HomeMy WebLinkAbout20-1151 I City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-001161-2020
" Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/11/2021
t `
Permit Type: Add/Alter (Residential)
Property Number Street Address
24 26 21 0110 00000 3210 139660 Dawson Chase Drive
Owner Information Permit Information eontractor Information
Name: DOREEN SMIKLE Permit Type:Add/Alter(Residential) Contractor: MARVIC CONTRACTORS
Class of Work:Add/Alter Residential INC
Address: 39660 Dawson Chase Dr Building Valuation:$9,630.00
ZEPHYRHILLS,FL 33540 Electrical Valuation:$0.00
Phone: (813)484-7638 Mechanical Valuation:$0.00 �.naV
Plumbing Valuation:$0.00 1 /-LA
Total Valuation:$9,630.00
Total Fees:$132.23
Amount Paid:$132.23
Date Paid:1/11/2021 11:57:32AM
, 0-1 Description P.0
CONSTRUCT SCRN RM W/SLAB&FOOTER 12 X 24
Application Fees
Building Plan Review Fee $44.08 Building Permit Fee $88.15
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.
CONTRA TOR SI ATURE PE IT OFFICE
PERMIT 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-813-780-UU21
Building Department
Date Received $
r `� Phone Contact for Permitting ( c�
EiEEi EiE ! illE
Owner's Name Owner Phone Number
Owner's Address 3 / SV Y N Owner Phone Number
Fee Simple Titleholder Name �—Owner Phone Number
Fee Simple Titleholder Address t /� (�/: ® /;��
JOB ADDRESS I +�n,t'vSbx\Y ter \✓PISS Cr SCOT# ]^�
SUBDIVISION e •V�/ PARCEL ID# Q1 C)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION r= BLOCKS` Q l�,FR�A/M�E STEEL
a�
DESCRIPTION OF WORK Lf X2-Y, WI 1 VQ C/�hS VAS + l S,IA,b • D�C/�
BUILDING SIZE I f '/Zy= SQ FOOTAGE HEIGHT I /v +
�x XL LL Cifi,€x€LkxL€€€LC€L"cxiLL€€CLC€€€S LiE"kxxx txxktk Cxx xx kk CLx.LL1
UILDING —7 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY �V � � vy 1 CCC�"1 VT S ^� d
SIGNATURE REGISTERED Y N FEE CURREN / //N
Address �� in I R License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License# F_
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License It
i #Iiiit# t [ tiiliili # I # i# i# iititiiitiltIl # t # titltiltillitiii #d # tit #ti:
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 onsile,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpsler;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 wl Silt Fence installed,
Sanitary Facilities&1 dumpsler.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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-760-ou20 City of Zephyrhills Permit Application Fax-813-78U-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 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 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/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 "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 INT ND TP OBTAIN FINANCING, CONSULT
RECORDINGWITH YOUR LENDER OR AN ATTORNEY BEFORE E DF COMMENCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom t rimed)before me t '
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/ha prod ad
as identification. as i entifi tion.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of olary type ,printed or stamps
* ,y CARLOSMALDONADO
1 ` Commission#GG 346275
Expires June 18,2023
Bonded Thru Troy Fain Insurance 1100.385.7019
SEC.. 24 , TWP, 26 S, RNC, 21 E.
AS BUILT SURVEY (FINAL) BEARING BASIS:
WITH SELECTIVE SPOT ELEVATIONS WEST BOUNDARY Or SUBJECT PLAT BEING N 00*23'02" E
LOT 321 THIS SURVEY IS SUBJECT TO ANY FACTS THAT
HIDDEN RIVER PHASE 2 MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
PASCO COUNTY, FLORIDA. N EASEMENTS AND RESTRICTIONS OF RECORD.
UNDERGROUND FOOTER, STEM WALL, AND
UNDERGROUND UTILITIES ARE NOT LOCATED OR
o SHOWN.
PREPARED FOR&CERTIFIED TO;
it DO NOT SCALE THIS PRINT. DIME14SIONS AND
CALATLANTIC TITLE,INC. NOTES TAKE PREFERENCE,
NORTH AMERICAN TITLE INSURANCE COMPANY
EAGLE HOME MORTGAGE,LLC PURPOSE OF SURVEY:TO OBTAIN HORIZONTAL
DOREEN MAY SMIKLE 80 AND/OR VERTICAL DIMENSIONAL DATA 170 SHOW
CONSTRUCTION IMPROV-LMENIS.
F
STRUCTURE TIES SHOWN HEREON DENOTES
MEASUREMENT FROM FORM BOARDS/FOUNDATION
TO PROPERTY LINE.
10' UTILITY EASEMENT
\ 0
NS
c
C277 0c,
Fj4&D
PRM(P), cpllp
L84493
a
C,04
to-
�0,4c "`
LOT 322
E-74,5'
$60
LOT 320
LOT 321 C PLAT
5a BOUNDARY
E-74.3- ,'y' oo 4
flil 14,
TRACT A
I DDEN RIVER PHASE ONE A
(PLAT BOOK 74,PAGES 101-121) LEGEND:
CURVEDATA E-00k` = EXISTING GRADE
4 WCURVERAD BEARING TDIELTA lEA
W t640,30" 'P&M
"DO ARC CHORD
LOWEST FLOOR ELEVATIONS;
C 77 2004 v m PiM
I,
C278 200,0 2-E LIVING AREA: 75,27'2 15'4t
DESCRIPTION: GARAGE AREA: 74.80'
ELEVATIONS REFERENCED TO
LOT 321, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE 2", NATIONAL GEODETIC VERTICAL
AS RECORDED IN PLAT BOOK 79, PAGES 102 THROUGH 110, DATUM OF 1929. MEAN SEA
OF THE PUBLIC RECORDS OF' PASCO COUNTY, FLORIDA. LEVEL= 00.00 FT,
APPARENT FLOOD HAZARD 70NE: "X", COMMUN17Y PANEL NO. '2110'c 0458 F EFFECTIVE DATE: 9'26"2014
Isquar. Feet: 7673,93 :t LENNhR HOMES
LEill!ND:
(C)- CALCULATED DATA, (D)= DEED DATA,(M)= MEASURED DATA, (P)= PLAT DATA. %= CENTERLINE, A/C= AIR CONDITIONER, B/C- BACK OF CURB, C/S=
CONCRETE SLAB,CH= CHORD, CHB- CHORD BEARING,CLF= CHAIN LINK FENCE, CONC= CONCRETE,COV= COVERED, Ela= EDGE,OF PAVEMENT, ESM'T- EASEMENT,
F/C- FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD, Ft4&.D= FOUNU NPA & DISK. FPP= FOUND PINCHEC
PIPE, LFE= LOWEST FLOOR ELEVATION, MAS- MASONRY, OR- OFFICIAL RECORD BOOK, PB= PLAT BOOK, PCP- PERMANEN`t CONTROL POINT, PRM- PERMANENT
REFERENCE MONUMENT,R/W= RIGHT OF WAY, R- RADIUS, SIR=SET 1/2"IRON ROD&CAP No. 4493, SN&D= -13t�f NAIL A;rtl!�,K No. 4493. Tam= TEMPORARY
BENC
HMARK
ARX U =_ 2 W/F- WOOD FENCE
UTILITY P..
Drawn y: HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY
JOHN R.BEACH a ASSOCIATES,INC. Drawn
RESPONSIBLE, CHARGE A14D MEETS THE.t.PPLICABLE STANDARDS
SURVEYORS AND MAPPERS t OF PRACTICE,FOR SIJkVE`S AS SET FORTH BY THE FLORIDA BOARD 911 WEST ST. PETERSBURG DRIVE Checked By:
JRB -YORS IN —A Tzil 5j-.�7-T 053,
NO�l ROUGE; 'bl�.17-
C
ONE OLDSMAR, FLORIDA 34677 3TRA C Op RLSCU 17 027
WAY Scale: STA,LIE
(513) 854-1276 FAX(813) 855-8370 1"-30' F 0 T `E
f
NOT VALID WITHOUT ORIGINAL SIGNATURE Date;
F AND SEAL OF A FLORIDA LICENSED ORE El I
FINAL 12/30/19 DJ8 T
z SURVEYOR AND MAPPER BEACH
'I')%RIDAR"'
RTL
JOHN
Revisions: FORM BOARD TIE IN 9/13/19 DWS. FOUNDATION TIE IN 10/01/2019 RTM FLORIDA G. LAND SURVEYOR No. 2984 r LB#4493
JEFF M. EY
11 SURVEYOR RVEYOR & MAPPER No. 7t23
fl'i gida Building Coe Online Page I of 2
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Product A oroval Menu>Product or Applic I rrLSearch>Appllcatlor,Llst>Application Detail
FL# FL7561-R4
Applical on Type Revision
Code Vi rsion 2017
AppliCal on Status Approved
Comme its
Archive i
Product Manufacturer Elite Aluminum Corporation
Addres Phone/Email 4650 Lyons Technology Parkway
Coconut Creek, FL 33073
(954)949-3200
dk@dokimengineering.net
Authorized Signature Do Kim
dk@doklm engi neering.net
Technic I Representative Bruce Peacock
Addres (Phone/Email 4650 Lyons Technology Parkway
Coconut Creek,FL 33073
(954)949-32DO
bpeac.oCk@elitealuniinum.com
Quality Assurance Representative
Addres /Phone/Email
Category Roofing
Subcat gory Products Introduced as a Result of New Technology
Comphz nce Method Evaluation Report:from a Florida Registered Architect or a Licensed
Florida Professional Engineer
t' Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Do Kim,P.E.
the Eva uation Report
Florida icense PE-49497
Quality Assurance Entity QAI Laboratories
Quality Assurance Contract Expiration Date 12/30/2022
Validated By James L.Buckner, P.E.@ CBUCK Engineering
::I Validation Checklist-Hardcopy Received
Certificate of Independence FL7561 P4 COI CCgLof IndeF_eljence.odF
Refere ced Standard and Year(of Standard)
i
Equival nice of Product Standards
Certifie J By
Section 3 from the Code
1709.2
Product pproval Method Method 2 Option 13
Date Submitted 08/15/2017
Date Vai dated 08/16/2017
Date Pending FBC Approval 08/20/2017
Date Ap roved 10/10/2017
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INSTIR#20,2n204034 OR BK 1 0227 PG 502 Page 1 of 1
12/03/2020 10:22 AM Rept:2233027 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
This space far usa by cicrk or Ile ch.cni�
NOTICE OF.COMhfri,NCPNIrNT
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'JOn Sl'fE D�FO1lE'hlE FIRST INSYI?Cf10Ni IF YOU INTEND'1'U OD'1'AIN FINANCING,CONSULT'Wl'1'll YUUIi LENDER OR AN ATf01{NEY { Cn'
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COUNTV OF IIILLS0O110UGII
• The ruregoing ioxtrunrenl wus ncknriwlcdge before ire this Z16 day of •'jaf`{' J�� 2U
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..Under penalties orjlerjpry,I declare that I have read Ilia fgregoing"lid Ihni.the facts stated in it ire Imo Iri the hesrof niy kobwlcdga and belief
`.Sigrrature 61'Namral Persair Signing Above .
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