HomeMy WebLinkAbout12-13643 CITY OF ZEPHYRHILLS
5335-8TH STREET
. � (si3)�so-oo20 13643
BUILDING PERMIT
Permit Number: 13643 Address: 39530 CYPRESS POINT LN LT 191
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 9,000.00
Date Issued: 12/11/2012 Name: NHC-FL115 LLC
Total Fees: 120.00 Address: 39530 CYPRESS POINT LANE
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/11/2012 Phone: 813)783-7518
Work Desc: CARPORT 30 X 13 W/SHED 10 X 13 ( DROWN, BOB)
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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)aondemned 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,wnsult 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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CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received , �'�,� �� y �./3 7�0` __ s�/�
Phone Contact for Permittin p
Owner's Name ���(J 4/�(��li� Owner Phone Number
Owner's Address �y.5 3d L /�'Q� !`�Q//C f � - pymer Phone Number
Fee Simple Titleholder Name � Owner Phone Number �— �
Fee Simple Titleholder Addreas
JOB ADDRESS 39530 � �f �Q�l�T ���(.2. /'� �/� LOT# l7/
SUBDIVISION �� �S�G (/�►� PARCEL ID# °Zy—°� ��— 0��— Ov1Od— ��v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT C� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRA �� STEEL Q
DESCRIPTION OF WORK C /^�- � J�
BUILDING SIZE J' � /l7 X/ SQ FOOTA(iE `r� HEIGHT
�BUILDING $
� �. VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
OPLUMBING s PASCO PERMIT SEH'VIC�
(813)788-5314
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� 1�`�7�
Q GAS C�)(�1G )
Q ROOFING Q SPECIALTY � OTHER /3i� Z SP� ''P l�� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO I 3� l
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S GNATURE ���L�. ��'"'`-y�j' �•�, R OM RNY C��N� Fee cu��',`-��� y/�C
Address �/�y �0��- ,�.lAf � z�,/ •
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# �
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)working days aRer submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Bufidfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum te�(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadflties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY requlred for all NEW construcUon.
Directions:
Fill out applicallon completely.
Owner 8 Contracto�sign back of applicadon,notarized
If over 52500,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 AppUcatfon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable 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 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 properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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 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 certificate 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 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—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 1 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 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 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 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 Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Wate� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Depa�tment of Health 8 Rehabilitative Services/Environmental Flealth Unit-Welis, 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 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 submitted at time of permitting 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 ce�tify 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 englneered 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. t 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
pe�mit 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 wor 90 da s and will demonstrate
may be requested, in writing, from the Building Official for a period not to exceed ninety ( ) Y
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 FINANCINT, CONSULT
WITH YOUR LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F C
FLORIDA JURAT(F.S.117.03) /� � . � !/'��`
��Q-('�C.� ��G[tJ/ CONTRACTOR�\���- � �
OWNER OR AGENT �t�/.�� Subscribed and swo`p,�(a!� � be �me this /��
Subscribed and swom�p(��t�bef re,me this by ����.
by � Who Islare personally known to me or haslhave produced
Who islare personally known to mas IdenUflca�o�roduced ,�— as iderltlfication.
� Notary Public
� otary Public
Commission No. Commfssion No.
NOTARY PL'AI.1GS"tA":�:OF FLORIDA
TARY PLBLIGSTATE OF FLORIDA � "
� Name of Notary typed.Printed or stamp :Cornnzi�siu?:#EE044504
Name of Notary typed,�, ���ion#FE044504 '--,,,,,,,,.�� Expires '�(1 V 22,2014
'- ,.•`Expires: i�iUV.22,2014 aor�En�xr.qi-;.;..,.,.,:�,>:nrvcr.o,mc
B�NDED THRC ATLA,'v"fIC➢ONDING CO3 INC.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��,5 �t� � ��-n1 r k ,�,�
Date Received: � � - Z v•- ( L
Site: j °/,S 3 d Cc� �r�,ss �i✓l� L/1
Permit Type: I2'i X � 3 ('Kl-rpa�� � � �e�,��
Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑
This comment e t 1 be kept with the permit and/or plans.
�1 -,� �-� �
Kalvin S zer— s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� � d-F Z,��1' .°
PASCO PERMIT SERVlCE �
(8�3)788-5314
� FAX 1-866-824-7894
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NOTICE OF COMME�ICEMEI�TT'
PcrmitNa. Repl:1481482 Rec: 10.00
DS: 0.00 IT: 0.00
Properiy Iden6fication No. o�-y o� -ot-/—Q�j�— ��_ � 12/11/12 D. Bon i 11 a, Dp t y C 1 e�k
THB UNDERSIGNEll hereby give informs you that the improyement will be made tcs certa,in real property,aad in accordance witii
SecHon 713.13 of the Florida Statutes,the following information is provided in this NOTICE QF CUMMErtCEMENT,
i.Dcscriptioaofpj°P�rt3't�S��s ' 'ox:) Ld�/9�/hf JS��C. �� �!� �p �(Jl�
a)street Address: � f. �j�
2.General ctescription ofimprovoments:
0�`
3.Owner Informarion
a)Name and address: Q�i�f �C//�,V/1 �j f 5-30 /L°J.1 �%f ��� /"��X/ l7
, b)Name and address of fee sia�ple titlaholder(if other than owwaer) �--
c)Interest ia proP�Y
4.Contractor Informstion �/� ��
a)Name and address: �C[./) JWc-Jct- � _ �� (G/� �'�'/el.0 / r/� /�/ /C/
b)Telephone No.: a� «1
S.Surety Tnformarion Fax No.(Opt.) ° —''�"'�--�,J�!d'
8�N8II]C SIId adC�I'egS: PAULR S 0'NEIL,Ph D Pq5C0 CLERK & COMPTROLLEF
b)AmoemtofBond: 12/11/12 �l��a� 1 of
c)Telephone No.: OR BK p� �1���
6.Lender t'�`�°�tt'P'�I ♦
a)Name and add THAT PART 0� EAST 9p,00 FT�F NW1/4 b THAT PART OF WEST 1/2 OF
7,Identity ofperson withi LYING WEST OF MA EISTICO KSH OMMUNITYHpHASE ONE AS pST AND
a)Nama and asic PGS 1Q7-112 EXC NORTH 20 FT THEREOF FOR RD R/W 8� MAJESTIC OAKS rved:
b}Telephone Nc COMMUNITY PHASE ONE PB 35 PG 107-112LOT 1 THRU 16 INCL& LOTS 19
8.In addition to himseIf,� THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 S�hon
?2 3.]3(1)(b),Florida 8ta,,.._,,.
a)Narrae and actdress:
b)Telephone No.: Fax No.(Opt)
9.Expiratiou dat�ofNotice of Commencement(the eapinshon d8�y�o�
specificd): Year from the date of recorcting unless a tlifferent da.te is
`'G'ARNING TO OWNER; pNy pAyMENTS Rgp�E gy Tg���R AFTER THE EXPIR�TTON OF THE NOTICE 4F
COMMENCEMEIVT pR�CONSIDERED IlVIpROPER PAYMENTS UNDER CgApTER n3,PART I,SECTIprT 713.13,
FLORIDA STATUTES,AND CpN gZ;SiJI,T IN YOUR PAYING TWICE FOR IMPRUVEMENTS Tp ypUR pROPERTY_
A NOTICE OF COMMENCEMENT MtI5T BE RECORDED AND ppSTED ON T�.�pB SITE BEFURE T'RE I+ZRST
IN3PEC'i'ION. IF YpU INTEIYD TO OBTAIl�T FINAI�TCiNG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COiVIlM�NCING WORK OR RECORDING YOUR NOTiCE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
Signa af Owner aa� ds thorized Ofiicer ' tor/Par�er/Manager
4� � �,�d
Prmt Name
The for�going instniment was aclaiowledged before me this/O�da of E
as�.c9c G� Y � �.�,t9E/2 20./a�,by
in fac#)for (type ofauthority,e.g,offccr,hvspee,$ttnme
(namc of party on behalf of wh m inshvmcaL was execuied), y
Personally Knovvn '�pR p�{u��Identification ' � ���
Notary Signa
� , . . s.
����, ��DEN K Dg � ' � ,
Type of Ideutif cation Produced . = MY^�sS�ON s eE ts� *' _
.��f,��' Baided 7hru Nofary p�'�� ���. � F �d T 1'n
Verification pursuant to Sectioa 92.525,Florida Sta�tes.Under p�i��^of'
the facts statcd in it arc a�ue to th�best of my knowiedg�and belief. k�'I declare ti�at I have read the foregoimg and that
°oRMSmioc.rvsdzoo� • Signamte ofNa Peason Sig[rin8 Above
� � � STATE OF CERR DAH OUNE FO EGO NG�S�
THIS IS TO
y� � TRUE ANDR OR PUBL C RECORDHN D S OFF C,�
* ON FILE 0 OFF IAL SEAL 7N1
' WITNESS MY HAND A 2�
�t�wa�w, . #
. DAY OF g,COMPTROLLER
* • � � ,e,''•� �N CL
{� * PA A �E�UT�' CL.Fr:
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BY
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