HomeMy WebLinkAbout18-19284� CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (si3)7so-oo20 19284
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19284 Address: 3445 BERYL LN
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0020-00000-0600
Improv. Cost: 2,999.00 OWNER INFORMATION
Date Issued: 2/08/2018 Name: CONLEY ERNESTINE & DANA
Total Fees: 127.50 Address: 3517 MALACHITE DR
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33540-7423
Date Paid: 2/08/2018 Phone: (606)232-0789
Work Desc: BEDROOM ADDITION 6 X 14 SQ FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
HOMEOWNER ELECTRICAL FEE 45.00
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Ins ctions Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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.
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
--�— /� �-�.J�o
�(..l�c�UC� C�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - � HOUFZ NOTICE REQUIRED
PROTECT CARD FROM WEATHER
__ _ __ __ ___ __ �
' � DISCLOSIIRB STATII�NT FOR OWNSR
CITX QF ZEPHYRAILLS SLTILDING DEPARTMENT
I, have read and fully uaders�.and and
agree to the provisious of this astrumeut.
The undersigned states aad affirms that he or she is desirous of canstructiag,
reaavata.ng, addiag to or reroofing his or her owis domicile, that he or she
actuall.y occupies, or will occupy by said domicile, aad same is aot for
rent, lease ar sale. ThaC he or she shaZl comply with the fal2awiag caaditiaas:
3. That the owner and he ar she aloae shall aat as the builder for all phases a£ '�
construc�ioa.
2. That the owner wil�. comply with all provisioas of the City of Zephyrhills �
ardiaaaees and codes pertiaent to the building.
3. That ia �he eveat various phases of cons�ruction are subcontracted, he will
eagage oaly pxaperZg liceased subcontraetars and ta�ill persoually supervise
such work.
4. That in the eveat the Buildiag Saspector shall require correctiaas �o be made,
the owaer wiZl asoume full responsibility to iasure they are made, aad upon
completian will ca11 for a reiaspec�ioa before proceediag w3th the buildiag.
5. Tha� the awnes shall assume full responsibility for the eanstructian aad will
aot expect supervisioa of his work from �he City af Zephyrhills Building
Departmeat.
6. That priar ta final iaspectioa auy additional fees, includiag reinspectioa
fees, must be paid in full. A writtea request from this office shall
constitute aa official uatice to pay additional fees.
7. That the owuer shall camply with all City, State aad Federal laws ia regard to
soci.al security, workman's compensation, lien Iaws, ete. , where appli.cah].e.
8. That the owaer ahall comply with all the safety cades issued by the Florida
Iadustrial Commissa.on.
9. State law requires coastructioa to be doae by liceased coatractors. You have
applied £ar a permit uader aa eatemption ta that law. The exemption allows
you, as the awner of your propezty, �o act as your ovm cantractor ro,rith certaiu
res�rictions even though you do aot have a license. You must pravide direct
onsite sugervision o€ the construatiaa yourself, You may bu31d ar imprave a
one-family or two-fami7.y residence or a farm outbuildiag. You may also build
or improve a commercial bua.lding, provided your costs do aot exceed $75,dQ0.
The building or resideace must be for youx own use or aceugaacy. It may aot
be built ar substan,tially improved fas sale or lea�e. If you sell or lease a
building gou have buil� or svbstaatialZy impraved gourself t,rithia l year after
the construct3on is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a vio].atioa of this
<aeemption. Yau may not hire aa uuliceased person �o act as your coatractor or
to supervise people workiag on your buildiag. It is yotsr respoasibility �o
make sure tha� people emplayed by you have Zicenses required by state law aad
by county or municipal liceasiag ordiariances. Xou may aot delega�e the
respaaasibility for supexvisiag work ta a Ziceased contractor who zs uot
Iiceased to perfarm the work beiztg daae. Any persan warkiag oa your building
ivho is aa� liceased must work uader your d3rec� supervisioa aad muat be
emplayed by you, whieh means tha� you mus� det3uct F.I.C.A. and wz.thhaldiag tax �
and provide woxkers' compensation for that employee, all as prescribed by 1aw.
Your coas�ruction must comply with a11 applicable laws, ordiaances, buildiag
oodes, and zoning r gulatioas.
OWR7ERr S Z/G�2dAT DATE G�j �
ADDR�SS �+-t�/,S �-
I�AQNE (p • -.C`�
WTTNESS PFsRMIT #
I �1��1111�i�4�'��1l1�11�!!Il��II�II�!lI��11��II1��1�lll�ll��l Rcp�.:1930410 Reo: 10.00
' 2�18022008 t ' DS: 0.00 IT: 0:00
. - --- 02/08/2018 B. M. , Dpty Clerk
Petmft No. Percet ID NA�`f'�-����� � �`��b'��-� +^(J�O`.-'v
_ ;
NOTIC�OF COMNlEFtCEME
state oi_��.,�.�/t���–.— camty ot_�'�P.O� � ��
Nc
� TME UtVOERSJGNED hereby gives natice tha!lmpravemenf vn7t be made ta ca:taiR reat propetty,and tn accurdance with Chapter 7i3.Roride Siatufes, p'��
6se to�wim9 infartnattcn ts provided In 8zts Natice of Commencemenl: i��cn
1. Desc�ipUon of Properry: Parcel IdeMif3ca on No. ��
N�
svee:nam�ess• i � . x�z
(�t+m
2. Generel Des `�+���
M�tfon of Improvement r
.• /�11�.�.3
��B
a,y,�W o
3. Owner Infom�alion or Lessae Intormetfon Hthe Lessee conttaded forthe 4nproviement: �W D
� ' � o
� 3�+�.5�"f��,,� �.�2_-c; �.��
aderesg �'� i s�� �
t�erest tn Property: �,,,Z� x
��
/Na�ms/o�f Fee Simple TiUeholder. �" o � � I •w� �
tiL�t!_ 7{ � �l �d'rffereM from Ownet Iist ebove) :M~3
� 'i� �
Addness City 5fete � �
4. CwAractor. r
, Name r
m
x
Addmss _ CkY Stete
Contradora Telephnne Nn,:
5. Staety:
Neme
Addross C!!Y Stete
Amaun2 of Sond:S Tetepha»e No-:
6. Lende�
Neme
Address C(h' Stete
Lender's TefepYrone No.:
7. Perspns wifhin!he State of FiO�ida des3grtated hy the a�mer upan wham notiees oi ottter dacumertts may be served es provtdad by
Sedion 713.73(1)(ax7),Florida Slatutes:
i
Netrte '
�R� City Steta
Teiephar�Numtrer af Designeled Person:
8. In eddHlan to himsell,the ovmer deslgnates �_
to recehre e capy ot the Lienots MoMce as provlded Fn Sedion T13,�3(1j{bj,Fiartda Statu[es.
Tetephone NumMzr af Person a Emliy Gesigrtated by Osmer.
9. E�(rednn dete ot Wotice oi Commer�cement(the e�ireQan dete may not be trefore the campletlon of wr�strucHon end finel payment to Ihe
. ecntractqr,but vd8 be nne yesr�mn the dafe ot recordstH nntess a diiferessf dafe(s sped6esi�:
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEM
ARE CONSIDEF2ED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC7i0N 713.13, FLORIpA STATUTES,AND CAN
RESULT!N YOUF2 PAYING T1MCE PQR tt,�ROVEMENCS TO YOUR PfLpPERTY. A NOTICE OF COMMENCEMEi�tT MUST BE
RECORDED AND POSTEII ON THE JOB SITE BEFORE'fF�PIRSt INSPECTIdN. IF Y4t1 IMTEND TO 08TNN FlkANClNG,GONSULT
WfT}i YOUR tENDER OR AIA ATTORNEY BEFORE COMMENCiNG WORK OR RECORCIING YOUR NO710E OF COMMENCEMENT.
Undet panelty o(perjury,I dedare thaLi heve read ttre foregoing notice oi oommencement and fhet the feds stated thereln ere true to the best
af my knavleCge 9tKt beDef. L�
STATE OF FLORIDA
COU '0F
5 naiure of Ovmer or Lessee,ar Ovmets or L e's Auiho
�'"�"`�e� PATRICIA L JOHI�SC}N SOlRcerJtticederJParfr�erlMana9er '
MY COMMISSION#FF185847
�a��EXPfR6S.DecembeY28,201$
Slgnatorys TtBetOfflce
The forcgotng inatrument wss adcmwledged before me Uils$day oi�� .20�Dy ��1/V 6d"�"�N E Cp/V(-6 y
�es (hrpe of aulhority�e.8..afficer.hustee,aMnmey in fed)(or
►�� ,nt PRtR R ..}.
PersoneAy Known[]Qg Produced tdentificatlon y� Nolery Signndue R� 0�_, . ;,L�R�p�
nam�a on tn ent was e�a�f ,... `✓,
Typeo!lderriifieat3onProduced D.� • {p � tG(��.�4^SQ'llttij.� � � I*
�T/�TE C�F f=LORI�A, C4UNTY OF PASCO '� m� f ,
E FOREGOlNG!S A 3' ���' �
7MIS lS TO CERTIFY TNAT TN ��,�� •
T�UE ANC� Cf.)f'�ECT CQPY dF TNE DOCUNiE#�T =� ' Sr�s;
p1V��LE Cjk�uF PUBLIC RECORD IN THIS OFFICE � � :''��'' ��
.. c,.�� ,
WITNESS i�iY HAND i7 OFFCC4A�.SEA�TNIS -, 1,- � .
wpdataro+cs/noticeaommencement_pc053oee Q�h DAY OF � 2 � y � Y b�
y,�._..__._�.
5
PAU�R S. Q NEI�,CL.ERIC&GQiV4PTROL�ER * �� � �4
--�PUTY`GL�RtC" �� -�'it'C���'�'
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�— _____
s�s-�so-oaao City af Zephyrhills Permit Application Fa�c 813-780-0024
� Building Department
,;�.
DaLe Received /�"" � r �t��-�?`�
/..e / � PhQne Contact fo'r Permttting � `J �Q -
" ' (� -� �a��7 g
Owne�'s Name � Owner Phone Number
, a
Owner's Address �i�' � Owner Phane Number �— �
` Fee Simple?Titleholder Name � ` �l V` �Q,�'t3�c>T- Tl�t Owner Phone Number �� �
i
Fee Simple�Titieholder Address �`E�"��.S � -�IV L � C�E-• � �
� �J08 ADDRESS LOT# �
S�s��V�s��� ���.��.� ������� �����1�# P � P g�-- � �C�
� (OBTAINED FRQM PROPERTY TAX NOTICE)
� WORK PROPOSED e � NEW CONSTR 8 ADDIAl..T \[� SIGN 'Q � Q DEMC1E.t8H
; WSTALL REPAIR •
` PROP.,QSED USE Q SFR COMM � OTHEft _
- . ;
TYPE"OF CQNSTRUGi'tON �J BLOCK • FRAME 0 STEEI. [�
:. DESCRIPTtON OF WORK x � `Y � 1L��} /
.
_ , :
.
BU1�[}IAt,G SIZE SQ FOOTAGE HEIGHT : -
,,. . , _
..,
s
�ts���'�t�� �� VALUATION'OF TOTAL CONSTRUCT[Otsi.� '� ���r
L_. �
�; �
,, QELECTRIGRL �—� A{t+lP 5ERVIGE � PRpGRESS ENERGY Q V1t.i2.E.C.
�'
�PLUMBiNG �, �
` QMECHANlCAL $ VALUA710N OF MECHANICAL iNSTALLR"ftON �/��'"°
�� �� _
{ /�
�� QGAS Q ROQFING Q. SPECIAl.TY C� t�THER �
� FINISFiED FLOOR ELEVATIQNS FLOOD ZONE AREA DYES NO
t
t
. -SUII.DER � — " CO�ANY
,
'SIGNATURE REGI3TEREp Y/ N FEE CURRE� Y 7 N
.. Address -Liaense# � �
� l�
, �ELEC.,3.,RICIAN � � COiU1PANY
:.-SIGNATURE REGISTERED Y/ N FEE`CURREA Y/N
;
Address - "License# � �
, p ia'bF���."� � }�}��abA�({� '
�`.� i"��ii,p��..i 1i\JIl7('Aiii'
r SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
Address License#` �T �
.. ,� r^{ .��
:'`MECMANIGAl: COMPAl�IY
�"SI.�'aNATURE' REGISTERED , Y/,N. FEE cUR►3en- , . Y/N .
Ailii�e'ss�: ` " -' " . License# � � M
,;;,9's,. ,- , ,
:-OTHER� �"-�,'_, " ' � CQNtPANY
;' SIGNA7URE::��� .� � •- - RecisrEReo Y/.N . r�e cUR�n' Y/N
`-, Address,:- . _ _ _ .- ' . , Licerise# � �
�.� , _
+�,,RESIDENTfAk{^�;. �Aftacii�:{2)�P[tit'P.laris;°{2}:s`ets<o��Builiiltig=C'lans;(1�)°set'ofEne'rgjr�,Fortiis;R=t?=W.Permit'fcjrnew.c.onstruction,
, •:���tl,;•:^,;,.��,,�;,��Minimum;;,ten,(s10);working'�days;afte�sutihiiittal�dafe.-'Requi�ed�'onsite;Can`sUuction Plans,`Stormwater Plans w/Sflt Fence installed,
" � " Sanitary Facilities�&1 dumpster•;:SifetWork Permitfor.subdivisions/large:projects�- " �
; ::GOMMERCIAL At#ach�(2)c;ompEete seets of'Build�rig Plans plus a�ife Safety Page;{1}se#af Energy Forms.R-O-W Perm�t fof new construction.
� ��,�"'� . Minimum ten(10)working days after submittal date. Required onsite,CanstrucNon Plans,Stortnwater Plans w/Silt Fence installed,
!<.,' Sanita FaciliUes&1 durn ster,_Stte Work Permit foi��al!-new
ry , p, proJects.All commerclai requirements must rrtest comptiance
�``St�N<PERMIT "Attaoti(2j"s"ets of;Engineered Flans:��: .<� � � -
,,;, .,� :.., -
i .,;: PROPERTY SURVEY required.for all NEW cpnstrvctian.-. - �
� !, _ _ . .
�Directions: .. .. .__, . � - ,
' �FIIC:out'appllcation completely.
�:`t 'Owner&Contraetor sign baek of application,notarized
�:' If over$2500,a Notice af Gommencement is required. (A!C upgrades over$7500) ,
H.:-.
"'�'"" Agent`(for th'e�contraotor)�or Power�of Attomey(for'ttie owner�would be someone with notarized letter from owner authorizing same.
.
'.,`OVER;THE COUNTER':.FERMITT:ING. .. .{copy..of•contract�required) �� ` " �' , _ -
�� ,"Re�oofs lf shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage)
. Drlveways-Not over Counter,if.on.pub(ic;roadways..n,'eeiis ROW ` � � ��� .- �T� � �
• �;,. ..�.. - , � -��� ,�
,. '! ��;.,�''c;._ .. ,, , _... ' � , ,� _ , .,.<. . ,' _ "
' ; t:'.t,i.� . ,'_.. • , , �_, '. ,._ .. . ,c', , • ,....,- �
";Cl;' 1:, `i� �'I���" . , � .1' , " ' .. ' .. , ' . , � • `
� . _ � �-,. ,�. ,yt)"i,E - :1'... . . � , r - . � .,. : -. ..�. _ _a.s. --' ' ..+ .
` ... .. �,. .-. ,. .. � .� �-
� ..__. �....�.--�,...�.yre-::��
s
NOTICE OF DEED RESTRICTIONS: The undersigned.unders,tands that this,permit may,,be.subject to"deed°_rest�icfio'ns"':�' �
which�may;be°mor.e�r.estric#ive�than:Courity.regulations:�r 1"tae•�uridersigiieci�assiimes°=F�espons�bility.fa�`�carripli�ance`v�iritli ariyt ','r
,
applicable-deed restrictions. ��A� '- •' : -���':�� '
.,.� ,...�r.: .
UNLIGENSED-CC?NTRAGTORS ANCt" CONTRACTC}R RESP.ONStBIL:ITiES:�-$�If�tfis-owrier�-has fiirec3a�a;:con#ractor or
contractors to undertake work;�'they..may be;required to be ticense.d in accordance with state and'local:regulatians:.��'if.'tlie-:-'�'�s
contractor is not.licensedN as_:requiretl'liy'tauir'; botti'-the owner':and�cantracfor�may��be�:cited��for�a�;misderri"eanor vialation �
under state laur. If the awner°or,intendeti;con#ractor are�uncertain as to what licensing requirements,;rnayxapply°:for„#he:a>�'� ;�
intended uvork,.they:are•advised to�contact;the�:Pasco County Building'Irispecfiori�D:ivision=Licensing Section af 727=847- ' :r
8009. Furtherrnore, if the otivner tias`"�I�irecl"a coritractar�or contractors, he is advised to`{have the contractoc{s.);,s�gn ,,s,,�'
portions of the "con#ractor Block" of this application,for which.they will.be�responsible.-:If you,,as-.ttie;;ovirner'sign���as'fhie. '�°�:;;;
contractor, that inay 6e an indication�that�he�is not prope�ljr licensed antl�is nof entitled�to permitting privilegesrinyPaseii?, ,.,;,'�
County. - - � .n �.� �_:=M�{;s.,���
TRANSPORTATION-IMPACT/.U71Lf1''IES�IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands `t��
that Transportation Irnpact Fees and Recourse Recovery Fees may�apply to the construction af..new:buifclings,.�cliange�of�`=;?`;;.�
use in existing�buildings, ar�-,expansian�:of;°:existing buildings, as specified in Pasco County Ordinance number 89lU7 and �;:;
90-07, as amended. The�undersigned also understands,�that such.fees,=asymay�,b.e:due, wili��e,itlentified�at.ttie�time�of��-�;� ;�
permitting. -1t}is further understaod that�Transpor#ation`impac#�Fees,and Resource`�Recovery.Fees must be paid Pcior to ;
receiving a "-certificate of occupancy" or.final;;power release. !f the_project does not inv..alve a certificate of occuparicy:o��.<<�Y= ,�
final_power release, the-fees.mus#�be.�,paid pr'ior to permit'issuance. .Furthermore,.ifPasco.County WaterlSewe�itmpact.-���= ;`
' fees are due,tfiey must be.paid prior ta permit�issuanee;in°accordance with;applicable,P�asco,Caunty ordinances.X �
CONSTRUCTION �lEN-I:A1N(Ghapter 713, F[orida Statutes,as amendeci}: tf valuation of uvork is$2,50Q:OO,.or more,rl:;,� ;
certify that I, the applicant,.have .been.�provided �with-a �copy..of-the "Flarida�'Constrwction,tien Law--:Hoi�neowner's � r
Protectian Guide" prepared by tfie Florida Qepartment of Agriculture and Gonsumer.Affairs. ff the applicant is:�omeone�, ,
other than the"owner�,:I.certify that i.have o6fained a copy of the above''desc�ibed'ydocument-and promisewin goo.d faith:to+,� �
deliver.it,to.the."owne�':p�iar�to�comrneneement:' � . ,. '
CONTRACTCIR'S/t'?WNER'S"AFFIDAVITa?;1=.certify that ail�the infarmat�on in this application'is accura#e and that all work
will be done in compliance with all applicable laws regulating canstruction, zoning�and land development. Application.is
- � ��hereby..:made to obtain�.a permit:_to;-.do;iwork"-and installatian.as indicated. 1 certi€y tha# no work or .installation�has
commenced prior to issuance qf�a;permit and��that all uvork will be performed ta.meet.standards of all laws regulating
construction, County and City codes, zoning regulations, and land develapment-regulations'�in_the juristliGtion: Y�I_�alsa r
' � certify that I understand that#he regu(ations of other government agencies may appiy ta fhe intended work, and that it is
my responsibility ta identify what actians I must.take to be in compliance. Such.ageneies include.but are not,limitedito: '�
- ;.Department cif Enviconmental:Rrotection-Cypress Bayheads, Wetland Areas and Environmentally Sehsitive
L.ands,WaterNVastewater Treatment. �
� - 5outhwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altertng i
� Watercaurses. ' �
- Army Corps af Engineers-Seawalls, Docks, Navigable VVaterways.
- Departmenf of Heal#h & Rehabllita#ive ServiceslEnvironmental Health Unit Wells, Wastewater Trea'tment,
Septic'Tanks. �
- US Environmerital Protectian Agency-Asbestos abatement. _
- Federal Aviation.Authority-Runways. �
I understand that��the follawing restrictions apply to#he use of fill:
� - Use of fifl is not allowed in Flopd Zone"V"untess expressly permitted. '
- If the fill mate�ial is to be used in Flood Zone "A", it is untlerstood that a drainage plan addressing a
°compensating valume°will be submitted at time of permitting-which is prepared by a professional engineer "
licensed by the State of Flarida. ; �
- If the fiA materia! is to be used in Ftood Zone "A" in cannec#ion with a permitted building using stem wali ,
construction, {certify that filt wi11 be used only to fill the area within the stem wall.
- If fill� material is to .be used in any area, I certify that use of such�fill will not adversely affect adjacent
properties. If use of fi11 is found ta adversely affect adjacent properfses, the owner may be cited for vioEatirig _
the conditions of the building,pecmit issued under the attached permit_application, for lots less than one (1)
acre which are elevated by fili,an engineered drainage plan is requited. ' ,
If I am the AGENT FOR THE OWNER;.l promise in good faith to infarm the owner of the permitting canditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be requireci for electriaal�work, . `
plumbing, signs, wetis, poals, air conditioning, gas, or ottier instatlations not specifically inciuded in fhe appticatian. A
permit issued shall°be construed to�be a license:•-taproceed with the.work and not as authority to violate, cancel, alter, or
set aside any provisions af tlie'technical codes, nor shail 'rssuance of a permit prevent the Bu�lding affic9al from thereafter
requiring a correction of errors in,plans;construction,or vialations of any-codes. -Every permit issued shall become ihvalid
unless the work authorized by such permii fs commenced within six months of permit issuance, or i#work authorized by ,
the permit is suspended.ar abandoned�for.a�period�of.six(6)months after the time the work is'commenced. An e�ctension '
may be requested, in writing, from the Building Official for a period not to exceed ninety(90) days and will demanstrate ' ;
justifiable cause far the e3c#ension. If,work ceases for ninety(90)consecutive days,the jab is considered abandoned�
WARNING�TC? OWNER:. YQUR FAILURE TO RECQRD.A.NOTICE O� COMMENGEMENT MAY RESULT IN Y4UR
PAYING TWICE`FtJR;(MPROVEMENTS TQ Y8'UR;PROPERTY...IF YOU-�INTEND�TO+OBTAIN,='FINANCING:, CONSULT '
-�{M17H-YOUl�L"ENQ�R_OR AN"AYTORNEY BEFORE RECORDING Y NOTlCE"OF�G MMENCEMENT. �
. _ _.__ ;
F�ORIDAJURAT{F.S 17.43j -'— � _ -_ ------_--
OWNER OR AGENT iw 'LUE ' L CONTRACTO
Su �nd sw t (or af8rmed)be te met��Is Sub crib n {or affirmed)before me this �-
�^��by �2/U cS i r�y� �d7-L�-1i1 - � . by 5?"' ,
W oy�are ers nalLy knawn to or has/have produ d ` Who is/ �ersonall ~ to me or lhave produced '"
��f�/L������L,'��?,�as idenGfica6on. ..���/,( j�,'���as identi�icat�on. �
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_ ry ublic �Notary Public
Gommission N : � ' Comm�ssion No. � t� l� t � 1 �
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ame af tVatary typed rlated Name af No#ary typed,printed ar stamped
iaYpu'�. DEBRAEL.AINERUFFELL "�"��*��
;�} ��. �,•,,��.,•.,,� DEBRAEI.AlNE RUFFELL
:�; ::Commission#GG 045343
. ;,y,�p;Expires November 7,2420 '����w���►�����an���4���`�3 •-
-, ���� , ;,,•E�cpires Novsmbar 1,20Z0
��or�v';R••' BondedTfwTroyFainlnsurance80a385�7019 =��, k�
'�'.,•�°t,iq.` 6ondedShmtroyFalnlnsurance806�385�7019
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All lot improvernent requests must be submitted no later than iNednesday by 2:00 to be
processed on the following committee meeting day. All permits must be posted visible to the
street. �
Date Recd��-�//�-1 LOT IMPROVEMENT REQUEST Permit No ' 7 / (j �d �.
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To: EPPOA Lot Improvement Committee & Board of Directors
From (please print � � ,����q
Lot#/Address:��� b� ���p�� L ����� �������S �T
Phone number where you can be reached'��,(���� .— �'� S�
We request EPPOA approval for construction, addition to our installation, on the
following:
( ) Shed ( )Lanai ( )RV, Port ( )Park Model ( ) Cottage ( )Concrete Slab ( ) Pavers
( ) Concrete Painting ( ) RV Skirting ( ) Landscaping ( )other
Al1 requests for construction/additions/remodeling are required to have a complete,
detailed/sketch, to include footprint, setbacks, front elevation, back elevation, left &
right side elevation and top elevation. All elevations must include all sizes and
locations of windows and doors, with length, width and height of the overall structure.
Park models are to include pamphlet with pictures. In addition, all requests require and
must include the full description, including color of siding, trim, shutters, doors,
pavers and concrete painting if applicable. "PRIOR TO BEGINNING CONSTRIICTION" a copy of
the Zephyrhills building permit and a copy of the completed engineering plans must be
RETURNED to the "LOT IMPROVEMENT CONIIdITTEE", these will be returned to you for
construction. Upon completion of your construction a complete copy of the engineering
drawings of the structure, (as built) permits, inspections and final permit approvals
must be returned to the Fhierald Pointa Lot Improvement Committee for Office filing.
ALL REQUESTS MUST COMPLY WITH CURRENT,REQUIRED PERMITS FROM THE CITY OF
ZEPHYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES.
Comments:
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Lot Owner's Sig ture Date �v�/ � ��
Page 2 of 4
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36'
� Permit No'? �C� 7�,
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� Sft Setback I
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TYPICAI,36'X 68'LOT
With
�AX Concrete 26'x 63' �
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Owner: t
Dat; �� �
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, 20 ft Setback from Inside of Curb to building I
15 ft Setback to coach. '
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Page 3 of 4 I I�
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� .- - � � - , ;PER.MIT # . i,,,?�' ��o ,,� � � . � �, -
EMERALD� P(3INTE B(JARD (JF DIRECTOR.S� � - - �
� APPRC?VED BY': . � � -�- DATE: . �
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. PRQPERTY� EV�LUATItJN C�1VI��IIz`TEE y� � �
. � APPF�OVED-BY: �d,�-,�� ��.�1.���-- DATE.: � �a �� /7 ,
EXPI:RA.TIQN DATE: � ,�a . , - � -
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- . INSPECTION B�Y: ( � � �� - , , . DATE: �� . i
.. . _ . . _ - - _ _ - - _ „ : _ _ � �
:� FINAL INSPECTION B'�: - - � � I3ATE: - - � � �
_ _�. . �
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FLEASE F�.ETURN TC�.Lt3T,�IMPRfJ�EI�IENT' CtJMMITTEE
� - � _ - - _ � � �
- - . _ . � ,- � = � .- _ � � _ , - - �; . - � - , _ , , - �
� • �- - , . • • � - ` �t)F�,t.ot_Improvement-i.doc_I1124l201� . �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �i�/V���r�V� �/�,/�iv��. ��/�lt�`�
� �.
DateReceived: w �� � : ��
Site: � � L�� � �
Petmit Type: � � - �
Approved w/no comments:❑ Approved w/the below comments: �� Denied w/the below comments: ❑
C —f" �l-�G�✓�L l� sP�t r �
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G`"/ �/7 r U l�v,,G/ �:
� ��.
This comment sheet shall be kept with the permit and/or plans.
/ 2�� -�,
Kalvin wi Plans Examiner Date Contractor an or Homeowner
(Required when comments are present
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