HomeMy WebLinkAbout05-3797
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3797
Permit Number: 3797
Permit Type: ADDITION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3517 PYRITE DR
ZEPHYRHILLS, FL.
Township.: Range: Book:
Lot(s): 305 Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
12,000.00
1/27/2005
222.50
222.50
1/27/2005 Phone:
LANAI STORAGE & BATH AND UTILITY
Name: ERLING BAILEY
Address: 3517 PYRITE DR
ZEPHYRHILLS, FL. 33542
HOMEOWNER
HOMEOWNER
PLUMBING FEE
1
52.50
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
X~Jik ~-~
CONTRACT 51 ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED 125~ 5
P~tfcrPERMIT SERVICE
1-866-824-7894
Toll Free
PHONE
OWNER'S NAME t r //113 tJ,ai Ie;
fJ!} f'/k IJr/fe
LEGAL DESCRIPTION: LOT(S) ~oS-
v-Y-cJ.('-02/- (}cJ:)-()- tXJ()(X)-JOSO
JOB ADDRESS
3S/7
SUBDIVISION ElXArlJ II' ;JOI/tH..
BLOCK
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: Q(NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
1;< X 3 ;;2
LaI'1~,
,
( Shrt/f j e
J ~ t../
...t...
h::.-<ftt "- IA 1. 'If";" )
BUILDING SIZE
/:J.Jt32
SQUARE FOOTAGE
HEIGHT Si?t!. ;:J( 4 Ie. C
"
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
- o~
J~) - ~LjJG
35,.- ~c ELf2..C...
52. .;~ ?~0.
~ BUILDING
~ ELECTRICAL
00: PLUMBING
$
/~, 000. '.JI
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
COMPANY t?~~
~..::::~...........:~~~~.:~~~.~~.~~~::~.:..........
BUILDER
SIGNATURE
I'"
~6~
COMPANY tI~
ELECTRICIAN
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE .z.-e- ~( $~
COMPANY t7~
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is som~one other that the "owner", I cerify 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.
E. 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.
Appli~ation 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
hL ~~
SIGNATURE: 70WNER OR AGENT
.~/3~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w~acknowledged
Before m~ this .<~day ofJa"l'(-4~7 ' 20 05""
by Ii:. r It 11j 75iiiL~ 1
(name of person acknowledged)
C1ho is personally known to me, or
cl<mo has produced .;) L .
(type of identification)
~d not take an oath
L-~
Si natur person taking acknowledgment
,,"'vp' Suzarme L-$anr
,,;o':~"u,,(.,.:,~ CgmlRiggioR HlIJ157\,
Name t:iPe~p.;.:ffi~iM: Nitv !3't9mped
-~~. . .~~
-"-';~~ OF f-~~~ ,.:\JondedT'ilrc
'1!1',1 ,\tl~1:1i'lc BOiViilH2 C/..
Po...~ C-o
STATE OF FLORIDA ~SW
COUNTY OF ~
The foregoing instrument wa~cknowledged
Before mi this ~kay of . Jt:1^lI\A.rj' 20"~
by Er I":J ~a;Irt!'f
(name of person acknowledged)
Dwho is personally known to me, or
~WhO has produced :P.L-
(type of identification)
~id not take an oath.
acknowledgement
Si
Name typed,
""" "'U'7" 0'
.';~YP'~" u. "nne Da'u
p'fint.&d 0amt1B:is~wre~! :;7! J.
c~;';oi;j~iJ E\pir~~..,~~.~' ,'(I;;;
<'//111\\\\ Atbntic In:-'
DISCLOS1JJUI SD.TBIIBII'1" I'Olil 0WJ1BR
CITY OP ZBPBYJiB:[LLS B1T.I:LDDIG DBPAB.DIID1'l'
t!" r II/)fj L3 (L / le~ have read and ful.1y understand and
to the provisions of . s instrument.
I,
agree
The undersigned states and affirms that he or she is desirous of constructing,
renovating, addiDg to or reroofing his or her own domici1e, that he or she
actua11y occupies, or w:i.11 occupy by said domici1e, and same is not for
rent, 1ease or sa1e. That he or she sha11 comp1y w:i.th the f0110wing conditions:
1. That the owner and he or she a10ne sha11 act as the bui1der for a11. phases of
constJ:uction.
2. That the owner w:i.11 comp1y with a11 provisions of the City of Zephyrhi11s
ordi .........ees and codes pertinent to the bui1ding.
3. That in the event various phases of construction are subcontracted, he wi1l
engage on1y proper1y 1icensed subcontractors and wi11 persona11y supexvise
such work..
4. That in the event the Buil.d:i.ng Inspector sha11 require corrections to be made,
the owner w:i.1l. assume ful.1 responsibi1ity to insure they are made, and upon
compl.etion wi1l. ca11 for a reinspeetion before proceeding with the buil.ding.
5. That the owner sha11 assume ful.l. responsibi1ity for the constJ:uction and wil.l.
not expect supervision of his work from the City of Zephyrhi11s Bui1ding
Department.
6. That prior to fiDal. inspection any additiona1 fees, inc1uding re.inspection
fees, must be paid in ful.1. A written request from this office sha1l.
constitute an officia1 notice to pay additional. fees.
7. That the owner sha1l. comp1y with a11 City,. State and Federal. 1aws in regard to
socia1 security, workman's compensation, 1ien 1aws, etc., where app1ica1:l1e.
8. That the owner shal.l. comp1y with a1l. the Safety codes issued by the Florida
:Industrial. Commission.
9. State law requires construction to be done by 1icensed contractors. You have
app1ied for a permit under an exemption to that 1aw. The exemption a110ws
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a 1icense. You must provide direct
onsi te supexvision of the construction yourse1f. You may bui1d or improve a
one-fami1y or two-fami1y residence or a farm outbuil.ding. You may a1so bui1d
or improve a cOllllllercial. bui1d.:i.ng, provided your costs do not exceed $25, 000 .
The bui1ding or residence mu.st be for your own use or occupancy. It may not
be buil. t or suhstantia1l.y improved for sa1e or l.ease. If you se11 or 1ease a
. bui1ding you have built or suhstantia11y improved yourse1f within 1. year after
the construction is complete, the l.aw will presume that you bui1t or
substantia11yimproved if for sal.e or 1ease, wb.i.ch is a vi01ation of this
exemption. You may not hire aD. 1D1l.iceused person to act as your contractor or
to supervise people working on your bui1ding. It is your responsibility to
make sure that peopl.e empl.oyed by you have l.icenses required by state law and
by county or JIlUDicipa1 l.icensing ord.....ances. You may not del.egate the
responsibil.i ty for supervising work to a 1icensed contractor who is not
1icensed to perform the work being done. Any perSOD. working on your building
who is not 1icensed must work under your direct supervision and must be
empl.oyed by you, wb.i.ch means that you must deduct F.I.C.A. and withhol.ding tax
and provide workers' compensation for that empl.oyee, a1l as prescribed by l.aw.
Your construction must compl.y with a1l app1icab1e 1aws, ordinances, building
codes, and zoning regul.ations.
OWBBR.' S
ADDRESS
PBORB
DAD
/- 3-0S-
WITNESS
PBRIaT #
cr//,
Name
3~/7
Address
80J'ktt
-/
fJqr/'le /Jr.
./
O! f f:J I'~ I/J p/l 33fYd
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
Sincerely,
~}
signature
/5~
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this ...3 ~tJf day of ~~ ' ,;JtJO.s-.
Personally known or Produced identificati
~"~~~~Y&&"/ Suzanne Bahr
~*,\'~'~:--=- Com.mission #DD157131
':;.~" \:l~.,..= ExpIres: Nov 15.2006
........;.~OF j:~o\<" Bonded Thru
/1/111\\\ AtlanticBondin2Co In{
Commissioned Stamp
and Expiration Date
Page 1
EMERALD POINTE RV RESORT
LOT: 305
PARCEL ID#: :;J.tf--~,,-.:u-OO~O-OOOOO - 3t:JS-O
PROPOSED:
12 X 32
LANAI
36'
5'
EXISTING CONCRETE
& ROUGH ELECTRIC
AND PLUBING
3517 PYRITE DR.
S DRV 1";' 'f LA/\ ~^J-NL)
S I~ \.h~ tv J4I '-yjl:}.~k-
M I rJSP;C 11 '>.'.1
68'
("c
(,
\.., ~
1'., \
l'
,.
~
~
['j~
", 0
i! ltJ
-- 1'-"
" h
I I',:
L.4..-...1 (l..
~~
~~;r--..it;::
..... ,..J
,~,
! ':
I,
~~~B
~a@g
>-~u~
....Jc:z~o
~~ CIl
. ~ ....J
.~ t.I.:J S
~gjW~
~8~~
J)uo~
,./0
:'J Z f:
""""<t:...
;)::::l z 0
.~ ~ ~ ~
'~;:?r' OU
c--: u
N
M
,--- T'..----- U
CO
~
L.()
T"""
T"""
m
I"--
N
o
T"""
(0
(0
M
~
L.___ J____.____~_
.---------- .2': ~
,9
, ,9-
,
:j--:'
~
-
I-
~ if)
--
~ ~
:2 V)
-
d) -..J
~ ' .....
'1ll ~ J
-t')!-
,. t, U ~ .....
<( -J ~
z (L l-
<( ~
J -l 4..
~3" i-
~ -... -1
3' ~ ill
0 ~
' .
~ -..I G
V) QL
0.
s:
~
----- ~
1- :::s
~I C.
(i~l~
J ~<!
>-
f-
-l
f-
=>
I
f-
<(
en
o
--
S
ill
(9
<(
0:::
o
f-
(f)
0.
S
I~- 2':.8 9.2':
I I
i I
~~------ B.S ---~----- 17.9
IG~
i
-~r
I
I
I
Lo
i
~
o 0
,,- N
I
Lt>
N
C")
N
T"""
. .
i ~ ~
IIII11111 T
z -
S ~
1111111111 i1
-1 ~-+
~
8
0::
>-
5
i=
:J
o
~
~
e:(
5
t?
.if
z
e:(
...J
N
(')
~
l-
e:(
>
w
irl
~
Ci'i
z
o
i= -
e:(
(fj
...J
W
W
o
Ci'i
~~~~~/!~~j~I/ 1//// 11/1///11/ 1//11 /1111 II/II 1I111II1
NOTICE OF COMMENCEMENT
,;r (0 f'L (~/~
County of
/a J't (;
state of
THE lmDERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property: Parcel No.
. )'1'). .1/ ~} .- .J I) ~""O' J -.-, ~.1\
(>' -OL&';)L -Ot~{)-/I)u{ O----'-J.'Ju
{of dOS- f/JUI "air! F(J//J!e If' f!r;Jcrf is /7 fJYI'/k /Jr/f/t
(Legal description of the property and street address if avaIlable)
2 .
General Description of Improvement
/;) 'J.'];J. L ti. IJ tZ i
Rcpl: 849764
DS: 0. 00
01/26/05
Rec: 10.00
IT: 0.00
Dpty Clerk
R3.
Owner Information: Name
c-Cj-j /I)j
IJ/' . City
13 Ii. /k (./
....
2?p iyrk//J
Statei="/33f<;d
l~ddress ,J'i /7 Pl/ I'/Ie
v
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMANft PASCO COUNTY CLERK
01/26/05 0;:1: 27am 1 of 1
OR BK 6204 PO 880
Address
City
State
4. Contractor: Name ,j[.L)JJ! r
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Exp~ration dnte ot NotIce or Commencement (the expIration date is 1 year
fr0ffi the date of recording unless a different date is specified.)
Signature of Owner: ~
/
/5~
this l ;rr~_ day of '-!Olh~~
y)~
,
Sworn to and $,u:lp:ser,rped before me
,
~ 0700;-'- .... ~.,
Notary 'P~_blic:' ~'-~
. /.
My Commis~l:9n.Expire,s':' .. ... .
;....,_.,
,'.:'II!
. ,,~, -: :;", "Y"" "':1 ~',' ~ c...,
- ,.\
" .'~ I~ '\' ;', ;.~;s
,;.,;~..,. ..in _.. "<~..~.
:':<~l./ :.\ ..
PC93053048