HomeMy WebLinkAbout07-6765
.'
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6765
Permit Number: 6765
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 39641 QUARTZ DR L T 170
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0060-00000-1700
10,000.00
6/11/2007
155.00
155.00
6/11/2007 Phone:
REBUILD MOTOR PORT-CHNG FRM ALUM TO WOOD FRAME ADD ATTIC FLOOR
Name: YBARRA, RICHARD
Address: 39641 aUARTZ DR L T 170
ZEPHYRHILLS, FL. 33542
, \ .
'f.; '.(:- (~_ J
\ l->-.+. "~'
I
FOOTER BOND 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.
~k~ iJ.~JtO^ r~ ~
CONTRACTOR SIGNAroRE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date R"c~ived
Owner's Name
Owner's Address
813-780-0020
Fee Simple Titleholder Name
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
ROOFING
SPECIALTY D
FLOOD ZONE AREA
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
DEMOLISH
License #
117/a-
()".N1er- Rlc.hard Ybarra....
~I Y I N I FEE CURRENT / I Y / N
License # 1;7 tL
Y I N
FEE CURRENT
Y/N
License #
Y/N
Y/N
FEE CURRENT
License #
Y I N
Y/N
FEE CURRENT
Driveways-Not over Counter if on public roadways..needs ROW
Fences (PloUSurvey/Footage)
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 complia(lce 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 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, 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 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 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 proce~d with the work a~d not as authori~y!o viol~t~, 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 Officia~ for a period not t~ exceed nin~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 INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 0 AN ATTOR Y BEFORE RECORDING YOUR NOT E OF CO ENCEMENT_
FLORIDA JURAT (F.S. 11!))3) <:-.1 ~/
/ /
OWNER OR AGENT / ~
scribe and swo (or ffirme b . e thr
y
re personally known to me or s/have..Qroduced
p. I _ . as identification.
~~~'f)~ Nota"pu""
Commission No. '-nTAPY PI mIle.STATE OF FLORIDA
Suzanne Bahr
----.-..
Name of Notary typed~_
-,
"!!,'
~~ ~ N~Poo"'
Commission . f\lnTA PY pI muc STATE OF FLORIDA
{""">-.. Suzanne Bahr
Name of Notary typed, printe IjJ mmission # DD601110
,--"""".., b.-pires: NOY. 15,2010
DO\ULD THRC ArL _',TIC BO:\OI\G Cl)"
NOTICE OF COMMENCEMENT
,S~ateof, Flovt'da.J County of Pa5:0
C~'Y) ol' Z II<! j
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No.
2. General Description of Improvement
,~
oy
R 3. ownerlnformation: Name 12, (ha,rd Y ba. y r a ~ ~IU~~!~IIIIII"IIIIIIIIIIIIIIIIIIIIIIIIIIII"I
(c.1:r-' Address 3..9 (p Lf{ ZJ /.l() r4- L- D (I Ve.-- City 'f:fhJ k State Fe 3.35Lt{)
Interest in Property: OWY1P_ V'
Name of Fee Simple Titleholder: Sa rn--f-
(If other than owner)
Rcpt: 1106167 Rec: 10.00
os: 0.00 IT: 0.00
06/11/07 Dpty Clerk
City
State
City
State
City
State
JED PITTMAN PASCO COUNTY CLERK
06/11/07 li:36am 1 of 1
OR BK 7529 PG 282
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: ./ ..~'U-
- ~
Sworn to Cihd subscrib before me this" /5Y~ day of
'L
---------.-.
Notary Public:
/Y7a-
1
,20~.
My Commission Expires:
PC93053048/ A
j. "W" - FLORIDA
/_\ Suzanne Bahr
\. ~: CSfflmissiou If. DDM III U
" ""''''''~ ExpIres: NOY. 15, 2010
)O\Db! lHRU Al1.snc BONDING CO,.1NC,
f/IS~ t~',eT\'l;~i()
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Site:
~cjtb-c{ t/6drrtZ
(
(, -.5- () 7
39 b L/ / Oi(a-!-2 J>z
h!Ju,ld IlIrJYore Ilrf- 1Y alJ2;d~~
Approved withe below comments: ~ Denied withe below comments: 0
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: 0
~
-2J
SV{V~
Mql ~s
r ~'\-
oJ-
.sf"'
\
; "- S,fc;> (-t. ~ A.
O~\J
On~
~(.epM~
//\
c;.ff,' L
SFtce
This comment sheet shall be kept with the permit and/or plans.
b-(P-O; ~C~ !li1-~/i9
Date Contractor and/or Homeowner v
(Required when comments are present)
D:ISCLOSlJRl!: STATEMENT P'OR OWNER
CITY OF .zEPKYRBJ:LLS BUJ:LDmG DEPAllTlmNT
J:, fl \ C\{ A~ Y BARR A " . .have react and ful.~y understand and
agree to the pr isions of t~sinstrument.
The undersi~ed 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 wil~ occupy by . said domici~e, and same.. is not for
rent, lease or sue. That he or she shal~ comply with the following conditions,:
1. That the ow.c.er and he or she alone shaJ.l act as the bui~der'for a~l phases of.
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordi:c.a.nces and codes pertinent to 'the building.
3. That in the event various phases of co:a.structi,?n are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.,
4. That in the event the Building J:nspector shall require corrections to be made,
the ow.c.er wil~ assume fuJ.lresponsibili ty to insure the.y are made, 'and upon
completion wi~i call for a rei:a.spection before proceeding with the building.
5. That the oWner shall assume full responsibi~ity for the construction and will
not expect supervision of his work ~rcm the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, inCluding reinspection
fees, must be paid in fuJ.l. A written request frcm this office shall
. constitute' an officia1 notice. to pay additional fees.
7. That the ow.c.er shall comply with all City, State and P'eder.al laws' in: regard to
social security, workman's compensation, lien laws, etc., wherf:l applicable.
8 . That the owner shall comply with all the safety codes issued by the Floricia
: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 ow.c.~ of your property, to act as your ow.c. 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 impr~e .a
one-fami.ly or two-fami.ly residence or a fazm 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. J:t may not
be built or. s'Ubstantially improved 'for sale or lease. :If you sall;or' lease a
building you have built or . ,sUbstantially improv~d yourself. withUL 1 year after
the construction is complete, the law will presume .that you built or
substantia~lyimproved if for sale or lease, which is a. violation of this
exemption. You may not hire an u:c.J.icensed person to act as your contractor or
to supervise people work:ing on your building. J:1: 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
responsibili ty for supervising work to a. licensed contractor who is not.
l.icensed to perfo:=L 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.:I.C.A. and wi.thholdi.ng tax
and provide workers' compensation for that emp~oyee, all as prescrihed by 1aw.
Your construction must comply with all applicable laws, ordi:c.a.nces, building
codes, and zo:c.i.ng regul Q.ns .
DATE ~ 1&<--07
3.3Yfo
r
OWNER'S
ADDRESS
PHONE:
WITNESS
E'EmaT.. #
NCI./flRV Y6AKRA
Name (
39(PLf-I ().U AR-rZ VR Lor /70
~ess r":
Epf/YRH/LLS. rL 335,/0
,
To Whom It May Concern,
Please be advised that:
Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my
permission until further written notice to act as my agent to sign and pick up
permits.
Sincerely,
/'1 </ /J
/l~LJ/ YL--
t- fll
Ignature
5- /ff--07
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The f<:r~oing instrument was sworn to and subscribed before me this I 8 '!day
of lflc; , 02007.
Personally known_or Produced identification ,/ ,
, T\RY PUBLIC-STATE OF FlDRIDA
,c'-"""", Suzanne Bahr
{ )~ ~Commission #DD601110
"'.~f!,~ Expires: NOY. 15, 2010
" ,0 l'fIRU AIL snc Bo:-.oDlNG co" INC.
Commissioned Stamp
and Expiration Date
SC/JLE //J~ 10.'
I
.3{PS
'^
~'
E'X1S7"/IJa t/vooD F/2./9,.,c -....J
...5TR-v c.rvlLE To R. E rnR-lI...J g
5,
Co., ~~.
() ~ II
g ~~ ~ ~ I
'~, ~ ~ I
~V\~~C;
~ <{ ~ ' I
c.. \- V\ 8 i
~ 6\ ~ ~ -I
~ ~ I
~ !
I
I
l
l
I
l
t
,
E" X I 6TWc...
MOTOr<. Pi?f<T
1
I
I
I
i--.
l~
j -
I
j
I
I
I
!
PfUJPOSW
..s- clL€.cN
1<.00/'11
/c2.()O'
t
I
IVSl
l
I~
'Z
I '-
1'10'
cO
s.
I J
__._._ ._.__..L__..________..__....___
:39~ 1./1 (XVI-)JeTZ IJKrVE
~
s:
'"
~
<:::)
~
'-
" I
y 13/1 f(R.. II LOT /70
EME,{l.f!t.f) fJOINTE I?r ~ESo,er
milS E Fat/I<.
~YI - c4 -011- oOft() - (A:rtJO - / W
UU/U~/LUU' ~W.~U V~UUwwUUUw
/, '". ~. J ~ t9. i ~- r , JV(AJL 10: st 'f ~ foeES-l tvk. Jk
':;{t;Cfj C;./ /~ W.,;1 "Poe.-r7ilcHEiY FL
1iJf, '. ..... ,LOT~MQI1UT 72TtJJ20 $(qg
. '", 7 I~m
. . .:
&JHV.1...;;:JU''lI ur, J.\..IC:.
rHUl:., tI~,tlJ:.
- - ._.._~~.:., -_.
TO.~A ~Pr.Operty.:Eva1Uaiiori Committee.& B~d OtDkec~rs:
Ftom~Ff/CllfJ~1j ~RRA.'" " C:/J:/~2.i/g ~221tf~(J~
LoliI/Address.J.:]O (.3ql..Dlf/ !X~B~Z. . '.
~:__st"POA apf):r(Wd fer tbe'~'{must'inc.fude drawins for: auy
construction ('additions / re1i1odelfng / hmdsoaping"etc.). .
c~~f~~~I; I' . ~~ 'v ::c ' ~
Lot~'s~;?1~~=Datil </Z'1-o7
'! I I . .', '
Approved ~ ~: ,:' Denied: .
, , I
PreMIW Bvlll'1:1llSien Com""ttee: :
'~.I
., "'--..r-:---~. ;
,~.,"~
. ~ -
.Date: ..or~~?,
r,,,, .. .
UtA f\.Oih:. (P.F+~ UIA PJ,..IJL (PPr~
(C#1:1. !J/lf(J5IAN flT 1?;,'7 .
."'. . Date::; - /,,- 07
,~t::-:-' .. . . /"' /' , ~
Rematks:_ ~ . A4rc ,+r~"':J ~~1J ~ ~e ~k~ .
'. t
.. L