HomeMy WebLinkAbout06-6205
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6205
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:
6205
ADDITION/ALTERATION
SCREEN ENCLOSURE
NOT APPLICABLE
17,136.00
11/01/2006
250.00
250.00
11/01/2006
LANAI & SCREEN ROOM
Address: 3446 T URMALlNE DR LOT 280
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 280 Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0080-00000-2800
iC
Name: MCDANIEL, RAYMOND
Address: 3446 TOURMALINE LOT 280
ZEPHYRHILLS, FL. 33542
Phone:
H ELE U
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.
REINSPEcnON 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.
C~TO~RE ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Permit Application Review Comments
By: Bill Burgess
Date: ( 0 ~ Un --O~
Address: at(<{G--rDv r IYYA {11t
Type: La"l CL/' ~ i<5cre e 1"\
m?f!iJ (J:lrrlt +-
${t/I~
lQ] No Comments
JJr [of 2~l>
y f?/YY1
~c~rl ~ ltL"'~ ,06- r\)~"'V/lL ~""" f..AjS(b'\LP )x>'r\.'
vf?~fiLf~r (4;\fI)~ (~~~\CI\\'\lJ1JLr11.~~--r;
s\.\ I~ M(l--tAL
CD
10(3,10<0 ~~.J- ~ d' ""'- . I ...
/"M> lI-\" G' . .u.<' lo~jUL ~A5~ 0 \)f1 ,,-.- .-..' ~r
~ '8~3~ -.....y~'5 C'r. ~~+
Date Received
City of Zephyrhills Permit Application Fax-813-780-0021
Building Department PASCO PERMIT SERVICE
8. . 31
(~. po ~
1~1
813-780-0020
Owner's Name
c Daniel
TourlYlarine.-- Dr: /..1Jt ~fO
Owner Phone Number
3d fitRer Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name
JOB ADDRESS
Fee Simple Titleholder Address I
134'% TOc.umA-line-- "Dr.) Zephyyh,'//5) Pi- -33StfO
bhe.lZmera..-ld foinfe ~V I PARCELlD#I~'f-~-;U-OOFO-OOOOO-~~OO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT #
1 ;zgO
SUBDIVISION
WORK PROPOSED
~
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I /.11 na.A' -+
/ ~ X '12 I
NEW CONSTR
INSTALL
SFR
BLOCK
B
D
0Cl
~5c (e~ I<?JJDrr'1
sa FOOTAGE I :SOt.! 1/1
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
HEIGHT I
BUILDING SIZE
111"""111111"'11111""11111"1'11111"""'11111111111111111111111111111"111111'1111'1111111111"'1111111"1111""1'11"'1'1111111111"'1'1
D BUILDING 1$ J,D}OOO. ~ I1\zV~LUrl~~OFTOTALCONSTRUCTION
D ELECTRICAL 1$ , I 1'1J~SERVICE D PROGRESS ENERGY
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
I111111111111111111111111I1111111111111111111111111111IIIIIIII~IU,IIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111I1111I111111I1111111
BUILDER jJ s IA.. ciJ ft.,,".J COMPANY I Owner I
SIGNATURE f\( c:., /1 J REGISTERED I Y I N I FEE CURRENT Y I N
Address 3
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
rJbC, I
Address
I
I
I
I
I
I
I
I
Address License # I I
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111
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
Attach (3) 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
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
11111111111111111111111I1111111111111111I11111111111I11111111111111I11111111I11111111111111111111111111111111111I111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC 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 NC
License #
ELECTRICIAN
SIGNATURE
O{))n~r
I Y I N I
FEE CURRENT
Y/N
License #
PLUMBER
SIGNATURE
Owner
I YI N I
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
Fences (PloUSurvey/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 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) mo~ths after the time th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~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) . .. /1 "'. //
OWNER OR AGENT ~~Z )?Jc~ CONTRACTOR~ ~ )n(~
Subscrib~ and sworn ~(o ffirme(1) be(q~e mjl this 'j Subscribe~d sworn 0 (or affirmed) b~m.A this . /
JO -If"" by h)Ollcl 1'I}{'lJUJrL /i)-I' by ~1'Y1(1JLI)" {.hV)~~
Who is/are personally kno to me or has/have produced Who Is/are personally kno to me or has/h~ve p!"<'du?ed
OL as Identification. L) l- as Identification.
~~ UWA-
Notary Public
~i~
Notary Public
Commission No.
r.Uli;J1Y t'IJiL!C-:.d/\:JE at rLORlJJA
C' .
Commission No.
Name of Notary .
Name of Notary typed. printed
R~mond E. me :DanieJ
Nam
3<1Lf(P TolJrma./ine- Dr. ~t- ;;.,80
Address
Z-ephyrhd/s) FL 33SL{O
To Whom It May Concern,
Please be advised that:
Stacie Cross, & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
Sincerely,
~~ L' >nL~~
signature
/()- / '1- O~
date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn ~ ~nd
subscribed before me this -/...X!!- day of ~tl2ber
, _ eJ-OO{p
Personally known
NOTARY PUBLIC-STATE OF FLORIDA
""'"'''',,,, Suzanne Bahr
{W kommissio!l #DD601110
"'~'~ Expires: NOY. ~? 2~10
BO~DED THRU ATIA>.jl1C BONDlN" CO., ,\'.
or Produced identification ,,/
~
Commissioned Stamp
and Expiration Date
Page 1
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, RfM4(YlDn4' F. me Dan"e-I have I'ead and fully understand and
agree tQ)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 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 ~'ith 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 constructie,n are subcontracted, he will
engage only properly licensed subcontractors aD.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 i:r.sure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibilitl. for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspect ion
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, workman'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 lice,nse. 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. your 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 improved yourself within 1 year after
the construction is complete, the law will pre~lume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed per~lon 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 licE!nses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibili ty for supervising work to a licen~led 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 employee, all as prescribed by law.
Your construction must comply with all applic~)le laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATURE ~~ t; ~c.J>~ DATE /0-/8-0&'
ADDRESS 64'1& TOur- Iil?e Dr. Z hyr i Is, , L 33Sl/D (Lor .;23>0) Emerald po/r-de/?V
PHONE d3~ - dj- 30;L,h ", 1
WITNESS LJj ~ C1..tJ.---VL PERMIT #
NOTICE OF COMMENCEMENT
dj Of 2;/
State of r::-/o ri cd tL-
,
County of Pa 5 eO
TH~ UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and III accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
2. General Description of Improvement Un t(A'
~~~~~/!'~lW' 11111 1111111111 11111111I111111 111111I1
Rcpt:1044733 Rec: 10.00
DS: 0. 00 IT: 0. 00
10/27/06 ____Dpty Clerk
R3.
Owner Information: Name RaIj/YIDnrL me Da-n;el
Address 3Wf/J ToIJrmaf/ne-- Dr. IJJfrlfO City Ufhyrhills
State FL 335"q-O
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: Name () {ill/} e r
Address Sam e... tl5 aloOlJ~
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
JED PITT"AN, PASCO COUNTY CLERK
10/27/06 10: 01am 1 ~ 1..
OR BK 7242 PG. ts
City
State
City
State
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.)
Signature of Owner: ;P~ L )r}c-JJ~
Sworn to and subscribed before me this cJS -fl, day of O~bF~ , 20 a .
Notary Public: ~~ H ~ ~6~T~T$~~L~:~~
AAl fJUi!L~,.:::; 1?1 E OF FLORIDA THIS IS TO CERTIFY THAT THE FOREGOING IS A
My Commission Expires: . ~~a~le Cross TRUEANDCORRECTCOPYOFTHEDOCUMENTONFILE
'. Expir~s: OCT. 16, 2009 HAND AND OFFICIAL SEAL THtS~ DAY OF
PC93053048/ A Bonaed 1 hru AUantic Bonding Co., Inc. CYl 7- 2 Q:&:?
JED PWMl\~. C~ERK OF CIRCUIT COURT
BY ,{fLk'~~ .J DEPUTY CLERK
BUILDING SHALL COMi>L\f \i>nTH
ALL APPLICABLE cn 'r Of
ZEPflYRl!ILLS ()~; nl i.';, nc ;:,
yrtoj)~'i vV\~:fDLc,
\2-,)~~' yt;f)J
I
I
I
. I
REVIEW DATE' · D L f ~ -. j
C1TY OF ZEPHY~~4.ttt <::::>
BUILDING OFFlCIAL~~
<SCALE /i~ 10,'
Me MAlLeI.-
oJ 'I-~h -01-1- ()jl' 0 - OOM
LoT,) i 0 -c).fl)O
TilE EMF.
R v . Je /It..f) POI IV TE
12 E00A.T
J6,.oo I
I
I S.'
I
.~
M
N ~
<:tq:
~ .....
"t
-..J
~
Q"\::S
. <:.J
l.u
~ ~
~~
~
~
<:::)
'"l
"?
l',eo~..rClJ
.sc,uEJ.) 8
IlCOM
'<;:,
.....
/ a. , (JO'
t,~
tt~
~
To VIU/1/1 LZ-Nt=-
~
<:.)
E
~
,otfIf/E
\t)
5",
I "
I
I ,
\ i
I I
~
~
, i
j I
I 1
I !
I I
I
!
I
I
---__.-L_.-'