HomeMy WebLinkAbout08-7973
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7973
ermlt Number: 7973
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: 3851 LAUREL VALLEY BLVD L T#36
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
13,040.09
6/19/2008 Name: NHC FL-115 LLC
150.00 Address: 3851 LAUREL VALLEY BLVD
150.00 ZEPHYRHILLS, FL. 33542
6/19/2008 Phone: 813783-3477
INSTALL SHED 49.6 X 15 CARPORT ON EXISTING SLAB
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FOOTER BOND SEWER MISC.
ROUGH ELECTRIC MISC MISC.
1ST ROUGH PLUMB INSULATION WALL MISC.
DUCTS INSTALLED MISC DRIVEWAY
PRE-SLAB 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. II
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CONTRACTOR SIGNATUR~ PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUll.DING PLAN REVIEW COMMENTS
Site:
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Contractor/Homeowner:
Date Received:
Pennit Type:
Approved wino comments: 0
Approved withe below comments~ Denied withe below comments: D
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This comment sheet shall be keptwitb the permit and/or plans.
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Date
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Contractor and/or Homeowner .
(Required when comments are present)
THAT PART OF EAST 80.00 FT OF NWlj4 & THAT PART OF WEST 1/2 OF
NElj4 OF SEe 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND
LYING WEST OF MAJESTIC OAKS COMt'1UNIlY-PHASE ONE AS PER PB 35
PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC
OAKS COMMUNIlY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL
& LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825
PG 87
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2 -NdII
NOTICE OF COMMENCEMENT
1111I11111111111111I11111111111111111111I1111111111111I1111I
2008086633
Permit No.
Property Identification No.
rJ Y-cJ.~ -olI- OcxJJ- ()()/ dJ- Oold
Rcpt : 1185872 Rec: 10.00
OS: 0. 00 IT: 0. 00
06/11/08 .~__. Dpty Clerk
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT,
I.Description of property (legal description:) La /. elf, /JZI..
a) Street Address: .Jrrl L€.flef tL !.
2.G. eneral description ofimprovel}len~: 'rf
\oS U( 0 tw..11 nX}1JJ -}- CM../Jd
3.0wner Information ;0
a) Name and address: -...J:.tc <.. Lluul/J" 3iS/ LWJeI /lU~
b) Name and address of fee simple titleholder (if other than owner)
~ c) Interest in property
. 4.Contractor Information ,
a) Name and address: 13a.. A" fS ,4-ftw.... .:LA.c . G rw R/'I- /<..t/lf
b) Telephone No.: Fax No. (Op()
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
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PI:. (
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JEO PITTMAN, PASCO COUNTY CLERK
06/11/08 10: 43am 1 of 1
Fax No. (Opt.)_ OR BK 7858 PG 387
Phone No,
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the foliowing person to receive a copy of the Lienor's Notice as provided in Section
713.13(1 )(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
~~~
...ii.&natur.eof Owner or Own
...j uJ' 0.. j..
Print Name
The foregoing instrument was acknowledged before me this ~ day of J l./...J...e , 20d F , by ~tLJ Q.J}
. DOAJ/I.I ~ as OIU,#r (type of authority, e.g. officer, trustee, attorney
In fact) for (I-. (name of party on behalf of whom instrument was executed).
Personally Known ( ORProducedIdentification_ Notary Signature ~C~ ~~iJ
Name (print)
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!/ar/ItJ; s
Type of Identification Produced
Verification pw:s~t to Section 92.525, Florida Statutes, Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated m It are true to the best of my knowledge and belief,
~?~~~ PUBLIC. STATE 6F FLORIDA . q ~~
f..W~ St~c~eHartwig ." /~~ --,.)~
FORMS/NOC,rvsd2007 ~.~.iCOn:nusslOn #DD652189 .Slgnature of Natural Person Signin ove
.,.".... EXPireS: OCT. 16 2009
BONDED THRu AT' .H~ "
....., ue BONDING Co., INC.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7973
Permit um er:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7973
ADDITION/AL TERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 3851 LAUREL VALLEY BLV
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
13,040,09
Name: NHC FL-115 LLC
150.00 Address: 3851 LAUREL VALLEY BLVD
ZEPHYRHILLS, FL. 33542
Phone: 813783-3477
INSTALL SHED 49.6 X 15 CARPORT ON EXISTING SLAB
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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.
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
City of Zephyrhills Permit Application LJ-, rf/13
Building Department ~
Fax-813-780-0021
Date Recei,ved
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Owner Phone Number C'
Owner Phone Number [
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address "
JOB ADDRESS
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PARCEL ID#I
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
WORK PROPOSED
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SUBDIVISION
BUILDING SIZE
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PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
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1$ /3, ()lId. 07 I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION Fp'x 1-5L,;)-~,' ,.
D GAS D ROOFING c==J SPECIALTY D OTHER ~ ~ pwl--
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111I11I1111111111I111I111111II111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I11111111111111111111111111111111
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C,
PASC.;() r:>r::-F.:~\;j'j-r
(813)
BUILDER
SIGNATURE
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COMPANY
REGISTERED
IJM/'!J 4~ . -D-C .
I Y / N I FEE CURRENT I Y / N I
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
License #
1111I11111111111111I1I1I11111111111111111111111111111111111111111111111111111111111111I1111111111I111111111111111111I1I111I11I1111
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 onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Di~~~ii~~~': . , , , , , , . , , , , . . , , , , , , , , , , , , . , , , , , , . . . . , . , , , , , , , , , , , , . . , , , , . , , , , . , , , , , , , . , , , . , , , . , , , , , , , , , . . , , , , . , , . . , , , . , , , , , , . , , , , , . , , . , , . . , . . . , , . , , , , .
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 Fences (Plot/Survey/Footage)
Address
11/111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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" restri,ctions" ,
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 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. I understand that 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 1n?luded.ln the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~y ~o. vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permIt prevent the BUilding OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve~ ~ermit issued, shall become, invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authonzed . by
the permit is suspended or abandoned for a period of six (6) mon.ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a penod not t~ exceed n1n~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 YOUR
PAYING lWlCE 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) r'- i / / - .
OWNER OR AGENT . '~(,~ CONTRACTOR ~.Ii e.ci ~WLS
Subscribed and sworn to (or affirm~d) befor this . SJ!Pscribe~ ''1~ swom to (otl!ffirmed) b~~I$
7(.U.1 - ~tby -S ()SfU f!:Jtv/lJ" "7 It..J..R r by .J..~CIt - -~
WIJo Is/are p~ to me or has/have produce~ Who is/are personally known to me or has/h~ve p~o ?ed
-dn ';;-'5 ~ as Identification. as Identification.
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Notary Public
Commission No.
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