HomeMy WebLinkAbout06-6293
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6293
Permit Number: 6293
Permit Type: ADDITION/ALTERATION
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,100.00
Date Issued:
Total Fees: 82.50
Amount Paid: 82.50
Date Paid: 12/07/2006
Work Desc: SCREEN ROOM
Address: 3506 PER DOT LAN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0070-00000-2470
Name: MAZURE, EDWARD
Address: 3506 PERI DOT LANE L T 247
ZEPHYRHILLS, FL. 33541
Phone: 615828-5951
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FOOTER DUCTS INSULATED SEWER MISC,
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC,
CONSTRUCTION POLE FRAME 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.
~~~ ~~
ONTRA . SIG ~URE PERMIT OFFI
C FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENDS
Contractor/Homeowner:
.w(~",,~
Date Received:
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Site:
35D 6;J --=Pe.n do.\- Lr. #- d-.l.{ 7
Permit Type:
Approved wino comments: 0
G) . 6wt1?uL (loi~lj;:
(pAfLj) ItppJl?i"t+L r2J2L5-I\lAP tz/ b/~~ ~f.
This comment sheet shall be kept with the permit and/or plans.
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Bill Burgess - Building Official Date Contractor an r Hom~er
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6293
Permit Number: 6293
Permit Type: ADDITION/AL TERA TION
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,100.00
Date Issued:
Total Fees: 82.50
Amount Paid:
Date Paid:
Work Desc: SCREEN ROOM
Address: 3506 PERIDOT LANE L T 247
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0070-00000-2470
Name: MAZURE, EDWARD
Address: 3506 PERIDOT LANE L T 247
ZEPHYRHILLS, FL. 33541
Phone: 615 828-5951
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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.
~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit AppliCatiOn
Building Department
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Date Received
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Owner's Name t::.C/ r d M a ~e Owner Phone Number
OWn.Mdd,... I 35D~~~~~ ~~J1fftr/~ T"PhonoNwnbo,1
Fee Simple Titleholder Namel_ _'.!JtJ.ri ft!a7.1LLe..." _ Owner Phone Number I
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PARCEL 10#1 J.1-- /J.fP- ;J/-t):j 7(}-tl)C/J-d.-cf1d
(OBTAINED FROM PROPERTY TAX NOTICEI
D SIGN D MOVE D DEMOLISH
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LOT #
I02Lf71
I
JOB ADDRESS
I Etnt?ftl-/dPo, rJ~RV I
D NEW CONSTR rL9
D INSTALL D
PROPOSED USE 0 SFR 0
TYPE OF CONSTRUCTION 0 BLOCK 0
DESCRIPTION OF WORK I SU./!. ~n (" O() yY].
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!:Xl BUILDING 1$ :21 t;JO. (JD I VALUATION OF TOTAL CONSTRUCTION
1$ I
1$ I
1$ I
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~NO
111'11" III" II:" '" ~ t" II"'" -;""'~" I'll'" III1 'I" '11'11 \' ~z..: ,~tS PI' 'II' 'I" II" '11'111 1'1'" II' 'II" II' III '11"1111111' III t III 'I
BUILDER · COMPANY I quY7~ I
SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
SUBDIVISION
WORK PROPOSED
ADD/AL T
REPAIR
COMM
FRAME
OTHER
STEEL
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OTHER I aJtl..#t/'1 ~
ELECTRICAL
AMP SERVICE
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PROGRESS ENERGY
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PLUMBING
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MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
License #
Y IN FEE CURRENT
License #
Y I N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
Address
111111111111111 1111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111II11111111111111111
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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge 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 onsile, Construction Plans, Stormwater Plans w/ 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111
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 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 Sedion at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sigh
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: Theundersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings. change df
use in existing buildings, or expansion of existing buildings, as specified In Pasco Colinty Ordinance humber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be dlie, 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 COlinty 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 Iristallation 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 Bayheiads, 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 td the use of fill:
_ Use offill 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, , 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 ~nstallatrons not speCifically In~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 vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall. iss~ance of a permit prevent the B~I'.dl~g OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or vlolattons of any codes. Eve'!' permit Issued. shall become. Invah~
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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~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 YC?UR
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. l' 03) . ~
OWNER OR AGENT CONTRACTOR
~bscrlbed and swol!JJo (or affirmed) before this ~bscribed and sworn to (or affirmed) before me this
JA€'L.;)OO(., by [::d~ (l/l41-J.c.r<- ilRr-..;)-()t)c., by l?.&l.V~ \ilJtA.~
Who Is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
D L . as identification. 'D. 1..--. as Identification.
~~~~ ~~~Mlo
Commission o. NOT~Y PUBLIC-STATE OF FLORIDA
l" .\ Suzanne Bahr
:: 10
Name of Notary typed. prin '......' es: NOY. 15, 201J
80:\DW THRL: AiU.\ilC BONDlNG CO,. L\C.
0~ '6~ No~~Publlo
/ . : . -n RY PUBLIC-STATE OF FWRlDA
Commission No. ._"d. S
.. ~ uzanne Bahr
.'" k" ';.
o "t _:Commi~~i",.1 #00601110 '
Name of Notary typed. printed-a.... "ires: NOY. IS, 2010
..;ow THRU ATlA....T1C BOiiDliiG co" 1;\(
LOT~ROVE~NTREQUEST
-
..-
To EPPOA Property Evaluation Committee & Board of '. ectors:ll! API'I6bffBDJ
From ~ ~ \.JJ-A (Zcl M Il z l..( R.. C-
Lot# / Address ?-Lf7 3~o ~' ?~(2 \ cl () --r- _________________
We, request POA approval for the,following (must-include drawing for any
construction (additions / remodeling / landscaping, etc.).
?a,., ~ a;' 'tC ,:::;,' S QIl4o.I..J k bOJ/\ ,9 J..J FietJ.u) C'J P
IS 'y; u, J; /oJ ( J -;, v.. 3;:L' J-fW ft i ..
Lot Owner's Signature ~~ ~Q ~I.4.o
Approved ~~. . . ' Denied.
Property Evaluation Committee:
~Date It - f ] -0 t.,
~ t .
dr '
'Date:
Board of Dire aI's:
~~
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Date: / f~ 2-tJ -oto
Remarks:
, .
,
,
D:ISCLOstmB STATBIIBII'l' !'OR. OWBBR
CJ:TY OF ZBPBYR.BJ:LLS B1T.ILDDIG DBPAllTJlBRr
E d ala rI- 117 If ;:!...t(fL have read and ful.J.y understand and
to the provisions of this instrument.
:I,
agree
The undersigned states and affizms that he or she is desirous of constructing,
renovating, a"'..in:g to or reroofing his or her own domiciJ.e, that he or she
actual.J.y occupies, or wiJ.J. occupy by said damiciJ.e, and same is not for
rent, J.ease or sal.e. That he or she sbal.J. compJ.y with the foJ.J.owing conditions:
l. . That the owner and he or she al.one sbal.J. act as the buiJ.der for al.J. phases of
construction_
2. That the owner wiJ.l. compl.y with al.l. provisions of the City of Zephyrhil.J.s
orlH """""'ces and codes pertinent to the buil.ding.
3. That in the event various phases of construction are subcontracted, he wil.l.
engage onl.y properJ.y J.icensed subcontractors and wiJ.J. personaJ..J.y supervise
such work.,
4. That in the event the Buil.ding :Inspector shal.J. require corrections to be made,
the owner wil.l. assume fuJ.l. responsihil.i ty to insure they are made, and upon
compl.etion wil.l. cal.l. for a reinspection before proceeding with the buiJ.diD.g.
5 . That the owner shaJ.J. assume fuJ.l. responsibiJ.i ty for the construction and wil.l.
not expect supervision of his work from the City of Zephyrhil.l.s BuiJ.ding
Department.
6. That prior to final. inspection any additional. fees, incl.uding reinspection
fees, must be paid in fuJ.J.. A written request from this office shal.l.
constitute an official. notice to pay additional. fees.
7. That the owner sbal.J. compl.y with al.J. City, State and Federal. l.aws in regard to
social. security, workman's compensation, J.ien J.aws, etc., where appl.icabl.e.
8. That the owner sbal.J. compl.y with aJ.J. the safety codes issued by the FJ.orida
:IndustriaJ. Commission.
g. State l.aw requires construction to be dcme by l.icensed contractors. You have
appJ.ied for a permit under an exemption to that J.aw. The exemption al.J.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a J.icense. You must provide direct
onsi te supervision of the construction yourseJ.f. You may buil.d or improve a
one-famil.y or two-famil.y residence or a fa%m out:buil.ding. You may al.so buil.d
or improve a cOllllllerCial. buil.ding, provided your costa do not exceed $25,000.
'!'he buiJ.ding or residence DlUSt be for your own use or occupancy. :It may not
be built or substantial.l.y improved for sal.e or l.ease. :If you sel.l. or lease a
,buiJ.ding you have buiJ. t or substantial.J.y improved yourseJ.f wi thin l. year after
the construction is complete, the J.aw wil.l. presWlle that you buiJ.t or
substantial.l.y improved if for sal.e or l.ease, which is a viol.ation of this
exemption. You may not hire an UDl.icensed persOn to act as your contractor or
to supervise peopl.e working on your buil.ding. :It is your responsibil.ity to
make sure that peopJ.e empJ.oyed by you have licenses required by state J.aw and
by county or municipal. J.icensing ordinances. You may not deJ.egate the
responsibil.ity for supervising work to a J.icensed contractor who is not
J.icensed to perform the work being dcme. Any person working on your buiJ.ding
who is not J.icensed DlUSt work UDder your direct supervision and must be
empJ.oyed by you, which means that you must deduct F.:I.C.A. and withhoJ.ding tax
and provide workers' compensation for that empJ.oyee, al.J. as prescribed by law.
Your construction must compJ.y with al.J. appJ.icabJ.e J.aws, ordinances, buiJ.ding
codes, and zoning reguJ.ations
01IlIBR' S
ADDlmSS
PHORB
DATE
'-C- 33541
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BUILbING SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES,
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