HomeMy WebLinkAbout07-7077
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7077
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:
7077
SLAB PERM IT
SLAB
NOT APPLICABLE
Address: 3508 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0080-00000-2750
2,500.00
102.50
, '
Name: DEVLIN, CRAIG & CANDICE
Address: 3508 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
Phone:
CONCRETE SLAB & ROUGH IN PLUMBING
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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,"
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Date Received
Owner'S Name
Owner's Address
Fee Simple Titleholder Name
. QA-UI.'" I.':'':' ....u~.,
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
ri7l NEW CONSTR El ADD/AL T D
D INSTALL REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION D BLOCK 0 FRAME 0 STEEL 0
DESCRIPTION OF WORK I eo ncreJ-e- 6/ a_ h <j- rO!!J h In P /:tl f1 q
BUILDING SIZE I I SQ FOOTAGE I I ~EIGHT _ V
.......111......11.........'..'1,...11.11'.......11...111.111...,.....".111...'..11......111.11111"...'11.1111.1.,.IIIIIIIII..IIIIIII...I.I'p1.1
1$ ,~$.QQ o~
/
1$
1$
1$
o GAS 0
FINISHED FLOOR ELEVATIONS I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
\Xl
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l8J
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I
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I
SPECIALTY D
FLOOD ZONE AREA
SIGN
D
DEMOLISH
OTHER I
ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
BUILDING
PLUMBING
D
~
~ne./I
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
ROOFING
OTHER
DYES
~O
1111'11111'11"'1""'11'111"'111,111"'11111"'1111'"111"""1"'."'1"111'1111'1'111",11""""11111t,,'I""I,'I"III,I"I"1111111111111
-V
BUILDER (g <t l COMPANY
SIGNATURE REGISTERED
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
License #
Y/ N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL 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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I i III i 1111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. lAIC 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 (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways 00 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 lInderstands
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 Ordihance 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 Collnty 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, VVetlandAreas 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, WasteiNater 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 iNall.
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, In the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y !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 violat!o~s o! any codes. EveI!' ~ermlt ISSUed, shall become. Invall~
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 th~ work is commenced.. An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~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 yqUR
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 COMMENCE ENT.
FLORIDA JURAT (F.S. 117.03) .
.G-
OWNER OR AGENT . CONTRACTOR .:-;;;-;;; - . _t!. .
Subscribed and swor.Q4o (or:JImrmed}b~ m~hls 15+",Mllhck Subscribed and swom ( am e) fo thIS I rl'lp-'....C.....V
:2007 by MlJ::'U1t:./'.-J, :;L-U vi //1 ole ~7 by
Who Is/are personally known 10 me or haslhave produced Who is/are personally known to me or has/have pro uced
'"D. . as Identification. D.L . as Identification.
0~~ ~ ",ta".Publl'
Commission No. . r
'\::,!:.~~Y PUBLIC-STATE OF FLORIDA
Name of Notary typed, Pri~~~r~t~~~~~~~~~cDg6d~~~ 10
",;""J . :\OV. 15 2010
BO\DED 1 HRU AIL ,TIC lJO.\DE\G CO., I!\C.
Notary Public
~'ml. nY PI mIle-STATE OF FLORIDA
. ."..... Cuzanne Bahr
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Name of Notary typed, p~ r,S ,P,.,'U' 15 2010
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1l0;\DED THRU fu L. .le BO\Dl\G co" I\C.
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WT~UQUEST
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To EPPOA Property Evaluation Committee & Bo~d of Direc~ors:
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Lot#/Address Lor d7.-S- -' 3508 ToUR./1)fJL/fII~
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Date J-) 7-07
Denied
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ALL. WORK SriAL~ CO\;~PLY WITH .A'LL
PREVi\ILING C,ObEk FLORIDA B'uiLDr'- -j
~??E. NATIQNAL EL~CTRIC CODE AN: .' '_ ,",1 .,~.
. .Cl Y OF ZEPHYRHILLS ORDINANCL~: .....~I- .:./ ;
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REVIEW DATE J D -1-07
. CITY OF ZEPHYRtil.L. L~5
PLANS EXAMINER.,,_ f-
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Candtc~ UVJI7
Name
35 () ff' J;arl11~./1I1~
Add~dl0 Ii.- 335?fj
To Whom It May Concern,
Please be advised that:
Stacie Cross, & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
Since~c:2 C
~& · ~A'~/
signature
_ ?-15-() r
date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this --.l..S!.'^-day of mare-A..
, ;ZOO 7
Personally known
NOPRY PUBLIC-STATE OF FLORIDA
"<'''''>'' Suzanne Bahr
'.. .~' '1' ,,'f; ..
~ l;:;'<~ ~Commission # DD601l10
"'..':~:.'J,/ Ex'pires: NOV. 15, 2010
EC\uu) THIll AlL .,TIC BONDING CO., INC.
or Produced identification ~
Commissioned Stamp
and Expiration Date
~~~
Page 1
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Ca hdl(L 7J-e V /1 i1
to the provisions of this instrument.
I,
agree
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 will occupy by said domicile, and same is not for
rent, lease or sale, That he or she shall comply with 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 with 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 will 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 with the building,
5, That the owner shall assume full responsibility 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 additional 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 with 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 with 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 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 presume that 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,I,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
codes, and zoning regulations, Q'
OWNER'S DATE .3- /'Y- 0 7
ADDRESS ~ c~--z-tO
PHONE
WITNESS C~ic/~// /)/ j i /' <fA I_
I
PERMIT #
NOTICE OF COMMENCEMENT
State of F/oVfdtJJ Countyof M:SCD
t~ ()~ Z~
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.;('f-;ZC- 2/- jLJ25 O-!UJdd --cJ7!:ZJ,
~.'
Laf &2 '7 S- E /)J rli.. 'c/ /b tAk 1:.// fi31U /' -I- f/ A..tleJ1l {, 3 S oj 7/;(/ rlJf. ft.M .
(Legal description of the property and street address if available) ~/u z- . rJr
j1 Fj. JdS"lf()
2. General Description of Improvement LO ncre..---k s fa b
11111111111111111111111111111111111111111I111111111111111111
2007166426
3. Owner Information: Name Candice,;
R Address 35{Jf) ~ar-H1ahl1e..-
UV~n'
City 1tt~J!5
~
State n~O
Interest in Property:
OI-lJher
OtU/7e,
Rcpt: 1133231 Rec: 10.00
DS: 0,00 IT: 0,00
10/03/07 Dpty Clerk
City
State
City
State
City
State
JED PITT"AN PASCO COUNTY CLERK
10/03/07 10: !54am 1 10f411 2
OR BK 7651 PG
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.)
Sworn to and SUbSC~fore me this
Notary Public: . ~
/ . .
My Commission Expires' NOT~Y PUBUC-STATE OF FLORIDA
. .:" '. , StllBJU'l:C Bahr
PC93053048/ A { _ J COlJ:!lD-ission # DD601110
""'""""' Exprres: NOY. 15, 2010
BONDED THRU ATL\:'ffiC BONDING CO., INC.
Signature of Owner: _~ Ji:J~~
/5~ day of
~
()1~rcA
, 20 () 7 .
Parcel Information for: 24-26-21-0080-00000-2750 Card: 001
Page 1 of 1
S~aIctL8gain Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Super Homestead Estimator
ParcellD
Classification
24-26-21-0080-00000-2750 (Card: 001 of 001)
00 - Vacant Residential
Mailing Address
DEVLIN CRAIG T & CANDICE S
16030 HAZEL ST
LANSING, MI 489066815
Physical Address
3508 TOURMALINE DR
ZEPHYRHILLS, FL 33540-7441
legal Description (First 4 Lines)
THE EMERALD POINTE RV RESORT
PHASE SIX PB 48 PG 006
LOT 275
OR 7406 PG 814
Assessment (totals)
Ag Land
Land
Building
Extra Features
$0
$25,826
$0
$0
$25,826
$0
$25,826
Total Assessment
Save Our Homes
Taxable Value
Line
1
rice
Cond I Value
1.00 II $25,8261
Acres
0.06
Additional land Information
Tax Area II 30ZH I Fema Code
Building Information
Unimproved Parcel 0
Extra Features (Card: 001 of 001)
Description " Year II Units
Sales History
GRECO WILLIAM 0 & DELORISE P
Book I Page I Type I Amount
7406/0814 WD $40,000
5759/0363 WD $25,500
5759 / 0361 WD $25,000
Res Code
TLP1
line
Value
Previous Owner
Year Month
2007 02
2004 03
2004 02
Sea[G.oAggin Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Super Homestead Estimator
http://appraiser.pascogov.comlsearchloffline _tca.asp?Sec=24&Twn=26&Rng=21 &Sbb=O... 10/5/2007
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Date Received: /(J - ,g - 6)7 ~..J
Site: ~Dt)~ ~~~MZ:'0.A..
Permit Type: UmtlAZ- ~M 0; At)~;"" Jl'f!1:'
Approved wino comments: D Approved withe below comments: )t: Denied withe below comments: D
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This comment sheet shall be kept with the permit and/or plans.
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Date Contr ctor and/or omeowner
(Required when comments are present)
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ToBPPOA Property EvalUation Cotnmittee & Bo~d ofDirec~ors:
From . (lRIJ/G ~ (h/V?;/('/ flFVL IN
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coDstructionladditions / renl9deling / landseapmg..etc.), '
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,Date: 0:5 -c9r:-lJ7
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i,LL vvopl_ SHALL COMPLY WITH ALL
nZEVAILING COJJES, FLORIDA BUILIX\:::J., _ __ -, .
CODE, NATIONAL ELECTRIC COGE AN'; ....., '~.~-
.c(i'Y, OF ZEPHYRHILLS ORDINANCES : . $W'~
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. REVIEW DATE~'O- ---
CITY OF ZEPHYRHILL
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