HomeMy WebLinkAbout06-6251
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6251
Permit Number: 6251
Permit Type: ADDITION/ALTERATION
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:
8,568.00
Address: 3516 AQUAMARINE WAY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0020-00000-0140
Name: BARBIAN TOM
Address: 3516 AQUAMARINE WAY
ZEPHYRHILLS, FL. 33542
112.50
112.50
11/16/2006
STORAGE ROOM
Phone:
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2ND R UGH PLUMB
WATER
SEWER
MISC.
MISC.
MISC.
FIRE DEPT. FINAL ELECTRICAL FINAL PLUMBING FINAL FINAL MECHANICAL
RSNSRE'CTlONFEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when exb'a 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
nWarning 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. n
NO OCCUPANCY BEFORE C.O.
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RACTOR SIGNATURE PERMIT OFFI
CAll FOR INSPECTION - 8 HOUR NOnCE REQUIRED-
PROTECT CARD FROM WEATHER
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Date Received
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PASCO PERMIT SERVICE
813-788-5314
813-780-0020
City of Zephyrhills Permit Application
Building Department
Owner's Address
Fee Simple Titleholder Namel
tu,
Owner Phone Numbe
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address
SUBDIVISION
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PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK I U /-bl'd..qe J200m
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BUILDING SIZE I / rJ-1 X J/ I I SQ FOOTAGE I ,;1J~r HEIGHT I
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JOB ADDRESS
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PARCEL ID#I
LOT #
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ADD/ALT
REPAIR
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FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
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STEEL D
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ELECTRICAL .
o 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
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Address _ _ License #
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VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111I11
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Penn It for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Slit 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I11111111111111111I111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C 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 Ale 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas; or other !nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~y !o vlol~t:, 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 t~ exceed nin~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. 1 7<93);, ~<?
OWNER OR AGENT ~ /
S4b:rQibed an,d s 1!Jl.19 (or affirmed,) be,W. re me th[s 30~
('.LUV. 7/JJVby =-.L110tY1~S !J..: F.4/h/~---
Who Islar~ personally known to me or has/have produced
~~7fr~ N~;:~:P~~:A
,"""""- Suzanne Bahr
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Name of Notary typed, print __, ", res: NOY. 15, 2010
BO~i:lE.D TIlRU ATlANTIC llONDlt'lG CO., l~C.
30 '1h.
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C.tm:2~arAR~~TROP ~OqlD"om~ Publio
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Name of Notary typed, print _,,' . NOY. 15 2010
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BO:\Diill THRLJ AJlJ......nc llONDlNG CO., INC.
~O/n /{J (ja r/;/~
Name
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Address J
Z~~rYIF Fl. 33SlO
To Whom It May Concern,
Please be advised that:
Stacie Cross, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
Sincerely,
U ,# #r
~./J!~~~?-
-signature .
//;1--30- 0 8
date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this ~~day of ~~7.Sp~~
,d-OJ&
Personally known
NOTARY PUBUC-STATE OF FLORIDA
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::..... '\ Suzanne at If
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-"""""",:: Expires: NOY. 15, 2010
BO:-;DED THRU AI1.A.\TIC BONDI;\G CO,. l~(
or Produced identification v/
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N~ary~
Commissioned Stamp
and Expiration Date
Page 1
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ThO/7lN
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
l3a/'b/tUJ
agree to the provisions of this instrument.
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 ~'ith the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of constructie,n are subcontracted, he will
engage only properly licensed subcontractors ~.d will personally supervise
such work.
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.
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.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
consti tute an official notice to pay addi tionaJ, fees.
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.
That the owner shall comply with all the safet}' codes issued by the Florida
Industrial Commission.
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
ons~te,superv~s~on of the construct~on yourself:. You may build or improve a
one-family or two-family residence or a farm 01.:Ltbuilding. You may a1so 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 impro,'ed yourself within 1 year after
the construction is complete, the law will preElume that you built or
substantially improved if for sale or lease, which 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 1icensing ordinances. You may not delegate the
responsibili ty 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 employee, a11 as prescribed by 1aw.
Your construction must comply with all applic~)le laws, ordinances, building
codes, and zoning regul tions.
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SIGNATURE.,
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8.
9.
OWNER'S
ADDRESS
PHONE
. DATE
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Permit Application Review Comments
By: Bill Burgess
Date: !1-13-a~ ~NoComments
Address: 351 c., If ~u a", Q:..rt "e ~
Type: 3'fay-C( a Y 00 t1J I 2 l' 2/
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LOT IMPROVEMENT REQUEST
/
To EPPOA Property Evaluation Committee & Board of Directors:
F'rom -11 ~ At, A- -::; 13 h- (J. J / 'AN
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Lot# IAddress },,;7 / Y ~ .> ~~j( A'f C) ~ ftAJ}A- !Ale. W .4;
We request PO oval for the following (must include drawing for any
construction addit~on remodeling / landscaping, etc.).
~ ~C!- /i ;rMc ;/,6- c1, d fi. /J- w-t/PJ $. -
..
.
Lot Owner's Signatur;tL#,,6.-uk
Approved )( <QI./ Denied .
Property Evaluation Committee:
II ~ .. .&Pv Ga~d/21.
(Lje. . ~~ (JW<.- Pel/. . Date: I p - / t -()~
() p1?~1)J11.'J'-
Board ofD rectors: . .
/~~- ~~ ~
1/ Ed ('<k ~M:tL 'J-' /' ~ ate: M-.5I5I-'?'?
~~::.AnjL~<<J::f n?bdp~ ~. ~~ .
Date / ~----~-O b
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State of
NOTICE OF COMMENCEMENT..
FJIJY I do./ County of PO<:.5r ()
THE: UNDERSIG~D hereby gives notice that improvement will be made to certain real property,
and m accordance wIth Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
2. General Description of Improvement
roo YYl
1111111111111111I11111111I1111111111I1111111I11111111111111I
2006230342
3. Owner Information: Name moma~. BCA.-rblah
Address 35ft, A1ft2tnMV)"f/ lJ.6/fitY 'rhgrhJh
Interest in Property: Sa me.....
State ~ ~1"6
City
Rcpt: 1050421 Rec: 10.00
DS: 0.00 IT: 0.00
11/17/06 ___ Dpty Clerk
JED PITTMAN PASCO COUNTY CLERK
11/17/06 1i:23am 1 10f2316
OR BK 7271 PG
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: NameJ tUne..-r
() {)) her
Address
City
State
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
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.)
Signatureofowne~~1I ~~
Sworn to and subscri before me this /~~ day of No ~etM.-ber
, 20D(j; .
/
My Commissicn Expires:
PC93053048/A
};OTARY PUBllC-STATE OF FLORIDA
.'."
~ jCommission #DD601110
'. "" .' Upww NO\( , 1:;. ?mo
BONDED TIiRU ATI.A.~iIC BONDING Co.,INC.
Notary Public: