HomeMy WebLinkAbout10-10121 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10121
BUILDING PERMIT
1 `:4 1.'9 s ti tart 10
Permit Number: 10121 Address: 3819 LACOSTE ST LT 141
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET -UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24- 26 -21- 0030 - 00000 -1210
lmprov. Cost: 2,400.00 <, 14 ,, - n - ' M 17 . _ . '.,
Date Issued: 3/08/2010 Name: MAJESTIC OAKS LLC
Total Fees: 175.00 Address: 3806 LACOSTE ST
Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/08/2010 Phone:
Work Desc: REPLACEMENT PARK MODEL 12 X 37
Z :1- : ; „ "{ ® x
A = L SN L L. - A - MODEL P 60.00 PARK MODEL LE RI 40.00
CRANDALL, RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 35.00
EASLER, LIONEL L.
BAHR'S PROPANE GAS & A/C, INC.
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PARK MO. L M HANI AL
PARK MODEL PLUMBING
PARK MODEL SET -UP
PARK MODEL ELECTRIC
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 recordi g your notice of commencement."
6 e.g.- a, : %
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: - Let S te-Y M f S
Date Received: 2 ' 6 - /0
Site: _ C1 La cc 5 eel
Permit Type: 1 2- j(31 peewe rn de J e (4Ce
Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑
.-W Alkrkl d
This comment sheet shall be kept with the permit and/or plans. dio-70
Kalvin wit er Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
r-
813- 780.0020 City of Zephyrhills Permit Application Fax - 813-780 -0021
Building Department .( I t 24
Phone Contact for Permitting k) ff . - 1
owners Name NI el, 1 1 1 Owner Phone Number S 13 ° SI)*C17- I
Sr i` - . �' ' -' �� 5S3 -1SIR
Damar address ..,i.._ • _ lC ? owns. Phone Number �)
Fee Simple Titleholder Name 'OR Owner Pirate Number I
Fee Simple Titleholder Address 1 — I
JOB ADDRESS ,3 1C1 1. f l (-) -t ^G �] r Yil 11S UD W LOT* I ' L i '
SUBDIVISION q l -VAC. CO. VS PARCEL mA I a14 " alp-at. . • I -) D
J
■OBTAHED PROS. PROPERTY TAX NOTCE
WORK PROPOSED n NEW CONSTR I ADD /ALT n SIGN n MOVE n DEMOLISH
�/ INSTALL ` REPAIR
PROPOSED USE 1 .,}-- sFR n Comm n OTHER I I
TYPE OF CONSTRUCTION Q BLOCK
(� E Lie'.
�LAI / � y F
LO � CK � FRAME n STEEL / - OTHER
DESCRIPTION OF WORK lQ (' u) In part t I r �,./ ,C A i ►K.1 rL
BUILDING SIZE la � 1 SC FOOTAGE L O L A HEIGHT I
BUILDING Is a �-i I (�f') .00 VALUATION OF TOTAL CONSTRUCTION aLt L0
E/ ELECTRICAL $ j 1 , AMP SERVICE In PROGRESS ENERGY f I W.R.E.C.
I PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q GAS n ROOFING n SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I IYES nNO
' r' .
BUILDER URE ./.•10 tedle..Z.. CO M p MTERED �l N t e l l i / N
-- Address ►. t.,1 r to 3r�_ 1 nit to* k r is3 License # • EENN� 1 �
ELECTRICIAN �� l l L J / COMPANY 11I A . , 0 ate f C
SIGNATURE /Ki h../ REGISTERED -' ifillais FEE CURRENT rg N
PLUMBER Address <. .. is i o • • hi Its �'/1 V License # If E- 6 ) �q /[)
SIGNATURE /_ P �� COMPANY _ L, It f •11 #1 Ll�
({�■ � REGISTERED mum FEE CURRENT j O! MEM
Address ``, \�Ir�LL:i' allli#�11,i ' . 1� � , '-11. OE Licensse J # /( 1 ff - WO MECHANICAL COMPANYI < f� .,
SIGNATURE REGISTERED N I FEE CURRENT n/ N I
Address 11111111TAIMWMUITARK 3 r T Ucense# L:, a ; 11111
OTHER COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I S./ N I
Address I
1 License* I I
RESIDENTIAL Attach (2) Plot Piers; (2) sets of Building Plans; (1) set of Energy Forma; R-O-W Permit for new construction,
Mktinurn ten (10) working days after submittal date. Required onstto, Construction Plans, Stomaater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plain plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) waling days after submittal date. Required crane, Construction Plans, Stonnaater Plans w/ Sit Fence installed,
Sanitary Facilities & 1 dumpater. Site Work Permit for all new projects. All commercial requirements rust meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY respired for all NEW construction.
Directions:
FM out application completely.
Owner & Contractor sign bad( of application, notarized
K 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)
— Remote SOWS'S Service Driveway, Not Counter if Upgrades NC Fences (Plot/Survey/Footage)
=oolege)
Pubic 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/UTILmES 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 UEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, 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", 1 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: 1 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 indude 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 inforn 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 induded 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 AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR Orr b:///./z
Subscribed and sworn to (or affirmed) before me this
by
tt y • 1 f , � Y this
Who islare personally known to me or hasfhave p known to a or hasrtrave produced
as identification. as h.
Notary Public ,j vL LT L i. c 75 KLj L^..) Notary Public
Commission No. Corriyion
yA THE > 1 -Fortin
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped GAYATHR1 M. SHAW
�, Notary Public, State of Raids
Commisslon# DD931741
My Comm. expires April 9, 2012
Plan Review
Modular Home Set -ups and Aluminum Packages
1) All property markers shall be exposed and clearly marked at time of first
inspection.
2) All set -backs shall be met.
3) All garages shall comply with section 309.2 ( Fire separation ).
4) Access shall be made available at time of inspection.
5)Manufacture specification manual, approved plans and permit shall be available
at time of inspection.
6)No electric, plumbing, mechanical or framing is to be covered without
inspection and approval first.
7)R.O.W. Use permit required for driveways on public streets.
R.O. W. - Right Of Way
F.B.C. - Florida Building Code
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CITY OF ZEPHYRHILLS
• PLANS EXAMINER t9
ALL WORK SHALL COMPLY WFFH ALL
PREVAILING CODES, FLORIDA LUILDING
CODE, NATIONAL ELECTRIC \ DE AND
CITY OF ZEPHYRHILL3 ORM ANCES
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