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Home My WebLink About11-12342 CITY OF ZEPHYRHILLS 5335 - 8TH STREET - ' (813)780-0020 12342 BUILDING PERMIT Permit Number: 12342 Address: 39510 VALDERRAMA LN LT 210 Permit Type: IRRIGATION ZEPHYRHILLS, FL. Class of Work: IRRIGATION Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 50.00 Date Issued: 9/12/2011 Name: MAJESTIC OAKS LLC Total Fees: 614.70 Address: 39510 VALDERRAMA LN LT 210 Amount Paid: 614.70 ZEPHYRHILLS, FL. 33542 Date Paid: 9/12/2011 Phone: (813)395-8601 Work Desc: INSTALLATION IRRIGATION METER PLUMBING FEE 40.00 �� i� � G � _- �� 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 � 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 additiona� 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, Specifications Must Acoompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ��-'�...�.c�,�..w..J �o��.-_ 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 Reeeived Phone Contact for Permittln _ Owners Name � /C) , o� TAT/Z�C,iA � pN.� , Ovvner Phone Number Owner's Address $ �� g � Owner Phone Number Fee Slmp�e Titleholder Name Owner Phone Number � � Fee Simple Titleholder Address JOB ADDRESS �QS�O v �. � �.- � E ,y[i�5 FL. 3� LOT # 1 ia SUBDIVISION ��J�7? G �gK7 � V. PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE� WORK PROPOSED B W TALLSTR 8 REPAIR �J SIGN Q � DEMOLISH PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � �-'-� DESCRIPTION OF WORK lN'S� �. ' p � �,�� , �� BUILDING SIZE SQ FOOTAGE �� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY O W.R.E.C. �PLUMBING $ �, � � � ��- QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY �] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N Address Llcense # r -� 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 CURRE� 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, Minlmum 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. Directfons: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is requlred. (A/C upgrades over 57500) " Agent (for the contractor) or Power of Attomey (for the •owner) would be someone with notarized letter from owner auUtorizing-same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The �e ula g ns. The undersigned a e p ns bilbty for compl a t w th any which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTOR beN q�ed o beE ensedsiBac'coEdance th state and local If contractors to undertake work, y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorl��for the under state law. If ta e adv sed to con act the Pasc�o County Bu'��Iding D v s on—L c�e s ng Sect on ap727-847- intended work, they 8009. Furthermore, if the oW k��of this a which they will espo s bleglf youaas the ownea sign as portions of the "contractor Bloc PP contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC�oV�ERc n EES{' n of new udenysnchange of that Transportation Impact Fees and Recourse Recovery Fees may app y use in existing buildings, or expansion of ex un l derstand l sgthat such fees, be d ery 011�be dentified at the_tme 90-07, as amended. The undersigned also permitting. It is further understood that � S ower ele sea the p ojecRdoes Rnvolve a certifi ate occ pancy o� receiving a°ce�tificate of occupancy or p final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counry Water/Sewer Impac fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. 500.00 or more, I CONSTRUCTION LIEN t-AW ha he b provided wsh a t copy of r the a F orida C on L en L aw—Homeowner's ce�tify that I, the applica , Protection Guide" prepared by the Florida Department of A�gf i tne above descr bed docum nd prompsean good fa'th to other than the "owner", I certify that I have obtained a copy deliver it to the "owner" prior to commencement. lication is accurate and that all work CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app ' will be done in compliance with all appli WO� k and r nstalat on as indicated oningea�� that no work or instal hereby made to obtain a permit to do commenced prior to issuance of a permit and ehulations�randllland development egulationsan the jur ction g also construction, County and City codes, zonmg g I to the intended work, and that it is certify that I understand that the regulations of other government agencies may app y my responsibility to identify what actions � m � tection Cypress Bayheads, A eas and Environment ly Sensitive _ Department of Environmental P Lands, Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering _ Sout hwes t F l o r i d a W a t e r M a na gement District-Wells, Cyp 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. � 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 undVh ch is thetaredrby agprofessionalreng neer "compensating volume" will be submitted at time of permitting P P licensed by the State of Florida. _ If the fill material is to be used in Flood Zon�e f'A{he a ea w'th'n thetstem W mitted building using stem wal construction, ( certify that fill will be used only t that use of such fill will not adversely affect ad�acen If fill material is to be used in any area, I certify be cited for violating the owner may properties. If use of fill is found to adversely affect adjacent properties, �ication, for Iots less than one (1) the conditions of the building permit issued under the attached permit app acre which are elevated by fill, an engineered drainage plan is required. I am the AGENT FOR THE OWNER, I promise in 9°O Stan l d thatna�separat permit may be req g ed for I electr cal If licati this affidavit prior to commencing constn.�ction. I under plumbing, signs, wells, p ools, air conditioning, gas, or other installations not specifically included in the app per mit issued shall be construed to be a license to proceeS u 1 nce h of a pe mitprevent the ding Officeal from there d set aside any provisions of the technical codes, nor sha ermit issued shall become in requiring a correction of errors in plans, construction or violations of any codes. Every p work authorized by such permit is commenced with onths after the t m the kas commenced An sion unless the y da s and will demonstrate the permit is suspended or abandoned for a period of six (6) n► the job is considered abandoned may be requested, in writing, from the Bk �ceases� or (90)rconsecutive days, n�net (90) Y justifiable cause for the extension. If wor WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTiF YOU INTEND TO BTAIN FI�NANC NGTCONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER . ' OUR LENDER OR AN ATTORNEY BEPORE RECORDING YOUR NOTICE OF COMMENCEMENT. WITH Y �� FLORIDA JURAT (F.S. 11�) _ � / � _ CONTRACTOR d �`�'''"�'�' pWNER OR Af3ENT � � � Subscrlbed and swom U9 (or afQrmed) befor�,�me thl�� before me tkifs y_ � Z_� i b fi4Tr2�G S scribed and swom to ( �� . �_—_ _______— _ L_� � by � Who islare �e lso�na_Oy known to me or ha as identification. Who Is/aje personatly known to m as IdenUfiqtlon /. f PnSk ,�� r � � Notary Public ry Publlc „ , � ,Jp,C(�1JEL{NE B � Comm ssion �* � i � �� # EE 040520 Com ts '' � _•: �": �jCpjre, D� � rlrile�4fl�tM�"o°eoa3es�o�s _ � Name of Not . Name of N ' DISCLOSURE S'�'n'►'�•*�'NT .FOR OWNER CITY OF ZEPHYRH2I:LS BVILD2NG DEPARTN�NT 2, � _ have read and fv11y understand and agree •to the provisions of �this instrum�t. The undersigned states and affirms that he or she is desirous of' constructing, renovating, add.ing to or reroofing his or her own domi.cile,•that he or she actually occupies, or 9vi11 occupy by said domicile, and same is not for •rent, lease or sale. That he or she sha11 comply with the following condztions: 1. Ttiat the owner and_he or she alone sha11 act as the buil.der for a11 phases of constsuction . 2. That the owuer wa:11 comply with a11 provisions o£�the City of Zephyrhil'ls ordinances and codes pertinerit to the building. 3. That in t�ae avesit various phases of construction a=e subcontracted, he will engage only properly licansed subcontractors and will personally supervise such work. 4. That in the everit the Bui.ldiag 2nspector shall rez corractions to be made, - the owner will assume full responsiUility to insure•they are made, and upon completion wi11 call for a reiaspection before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the consttt.iction aad wi11 not expect_ supervision of his a�ork from the City .of Zephyrhills Btiilding Dapartmexit . 6. That prior to final iaspection aay additional fees, including reinspection feas, must be paid ia ful1. A written request from this office sha11 constitute an official notice �to pay additioxia�. fees . 7. That the orovner sha11 comply with a11 City, State and Eederal laws in regard to social sacurity, worl�an's compensation, lien laws, etc., where applicable. B. That the owner sha11 compZy with a11 the safety codes issued by the Florida Industrial Commission. 9. 5tate 1aw re ��ir es constniction to be done by licensed contractors. You have applied for a�*-+++; t under an exemption to that law. The exP�ption allcws you, as the owner of your propesty, to act as your own contractor with cp*-+-=�T restsictioas evea though you do not ha.ve a license. You must provide direct onsite supervision o� the coastruction yours�. You may bvild or improve a one-family or two-family reside�,ce or a farm outbuildiag. You may also build or i.mprove a commercial building, provided your costs do not exceed $25,000. The building ar resideace must be for your own use or occupancy. It may not be built or substaati.ally improved for sale or lease. If you sell or lease a building you have built or substantially i�¢proved yourself within 1 year after the construction is complete, the law will presume•that you built or substantially improved•if for sale or laase, which is a violation of this exempt�.on. You may not hire an ualicensad pE='son to act as your contractor or to supervise people working on your buildixig. It is your responsibility to make sure that people employed by you hane liceases re�+ by sta.te law and by county or muziicipal licensing orclivaaces. You may not delegate the responsibility for supervising work to a liceased contractor who is not. 1ic�ns�d to perform the vvork beiag dnaa. Aay person working on your building who is aot licensed must work uncler your diract supervision axid must be employed by you, which means that you must deduct F.I.C.A. and vrit�holding tax and provide workers' compensatioa for that employee, a11 as prescribed by law. Your construction must comply with a11 applicable laws, ordinasces, building codes, and zoning regulations. OWt�R' S SIGNATLTRE / � � �- nn� Li...IZ. t/ ADDRESS �5"io �� PHONE - --�9 - Ls2J W=TNESS PERM2T # . {.�.� CITY OF ZEPHYRHILLS UTILITIES WORK ORDER WATER ACCOUNT NO.: DATE: OWNER/RENTER/BUSINESS: Patricia Or Robert Smith CONTACT PERSON: Patricia Smith MAILING ADDRESS: 39510 Valderrama Lane PHONE NUMBER: 813-395-8601 Zephyrhills, FI.33542 EMAIL ADDRESS: SERVICE ADDRESS: 39510 Valderrama Lane �� I� SHUT OFF SERVICE � OX WATER TURN ON SERVICE OX ❑ SEWER INSTALL METER X❑ � GARBAGE READ METER � �X IN CITY CHECK METER � ❑ OUT CITY 07}1ER � DESCRIBE OTHER: Irrigation meter 3/4 � NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC. CHARGE MEfER: FULL IRRIGATION x WORK COMPLETED BY & DATE ORDER TAKEN BY: Jackie Boges COMPLETED ORDER GIVEN BY: � • ' !��\ Revised 9/2010