HomeMy WebLinkAbout07-6439
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6439
Permit #: 64 9
Permit Type
Class of Wo k:
Proposed U e:
Sq. Feet:
Cost:
Amount Pai
ALUMINUM
ALUMINUM PACKAGE
NOT APPLICABLE
Est. Value:
8,075.00 Total Fees:
112.50 Date Paid:
Address: 39701 C G HILL L
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-0870
~l no-lad)
10-.1./-07
i~
SLAB
RAISED SLAB
DRIVEWAY
FRAME
FINAL
REINSPECTI N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are nee ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty c nstruction c) repairs or corrections not made when inspections called d) work not ready for
inspection w en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In ad ition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found i 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 0 inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to wner: Your failure to record a notice of commencement may result in your paying twice for
improvemen to your property. If you intend to obtain financing, consult with your lender or an attorney
before record ng your notice of commencement."
Ik~/ ~~
CTORS SIGNATUR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ljU- f tj'J-U~.W
vllY UI L.~/-IIIYIIIIII;:' rOllllH '"'........"ve...'v' ,
Building Department
Dale Received
Owner's Name
Fee Simple Titleholder Address
I
SUBDIVISION
,
i ~ B D D D
WORK PROPOSEDI NEW CONSTR ADDiALT SIGN MOVE
INSTALL REPAIR
PROPOSED USE [Xl SFR D COMM D OTHER I
TYPE OF CONSTR~CTION D BLOCK OCJ FRAME D STEEL I]J OTHER I dtun
DESCRIPTION OF ~ORK I Shed + &rpDrt-
BUILDING SIZE IJ...-)I )< 381 SQ FOOTAGE I '+1 ~ l' HEIGHT I
JOB ADDRESS
Q!L
D
1$ (~ /fOO.
1$
1$
1$
D GAS D
FINISHED FLOOR ELEVATIONS I
BUILDIN
I
I
I
I
D
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
'507<;
~7)tl~'[- 17,1.'"
VALUATION OF MECHANICAL INSTALLATION
D
D
D
,
I
ELECTRI~AL
PLUMBIN$
MECHANlbAL
SPECIALTY D
FLOOD ZONE AREA
ROOFING
BUILDER
SIGNATURE
Address K;I)
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
D
o
~OC- ~
PROGRESS ENERGY
W.R.E.C.
OTHER
DYES
ONO
I S~~~k;EE~~~;Y]~ I
2- License # I CBC / ~5 Ltl g 3
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Y/N
Y/N
Y/N
RESIDENTIAL ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
anitary Faclllties & 1 dumpster; Site Work Permit for subdlvisions/large projects
COMMERCIAL ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
inlmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Slit Fence installed,
anltary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT J\,ttach (2) sets of Engineered Plans.
*r"PROPERTY SURVEY required for all NEW construction.
III " I " I11111 " " III , II11I " III " 11II11111 " I " " I111I1 " II " I " " " I " 1111111 " III " I " 1111II11111111 " 1I1111 " 1III1111111111111 " 11111I11111111
Directions:
Fill out appllcatio completely.
Owner & Contrac r sign back of application, notarized
If over $2500, a otlce of Commencement is required. (AlC upgrades over $5000)
Agent (for the con ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTE PERMITTING (Front of Application Only)
Reroofs S wers Service Upgrades Ale Fences (PloVSurvey/Footage)
Driveways-Not 0 er 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) 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, WaterlWastewater 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 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 issLled 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) ~p - -' / / - /
OWNER OR AGENT CONTRACTOR ~ ~~
Subscribed and sworn to (or affl (I) before me this.:ra>'l~ Subscrtbed and swom to (or affirmed) before me thls.:Tet: j
~s: f).OO~bY ~t'i!#i1!rrell ,;25; ;2007 by ~~ ~rrell
Who isiare kn me or has/have produced Who Isi~eAell e 0 me or hasihave produced
as identification. as Identification.
. ~~ ~ Nota,>Pu'",
c:mmissio o. ',TARY PUBLIC-STATE OF FLORIDA
.,.,',....,,'.. Suzanne Bahr
: ~ 10
Name of Notary typed, prinr~" .' - lIes: NOY. 15, 2010
1,,,,\\'" . . ~ ~ co lC
.,.;\Dffi THRU A\1. sr;c llU:-iDlNG ,,:. ..
~
CO~ISSIO~
~d--
Notary Public
NorM! PUBLlC-:; 1M 1:\ Of' I'LORlDA
,\,\111" S
.", "'. uzan
Name of Notary typed, printed or stampe~~. ECommission # DD601110
"..""",.-- Expires: NOY. IS,2(J1()
W)\Li~ TJiRU AfL SllC BO:-iDING e.G" L"
I
State of -Flo rid te
NOTICE OF COMMENCEMENT
/". VI OF
~~
County of PaSCo
THE UN ERSIGNED hereby gives notice that improvement will be made to certain real property,
and in ac ordance with Chapter 713, Florida Statutes, the following information is provided in
this N otic of Commencement:
1. Descr ption of Property: Parcel No. J... L/-;;"b -d./-OOO()-OO/ OO-tJOq tJ Lof g7
aCJ7 / Hill ~!) h' /s PL 2-
egal descnption 0 the property and street address if available)
Sired f CarotJrt
I
111111111111111111111I11111 11111 11111/111111111 11111 1111 1111
2007022567
2. Gener 1 Description of Improvement
3. Owne Information: Name NHC - FL //5 LLC / Care Free- In tlesfme-lrk
{
,Addre s 8Q70 1 CiJJ fl-i /I Lop! Lnf81 City If{Jllyr hi lis State FL 3 ~S'-lL
Interes in Property:
Name f Fee Simple Titleholder:
(I other than owner)
Rcpl:1071847 Rec: 10.00
DS: 0.00 IT: 0.00
02/07/07 Dpty Clerk
Addre s City
R 4. Contra tor: Name ..5un Sht,fe-- A-llJIn/r1/,(yY}
Addre s fo/5Lf Hrf KiriJ /(01. City lefhyrhills
State
5.
State rL 3:.3SLf 2-
City
State
$
JED PITTMAN, PASCO COUNTY CLERK
02/07/07 11: 23am 1 i'4 J... 3
OR BK 7378 PG ~
6.
City
State
7. Person within the State of Florida designated by Owner upon whom notices or other
docum nts may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Addres
City
State
8. In addi . on to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provide in Section 713.13 (1) (b), Florida Statutes.
9. Expirat on date of Notice of Commencement (the expiration date is 1 year from the date
of reco ing unless a different date is specified.)
,-r--
Signature of Owner: /./7
Sworn to an subscribed before me this
j/~
~ f-c day of
"'" ~"-o !kt4 iJ
~CL~
, 202:L.
Notary Publ c:
My Commis ion Expires:
PC93053048/ A
NOTARY PUDUC SlATE OF FLORlDA
~ . '.
L l(.i-"\-
ij"CGmmission #DDSI0984
Expires: OC1: 16, 2009
Bond2d Thm /-.L;"nlic Bonding Coo. !r:~-.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ContractorIHOreowner:
Date ReceiV1
Site: .
.sur'! S\cU:lL () C 2 A,~ (00../:> co PJLJu~'Y) 'i)
c;l (eo 107
~~'70 I (l DO), ~.\ t \ L-,? :tl ~'7
Permit Type:
S he-& / 0n ~d)-+-
comments:d' Approved withe below comments: 0
Denied withe below comments: 0
Approved win
This comment heet shall be kept with the permit and/or plans.
:.:>7
Date Contractor and/or Homeowner
(Required when comments are present)
SCALE
'-I().OO I
N, r)J )
~ PMMEIJ
~ Sill!)
S'.
/~. h" --
~
~ ~ c,..,
~ ~
G, ~ & ~
<4
<::> ~ 'J
c::> R....
a. ", ,
f) a.
~ C
BUILD G SHALL COMPLY WITH
ALL AP LICABLE CITY OF
ZEP LLS ORDINANCE. )
/~.a>
REVIEW DATE:
CITY OF ZEPHYRH L
BUILDING OFFICIAL
J
39701
CtJlF )lILt.
UJO;:J
Lor i'7 MI'9T6STIC ,!)!9KS ~SOI2T
. DJJj-olfp -olJ- tJoO()- O()/dcJ- C1:J?O