HomeMy WebLinkAbout11-12636 , .•'
. , CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�sis)�so-oozo 12636
BUILDING PERMIT
Permit Number: 12636 Address: 3648 GARDEN CITY WY
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 5,000.00
Date Issued: 12/20/2011 Name: MAJESTIC OAKS LLC/PECK THELMA
Total Fees: 90.00 Address: 3648 GARDEN CITY WAY
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/20/2011 Phone: (813)715-1821
Work Desc: INSTALL CARPORT 14 X 34
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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 notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI Ft
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002D City ot �epnyrnnis rer►�u�hNN���a�����
• , . Building Departmenf
Date Received ! 2 r�y � Phone Contact for Permitting ��3 7 �`s. — �s °�
Owner's Name ������ �"e[�- • Owner Phone Number �
Owner's Address �ll'C/� l.L I Owner Phone Number
Fee Simple Titleholder Name Owner Phone Nurriber
Fee Simple Tltleholder Add�ess
JOB ADDRESS �S 4-/�J�. � �O�Q � LOT � ��7
SUBDIVISION "l , �Y'�c v� PARCEL ID# �y �-l0 — O� 0 � — ��Q�� od9v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � � WSTALONSTR e REPAIR � SIGN � MOVE [� DEMOLISH _
PROPOSED USE � SFR ' 0• COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK � FRAME � 0 STEEL Q OTHER — I
DESCRIPTION OF WORK � Or 7� /��`� �
BUILDING SIZE � 7 u ` 3 � SQ FOOTAGE y76 HEIGHT
BUILDING $�/� Oa VALUATION OF TOTAL CONSTRUCTION
(�C.(/
� ELECTRICAL $ AMP SERVICE 0 PRO RESS ENERGY Q W.R.E.C.
� � � � �' � � � a�- PERMIT ��F�vIC�
� PLUMBING � � . � ���
v p�� (813) 788-53
0 MECHANICAL $ VALUATION OF ME CAL INSTALLATION �� 1-�-�247�
0 GAS 0 ROOFING � SPECIALTY � OTHER �`���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO
BUILDER � ,` �� 1 COMPANY Ol,L'/J Q�
51GNATURE �. � - REGISTERED Y/ N FEE CURRENT Y/ N
Address 3�t yp � Z J� � . License #
ELECTRICIAN • COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRENT Y/ N
Address � License # �
PLUMBER COMPA�Y
SIGNATURE REGISTERED Y/ N FEE CURREN7 Y/ N
Address License # �
MECHANICAL COMPANY .
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N .
Address License #
OTHER COMPANY •
SIGNATURE R6GISTERED Y/ N FEE CURRENT Y/ N
Address License # �— �
RESID�NTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcEion,
Minimum ten (10) worl<ing days after submittal date. Required onsite, Construction Plans, Sformwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumps�er; Site Worl< Permit for subdivisionsflarge 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 ken (10) woricing days after submittal date. Required onsife, Consfruction Plans, Stormwater Plans w/ Silt Fence (nstalled,
Sanitary Facilities & 1 dumpster. Site Woric Permit for all new projects. All commerclal requirements must meet compliance
51GN 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 /Cttorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only) �
Reroofs Sewers Service.Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DECD RESTRICTIONS: The undersigned understands that this permit may be subjecfi to "deed" restrictions"
which may be more restriciive�fihan County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: fF the owner has hired a contractor or
contracfors to undertake work, they may be required fio 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 violaEion
under state law. If the owner or intended contractor are uncerfiain as to whaf licensing requirements may apply for the
intended work, they are advised to�contact the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
8009. Furthermore, if the owner has hired a contracior or contractors, he is advise.d to have fhe contractor(s) sign
portions of'the "contr�ctor Blocic" of this application �for which they wili be responsible. If you, as the owner sign as fhe
contractor, that may be an indication that he is riot properly licensed and is nofi enfiitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact 1=ees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, fihat sucl� fees, as may be due, will be identified at the time of
permitting. It is further understood fihat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or final power release. If the projecfi does not involve a certificate of occupancy or
final power release, the fees must be paid prior fo permit issuance. Furlhermore, 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—f-lomeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Atfairs. I( the applicant is someone
other than the "owner", I certify thafi 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 fihat all the information in this application is accurate and that all work
will be done in compliance wiih 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 cerfiify thaf no work or insfallation has
commenced prior to issuance of a permit and fihat all work will be performed to meefi standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f aiso
certify that I understand that the regulations of other government agencies may apply to the intended woric, and that it is
my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress l3ayheads, Wetfand Areas and Environmentaliy Sensitive
Lands, WaterlWasfiewater Treatment.
- Southwest Florida Water Managemenfi District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Env.ironmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to�the use o�f fill:�
Use of iill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is fio be used in Flood Zone "A", ifi is understood that a drainage plan addressing a
"compensating volume" will be submitted at fiime of permitting which is prepared by a professional engineer
licensed by the Sfiate of Florida.
If the fiill material is to be used in Flood Zone "A" in connecfiion with a permitted building using stem wall
construction, I certify that fill wili be used oniy fio fill fihe �rea within the stem wall.
If fill material is to be used in any are�, I certify that use of such fill will not adversely affect adjacent
properties. If.use of fill is found to adversely af�ect adjacent properties, the owner may be cited fior violating
the conditions of the building permit issued under the attached permit application, for fots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR ThIE OWNo1��{� p tion! I de�stan a�separat permifi may be equ'�ired for �electr c I�work,
this affidavit prior to commencing
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed ch bcal c hall ssua a pe mit�prevent the ildi�g Officlal from ther
set aside any provisions of the te
requiring a correction of errors in plans, co{ 5 s x of perm p s a wo authorized by
unless the work authorized by such perm
the permit is suspended or abando �he g fo6a per not to exc�� d�n'ne y days and demonstrate
may be requested, in writing, from
the ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
WARNING TO OWNER: YOUR FAILURE T OUR PROPERTY. YOU INTEND TO OBTA N NANCING C
PAYING TWICE FOR IMPROVEMENTS TO Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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FLORIDA JURAT (F:S. .117•03) � l - ; � i �. � t - =��/
p � CONTRACTOR � '�`�km�
OWNER OR AGENT�� �` � �� � `�-'`''�
Subscribed and sworn to (or affrmed) b e f A� C m& this /rZ-7--f
Subscribed and sworn to (or affirme d e fo m e t h i s /�2- 7� bY 7-� / v /�
b Y �'� ��� ��� W ho is /— a r� e r s o n a l l y known to me or has/hav�u�?d
W ho is ar�pers o n a l l y k n o w n to me or haslhave produced ��� L as identification.
��L as identifcation.
� (�,/ f,�JA ����J Notary Public
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Notary Public �
Commission No.
Commission No. � ,e /�f,(J
v �� � "" '"" Name of Notary LYPed� Pnnted or stamped
Name of Notary tyR.�?,Af!�?��;Q�,�tam,ped ^,o, ,; ��,,; �-,
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(813) 7gg_5.3ERV�G� I I��III IIIII �IIII II��I II�II IIII� IIIII III�� IIIII IIII� II�I IIII
�AX �,�gg„�'4'7�� 2011isi312
Permit No. Parcel 10 No � 7 _�G — a (��— �0/ (�Q --Qd Q(�
� NOTICE OF COMMENCEMENT
State of �/0/7- � County of ���
THE UNDERSIGNED hereby gives notice that improvement wtll be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following infortnation is provided in this Notice of Commence�nent: .
1 Description of Property: Parcel Identificatlon No. L /-,4 /yj�, �� ��' ,�..l� ��' �ou1'
street Address: _ � � yp (�L�Q/� � (,(J� �� /, '//,. �-,l �� r yi�
' `� — _ — � �..lN } s/t�� �i
2. General Description of Improvement __ ( V
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Tl��lixc� �.e�
me �
��� ���„ C�.� � � 3.�3
Address � ��
� ��y `� State ''' v �
Interest in Property: � tn �
Name of Fee Simple TlGeholder: � m"
� • ...
(If different from Owner listed above) ; m m
Address �� �� x w
4. Contractor: U(�lQ,2/` /•� ��H State ' N
Name - �
a
7 M
A ��
Address �� ,,, „ �
State d e
Contractor's Telephone No.: . m ..
5. Surety: _ � �_ � m m
Name �� / � — `� '
- , cu � m
� THAT PART OF EAST 80.00 FT OF NW1/4 & THAT PART OF WEST 1/2 OF State ?
Amount of Bond: $ NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND �
s. �ender• LYING WEST OF MAJESTIC OAKS COMMUNITY-PHASE ONE AS PER PB 35
Name PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS
Address COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL & LOTS 19
THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 State
Lender's Telephone I
7 Persons withln the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(�, Florida Statutes:
Name '+ D
N �
p�r
��a
� N
Address C�ty State � � Z
Telephone Number of Designated Person: / � y � m
M/`� r=
8. In addition to himself, the owner designates o f �� 3
to receive a copy of the Lienors Notice as provided in Section 713.73(1)(b), Florida Statutes. � D
Telephone Number of Person or Entity Designated by Owner: �n
�
��ao
9. Expiration date oi Notice of Commencement (the expiration date may not be before the completion of conshuctlon and 8nal payment to the � �
m
co�tractor, but will be one year from the date of recording unless a different date is specified): �y+ �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT N`� �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA 3TATUTES, AND CAN 3
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 OBTAIN FINANCING, CONSULT �
WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ° r
Under penalty of perjury, I deGare that I have read the foregoing notice of commencement and that the facts stated thereln are true to the best '
of my knowledge and belfef.
STATE OF FLORID • � ,�; z; r}�� F? oRID� � i'����
TP RY PC; ' � r
COUNTYOFPASC ,,. . 1`::.�`n:g " �,.
='�; ��'=� ,inu �I)D926J 64 Signature of Owner or Lesaee, or OHmer'a or Leasee'a Authorfzed
;,i�� �,:= , ,� ;LT 16, 2013 Officer/DirectoNPartner/Manager
BO:��Dti,lll'ti3'v�AI-c �•,,Cb�:iDL�GCO.�INC. ��� //'lQ �' A/`
LC. �
� Signatory's Tide/Oifice
The foregoing inatrument was acknowledged before me this G day of�G�B! by ���I �- �GL� �C
eS ���` (type of authority, e.g., oHicer, trustee, attomey in fact) for
�� (name of party an ehalf � whom 1rr��tn�ment was executed).
Personally Known ❑ QR Produced Identification�[ Notary Signature /�^��
�/� ��
Type of Identification Produced �L Name (Print) V �:/� j' �
STATE OF FLORlD�, COUN't"1� O�P pASCO
THIS IS TO CERT�� �F1AT TME FOREGOING IS A
TRUE AND �ORRk���T��bPY OF THE.pOCUMENT
ON FILE OF� OF Pt16L� R GORD IN THiS OFFICE
WITN S,� MY HAND A �FFfCIAL SEAL THIS
�! y� DA'Y•OF • 2 (�//
PAULA S O'N IL, CLERK & CQMPTROLLER
wpdata/bcs/noticecommencement�c053048 �/,�
BY i'L � � DEPUTY CLERK
t
o �s
' ' � ��
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� �/Y(C{ �� �
Date Received: � Z � � �_ � I
!
Site: g �,'� D ,
, .��-�-y
Permit Type: - f C.} X 3� �/�Q� ,�j �!
Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�l
Kalvi ' wi er ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
7 �.e�
N 3 � G�.r�� '
Add� s ���/`�-i� / / ��/� ar`-
,
To Whom It May Concern,
Please be advised that:
Stacie Hartwig and Kathy Mims of Pasco Permit Service
have my permission until further written notice to act as my agent to sign and pick
up permits.
Sincerely,
�_ �� �
Signature
/�-7 //
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing nstrument was s orn to and subscribed before me this 7�� day
of �,�� , �.���'
Personally known or Produced identification �_
�
NOTARY PLBLIC-STATE OF FLORIDA
�'"""'•- Suzanne Bahr
�`. Commission # EE044504
'=•;i`,.�`Expires: NOV.22,2014
so�tie� rxxu eri.n.�-nc ao�v�rc co., ara
Commissioned Stamp otary Si ature
and Expiration Date
DISCLOSIIRS STAT�L4�1' F08 OWI�It
CITY OF ZSP8YR82LL3 HIIILDING DBPARTMSDTP
_, T/f e�/Xc� �e��
agsee to the have read aad fnlly naderstaad aad
provisians of this ia,strnmeat_ -
T`he undersigaed states aad affi.rms that he or she is desirous of constr�neting,
ren.ovatiag, adding to or resoof3.ag� his cr her ��,cile, �at he or ahe
actually oacupies, or a�3.i1 occupy 7,ns said domicile. aad same ig not for
reat, lease or saI.e. That he or she Hhail co�mpYy �v3.� � followi.ag coacU,tions:
I. That the oavaer aad he or she a7,e�one shall act as the bai.Ider for aI]. phases of
coastruction..
2- Tbar.t the a�ain.er vr}.11 comply �v3.th all provisions of the City of Z�phyrhills
ord3.aances and codes pertiaeat to the bnildi_ng-
3. That ia the eveat variaus ph�� o� ���etioa are subcoatracted, he vrl..11
engage aaly properly licensed snbcontractors aad �vill. pessonally s
such worlc_-
4• That in tha eveat the Build�.ng Iaspecto�C shalZ require �orrections to be made,
the owaer v�r3.I.1 assvme full responsibiZity to insure they, aze made, aad upon
completioa will call fer a reiaspectioa before proceediag v�,th the bniidiag.
5. That the owne� sha3.1 assnme fu7,7, responsi.bility for the coastrnct3.on and, will
aot expect supervision of hi,s s�ork from th,e City of Zephyrhills Bniidiag
Depaztmeat.
6- That prior to final inspectioa aay addi,tieaa], fees, including rp
fees, must be pa3d s.a full _ A�vz�ittea request fram this office sha,ll
constitute an, official aotiae to pay additional fees.
7. fihat the oainer sha11 �o�p2�, �� �,Z City, 3tate aad Federa], lav�s in regard to
socia]. security, worl�an•s compeasation„ liea laars, eta., where applicable_
$- �'�at the o�v�ner sha11 comply witIz aZi the $afety cades iasued by the Florida
TnA UStrial Commission_
9. 3tate law ret,�111res aoustructivn to be done by liceased coatractors. You ha,ve
appZied for a p�*�••+; ��d� �, ��tioa to that lav�. The exemptiq a7,IovPs
You, as the owaer of your ProP�tY, to act as yonr owa coa�sactor with certaia
reatz�iotioas evea, thouqh you do aot ha.ve a license. y,ou must prov�,de d3.rect
oasite supervision of the coastruction yourself. You may build or improve a
one-family or tmo-family residence or a farm outbui7.
or imnrove a eommercial buildia �ag. You may also build
The buildiag or resideace mnst be fos�yo��r owa, u�a oc �t �ceed $25,0�0.
be built or substaatiall ���- �t �Y aot
Y�Proved for sale or ].ease_ I£ you sell or lease a
. bu3.ldia9' You have built or substaatially impsoned yourse].f vvv:i.thin I. year after
�.he constrnction. is complete, the la� �vi.11 pres� tI1at you built o�
substaatially improved if fnr sa3,e or lease, wiu,ch is a violatioa of this
exemption. You mal, not �i�r � persoa to act as yonr caatracter or
to supervi�e people o�rk3.ng on your buildiag- It is your responsibility to
mak8 $'us'e that people emiplayed by yeu have licenses �equired by $tate laav and
bY caunty or muaicipal liaensiag ordiaaaces. You may aot delegate the
respoasibility £or supexvisiuq w�rk to a liaeasecl coatractor aiho is not
licens�d to perfarm the vvork beiag done. Aay pesson �orkiaq oa lrou� buildiag
who is not licea�ed must vvork nader yeu�c di,=ect supe�v;sioa aad must be
�PjoY� bY' Y�u. �hi.ch meaas tha.t yon must dedtsct F.=.C.A. aad ori�hholdiag tax
aad provide �vorkers' co�apensat3oa far that employee, a].Z aa prescribed Isy 1a�.
Yous construct-a.oa mnst camaply �ri.th aI3. applicable Iaove, ordinances, bna.ldi.ag
codes, aad zoaing r�gulati.oas.
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