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Home My WebLink About08-8670 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8670 BUILDING PERMIT Permit Number: 8670 Address: 3454 TOURMALINE DR LOT 278 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):278 Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0000-00100-2780 Improv. Cost: 15,000.00 Date Issued: 12/22/2008 Name: LANGLEY, GARY Total Fees: 157.50 Address: 3454 TOURMALINE DR LOT 278 Amount Paid: 157.50 ZEPHYRHILLS, FL. 33542 Date Paid: 12/22/2008 Phone: (863)558-1943 Work Desc: LANAI & SCREEN RM 324 SQ FT JIUNU HOMEOWNER BUILDING FEE 157.50 / 4 " FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING 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 any one 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." -q/ ; /4 r ______________ CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: /2.`l t Site: _c S y / durnvt/ ►e 7 — Permit Type: ` p p cart ��?'1 . Approved wino'comments:❑ Approved w/the below comments: Denied w/the.below comments: ❑ ') ' ( r1°f1 / b1 ofV / 4 . k 4i ' t2' . sQ7 k ne/ • This comment sheet shall be kept with the permit and/or-plans. •/ y &( JKal Switz ans Examiner Date • Contractor.and/or Homeowner • (Required when comments are present) STATE OF FLORIDA COUNTY OF PASCO THIS IS TQ CERTIFY THAT THE FOREGOING IS A IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE.WITNESS MY 2008177391 H AND OFFICIAL SEAL THIS_L DAY OF 2= 10.00 JED AN L K OF CIRCUIT COURT Rep{,: 1217401 Ree DS: 0.00 IT; 0.00 BY 12/15/08 - Dpty Clerk DEPUTY CLERK NOTICE OF COMMENCEMENT JED PITTMAN, PASC0 COUNTY CLERK PerrnitNo. 11 7983 0R BK PO Property Identification No. o1y— )4 0L/— 0OiOO 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:)T4 &ka/1L& /O1Rle XP £4Id/ 1046 VI IF (3dG 4. e22f (2/C 773! a)Street Address: 3'/ 9 TO///7A the /ilk Zt J i JVOf 2.General description of improveme 3.Owner Information / a)Name and address: " Li / /'9 JVSy TQjhgAZ('//tQ /4" Z .4r>4t��/ j�() b)Name and address of f e simple titleholder(if other than owner) c)Interest in property ontractor Information C� a)Name and address: 014UU/` iS b)Telephone No.: Fax No. (Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) 6.Lender a)Name and address: 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 following 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 (1,'\ COUNTY OF PASCO Sign re of Cr or Own 's Authorized Officer 'ector/Partner/Manager Print Name __ � [ The foregoing instrument was acknowledged before me this 2 day of C2/J�+!!d/- ,2 Gs'�' ,by !tstee, La/as O(t)A /' (type of authority,e.g.officer, attorrfey in fact)for 2lic (name of party on behalf of who instrument was executed). Personally Known OR Produced Identification Notary Signature Type of Identification Produced - Name(print) y Cie Verification pursuant to Section 92.525,Florida.Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC;rvsd2OO7 Signature of Natural Person Signing Above NOTARY PUBLIC-STATE OF FLORIDA V Stacie Hartwig Commission#DD652189 Expires: OCT.16,2009 BONDED THRU ATLANTIC BONDING CO.,INC. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received I Phone Contact for Permittin 13 7S8 _- 5-3 I LI Le Owner's Name Gat- a vl 1 e I Owner Phone Number 6 s Owner's Address Tour ma l ivy e f Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �` JOB ADDRESS 3y 5`1 Tourmctltne Jar. Ze h� rho 115 Fi- 335c{p LOT# � SUBDIVISION Poi n� PARCEL ID# - - 0030-O D- a7 so (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN 0 MOVE 0 DEMOLISH H INSTALL REPAIR PROPOSED USE Q SFR COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK cEli FRAME 0 STEEL Q OTHER DESCRIPTION OF WORK Ca-v1GLt GZ-v� �-X ►' w ''''' BUILDING SIZE 1 )C a7 SQ FOOTAGE 3 � HEIGHT EIZI BUILDING $ /s ox. d0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL Is AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. LII PLUMBINGLiii MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO BUILDER C MPANY d W V1 ` I e SIGNATURE REGISTERED IYI CURRENT Y/N Address 344 5`f (Du rvhc << r^• License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I�;� FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# I - MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N J FEE CURRENT I Y/N Address License# 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 onsite,Construction Plans,Stormwater Plans WI Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C 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 A/C 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 the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j 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 AN ATTORNEY BEF FINANCING, CONSULT ORE RECORDING YOUR NOTICE OF COMMENCEMENT. WITH YOUR LENDER FLORIDA JURAT(F.S. 117.03) �� /,! OWNER OR AGENT _� -�1� CONTRACTORC. Subscribed and sworn to(or affi ed)before me thi o? Subscribed and sworn jp(or rrr�e before me this �¢� ��g by `mss"` ' ley Who Is/are personally known to me or s/h a produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission . C mission ' Name of Notary typed,printed orstamped Name of Notary typed,printed or stamped DISCLOSURE STATEMENT FOR OWNER / CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I' �` r-i Z s /e"i have read and fully understand and agree to th'e prov` sio�s of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own c.omicile, 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 ar.d 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 is.sure 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 regulat'pns. -7 OWNER'S SIGNATURE DATE ADDRESS PHONE WITNESS PERMIT # /02//a-/o h 6 Name 3 wry r'),}Jz/2.2 7/,-, ,?- Address pN7 L 53iø 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, Signature De NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this o?Iday of c!e,vti , 9OOg . Personally known or Produced identification r TI PU LIC STATE OF FLORIDA Si:zann Bahr Commissioned Stamp otary Si a e and Expiration Date • goo 6s Procedure for Lot Improvement Requests (Please refer to "Rules and Regulations') 1. All requests are to go to Chairman of the Property Evaluation Committee, for the committee to review. There is a holder labeled "Property Evaluation & Improvements"in the library for Lot owners to place their completed forms in and these forms will be nicked UD from the Library by the Property 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 information pertinent to the processing of the request, will be retuned to the Lot owner for completion before being reviewed by 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 be 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 determine that the request as presented and approved is being adhered to. As the owner of Lot##T19 , I understand the Property Evaluation Committee and/or the Board of Directors will enter the property to follow the external progress of the construction or improveme as sub ' ed 0,-the Lot Improvement Request. 4 Lot Own ' ignature Date 4/03/06 LOT Il}.ROVEMENT RI. QUEST :b. Pop ty Eval atiora Comr mi tee &;Board of Directors: Fvm Lt##/A-d ss- 7 3 5 ' /jj2 fl l,.i/ j2 c£/E Phone giber where you can be reached / 5. <3 , We request=POA:approval:for the following.(must include drawing for any construction/additions /remodeling / landscaping, etc.). i : Z, ,... S Lot Owner's Signature Date Approved vim- Died________________ Pro ei Eval. ation Committee: 1k / __ 7)7A Date:12A / d� Board.of Directors: C� X13 Date: /0L q% Remarks: e+BA+eK 41 , y • MAX, Cole rc (DIX 43 . • Nom'.. � �° �,�� - N • • W tea/ p • p�SoefG�d � / froob • •• • I U,.' � aV i pp i P/041fFL fO%1< c7 i\ f SC/1 N s, � ± 3Y s Y T�✓� '1/�LANE (CS