HomeMy WebLinkAbout07-6410
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6410
1,183.00
Address: 39652 AMETHYST WAY LOT 210
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0050-00000-2100
Name: McBEE, JAMES
Address: 39652 AMETHYST WAY LOT 210
ZEPHYRHILLS, FL. 33542
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:
6410
ADDITION/AL TERA TION
434-ADD/AL T RESIDENTIAL
MOBILE HOME SUBDIVISION
Phone:
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FOOTER
PRE-SLAB
LINTEL
SHEATHING
FRAME
Mise
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.
~/JlI ~ ~
NTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6410
Permit Number: 6410
Permit Type: ADDITION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 1,183.00
Date Issued:
Total Fees: 60.00
Amount Paid:
Date Paid:
Work Desc: STORAGE AREA 3'x11.6
Address: 39652 AME HYST WAY LOT 210
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0050-00000-2100
Name: McBEE, JAMES
Address: 39652 AMETHYST WAY LOT 210
ZEPHYRHILLS, FL. 33542
Phone:
FOOTER BUILDING FINAL
PRE-SLAB
LINTEL
SHEATHING
FRAME
Mise
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.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Procedure for Lot Improvement Requests
(Please refer to "Rules and Regulations'?
fiJ M(IDB
1. All requests are to go to Chairman of the Property Evaluation Committee, for the committee
to review. There is a holder labeled "ProDertv Evaluation & ImDrovements" in the librarv
for Lot owners to place their completed forms in and these forms will be picked UP from
the Library bv the Propertv 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 precessing of-therequest, will be returned
to the Lot owner for completion. before beine: reviewed bv 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 #. J....j D .' I understand the Property Evaluation Committee and/or the
Board of Directors will enter the property tb follow the external progress of the construction or
. ro ent, as submitted on the Lot Improvement Request.
~t. . / /
er's Signature te
4/03/06
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LOT IMPROVEMENT REQUEST
To EPPOA Property Evaluation Committee & Board of Directors:
From J;;n. {~/~vJ /!Ch
Lot#/Address Jf~ iJ ~1~sz ~Sl tt/4y ,
We request POA approval for the following (must include drawing for any
construction / additions / remodeling / landscaping, etc.).
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r-eDPI ~ L/t'B --rD ~e ~ t t:S./p~ Jrrmr /t-s ? tI~
Date
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Approve
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Denied
Date: 0' -1.. t.;o .,
Board of Directors:
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Date: ()J- ~~-()'?
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Remarks: Mu!:.r I#tve t:.,-n, "f>z""i}uvr. ~,..,-
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813-780-0020
City of Zephyrhills Permit Application
Building Department
I ....., .... ,- . -- -
.
-30 -07
l-:-jo/Y1~ il!{J~
Owner's Address I -ciq t. 5"' L j'1fT11:::'I1't"1 {.r
FQe Simple Titleholder Namel
Date Received
Owner's Name
l,-1ftj
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
~6~Z--
LOT #
18.\0
/lfflaNt-/fT"' tlJlUt
I PARCEL ID#Ic;>t-\ ,~(o.~, - 0050 - COCDD - d-.\OD
(OBTAINED FROM PROPERTY TAX NOTICE)
rvf ADD/ALT 0 SIGN 0 MOVE 0
t=l REPAIR
D COMM 0
D FRAME 0
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK 1.3 ~ I f II; I, S-(() tLfr0e ,1+-t:r9
BUILDING SIZE I I sa FOOTAGE I ~-O 0 I HEIGHT I JA! / Ie '1 I
111111111111111111111111111'11"'1111'11'111111111111111111111111111111111111111111111;11'1'111111111111111111111'11111111111111111111111111111111
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
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D
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DEMOLISH
OTHER
STEEL
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OTHER I JIO~6
/ bJtf1C. If:.'
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
W.R.E.C.
o BUILDING 1$
o ELECTRICAL 1$
o PLUMBING 1$
o MECHANICAL 1$
o GAS 0
FINISHED FLOOR,EL.EVATIONS I
AMP SERVICE c=J
, I I -e~ ~... ~
VALUATION OF MECHANICAL INSTALLATION
ROOFING
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
DNO
License #
I111111111111111111111111I111111111I1111I1111I1111111111I1111111111111111I1111111111111111I111111111I11111111111111111111111111111
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/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.
BUILDER
SIGNATURE
0D,-
Address
ELECTRICIAN
SiGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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f.It(t IJC {)~I#t:7l
-I . Y / N I FEE CURRENT
License # I
Y/N
Y/N
Y/N
FEE CURRENT
License #
YI N
Y/N
FEE CURRENT
License #
Y / N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
'...,1111111.,11111.,..111111111............,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 AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
. ',,-:,>~.--,
NiTIGEt;)F:bEED RESTRICTIONS: The undersigned understands that this permit may be subject tolideediiJes
w' . .' . ", ~re restrictive than County regulations. The undersigned assumes resporisibiiity for cornpli
a'restrictlons. ....., .',
. 'ONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If.theo~neUl~s.hireHa'
dijrtake work, they may be required to be licensed in accordanceWjt~slate andl()~1 '-..
'!Iqensed as required bylaw, both the owner and contractor maYbecit~af6raffiis'
~,Ifthe owner or Intended contractor are uncertain as to what lI~nsiiig,..r~~llifefi16nf~ /;
"yare advised to contact the Pasco County Building Inspection Di"lslonzU6~n!;if1g~ .... ...... ,....,<1
fe, if the owner has hired a contractor or contractors, he is.advised,J.o have tli@< .'tsl~fr?{'
'ptractor Block" of this application for which they will be responsible; IfYou,asthebW~~tSI99.~sttil:~:
, ay be an indication that he is not properly licensed and is not entitled to permitting prlviiege~in~as~6
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, ..:~fRANI.j(';)N IMPACT/UTILlTIE8..IMPACT AND RESOURCE RECOVERY FEES:. The undersigned understands
'.'.tu'hs:~.l!I"'nr~ Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
lk . Ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9O:"()7fas~ ed. The uhderslgned also understands, that such fees, as may be due, will be Identified at tne time of
peh1iittlrig.'lrl~ turther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
re?el\linga,iI~~ftiflcate of occupancy" or final powerrelease. If the project does not involve a certificateof occupancy or
fin~lI power r'ele~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe*s are dUei..I~~x.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 "An 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 ~hat a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically In?luded.ln the application. A
permit Issued shall be construed to be a license to proceed with the work a~d not as authorlo/ !o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
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 issu~nce, 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) 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 B FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F. . 1 03)
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
Commission No.
Name of Notary typed. printed or stamped
N
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Site:
J4rn~ Me!.... &e!
1- 3D - 0 7
23 9 ~5 2 itrJe'lkt tS T a)~
3 x. If." S-lo,a'~ ~
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Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: ~/ Approved withe below comments: 0 Denied withe below comments: 0
Contractor and/or Homeowner
(Required when comments are present)
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D:ISCLOSURE S:t"ATEHBNT FOR OWNER.
C:I'l"Y OF ZEPHYRE:ILLS Bm:LD:ING DEPARTMENT
:I,
agree to the provisions of this instrument.
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have read 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 domicile" that he or she
actually occupies, or ~ll occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions.:
8.
:t"hat 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 construction are subcontracted, he will
engage only properly licensed sUbcontractors and ~ll personally supervise
such work.,
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 with the 'building.
That the oWner shall assume full responsibi~ity for the construction and will
not expect supervision of his Work from. the City of Zephyrhills Building ,
Department.
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 officia1 notice. to pay additional fees.
That the owner shall comply with all City, State and Federal laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply ~th all the safety 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 license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
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 $25,000.
The building .or residence must be for your own use or occupancy. :It may not
be built or substantially improved for sale or lease. :If you sell or lease a
building you,have built or substantially improved yourself within 1 year after
the construction is complete, the law will presumethBt you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an, ~icensed person to act as your contractor or
to supervise people working on your building. :It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for superviSing work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not ~icensed must work under your direct supervision and must be
employed by you, which means that you must deduct P'.:I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction mus comply with all applicable laws, ordinances, building
:=:sand zoning gul ti07:;$Lrku DATE ;/.M/07
ADDRESS ' 'f r / I
PHONE
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WITNES S
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