HomeMy WebLinkAbout07-6400
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
6400
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:
6400
PLUMBING
PLUMBING/NEW
RV PARK
Address: 3539 PERIDOT LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
45.00
1/29/2007
52.50
52.50
1/29/2007 Phone:
PVC PIPE FOR WASHING MACHINE DRAIN ONLY
Name: TROUT, BARBARA
Address: 3539 PERIDOT LN
ZEPHYRHILLS,FL 33541
HOMEOWNER
.,j)o'1.
( \ (1()-' ry Y/ \lS'"
1 ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
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 a 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."
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
4Nik" ()~7 ~ ~
c -. CONTRACTOR PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
~aQ~~ P<3~
Contractor/Homeowner:
~~CL- c...TnJ1.J-t-\- (~~)
---U 'd4/ 07
Date Received:
Site:
35~ Pertdo+- Ll'\
Permit Type:
-
I~ Drr->J a ""\)noR p'"pa
o
Approved wino comments:~APProved withe below comments: 0 Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
'111
Date Contractor and/or Homeowner
(Required when comments are present)
Fee Simple Titleholder Name
City of Zephyrhills Permit Application
Building Department
813-780-0020
./ Date Received
/' Owner's Address
k,IIS FL 3?>5'f 0
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
,/ Owner's Name
,/' JOB ADDRESS
Fee Simple Titleholder Address I
1353q
I
p~( .d.ot
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
[a.M.. r ?eph.'1(h:I'~ FL 31~-VO
I PARCEL ID#I
El
o
o
LOT #
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICEI
SIGN 0 MOVE 0 DEMOLISH
WORK PROPOSED
B
o
o
ADD/ALl
REPAIR
COMM
FRAME
o
D
D
OTHER I
STEEL 0
OTHER I
./ DESCRIPTIONOFWORK pVe pi{)e -hr f)JtJshil< rn4cA1IIG CiYet ;1'\ an
BUILDING SIZE I I sa FOOTAGE I HEIGHT
J J I ' I I I I I I , I I J I ~ I I I I I I I I I I I , I I I I I I I I I I , I I , I I I I I I I I I I , I , I I I I I I , I I I I I I I I I I I , I I I I I I I I ' I I , I I I , I I ' I I I I I I ' I J I I , ' I I , I I III I J I I I II I I I I I I I I I I J I I I I I ' I I I I I I I I
I
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I
-' 1$
1$
1$
1$
c=J GAS D
FINISHED FLOOR ELEVATIONS I
c=J
c=J
c=J
o
BUILDING
15CU
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E.C.
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
ROOFING
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
O~
_&)2.>Q
COMPANY .....I~~
REGISTERED I Y I N I FEE CURRENT
BUILDER ..
SIGNATURE
Y/N
Address
License #
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111
RESIDENTIAL
License #
111111111111111111111II1111I111111I111I1111111I11111111111I11I1111I11I111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/large projects
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
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
! COMMERCIAL
SIGN PERMIT
111111..111.111111'........1111.11......11.1111............11..........111111.....11..............................................................
Directions: '
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloUSurveyIFootage)
Driveways-Not over Counter if on public roadways..needs ROW
......'.;dnf "n
i',iC,,'C:Jaop"
~)~~;t;,;....,~ghtr~g
;: bdUhlYl
, .', ""i'fItAN$ JQN IMPACT/UTILlTIES,IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands
'th~dtrEl "n Impact Fees and Recourse Recovery Fees may apply to the construction of new I:;uliclings, change of
uslij iri ~;, ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9():'-{)7i8S/ C1. The undersigned also understands, that such fees, as may be due, will be identified at tHe time of
pei"niltting.'k,'urther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
i'eteiving a,~~ltifipate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
fin~1 power I'ei@~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are dlieiJ~~ymust be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
CONSTRUcflo'fLiEN LAW (Chapter 113, 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 .0Wner", 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 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, 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 ~f the permittln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e reqUlr~d for elect~lca.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorr~y !o. vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~ll.dlng Official from the~eaft~r
requiring a correction of errors In plans, construction or violations of any codes. Every ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or If work authorrzed .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 mn~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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. , . -
FLORIDA JURAT (F.S. 117.03)0 'I . j,. 0 '. -aX
OWNER OR AGENT ~J1J _'~a. CONTRACTOR~,{ "-' -' ci::1&
S~l>od and '"""" to (0' ._"") bafo<e m."" tr sm.~"" and ~!::c.~"")0'~0: ~;;:~::r ra" ++
\ L1-1 L~ by fn,d"Y1m (l~/lh052. ,('ou. VV!t 110( onally known to meorhaslhave produced
Who Islare.l'ersonally known to me r has/have produced ~~ sSr;: Pl>ru ~ L\ ~ ' as Identification.
0'- 5+ };:If \J lZ.. w. {\_ as Identification. -'
Gf'DEED RESTRICTIONS: The undersigned understands that this permit may be subject to jjdeed~ f@sitlctiolis~
f'n9re restrictive than County regulations. The undersigned assumes responsibility for tompIlM.S(!,' I ' "
'restrictions. ." ' " .' . ,,;) <",;
:t:jNTRACTORS AND CONTRACTOR RESPONSIBILITIES: , IftheoYfnefhas., hife.6<' '
aijrtake work, they may be required to be licensed In accordancewit~staleai'1dlocalr
)lIq(!nsed as required bylaw, both the owner and contractor m~ybecitedJQ~,a. ffl,i,~"~'
f.,it the owner or intended contractor are uncertain as to wh~tllt?~n~,i~gtEk1U.lr~rnent~, ......,...j.. iF
. are advised to contac,t the Pasco County Building InspectionDiyi~iiJIi:#Uc@nsiQg~ .,l~.7~84j::"; !.
, if the owner has hired a contractor or contractors, he isadvlsedJohave~I1@,)CJrtstsl~n!!;;
tractor Block" 'of this application for which they will be responsible.. If youiasthe~WIi~fsi~f1 ~t;,. tHe,'
y be an indication that he is not properly licensed and is not entitled to pertrutting pflviiijges. if, Pasco
..-c;;:-~_ ~ ~
Notary Public
~ . "--" ~~ t 0. ~
Commission No.
Notary Public
Commission No. '. --:~\"~!~, Karen L. Miller
:',.' ,(~, \"~ Commission # DD609664
d:<' .. - 0 er 0
Name of Notary type . "p'" II:' " Bonded Tilly Fa.n ,'nouronca, Inc. e00-38S-1019
/'
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LOT IMPROVEMENT REQUEST
To EPPOA Property Evaluation Committee & Board of Directors:
From ,Bu f bu rec Tc u.L t
Lot# / Address Loi d 3'? 3510 /1-, Ii C/ tJ f (C< IJ C
We request POA approval for the following (must include drawing for any
construction / additions / remodeling / landscaping, etc.).
,~~c;: ;::t~:; !i:~ :~', ~~~'~ ~~' ~:';i3~ ~:f: '<~:;;:a (
cdtr,,'il'J ~. La Ld tea. IPCUl.h.:.uj ~~ f:; u~
_'t-1~ ~~ f::~~ c. ~;)! I) 2. J~ /icf:~ "'jf';'~ Q :l;:_ V<~
" "~ ,0 ." Lu --~~~'~r~~
1./Yl a 1\AlJ2,\. ","\i (1 Y\TA ..(l 1")JcLf..(. C1 tY\ tn;, r\.. t '? llLlli.d.. L\.~~;; 1 u...-it.<. SL,n.dtll.
~ , -). \
Approve
Date j-/d' C?
Denied
. i I
Property Evaluation Committee:
iL ~{f
tl~ f?~
Date: V 1- Zl'-1) 'l
Board of Directors:
4././&, /'~/.-
. ,
~K~~fL.- = 73?iIt~~r
Date: cJ/ - -x.:L _&. "?
..
Remarks:
.. .
Procedure for Lot Improvement Requests
(Please refer to "Rules and Regulations'?
III !IN@W~@
1. All requests are to go to Chairman of the Property Evaluation Committee, for the committee
to review. There is a holder labeled "ProDertv EvallUltion & l"""ovements" in the librarv
for Lot owners to olace their comoleted forms in and these forms wiD be nicked uo from
the Librarv bv the Prooertv Evaluation committee.
2. Any request which is NOT filled out properly or in detail, which includes, complete plan
layout, elevations (where applicable), written details of improvement being requested, including
color, etc, and any other information pertinent to the processing of the request, wiD be returned
to the Lot owner for comoletion before beine: reviewed by the Committee.
3. Committee will review requests and visit the site of the request as necessary.
4. After the Committee has approved or denied the request, it will be presented to the Board of
Directors for their approval or denial.
5. There will be NO more one day approvals or last minute approvals. Request will take 7 - 14
days for appropriate review and consideration, thus giving the Committee and Board members
time to review and consider the request in a thorough manner.
6. The original request will be stamped approved or denied, and after being copied the original
will go into to the members file and the copy returned to the Lot owner by the Board of Director
liaison to the committee.
7. The committee will follow up on requests to determine that the request as presented and
approved is being adhered to.
As the owner of Lot # :;),3 7 , I understand the Property Evaluation Committee and/or the
Board of Directors will enter the property to follow the external progress of the construction or
improvement, as submitted on the Lot Improvement Request.
/} -
~CU_l(U tL ueulL
Lot Owner's Signature
/-/.;)-{) 7
Date
4/03/06
.----=,.-
.3~3? /e/J~~GkI-
EME.. D
POINTE
I
LOT IMPROVEMENT
PERMIT # .P?-OI~
'f.;
EMERALD POINTE BOARD OF DIRECTORS
APPROVED:-Y J0.,f -{ j~ _'
. \
DATE: /c.-- 2..2-. -0--7
PROPERlY EVALUATIONCOMMITrEE .
",
APPROVED:ft' JJd'# DATE: /-L~-o7
EXPIRATION DATE: ,oJ A 1- L -D~
DISCLosmm STATEMENT FOR OWNER
CITY OF ZEPHYRRILLS BUJ:LDING DEPAR'l'HENT
--
I, ~ vb cVVC<.- A l 1(b\..L t-J have read and fuJ.ly understand and
agree to the provisions of this instrument.
:;:enov':'-1:~.;LS.#- ..r'lt'H ~ to
(actU:a.ll~"piQs-1 or
rent, lease or sale.
The undersi~ed states and affirms that he or she is desirous of constru~ting,
or reroofing his or her own domicile,. that he or(J;hE;j)
~ll occupy by said domicile, and same is not for
That he or she shall comply ~th 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 ~ th all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and ~ll 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 insure they are made, and upon
completion will call for a reinspection before proceeding ~th the 'building.
5. That the oWner shall assume fuJ.l responsibi~ity 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 additiona~ 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 ~th all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply ~th all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a pe%:mit 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 license. You must provide direct
onsite supervision of the construction yourself. You may build or imprC!Vea
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 wi thin 1 year after
the construction is complete, the law will presume 'thclt: you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person 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 licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed 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.J:.C.A. and withhOlding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
:=:S ::~:~:\zgula~~onij ~,. DATE /-tl,/,o1 r
ADDRESS _ -i'53Q ~~ (~ ~ .;L7f." Ft 3~9fD
PHONE 813 '7R do - 0 "5, i I
WITNESS
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BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES
2001./- F~c:.. '1=#-
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