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10-10815
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10815 BUILDING PERMIT � ` i. �.. o,".+� .,f.��.. Permit Number: 10815 Address: 39712 MEADOWOOD LP Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 -ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13- 26 -21- 0140 - 00000 -0190 Improv. Cost: 4,300.00 � n.; � ., w , � 4 , Date Issued: 8/11/2010 Name: BLOXSOM, ROSEMARIE Total Fees: 82.50 Address: 39712 MEADOWOOD LP Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2010 Phone: (813)325 -4312 Work Desc: INSTALLATION OF 17.5 X 24 POOL ENCLOSURE W /FOOTER ors . tp, z .. v € x .. a. n' gym,. ,,. t _ ' , , „.,��.a..A.......,.x . .,.,..: .� .as;�3a:� �sx��s�.i��.,.,��,I�,g.:� d8.k� � �.�� 1 �� «,� - �" i . a : �, � ���'��`&� ��' PA - • - '1 1 ' : • 1 � 82.50 yc_4(.0i1, zai U ‘i 6t V /(1 7 ( - � 3 1 s Eta � --7‘1'1:1:1',- ° . ° ' a r � u 3:L a k � :' :ate a4a* a te, ' b� ,.> t aa:«.�l � s ��r a `��'�� a d ., ��, � a1 •• - 2�•`-•U -L �: 1 / I 1 •N I N FOOTER BOND DUCTS INSULATED SEWER w ' 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." -4-- PO 44 1.■ '- CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - 7 - ____ - 7 ;,, 1 City of.Zephyrhills BUILDING PLAN REVIEW COMMENTS C ontractg homeowner: r___> & a4 5 (\ , Date Received: 9-° 6 J 0 _ Site: •3 97/2 4 ).D Permit Type: ( g am y ,� Approved w /no comments: ❑ Approved w /the below comments: 5(1 Denied w /the below comments: ❑ 1 l r-©. -fir cc SAct II 6e_ e0 r ct i a( C' C (eqC wlcr o I «l- fiiie aP -'rs 7 r / /I Se-erl-ibv-) , 1 'IQ( ,S-0 bcc__k_c dtcd1 be 11 OocS sLii 5,A i,,„ l be St if dos/ a, 15v J ©v P �� IP °I- 6 e •IBS fct cli "> sl` h,f A This comment s • eet .. . e kept "th the permit and/or plans. ' >. . f ' '/ _ Kalvin ' 'tzer - P1.7 aminer Date . Contra or and/or Homeowner (Required when comments are present) 813-780 -0020 City of Zephyrhills Permit Application , 1 t ( S Fax -813- 780 -0021 Building Department ` / 6 Date Received _ ,/"— M Phone Contact for Permitting 0 3 , a f -- M Owner's Name emarle A nctVd P)ioX so ) Owner Phone Number 5I3 — L I 3, a Owner's Address J ` 11-) + a rY I.1O 10 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS r1 I ' rIVCADUOCOd LOO ( LOT # in SUBDIVISION fteatouLoo6 es es PARCEL ID# 1:6-au: a t -Cato -c rat. 0 tot(J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL I REPAIR PROPOSED USE I 1 SFR 1 1 COMM 1 1 OTHER 1 1 TYPE OF CONSTRUCTION I 1 BLOCK 1 ? 1 � ,FRAME ��__ �� STEEL I 1 OTHER I I DESCRIPTION OF WORK �n 1. ' i b Ie ��' rjklel -LL, n.5 X Zy ' Poot. t✓oC \060C BUILDING SIZE SQ FOOTAGE HEIGHT IX 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGR SS ENERGY I 1 W.R.E.C. PLUMBING $ p( -40 F - f/T ' (4)A -- j og ' 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' l l TH fig N I I GAS I I ROOFING I 1 SPECIALTY I 1 OTHER / C FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I (NO • BUILDER ,1(�►� �k ��G 1 1J (' COMPANY �? * (*-t" c.), ' _._Lr 'c.), EY SIGNATURE 1 t v� / � `/` 1 �I REGISTERED I Y/ N j FEE CURRENT I Y/ N I Address , L IZL`(c C 1 y S �Ciaa ZQ yY ( N ∎\\ ‘451-> License # 5W( 3 1 k LW) 19 l ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N _I FEE CURRENT I Y/ N I 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 wI 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 Up A/C Fences (Plot/Surve /Foota•e) Driveways -Not o r Cou l K p ' adways flpVil MIITSAM 2 C11461431,1 *:Pt1t}t ie y cJe. :.,it! v s `t , Iii, ". �' ,,\,^ 0 gid1014 ID 141: aii1U ilii*Ci4 • .';;;"e stV: lilt , t'cit., t . "I vM �,t • ' • p, 5F w , ,� ` ►t ' NA asuZK3 mtr!o� ~,tlYl � 4 . ,r,., - 2 >?.tie 001tr ti+i c, ( ��mres mc� s `.3e6 ,,o A .,, ii: 1 IRA (1f M IMAM tt 7:00 Qnbillt 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 Tess 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworfp to (or affirmed) before me this Subscribed and sworn to (or affirmed) befpre m is LL $ -4 -10 by (jr-4, h" � C...).--A-,c CrasLO -(0 b � C ur-hi Ur S 7 _ Who is /are personally known to me or has /have produced Whojs /are personally known to me or has/have produced 1" L r L as identification. � !- L D L as identification. r - �/ �6�/ Notary Public \ , _�`,, �/ s� _ No tary Pu blic Commission No. Commission No. /.. _ AI, MARTIN I l MONAI1D II N M, Name of Missy lipeduto of Pisilho Name of t xa ' -'ni qi llle�taM of Florida 2. Y0i4 a• . = My Comm. Expires Apr 2. 2014 ; � -.. Commission • DO 972545 Commission N DO 972545 y •, or 'to' Bonded T mu0A National Not A1111 � ............. ` Bonded Through National Notary Assn. 111111111111111111111111111111111111111111111111111111111111 2010112800 NOTICE OF COMMENCEMENT Rcpt :1319531 Rec: 10.00 DS: 0.00 IT: 0.00 / a F(DF(D).:( Cf� 08/06/10 C. Cook, Dpty Clerk State of County of �xt THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and . in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of Property: Parcel No. i 19 t"dioct0 Pt3 i Ri /v(Q 3gn 1a r(1 Diorrii 1ooe ,z kvit14 -citt, L. 3354 (Legal Description of the property and street address if available) t 2. General Description of ImprovementI 1 foci-64s , r Sc ¢,� Fz- aye- 3. Owner Information: Name � 1 -I c "?0sety rt,;e- 01 oX Address 39 ')1a- Ole Lop City 0 0 4 7, 101 S Stater ck Interest in Property: :._- Name of Fee Simple Titleholder: (if other than owner) I Address '� ( City State R 4. Contract?" Name: T411( P It e.e_rS Divc. Address 4.40(o City Z State- 3 5. Surety Name: N I� 4 Address City State Zip Amount of Bond: $ 6. Lender Name: av (a Address City State Zip 7. Persons within the State of Florida designated by Owner upon whom notices of other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name ,✓1/d- Address City State Zip 8. In addition to himself, Owner designates ,J of to receiva copy of the Liener's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 0 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) Signature of Owner: Ci � I mo\ cL j1 a is Sworn to and subscribed before me this / day of 20 1 _ l L Notary Public: �.u11_ • • •iii* _ , • j My commission expires: ND-C (p , f 4 PC93053048/A PAULA S . O' NEI L , Ph . D . PRSCO CLERK & COMPTROLLER 'T '' CTTH(A C GUEtT 08/06/10 1: 5 am 1 of 1 ;gi No POW • Stets of Rows STATB�IsitLe ZU (PY 4 a331 �- Comm. ? APVI. 2014 THIS IS TO CERTIFY THAT THE FOREGOING IS A EuPir Commission • 00 979617 TRUE AND CORRECT COPY OF THE DOCUMENT ru Bonded Through National Notary . ON FILE OR OF PUBLIC RECORD IN THIS OFFICE A /;TNEESS MY HAND , D OFFICIA SEAL THIS ir DAY 0 , , e; 2 7 PAUL' "S. O'NEIL, CLE', & •OMPTROLLER BY ` .„ . ,A.y/ DEPUTY CLERK R=312. 50 L =89.99 0, 0z D Tan= 45.31 111.7,.7 IttM =16 °30'00" __ �L ,02 =,t ChBrg =N04 °15'00 "E r Ch= 89_68 ___ --- -- — 4' CONC RUINS . OPEN AREA FIR 5/8" ..,.�...,... __,_, NO# I x-- x— x— x— x— x— x —x —x — 4 z x ` / o -` FIR 5/8" N / h Z NO# x 1'. /� S I S i 1 -�. CO ........ CONC c o -- 91 i o PORCH a' - 1 16.84' 1 ( _ o x 19 .76 p I M 12.00• e••1 + . ; cv 1 STORY RESIDENCE j 1:91 I° O ' O ly —° x N H 1 1.06 26.6 5 J' o W p CONC `..� ��x �� 12. 70 ii o� 10.53.', O cfl O CO 1' 0 U2 I 0 1 . 170 CO LOT 18 LOT 19 CONC `t LOT 20 f AR 5/8" • NO# j FIR 5/8FCM4" WATER ; � _ti _a . NO# # METERS / • 1 /� UNDERGR CABLE CD MEADOWOOD LOO 1 i j 60' TOTAL R/W - ASPHALT • R= 202.50 L=58. 32 Tan= 29.36 0 =16 °30'00" ChBrg= N04°15' 00" E Ch= 58.11 I (R) RECORD UE UTILITY EASEMENT rip FOUND IRON PPE (9) MEASURED WE ORA MAGE a U1xNY EASEMENT OR FOUND IRON ROO 006 NEIGHBORING CT PROPS x— x — x FENCE ? .: : .' v CONCRETE DWG CHK A/C NR R/W ISGHI -OF-WAY FN /0 FOUND NAx /DISK OR R CNERiEAD WIRES 0 � #oo - 0 -0 W000 FENCE i CONDITIONER FCM FOUND CONCRETE MONUMENT AP SET IRON FW SR SET IRON ROD �— PROPERTY CORNER NOTES: 1) NOT VALID UNLESS COPIES CONFORM 10 4) BEARR MNERE SHOMg1 ARE PER 7) FENCE %MERSHP NOT DETERMINED II) 0R5w1C DISTANCE BETWEEN WALLS AND /06 FLOW INFORMATION: SIGNATURE AND DAZE CERTIFICATION. RECORD UNLESS 05 A N0TED. INNIE55 TIIF)IW15E N0 1ED. FENCES PROPERTY LIES ! 3) 2) LEGAL P505557 0(5CIRPIIES SHO PR0WEREON E0 0 BY 011(Nor 55. 5) UTILITIES, F0IRNDAIIONS, 8) MEASUREMENTS TO WIRE FENCES ARE DE f7NA( PM° TED FOR CIA/N Wr BE FLOOD ZONE X TO CENTER OF WIRE. AN10 ` WN H WERE ANO /OR OTHER IMPROVEMEMS, E AINY. COMMUNITY NO. 120235 ABSTRACTED FOR EASEMENTS OR OTHER WERE NOT LOCATED. 9) MEASUREMENTS TO WOOD FENCES ARE 12) FL") 2015 6"RMU06 WAS DERNED PANEL NO. RECORDED ENCUMBRANCES NOT SHOWN 6) ELEVATIONS, IF 51IOwN ARE 5il05 ON 10 OU15OE 0F WOOD. FROM FEDERAL EMERGENC MANAGEMENT SUFFIX C ON THE PROPERTY PUT OF RECORD. NapT AA/kw..., wpm DIARNM Tsui 10) 641.1 MEASURES ARE 10 /FROM AGENCY FL000 INFORMATION RATE MAPS, ADDRESS: FACE OF WALT DATE OF FIRM 12/17/91 Yn,.n uce nnuNnnn Inn❑ _ E 4. :r v • o „:'v <'c'__ PATRIOT SCREENS, INC. 4206 Coats Road Zephyrhills, FL 33541 August 10, 2010 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Please accept this letter as authorization for Curtis A. Crist to pick up and drop off permits for Patriot Screens, Inc. He is authorized to handle all matters pertaining to our company. Please allow this authorization to remain active until I revoke. Thank you for your attention to this matter. 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