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PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-000725-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/08/2020
Permit Type_ : Add/Alter (Residential)
Property Number Street Address:
24 26 21 0020 00000 0240 39620 Amethyst Way
``Owner"Information Permit Information Contractorinfortnation.`:"
Name: RICHARD&PAULINE PATENAUDE Permit Type:Add/Alter(Residential) Contractor: HOMEOWNER
Class of Work:Add/Alter Residential
Address: 39620 Amethyst Way Building Valuation:$1,400.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (616)366-3910 Mechanical Valuation:$0.00
Plumbing Valuation: 0.00 �
Total Valuation:$1,400.00
Total Fees:$70.50 i
Amount Paid:$70.50
Date Paid:10/8/2020 11:33:31AM
Pioject.Description Y .. W... ,.
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ENCLOSE CARPORT 14 X20
Application Fees
Building Permit Fee $47.00 Building Plan Review Fee $23.50
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
ON I KAU I UK SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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SPECMC POWEROF ATTORNEY
L Richard W.Patenaude and Pauline M.Patenaude,husband and wife,whose address is
39620 Amethyst Way,Zephyrhilis,Florida 33540,hereby appoint,Ronnie Rogers,whose
address is 39628 Amethyst Way,Zephyrhills,Florida 33540,as my attorney in fact to act in my
capacity to do any and all of the following
1. To do all things necessary to obtain.,the necessary permits for the closing of
the carport with windows and overhead doors on real property commonly known.
as 39620 Amethyst.Way,Zephyrhills,Florida 33540 and speei cally described
as:
as:
Lots 23 and 24 of THE EMERALD POINTS RV RESORT PHASE ONE,a subdivision
according to the plat thereof recorded`in Plat Book 34,PagesW-90,inclusive,in the Public
Records of Pasco County,Florida. .
Together with 1"S MEttl single wide mobHe home Title#75037503,
V1N#FLHMBPM62842524
Parcel I.D.No.:2426-21-00204)0000-0240
With full power and authority for me and in my name to sign, seal, execute, acknowledge, and
deliver and.accept any and all documents necessary to obtain such necessary permits to construct a
garage on said property.
2. With full power and authority for me and in my name to sign,scat,execute,
acknowledge,and deliver and'accept any and all documents necessary to affect
the sale and settlement of all loans necessary to effectuate such settlement and
purchase.
3. .This Power of Attorney, is not terminated by subsequent mental or
physical incapacity, of the principals except as provided in chapter 709,
Florida Statutes.This Power of Attorney shall terminate by one or more of the
following circumstances: (1)Our deaths;(2)The death or deaths of all agents
named in the fast paragraph of this Power of Attorney;or(3)The occurrence
of an event descn`bed in Section 709.2109,Florida Statutes.
The rights,powers and authority of my attorney in fact to exercise any and all of the rights,
and powers herein granted shall commence and be in full force and elect on the date of execution of.
this Specific Power of Attorney and continue irrevocably for nine(9)months.
Sworn to and subscribed before me ibis-Y Of ,2020.
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Witness kichard.W.Patenaude
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Witness goinve) [flA
Pauline M.Patenaude
print name: n
STATE OF FLORIDA
COUNTY OF PASCO
I HEREBY CERTIFY that on this day before me, an officer duly qualified to take
acknowledgments, appeared Richard W. Patmaude and Pauline M. Patemude known to be the
personts desm bed herein and who executed the foregoing mshvment and aclmowledged before me
(and who did not take an oath)that he/she executed the same.
WHVESS MY hand and-official-seal m the County apd State last aforesaid this of
A nut 2o2o. Jay
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OTARY
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EM'ERALD
POINTE '
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Name . � �;YJt . .�.u.. ` Lot# 6
LOT IMPROVEMENT
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PERMIT #
EMERALD POINTE BOARD OF DIRECTORS
APPROVED BY: DATE: zz
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PROPERTY EVALUATION COMMITTEE
APPROVED BY: f
� DATE.
EXPII TION DATE: G
INSPECTION BY: DATE:
•FINAL INSPECTION BY- . DATE
PLEASE RETURN.TO:•LOT IMPROVEMENT COMMITTEE• ±
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Emerald Pointe lot improvement approval cover letter
You must display the green permit and city Bldg. permit
(if applicable) so it can be viewed from street, prior to
st6rting any project.
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Na�ne: �c gar c �,�4 Project#: 701 7_R
Lod#: Address: 31762-` lkne--L s; •
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Yo have been approved for your lot improvement request by the Board of
Di ectors. Please be sure to review your application copy to see if there are any
noies and changes with this approval.
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If Any of the boxes are checked below you need to address these issues before
proceeding with your project, or when your project is completed.
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( ) City building permit, always check with the city to see if a permit is necessary.
( ) Call DIG (811) if you are doing any ground work.
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(V)Provide 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.
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Remember if there are any chances in your plans they must be submitted before you
cah continue your project.
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If�ou have any questions or concerns about your project please contact
i The Board of Directors.
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Date ReCd P./ LOT IMPROVEMMT REQUEST Permit 140.70 / 173
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Lot wrav�ii n ent Committee: AA
Recommends 6proval Date Recommends Denial Date
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Commdttee Oembers
Remarks:
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Board of Di�iectors
Approval D#e Date Denied-/-/
Board Membei8:
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Remarks: • A.5 40
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ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF
ZEPHYRHIL4S, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES. All
pe=its must be posted visible to the street
SEE ,''ATTACHED DRAWINGS/SKETCHES FOR ALL REQUIRED DETAILS.
Page 5 of 5
813=780-0020 ' City of Zephyrhills Permit Application Fax 813-7$0-0021
Building Department
Date Received a.Phone Contact for Permitting
Owner's,Name fP;lt Gil� �tl P. Owner Phone Number
Owner's-Address p r»2 C1 AMeAySr Owner Phone Number r
Fee Simple'Titleholder Name Owner Phone Number .
Fee Simple Titleholder Address
JOB ADDRESS J 5 (o a4-r�
G dl-"�ryi S LG1 ct, A),��S "�. .� ,�7 LOT#
/.l _ PARCELD#SUBDIVISION s �
(OBTAINEMFROMYROPERTY TAX NOTICE)'
WORK PROPOSED NEW:CONSTR ADD/ALT SIGN [� Q DEMOLISH.
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INSTALL e REPAIR
PROPOSED USE SFR COMM OTHER I Zoif D_f, f^
TYPE OF CONSTRUCTION Q BLOCK FRAME ' STEEL Q ['
DESCRIPTION OF WORK f
�77 I
BUILDING:.SIZE _l yx.�U �,SQ FOOTAGE• t�4 6 HEIGHT
/�a'a VALUATION OF TOTAL CONSTRUCTION
BUILDING . $ 1 f/
=ELECTRICAL $' AMP-SERVICE: • �PROGRESS.ENERGY 0 W:R.E.C.�.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q;" SPECIALTY . :.OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA -=YES NO '
BUILDER /�N'"'` COMPANY
SIGNATURE 'REGISTERED . ":Y/ N J .Y/N
Address .31�:�20 �.. 8 �l(,72 ; ' r �I�S/�I ' License•#.—F 7. .
ELECTRICIAN' :COMPANY : .. ti
SIGNATUR9 REGISTERED:" ,,,Y:/ N - FEE CURREP. Y./N.
Address F77 License#,E
PLUMBER COMPANY
SIGNATURE REGISTERED Y!:N. 1 , FEE CURRFN
Address. '.License# F
MECHANICAL: COMPANY.
SIGNATURE REGISTERED Y/ N FEE'CURRER'
Address: •License#' � '
OTHER COMPANY, `
SIGNATURE REGISTERED Y/'N'` FEE CURREA" Y'/N""`
Address', License# ^: a
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RESIDENTIAL Attach(2)Plot Plans;`(2)'sets of:Building Rlans;(1:)set ofEnergy Fonns;R=O�VV'Permit"foi:new construction, '
Minimum ten(10)working days after subniiftal date. Required onsite,'Construction Plans,Stormwater Plans.w/.Silt FanCe
-, Jnstalled-.
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisians/large projects-
COMMERCIAL Attach"(2)complete sets,of Building Plans.-plus a:L'ife Safety Page;(1)set of-Energy.Forms..R-O-W.Permit far new construction.-, .:.
Minimum ten(10).w9rking days after subr*tittai date:"Requited onsite,Construction Plans;Storrriw6Wr:Plans,w/Silt,Fenceinstailed;
Sanitary Facilities&''1::duinpster::Site Work,Perrnit for.all-new-projects.All commercia/requirements must meet compliance . .
SIGN PERMIT Attach(4).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. .(XC: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 Sealers Service Upgrades A/C Fences(Plot/Survey/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 maybe more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed.restrictions.
UNLICIENNSL b*CONTRACTORS'AND'-CONTRACTOR RESPONSIBILITIES:'',If.,th'e:-own'er- has,,hired a�tontractor'zor
contractors-to undertake-work,,they may-be required4o 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-risidern'eanor violation
I '
under.state-law. If the.owner or.intende&contractor-�are uncertain as to what-licensihg requirements may appjyfor.the
intended work, they are advised to contact the Pasco County-Build.I.ng.tinspection Division--Licensing Section at 727-847-
8009. Furthermore,.if the owner has hired:a contractor or contractors, he is advised to have the contractors) 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 bean indication that he is not properly licensed and Is not entitled to'per-mitting-privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES'IMPACT AND,RESOURCE.RECOVERY FEES: The undersigned,understands
that Transportation Impact Fees and-Recourse Recovery-Fees:mayapply-to.the,construction.of new buildings, chango,;of
use in existing buildings, or expansion of existing buildings,-as specified in:Pasco'County Ordinance-number 89-07.and
90-07i--asamended. The-undersigned.-also understands,.that-such fees, as may be_due, will be identified at the-time.of
permitting. It is.furt.her'und6rstood,ihat-'Tr.'ans'p6rtation.-I,mpact Fees and Resource Recovery.Fees must be.paid.prior to
receiving a "certificate of.occupancyn or.final power release. If the.project does--not,involve a certificate of occuparipy.-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 6ccordance1with applicable.Pasco County ordinances.
CONSTRUCTION'LIEN'LAW,(Chapter,713,,Florida Statutes, as.-Lamended ': if valuation of Work Is$2,5,,00.00.or more, I..
certify-that-I the:-applicant;.--have-been-,provided with ,a-copy-of the...uFlorida*Construction--Lien 1-6w—Hdrnedwrid.t's
Protection Guide" prepared by the Florida Department of Agriculture and-Consumer Affairs. If the applicant is someone
other than the"owner",-I'tertify that-I have obtained a copy-of-the above described document-and.promis.eAn go0d'faith to
deliver it to the"owner":priouto commencement.
CONTRACTOR!SIOWNEWS:AFFIDAVIT:'..1,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, ±onihg.'and,'Iarid'd6velooment. 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.Aevelopment-iregolatibiis 16-the jurisdiction.: 1;also
certify-that I understand that the regulations of other:government agencies may ap
ply 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,,.Trpatment.
Southwest Florida Water..Management I District-Wells, Cypress Bayheads, Wetland Areas;- Altering
Watercourses;--
Army Corps of-Engineers-Seawalls;1)6cks,�Navltlable Waterways.
Department of Health & Rehabilitative S�#f�vices/Ehvironmental--Health7Unit;-Wells, Wastewater Treatment,
Septic Tanks. , -t-
US7EnvironmentaliProtection-Ag pricpAsbestos,pbatement.
Federal Aviation Authority-Runways:
I understand
rstand.that the-following restrictions apply to the use of!fill:
Use of-fill'is not allowed ihiFlodd rZ,6ne W"drilessexpressly permitted.
If the-fill material lsAo be used.inFlood Zone "A"i it isunderstood.-that-a--dralhage-.,.plan addressing a
compensating volume"-vAI1,;be.rsubmitted-at time of permitting whleh is prepared by a professional engineer
licensed by the State of Florida.
If the filLmaterial is,.to be.used.in Flood Zone-W!in-connection with a permitted"building. using stem.-wall
construction,'I certifk4haiffill will biuied,only to fllll'the-ar'.ea-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-ofAill is.found 4o-adversely affect.adjacent properties, the owner may-be-.cited'for violating
the conditions of the building permit 46sUeid..under-.the attached-permit-application, for lots-less than one (1).
acre which are elevated-by-fill, an engineered-drainage plan,js required.
If I am.the AGENTFOR THE-OWNER, I promise-In-good faith-t6inform4he owner of the-permitting-conditions-set forthin
this:affidavit.prior to commencing construction. I understand_that'cl,separate permit"mayabe*required for electrical work,
plumbing,-:..-signs, -w-ells,-poolLs, air_conditioning,_gqp, 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-t.e.chnical-codes,,:-nor.shall.issuance of.a permit prevent the Building official from thereafter.,-_
requiring,a-correction of.errors..in plans, construction or violdtidins-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 lf'wotk-authorized by
the permitis siuspend6d-or abandoned-for a-period-of.six(6)months-after.-the-time-the.work-is commenced., An-exterision
may be requested,-in writing, from the Building Official for:aL period not to exceed ninety.(90) days and will demonstrate
justifiable cause for'thi3 extension. Ifv6rk'ceases-for:ninety(go)consecutive days,the job is considered abandoned.
WARNING TO:OWNER: YOUR FAILURE TO,RECORD A,NOTICE-OF COMMENCEMENT MAY RESULT;JNYOUR
PAYING-TWI.CE-FORlI.MPROVEMENTS,TOYO.UR PROPER T, . .17:,Y INTENWTOX BTAIN,FINANCING1;.CONSULt
WITH,YOURLENDER..ORIAN,ATTORNEY,�SEFORE,RECORDINGYOUR:NdTl6E.6�-CCMMtNCtktkt. 'F.S.'-117.03)-FLORIDX-JUA AT-(
OWNER OR,AGENTr\) a � CONTRACTOR
Subscribed and'SWO r,affirm"o - fq0`meAhl& Subscopacl and,pWb1m,t (0 eid)b e:methls
by 'bY
o is/are personalig know-6 t6 M6 or h) ave prod-aced Who is/are'p6rsohdll "nvin'to me,orl has Mave produced
as Id ratification. as identification.
Notary Public NotatyPublic,
Commission No. Commission No..'.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped