HomeMy WebLinkAbout10-11035 CITY OF ZEPHYRHILLS
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5335 - 8TH STREET
(813)780 -0020 11035
BUILDING PERMIT
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Permit Number: 11035 Address: 39802 COGHILL LP " LT 167
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 -1460
Improv. Cost: 2,400.00
Date Issued: 10/12/2010 Name: NHC -FL 115
Total Fees: 180.00 Address: 6991 E CAMELBACK RD STE B -310
Amount Paid: 180.00 SCOTTSDALE AZ 85251 -2493
Date Paid: 10/12/2010 Phone: (813)780 -9308
Work Desc: INSTALLATION PARK MODEL REPLACEMENT
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• � -q-' • � L � - .0.10 -A- � � � L 0.00
CRANDALL, RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00
EASLER, LIONEL L.
BAHR'S PROPANE GAS & A/C, INC.
OAC
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PARK MODEL MECHANICAL
PARK MODEL PLUMBING
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 your notice of commencement."
fir di
1
CO TRACTs PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
4
City of.Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: kaS/e A/IS
Date Received:
Site: 3 98° 2 447 lap
Permit Type: / 2?c - 3 % ectati ,
Approved w /no comments: D Approved w /the below comments: Denied w /the below comments: D
--Ce( cied
This comment sheet shall • - kept with the permit and/or plans.
4/-
Kal S er ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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.
8) At least 10' separation between other units.
9) All work shall comply with the 2007 F.B.0 and the 2008 N.E.C.
R.O. W. - Right Of Way
F.B.C. - Florida Building Code
N.E.C. - National Electric Code
—
813-780-0020 City of Zephythills Permit Application Fax-813-780-0021
Baking Department * i i 0,...3--
nde Beaked IL II Phone Contact for (J11 i I PA – Mt11'
��►� �/ r y am ._
Owner's tam l \tfl rl� j�s Owner Phone Number 1 .�1� ►: �l�,Iil
Owners Address r � ef1 ` • o •7 — - O.�w Phone Number
Fee Simple Titleholder Name' 1�Pt 1 Owner Phone Nu nber 1
Fee Simple Titleholder Address I ' " '
JOB ADDRESS hcma c. ( t i. t r Loup !� 1 r +� .� h LOT # 1 � ` I 1
SUBDIVISION S. ,, '1r 1_y PARCEL IDS I(94 at! °O` -" u)a)•(J(�.L_iOT 1
J• f 4( l) 1
(aTAICD FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ Q SIGN n MOVE Q DEMOLISH
I NST ALL REPAIR
PROPOSED USE SFR n COMM In OTHER
TYPE OF CONSTRUCTION Q /�/� BLOCK pit FRAME
�� ) Q STEEL
�/� y �OTHER ip'igm �1114M.fd'
DESCRIPTION OF WORK , I t l.( aD ! f� jx, L mil y mirk) rt ptar_ / � .f 1 lY.
BUILDING SIZE 1 12' x 5-1 ' I SQ FOOTAGE L HEIGHT
Ft
BUILDING Mill VALUATION OF TOTAL CONSTRUCTION(9 1 W •
I( ELECTRICAL S AMP SERVICE F ENERGY n W.R.E.C.
I1--r PLUMBING S 1
I IS VALUATION OF MECHANICAL INSTALLATION
n GAS n ROOFING I SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA nYES liej
BUILDER f I // COMPANY t 4, _ 'et u ■b' i 1 y _
SIGNATURE % i J - REGISTERED WM. FEE CURRENT
Wan 1
Address 0 .' ') I III . r L . VP License # 11111 . , b 111 j
ELECTRICIAN COMPANY ( � L0S.ii L-(. ' N
SIGNATURE � L��8■I fa,Le �, e 1 Rc -ocar REn Y N I FEE CURRENT Mg
Address j% ��G1a1G/1i/pf����Jii�lt /Lw, Uceme# I ix ) 9(1( )1
PLUMBER Vie = tthU 5�
j�j,% � � /� ink. FEE CURRENT / � Y N
Address :� i f�. m, /. ilt .' _JL L Lt %JI l u....# I II4 , ► `�, 10 1
% f i e COMPANY 1
SIGNATURE /�// �
MECHANICAL // ��/ 13 - f � REGISTERED REGISTERED � �ti'� � 1 � � ��� � N I
Address f32.11ii1=f4 _' License if �_ i,.lreVJi 1
OTHER cp
SIGNATURE REGISTERED Yd N I FEE CURRENT / N
Address I 1 License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fans; R-O-W Permit for new construction,
Minimum ten (10) working days filer submittal date. Required ensile, Construction Plans. Store w star Plans wl SR Fence instated,
Smeary Facilities & 1 dumpster: Site Work Perrot 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 submttal date. Required orate. Construction Plans, Stonnwater Plan w/ SR Fence imdaNed.
Sanitary Facades s / crummier. Site Work Permitter all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for a NEW oare6ucdon.
Directions:
Fill out applrition completely.
Owner & Contractor sign bade of application, notarized
If over 82500, a Notes of Commencement Is required. (AIC upgrades over 85000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter kom owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Records Sewers Service Upgrades AIC Fences (Plot/Survey/Footage)
Drive ways -Not over Courier if on pubic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to 'deed' restrictions"
whim 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 tired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this appdcation for which they will be responsible. If you, as the owner sign as the
con tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION I MPACT/U7ILmES 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, 1
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", 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: I certify that all the infonration in this application is accurate and that al work
will be done in compliance with all applicable laws regulating construction, zoning and land development 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 Treatrnent.
Southwest Florida Water Management District-Weils, 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 tiff:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the NI material is to be used in Flood Zone 'A", it is understood that a drainage pion 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 NI material is to be used in any area, 1 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 1111, 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 Hoene 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 Bong 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 Budding 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 / T (F.S.
OWNER OR =
Subscribed and sworn to (or = . • before me t is Subscribed and swam to (or : ... - me mi -- _
Who Islas personally known to e or Who is/are pass by known to me or has/have produced
as identification- as idaMUtation
Notary Pubic Notary Pubic
Commission No. Common No.
Name of Notary typed, printed or stamped Name of Notary hyped, pointed or stamped
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