HomeMy WebLinkAbout09-8798 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8798
BUILDING PERMIT
x... � E..v
Permit Number: 8798 Address: 3517 AQUAMARINE WAY
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number:
Improv. Cost: 1,500.00 ;`; �....
Date Issued: 2/06/2009 Name: MCMICKLE, WAYNE
Total Fees: 40.00 Address: 35177 AQUAMARINE WAY
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/06/2009 Phone:
Work Desc: FLAT CONCRETE SLAB 7 FT X 50 FT
icosønDRsr
OWNER BUILDING FEE 40.00
1��( 1 1U sáU FOOTER
,`�d' �,s ,��� ��•� � fin,`s
SLAB
FINAL
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."
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
EMERAlD
POINTE
LOT IMPwROVEMENT
PERMIT # JQ9g/J
EMERALD FOiNTE BOARD OF DIRECTORS
APFPROVED: DATE:
PROPERTY EVALUATION COMhII'TTEE
APPROVED: DATE: 7
EXPIRATION DATE: � b _Z Q�_
. y
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 ko en 1 " n & I "
'for Lot o op ice it y.� d these.fea will beø1ddD'from
the Library by the Property Evaluation committee
2. Any request which is NOT filled out properly or in detail, which includes, compiete.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, 1'he
ed
_._.,.
to the
f b ewedthe Cçn 'jttee.
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 tQ 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# 6 I understand the Property Evaluation Committee and/or the
Board of Directors.will enter the to follow the external s of the°p progress construction or
improvement, as submitted on the Lot Improvement Request.
—
Lot Owner Si
m
Date
4/03/06
L. . ' WENT UST
; bard of Directors'
f �,� mss, Ale
Piwne imber where you can be reached ' - 7 78$3
• : f!' ' ► o'al ffor:,the.folio g:(must include drawing for any
ovn :/: lit on /remodei'ing:/landscaping,.etc.).
• . : 4 ( 1 / 4S i7AQ .
Ad ,ifs
®
Lot-owner's Signature a bate Z /
• APprov �1 Denied
.Prorwrtu E3MjALtjQn Commtittee:
______ $ c41 - ______
_ Date: /3 o 2 2oa
Hoard of Drectors:.,
z2 G - ! (iT .C�h.• � '✓., 1�r ��v4 r+ti C'/j
J
Date: v2 —�1
Remarks:
'� 1 fix, C oN ar #c a(D iC � .
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received — 2 j Phone Contact for Permitting j I I- I
Owner's Name _ Owner Phone Number 1
Owner's Address I Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# I I
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = MOVE = DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR = " COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK I v c L1G�
BUILDING SIZE SQ FOOTAGE HEIGHT II
BUILDING $ w VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
= PLUMBING Is "2f/ ) >.
= MECHANICAL Is
VALUATION OF MECHANICAL INSTALLATION
= GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER COMPANY L�
SIGNATURE REGISTERED / N FEE CURRENT I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I 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 w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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&I 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.
lllllllllllllllllllltllll
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 IMPACTIUTILITIES 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,
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.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
b by
Y who is Wally known to me or has/have produced
Who is/are personally known to mas identification.roduced as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped