSULT �
WITH YQUR'LENDER OR AN ATTORNEY BEFORE�RECORDING YOUR NOTICE�O��COMMENCEMENT. -
-- FLOi2tDA-JURFIT(F:S:-117:03} ' -- _--`_ :–--- -- -------- �.-_.
OWNER OR AGENT � ��i(GCz/� C.ONTRACTdR �r%�'
Subscribed and s�rer� (o�ffi ed} fare m�is �/' Subscrib d an sy o t (or a ed}before�me s � �i
.�l�s�-,�-� d'`��'I'G�) 1 b � �� /
Who s/are ersonally known me or haslhave produced o s are personally knovm to e or has have producec!
j��l� �,�`(�' „�s identifica�on. as Identification.
� �j� �}.
����.�Gl�,-,_ Notary Public +V Notary Pablic
I � .
I Cammission Na. Cornmissian No.
,CI�C�/i �s��"///1��' �l��i(.G-- ,����i�C,� C�/9��✓� /Cli��`""�"�r"
Name af Nota�ty�ed,orinted ar s#am��ed Name af Not
I�' i 11�1�1�r ,p�Y rpi� :
=?V4Mfi:.P�••.; L7EBRA�LA►NE RUFFEL�.- :�;F.w,.�,.DEBRA ELAINE RUFFELt, �.
°„Commission#GG 4453�3 � .,: ,�Cammission#G�4�a»�3 =.
_�:.�.�r'Explres November 7,2020 ?� 'a"=�xpires�avember 7,�U'LJ _
p. f•.. P,,,.
�%Foa�.o;:.'9ondedTlw7royFainln�uranceBDD-385�7059 '••`%°;�,`,a�' ����7�oyFainlnsuranar800�3c;r7�1B ':
�,����+
/
--����`�.��/i��,1�_�c�c�� �`�'�C� 1.�i��r`=�_.�'?���.�--
� .� ____.. .�.�.____--_ �-�--�" � —
- -- ' } �
� � -
; -^..
� I �� I
f � �
� i
� ' �`�,.
�,�� ---_..-._�._. �
��� �� ��:.' � / i �
� � :. ,
''� `� �' 1!.� �--� � �
c�:., ` ,' �
.�� ��,� % `� � � ' °�
i
� � � � � `'�r, ��� �
� �� �� ! �`
� � . _ � � �
�� � � � � �
v3 � � ! r
�� j :� � r
� �, S �Y � ` �
, , `�.°. `� '' �- c� � �
, � _-�' �� _�,/� ,
�� , , �,� . � � '
� ���� I
� �
l,� � , ; �1
� -----�--�. �
� ��
� �-
� , ��
c� � �
> �
__-_____- —�
_ �:,
- ----�� , _ �
� :-�---- .. . . - - -
� .��'�r�=� .� �.��.� _;���./ ���``� c��e� ��� �.
"w��'.��i�`jt��.t Q ��s��r� -r ��� `
1`� v
NGA/ P�;�
�
' � �, , : ,. .�...�°�
I ,�. ,� _
.�.�, _.Y{�.
;
�� �� ��
��- -
�.��. ����
City ofZephyrhills
BUILUIN�PL�IZE�i'IEW CO��IvIENTS
Contractar/Homeowner: ��� �/��`� �}��.7/J�/
Date IZeceived: ��c;�j��/�
' Site: � ���,�� �YC� �1�
I
Pernait Type: i✓,�1C 1/�L�J/�.� ���1^
Approved w/no comments:(� .Appxoved wfthe below comments: � i3enied wlthe bslow commezzts. ❑ ;
�
,
t' /��� �� /� �`� �Ca c�Cr
c� J ��' Gt �r pGJ.Q ' �'
�
Tfus camment sheet sha11 be kept with the permit andJor plans. �
,
� ��j' �
', � � � ��� _.�`' �1��'/ '
Ka2vin� '� — 's Examiner I�ate Contracto andiar Homeovvner
(Required when comments are present)