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HomeMy WebLinkAbout06-6275 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 6275 Permit #:6275 Permit Type: ALUMINUM Class of Work: ALUMINUM PACKAGE Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 20,000.00 Total Fees: 265.00 Amount Paid: 265.00 Date Paid: 11/30/2006 Address: 3443 PERI OT LANE L T 224 ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: EMERALD POINTE Parcel Number: 24-26-21-0060-00000-2240 Name: HOMEOW Addr: Phone: Lic: Work Desc: LANAI SAUMURE, GUY 3443 PERI DOT LN L T 224 ZEPHYRHILLS, FL. 33542 Phone: 613223-6070 / (\~:~ Y' 19IV \~ FRAME ELECTRICAL ROUGH 1 ST ROUGH PLUMB I FINAL REINSPECTION 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." ~CT~TURE ~RM. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit ApplicatiOn Building Department raX-ln.:s-(1:lU-UU:':'1 Date -Received PASCO PERMIT SERVICE .5 w ~. r9. D D u"mvrL r Same tl6 aheV--L 5cune as. ~VL .3- er;d + ne I Emerald ft>/nk ~ PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I Lanaj I 1111111111111111111111"'1'1111111111111111'1111111111'111""'111111111111111111'1'111111""1111111111111111'111111111111'1111111111111'1111'1" 1$ ~qtJtJ~~ 1$ 1$ 1$ D Owner's Address Fee Simple Titleholder Namel e.-- Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Fee Simple Titleholder Address JOB ADDRESS NEW CONSTR INSTALL SFR BLOCK I B D ~ D D D I D OTHER I SUBDIVISION WORK PROPOSED ADD/AL T REPAIR COMM FRAME (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER STEEL BUILDING SIZE HEIGHT I SQ FOOTAGE I GAS ROOFING I I I I D AMP SERVICE D PROGRESS ENERGY ~ W.R.E.C, BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION ~~LJ ./ Address SPECIALTY D FLOOD ZONE AREA OTHER FINISHED FLOOR ELEVATIONS DYES DNO BUILDER SIGNATURE l~fJer Y / N I FEE CURRENT I Y/N Address License # LQ<<~ FEE CURRENT License # [ Y/N ELECTRICIAN SIGNATURE PLUMBER SIGNATURE tq{~~~ FEE CURRENT Y/N Address License # I tk, ',IT Jj~ ; Y / N i FEE CURRENT License # I Y/N MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # r 1111111111111II1I111II111111111111111II111111111111111I111111111111111111111111I11111111111111111I111111I11111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) 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 COMMERCIAL 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. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111I111111111111111111111111111111111111111111111111111111111111111111111 " 1111111111111111111111111111111111111111111111 " 11I11111111111111111111 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 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 th~n 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 forwhich 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) 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 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 ATI NEY BEFORE RECORDING YOUR NOTICE OF CO NCEMENT. FLORIDA JURAT (F.S. 117 3 OWNER OR AGENT S scribe and sworn by o is/are personally kno ;~;f~~~"~W~;' CO mission,. t:~TARY PUBLIC ST/dE OF FWRlD.A. .;'.........,,'.. Suzanne Bahr Name of Notary typeda~ q~~n # DD601110 ..",..........:' Expires: NO'/' IS, 2010 BONDED TIfRU ATIArffiC Bo:;m:-;G CO., INC CONTRACTOR su~~ and s I/. (Jy" by Who Is/are personally kno V.L. ;i'~4~~ Commission NJ NOTARY PUBLIC-STATE OF FLORIDA Name of Notary ty _ ed tial8mre Bahr ~ ] Commission # DD6011l0 ""........'. Expires: Nay. 15 2010 BO:->DE.D THRU AI1A.'mc 1l0:->DING CO.. INC Notary Public .- ... ,.. - .. -.... .._," .. ..........'_.... _..~~., -.. -, ~..-_. ----.,. .............. . ---,-~...... Permit Ap'plication Review Comments By: Bill Bmgess Date: //29-0 ~ Address: 3</13 Type: J tt.t1Q ; ,- ' . !k(lO f&;,,'W<7;-- 1QI No Comments /Jrlc/;;I- .~~ . , C' &- 7/!; StJ.JLmUY.e..- Name ' ~ ~ ~i~+ iMP) tof~cf Add~trl/!5) ~ ~ 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. #in~ slgn re //-I'/-/Jh date NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this /1~ day of AJove~~ , ~ Personally known NOTARY PUBUC-STATE OF FLOlUuA ~""""""" Suzanne Bahr ~ WJCo~Sion #DD60l1~o, ..",........ Exprres: NOY. 15, 20~\ BONDED THRU ATLANTIC BONDING CO,. I?,'_ or Produced identification v/ Commissioned Stamp and Expiration Date Page 1 I, agree DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT , 'e- 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. 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 ac.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 ir.sure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume ful.l responsibility for the construction and wil.l not expect supervision of his work from the City 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, workman's compensation, lien ],aws, etc., where applicable. 8. That the owner shall compl.y 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 al.lows 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 onsitetsuparvision of the construction yourself:. You may build or improve a one-family or tWO-family residence or a farm o~Ltbuilding. You may also buil.d or improve a commercial building, provided youz' 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 presLume that you built or substantially improved if for sale or lease, wlLich is a violation of this exemption. You may not hire an unlicensed perslon 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 licensled contractor who is not l.icensed to perform the work being done. Any Ilerson 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 ded\lct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with applic~)le laws, ordinances, building codes, and zoning regulat'ons. OWNER'S ADDRESS PHONE . pATE 1/--I!f-tJh /ISI R- 5,~ WITNESS PERKIT # k ~~ ,~ ~lu ~~ ::::,..~ ~~ l--4J ~~ -J t:-\ ~ L.u~ ~~ ~~ ~~ 04J tfl(jvJJd ,hr [' /"'-------------- ~f-f/-/-/-\ \ \ \ \ \ \ BUI~IN \ ALL A G SI-I\LL CO BUILDING SHA. LL ~MP, L WITH ZEP PLlCAB!..E ~L Y WITH ALL APPLICABLE B ILD!N ' ILLS OllD.>! " OF ELECTRICAL, PLU !NG ' \ .;, \ -\NCE MECHANICAL COD S \ \ ' s. , \ \ \ w ~ ~ Q -z a ~ \ \ \ \ , \ \ \-~ o Q Do ~ - "J ......... 1\ ::::: -...... ~ ~ ~ \- ~ \~ ~ Q ~~ \ 'i3,."Z: \ - ~~ \ t:J \ ~ ~ ~ ~ 5, 1fJ1J9 .JCi?ld N 5 .... i= <( li -1 ~ --+ en i 1:0 -t b .... z o i= <( > W ...J W W Cl en LL o o cr:: ...J W Z <( ll. W ~- en ~ o u M z o i= <( > W ...J W :x: u <( m q ..,. N z o i= <( > W ...J W W o en a _I _II ~ lu .j ~, 2 <:t. -1 ~ ...J <C \J cL \- \J w -.I ,W <T 2 <:( i~i I '~! ~l \Li -t ~~ L~ ,I ! J 8lTILDfNG SHALL COMPLY WITH ALL APPLICABLE BUILDU'lG, ELECTRiCAL, PLUMBING AND MECHANICAL CODES, BUILDING SHALL CO~PL : WITH ALL APPLICABLE 01 v O~ ' ZEPHYRHILLS ORDl N ANL"E. -~- -t-,; it, ;,-1 1117-, L I II 0-1 rei -<( OO<r~/- I ( oJ ---- "'" "- \ .....-\-- -~ \ 4" ~ ~ \ ~ L-t \jl ~ jtcLfJ~'i~1 \).., 1Z-- (!.i ~L "i \ I I / / / =Y \ C) _\ ':t -<:I _\ ~ -Q-/ / ~~-' REVl~WDATE, fj/l,Jv r:1'f\ of ZEPHY HILW_ lR1U,fW!(; OFF1CIA~ "o,~~ "b ~o,~t II O-,e'1 -_w_~-----1w-- T ~ :2 ~ -1 "2 t;L ~ b ~ (:.\ ~ Q a \.u III .J ~ \L ~ ~ \:ll ~\'C)w :::> ~ ~ <:: -:t- \u \f)l.'<) ... ~ -' ~ '(j - \ ~ =P ~a _\ ":::t ==t~ C) _I -:::t" ... C) ""->.....:.. /' Lot Improvement Request 7\., 3D ,/' '" ,/: rI ,;:;- / NV >------ , /;'J/J1t1y. (.dAL~ ~'~J. fie &J /D h .J) /1.. -l&_'Pf r - "".... I /_~ ,_- ;::::/.-; -""h. e L..K f " _,i.f.; ." l. ~" ," '. 'I' . 1/ / /p _/ <'..'7 "7 ~ 1v..;<4- t:k.... (/.. ,-;.:",.,. /)'.' -l!.~~...........-o.::/' t AT eA<--t... e~ D / ,"'."""-r- /'\/1 I /< ,,-,.) I' .~ \, t-' /' \ -y ... I v / - <- - '- ,J' V ;} -i ~- , '. '.... I.f 1\ . ,- , . ()~ ~~~ ~ ~/0~-------'~'----"- ~~ l.~ 'J_ ,~,. 1 ' ~?~~ To: From: Lot #: E-Mail Address We request P~A apprO~aI LdO the fo~wi~ . " , I Emerald Pointe POA G:{f r C~.e6L ;2. :l. . SAliM tiRE ~tu-- ",F() ~....._~! {..' "'o-~' ,~~. '~ "" State of NOTICE OF COMMENCEMENT p!orlq(1./ County of 11tSc..o ~0 ~ Z-i/(/k THE UNDERSIGNED hereby gives notice 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. C:(~- ;J~- :2/- tJQ6D- {){){)~o-.;;...;L 'fO.J c3tf'f3 &dtf c ~rd..z'l. ~,1. Pi.. 3357rl (Legal description of e property and street if avail ble) 2. General Description of Improvement L CUi ~; 1111111111111I11I11I11111111111I11I11111111111I1111I11111111 2006236804 R3. Rcpl: 1053078 Rec: 10.00 DS: 0.00 IT: 0.00 OwnerInfonnation: Name G tt jj ~d..?Lm ure 11/29/06 ----- --- Dpt. Cle,' Address3#3(i/it/;;/~ C/f;;:L'i Civ2tfyh/1s Staten- 33gjQ Interest in Property: OaJ ner ~~e JED PITTMAN, PASCO COUNTY 0 CLERK 11/29/0612:12jf 1 ;if1 OR BK 728:>> PG a Name of Fee Simple Titleholder: (If other than owner) 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. Notary Put;rlic: '-- 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: -&- -/~ / Sworn to and subscri before me this /4 -1S. day of //;/ try en. ~_ '. RlDA - >,'OTARY FUBLlC.STATE OF FLOahr . i ...,\U",,. 1 anne B [ .. kommission # DD ~" / Expires: NOY. 15, 2010 '......,. ....:fflC BQ)II;.lING CO..INC. 1\CSDE.li TJlRLi AI My CommissionExpires: ~ ./ ' ~ - ~, PC 93053048/A, .;' ,200'.