HomeMy WebLinkAbout11-12352 CITY OF ZEPHYRHILLS �
. 5335 - 8TH STREET ,/ '
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BUILDING PERMIT
Permit Number: 12352 Address: 3448 PERIDOT LN
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0070-00000-2490
Improv. Cost: 1,500.00
Date Issued: 9/14/2011 Name: LYDECKER, RICHARD
Total Fees: 67.50 Address: 3448 PERIDOT LN.
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/14/2011 Phone: (602)881-3381
Work Desc: INSTALLATION 5 WINDOWS & DOUBLE DOOR
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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 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 � 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 notiae of commencement."
Complete Plans, Specif tions Must Accompany Application. All work shall be pertormed in acxordance with
Ci C and Ordinances. NO OCCUPANCY BEFO C.O.
ONT SIGNATURE PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �,.� ��C �r
Date Received: '�j�' Z� — �/
Site: _ ���� ��� G�'(�7" �� �`e,
Permit Type: �r�f�� i't Cll2L� � ,Q�'k�/�o ��y" ��� �QC �'i�.�i�'
Approved w/no comments: ❑ Approved w/the below comments: �f Denied w/the below comments: �
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This co nt sheet all kept with the permit and/or plans.
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Kal xn Switzer — s Examiner Date "�Eontractor or omeowner
(Required en comments are present)
s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �
Phone Contact for Permlttin
Owner's Name ,/ e, � Q��=� �,� Owner Phone Numbe �,�— /�_ ,j
r Owner's Address �/ � ��i �p � A� � Owner Phone Number �---_
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
� JOB ADDRESS 3 y� p C�' i p — LOT # ��
° SUBDIVISION ��,�'/�L� P[�� n.��z= PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR t ADDlALT � SIGN Q Q DEMOLISH
INSTALL g REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL [�
DESCRIPTION OF WORK C/I,�J��,�� � � � �� ��-�,( �
BUILDING SIZE SQ FOOTAGEC� HEIGHT
BUILDING $
��QQ . pd VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � � z35 "v /,� �� /� ��i
1 ���� 'r ,p ��'`�,
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION [�v� �� ��� C/
� r
OGAS [� ROOFING Q SPECIALTY � OTHER � 0 � �
�p i CI� uP �" �CaZ
FINISHED FLOOR ELEVATIONS FLO ZONE AREA QYES NO �l/l �
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BUILDER COMPANY ���'�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ` License #
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,
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 construcGon.
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.
Dlrections:
Fiil out application completely.
Owner & 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 Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public 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 viotation
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 cont�actor 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'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 performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regutations 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 wilf 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 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, welts, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license tv 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 O�cial 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 TICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 11 . 3
OWNER OR AGENT � ___ GONTRACTOR
S bs�cr� bed and swom o r rmed) b o e ubsc,rib�d and to or fftrmed) fore e thi �
�`L/-'/� by c.' � Z1 /� by /
Who is/ar personally known to me or s/have produced Who is/are ersonally known to me or s/have produced
��� as fden8ficatlon. � C"�� as identification.
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_,�1�'•'�,, JACQUELINE BOGES :��''�'�; JACQUE��NE BOG Notary Public
Nota Public • . •
:�' � � Expires DeCernber 12, 2(114 Commission 'ff .` ��� ��' � ��
Commission fs' `
„ ,� eno�es.ro,e
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
' DISCLOSIIRE S'►'a'►'F*�•*?'►' .FOR OWNER
CSTY OF ZEPHYRHSIS�S BII�DSNG DEPARTD�NT
Z, ' _ have raad and fully understarld and
agree to the provisions of �this instrt�ent.
The undersigned.states and affirms that he or she is desisous of constructing,
renovating, adding to or seroofing his or hes o�an domicile, that he or she
actually oceupies, or wi11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she sha11 comply wirth the follo�+ring conditions:
1_ That the owaer and.he or she alosie sha11 act as the builder for al1 phases of
construction.
2. That the owner wi1.1 comply with al1 provisions of the City of Zephyrhills
orclinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only•prOpPS1y licensed subcontsactors and will personally supervise
such work.
4. Z'izat in the even�t the Building Inspector sha11 rec� *-e corrections to be made,
the owner wi11 assnme full responsi2�ility to iasure•they are made, and upon
completion wi11 ca13 for a re;�+�etioa before proceeditig with the building.
5. That the owner sha11 assume fu11 responsibility for the coastruction aad vPi11
not expect_supervisioa of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspeotioa
fees, must be paid in fu11. A written request from this office sha11
constitute an official notice - to pay additional fees.
7- That the owner sha11 comply wit� a11 City, State and Federal laws in regard to
social secvrity, workmari� s c�+��*+�ation, lien laws, etc. , where applicable.
B. That the owner sha11 comply with all the safety codes issued by the Florida
Industrial Co�ission.
9. 5tate 1aw re rn�ir es construction to be done by licansed contractors. You have
applied for a permit under an exempti,on to that law. The exemption allows
you, as the owner of your prcperty, tc act as yous own contractor with certain
restrictions even though you do not have a license. You must direct
onsite supervision of the coastruction yourself. You may build or improve a
one-family or two-family residence or a fa� outbuildi.ng. You may also build
or improve a commercial buildi.ag, provided yovr costs do aot exceed $25,OOa.
Z'he building or residaace must be for your own use or occupasicy. 2t may not
be built or substanti i,�p=oved for sale or lease. If you sel:l or lease a
building you have built or substantially improved yourself withi.n 1 yeas after
the construction is complete, the la�v wi11 pres�e.that you built or
substantially ,i„mproved •if for sale ar laase, which is a violation of this
e�cemption. You may aot hire an ua],iceas�d person to act as yovs contractor or
to supervise people workiag on your �+ It is your respoasibility to
make sure that people employed by you have liceases ree+ by state law and
by county or m liceasing ordiaances. You may aot delegate the
responsibility for supervising work to a liceased contr-dctor who is not.
licensed to perform thh� �vor7c beiag dozie. Axiy pez"'son working on yovs buildiiig
who is not liceused must work Lmcler yous direct supexzrisioa and must be
employed by you, which meaas that you must deduct F.I.C.A. and withholding tax
and provide workers' com�Tsation for that employee, a11 as prescribed by law.
Your construction must comply oci 1 a licable 1aws, ordisiances, building
codes, and zoning re o
owxER� s szc��� nnm� ' .�1 / �
ADDRESS _,
PHONE
S�T2TNESS
PERM2T #
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LOT IMP '
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EMERALD POINTE BOARD O DIRE
CTOi��
,� APPROVE : `� � � ��
�. � �.-� DAT'�� '� $� ,�
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� PROPERTY EVALUATION COMMITTEE
APPROVED:
DAT�; �,� �- �-- ,� �►
EXPIRATION DATE: .. .. �
�NSPECTION:
�'IN�L INSPECTION:
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Procedure for Lot Im�rovement Requests '�
. (Please ref�r to "Ra��es and Regulations')
1. A11 requ�sts are to go to Chairman of the Property Evalua,tion Committee, for the committee
to review. There is � ,� r la�a.�led� rr.;P�,onerty �val�t & I�.ro eme ts►� i� th 1�
for L�ot_ow,�g.�.xo., ce ::�� com�lete�d,�
1` ,;�n.:a�nd .the,as for.ma will. bc.bis�r .�n �
t�e Library b� � Praeertv Ev�nstion committee, ,
2• AnY reQuest which is NOT filled out properiy or in detail; which includes, comp}ete plan
layout, elevations (vvhere applic�ble), written details of improvement being reques�ed, including
color, etc, and any other information pertinent to th� processing of the request, �1 _��
to the Lot o�r f� ��,� �� b �� p�,��ed 6v the Cuermit�e
3. Conunittee will review requests and visit the site of the request as necessary.
4. After #he Committee has approved or denied the request, it will be presented to the Board of
Directors for their approval or denial.
5• There will be NO more one day approvals or last minute approvals. Request witl take 7- 14
days for appropriate review and consideration, thus giving the Gommittee and Board mcmbcrs
time to review and consider the request in a thorrugh man�er.
6. The originai re will be stamped approved or deni
will go into to the members file and the copy returned to th�e I,ot a�ner y the ga� of D'irector
liaison to the committee. '
�. The commitxee will follow up on requests to determ2ne that the request as presented and
aPProved is being adhered to.
As the owner of Lot # � I understand the Pro
Board of Directors will ent�. �e P��rty to follow the e� v���on Comm.ittee and/or the
��'° as mitted n the Lot Im P�S�ss of the constivchon or
provement Request.
Lot er�s S� .� � �''//
Date
4/03/06 �/ — / / /
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Plan Review
Windows & Doors
1) Need manufacturing installation specifications.
2) Must meet sections R308 and R612 of the 2007 F.B.C.
3) If windows are to be installed inside the historical district, they will need to be approved
by the historical committee.
4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified.
5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass, then additional information is required.
6) All windows to wall connections shall be left visible for inspection.
7) All labeling and stickers shall remain on windows until final inspection.
8) No work shall start without permit first.
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