HomeMy WebLinkAbout12-12810 CITY OF ZEPHYRHILLS �--
5335-8TH SIREET
(ai3)�so-oo20 12810
BUILDING PERMIT
Permit Number: 12810 Address: 3822 LACOSTE STREET LOT 151
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: 3/14/2012 Name: MAJESTIC OAKS LLC
Total Fees: 180.00 Address: 6991 E. CAMELBACK RD
Amount Paid: 180.00 SCOTTSDALE AZ 85251
Date Paid: 3/14/2012 Phone: (813)783-3477
Work Desc: REPLACEMENT PARK MODEL 14 X 37
CRANDALL,RICHARD PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00
EASLER,LIONEL L.
BAHR'S PROPANE GAS&A/C,INC.
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PARK MODEL PLUMBING
PARK MODEL SET-UP
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)oondemned 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 wmmencement."
Complete Plans,Specifications Must Acoompany Application.All work shall be performed in aocordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
��
c.._-- CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e��-��-002o City of Zephyrhills Pem'iit Application F�$�sa8°-°°2�
Buildmg Departmerrt
Dat.R.c�wd — 3���i Pha»Cork�t Tor P�mi� -
Owrwra Name - Owner Phdfe Numbsr �
Owr�s Address � Owner Phons Number
Pse SNnple Titlehddsr Name 1�\ Ownw Plane Mxnb�► �
.�
Fea SimWe Twenadsr addr.ss
JOB ADDRESS J Z�� �.5�1��� �C LOT� �`
SUBDMSION PARCEL IQR Gy'C� �. � .
(OBTAINED FROM VROiERTY TAX NOTICE)
WOFtl(PROPOSED � NEW CONS7R 8 ADDlALT � SION Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �� SFR Q COMM Q OTHER
7ypE pFf�NgTRUC71pN Q BLOCK Q FRAME Q STEEI Q'
DESCRIP7)ON OF VIIORIC
BUILDING SIZE \`'�, y` ��� SQ FOOTAGE� HEIGHT �
�UILDING S �"1 VALUATION OF TOTAL CONSTRUCTION 2 L��U
\_J
�ECTRICAL E AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
PLUMBING S ���'�
ECHANICAL S VALUATION OF MECHANICAL INSTALLATION P.���,(>
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES �`
BUILDER /��.` COMPANY lJ
gIGNATURE G REGISTERED N �ecu�n N
p� � License#
NATURE ��� �-"""`-'�v��"' R�A8TERE0 / N FEE WRREI. /N
/Ad�l65 �IC6I159# �I�-1�.11 I
PWMBER �� /L' � COMPANY O I
SIGNA7l1RE ` REGIST62ED Y N FEECURREP /N
qddress � l.icense#
MECHANICAL COMP/WY
SIGNAlURE r�c�sr�t� / N FeE cunrtEn /N
Address — I.iceree#
O?HER COMPANY �
SIC,NATURE REGISTERED Y/N �cuarto. Y/N
Address Licer�se#
IIIIII / / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111
RESIDENTIAL Attach(2)Plot Plans�(2)sets d Building Plens,(1)set of Energy Fortns:R-O-W Pertnit for rre�r construction,
Minimum ten(10)workirg days aRer submittal d�e. Required onsfte.Caistrudion Plana.Stamwater Plans w/Sil[Fer�ce installed,
Sarritary Facilities&t dixnpeter,Sile Wark Permit for subdivisio�/larpe projects
COMMERdAI Attach(3)canplete sets d Building P{ans plus a Life SaFety Pape;(1)sel M Enerpy Fortns.R-O-W Permit for new consNx;tion.
Minimum ien(10)workag days aftet submittal de[e. Requoed aisite,Construction Plans.Stormwater Plans w/Sitt Fence installed,
Sanitary Facilities&1 dumpster.Site Wak Pertnit for all new projeCs.All commercial requiremeMS must meei compliance
SIGN PERMIT Attach(2)sets of Engineered Pl�s.
""PROPERTY SURVEY requu'ed for all NEW cbnstniction.
• I •.Illllllllllllllllllli� lll ' llll •
d..etlons:•
Fill out epplicatan completely.
Owner 8 Contrada sign bedc of application,rwtaaed
H over f2500.a Notice of Comm�t is requi►sd (��PO►���f7500)
" AgeM(fa the coMrador)a Porer of Attortiey(Tar the owner)would be someone with ratarized letter trom owner authormng seme
OVER THE COUNTER PERMITTING (FroM of Applicaiion ONy)
Reroots if shingles Sewers Service Upgrades A/C Fences(PbHSurvey/Footape)
Drivsrrays-Not over Counter'rf on puWic roadways..needs ROW
NOTICE O�DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restridive than County regulations. The undersigned assumes responsibility tor co►npliance wlth any
aPPlicable deed resttictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: If the owner has hired a contrador or
conUac;tors to undertake worfc,they may be required to be licensed in acxordance with state and local regulations. If the
contrador is not lice�sed as required by law,both the owner and contractor may be c:ited for a misdemeanor violation
under state law. If the owner or irrtended contrador are uncertain as to what lic�ensing requirements may apply for the
intended woric,they are advised to cor►�c.t the Pasco Counry Building Insped'pn Division--Lioensfng Section at 727-847-
8009. Furthertnore, if the owner has hired a oontractor or coMractors, he is advissed to have the conUactor(s) sign
portions of the"oontractor Bbdc'of this applic�tion for which they will be responsible. If you,as the owner sign as the
oontractor,that may be an indication that he is not properly lioensed and is not entitted to permitting privileges in Pasco
County
TRANSPORTATION IMPACTfUTiL1TiES I�ACT AND RESOURCE RECOVERY FEE3: The undersipned understands
that Transportation Impad Fees and Reoourse Reoovery Fces may apply to the constn�ction of new buildings,change of
use in exisbing buildings,or expansion of existing buildings,as specified in Pasco County Ordinar�ce number 89-07 and
90-07,as amended. The undersgned aiso understands,U►at such Ti�s,as may be due,will be identified at the time of
pertnitting. It is further understood that Ttansportation Impact Fees and Resou�Recovery Fees must be paid prior to
reoeiving a"certificate of ocxupan�y°or final power release. if tlte project does not involve a certificate of occupancy or
final power release,the fees5 must be paid prior to permit iss�nce. Furthemare,if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permk issuanoe in acxordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chaptar 773,Florida StaWtes,�amsrlded}; If valuation of work is$2,500.00 or more,I
certify that 1, the applicant, have bee� provided with a copy of the `Fbrida Constructan Lien Law—Homeowner's
Protection Guide'prepared by tf►e Fforida Departrnent of Agriculture anc!Consumer Aflairs. If the applicant is someone
other than the'owne�',I oertify that I have obtained a copy of the above descxibed document and promise in good faith to
deliver it to the"owne�'prior to commenoement.
CONTRACTOR'S/OWNER'S AFfIDAVI"f: I�that all the i�ormation in this application is accurate and that all worh
will be done in complianc:e with all applicable iaws regula6np construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no woric or installation has
commenc�d prior to issuance of a pertnit and that atl work will be periom�ed to meet standarcls of ail 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 govemment agencies may appy to the irrtended work,and that it is
my responsibilHy to IdeMi(jr what acdons i must take to be in compliarxe. Such agenc�ees indude but are not limited to:
- Department of Environmental Protection-Cypress Bayh�ds, Wetland Areas and Environmentaly Sensitive
Lands.WaterlWastewater Tr�eatrnent.
- Southwest Florida Waffir Management District-WeNs, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays.
- Department of Heatlh 8 Rehabilitetive Services/Environmental HeaRh Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmerrtal Protectinn Apency-Asbestos abatement.
- Federal Avlatbn Authority-Runways.
I understand that the following resVictions appy to the use of fill:
- Use of flll 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 draina�ge pla� addressing a
"compensadng volume°will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fiU material is to be used in Flood Zone "A" in connection with a pertnitted building using stem wall
construction,I certify that fill wiA be used ony to fill the area within the stem wall.
- If flN material is to be used in arry area, i certify that use of such fill will not adversely affect adjacent
properties. ff use of fiA is found to adversely affecc�adjacent properties,the owner may be cited for violating
the condidons of the building permit issued under the attached permk appliCation,tor lots less than one(1)
acre which ane elevated by fili,an engineered drainage plan is required.
If I am the AGENT FOR THE OYYNER,I promise in good faith to i�iortn the owner of the permitting conditions set forth in
this affidavk prior to oommencing construdion. I uriderstand that a separate pertnit may be required for eiectrical work,
plumbing, signs,welis, pools, air conditaning, gas,or other instaltations not specificaliy induded in the appiication. A
pennit issued shall be construed to be a license to proceed with the work 2nd not as authority to violate,cancel,aRer,or
set aside any provisions of the technical codes,nor shall issuance of a pertnit preverrt the Building(Nflcial from thereafter
requiring a correction of errors in plans,oonsVuction or valatlons of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is oomrr�noed within six months of pertnit issuance,or if wo�lc authorized by
the pertnit is suspended or abandoned for a period of six(6)rtwnths 8fter the time the work is commenc.ed. An extension
may be requested, in writing,irom the Building Official for a period not W exceed ninety(90)days and will demonstrate
justifiable cause for tl�e eutension. If work ceases for ninety(90)c�nsecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM�AENCEMENT MAY RESULT IN YOUR
PAYING 71NICE F'OR IMPROVE�NTS TO YOUR PROPERTY. IF YOU INTEND 1'O OBT/►IN 61NANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOliCE OF COIMIIENC ��
FLORIDA JURAT(F. .117.03 � (' • t /'
OWNER OR AfiENT G-� ° CONTRACTOR �-'L.�'° L��
Subsaibed erld (or ed)be►ore me this SubspiDed and�wom to(or afflrtne�beWre me this
by py
Who islere personally known to me or hadhave proquced Who is/are personally known to me or has/have produced
as identificetion. as identiflcetion
Notary Public Notary Public
Commission No. Commission No.
Name o1 Notary typed,prinbd or stamped Name of Notary typed,pAnted or stampetl
� �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ����/" /� 7�
Date Received: Z r�3'/�"
Site: .3 �Z Z LC�t COS� ��
Permit Type: ���C� 1 �}�—�' /YI�q"�� �{���f_F
Approved w/no comments: ` Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�%���
Ka in Sw —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
�1�s-� C�s
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Lc� is�
Z�'}�r hr��S; �Z- 3�5�-1 Z
Z�- 2t�-Zl- ���' a�' i�k�
REV�EVv p���:
CITY OF ZEPHYRHILLS ..�
�'LANS EXAMI�VF� L�
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Qrb��a
�� ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES,FLORIDA BL�ILI)T;VG
...�� ' .�ti CODE,NATIONAL ELECTRIC CODE AND
CITY OF ZEPHYRHILLS ORDINAIvCES
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