HomeMy WebLinkAbout22-5320W-7271V'71171 T."Mm
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax(813) 780-0021
-005320-2022
Issue Date: 12/14/2022
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 roinspection,
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,
--- — ------ ------
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.
CONTRACTOR SIGNATURE 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 Zephyrhilis Permit Application Fax-€313-780-0021
Building Department
Date Received
Phone Contact for Permittin
Owners Name u Owner Phone Number l2-" 7 � , .
XMITHMAFMIWMr
Fee Simple Titleholder Name t �a a`� S Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS , rT aka'` �. << ut
� . ;...�, ,� LOT #
SUBDIVISION EE�E
s d w� PARCEL ICES6, — t i6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDlALT
SIGN
DEMOLISH
11 INSTALL
REPAIR
PROPOSED USE SFR
COMM
OTHER.
TYPE OF CONSTRUCTION BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
BUILDING SIZE ,� � SO FOOTAGE = HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL �^ ^mM�. � AMP SERVICE PROGRESS ENERGY W,R.E.C.
PLUMBING $�
MECHANICAL VALUATION OF MECHANICAL INSTALLATION <�`"�
=GAS ROOFING SPECIALTY L OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA = YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y f N�FEEii2ER 1° f N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y 1 N �FEECUR�RY J N
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED ;;;;�EEE CURRV, Y J N
Address - License # ..�... ....�. �..�
MECHANICAL COMPANY
SIGNATURE REGISTERED EE CURR0, Y 1
Address License #
` �J t `
OTHER t COMP Y�
SIGNATtiRE REGISTERED Y f N FEE CURREI\ Y J N
Address ; m �' ( r a" <=C License #
tMMiLN��M111M1IM1ElIIIIINLIti11IlIEIIIMtIN�EII�1�ILt11�fI��11i11I
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 wf Silt 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. Rao-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wJ 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 Commencementis required. (A/C upgrades over $7500)
`* Agent (for the contractor) or rower 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 punter if on pudic 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 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- 47-
009. 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 U CE 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 $2,000.00 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/OWNERS' 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 , 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 RECORDA NOTICE OF COMMENCEMENT AY RESULT IN YOUR
U
PAYING I FOR IMPROVEMENTS TO YOUR O . IF YOU INTEND TO T I FINANCING CONSULT
[T HOUR LEN DER OR AN AORN EY B EFO E RECORDING YOURNOTICE OF COMMCOMMENCEMENT.
FLOE I aA Jlf T(F. . 117M)
�E Abe AEN ° $ CfJ1RAC ro . b <<d „ s
ubscr' ed and swarm t (ot affirmed)before me this subscribed an sworn tea r affiriAd)befo, me this
Who is/are persona k own to me or has/have produced Who is/ e p rsonll o n rile or has/have produced
as identif'r tion. as identifi tion.
,Notary Public Notary Public
Commission No. C miss! o.
Name of Notary typed,printed or stamped Name of Note µhp 326572
.... Expires December 1 ,2026
M1
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1
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4 / _ - H
1
Date Recd—L) LOT IMPRoVEMENT REQUEST Permit
Eot nCommittew-
Recommends Approval Date } / Recomends Denial Date / l
Conmittee Members:
Remarks: r+a
Board of Directors
Approval Date
Beard Members:
k
SZE ATTACHED !1AREQUIRED DETAILS.
EMERALD POINTE LOT IMPROVEMENT APPROVAL COVER LETTER
You must display the green permit and city building permit (if applicable) so that it
can be viewed from the street prior to starting any project.
C�
Name
Lot 4
Project #
—22 ---
Address 3:')'c�6 )v lAejlog
You have been approved for your lot improvement request by the Board of
Directors. Please if t ereArg_Any
notes gLch—a—n-ge—s--Wi—t—h—th—i—s—appro—val- I
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.
0City building permit: Always check with the city to see if a permit is necessary.
Call DIG (811) if you are doing any ground work. 3,ZU 2-01� 0 gZ
(Orovide lot improvement committee with a copy of the city permit and
drawings.
When the project is completed, you must return the green permit sheet for
final inspection. ,
ow x f Rwr' 'nn twA ke-wki-rO
you can continue your project.
If you have any questions or concerns about your project, please contact the lot
improvement committee or the Board of Directors.
I
19
01
ol r IT greet-1
can be viewed from the street prior to starting any project.
Name'D �A%ay
Project
:� tz' Lot # Address n )
You have been approved for your lot improvement request by the Board of
Directors. here are a
notes qLi�h�an e�sWith �thls aro�yal,
If any of the boxes are checked below, you need to address these issues befo
proceeding with your project or when your project is completed. I
��,Call DIG (811) if you are doing any ground work.
(A—Provicle lot improvement committee with a copy of the city permit and
drawings.
(kWhen the project is completed, you must return the green permit sheet for
final inspection.
If there are any changes in your plans, a change form must be submitted before
you can continue your project.
if you have any questions or concerns about your project, please contact the lot
improvement committee or the Board of Directors.
Procedure for Lot Improvement Requests
(Please refer to the "Rules and Regulations") Permit NoR-,41—L,,�13
, wfjro"
be processed on the following committee meeting 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 if necessary to
clarify improvements and will present it to the Lot Improvement Committee for their review on a
weekly basis.
2.Any request which is NOT filled 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 will be NO one day approvals or last minute approvals. Request may take 7 to 14 days for
appropriate review and consideration, ( if necessm) 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 will
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.Aniiermit will be ACC 31
recommend to the Board for their approval.
8.Any changes made on a previously approved project must be resubmitted before beginning the
changes. Amended permit will be Issued at the time of approval.
r -Tfffjifyq�61 ts
ulpor . j*(;ts
an appointment with the lot impr6ement committee to review plans and answer any questions that
may arise. I
As the owner of Lot #— �-Al C�1, I understand the Lot Improvement Committee and/or the Board of
Alreottrs vvill ent*r t,,m proita4y t* fq46vrtKe txtenral pr#gmss *f the canstry,,cfibi5 or imvr*Yernant as sylmitt&V,
on the Lot Improvement Request.
Page 9 of 5
Date Reed!) ,LOT 3:M1?R0VEMKNT REQUEST Permit NO ( '� -Z JJ40
To: EPPOA Lot Improvement Committee & Board of Directors
From ir_1
Lot #/Address:
Phone number where you can be reached:
We request EPPOA approval for construction, addition to our installation, on the following:
shed ( ) Lanai ( ) RV Port ( ) 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
righ 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. 'EMOR TO BEGINNING COiiTRUCTiON" 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. ,
Pet enclosure must follow guidelines for size, height and location.
ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF
ZEPHYRRILL BUILDING CODES.
Comments:
to i / / / �-/ /
Zr;
' Permit No
Sffi Setback
TYPICAL 36' X 68Q LOT
id,
MAX Concrete 26' x 63'
Sft Setback
f
tAer. t� Late.
20 ft Setback ftomhWdo of Curb to bttilldittg
15 ft Setback to conch.
Ml
Date Re(:,4 11 &44/_,qD,. TOT IMPROVEMENT REQUEST Permit 140a-,2
Lot IMProvenent Committee:
Recown-Ands Awroval to 2V ReCommeaft Denial Date -/-/-
tee r®
V
C4
I Z
-rL
Remarks -
r
M
Board of Directors
Approval Date �/ Date
Board Members:
A
have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by J,-LE� 22�2-1� said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
WITNESS PERMIT
I/Masterfonns/OwnersAffidavit/NovO7
•
Lot#
PERMIT #
2Q--- al,3-
APPROVED B��_ DATE:/I
ABY: �" � �, DATE:
EXPIRATION DATE -
INSPECTION