HomeMy WebLinkAbout06-5873
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5873
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5873
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
RV PARK
Address: 39632 AMETHYST WAY LOT214
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0050-00000-2140
7,344.00
6/15/2006
165.00
165.00
6/15/2006 Phone:
STORAGE SHED, SHED EXTENSION, MOTOR HOME EXTENSION
Name: MORGAN, LAR Y
Address: 39632 AMETHYST WAY LOT214
ZEPHYRHILLS, FL. 33542
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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: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
/ ~ {i~c;~SJG~zff~ ~M.
-- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
AGENDA
BOARD OF ADJUSTMENT
TUESDAY ,MAY 9, 2006 - 4 P.M.
ROBERT H. JOHNSON COUNCIL CHAMBERS
5335 - 8TH STREET
ROLL CALL
PLEDGE OF ALLEGIANCE
APPROVAL/CORRECTION OF MINUTES - Apri1 11, 2006
1. F10rida Hospita1 Zephyrhi11s
Adventist Hea1 th Systems, Inc., property owner
7050 Ga11 Bou1evard
Variance request for sign rep1acement and
additional signage. Proposed signs exceed a110wed
heigh t and number of signs.
( 2.) Larry D. Morgan, Property owner
'L;/ . 39632 Amethyst Way
Variance request of four feet from front setback
due to radius of cu1-de-sac for proposed port
addition.
BOARD OF ADJUSTMENT
The Board of Adjustment meeting was held on Tuesday, May 9, 2006,
at 4:00 p.m. in the Robert H. Johnson Council Chambers of City
Hall. Roll call was taken. Present were members Wallace Reeves,
Gary Hatrick, and Jim Winslow. Absent were Pat Besinger and
William Poe, Sr. Staff present: City Attorney Joe Poblick, City
Building Official Bill Burgess, and Senior Code Support Specialist
Bobbie Swetland.
The Pledge of Allegiance followed. Motion was made by Jim Winslow
to approve minutes of meeting of April 11, 2006. Seconded by Gary
Hartick and passed unanimously.
It was discussed & agreed to switch the order of agenda items.
1. Larry D. Morgan, Property owner, 39632 Amethyst Way,
variance request of four feet from front setback due to
radius of cul-de-sac for proposed port addition.
(
'-.-
Mr. Morgan was present and addressed the board regarding his
variance request.
After brief discussion, motion was made by Gary Hatrick to approve
the request. Seconded by Jim Winslow and passed unanimously.
;/2:\ Florida Hospital Zephyrhills, 7050 Gall Boulevard, variance
~ request for sign replacement and additional signage.
Proposed signs exceed allowed height and number of signs.
Rick Byfield, Director of Engineering for Florida Hospital, Greg
Wheeling of RBK Architects and John Gibson of International Sign &
Design, jointly addressed the board regarding the variance request.
After lengthy discussion, motion was made by Gary Hatrick to
approve variance for the main front sign to exceed ordinance height
by ten feet and to allow the two entry signs off Daughtery Road a
variance of 211 feet separation between the two signs. Motion was
seconded by Jim Winslow and passed with 2 to 1 vote.
Meeting adjourned 4:25 p.m.
81~1.780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Nam
Fee Simple Titleholder Address
JOB ADDRESS I :3 If ~Jr1 A /lJe.J- j {I'S I- tv~q LOT # Iy/r
J ./
SUBDIVISION I [rMJ'~Ld JJoi /lk I PARCEL ID# I c:J.tj-~~ -J./ -(JOs-a - ()Q1J:) - cJ-/ tjU
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ~ NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
\S \f. .J' mJ .Jt;r
j
BUILDING SIZE c! (PO I HEIGHT I
SQ FOOTAGE
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D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
:~~~~RE !~/d~~:=r o~~:~~
~~ ~~ I
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Address _ _
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA..
.,..;;;.~
OTHER
owur--
I Lar~
I Y IN
License #
/1JOI'4CLfJ
FEE CURRENT
Y/N
PLUMBER
SIGNATURE
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
"1'11111111111 1111111111'111111111111111111111111111111111111"'11"1"""""1111111111111""'1""1,""11111111111111111'111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111,1111111111111111111111111111111111111111111111111111111111
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 $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
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 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 ~hat a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not specifically 1n~luded.1n the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve'!' ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced WIthin SIX months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed ntn~ty ,90) da~s 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 OBTAIN FINANCING, CONSULT
WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTO
Subsgl~ an swo
JJ by
Who is/are personally
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Notary Public
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Notary Public
Commission No.
\S k t!J'~ irOJ"v NOTARY PUBLIC-
Name of Notary typed, printed or st Stacie Cross
Commission # DD510984
Expires: OCT. 16 2009
Bonded Thru Atlantic Bonding Co., Inc.
State of
NOTICE OF COMMENCEMENT
P/OrL~ County of Puvl!c
w!y 6f Z-IIL/k
TH}~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain 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. Lof ol-/'I Tit EhU/ldl /O/~ /(f/ WO/'!-
J 9 ~ 3 oL A ftLL.J- '-7...1- tu~
(Legal description of the prope and street address if available)
2. General Description of Improvement ~ k/ a.drkkA '0!(j/'d6-( \! ~ J
)
.,). f?Lo~{;r Aoru 'CtJ}'1/ -txkll\J Jail
,
i~';~'.
t'n
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pwner Information: Name L 4...)'\1}
,~
~ddress <39&3ol. 41n-e-,/-i1-Jf Jvj
Interest in Property:
1170/">1 ~j}
v
City hplyrLI1
State R. .]JJyd
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
1IIIIIIIIIIIIIIIIIIIIIIIIIIlllllllllllilllllllllllllllIIIIII -
2006104159
Rcpl: 1000021 Ree: 10.00
os: 0.00 IT: 0.00
05/19/06 Dpty Clerk
JEO PITTMAN PASCO COUNTY CLERK
05/19/06 03:55pm 1 of 1
OR BK 6998 PG 174
City
City
State
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
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Notary Public:
::z
Signature of Owner: ___~ ~~ _
Sworn to and subscribed b ore me this /7 f.~ day of //t U,
~ Jet ~ -'~C.STATE OF FLORIDA "7
Sl,u.:it: ClOSS
Commission #DD510984
, 20cJb .
My Commission Expires:
PC93053048/A
Bonded Thru Atlantic Bonding Co., Inc.
La-rl'-J.
Name
3 9 ~ 3 oL /! /JJ~-f ~ <s1- to~
Address LJ .,1
Zep =ar JV/I.! 11. dlWd
m 0/'9 aJJ
-
To Whom It May Concernr
Please be advised that:
Stacie Crossr & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
~~~~
signat e
-
date
NOTARY
STATE OF FLORIDAr COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this ~day of /n~
I ~tJCe
Personally known
or Produced identification ~~
Commissioned Stamp
and Expiration Date
N~~-~
Page 1
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
~r I], '-Y!ZJ/G9:4A(
to the pfovisions of~his instrument.
I,
agree
have z'ead and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own c.omicile, that he or she
actually occupies, or will occupy by saic. domicile, and same is not for
rent, lease or sale. That he or she shall comply ,dth the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of constructic,n are subcontracted, he will
engage only properly licensed subcontractors all.d will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to iZ:.sure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the Ci t,y of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, Stat.e and Federal laws in regard to
social security, worman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safet}' codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that: law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a licElnse. You must provide direct
onsite supervision of the construction yourself'. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided you:!:" costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improyed yourself within 1 year after
the construction is complete, the law will preElume that you built or
substantially improved if for sale or lease, wlLich is a violation of this
exemption. You may not hire an unlicensed perElon to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licElnses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licenEled contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct: supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that emp:.oyee, all as prescribed by law.
Your construction must comply with all applic~)le laws, ordinances, building
:::::::~::: ~ DATE 5-/7-0.
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BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING, \ ~}
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