HomeMy WebLinkAbout12-13607 CITY OF ZEPHYRHILLS
5335-8TH SiREET
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BUILDING PERMIT
Permit Number: 13607 Address: 38711 EVELYN LN
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0230-00000-0300
Improv. Cost: 4,000.00
Date Issued: 11/16/2012 Name: BOLDT, SHARALEE
Total Fees: 82.50 Address: 38711 EVELYN LN
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/16/2012 Phone: (813)783-1998
Work Desc: SCRN RM ON EXISTING CONCRETE 16'8 X 12'6
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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 notice of commenoement."
Complete Plans, Specifications Must Acoompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C � �
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3-�ao-oozo City of Zephyfiills Permit Application `�� Fax-813-780-0021
Building Department �.�! � ��Q '
�'�.
Date Received � Z �i�� rJ� � S-�/
Phone Contact for Permittin
Owne►'s Name ���-��� �(�`aC ¢ Owner Phone Number a�3- 7�3-1/9d
Owners Address � ��! /7 �C��- Ovmer Phone Number
Fee Simple Titleholder Name Owner Phone Number -1
Fee Simple Titleholder Addresa
JOB ADDRESS � l� ��/� n � LOT� 3 v
SUBDNISION QK �J� �f7�f' PARCEL ID� v�""� �D oZ.c3O-' �O(/W-Q�O U
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK CSG�� �`Q�IJ� Dh -�JC�J �
BUILDING SIZE �� ���� x �oZ� lr� SQ FOOTAGE oZO� HEiGHT
�BUILDING $ �/ �O � VALUATION OF TOTAL CONSTRUCTION
Y
QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a
�MECHANICAL a VALUATION OF MECHANICAL INSTALLATION �AS�P�R��T SERVIC�
(813} �88-5314
QGAS Q ROOFING Q SPECIALTY Q OTHER �� ���4�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
S GNATURE �C� `�""'�'�� � ���r �ROM RIEIo �r'"-Y/�N � �cuR� NCC
Addreas ��y0 ���' �� Z N-� ( ' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
MECHANiCAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREP Y!N
Addreas 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)wo►king days after submlttal date. Requfred onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence instalted,
Sanitary FadBties 8 1 dumpster,Site Work Permit for subdivisionsllarge proJects
COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerc(al requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pla�s.
""PROPERTY SURVEY requlred for all NEW constructlon.
Directiona:
Fill out applicatlon completely.
Ovmer 8 Contractor sign back of appiiqUon,notarized
If over t2500,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 PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"res�rictions,"
which may be more �estrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabte 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 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 Buflding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor o� contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wili 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 °ce�tificate of occupancy" or final power release. If the project does not involve a certficate 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 appiicable 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 "Fiorida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Flo�ida 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accu�ate and that all work
will be done in compliance with all applicable laws �egulating 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 aiso
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 complfance. 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-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following rest�ictions apply to the use of fill:
- Use of fili is not allowed in Fiood 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 submftted at time of permitting which is prepared by a professional engineer
lice�sed 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 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, wells, pools, air conditioning, gas, or other installations not specifically 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 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 Official 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 NOTICE OF COMMENCEM� I�T.
FLORIDA JURAT(F.S. 117.03 , ' � '
OWNER OR AGENT C\��y�� <"�'�'"�""�� CONTRACTOR ���"� ��
Subsc.�ibed an bsworp,to(��afflrq?¢d�_bgf�/�e thls //-7-�°Z Subsctfbed and bswom to�(or alflrmq�)be me this �T-�—
y cJJ-fiC l��lti� J'fLQCle �'L�/�)
Who ls/are personally known to me or haslhave prod Who is/are personally known to me or has/hadve�p�fi d��ed
as IdentlBcaBon.
�t�L� Notary Public ��L-� ��'"�'" � Notary Public
Commisslon No. Commfssion No. �OTARY��i RI,;('•- �� �
T��nTARV P7'Ri T!`c'i k,'r'�y e��''�e,�*��is�-
E �3�1T �lIZ8.1�_r,� $3�1T'
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Name of Notary typ,, , or� �mj�¢12Z 2014 Name of Notary typed,pri g�A@� \,-(?�72,2014
� ]':\Z7F.i)TfiNL'4Ti.�'�'i F',��i�G CO.,INC.
BO?r'DID?'�R'�� , .,:�t,!'f),iN�
r/+SCO P�RM1T SERVICE � G� l-
R (813)78�r,�14
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Permit No.
Z���� �/ Pa�e D No �02 — o�-�v —�� dd1 c�0'Qc��t/ ��v
NOTICE OF COMMENCEMENT IIIIIIIIIIIIIIIIIIIIIItIIIIIIIIIIIIIIIIIIIIiIIiIIIIIIIIIIIII
State of �/Qr��4- Counry of �'"�'r� 2012191765
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following infortnation is provided in this Notice of Commencement: /'
1. Descripdon of Property: Parcel Identification No. GZ��- C/t�l�"' �T� � ��'I—� /�,�j c3bL � �/7 yf' L0,1� 3(�
Street Address: �� ��� � � �Q. /l.��✓ �� ,��pZ. d 2 c36�� ��r �i,$-7.�
2. Generai Description of Improvement
s�n r�oh'1
3. Owner Infortnation or Lessee information if the Lessee contracted for the improvement:
�`I��l,ce ��a��
�3 I 7!/ �"�''�ly� �-/l Z r�ilJ .C/ 3�S'�/oZ
Address ity State
Interest in Property:
Name of Fee Simpie Titleholder:
(If different from Owner listed above)
�Address Ciry State
4. Contractor. Cc- /`SC'.� . �/CC •
�`� NamJ'- Q/�� �/�?4 � � �,�-���
Address ity State�
Contractots Telephone No.:
5. Surety:
Name Rept:1474465 Rec: 10.00
Address DS: 0.00 IT: 0.00
���Y il/09/12 E. Munguia, Dpty Clerk
Amount of Bond: $ Telephone No.:
6. Lender:
Name PqULq S 0'NEIL,Ph D PASCO CLERK & COMPTROLL,
Address 11/09/12 10:59am 1 of 1
City OR BK ����] q A��
Lender's Telephone No.: _ ` PG j�'�
7. Persons within the State of Florida designated by the owner upon whom notices or other documeMs may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
�d�g ��tY State
Telephone Number of Designated Person:
8. In addiUon to himself,the owner designates of
to receive a copy of the Lfenors NoUce as provided in Sectlon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or EMity Designated by Owner:
9. Expiration date of Notice of Commencement(the explration date may not be before the completfon of construction and finai payment to the
contractor,but wfll be one year from the date of recording unless a different date is specified):
WARNING TO 01NNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDAN�T�Y�'UEI'C-S;,n,m��f�,
COUNTY OF PASCC�'� �°� x���'�ID�
���:., �Cl� :�3_''nVig
;;'t��;��!=';v��'�lssion� Signature of Owner or essee,or Owner's or Lessee's Authorized
$o� .. L,�.; :,�: QCT D926164 OfficeNDirectorlPart r/Mana�g�er���� /
EDTx�zuA��,,�r"rrcBOVn 16,2013 �'��`^ ���t�i`Qt"T/� �d/�T
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Signatory°s TiU��"mce
The foregoing Instrument was acknowledged before me this ��day of�_�""�1p�_,o�-by_ ((��C�-!'� 'v Cr,���
as fIl.[>/��
� (type of authority,e.g.,officer,trustee,attomey in fact)for
� (name of party on behalf of who instn�ment was executed).
Personaly Known �produced IdeMification❑ Notary Signature ��Gc. .(�/L�utJ/
Type of IdentNication Produced •� C�� � ��
,#�,� . : ��� �
.�- , 'Q� ST�TE r�' �LORIDA, COUNTY OF PASCO
� ' � THIS�S Ti�CERTIFY THAT THE FQREGQING ISA
� ... TRUE AND CORRECT COPY OF THE OOCUMENT
:nG-aweTru�� , *c ON FILE OR OF PUBUC RECORD IN THIS OFFIC�
�.� �T�, �;.�;�� • V�� SUIYHANDA �FFICIALSEALTHIS
� �;;�:� �(,�yJ * DAY OF � f�
wpdatalbcs/noticecommencement�c053048 ~�`e '' ' U ' P LA S O'NEIL, CLERK& COMPTRQLLER
'";..� 188j If �
�`j�'°,��P' E3Y ` PUTY GLERK
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �J��t J' �GL�c�=�'I r u �► ��
J
Date Received: l�- l-��
Site: �[J 7 // � G��'�t��'1 ��
Permit Type: /� �� }c �Z � (�
Approved w/no comments: Approved w/the below comments: � Denied w/the below comments: ❑
This comment sheet sha11 be kept with the permit and/or plans.
� -
� 13 / �
Kal n Swit r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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