HomeMy WebLinkAbout09-8858 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8858
BUILDING PERMIT
.E _
Permit Number: 8858 Address: 39530 VALDERRAMA LN
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: RV PARK Lot(s):215 Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0215
Improv. Cost: 1,700.00
Date Issued: 2/25/2009 Name: MAJESTIC OAKS LLC
Total Fees: 60.00 Address: 39530 VALDERRAMA LANE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/25/2009 Phone: (315)591-2091
Work Desc: INSTALL 8 X 12 SHED
HOMEOWNER BUILDING FEE 60.00
FRAME
ate`
SHEATHING
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 yo notice of commencement."4 -CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
V
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: `7 d� d=—�C/�Y►
Date Received:
Site: C�lJ` �3� !/�G1���'/ tx.titer L`R
Permit Type: $ [ (2.-
Approved w/no comments:❑ Approved w/the below comments: ØI Denied w/the below comments: ❑
1) opi
• ' C S u6'
:v4in
ent sh all be kept with the permit and/or plans.
wi laps Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received —z '� Phone Contact for Permitting ( I I- I
Owner's Name U/j£ /✓ Owner Phone Number "/s 5_f o2O l
3RS3a LD€a P 4 i-N ( ti u� Owner's Address , S t Owner Phone Number 13' S / `.t-5? (
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address /� J
JOB ADDRESS `JS v V4,Lf '21'14 LN rlCS ii LOT#
SUBDIVISION C OLa PARCEL ID# Z '-2-P Z . .o6UO- bO I0O -o d l o
(OBTAINED FROM PROPERTY TAX NOTICE)
.WORK PROPOSED L1 NEW CONSTR B ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK 12
BUILDING SIZE g i SQ FOOTAGE I HEIGHT II
0 BUILDING $ I T1
VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
= PLUMBING $
= MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ONO
BUILDER COMPANY / (i // i' -
SIGNATURE 1EGISTERF/ I Y/ N I FEE CURRENT I Y/N
Address License# r-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRENT I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I 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&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
ersigned understands that s may be ject to whichNOTICE DEED RESTRICTIONS: The re regulations. The undersigned assumes responsibility for compliance restrictions"
any
which may be more restrictive than County g
applicable deed restrictions. the owner has hired a
UNLICENSED CONTRACTORS ANDCONTRACTORe to e RESPONSIBILITIES:
enOSedSiBacicoEdance with state and local regulations.r Ifr or
the
contractors to undertake work, they may
contractor is not licensed as required contactoroth "e owner and contractor are uncertain as to what ltcens licensing cited
requirements may apply violation
the
under state law. If the owner or intended _
censing Section at 727-847-
intended work, they are advised to cost cthir a contractor or contractors,
the Pasco County Building
he is Inspectio nadivvsed to have the contractor(s)Isign
8009. Furthermore, if the owner has
owner sign as the
nrac of the may"contractor be Block" Oft that he l is not ption roperly licensed r which they ill be responsible. If you, as and is not entitled to permitting privileges in Pasco
contractor, that may an indication
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY construction n oof new bgne gundderstands
of
that Transportation Impact Fees and Recourse Recovery Fees may apply to
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'SIOWNER'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.
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 f AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S. 117 )
'D(,r;,v -' CONTRACTOR - l�"�'-
OWNER OR AGENT S bscribed and swom t (or affirmed)b re me this
ubscribed and sworn to(or affirmed)before me this ..ZS,cyq by -tae
L3- d by D 1��4�-y✓
Who is/are,personally known to me or has/have produced Who is/are personally known to me or has/have produced
Vn
Gt � L . ejt d as identification.
as identification. �
Notary Public
Notary Public
JACQUELINE E 6 833 Co issi
issi�v? •
E:) Commission DD 621833
,, : = December 1
,; :, ExplreS T FainlnWlar" 03F15701®
Name of Notary typed,printed or stamped Name of 1f p A d �� 7019
DISCLOSURE STATEMENT .FOR OWNER
CITY OF .ZEPHYRHILLS BUILDING DEPARTMENT
have read and -fully understand and
agree to -the provisions 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 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 t0 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 regul Sons.
OWNER'S SIGNATURE DATE a Z 3
/oq
ADDRESS o L t- i1.pth4ILts
PHONE ,fç SY3/ • °! 1
WITNESS PERMIT #
Majestic Oaks RV Park Site Plan Lot #
Resident Date Phone # 3'
Make of Unit G{ Z..' ( Size 39 0' Year
Contractor Phone #
���,� _�� r-� All drawings will be to scale Scale /
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144.
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NSTRUCTIONSSHOW ALL EXISTING A D PROP/'I
ED STRUCTURE GIVING DIMENSIONS & SETBACKS
ALL EASE ENTS; "RIGHT-OF-WAY", JURISDICTIONAL LINES;
DO NOT EN RDA INTO ANY EASEMENT WITH A STRUCTURE
Approved: Date -,moo --v
Lfflr OU.LUCf1J' 1Y7J VV Ij VV I• D'EPART'MENT -DSFTE FFLORIDA ' -
CO-MMU-NTT:Y
' RS
Dedicated to making Florida a better place to 'call horne F A f
CHARLIE CRIST
Governor THOMAS G.PELHAM
Seamry
November 20,2007
Mr-Robert Moore
Lark Builders,Inc.
P.O.Box 629
Lyons,GA 30436
RE: Manufacturer Renewal of Certification,ID ND -114--Expiration Date:December 16,2010
Dear Mx_Moore-
It is my pleasure to inform you that Lk$u�� .,,,
been approved under the Manuf ""��' "located at n Dixon St.-Vid GA 3047 ,has
(Modular)Buildings Program,as provided for under Chapter 553,
Part I,Florida Statutes,for the manufacture of
an ll - sc for installation in Florida.
Design and production of the buildings must be approved for compliance with the current Florida
Building Code (FBC) by your selected Thud Party Agency before manufaeturirtg begins. You;Third
Party Agency is a contractor to the
must comply with to maintain Department and has statutory authority and responsibilities that they
inspections. their
aPI?ro status. Expect and demand quality plans review and
Each FBC change will make your plans obsolete until they have been revi indicated[on the cover page of the plm sj for compliance with the FBC e`'l'�r approved and so
or
plans review. Please ensure that your plans are in Compliance and Your Third Party Agency for
avoid embarrassing work stoppages in the Prly posted on our website to
subject to the local authority havi pernnttimg process. All site related installation issues are
rig Jurisdiction- -
iJnatmounced monitoring visits by the Depactmeut's•eontractor will be-made at least
access to your manui airing facility and records is annually: Complete
regulations of this program. °?7'.to remain compliant with the rules and
Please visit our website at www.flori building era to see valuable information on the Florida
Manufactured Buildings Prograi A copy of this letter etter must acco mPY applications for local building
Sincerely,
ichael D.Ashdvonb
Manufactured(Modular)Buildings Program Manager -
Cc: Danny Kennemur,NDj
2555 SHUMARD'OAK 8OULEVARD TALLAHASSEE, FE 3Z3992100
Phone; 850.486-0466/6UNCQIy 278-8468 Fax: 850-921-0781/SUNCOM 291-0781
Webslle_ w vLjy,tlta.elala { Y uNny FCOMM S"W2 4NIN NCOM --. AREAPhone; OF CRtI1CAL STATE CONCERN FI!I.O OFFICE HOUSIrNQ AND COAu uI,ry oRvgopMrNT
96.'t7oeSUNC 77b3700 FUJI:]Qd-ZB0.2442 .8W_4wr96W5V W i2Y7956
.r EoR'9W 050.1=4Wjy3UNC'04292.3621
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
JEB BUSH THADDEUS L.COHEN,AIA
Governor
Secretary
DIVISION OF HOUSING&COMMUNITY DEVELOPMENT
BUILDING CODES&STANDARDS
MEMORANDUM
From: Michael Ashworth,Manufactured Buildings Program Manager
To: Building Officials,Manufacturers&Third Party Agencies
Subject: Raised Seals on Plans for Manufactured(Modular)Buildings
Date: November 28,2006
Section 553.80(1)(d),ES specifically exempts state approved manufactured(modular)buildings bearing
the DCA insignia,from further plan review by local code enforcing agencies. Rule 9B-1,FAC;and the
Florida Building Code(FBC)do not require original signed and sealed plans for manufactured(modular)
buildings to be submitted to local jurisdictions to obtain a building permit. The insignia issued by this
Department attests that the plans have been reviewed and the buildings inspected by a state approved
Third Party Agency and found compliant with the FBC.
However,any code requirements not completed at the factory are considered site related and are subject
to local plan review and inspection in accordance with the FBC and local requirements.Signing and
sealing of these plans should follow local procedures. All site-related installation requirements(e.g.,
foundation,electrical hook-up,plumbing,etc.,)are specifically and entirely reserved to the local authority
having jurisdiction,who may require signed and sealed plans for applicable items.
The State of Florida Manufactured(Modular)Buildings Program requires its approved Third Party
Agencies to maintain a set of signed and sealed plans,(either hardcopy or electronic)that have been
reviewed and approved by a Florida licensed design professional or Modular Plans Reviewer. Inspection
reports conducted at the manufacturing facility by Florida licensed design professionals or Modular
Inspectors are also required to be on file.Local jurisdictions may require copies of the approved plans
with the permit application or may rely on the plans on file at www.floridabuilding_org.
For additional information,please contact Michael Ashworth at 850-922-6075 or E-mail:
michaei.ashworth@dcastatefl.us.
cc: I.Jones
Files
2555 SHUMARD OAK BOULEVARD • TALLAHASSEE, FLORIDA 32399-2100
Phone: 850.488-8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781
Internet address: http://www.dcastateflus
CRITICAL STATE CONCERN FIELD OFFICE COMMUNITY PLANNING EMERGENCY MANAGEMENT HOUSING&COMMUNTY DEVELOPMENT
2796 Overseas Hl0l 2.Suite 212 2535 Shrnard Oak Boulevard 2555 Shumard Oak Bouevard 2555 Shmard Oak Boulevard
MareUm,FL 33050.7227 Tallahassee.FL 32389.2100 Tallahassee,FL 323892100 Tallah see.FL 32399,2100
(305)2892402 (8& 48&2356
(BSq 4139969 (850)488-7956