HomeMy WebLinkAbout18-19327 CITY OF ZEPHYRHILLS
�'
° ' S335-8TH STREET
(8�3)780-0020 �9s�'
BUILDING PERMIT � d...•
PERMIT INFORMATION LOCATION INFORMATION
Permit Number:- 19327 Address: 3545 PYRITE DR LT 312
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0080-00000-3120
Improv. Cost: 2,900.00 OWNER INFORMATION
Date Issued: 2/21/2018 Name: INGE LAMONT M & DOLORES W
Total Fees: 82.50 Address: 2504 OLD MILBURNIE RD
Amount Paid: 82.50 RALEIGH, NC. 27604-9539
Date Paid: 2/21/2018 Phone: (919)618-6460
Work Desc: INSTALLATION SHED 10 X 14
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
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Ins ections Re uired
FRAME
SHEATHING
FINAL��,��t�
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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
.✓�/ ��� 2—
C NTRACTOR 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
� ��� Contractor/Homeowner: �
' Date Received: Z- n'/- ��j
Site: �jJ� c
Permit Type: `� x ` � ����j�
, Approved w/no comments:L�V Approved w/the below comments: ❑ Denied w/the below comments: ❑
�
. .
This comment sheet shall be kept with the permit and/or plans.
.
�' %�i ',
Kal in S er—Plans Examiner Date Contractor and/or Homeowner �i
(Required when comments are present) I
DISCLOSIIR.E STATII�NT FOR OWNER
CITY OF ZEPHYRHILLS BUxLDING DE�'ARTMENT
I, have read aad fulZy uaders�and aad
agree to the pravisioas af this instrument. ,
i The undersigned st�ates and affirms that he or she is desiraus af caastructiag,
� renovata.ag, addiag to or reroofing his ar her owa domicile, that he or she
actually occupies, or will occupy by said domicile, aad same �.s not for
rent, lease or sa2e. That 'he or she .shal�l comply with the following conditians:
1. Tha� the osvaet aad he or sh� alone shall act as the builder for a1Z phases of
construction.
2, Tha� the owner will�camgly with a].1 provisioa.s of the City af Zephyrhi].ls
ordiaaaces aaad codes p�rtineat to the building.
3. That ia the event varzous phases of cons�ruct3.on are subcontrac�ed, he wa.11
engage cnly proper2y liaensed subeontractors aud �cviZl persanally supervise
such work.
4. Tha� ia the eveut the Suildiag Iaspector shala require corrections to ba made,
the owaer will aseume full respansibility to iasure they are made, aad upon
completian wi11 ca11 far a reiaspection before proceeding with �he building.
5. That the ownex shall ass�xme full respoasibility for the construetion aad wi1Z
aot expect supervisioa of his work from �he City af Zephyrhills Building
Department.
6. Tliat priar to fiaal iaspectaon aay addita.onal fees, includiang reiaspectiaa
fee�, must be paid in full. A written request fram this of�ice shall
canatitute aa offi.cial notice to pay additioaal fees.
7. Tha� the owaex shall comply with all City, State and Federal laws in regard to ,
saeial seeurity, workman's compensati.an, 2ien Iaws, etc. , where appZa.cable.
8. That the osvaer shall camply with all the safe�y cades assued by the Florida
Tndustrial Commissioa.
9. State Iaw requires coastruction to be doae by liceased coa�ractars. You have
appl3ed for a permit wnder aa exemption t�a that law. The exemp�ion allows
yau, as �he awner of your property, to act as your owa contractor with certain
xestrictions even though you do anot have a license. You must pravide direct
oasitie supervisioa of the coastruction yourself. Yau may bv,ild or improve a
one-famiZy ar two-�amily residence ox a farm autbuildiag. You may also build
or improve a aommercial buildiag, pravided your costs da aot exceed $75,000.
The building ar reside�o.ce must be for youz awn use or oecupaacy. It may aa�at i
be built or substaa�.tially improved far sale or lease. If yau sell or lease a
building yau have built� or subs�antia2ly improved yourself tvithi.a I. year after
the construction is com,plete, the law wi11 presume tha� you built or
substaatially improved if for sale or lease, which is a viol.ation of this �
exemptian. Yau may not hire an unlicensed person ta act as your coa�ractar ar !,
to supervise people wor]ting on your buildiag. It is yautr respoasibility to
' make sure that geapZe emp2ayec3 bg yau have licenses required by state law and
by aounty or municipal licensiag ordiaances. You may aat delegate the
respansibility for superviaiag work �o a ].iceased coatractor who is aot
licesnsed to gerform the work beiag daue. Any persoa warking on your building
who is aot licensed must work uader your direc� supervi�ioa and must be
emgloyed by you, c�rhieh means that yost mus� deduct F.I.C.A. and withholding ta�c a
and provide workers' campensatian for that employee, all as preacribed by 1aw.
Xour coastructioa must aomplg wiGh all app�.icable laws, orda.naaces, buildiug
codes, aud zoning re latiat�,s.
I QWNER'S SI�NA'rURE �a,� —�...- DATE �"'�"1 0
, ADDR]'sSS �S'��' �„ ' S
�xor�
' WITNESS PFsRMIT #
� � IIl�II1441111111l1111111111111�1lllllllilllllllllllllll�l�ll
2018023065
DODp,p
Permlt No. Percd ID No /t T'' Z G " Z I '�C3alD�"���D
N0710E OF COMlYIEAICEMENT
statn a Counry a
TtiE UNDERSlGNED heisby qives notlu that lmpro4er»ent w�be made to ce�min ree�properiy,snd 1n-aamrdane vAUe Chspta Jt3,Ffartda Sta�ies,
the foUmvteg iMwmatlan fs provlded ln this Natfcs oi Camma��menL �r
1. Oescriptlon af Property: Petse!IdentlHcatlm No. �� - o�O ' a I� OQ��' O'(�G'�7�� 3/a(�
�1�'} Street Address; �3S�'S� I'V�1"�"'O � . ��f D��y,��c ��/�.
2 � Generel Desutpdon Mlmprovement ^ /���� Sh�7
3. pwnrr 1 atlon m Lessee IMortneUon if the Lessee mMracted forthe 6nprovement
f\ "'�..+
N
. �
dress Gry Stete
interest tn Prope�ty:
Neme of Fee Shnple Titlefiolder:
pf differerri frqn Owner Uated ebove)
�. �j ConVBctor: A/7 � �� � Stete
,�Addrear'3 '-~�"��t�.�--{� 1.�/i.+�^--�D�'j�� ohY S state
�
Cor�Vactors Tdepho�e No.:
5. Surery;
Nartte
Address Gry State
Rmount a!gamt: S Telephona No.:
�6. Lender,
Name
Addnass Gty . Sfate
Lender's Tekphone No.:
7. Fersans within the State of Flodda designeted by tha aus�upon xfitmn noi?ees w oU�er doatments may be served es provided by
Sedirnf T13.t3(1ila)(7j.Ftorida SteMes:
Name
Addne&s � , Ciry State
Tetephana Number ot Designated Petsan:
8. In edditlan to Mmself,lhe awnv desipnates pt_
ta roeeWe e copy Mthe Uenor's Notice as pmvlded in Sxtlon�13.l3{tj(b),Flaide Statufes.
Tekplfone Number af Person or Es�tity Oes(gnsied by Owner;
9. E�Inatlon date oi NoUce M Cemmencament(the e�irepon dete mey not ba befare the campleBon ot'wnstructlm end finel pepnent tn the
cmtrador.bui ttiiD Dc noe yesr trom the data af rtaoedEng uNess a�rRereni date ta sR�iedl:
WAAMNG TO 4WNER: ANY PAYMENTS MAOE 8Y THE OWNER AFTER THE FJWIRATtON OF THE N4TICE OF COMMENCEMEtJT
R�ESU TNNI�O RDPA'FINGPNVICE FOR IMPROVEMENTS ORYOUR RQPERTEYC.�A NO710E OF CO ME C�ENi�MU9T BE
RECORDED AND POSTED ON THE JOS SiTE BEFQRE THE FlR5T INSPEC7t4N. (F YOt!INTENO TO OSTAIN FINANCiNC,,CONSULT
WlTH YOUR LENDER OR AN ATTdRNEY BEfQRE COMMENCINCi WORK�R RECOROtNG YdUR NOTICE OF COMMENCEMENT.
Under penaUy o(perjury,l dedaro that 1 heve reed fhe foregaing notl .of com encemerrt end fhet the fads steted thenetn ate W e to Iha best
o[rtry knmtiledge artd be6d.
STATE OF FLORIDA
COUNTY OF PA5C0 � N�
SIB�edun of Owner or Lessee,ct Otmer's ar Le e's ottzed
Rcpt:18307$2 Reo: 10.00 . m � ��
DS: 0.00 IT: 0.00 �„
02/@9/2018 J. R. , DptY Clerk ,, amygnuuo�+oa ._y, �
The immpoing tnsWment was admowtedped befas me ttds�ay of��t�20�by ��`+�`�r I�" G_L/�.,YL
es (type of authodty,e.g..ofncer,wstea. ey In 1aa)rar
(n8me rty o1i txftstf atxAtorn kt!�umrnt was emtvted).
Personelty Knawn[7 Q$Produced Idend7fi�ntlon❑ Notery Stpnedue___�� �t. L}���_..,,_
Type of Idmtlflcatlon Pmduced ��" �+,�'��'���� Name(print)�1a�l,t Q �, �
, ���
Hw,,,�
,,,�= JACQUELIKE BOGES
PAUGA S fl'NEIC.�Ph.D•�3�a CiERKo f COMPTROLLER ,.''�R��.�;.,.
0,2/09/2018 1: :. .� Commission#FF 150422
�K ���� �4� �,�,:;: Expires pecember 12,2018
OR P� � ��,'�R+.�`0.��� BortdedThruTm/F�inlmurr.�800385xOf9
wpdetaibcs/noticecummenaemen�c053048
���1C�. �0
,�� • ���, �Yp,T�OF FLC�RIDA, COUNTY OF PASCO
� � ,odo TMI�a IS TO CERTIFY THAT THE FOREGOING IS A
� ' TRUE AND CORRECT COPY OF THE DOCUMENT
� 0 rn�o�,�1e�r�t •� *�ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� o * WII SS MY HAN FFICIAL SE�LTHI�`'
� DAY OF I g
� ' e �'� .� PA L S. 'NEIL,CLE�K&CO ROLLER
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�, ' ' � o ���° �Y � DEPUTY CLERK
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- � : .- , � PERMIT # ��/7—0.�6. , - .� - . � .. _ _ � �� -
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� �-EMERALD POINTE BOARD O�F D�IRECTORS � = � � �
- APPROVED BY: � DATE:. .,3- - . _ � :_-
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- PROPERTY EVALUATION�COMMITTEE - - . �
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- APPR4VED� B�Y: DATE: � _ � _ �
. EXPIRATION--DATE: - � . ..�- - �. - - - � , _ � _ � _
_ , ` . , . �
. INSPECTION..BY: - = - � - � :-:DATE: . _ - -
_ FINAL�INSPECTION BY: ` � � �� - � - �.DATE: - - �' � � . �
� - L� � , - - , . - �-, , _ , � - -, , - � _ ., .. � _
i =� =r PLEASE RE.T.URN TO LOT,IMPROVEMENT COlVIMITTEE ,� � �`
, . _ , . _ � . _ �, - _ - . - . _ - ,
; .,- - ._ _ _ -_ �. . -: _ - -.. �- - ,.' . , .. - ; ... - _ � � : ,- - - �� � � _ � , I
j . . . . _ , � � - _ + , "' ' ��� � - � ' ', QF Lot_Improvement-1.doc_11/24/201�3� �. �
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All lot impravement requests must be submitted no later than Wednesday by 2:00 to be
processed on the faHowing cammittee rt:eeting day, A11 permits metst be pasted visible to the
� street.
Date Recd j / LOT IMPRQVBMSNT RSQtT$ST Permi� No�f!���
To: EPPOA Lot Improvement Committee & Board o£ Directors
Fram ( lease rin� �/7' ma � _--t^�''���%-
Lot#/Addrese: c3 � '�'� I
Phone number where you can be reached: � � �`�''i"Q
We request EPPOA approval for Conatructioz�, additiox� to our ir�stallation, on the
followiag:
�Q Shed t }Lanai { }RV Pqrt ( )Pazk Madel { ) Cottaga ( )Canareta Slab ( } Pavers
( ) Concrete Paintit�g ( ) RV Skirtix�g ( ) LanBscaping ( )other
All requests for construationJadditionaJremodeling are required to have a-complete,
deCailed/aketch, to include footprint, setbacka, front elevation, back elevatian, left &
right side elevation and tag elevation. All a2evationa must inelude a21 sizes �and
locatione of w3ndows and doors, with Iength, w3dth and height of the overall structure. ,
Park models are to include pamphlet with pictuxes. In ad8ition, all requests require and
musti inc2ude the full description, including color of si83ng, trim, shutters, doors, .
� pavers and conorete painting if applicable. "PRIOR T4 BEGINNING CONSTRIICTTON" a copy of
the Zephyrhilla building permit and a copy of the caaatpleted eng.ineering plans must be
RSTURNSD Ca the "LOT IMFROV�MENT CBMMITTFE", these aii.2l be returxied to you foz
construction. Upon compleCion of your construction a complete aopy af the engineering
draw3ngs of the atructure, (as built) permits, inspections and #inal permit approvals
must be returned to the Smerald Pointe Lat Improvement Cammittee for OffS.ce filiag.
AI,L REQUESTS MUST COMPLY WZTEt CURI2ENT RPsQt7ZRED PERMSfiS FROM TIiE CITY dF
ZEPBYRHILLS, PASCQ COUN"TY, 012 STATE OF' FLf?RIDA CURRENT BUILDING CQDES.
Comment8: ,
4 �� µ
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~��. _ .rz// �. .�•.�.�.�,c� G�.�/� .^v'ro C'
�
Lot Owner's Szgaatu e �w��'�`- Date / 2 / ��
� �
Page 2 of 4
(
36' . Permit I�10�i Q 5�6
� .
! Sft Setback
� ,sh��d
i,
�—.-, �(�.',.r.
� YPICAL 36' X 68' LOT
With
_ � I MAX Concrete 26' x 63'
r` -� -
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�Ol,t���'i �IID 2-�
, Sft Se�� � ' " !�� Sft� Setback
68'
�N ✓�a/y L.�i�r wS c+�r X- l,�l�;�v'I�2,r►,. ,
w����� ;Z�� �
. w���.d �N c�y �'1��,��., c,��
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Lot#d� � Address: -���5� ���)7�i ' � � "
Owner:/�,�7y�/ON� .�{-i✓f� Date:��/� f I !� 1/�I"
� � ���Z�
20 ft Setback from Inside of Curb to building
15 ft Setback to coach. �����
I
" Page 3 of 4 1L LotLayout 2015-01-12
��� Inforfnatior�
/�''� aTo Build C�n
Enginecring•Corrsuffin9•��9
June 23, 2015
Mr. Jim Richmond .
Florida Department of Business and Professional Regulation
Manufactured Building Program
1940 North Monroe Street
Suite 90A
Tallahassee, Florida 32399-0772
RE: Plan Approval: Residential Lawn Storage Shed
Manufacturer: Robin Builders, Inc. GA
Plan Number: 2010MM-14
Dear Mr. Richmond,
Pursuant to the requirements of the Florida Department of Business and Professional
Regulations, the above referenced documents have been reviewed for compliance with:
2014 Florida Building Code, 5th Edition
2011 National Electrical Code (NFPA-70)
2014 Florida Fire Prevention Code
These plans comply with Florida Product Approval Rule 61 G20-3.006 {FAC)
A signed and sealed set of plans are maintained on file in the Third Party Agency office
of PSI,
All mandatory comments have been satisfied and plans are approved for construction by a
modular building manufacturer that is currently approved by the Department of Business
and Professional Regulations.
If you have any questions or require my assistance in any way, please do not hesitate to
, contact me.
Respectfully s_ mitted,
�� � . . .
William E. Neary, I �
' Department Manager
Modular Facilities Division �
�
Professional Service Industries,Inc.•1748 33'°Street•Orlando,FL 32839•Phone 407/304-5560•Fax 407/304-5561
FL Engineering Business 3684
I
!"'�.. , � • /'
C�avid �[�rris �n�ir�eering �: :�
�_ ��.
� Engine�ring a�ad Draft�r�g �erv�c�s f
Commercia! Plans• lnspections • Permming • Specializing in Church Design
112 Goler�an Raad,W1nta Havei,FL 338�
Emait d.norrls@earthlin�net P.E#32186 G,4.#8283 Phone:(863)294-1098
Fax:(86� 'Z91�r305
May 1 S,2015
��ve�w��-�� —f�—r
Ct��������1Ld� ._
William E. Neary, III
,: �
PSI(Professional Service Industries) ������"�����
i748 33`�Street ���`
Orlando, FL 32839 ,��� �� I
RK�}�
� . . . � ��TI��qL�R!q gV�����W�T�g����I
ce �4ND Y(1 E�'rRl� �0��, �d�G
Sub�ect: 2014 FBC, 5 Edrtion ���������������6��
i Dear Mr.Neary:
The following plans meet the 5`�Edit�on of the 2014 FBC:
Plan tracking# I�Tame
277.1 S 201.0 lyiM. Ftobin/Ga.
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27714 20101VIlYf Robii�Fl ���.�` �� ''�,�
27713 1RZOlOSW RabinfFl ti�'q�� ��`�����'� �� ��.
27633 20105W RobinlFl � ��>��'��� �
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Tltank You;f,qr-�ot�r�t . �.to this matt$r. �"�,�;,� :�.�'A`��� •,�,�,�
'��~ ��i�,t��••..,,�G1;�tS4�•°'�.��:
Sinc ,ely, . s � ii���*,��"'..-���t��a�ds
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David Norris,P.E: 32I86
� � ��.
i -
Buildin Code 2014 FBC, 5th Edition, 2011 NEC,
20"14 Florida Fire Prever�tion Code
Build"en T e Residentiai Lawn Stora e Shed
�tlanufacturer Robin Builders, tnc. �L
A enc Professional Senrice Industries
A �nc Plan Number �g�����p_��
Construction T e V_g
Fire Protectican g =
Fire Su ression S stem No
Occu anc ����� �
Allou�abl�#af Staries �
Wind Velacit 160 m h Ex osure C
Fire Ratin of Exterior Walls p
Floor l.ive Load 125 Psf
Floor Dead Lmad S Psf
Roof�.�ve Load �p p�f
Roof Dead Load �, ps�
"R" Ratin of F1aor, WaI�, �nd Roof p,�,p
Modules er Buildin �
S uare Foata e 675 Ft2
A roved for Hurricane Protection Usa e No
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a13-7$a-aoao City of Zephyrhilis Permit Application Fax-813-780-0021
. �
- Building Department
r��
Date Recelrred z-��"j � ; .phone Contaat for Perm�tting – ��
4wner's tV�me ��/n 6�T �!U G�� Owner Phone Number f '" / ��P Y rG' �
Owner's�lddress �� � i -G `L .�, .S Owner Phone Number �— �
Fee Simple Tittehotder Name � 4wner"Phone ldnmber �! �
Fee Simpl�Tttleholder Address
JOB ADDRESS � S� ' 'C�� ��- � � LOT# �
SUSD1VlSlON PARCEL.ID# 2��''�'G"d�J'"����'` 3��
� (OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED . NEW CONSTR 8 ADD/ALT Q SIGN Q � Q DEMOLISH
� INSTAL� REPAIR
PROROSED USE SFR Q Ct3MM � OTHE12 ,
TYPE'OF CONSTRUCTION BLOCK - Q FRAME � STEE� Q '
i • �,; __
. ��sc��Q�a�oF woR�c b /' �
BUlLCIlNG SIZE ��� r� SQ FOOTAGE� FlEIGHT ����
i
QBUILDING $ '�Da� .� VALUATlON'QF TOTAL CONSTRUCTlON I
i
QELECTRICAL �i � AMP SERVIGE Q PROGRESS ENERGY [� W.R.E.C.
_ �7/�
QFLUMBING $ �f� I ` ��1/////�/��
5 \� !
QMECHANtCAL ��� VALUATtt)N dF MECHA{V}CA�INSTALLATION � ,. )���
, /f� y�
��GAS Q ROOFWG Q SPECIALTY [�, OTHER ���,,����. „ �'4
FINISHEa FLOOR ELEVATIQNS FLOOD ZONE AREA QYES N4 ���� _����
�
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,� . __
�BUILDER ? � �c� COMPANY
SIGIdATURE p�"��<�'/IC REGISTBREp Y�I N �e euRREn Y I N
i
Addre'ss ticense# � �
't
,
�"'ELEC;TRl,ClAN $ ., COMPr4NY �
SIGNATURE REGtSTERED Y I N FEE CURRE� Y/N.
i
� `Ficldress l.icQnse# r—�!�
�,i '_{ _ ` �� -
RLUNlBER.�. COMPANY '
-SIGIVATURE, REGISTEREQ Y/`N� FEE CURRE� Y'/N
�ddress � ' Licerise# �!� �
J -
''.MECHAIdIGAl: ' � COiNP.ANY
"` SIGNATURE"" REGISTEREp , Y/ N FEE GURRE� ,.. . Y/N, '
, -_�; ,
Aiidress=�=' � ' Licens.e.# � �
r�x�w;.� , —.
` �
.e_.07HER::_ _':.- � ' COt�fi,P,�ANY -
,,"SIGNATWRE��:.._- .� � Re�isr�Rep � Y 1 N �e cuR�n� Y!N
� .Aiidre'ss�., _, .tr;. _ � . , � Licerise# � I
u;_` . .. � �g;;;�= , . .
,:REStDENT1A4.ys,.: ';Attach.:(2);:PI�ti;Plans;`'(2):"sets�of�Building�Plans•,'`(1�)`set'ofEnergy`Forms;R=O�W.Pe�ilt�or neW.constiuction,
�-u>4,-�=��, �Minirnum:ten�(,1Q)eworkingtdays:afte�submittal�date.�Requi'red"onsite;'Constniction`Plans Stdr�t�water;Ptans rrvl Si1t Fence instslled,
; ti.w�t.'�•�.,a. .. ,�: � � . . _ ,.
8anit�.ry�Facilitie,s;&c:1�;dumpster;�S��#e.,,.W,or,k.Permitfoc:subdivislonsilarge`.p'roj�cts:� � � ' �. �
��COMMERCIi4L Ak#acti`{�)�aoriip�ete"sets'of 8u�lding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
• - Minimum ten(10)working days after submittal date. Required qnslte,Construction.Ptans,Startnwater Plans w/Silt Fence installed,.
=a - Sani#ary Facilities&1 dumpster,Site Work Permit for�aii new-projects.Ail cammerciat requirements must meet compiiance
:�����.' . • m . , .
°.�.ASIGN.PERMIT 'Attaati��(2}`sets::of,Engineeretl F'lans:,r .: - . .
'Y,-":�F ***"PROPER71!SURVEY requlred for aII.NEW construction.
�� �
'�'�Glicections: , ,_ . , - . . , , {
� '� Fill:nut appl3cat3on completely.
Owner`&Contra�tor sign back of applicatian,nota�ized
, If over�$2500;a Notice.af Commencement is required. (AfC upgrades over$750Q)
. '*" .Ageht�(for°t}ie=conti�actor)=or°Pawer o#Attomey{for the owner}wouid be sameone with natarized letter from owner authorizing,same„__,
��;t'?VER`:THE COUNTER:�PERMtTI'lNG. .. (coPY.;of cantractcequtreiij : �` ' , ; , . �
`"'F2eroofs.if stiingles Sewers Seroice,Upgrades;A/C Fences(PIoUSurvey/Footage� . � �
Driveways-No#over Counter if.on public_roai3ways..ne,eds ROW ., ; ry ' ' , r
m...�-..�.:�'ti?`�"�'`...�.c..:"'�"�`�:.'.9
I � - „ ' .._ , .. .. . r '}�
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u � , r, .,,�'�•`n i;;i's, ;
NOTICE UF DEED RESTRICTIONS: The undersigned.understands that this;:pe�mit may be.subject.;to deed;,_r.estrictions,,T ;
�..... . ,, 3:..,.: � .
which,may.;be:�more r.estrictiye�than�County.regulatians: 1'herundersignedi�assumesr�r�spon"sibiiitjr`�for�cqmpliance:uvith��any""�`,�
�� �,... , s�P",r�ssc:.�d�;`i�c`���t W'-'�
appiicable deed restrictions. . .,_. s }
UNLlCENSED:=CONTRACTC?RS AND CC?N7RACTQR RESPQNSIBIL-1'TlES: If•the�-awr�`er��has��liiretl�r-a�-cantractor or �^,
contractors'to undertake work;�they,may�;,be reguired to be ticense,d_�n,accor,dance uvith.statet and-local,regulations:r��lf.�the:�',��=;
contractor.is not licensed�as required'by."law, both"the owner:and'contfacto� m'ay��be-�cited>�for�a:'misdemeanor violation� ,. .;
under state�law. If the owner or;intended,;contrac#or are uncectain as to what (icensing requir.ements,rnay,^apPly�f.or:=th;e�:�`��;;
F..e '
intended work,they:are advised td con�act'�ttie Pasco Courity Building Inspection`Divisian=L'icensing Secfian at 727�847=� ;�
8009. Furtherrnore, if the owner tias hireii`Ya'contractor br cont'ractors, he is advised to�;have the con#ra�or(s.};.sign,:;.:;`>,
,, :,. :• . .,.� .�
portions of the "contrac#or Block° of this application.far which they will be-respansible. =�If:you, as;_ttie�oiivri�er��sign as�ttie: "'"°,�
contractor., that may be an indication�that he is not properly licensed and.is not entitled�to permit#ing privileges..inr.Pasco;�;��,,'
Ci0UC1�/. ' :w � �.,r..�.,..:;�
TRANSPORTATtON IMPACTIUTtLiTtES-IMPACT AMD RESOURGE RECOVERY FEES:�The undersigned understands. � ,;
that 7ransportation Impacf Fees.and Recourse Reaovery Fees.may.appiy to 2he construction of new;buil.dings,.cFiange�of'�'`r;:;
use in existing buildings,�or:expansion of.existing buiidings, as speci�ed in Fasca Coun#y t�rdinance nurnber 89-07.anti ',;; ,
9Q-O7, as amended. The�undersigned also understands, that such:fees, as"may,be.due, wilf'l�e�identified�at�tti'e���tirne�'of'��=�`�
permitting. =1t is further understoad that Transportation Impact Fees�and Resource�Recovery.Fees must be paidrtprior tb =`: '
' receiving a °certificate.af occupancy° or final.power release. if the project does not invQive,a certificate of occupancy�.or+�:�°_ ��
finai pawer release, the-f.ees.must be_paid prior to permit issuance. _Furtfiermare, if Pasco Gaunty WaterlSewer.,lmpact:,;--r�,;> I
, fees are due,they_must_�e paid prior to permit issuanee in accortlance with�applica�le.Pasco.:Coun#y ordinances. ; � v
, CQNSTRUCTION�LlEN�l:AlAt{Chapter 7'!3;Flar�da Statates,as amended): If va#uation of work is$2,500AO.or:`rnore;,,l�,-i,= ,; �
ce�tify that 1, the applicant, have besn provided with a copy.,of the "Flaeida Constnaetion. Lien .l�aw Homeowne�'s �
Protection Guide" prepa"red by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is.som�one-s
� * �
other than the"owne�',-1 certiiy that I..have obtained a copy of the ab.ove descri6ed'dooument�and promise�in goo�d�ffaith°to�., „
deliver.i#.to the°owner":pnar-ta-commen'cement. � i
Gt3NTRACTC>R'S/OWNER'S AFFiDAVIT: :,I,certify that ail the information in this application is accurate and that ail"work
wiEl be done in compliance with all applicabie laws regufating constructian, zon�ng and land-development. App(icatian.is �
' hereby made to obtain,;a ,permi#.,to�do;_work and insta8ation.as�indicated. E certify thaf na work or�installation�-has ;
cammenced prior to issuance of a permit and�that all work will be performed to.meet standards of all laws regulating
construction, County and City cades, zoning regulatians, and land developme�t`regulations"in�the jurisdiction.}I°also
I certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is :
�, my responsibility#o identify what actions i must take to be in compfiance. Such agencies.inc(ude.but are not:limitedz,to: `
- �Department of Environmental.Protectian-Cypress Bayheads, Wetland Areas and Environmentatty Sensitive `
Lands,WaterMfastewater Treatment. °
- Southwest Flor4da Water Managerrient District Wells, Cypress Bayheads, Wetland Areas, Altering %
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks;Navigable VVaterways. ��; :
- Departmen# af Heaith & Rehabi(itative ServiceslEnvironmental Heaith Unit Wells, Wastewafec�Treatmen#,
Septic:�i'anks. , . ,
'� - US Environmerital Protection Agency-Asbestasr.abaterr�ent. „ _ °
- Federa!Aviation AuthorEty-Runways. � ?
I understand that=the following restrictions apply ta the use of fill: '
- Use af fill is not aliowed in Flopd Zone"V"unless expressly permitted. `
- tf fhe fill material is ta be used in�F1aod Zone "A", it is understood that a drainage plan addressing a
"compensating volumeR wifl be submitted at time af permitting which is prepared 6y a prafessionai engineer "
licensed by the State�of Florida. '
- If the fil! materia! is,to be used in Fload Zone "A° in connection with a permitted building using stem wa8
construction, I cerkify that fill�will be used only to fill.the area within the stem wall. ;
- If �ii material is #o .be used in any area, 1 cerkify that use of such��fill wi11 not adversely affect adjacent
properties. If use of fili is found ta adverse(y affect adjacent properties, the owner may be cited for vioiating
the cond9tiorts of the building permft �ssued under#he attached-permit applica#ion, for ia#s tess than ane (1} `
acre which are elevated by fill,an engineered drainage plan is requ�red. �
If I am the/�►GENT FaR THE OWNER;.! promise in good faith to inform the awner of-the permitting conditions set forth in
this affidavi# pcior Co comm�ncing construction. I understand that a separate permit may be required for eleatrical�work,
- plumbing, signs, wells, poals, air canditioning, gas, or othe�installatians not specifically included .in the application. A �_ �
permit issued shall�be consfrued ta�be a ticense#o proceed with fhe wark and not-as authority-to violate, cancel, aiter, or
set aside any provisions of ifie technical codes, nor shall issuance af a permik prevent the Building Offrcial fram theceafter
requir[ng a correctlon of errors in plans, constructEon or violatians of any codes. Every permft�ssued sha11 became invalit!
unless the work authorized by su�h permit is commenced within six months of permit issuance, or if wark authorized by
the permit is suspended.or abandoned for a period-.of six(6) months after the time the work is�commenced. An extension ,
may be requested, in.�wrifing,from the Bui(ding tJfficial for a period not to exceed ninety(90) days and�will demonstrate
justifiable cause for the extension. if work ceases for ninety t90}consecutive days,#he jab is considered abandoned.
... y
WARNING TO OWNER: YOUR.�AlLURE TO RECORD A N4TlCE.OE CQMMENCEMENT MAY RESUGT IN YOUR
PAYING TWICE'FOR IMPROVEMENTS,TO YOUR.PROPERTY:.iF YQU=INTEND-TO�OBTAIN�!FINANCING,CONSULT `
�° --
WiTH YOURtENDER fJR AN ATTC1RidEY BEFORE RECORDING YCIUR=Nd?��'IEE'O�COMMENCEMENT. ,
F!t?RiDA_JUt3AT_{F.S,-11'-03} -
OWNER OR AGENT `� d�``,�'�,,.�"t-� CONTRACTOFtJ' 0���„��"'� „ !
�bscrib and swam t ( r affirtned)b me this Subscribed and sw m t (or affirmed}be�t eme his � '
'1-L by ^��,�-mo.������G z-g-�� ay���t-irlv�l- r�v�� '
Who is/are personally knouvn ta me or has/have produced Who is/are personally,�Cnown#a me or hasJhave produced ?
}t}(! �j L. C��t.�s.e as 3denUflcatlbn. � �C � L l C�n,�.e-- as identiflcatlon. '�
,
l� * _� Notacy Publia , � Notary Public
� .
Commissi Commissi n`�'�
.'L'i:::"A`,, *. �'i�= CommEssaon#FF 150422
_:' ��'__ Cammission#F�150422
Name of N • ' ,P ' R3ame of , ..`��� Q,� �$ eao•3s�aoie
,�p,���„�` ondad hru Troy Fein Insurence 800.395-)019 "''�
4l �
�, .. � �70T� �I..r'►�
(RESIDENTIAL USE ONLY)
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SEC 7Vl/P RNG SU�D BLOC4� LQT '
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ALL DRAV�/iNGS SHALL �� DRAW�V�TO SCALL OR FIJLLY DINIEPVSEf3�E�E�3 FOR ALL P��CELS.
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SHQW ALL �XiSTIPVG AtJQ PROPOSED STRUCTURES GIVING DENlIf�1SlQAlS�PrlD S�T�ALKS. ALSO, tNUIGA7E Af�lY
BOp9ES C7F WA7ER,�F�EES {iNCLUDING SIZE, DI�1I�RETER,TY!'Ej AND F20ADV1�AYS (INCLUDING f��N9�S)A�JACENT TO
7F4E PROPERTY. ItVDICATE TF�E SlZE, YEi�R AND NAME OF hROBILE; �XANEPLE: �{2'X SO', 198i FL��7W(aOD.
AL.L EASEMENTS, PR04'��TY L9NES, RIGHT-UF-WAY AND JURISDICTIC3N.AL LINE� N�'J�T E3�SHOW�V ON RL�SIT�
PLANS.
DO f�0 ENCROACH INTO ANY EA5Ei1�ENY WlTH A STRl1GTU4�E.
HOUSE CONSTRUCTION PROPOSED ADDITION MOr�PL�HQME SET�,'� � I
Rear SO' Rear 60' Rear(60') T _ �
�� 15' 15' I � �----�50— ao ,
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W' 32.5' aoana+ 7.5' ,,.,, �—2s--- �.i
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—��. � � r � — �5' -- •�• m EY.I'`T�NCiSNECi I M
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i J� ROAD NAME ROAb tVA�/IE �__ ROAt?NAME _ � i
PL=PROPERTY UNE R1N=(�IGNT-OF-WAY 0=T'REES
APPROVED S1TE RLAN MUST BE POSTEQ AT JOB LOCATION
f�00TICE OF DEED R�STRICTlC)tV
T��lS ��.RNi17 may 6e subject t� "D�ed Restrictions" wH6ch are rreore restrictive than Ca�nty Reguiations. The perrni�t
hmlder assu�r►�s r�sg��nsibiBi�y for com�liance with any app8icable de�d restrictions.