HomeMy WebLinkAbout12-13233 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 13233
BUILDING PERMIT
Permit Number: 13233 Address: 3811 PRAIRE DUNES ST LT 22
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 2,400.00
Date Issued: 7/25/2012 Name: NHC-FL 115 LLC
Total Fees: 180.00 Address: 6991 E CAMELBACK RD STE B310
Amount Paid: 180.00 SCOTTSDALE AZ 85251
Date Paid: 7/25/2012 Phone:
Work Desc: INSTALL 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 8 A/C, INC.
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PARK MODEL MECHANICAL
PARK MODEL PLUMBING
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 wn�ections 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 aocordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.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
e���so-oo2o City of Zephyrhills Permit Application Fax-e�,�-�eo-oo2�
Budding DepartmeM �
oae.rt.csiv.d �L r►wne conraa tor Pem�f G L : '
o,�n.r$N.ne i 1� (_iJ�. ow�..rt�or�e rwmber
Owne�'s Address 'I��( f.�'cirrtc,l�ir1%�' Si �31� Orrner PBone Number �
Fee Simple TlUaholder Name ��� Ownar Plwne Numbx �
Fee Simpe Titlahdder Addrass `—"- �
JOB ADDRESS J 1� ��� r �f.�.r)rV_(\ �"� LOT* C�
sueomsioN Par���os � Z�•Z�' GI� C�)GC C�l�;c 1 U
�08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOBED � NEw CONSiR 8 ADD/ALT Q SIGN Q Q pEMpLISH
INSTALL REPAIR
PROPOSED USE �� SFR Q COMM Q OTHER
TYPE OF CONS7Rl/CT10N Q BLOCK Q FRAME Q STEEL ��
DESCRIPTION OF WOFOC � Y � � �
BUILDING SIZE ��I X/1 � SQ FOOTAGE� HEIGHT �
��UILDING a ,l)j \ (.�) VALUATION OF TOTAL CONSTRUCT ON '�1(,�(�� C��
.� � �
�LECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
��8�►� $ �,� ,3Z33
�CHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �
�__,�
SIGNATURE � L�� �M�o 1.�.. U ���1.����C. I"'L���.
� � ���1 �-, � --� �, �� I Ic�2�2ic
ELECTRICIAN COMPANY �� �'� � �
SIGNATURE REGISTQ2ED Y N FEE CURREA Y N
� � ' ��# �cci2�il�
PWMBER J�1�_ COMPANY C����{ CYl F 1 ��,�' �
SIG►+ATURE C ` REGISTEREO / N FEE CURREA N
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SIGNATiIRE ,y rI COMPANY .�� LY S � �
REGISTERED N FEE CURRFI. /N
� � '� �' � �# KiC C`� ' 1� �
OTHER COMPANY �
�G��� REGISTERED Y!N FEE CURREI. Y/N
� License# �
IIIIIIIIIIIIIt111111111111111111111111111111111111111111111111A1111
RESIDEtV71AL Attach(2)Pbt Plans;(2)sets d Building Plare;(1)sel of Energy Fortns;R-0-W Pertnit far new corutniction,
Minimum ten(10)worfcing deys after subrtiittal da[e. Required onsi[e,Construction Plans,Stormwaler Plans w/Sitt Fenaj installed,
Sanitary Facili[ies&1 dumpster,Sde Wark Pertnit far subdivisionsllarge prpjeqa
COMMERCIAL Attach(3)Canplete sets d Building Plans plus a Life Safety Page;(1)sel d Energy Fams.R-0-W PermH for new construction.
Minimum ten(10)working tlays aRer submittal date. Required or�site,Conatruction Plans,Stormwa[er Plans w/Sift Ferxx�installed,
Sanitery�acili[ies&1 dunpster Site Work Permit far all new projecfs.AN commercial re�irements must meet compliancs
SICN PERMIT Attach(2)sats of Engineered Plans.
""PROPERTY SURVEY required for all NEW conaWction.
Dirsctions.
Fill oul application completely.
�NT16f Q.COf1�f8C►Of 61�1 bBC�(Of 8�IC8�lOf1,f10f2fIZ6f�
n we.szsoo,a rronce of com��s.aqw►«i• lac�ades over s�soo�
" Agerrt(for the coMrada)a Power of Attomey(far the owrier)would be someone with notar¢ed letter from owner authormng same
OVER THE COUNTER PERMI771NG (Frart oF Applica[ion Ony)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSuvey/Footage)
Driveways-Nd rner Counter iF on public ro.adways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restridions°
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI7IES: 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
contrador 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 property licensed and is not entitled to pertnitting privileges in Pasco
County
TRANSPORTATION IMPACTlUTILITIES 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 identfied at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certficate of occupancy°w final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to perrrdt 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,FlorWa Statutes,as amended►: tf valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida ConstrucUon Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applica�t 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"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informabon in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construdion,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 pertortned to meet standards of all laws regutating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govemment agenaes may apply to the intended work,and that it is
my responsibility to identity what adions I must fake to be in compliance. Such agencies inGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaly Sensitive
Lands,WaterMFastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Waterr,ourses.
- Artny Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental HeaRh Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the folbwing 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 pertnitting 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 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 adversety affect adjacent
properties. If use of fill is found to adversely affed adjacent properties,the owner may be cited for violating
the conditions of the building pertnit issued under the attached permit application,for bts 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 condidons 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 cond'Rioning, gas, or other installations not specifically inGuded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authorily to violate,cancel,alter,or
set aside any provisions of the technipl codes,nor shall issuance of a pertnit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of arty codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)rrmnths after the time the work is commenced. An extension
may be requested, in writing,finm 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)consecuGve 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 Y�UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOFtDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR �-�/.1'-��__
Subscribed and swom to(or affirmed)before me this S��b�e�d�a� m to(or rtnetl)before me this
by _[�L=bY
Who is/are personally known to me or has/have producetl Wha islere nallv known to me or has/have produoed
Pe�^
as identification. as identification.
Notary Pubhc Notary Pubhc
commission No. m �'�� JA
- :•; mmission#EE 04052p
Name of Notary typeU,priMetl or stamped Name ot � rin
'�A.��`� � Bonded lhru Troy Fain Ineirrance 9pG385,70f9
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �C��'(� /�'t t'7'"
Date Received: �p�� �-� 2
site: �3 �► l� �i-��� � u.._���T-'
Permit Type: �-'�/a�/�'It°li� �� ��� l��?�3 I
;
Approved w/no comments: �. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co e t sheet shall be kept with the permit and/or plans.
--�-/Z..
Kalvi Switz - s Examiner Date Contractor and/or Homeowner
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(Required when comments are present)
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