HomeMy WebLinkAbout12-13554 CITY OF ZEPHYRHILLS
' S335-8TH STREET
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PLUMBING PERMIT
Permit#:13554 Issued: 10/23/2012 Address: 38944 PRETTY POND RD
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 40.00 Subdivision: ZEPHYRHILLS COLONY
Amount Paid: 40.00 Date Paid: 10/23/2012 Parcel Number: 35-25-21-0010-06500-0040
Name: HOMEOWNER Name: MARTIN, ROBERT & DOLORES
Addr: Address: 38944 PRETTY POND RD
ZEPHYRHILLS FL. 33540
Phone: Lic: Phone: 813-780-6879
Work Desc: INSTALL NEW WATER METER
PLUMBING FEE 40.00
1ST ROUGH PLUMB
2ND ROUGH PLUMB ��.
SEWER � �'�
WATER_. • �
FINAL '
/
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 calied e) permit not posted on job site� plans not a 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
C��!�.� s �.��
CONTRACTOR PER OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 35-25-21-0010-06500-0040 001 , � Page 1 of 1
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Data Current as Of: Weekly Archive - Saturday, October 20, 2012
Parcel ID 35-25-21-0010-06500-0040 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
MARTIN ROBERT D &DOLORES E Ag Land $�
38944 PRETTY POND RD �nd $12,698
ZEPHYRHILLS FL 33540-1432 Building $4,031
Physical Address Extra Features $564
38928 PRETTY POND RD
ZEPHYRHILLS FL 33540-1432 7ust Value �17,293
Leadl De5C1'iptioll (First 4 Lines) Assessed (Non-School Amendment 1) $17,293
ZEPHRYHILLS COLONY COMPANY Taxable Value �17,293
LANDS PB 1 PG 55 PART OF
TRACT 65 DESC AS BEG AT NE
COR OF SE1/4 OF SECTION 35 TH
Land Detail (Card: 001 of 001)
L�1� O1 0 De SFR �on ZOOR29 16 93 00 TSpe $0 75 Co id oion �12!698
Additional Land Information
Acres 0.39 Tax Area 30ZH FEMA Code X Residential Code ZOOPLP4
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1936 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
Fuel None Heat None
A/C None Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 BAS 500 $10,725
2 FEP 154 �$2,317
3 U D U 132 $858
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 CLFENCE 1979 1,600 $564
Sales History
Previous Owner WALKER LEONARD&ADA
Month/Year Book/Page Type Code Conditlon Amount
02/1997 3701 / 1463 Warranty Improved $17,000
Deed
http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21&sbb=0010&... 10/23/2012
- ' DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DEPARTMENT
I, have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions.
1 That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4 That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contracto�with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATUR �� V��� DATE lO -�� �'lZ.
ADDRESS
PHONE
WITNESS PERMIT
UMasterfoims/OwnersAffidavit/Nov07
a,s-�nu-ouzu Ciry of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin __
Owner's Name �d/4�"�� �, r�� %�' Owner Phone Number
Owner's Address ;� 4 if r�7`� ovt �' . �
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
J08 ADDRES3 O Q � J^Q/L �oh �, ZP /-Li���S �jj�CS LOT� �
SUBDIVISION PARCEL ID�R
(OBTAINED FR�OM PROPERTY T�TicE1 DEMOLISN
MfORK PROP03ED � NEW CONSTR 8 ADD/ALT � SIGN
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE UF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �c rv� �'o �-- �ti f F Y' ]���'�F�`
BUILDING SIZE SD FOOTA(iE� HEIGHT
QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING sS� • Q�
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addrcss License# —�
PLUMBER � ��-7 COMPANY �'0 /YI e D KJ�9 P 1"'
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —1
OTHER COMPANY
SIGNATURE REGISTEREO 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 Pennit for new construction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles�1 dumpster;Site Work Permit for subdivisions/large pro)ects
COMMERCIAL Attach(3)complete sets of Buflding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities b 1 dumpster.Site Work Permit for all new projects.All commerc(al raquirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'•'PROPERTY SURVEY required for all NEW construcdon.
Directlons:
Fill out application completely.
Owner�Conlractor sign back oi applfcaHon,notarized
If over i2S00,a Notice of Commencement Is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTlNG (Front of AppNcaUon Only) .
Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/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 mo�e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be I(censed 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 violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they a�e advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore, if the owner has hi�ed 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 prope�ly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the consUuction of new buildings, change of
use in existing buildings, or expansion of existing buiidings, 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 cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTtON LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, t
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"owne�" prior to commencement.
COIVTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that all 1he 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 regulations 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 A�eas and Environmentally Sensitive
Lands, Water/Waslewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- 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 ihe fill material is to be used in Flood Zone "A" in conneclion 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 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 flll, 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, wells, pools, air conditioning, gas, or other installations not specffically included in the application. A
permit issued shall be construed to be a license to 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 Officfal 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 pe�mit 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, CONSULI'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
('��� �� 7, Y,�,�4��' CONTRACTOR�� � Y�
OWNER OR AGENT��u-t^�
S bscribed and swqm o(or rmed)before me th s Subscribed and swom to(or rmed)before me this .,t� �
d-2i-11- by �}- �O�(� )"P� � �r�ilV (0-?,3-1'�-� by� �e �Y�?S �- /1/le r1 �/J
Who Islare personally known to me or hasRiave produced Who Is/,�e person Ily known to me or haslhave produced
�')�-,,K,,, �,;�.,�y.� as Identlficatlon. I>f��-r �c�.��-- as identlfication.
_ ,_--�� ')
� p v �,°Y.°• Notary Public
1 �otary Public ..,
�•'"••. ,1 CQUELINE BOG� Commtssi o. g :* ��ion#EE�Ui���.;
Commis ��� . . • ,.z,;,; ._, ; �
Expires Dece�nber 12,tQ i�? ' :;cF . �adedTlxuTmyFainlnwrara:'�i4-2e��.
'�1 �g ••8(F1�..,p�a .
Name of Name of Notary typ ,P or s mp
�����
CITY OF ZEPHYRHILLS
UTILITIES WORK ORDER
WATER ACCOUNT NO.: DATE: Oct 23,2012
OWNER/RENTER/BUSINESS: DOLORES MARTIN CONTACT PERSON: DOLORES MARTIN
MAt�ING ADDRESS: 38944 PRETTY POND RD PHONE NUMBER: 813-780-6879
ZEPHYRHILLS FL. 33540
EMAIL ADDRESS:
SERVICE ADDRESS: 38944 PRETTY POND RD
SHUT OFF SERVICE ❑ OX WATER
TURN ON SERVICE �X ❑ SEWER
INSTALL METER O ❑ GARBAGE
READ METER � ❑X IN CITY
CHECK METER ❑ � OUT CITY
OTHER �
DESCRIBE OTHER: 3/4 METER
� NUMBER OF UNITS
DEPOSIT AMOUNT
AMOUNT LAST BILL
DATE
MISC. CHARGE
METER: �FULL 3/4
IRRIGATION
WORK COMPLETED BY&DATE ORDER TAKEN BY: JACKIE BOGES
COMPLETED
ORDER GIVEN BY: �9�,,� � �,��—�—
w.
Revised 912010