HomeMy WebLinkAbout06-6287
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6287
Permit Number: 6287
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 36841 CLUBHOUSE 0
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: SILVER OAKS
Parcel Number: 04-26-21-0000-00100-0020
Book:
Section:
6,800.00
12/04/2006
97.50
97.50
12/04/2006
BATHROOM SILVERADO CLUBHOUSE
Name: SMITH, BRANTLEY
Address: 36841 CLUBHOUSE DR
ZEPHYRHILLS, FL. 33542
Phone:
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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.
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."
NO OCCUPANCY BEFORE C.O.
(:-,Qf\;~ . ~-~
Y CONTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
v64 W ~ ~C::te
,'~' w.a.o~
Permit Application Review Comments
By: Bill Burgess
Date:
oct- .. \ 1.0 I A.aolo
[g]
No Comments
Address:
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Fee Simple Titleholder Name
~~Wl
Date Received
Owner's Address
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Fee Simple Titleholder Address I
I S\ l'Dra~
I
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
ao~~ ('G(,,,,~cjJIo ~(o~41
I PARCEL 10#1
o
o
o
(!lubl-led~ W- LOT#
JOB ADDRESS
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
B
o
o
ADD/ALl
REPAIR
COMM
FRAME
OTHER
STEEL
I
D
~
PROPOSED USE 0
TYPE OF CONSTRUCTION 00
DESCRIPTION OF WORK I
I/o I " ') ^ \ I
BUILDING SIZE ^ ~ u .
D BUILDING 1$ c;t, t:frJo q;...
,
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
OTHER I
SQ FOOTAGE
HEIGHT I <6 \
I
I
I
I VALUATION OF MECHANICAL INSTALLATION o.
. - ~oJ 'IJ~. i-\(!. +k>~.c -
(O.u...) ~ J>oc..
o SPECIALTY 0 OTHER - 0;) I C!.-
I FLOOD ZONE AREA DYES DNO -~o.oo
AMP SERVICE
o
PROGRESS ENERGY
D
~ \ ^' p _ t4-cl .
f'J u ~ ID _;)l&> 1 Dto
W.R.E.C,
VALUATION OF TOTAL CONSTRUCTION
ROOFING
Address
IT3>+W ~-C(ek
I Y I N FEE CURRENT
CC(
License # i D50l. q 1 ~
,14-Q>"7q~
I Y IN I
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
Address
I1111I1111111I1 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111I1111111111111
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 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 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 Offjcia~ for a period not t~ exceed nin~ty (90) dars 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 F ANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN BEFORE RECORDING Y TICE OF COM CEMENT.
FLORIDA JURAT (~S:-'1fr.03)
\. I
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT.,.
, </ ~ rc;o~ ~ .0. /.:J, ~ 7 re.;; 1(')
THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections shall be made before the job
will be accepted.
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It is unlawful for any Carpenter. Contractor. Builder. or other persons, to
cover or cause to be covered. any part of the worK with flooring. lath. earth
or other material, until the proper inspector has had ample time to approve
the instellation.
OFFICE HOURS 7:30AM -4:30 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
A-. ~ ~ '
INSPECTOR
State of
NOTICE OF COMMENCEMENT
'FI6n~ County of f q-SCO
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. ~y 2(s, ;11
0000
06 J 00
oO~D
(Legal description of the property and street address if available)
2. General Description of Improvement tVew ~+lfCJO'~
( s o-nd ~ ))evelarm €Vl:)
3. Owner Information: Name S a^J f< be.v€..'op~~~
tlu b ~S<::.DrCity~h'1rh~)1 ~
Interest in Property: ChJ'~(\€f..
Address 3(0 8Y I
, State-FL
I 111I11 11111 IIIIl 11111 11Il111111 11111 11111 11111 11111 1111 1111
2006215892
Name of Fee Simple Titleholder:
(If other than owner)
R4.
Addre~s City
Contractor: Name --1)('rrc 1\ W\ '<;61\1
Address ~ I W'( (2..ct ed
5. Surety: Name tJON e....
State
City L e
State P L
':J3 Sl./Q
Address
City
State
Amount of Bond: $
Rcpt: 1044351 Rec: 10.00
DS: 0.00 IT: 0.00
10/26/06 ______ Dpty Clerk
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 1:e{(~)~ W~ )~
Address '1(4) I;..') \~ f2cL
City ?-ef ~'ir h d ) .)
8. In addition to himself, Owner designates ~(,e:.1 \ It...J ~ IsoJ
of ~+W Qt1-Yf1-Cre:l-e- to receive a copy of the Lienor's Notice as
provided in Section 13.13 (1) (b), Florida Statutes.
State FL
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
1l~~)11M~~~4~~~C01COUNTY CLERK
OR BK 7240 PG 654
:Ysignatureofowner:_L~ ,;: d.P
Sworn to an/ . d before me this .:/~ day of
Notary Publ ..
Oel-06€L
,20~.
My Commis
PC93053048/ A
~;~~I
'STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CENTRAx #: 51~SE-22601
DATE PAID:
FEE PAID $ Itp 1/ tJ
RECEIPT
OSTDSNBR 06-2323- -N
CONSTRUCTION PERMIT FOR:
[ X ) New System [ ]Existing System
[]Repair [)Abandonment
) Holding Tank
] Temporary
Innovative Other
Modification
~ '
APPLICANT: S & R Development LLC
AGENT: 45, Bennett Larry
PROPERTY STREET ADDRESS: 36841 Club House Dr Zephyrhills FL 33541
LOT: 2 BLOCK: 10 SUBDIVISION: Silver Oaks Hill
[Section/Township/Range/Parcel No.]
PROPERTY 10 #: 0426210000001000020 [OR TAX 10 NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE-APPLICANT FROM
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T 900) Gallons SEPTIC TANK F, \ +e.V' MULTI-CHAMBERED/IN SERIES: [Y
A 0) Gallons MULTI-CHAMBERED/IN SERIES: [Y
N 0 ] GALLONS GREASE INTERCEPTOR CAPACITY
K 0) GALLONS DOSING TANK CAPACITY [ 0] GALLONS @ [0 ] DOSES PER 24 HRS # PUMPS [ 0
D [ 222 ]SQUARE
R [ 0] SQUARE
A TYPE SYSTEM:
I CONFIGURATION:
N
F
I
E
L
D
FEET PRIMARY
FEET
[ N ] STANDARD
[ Y ] TRENCH
DRAINFIELD SYSTEM
SYSTEM
[ Y ] FILLED
[ N ]BED
N ] MOUND
N]
[ N ]
LOCATION TO BENCHMARK: Oranoe Disk On Laroe Oak Near Site
ELEVATION OF PROPOSED SYSTEM SITE [ 33.0 ) [INCHES )
BOTTOM OF DRAINFIELD TO BE [43.0) [INCHES )
BELOW) BENCHMARK/REFERENCE POINT
BELOW]BENCHMARK/REFERENCE POINT
:~,
FILL REQUIRED:
8.0 )INCHES
EXCAVATION REQUIRED:
0.0 ] INCHES
OTHER REMARKS:
The licensed contractor installing the system is responsible for installing the minimum
category of tank in accordance with s. 64E-6.013(3) (f), FAC.
[SE] Bottom of 222 sq.ft. trench drainfield to be no more than 43" below reference point.
The "0" horizon of original topsoil and vegetation must be removed from beneath the
drainfield, shoulder and slope area. System sized for a 200 sq.ft. restroom on a golf
course.
.TED BY: Taylor, Larry
TITLE: EH Specialist II
'IFICATIONS BY: Taylor, Lar
TITLE: EH Specialist II
Pasco
CHD
SUED: 11/22/06
EXPIRATION DATE: 5/22/08
1/97 (Obsoletes previous editions which may not be used)
.f,,~n"T". c; 744 - 001.-401.6 - 0) [ostds"cons_4016-1J
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