HomeMy WebLinkAbout11-12322 CITY OF ZEPHYRHILLS --�
� � 5335 - 8TH STREET
(sis)�so-oo20 12322
BUILDING PERMIT
Permit Number: 12322 Address: 6054 HARRIET ST LT 12
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: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0210-00000-0120
Improv. Cost: 3,450.00
Date Issued: 10/24/2011 Name: BOLT FAYE RICE
Total Fees: 82.50 Address: 2575 HENSLEY RD
Amount Paid: 82.50 CLEVELAND TN 37312
Date Paid: 10/24/2011 Phone: (423)503-7787
Work Desc: INSTALL 12 X 38 CARPORT
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC ORIVEWAY
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 fauity 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 � 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.
"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."
Complete Plans, Specifcations Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C�, �`t�-�%u� ���ki�' �Gv
CONTRACTOR SI NATURE 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 .
Phone Contact for Permittin —
Owne�'s Name �� �- ��< Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � O � 7 �� � LOT # � ,
SUBDIVISION ��G�f �� , PARCEL ID# ��' a' � �^ d �� + �C�d � �!�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK � dt X 3� � QI'� �'
BUILDING SIZE � 0 X�d SQ FOOTAGE y�G HEIGHT
�BUILDING $ 3� ���� � VALUATION OF TOTAL CONSTRUCTION .� / ����
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DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�\ ��'`�
�PLUMBING $ 1
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P �� P ERMITSERVIC�
(813) 788-5314
OGAS Q ROOFING Q SPECIALTY � OTHER �� ���
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��
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BUILDER ����„ - . / � �OMPANY ��/� �i� LGG!"�[ � �C.
SIGNATURE ���-��� REGISTERED Y/ N FEE CURRE� Y/ N
Address �Q y� �O/`� l�( � Z— ,�' Lice�se #�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N
Address License # �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N
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 8� 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, Constructlon 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.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
if over $2500, a Notice of Commencement is required. (A/C upgrades over;7500)
*' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Senrice Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" r'estrictions"
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 appticant 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 pertormed 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 Watenivays.
- 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 filf 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
prope�ties. 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 1 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�� 1�� CONTRACTOR /��/���
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o is/are per sonally known to me or has/hav produced Whctis/ar_e persona�known to me or haslhave produced
as iden8fication. as identification.
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Commiss No. Commission N .
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Suzanne Bahr SuLa��.,'�e Bahr
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�� Expires: NOV. 22, 2014 ,' Expires. � �v 22, 2014
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NOTICE OF COMMENCEMENT
PRULR S 0'NEI�,Ph D PASCO CLERK & COMPTROLLER
Permit No 09 0R BK ���3 1PG� 3396
Property Identification No. � 3--o�! `�� � a'"I a'� � — v ��
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and m accordance with Section
713 13 of the Flonda Statutes, the following mformahon is provided in th�s NOTICE OF COMMENCEMENT.
1 Description of property (legal des riptio ) �����f / C!� 'd� � Srl�i� /� �d0 •f �� ��Sl � (�(oeZ
a) Street Address: �4 �� �d�y'Y1-� - I'` � � L�/p1
2 General description of improvem nts.
Ca�,,o a r �' +
3 Owner Information / .// ' � ��� �� 3 ��
a) Name and address • � `` �Y� � (s � �/'y"( C�j� ' �7� ��/�
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in properiy
4 Contractor Information /� f � U' kJ �� /-� r/
a) Name and address:� t ��'`�7� �C . �Q f�y(� /'O/`� /�•-[ ��. /
i iw !'�
b) Telephone No.: Fax No (Opt.) �,lp2r
5 Surety Information
a) Name and address.
6) Amount of Bond.
c) Telephone No • Fax No. (Opt.)
6. Lender
a) Name and address.
Phone No.
7 Ident�ty of person within the State of Florida des�gnated by owner upon whom notices or other documents may be served•
a) Name and address
b) Telephone No Fa�c No (Opt.)
8 In addition to himself, owner designates the following person to recerve a copy of the Lienor's Notice as provided in Section
713.13(1) (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 OBTAIIV FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA �y
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COUNTY OF PASCO yC � ��.� � (;�,- � • � � �k
Signature ofOwne or Owner's Authorized OfficedDirectodPartnedManager
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Pnnt ame
The foregoi instrument•.was acknowledged before me this A�-� of �� , 20 !� , by
e- as QUJI�- �' (type of authority, e.g. officer, trustee, attorney
in fact) for C (name of party on behalf of whom instrument was ex cuted). ,
Personally Known OR Produced Identification � Notary Signature �
s�� Type of Identificat�on Produced �`� Name (print) L���J�— ""' �
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 �t are true to the best of my knowledge and bel�ef. , �
,�'� _ � � �' 12 C �.�3-� t. -�l ;�'\ , t, C • ` � . ..
FORMS/NOC,rvsd2007
Signature of Natu I Person Signing Above
� ��'1:�RY PUBLIC-STATE OF '"r ,OR[DA
�� Stacie Ha„; r`;
: �� :Commission #�i���:�0164
� ,' Expires: OC i � �, '�013
n � llED THRU ATLANTIC B OtiDI \ �. � 0., INC
STATE OF F�ORIDA, COUNTY OF PASCO
THIS IS TO CERTiFY 7HAT THE FOREGOING IS �
TRUE AND CORRECT COPY OF THE DOCUMENT
ON F1l.E OR OF PUBLIC RECORD IN THIS OFFICE
W�Tt��E�S MY HAND ANt� OF�ICIAL SEAL THIS
o�' DAY OF �(/fZ'''►de� 2 Q fJ
pq" Ut��q S O'NEIL, CLERK & CO ROLLER
�Y �
pEpU�Y CL6F�K
Pasco County Parcel: 03-26-21-0210-00000-0120 001 P�age 1 of 1 ,
,,. • /� � ��/t� �' � , � �,m Y- , � `
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�Data Current as Of: Weekly Archive - Saturday, August 20, 2011 2 � 3 .�
Parcel ID 03-26-21-0210-00000-0120 (Card: 001 o 001)
C 02 - Mobile Homes
Mailing Address Property Value /
BOLT FAYE RICE Ag Land A ( $0
2575 HENSLEY RD NW Land ���.�,�� �c'1 �� $7,200
CLEVELAND TN 3,73f�2-2435 t �
Building �� $5,027
Physical Address Extra Features �v � , $0
, �
eaal Descriution (First 4 Lines) �� Market Value $12,227
� PINECREST MOBILE HOME PARK Jfs Assessed (Non-School Amendment 1) $12,227
� CO-OP OR 4767 PG 100 & I Taxable Value $12,227
OR 4814 PG 662 ��, r ,f`
LOT 12 � � � /
�.�._�____.�-- Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Cond Value
I 1 � 0200 MSUBM OOM2 1.00 LT $7,200.00' 1.00 $7,200
�
� Additional Land Information
Acres 0.03 Tax Area 30ZH FEMA Code � Residential Code PNCSLPI
Buildin4 Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1972 Stories 1.0
Exterior Wall i Pre-Finished Metal Exterior Wall 2 None
Roof Structure Flat Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Plywood Panel Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C None Baths 1.0
Line Description Sq. Feet Rep Cost New
�— 1 BAS 756 �--'— $14,364
Extra Features (Card: 001 of 001)
� Line � Description Year Units � Value
� No Extra Features
Sales History
�-- Previou Ow WINDIBANK LORNE A
Year � Month Book/Page Type � Amount
� 201 � 11 8482 / 1547 AL � $11,000
2004 r 02 5746 / 1501 PL � $10,000 '
2001 � 02 4567 / 1952 WD � $0
http://www. appraiser.pascogov.com/search/parcel. aspx?sec=03&twn=26&r... 8/24/2011
Pasco County Property Appraiser - Map Page 1 of 1
Pasco County, Florida
Section 03, Township 26, Range 21, 1.0 miles NNW of Zephyrhills '
Prepared by the Office of Mike Wells, Pasco County Property Appraiser. '
Map Created on 8/24/2011 at 11:20:09 AM.
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City of Zephyrhills
BUILDiNG PLAN REVIEW COMMENTS
Contractor/Homeowner: /( i'.S �IG��'li�
Date Received: �j � ��—l�
Site: �j� (J .��/ /��'�i�i � � '�j---_
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Permit Type: � 2/r� 3 � C�,�O�—�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comm shee hall •ke t with the permit and/or plans.
Kal�'n Swit r— xaminer Date Contractor and/or Homeowner
(Required when comments aze present)
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pR'EVAILIN� COD'ES,
FLORIDA BUILDING
� _ CODE,NATIONAL ELECTRIC CODE AND
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