HomeMy WebLinkAbout08-6896
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6896
Permit : 6896
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: RV PARK
Sq. Feet: Est. Value:
Cost: 20,000.00 Total Fees: 195.00
Amount Paid: 195.00 Date Paid: 7/30/2007
Address: 3415 YRITE DR L T 291
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0080-00000-2910
Name: HOMEOWN
Addr:
Phone: Lic:
Work Desc: 12 X 42 SCREEN RM AND LANAI
TEGALL, CHARLIE & TWYLA
3415 PYRITE DR L T 219
ZEPHYRHILLS, FL. 33542
Phone:
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F
SLAB
RAISED SLAB
DRIVEWAY
FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
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."
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CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
L'tractor/Homeowner:
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mit Type:
Jroved wino comments:D
Approved withe below comments: ~ . Denied withe below comments: 0
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his comment sheet shall be kept with the permit and/or plans.
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Contractor and/or Homeowner -
813-780-0020
Fax-813-780-0021
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Date Received
Owner's Name
Owner Phone Number
~fphone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name
BUILDING SIZE
Fee Simple Titleholder Address I .5tl ~
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t=f (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR C"J ADD/AL T D SIGN D MOVE D DEMOLISH
INSTALL c:J REPAIR
PROPOSED USE D SFR D COMM D OTHER
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D
DESCRIPTION OF WORK I C/llerdd 16/ /l-t. ~ r SrtJ:2/7 rc1~17Z
IICR X tf;2. I SQFOOTAGE HEIGHT I ~~ ~~
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1$
1$
1$
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JOB ADDRESS
SUBDIVISION
WORK PROPOSED
OTHER I
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GAS
ROOFING
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AMP SERVICE
D
PROGRESS ENERGY
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W.R.E.C,
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
D
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
SPECIALTY D
FLOOD ZONE AREA
OTHER
FINISHED FLOOR ELEVATIONS
DYES
~NO
BUILDER
SIGNATURE
Otun.er
I YI N I FEE CURRENT I Y/N
License # 117 Ia...-
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
License #
I11II1111111111111111111111111I1111111111111111111II11111111I11111111111111111111I11I111111I111111111111111I11111I11I111I111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111
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 NC
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/Footage)
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 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 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.
OWNER OR AG T
Subscribed and s 'fjlfor m this
by ~ Ie (
Who Is/are personally known to me or h ave produced
D.I ~ as identification.
'h~ ~ NoWub"
Commlssio o. NOTARY PUBUC-STKfE OF FLORIDA
,""""'" Suzanne Bahr
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Name of Notary typed;'..." ".,....P ' 1'1Ie :. : 10\1., 15,20}?
BO\UU) THRU ArL., IIG Bu\ul\G CO., L'~.
me or has/have produced
as identification.
b~ '13zL Nom~Pu~I'
Commission No. NOTARY pum Ir-C::TA'nl OF FLORID,\
/~;'~':;~"~ Suzanne Bahr
Name of Notary typed. printed oi.~lafn~lSSltm # DD601110
"-;: ]'OV 15,2010
:,i.J\i)~.:\G CO,) I\C.
State of
NOTICE OF COMMENCEMENT
F to fl d 11 ~ County of r?a c:, CD.
~ ~ Z-#(J/s
TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
and III accordance wIth Chapter 713, Flonda Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. fl.~- :26-;L/-{)O g'{J- 0 ddd(J-;;LCJ 10 .
- , :2 .::> ~ Erni,.-alct (hI VI k
r,. J-..J I<V Res.orl o>e
(Leg a description 0 the p 0 e y and st et address if availa le)S(x fB'*6 ?6-0()J,
/-(J-rzq{~ 131 (p
2. General Description of Improvement La h:A..i 'f S c,ye,e{/J 1?oZJ(7) p~ I ~o9
~~~~ll~~~~W' II", 11111 111111"" 111111"" 1111 1111
~all
City ~rl1I/4 StateFL-335'(O
R~: 3.
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lOwner Information: Name CiJa r te
Address 3'-//5" 1JrtIt 7ft VI!<
Interest in Property: 01)) n e r
Name of Fee Simple Titleholder: :sa mL Rcpt: 1117626 Rec: 10.00
DS: 0.00 IT: 0.00
(If other than owner) 07/27/07 __Dpty Clerk
Address City State
4, Contractor: Name Ow ne,V'
Address City State
5. Surety: Name
Address City State
Amount of Bond: $ JED PITTMAN, PASCO COUNTY CLERK
07/27/07 10: 53am 1 If 6
6. Lender: Name OR BK 7581 PG 1 2
Address 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 Owne .
Sworn to and subscrib
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, 20-1!L.
Notary Public:
PC93053048/ A
NOTARY PUBLIC-STATE OF FLORIDA
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. LOT IMPROVEMENT REQUEST
~~~~~~~~
To EPPOA Property Evaluation Committee & Board ofDirect~
From ~ ;:irj; T S~9~ II
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Lot#/Address 101 c2?/ .34/S 1;'u'-'t'Je ~{\
,
We request POA approval for thefoUowing (must include drawing for any
construction / additions / remodeling / landscaping, etc.).
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Lot Owner's Signature'
Approved J ~
Date....z':.- ? ~ () '(
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Board of Direc ors:
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(L~~ Date: /- /-> - 07
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Date: ,t?/ '- /;;5- ~ t:J ?
Remarks:
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Procedure for Lot Improvement Requests
(Please refer to ''Rules and Regulations'')
1. All requests are to go to Chainnan of the Property Evaluation Committee, for the committee
to review. There is a holder labeled "Prooertv Evaluation & Imorovements" in the librarv
for Lot ownen to olace their comoleted forms in and these forms will be oicked uo from
- the Librarv bv the Prooertv 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 infonnation pertinent to the processing of the request, will be returned
to the Lot owner for comoletion before bem!! 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 De 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 detennine that the request as presented and
approved is being adhered to.
4/03/06
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DISCLOSlJRE STATEMENT paR. OWNER.
CITY OF ZEPl!YR.BJ:LLS B'O'J:LDING DEPUTMENT
thllrke f ~tll/haVereaCl and fulJ.y understand and
to the P~i;i~ of this instrumsnt.
I,
agree
The undersi~ed states and affir.ms 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 domiciJ.e, and same is not for
rent, lease or saJ.e. That he or she shall comply with the following conditions,:
1. That the owner and he or she alone shaJ.l act as the builder -for aJ.l phases of..
construction.
2. That the owner wilJ. comply with a.J.J. provisions of the City of Zephyrhills
ordinances and codes pertinent to.the building.
3.. That in the event various phases of constructiC?n are subcontracted, he will
engage o:nJ.y properly J.ioe:a.sed subcontractors and will personally supervise
such work.,
4. That in the event the Building J:nspector shall require corrections to be made,
the owner will assume fuJ.lrespo:a.sibili ty to insure they are made, 'and upon
completion wili caJ.l for a rei:a.spection before proceeding with the building.
5. That the oWner shall assume full responsibi~i ty for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building
Department.
6. That prior to ~inal inspection any additional fees, fnc~uding reinspection
fees, must be paid in full. A written request from this office shall
,constitute' an of~icia~ notice. to pay additionaJ. 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 aJ.l the safety codes issued by the Florida
IndustriaJ. Commission. .
9. State law requires construction to be done by licensed contractors. You have
applied for a pe:cni t under an exemption to that law. The exemption allows
you, as the own.er 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 far.m 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_ sUbstantial~y improved -for sale or lease. If youseJ..J.:or' lease a
buiJ.ding you. have buiJ. t orsubstantia.J.ly improved your~elf wi thin. ~ year after
the const~ction 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 u:nJ.icens'ed 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
responsibili ty for supervising work to a licensed contractor who is not.
licensed to perfo:rm the work being done. Any person working on your building
who is not J.icensed must work under your direct supervision and must be
empJ.oyed by you, which means that you must deduct P'. J: .C.A. and w~ thhoJ.di.ng tax
and provide workers' compens for tha 'eyee, alJ. as prescribed by iaw.
Your construction must c y J.. th le J.aws, ordinances. building
codes, and zoning re '
OWNER'S
ADDRESS
J?BON1!:
DATE
~-I(P-07
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WITNESS
PEmC:T.. #
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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,
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and subscribed before me this ! (p f'day
of rY7~ ' 0201)7 .
Personally known_or Produced identification ~
NOTARY PUBliC-STATE OF FLORlDA
....,'"....,,'. Suzanne Bahr
[AnI. ~Commission #DD601110
..,~.~ Expires: NO'/. 15,2010
BONDED THRli ArL ",TIC BO"D!"G CO,. L".
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Commissioned Stamp
and Expiration Date
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REVIEW DAT122.J?-oJ
CITY OF ZEPHYRH~
PLANS EXA.MINE~
ALL WORK SHALL COMPLY WITHALL
PREVAILING CODES, FLORIDA BUILDrr:3
CODE, NATlONAL ELECTRIC CODEAN~'}
Cty OF ZEPHYRfIILLS ORDINANCES
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