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Home My WebLink About19-21141 i CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21141 BUILDING PERMIT PERMIT INFORMATION LOCATION.INFORMATION Permit Number: 21141 Address: 3501 BERYL LN Permit Type: PARK MODEL SETUP ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT ' Est. Value: Parcel Number: 24-26-21-0020-00000-0640 Improv. Cost: 2,350.00 OWNER INFORMATION - Date Issued: 4/25/2019 Name: MCCLOSKEY PATRICK & KATHRYN Total Fees: 200.00 Address: 3501 BERYL LN Amount Paid: 200.00 ZEPHYRHILLS, FL. 33540-7416 Date Paid: 4/25/2019 Phone: (470)899-9241 Work Desc: PARK MODEL REPLACEMENT 13 X 37 CONTRACTORS APPLICATION FEES WINTER HAVEN RV PARK MODEL SETUP 65.00 CHARLES M WATTS AIR CONDITIONING ELECTRICAL FEE 45.00 WINTER HAVEN RV PLUMBING FEE 45.00 CHARLES M WATTS AIR CONDITIONING MECHANICAL FEE 45.00 r Ins ec ons,Re uired . PARK MODEL ET-UP PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL ELECTRIC 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 orl first reinspection,whichever is greater,for each such subsequent reinspection. j 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CON TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions_ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the'owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement Federal Aviation Authority-Runways. understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will 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 fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work 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 writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGEfk 14 CONTRACTOR S b cri d d swam or a ed Subscribed a dswom•to-(or affirmed)before me this L� ��bY by o is/ ally known to me or ave p uced Who is/are personally known4o me:aFhas//fiave pi�oor _-�7 as identification. as identification. Notary Public Notary Public Commissi Commission No. Name of Notary type melt rrtamped TERESA K.YENOR a of Notary typed,printed or stamped ��0.• ��. .; MY COMMISSION#FF 951776 P EXPIRES:_January 29,2020 '',p,' '•`-Bonded Thru Notary Public Underwriters 12/4/2018 24-26-21-0020-00000-0640 I Pasco County Property Appraiser Data Current as Of: Weekly Archive-Saturday,December 1,2018 Parcel ID 24-26-21-0020-00000-0640 (Card: 001 of 001) i Classification 00-Vacant Residential Mailing Address Property Value MCCLOSKEY PATRICK 3& Ao Land $O KATHRYN G Land $33,538 3501 BERYL LN Building $0 ZEPHYRHILLS FL 33540-7416 Extra Features $12,004 Physical Address 3501 BERYL LANE ZEPHYRHILLS,FL 33540 Just Value $45,542 Assessed(Save Our Homes) $45,542 Legal Description(First 4 Une3) Homestead 196.031 -525,000 See Plat for this Subdivision Non-School Additional Homestead Exemption -50 THE EMERALD POINTE RV RESORT PHASE ONE Taxable Value $20,542 PB 34 PGS 87-90 Warning:A significant taxable value increase may occur when sold. LOT 64 Click here for details and info.regarding the posting of exemptions. Jurisdiction City of Zephyrhills Land Detail(Card:001 of 001) Line Use Description Zoning Units Type Price Condition Value l 1 0200 MBL HM SUB OOC2 2,448.00 SF. $13.70 1.00 $33,538 Additional Land information j r Acres 0.06 Tax Area 30ZH FEMA Code X Residential Code EMPTLPI li j Building Information -Use 00-Unimproved(Card:001 of 001) I Unimproved Parcel 00-Unimproved Extra Features(Card:001 of 001) Line Description Year Units Value 1 D W C 2010 1,120 52,144 2 FCB 2016 144 $5,504 3 BRK SAN 2016 507 $1,562 4 FSA 2017 144 $2,794 I i Sales History-See All 5 sales ! Previous Owner: RUBLE JACK L&BEVERLY 3 Month/Year Book/Page Type DOR Code Condition Amount j 06/2014 9045/ 1583 Warranty Deed 01 Vacant $36,000 02/2003 52421 1144 Warranty Deed Vacant $19,400 01/2003 5227!0389 Warranty Deed vacant $19,000 i d i !tt � 1 I 1 i j� 3 I I C L i I .. i t, _ f } http_//search.pascopa.camtparcel_aspx?parcel=2126240020000000640 1,`1 --------------------------- 36" Permit No A--1 5"SA'&*()RK SHALL CompLy WITH F RVAILING %R1 COD TLORI DA BUILDING CODE TIO Z=NATIOW-4�L CTR-1%CODE, ANU THE C171�QF Z-'PHYRHILLS ORDINANCE,4 "A tic'o'L 31 i'X 68'LOT w ith MAX Q CBS ncj ete 26'x 63' V-Ev" aaxi:-: APR 2019 Y OF z LM STHYRH p ILL, R --j 5ft Setback 5ft Setback 681 Qj L L-t# Address: 5-01 0-ne,W��r. R PR—q-Y Daw. 20 ft Setback from Inside of Curb to building 25 ft Setback to coach. 5 :�\u 3OX14 3004 CLEARSTORY WINDOWS 1 54x40 HS 14x40 46x40 3Ox40 3Ox40 OBS. I EORESS Q. -r R/AII(II r1IIII GRILLE ---------- }WH A,--LOCATION OVERHEADS / 14x40 STAND _ =_ _ iIIII 24x60 0 24x 14BATW KITCHEN X 24x6D 24x1 a 30x60 BEDROOM I g PTY LIVING ROOM ccv {WITH TRAY)(OPT. I 28 I z nW it jl PTY 28" 0 ___—_ _—IJ 1 i 14x40 30„ TV CABINET 24x60 24x14 W/ OPT. FP WARDROBE CHE5T WARDROBE WAD P.B. --_---- DINING ----- 38" 32x80 _ 4" SIDE BAY 14x60 30x60 14x60 6' x 6'—V' S.G.D. (LOW E") 14�' 37'-7" 493,82 SO. FT. STD. MODEL: H813381 E 499.75 SO. FT, W/OPT BAY (108" FLAT CEILING) J.L.S. 10/14/13 08/08/18 8X11� QUALITY PARK HOMES f'4!1�® EAOI.E� MANUFACTURED HOMES �J 32"PLF ( -20 3' 6 9 -51. 13'-5" 17'-8" 21'-4" 25'-4" 29'-4" 33'-4" 36'-11" YP 31 5/IIIIIi8 II��t " S.W.. 500 PLF __ 63 14 TOTA 500 PLF S.W ---i----- ------------- —_ _ r=—___ 0 P_7FSO j 58 1500 PLF a WALL S.W. 0 O -- -- 500 P II 1 III 11 31 5/B' 63 1/4"SWOAT TIE-DOWN INSTALLED 50 �\\ LF UNDER RAY AT RIM JOIST -71 I 4' 8' 1'l' 15'-9 19'-6 23'-10 28'-4'i I 32'-B" 4 36-11" RP-10 (TYP.) MODEL � 683-37'7" HSW T�k^ row i EAGLE ` �T.fLKA PHONE(352)629-7007,FAX(352)629-6920 SCALE: 3 1 6""— 1' PACE' 1 01 1 931 N.W. 37TH AVE•OCALA,FL.74475-5683 Ylind;,one: 3 Exp.: C DYIN. BY: J.I.S. DAIC. 0WN: 10/23/13 LAY(:R: TIE—DOWN REV. BY: J.L.S. DAZE REV.: 10/30/13 - - - --- -- DVIG NAME: --- - 5861.dw i Q ter..—.r..+...w... 2014694528 Prenared by and return to: RcPt:j6@954$ Rec: 19-50 Jeanne M.Burger,For -DS- 252.00 " IT* 0-0@ Meridian Title Company,Inc. (66/12/14 0- Bonilla, OPty Clerk 37837 Meridian Avenue Suite Dade City,FL 33525 100 R 352-567-1241 PAULA S-01NElL.Ph-O-PRSCO CLERK & COMPTROLLER File Number: 14-05-IIJB @s/12/14 03 55 in I of 2 SALES PRICE:$36,000.00 OR BK PC 1583 I Space Above This Line For Recording Data/ Warranty Deed This Warranty Deed made this 12th day of June,2014 between Jack L. Ruble and Beverly J. Ruble,husband and wife whose post office address is 5188 Estella Lane,Shelby Township,MI 48316, Grantor, and Patrick J. McCloskey and Kathryn G. McCloskey,husband and wife whose post office address is 419 Ginger Cake Road,Fayetteville,GA 30214, Grantee: (Whenever used herein the terms "grantor"and "grantee" include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS (S 10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever,the following described land, situate,lying and being in Pasco County, Florida to-wit- Lot 64,THE EMERALD POINTE RV RESORT PHASE ONE,according to the map or plat thereof as recorded in Plat Book 34, Page 87 through 90, inclusive, Public RECORDS of Pasco County, Florida. Parcel Identification Number:24-26-21-0020-00000-0640 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2013,zoning and/or restrictions imposed by governmental authority, and easements, restrictions and reservations of record, if any, however this reference shall not serve to reimpose same. Double`Firnea OR 8K 9@45 PG 2 of 2 In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. Signed,sealed and delivered in our presence: WIt n A-- ,.-�adk L.Ruble ess�&k 0 11 I V jeann .1 . t d W*tn1A 11, —zt Witness.- U ofzvul ty J.MUUIUI/ Printed Witness Narnefto State of Florida County of Pasco The foregoing instrument was acknowledged before me this _e—day of June, 2014 by Jack L. Ruble and Beverly J. Ruble,husband and wife,who U are personally known or[X]have produced a driver's license as identification. [Notary Seal] No(aFrP" 0 Printed Name: Jeanne M.Burlier MY tt 111039 My Commission Expires: November 9,2015 EXPIRES:Havn 2015 bey-9 Bonded TIn NOV , ftrramy Deed-Page 2 DoubleTimev 1 h"ME POIN� TE i FF�F N6"me /(yP t 3 ijlrl!> f f rff.r✓."nwF L5Y7.iY LOT ROVET 1 4 t M '�r1 ' (� 1 RWIE D POINT . BOARD OF DIRECTORS ORS I f t'�2 1 f� ) VED APPRO Y: �.4�r} �'� ;j fi e_ D I`Eo r EEXPURAMN DATE: I :�CICIO BY.- DATE.- F \\T SPEC T ON BY: D A I l EASE RETURN TO LOT EOEM ' ' CONMMTE Or_Lot improvem nt-Ldoc I U?4!2014 r-merald Pointe lot improvement approval cover letter Project Name: Lot#: Address: 31J You have been approved for your lot improvement request by the Board of Directors. Please be sure to Teview your application copir to see if theire are any notes and changes mrith.this approval. 114 any of the boxes are checked below you need to address these issues befOre proceeding-,with your project, or when your project is completed. City building permit, aiways check-.pAth the city to see if a permit is necessary. ) Call DIG 18111 if you are doing any groundwork. rovide lot improvement committee with a copy of the city permit and drawings. ) When project is completed you must turn in the green permit for final inspection. Remnembeff.if there are any changes�n Ifoug,Mans-Rhev must, foe Sul-OMMed befoFe you cap.continue 17aur prip7oed. it you have any q�-,essidons or concerns about your project please contact the lot improvement committee or The Board of Directors. Procedure for Lot Improvement Requests (Please refer to sae "Rules and Regulations") Permit No JA 9, ,,.Ug lot improvement requests rust be submitted no later than Wednesday by 2:00 to be processed on the following commutes mea-Ung day. I-All requests are to be submitted in the Emerald Pointe office or Chairman of the Lot Improvement Committee.The Chairman or committee member will review the request,visit the site it necessary to clarify improvements and will present it to the Lot Improvement Committee for their review on e weekly basis. 1Any request which is NOT'lilled out properly,will be returned to the applicant without an action being taken. 3.After the Committee has recommended approval or denial of the request, it will be presented to the Board of Directors for their approval or denial. Board will meet once a week for the lot improvement applications. 4.'There Mill be NO one day approvals or last minute approvals.Request may take 7to 14 days for appropriate review and consideration,(if necessary)thus giving the Committee and Board members time to review and consider the request in a thorough manner. 5.The original request will be dated and signed as approved or denied,and after being copied the original\Mil go into to the members file and the copy returned to the Lot owner by the Board of Director liaison or the Chairman of the committee. 6.The committee will follow up on requests to determine that the request as presented and approved is being -adhered to- 7.Any permit will be ACCEPTED FOR APPROVAL between October 15 and March 31 of each year, however,each oumer must understand and knomr there must be enough members of the Committee to review and recommend to the Board for their approval. 13 0-Any changes made on a pyeviousiy approved project must be resubrnified before beginraing the changes.Amended pe mat it wifi be issued at the;tirade of approval{. 9.11*is mecorn meridedthare properly owners of Major irnproveawnts OF nevaf construction protects request an aPPCr1ntr11&rA with the lot improvrement corrint Mee to review,plans and answer any questions that may arise. M All arinfications submitted must have locations of their city!Weli water shutorits. As the owner of Lot I understand the Lot improvement Committee and/or the Board of Directors will enter the property to follow the external progress of the construction or improvement as submitted on the Lot Improvement Request ALL MQUESTS MUST COMP11,Y WITH CURREIW. RF;iQUIRED REJUMITS _MA0114 THE- CITY OF EMPHY-RHILLS, PASCO COUNTY, OR STATE OF FLORIDA CuRREW_ B7UT MING ODES-.ail l paz-mites must be posted visible to the stzeet. 1/b/19 Lot pate page-1 Of 4 Ail let imiarovement requests must be submitted no later than'Wednesday by 2:00 to be processed on the following committee meeting day. Ai permits must be posted visible is the street. D--ta Reed ! ! LOT UORMOWNT REQUEST perms t No r.vi, To: EPPOA Lot Improvement Committee & Board of_" Directors From (please print ' ```Q1C F A`� � f� C L�5, i Lot##/Address: Phone number cohere you can be reached: " 1 � � Fie _easiest EPPOA approval for construction, addition to our installation, on the following: { ) Shed ( )Lana. ( )Rv Port ( ,PPark Model ( } Cottage ( )Concrete Slab ( } Pa.a=s { j Concrete Painting �Q RV Skirting ( ) Landscaping ( )other All 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 i locations of windows and doors, with length, width and height of the overall structure. j 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 CONSTRUCTION" a copy of , I the Zephyraills building permit and a copy of the completed engineering plans must be MT-UP TED to the "LOT IMPROVEMENT COMMITTEE", these trill be returned to you for construction. Upon completion of your construction a complete copy of the engineering i drawings of the structure, (as built) permits, inspections and final permit approvals angst be returned to the Emerald Pointe Lot Improvement Committee for office filing. A?,L REQUESTS 14UST COMPLY WIT HCGF.E2EiV`%' LLREQU=D PERMITS FROM THE CITY OF SEPEYRHIT_LS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUIIMI3d6 CODES- Comments: .,l Av o s c e v Po p-C' i 0 PA EI i i I i A er's Si ature r DateLot Own cox± �/l ' Page 2 of 4 Bateiecd I / LtYr I£RLsRtZiTEN!C REQUEST Perm3 to J 1 ry t Lot Improvement Conanittee:.t t _ Recommends Approval Date :d ! J �l�� RepouMends Denial Date i ` Committee.Members: Ilk killYi M.� 1 Remarks:. Board of Directors Approval. Date � I l"9f 1 dt?) Date Denied 1 1 Board Memberz/i 1 b \3 k�Remarks: i I i ? REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM T-13E CSTY OF ZEPH'RRILLS, PASCO Comm, oR STATE OF FLORIDA CURRENT BUILDING CODES. i A11permi.ts must be Posted risible to the street i l } SEE ATTACHED DRMINGSISKE+TCHES FOR ALL REgUIRED DETAILS. � { , Page 4 o r I Q a„ f Plan Review Modular Home Set-ups and Aluminum Packages 1)All property markers shall be exposed and clearly marked at time of first inspection. 2) All setbacks shall be-met. 3)All garages shall comply with section 309.2 (Fire separation ): 4)Access shall be made available at time of'inspection. 5) 1Vlanu,facture specification manual, approved plans and permit shall be available at time of inspection. I 6).No electric, plumbing, mechanical or framing is to be.covered without inspection and approval first. 7) R.O.W.. Use permit required for driveways on public streets. 8) At least 10' separation between other units in unplatted locations. 9) All work shall comply with the F.B.C; 6tn edition and the 2014 N.E.C. 10) Clean.=outs shall be installed per code. R.O.W. - Right Of Way F.B.C. - Florida Building Code N.E.C. - National Electric Code i Ali City of Zephyrhills BUILDING PLAN REVIEW COMMENTS r alaContractarlBomeowner: � � � Date Received: Site: ��1 �� Permit Type: po Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ r This comment sheet sh 11 b ept with the permit and/or plans. APR 9 .9 2019 Kalvin S itzer— s Examiner Date Contra or and/or Holneowner (Required when comments are present) I I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department J frIn Date Rece,'idd Phone Contact for Permitting �� 1 — 011 JU3 -- —✓ Owner's Name a Owner Phone Number � 1`Z Owner's Address Owner Phone Number Fee Simple Titleholder Name I. Owner Phone Number Fee Simple Titleholder Address 1' l JOB ADDRESS F-35cit rRv r Lau LOT# SUBDIVISION PARCEL ID# L �D ' 2 to (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH 4T INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK f i BUILDING SIZE 1 31 SQ FOOTAGE��` HEIGHT 1-144 BUILDING $ —'/g�� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ (�� AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. i QPLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO fA BUILDER COMPANY Cl P IC loor n 6 V r W SIGNATURE &n t, REGISTERED Y/-N FEE CURREN Y/N 7 Address 1. License# ELECTRICIAN rn COMPANY 1 (P A j SIGNATURE a lX/ REGISTERED Y/ N J FEE CURREN /��Y/N �rJi��,�1'I Address 0�3 �t " License# ez v l �i• PLUMBER ��'�/�n COMPANY SIGNATURE n REGISTERED Y/ N FEE CURREN 1 Address b Q V S 1 License# `� MECHANICAL J(lt (� 9 COMPANY Cuts1 1 1 SIGNATURE �s'�'' � REGISTERED Y/ N FEE CURREN Y/N Address License# 1. OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 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/Slit Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building 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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compl!Ance,% th any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance With state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entktled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance*number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be-paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve.a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they-must be paid prior to permit issuance in accordance With applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs.- If the applicant is someone other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatioln is hereby made to obtain a permit to do work and installation as indicated. I certify that no work.or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and-land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive -Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - -US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways., I understand that the following restrictions'apply'to the use of fill: Use of fill is not allowed in Flood Zone"V' unless expressly permitted. If the.fill material is to be used in Flood Zone "K, it is understood that a drainage plan addressing a "compensating g volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used'in Flood Zone "K in connection with a permitted building using stem wall construction, I certify that fill will 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 fill is found to adversely affect adjacent properties, the owner may be cited for violating the,conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an'engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required.for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed d to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside anylprovislons' of the technical codes, nor shall issuance of a permit prevent'the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes.- Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit'issuancii, 'or If work 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 writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. 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 WITHYQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT Y CONTRA07T&7t�J a Subscribed and sworn to(or affirmed)before me this Subscribed and sworn tot(or affi rmed} me Is--j- 1174�1' f—ethl by by A) Who is/are personally known to me or hasthave produced Who is/are personally known to me or-Fa—s/ffav6-0rodud-eU-- as Identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped