HomeMy WebLinkAbout21-1681 ' m -
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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 SL-001681-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 04/02/2021
Permit Type: SLAB
Property Number Street Address
24 26 21 0050 00000 2050 39720 Amethyst Way
Owner Information Permit Information Contractor Information
Name: JAMES&MARGARET CLARK Permit Type:SLAB Contractor: HOMEOWNER
Class of Work:Slab
Address: 39720 Amethyst Way W Building Valuation:$300.00
ZEPHYRHILLS,FL 33540 Electrical Valuation:
Phone: (813)505.4809 Mechanical Valuation: /
Plumbing Valuation:
Total Valuation:$300.00
Total Fees:$67.50
Amount Paid:$67.50
Date Paid:4/2/2021 9:57:39AM
Project Description
INSTALLATION 7 FT X 14 FT SLAB
Application Fees
Building Permit Fee $45.00 Building Plan Review Fee $22.50
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.
elk, /A///r,
ONTRAC OR PE IT OFFICE
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021
Building Department
Date Received 3 — Phone Contact for Permitting ) -
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Owner's Name }/ t A Q�'/� Owner Phone Number
Owner's Address Zo G Owner Phone Number
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Fee Simple Titleholder Name if. G q� Owner Phone Number
Fee Simple Titleholder Address re �z0 /� (�/ h i ✓` /�. eJ`Z 0
JOB ADDRESS ZO ,�L,OTTy#��
SUBDIVISION PARCEL 1. .2b-Z 1��5�'�6JV��-ZL0;0rP
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME STTEEELL _
DESCRIPTION OF WORK A r�' �`6 �f77�1� 6A6 - 1 �
BUILDING SIZE SO FOOTAGE HEIGHT
T�><C�rLT><CCC><CL CL-><CCC
]IBUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ /I
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/r4 FEE CURREN I YIN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address I License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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 subdivisionsllarge 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,Stornwater 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 PERMITTNG (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 property licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTIUTILITIES 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 I,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, Wetland Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health Sr Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
1 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 OBT N FINANCING,CONSULT
WITH YOUR LEN1217"g AN AWORKX BEFORE RECOR12ING YOUR NMl`I=QMMMENtFMENT_
FLORIDA JURAT(F.S 1 .0
OWNER OR AGE CONTRACTOR
Subscribed andbs to r affirmed)before A Subscribed and m to affirmed)befor me this
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W are n Ily knows me o has/have produced Who is/ ers ally known to me or ha ave produced
LC frfication. as identification
tar6lic Nolary�Public
Co®rrfiSion Commission
N f4rt d Name of Ne _*, :*r Commission#GG 276457
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MERAL
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Name Lot# Z�S
LOT EMPROV'ENIENT
PERMIT
EMERALD POINTE-BOARD OF DIRECTORS
APPROVED BY: , DATE:
PROPERTY EVALUATION COS INHTTEE
APPROVED BY: DATE:
EXPIRATION DATE: . A-Zl ?
INSPECTION BY: DATE:
FINAL INSPECTION BY: DATE:
PLEASE RETURN TO LOT EMPROVEMENT COMOTI TEI
LotImpPmt-035 2019
AM lot improvement requests must be submitted no later than Wednesday by 2:00 to be
processed on the following committee meeting day.All permits must be posted visible to the
street.
Date Recd Z/ 7,0- LOT nmovmaw REQUEST Permit
To: EPPOA Lot Improvement Committee & Board of Directors
From (please print r7
Lot#/Address: 2_C,5 0'�ZZC 14W
Phone number where you can be reached:
We request EPPOA approval for construction, addition to our installation, on the following:.
Shed Lanai RV Port OQ Park Model Cottage ( )Concrete Slab ( ) Pavers
Concrete Painting RV Skirting Landscaping ( )Pet enclosure ( ) 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
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 CONSTRUCTION" a copy of the
Zephyrhills building permit and a copy of the completed engineering plans must be RETURNED
to the "LOT IMPROVEMENT COMMITTEE", 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 Emerald Pointe Lot Improvement Committee for Office filing.
Pat enclosure must follow guidelines for size, height and location.
ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF
ZEPHYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING: CODES.
Zomments:
17
Lot Owner's Sianaturell, e� Datlj?,_/_// l_Z/
Page 2 of 6
E !j
Date Recd Z/�/t3 t"' LOT IMPROVEMENT REQUEST Permit Nc�a'24 ®�N�
/-
6--
Lot Improvement Committee:
Recommends cppro
Date /Z2— /ZD2/ Recommends Denial Date / /
committeee MemDers. !,
AdA
Remarks:
Board of Directors
Approval Date / /?.o Z/ Date Denied / /
Board Members:
f
Remarks:
ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF
ZEPHYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES. All
permits must be posted visible to the street
( ) SEE ATTACKED DRAWINGS/SKETCHES FOR ALL REQUIRED DETAILS.
Page 5 of 5
>FECTION 24 �� PAPS'CO COUNTY, FLORIDA
TOWNSHIP 26 S
RANCE -21 E 3610
WORK SWQLI.COMPLY WITH PREVAILING
DES FLO I BUILDING CODE,
IONAL E CTRIC CODE,
THE CITY OF ZEPHYRHILLS
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- — N. 64'4345" W. — 153.22'
John Walsh, Professional Surveyors MapperSYpl� n �N��OnBVp �S�ON�,�I�I��YIN SITE
SKETCH
of James Clark
based on survey
8643 Bragg Street Zephyrhills,Florida 33540 Additions or deletions to this survey mopes report by other than
Phone: 352 588-3680 Email: pim606l@gmail.com signing party prohibited without written consent of the signing port / „ John Walsh, P.S.0
Client:James Clark /� /-�
Professional License.number PSM 6061 SHEET � �`? c W,6/v7' �7
Not valid without the signature and the original raised seal Date of Survey: 4/23/19 OF
.........._. —_____ Work nrdar nvmher: W19-0405 Florida Surveyors Registration No. 6061