HomeMy WebLinkAbout09-8871 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8871
BUILDING PERMIT
Permit Number: 8871 Address: 3815 LACOSTE ST LOT 142
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-1420
mPy . �. �u '
rov. Cost 10 000.00
Date Issued: 3/04/2009 Name: MAJESTIC OAKS LLC
Total Fees: 120.00 Address: 6991 E. CAMELBACK RD
Amount Paid: 120.00 SCOTTSDALE AZ 85251
Date Paid: 3/04/2009 Phone: (813)783-3477
Work Desc: INSTALL 10X12 SHED, 18X13 SCRN RM, 13X12 CARPORT TOTAL SQ FT 12X41
r ...mow.... a da ms
SUN STATE ALUMN INC BUILDING FEE 120.00
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."
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
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8871
BUILDING PERMIT
Permit Number: 8871 Address: 3815 LACOSTE ST LOT 142
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-1420
Improv. Cost: 10,000.00 1` .., . ..9._
Date Issued: Name: MAJESTIC OAKS LLC
Total Fees: 120.00 Address: 6991 E. CAMELBACK RD
Amount Paid: SCOTTSDALE AZ 85251
Date Paid: Phone: (813)783-3477
Work Desc: INSTALL 10X12 SHED, 18X13 SCRN RM, 13X12 CARPORT TOTAL SQ FT 12X41
SUN STATE ALUMN INC BUILDING FEE 120.00
GOY�•�y.B,�T �
✓., o. '� al 0 a..°'S3`:S+..'s A:6r^,-` ".,., "� :"`.:. ;. r ..,s;Y. .. x tF� 5 ,rw.
FOOTER 2ND ROU H 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."
CONTRACTOR SIGNATURE PERMIT OFFI R
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 Fax-813-780-0021
Building Department ,)
Date Received 2.--Z —O q Phone Contact for Permitting Y/3 J I 7iJ S3"
Owner's Name W Aê Owner Phone Number 1(30()4G y {/ /
Owner's Address I 33.F-/S e Ci1J/ '7L.`."' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ^ _ t/
JOB ADDRESS //
t/f ( / JIMS- LOT# !T
SUBDIVISION ! d)A .- o"`'& PARCEL ID# 25'- -1-6 _4/- O Cc/'. J Qd9'()
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ii7II NEW CONSTR B ADD/ALT SIGN Q MOVE DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q OTHER
DESCRIPTION OF WORK I SLa ¢ c A 71 I
BUILDING SIZE /a- x y1' SQ FOOTAGE 7 9a HEIGHT II
111111 11111 IIIIIIlIIIIIIIIIII 111111 IlIlIltIllIll,IIIII,IIIIttIIIltIIIIltIIIIIItIIII111tI111t1hhhhhu1 II,IIIIuIIt,•tII.II..ltlIIIpIIIIIIIlIII 111111
BUILDING $ lQ Qo� V7 VALUATION OF TOTAL CONSTRUCTION
i
Q ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY jJ W.R.E.C
EIII PLUMBING $
LIII MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION LII GAS 0 ROOFING LII SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I
FLOOD ZONE AREA AYES QNO
_
�
BUILDER _
`, COMPANY
SIGNATURE �✓ ` REGISTERED I Y/ N I FEE CURRENT I Y/N N
Address I t$13 �I is Z- <J F1 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED 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
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'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
fter
set aside any provisions of the technin plans,
codes, nor construction soall issuance of a permit prevent violations of any codes. Every the Building Official from perm t issued shall become invalid
requiring a correction of errors in plans,
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 from the Building lod of six( ) months after the Official for lme a period not to exceedhe ninety r
k is commenced. An extension
may be requested, in writing, (90) days and will demonstrate
job is considered abandone
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the\j
d.
WARNING TOOWNER: YOUR FAILURE
NOTICE
IF YOU INTTE D TO OBTAIN F NANO NG CONSULT
PAYING TWICIC E FOR IMPROVEMENTS TO OUR PROPERTY.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117..033)�r ^ �+ `,/��
OWNER OR AGEN7��?� 'u- CONTRACTOR 'J'
or a Y���e ru
(pr affir ed efore me this bscribed and sworn t or aliirmed)�be qre n7e this
u cribed andbsw to ) lvrj__�z sl rs has/
av
Who Is/arepersonally known to me or ha have produced Who is/ a personally known to me or has/have produced
as identification.
'identification.
Notary Public
,_ Notary Public
Commission No.
ommission
d,printed or stamped
Name of Notary typed,printed or st
Name of Notary type amped
Ig
j j
R y ? rrr
� �'• � O � �1 '�' `mss^ ' � `
1. " Id, 00' `
3J7/5- L_,1C p� - csT y—
THAT PART OF EAST 80.00 FT OF NW1/4 &THAT PART OF WEST 1/2 OF
NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND
LYING WEST OF MAJESTIC OAKS COMMUNITY-PHASE ONE AS PER PB
35 PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC
OAKS COMMUNITY 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
NOTICE OF COMMENCEMENT I 111111 11111 11111 11111 11111 11111
VIII II111111111111liiiJill
2009026586
Permit No.
Rcpt: 1228850 Rec: 10.00
Property Identification No. 1y j4-a-1 - d eyo-Od/QU—d 07V OS: 0.00 I T: 0.00
02/25/09 ---.--- ---.__._._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.
1.Description of property(legal description:) Set C�AdIGt �� /(L /7(� ,p
a)Street Address: mod'/S' nod d3S
2.General description of improvements:
ct , cfCitQ /! /r7Dln (!C t,4J/'
3.Owner Information , / / f. f
a)Name and address: kA _ U_ _fld• Z4C r4 J/. ZtI I�M6/f/ f. J J-
b)Name and address of fee simple titleholder(if other than owner) -_�
c)Interest in property
4.Contractor Information
a)Name and address: oC(N cj Q>L .2:c:. (e/,{l/ / ,� �/ �, lIr G/ 3,
b)Telephone No.: Fax No.(Opt.
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No. (Opt.)-PAULA s. o'NEIL, PASCO CLERK & COMPTROLLER
6.Lender 02/25/09 1 of 1
a)Name and address: OR BK 8 g P6 1925
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(l)(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
a pp Owner m Owner's Autho er ecto/r/PP er/Manager
Print Name
The foregoing instrument was a knowledged before me this'day of /rUQ ,20 by
i ./ (s( C'u.'J Z as 0G(>M t
( e of authority,e.g.officer,trustee,attorney
in fact)for Jeff" (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification ll Notary Signature G K ' '1
Type of Identification Produced QL Name(print) V ' .t / {rL iJ
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.
FORMSINOC.rvsd2007 S' to aturaLPerson Signing
NOTARY PUBLIC-STATE 0 0RIDA
Stacie Hartwig
Commission#DD652189
\, /Expires: OCT.16,2009
BONDED THRU ATLANTIC BONDING CO.,INC.
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITH SS MY HAND AN OFFICIAL SEAL THIS
o —DAY 0F_
G O U, ', PAULA S. O'NEI , CLERK&C PTROLL R
DEPUTY CLERK
iç7
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: q �
Date Received: 2- '7-O /
Site: ( 5 1a StQ 3 T
Permit Type: GQ ICY f m c - — F
, -/0 9'x/8 9u13
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
€Kpse l
1 n/f J- L 7/
This co ent eet all be kept with the permit and/or plans.
_3 7 .
Kal in Switzer— ans Examiner Date Contra or and/or Homeowner
(Required when comments are present)