HomeMy WebLinkAbout07-6545
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6545
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:
6545
PARK MODEL
PARK MODEL SET-UP
RV PARK
Address: 39545 QUARTZ DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0040-00000-1650
16,950.00
3/16/2007
175.00
175.00
3/16/2007
PARK MODEL SET UP
Name: BIGENHO, ROBERT
Address: 39545 QUARTZ DR
ZEPHYRHILLS, FL. 33542
Phone:
CRANDALL, RICHARD PARK MODEL MECHANICAL
BUTTERFIELD MOBILE HOME SERVICE
BAHR'S PROPANE GAS & AlC, INC.
35.00 PARK MODEL ELECTRIC
~
(/0()-- 01
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PARK MODEL ELECTRIC
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
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. n
NO OCCUPANCY BEFORE C.O.
Z/_~~/ - ~~
CONTRA SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
JOB ADDRESS
Fee Simple Titleholder Address I
l"3q51~ QL< (Uf~
ICmPfcJc\ PO\{)+
Dy.
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D NEW CONSTR r=J ADD/ALT
~ INSTALL D REPAIR
PROPOSED USE D SFR D COMM
TYPE OF CONSTRUCTION D BLOCK D FRAME
DESCRIPTION OF WORK ~ Set iiflP
BUILDING SIZE 1'2> x. 3 ~ ISQ FOOTAGE I 4 HEIGHT I
11...'....1111........11..111.111.111.....11111111....11...........11.11111........111...111..........................111.111.....................
D BUILDING 1$ 15,()OO, e C
D ELECTRICAL 1$ 75D. 00
D PLUMBING 1$ 2- ro. () \)
D MECHANICAL 1$ LaDO.O()
D GAS D
FINISHED FLOOR ELEVATIONS I
SUBDIVISION
I LOTi I
PARCEL 10#1 24' 2~' 2/ -OO~ 0 --ctfXfj -I toS 0
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN D MOVE D DEMOLISH
D OTHER 1i'V)N.>11 e. pt'w l f'Vl () tU/ I
D STEEL D OTHER I
WORK PROPOSED
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
/ +S~
n IV \'0
~V 'f~
(
W.R.E.C,
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
'...1111111"'1.......'1'1""11111"'1"1."1"11111..111"'111'1111"""111'1...'1"..'11"'...11...'11'111111..",11."".,'....'1""'...'111
COMPANY
REGISTERED
~J i~J~flac (Vll-lj
Y / N FE CURRENT
I
BUILDER ~~
SIGNATURE T
Add.... - - -;- -- -- 7 n:;., :..:..-
:~~~~~~~---::-,
Address _ ~
:~~:::. ~~
:,~~~~~:~
Address _ _
OTHER I
SIGNATURE
Address I
1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FOnTIs; 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 subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W PenTIlt 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 PenTIlt 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111
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 Ale Fences (PloVSurvey/Footage)
Y/N
COMPANY
REGISTERED
License #
~ I FEE CURRENT
License # I
rn J -tk(J, e J ~' )I} I-J \
~ Y / N FEE &:i1iRENT IY / N
License # I
Y/N
COMPANY
REGISTERED
COMPANY ~h~~
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License #
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 humber 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 hot 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 thah 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) r7 "P
~"-"',, 0~ Notary Public
Commission No.
""'':' K' L MO..
.:'~.~ aren 0 I er
Name of N~~MQ~~D609664
~:~!~ireS.(jao6er 29,2010
:j,w.~ _ Tror Fain .I""".nc., Ine 800-385-7019
~-:. .~~ a ~)..~1-~
Notary Public
Commission No.
111111111111111111111111111 1111I1111111111111111111111111111
2007045689
Rcpt: 1081926 R 10 00
DS: 0.00 ec:.
03/13/ IT: 0.00
07 Dpty Clerk
NOTICE OF COMMENCEMENT
F I 0 r\ d...c...
County of
PttSC-iJ
State of
TilE UNDERSIGNED hereby gives notice that improvement will be made to c~rtai
real property, and in accordance with Chapter 713, Florida Statutes, th
follo....,ing information is provided in -this Notice of Commencement;
1. Description of Property: Parcel No. J4-')..(p, Z;~ooL/o ~Oct:.:JCf:)- )lo5c
(Legal description of the property and street address if available)
2 . General Description of Improvement ~ ~ VY\o<! e..t ;')-t. t - ~\?
Interest in Property:
{ B~etlho
State j::-L
3'35'10
3. . Ovmcr Information: Name "Reher-\- 0, 'T6...C"\Lt '1\\.5" 'C""\ho
l~ddress ~~ 54 5 ~uo..r+2- hr, City 2L..ph'1 r h .11 ~
Address
JED PITT"AN, PASCO COUNTY CLERK
03/13/07 02: 57J:' 1 Al 1.
OR BK 742~ PG ~8D
State
Name of Fee Simple Ti.tleholder:
(If other th~n owner)
R 4.
Address
StaLe f) 3~S'1 z,
~. Surety: Name
City
State
Address
Amount of Bond: $
6 . Lender: Name
City
State
Address
7.
Persons vlithin the State of Florida
notices or other documents may be
713.13(1)(a){7), Florida Statutes:
designated by Owner upon who
served as provided by Sectio
Name
Address
City
State
8. In addition to himsel f I Owner designates
of to receive a copy of th
Lienor's Notice as provided in Section 713.13(1){b), Florida Statutes
9. p.xp.i..rl.1t_ion dote of Notice or Commencement (the expiration date .is 1 yea
fr?m the date of recording unless a different date is specified.)
Signature of Owner: '? ry~ ,~~
Sworn to and subscribed before me this / ~ day of }V10{{\I}
.;M"'2001
SchmJiv
~1otary Public: - /e,rz,t.."
<'1y Commi.ssion Expires:
~..~ ~l. 'ft:lNIIClMMIDf
,..... . .. MY COMMISSION. DO 818391
oJ}; ,.. EXPIRES: November 20,2010
-f1'tOF ",-r!f-~ Bonded Thru Budget Notary SBl'llces
03-12-2007 09:57 MAJESTIC OAKS RV RESORT 8137823559
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BUILD
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