HomeMy WebLinkAbout13-13776 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13776
BUILDING PERMIT
Permit Number: 13776 Address: 38652 LANSING AVE LOT 143
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW T.T.PK#2
Est. Value: Parcel Number: 02-26-21-0260-00000-1430
Improv. Cost: 5,500.00
Date Issued: 1/18/2013 Name: RICHARD, EDIE & LEONA
Total Fees: 97.50 Address: 3261 KEEWAHDIN RD
Amount Paid: 97.50 FORT GRATIOT MI 48059
Date Paid: 1/18/2013 Phone: (813)779-4538
Work Desc: 8 X 20 SUNROOM
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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 t) 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 properly 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 accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR 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 Gi�ly o�'Gepnyrnnis ��c;rl�u�r�NN�������,� •
Building I]ePartment
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Owner's Name �r- ��� �'
'� 6��, C �� ,�Ge Own�r Phone NumUer
Owner's Address • �
Owner Phone Nurriber
ree Simnlo Tifilehold�r Name • , •
Pee 5imple Titleholder Address , I-�-=-_�--' .
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SUI3DIVISION � - r � (OIITAINED FROM PROPBRTYTAXNOTICC)
c SIGN 0 MOVE � DGMOLISFI
WORIt PROPOSGD ' NCW CONSTR ❑ ADD/ALT CJ
� INSTALL . RCPAIR
PROPOSL-D U5C' • 0 SPR ' ��• COMM 0 OTI-IER
'►'YPC O�CONSTRUCTION � 13LOCIt �
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DCSCRIPTION 01=WORK . • • .
13UILDING SIZC � � ��� SQ�OOTAGE ��� I-IEIGFIT
� 13UILDING ����0 O� VALUATION Of=TOTAL GONSTRUCTION
PROGRESS GNERGY Q W.R.E.C.
���FJ"ELGCTRICAL :r . . AMP SERVICC L� ,
, �ASCO PERMR SEFiVICE
� pLUMRING �� (813)786-6314 _ .
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���/�II�CI-IANICAL ,►; VALUATION OP MCCI-IANICAL INSTALLATION •
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1=1NISI-IED FLOOR CLCVATIONS 1=LOOD ZONE AREA �YES �NO
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dUILDCR \ G�`�'`�-� ���1 Y! N r-ee cuRR�Nr Y!N
SIGNATURG � RCGISTCRED
• . License�!�
Address �'�`fl� �� /,c1� i'2t� Z�Pr/Y2�/L�5�33�y� � �
CLGCTRICIAN • COMPANY
REGISTGRL-� Y/ N f-CC CURRCNT Y!N
SICNATUI�C •
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Address , '
pL,UMRCR � COMPANY
REGISTERED Y/ N �GG CURRENT Y I N
51GNATURC (�
License# I
Add�ess
MCCI-IANICAL - ' COMPANY
REGISTCRED Y/ N PCE CURRHNT Y/N
SIGNATURG ' ' �
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RCGISTGRCD � Y/ N FHE CURf�CNT Y/N
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' ' ' " -�-�� R-O-WP�rmltfornewconstruction,
RC5ID�NTIAL Altach(2)Plot'Plans;(2)sels of Ruilding f'lans;(1)sel of Gnergy Forms;
Mlnimum ten(10)worl<ing days afEer submiltal da�e. Required onsifie,Construc(ion Plans,Stormwaler Plans w/Silt Fonce installed,
Sanitary 1=acilities&1 dumps�er;5ii�Worlc Permit for subdivisionsllarc�e projecls
COMMGRCIAL Attacli(3)complete sots of 13uilding I'lans pl�as a Life Safety Pag�;(1)set of Cnergy 1=arm 5 orm at r f'lans�w!Sill 1=ence installed,
Minimum ten(10)worlcing days after submittal date. Requirad onsifie,Consfruction Plans,
Sanitary 1=aciliiies&1 dumpsler.Site Worlc Permil Por all new nrojecLs.All commercial requirements musL meel compliance
� SIGN PCRMIT Attach(2)sels oT Enc�ineered Plans. . .
"***PFtOP�RTY SURVGY required for all NCW construc(ion.
• -i-ia-ri-t-►-rt-Fi-t-ri-�-i-ri-t-r�-i-Fii-�-►a-t-rt-►-►-i-►-ria-i-►-�-rrri+ria-ta-i-t-�-ri-rt-t-i-�-�-i-�a-[a-t-Fi-ia-ia-�-ia-i-t-ia-ia-t-Ft-�aaa-rl-t-rt-ia-i-�-ri-t-�-�-t-�-t-i-�-i-ta-t-�-ta-i-�-i-�-t-i-t-ia-hri-N-�-�-i-i-i-i-t-�-�-i-i-i-t-t-i-I•
Diroc[ions: . • •
Fill out a�plicatlon completely. . .
Owner&Conlractor'sign bacic of application,notarizod
If over�25U0,a Nofiice oi Commencement is required. (A!C upgrades o�er$5000)
** Agenl(for the contraclor)or Power of P:ttorney(for the owner)would be someone with notarized letler from owner authorizing same
OVGR THC COUNTC�.PCRMiTTING (Fronl oP Application Only) .
RorooFs Sew�rs Service.Upgrades AIC f-enc�s(I'loi/SUrvey/Pootage)
Driveways-Not over Counter if on puUlic roadways.:needs ROW
NOTICC OI= QCCD RL-STRiCTIONS: The.undersigned undersl�nds Lhal�lhis permit may be subject to"d�ecl" restriciiQns"
which may be more restricfiive ih�n Counfiy regul�tions. Thc undersigned assumes responsibility�For compliance with any
applic�ble deed resfirictions.
UN�ICGNSCD CONTRACTORS AND CONTRACTOP RCSPONS1131LITICS: lf lhe owner lias hired � conlractor or
contractors �o undertake work, ih�y may be required fio b� licensed in �ccordance with st�fie and loc�l regulafiions. If ihe
contr�ctor is noi: licensecl �s required I�y I�tw, botl� lhe owner ancl coniractor m�y be ciied �Cor � misdemeanor violation
under sfi�fie I�w. IF th� owner or intended contr�ctor are uncerfi�in �s to wh�t licensing requiremenfis m�y apply �for the
iniend�d worlc, they are aclvisecl to�cont�cfi the I'�sco County 13uilding Inspeci:ion Division—Lic�nsing Section afi 727-8�1�7-
8009. 1=urthermore, iF the owner has hired � conlractor or con[ractors, he is �dvise.d [o h�ve ihe contractor(s) sign
porlions oF'the "contr�cfior 131oc1c" of this applic�tion �for whidl lh�y will be responsible. fF you, �s the owner sign as the
coniracfior, th�fi m�y be an inclication th�t he is nofi properly licensed ancl is noi: enfiilied to permiiling privileges in Pasco
Caunty.
TRANSPORTATION IMPACTIUTILITI�S IMI'ACT AND PC50UPCC RCCOVCRY�CCS: The unclersigned underst�n s
thal Tr�nsporlation Imp�cl 1=ees and Recourse Recovery Fees may �pplY to the consfiruclion'o�f n�w builclings, cliange oF
use in existing builciings, or expansion of existin� buildin�s, as speci�Fied in P�sco County Orclinance number 89-07 and
90-07, as amenclecl. The undersigncd also underslands, th�t such �Fees, as m�y be due, wilf be identified �l the time of
permiCfiing. Ifi is �further undcrstoocl th�fi Tr�nsporfiation Imp�cC 1=ees �ncl Resource Recovery Fe�s must be paid prior to
receiving a "cerliFic�te oF occup�ncy" or�fin�l power release. I�f Lhe project does nofi involve � cerLific�fie o( occupancy or
•Final power rele�se, the �fees must bc paid prior fio permii: issu�nce. Furthermore, if P�sco County W�ter/Sewer fmpact
�Fees are due, lhey must bc p�id prior lo nermit issuance in accord�nce wifih �pplic�ule P�sco Counly ordinances.
CONSTRUCTION LICN LAW(Chapt•er 7'13, 1=lorida 5fi�l:utes, as �mencled): IFvaluafiion of worlc is ��2,500.00 or more, I
certi(y that I, th� �pnficant, h�ve been provided wilh � co�y o�f Che "Florida Consfiruci:ion L.ien Law—I-lomeowner's
Prot�cfiion Guide" prepared by fihe 1=lorid� DeparlmenL oF Agricufiure �ncl Consumcr A(Fairs. I�F tl�e applicani is someone
other than fihe"owner", I cerfiify ih�t I h�ve.o(�fiained a copy o�F lhe above described documenfi�ncl promise in good�faiih fio
deliver it to fihe"owner"prior to commencemenL.
CONTRACTOR'SIOWNC�'S AF1=1DAVlT: I cerLiFy th�l�II lh� information in ihis ap�licafiion is accurafie and that all worlc
will be done in compliance wifih �II apnlic�ble I�ws regul�fiing cons[ruction, zoning and land develonmenl. Apnlic�tion is
hereUy m�de fio obtain � permii to do worlc �ncl insfiallation as inclic�Led. I eerfii�Fy lh�t no worlc or insfiailation I��s
commenced �rior to issu�nce of � permit �nd ih�l• �II work will bc performecl to meet stand�rds of all laws regulating
consfirucfiion, County �ncl City codes, zoning regu(afiions, �nd land developmenfi regul�tions in fihe jurisdiction. f also
cerlify fihat I und�rsfiand fihafi the regul�tions oF ofiher governmenL �genci�s m�y apply fio fihe infiended worlc, �nd thal it is
my r�sponsibility to idenii�y wha1:�cfiions 1 musl fi�lce fio be in compliance. Sud� agencies include but�r� nol limitecl io:
DeparCmenfi o�F•Environment�l Protection-Cypress f3ayheads, Wetfand Areas and Environmentally Sensilive
Lands, W�ter/VVastew�{er Treai:menl.
- Southwesi Florida W�icr M�nagement Dislrict-Wells, Cypress f3�yhe�ds, Wetl�nd Are�s, Altering
W�fercourses.
- Nrmy Corps vF Engineers-Se�wafls, Docics, Navigable W�fierways.
- Deparlment o�� I-lealth & Reh�bilitaiive Services/Environmenlai I-Ie�Ith Unii-Wel(s, W�slew�ter Treatmenl,
Septic Tanlcs.
- US Cnv.ironmenfial Protection Agency-Asb�slos ab�l�meni.
Feder�l Aviation Auihority-R�mw�ys.
1 �mderstand th�t fihe following resfirictions apply lo'th� use o�f�Fill:�
Use o�f�fill is noi�Ilowed in Flood Zone "V" unless expressly permitled.
If lhe �fill materi�I is io he used in 1=1ood Zonc "A", it is undersfiood lh�L � drainage pi�n addressing �
"comnensaiing volume" will be submitted afi timc of permitting which is prep�red by a professional engineer
licensed by the St�te o�f Florida.
IF ihe 'fill m�ierial is to be�used in Flood Zonc "A" in conneci:ion with � permittecl building using stem wail
' � consfirucfiion, I cerlify th�l�fill will be used onfy fio�fifl fihe �rea wifiliin the sfiem wall.
f(.�fill material is fio b� usecl in �ny area, I cer[iFy Lhal use of such �fill will not adversely a(fecl adj�cent
' properties. If.us� of�(ill is �(ound Lo adversefy ��FfecL adj�cent properties, lhe owncr m�y bc cited �For violating
the conditions of fihe building permil issued under Che atlached permit applic�tion, �for lofis less tl�an on� ('I)
�cre which �re ele�afiecl by�fill, �n engineered drainage plan is required.
fF I am the AGCNT I=OR TI-IC OWNCR, I promise in good�F�ifih to in�form fihe owncr o�P the permifiting conditions sel Farth in
fihis afFid�viC prior to commencing construction. I undcrsl•�tnd tl�al � sep�raLe permit may ue r�quired �for electrical worlc,
plumhing, signs, wells, pools, air conclitionin�, g�s, or other install�tions noi: speciFically included in the �pplic�tion. A
�ermit issued sh�ll be construed fio be a ficense io proceed with the worl<ancl nol• as aufihorifiy fio.viol�te, cancel, ali�r, or
seC�sidc �ny provisions of the tecl�nical cocles, nor shall issuance o(a permil prevenl the Building Offici�l�from ihere�fter
requiring � corrcction o�f erro�rs S c'�n�r�il isrcotmmenc I Ilwitl in six�mo,uaeor n rm ssu Ince,uor if Iworic�aufil o�ized by
unless the woric aulhorized y p
ihe �ermil is suspendecl or aU�ndoned�for a period o�F six(6) monlhs �fler the iime fihe worlc is commeneecl. An extension
may Ue requested, in writing, 'from i:he Building 'O(ficial for a period nol to exceed ninely (�JO) d�ys �nd will clemonstr�le
justifi�bie c�use�for the extension. If worl<ce�ses'For ninety. (90) consecuCive d�ys, the job is considered abandoned.
WARNING TO OWNCR: YOUR.Fla[LURC TO PCCOf�D .�1. NOTICE 01= COMMENCEMCNT MAY RESULT IN�YOUR
PAYWG TWICC 1=0P IMI'ROVCMT��G R o OR� P�L-CORDING YOUR NOT�I pE OF COMM�NC�MCNT ' CONSULT
WITI-I YOl1R LCNpCR OR AN A ` ��
�LORIDA JURAT(f-:S.117.03 , /
CaNTRACTOR
OWNGR OR AGCN /Su4o rib d and s�orn to�C!������f�
ubscnUe �nd sworn t (�r affi�ad) fore �his �� —
,�0—�,3 bY Who is/are personally I<nown to me or has/have produced
Who islare personaily I<nown lo me or has1have producecJ as identiticalion.
as identificafion.
�
Notary PuUlia
� ,'� Nolary Public
ATl1TdDV Commission N . . . ,,t,
COI11f11I5S10� D. PL�T iC STATF nF F'1.(1RTTlA �ulapil�' BAitr
-. Sur.anr.e Bahr
" ed rinted �' o[nrra5s�nn . �,�
ry Yped',,, �°q�', I�R� \OV 22,2014 Name of Nolary tYp �P :., .; �x.i:;�; ;�;t.3�� ?2,2014
(�lame of Nola t � ., ,. Y " " . , ,>o co,rxc
BOFDEDTEIRLAiLr_,; _ � �i„\GCO,INC. BOSDEil�f;ik� �
pq$(;O P�R�""��ERVECE � G� z-���
(813)78fs-�314 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII
. FI�UC 1-866��8�247894 2013006951
Permit No. Parcel ID No Q � -� �� � OZt�d-d(�v(J-���
NOTICE OF COMMENCEMENT
state of_FLD/Z/DR" County ot Pi9�5Ct�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the foliowing information is provided in this Notice of Commencement:
1. Oescription of Property: Parcel Identificadon No. d�-,�lF-,,�/- O�lpp-DOOOD-1�3d
StreetAddress: ��'�a5� L.a��S1r��i R-v'� Z���y�-h���5� �� ��S-�
2. General Description of Improvement �/�-r'!� e,e 157-/i-c�' ,Se�^��,,z ��,,,,.� -� �j�y� �O�
t".:/f'�- ci1�55 i.c�/,��du� -
3. Owner information or Lessee infortnation if the lessee contracted for the improvement: _�17P_!'
�IG�? ��Cf �c�l�
Nam�
3S[�50? Lunslnq �v�, 7�-��ryr�;/lS
Address -' City Sta�
Interest in Property:
Name of Fee Simple Tideholder -�/�.Ad-�fi�,��u.�Lt2�Dh,'/e E5 f��s /� ��i��tiz�z'��� �;�q,,
� , _ �_ (If d1 e eni rrom c�wner ustetl above) ��
'J�.c:� ,
Address � _ Ciry State
4. Contractor _ �it.�►r S /��G(.rn i n..�.�-, S�?c,
�2�5!�Ti !�(.e �n-ll' /�G� ���Nr�'7�1�5
Address F/�
City State
Contractor's Telephone No.: _�l 3- 7 S�- 3�/
5. Surery:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender:
Name
Address Cfty State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the awner upon whom notices or other documents may be sanred as provided by
Section 713.13(1j(a)('T),Florida Statutes:
Name
Address City State
Telephane Number of Designated Person:
8. In addition to himaeli,the owner deslgnatea a f
to receive a copy of the Uenors Notice as provided in Secaon 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and 8na1 payment to the
contractor,but will be one year from the date of recording unless a different date is speafied):
WARNING TO OWNER: 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 TWICE 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 FLORIDA �� � f�I� � y
COUNTY OF PASCO �/ ' ����
gnature of Owner or Lessee,or Ovmers or Lessee's Authorized
fficer�DirectoNPartner/M anager
�%�.��
Signatory's Title/Offlce
�
The foregoing instrument was acknovNedged betore me this�day of T�ri�,20%.3,by _/QlC�tcc,-�-� �c���
as _ hir,ise_l� (type of authority,e.g.,officer,trustee,attorney in fact)for
`��v'�'S`�l� (name rty on beFtalf of whom instn�ment was executed).
Personally Known�Q Produced identification[vj� Notary Signature �
Type of Identification Produced gi^t✓G� /lCty,5� Name(Print) C ZarinC ��Zhr--
Rcpt:1488735 ReC: 10.00 NOTARY PLBLIC•STATE OF FLORIDA
DS: 0.00 IT: 0.00 ""'•- Suzanne Bahr
01/il/13 D. Bonill�, Dpty Clerk �.Commissic.i?.#EE044504
.,,'`s?.•�Expires: `;UV.22,2014
BO:v�IDTHRCd'�LS�i�d0\DLVGCO.,INC.
PAULA S 0'NEIL,Ph 0 PASCO CLERK & COMPTROLLER
wpdata/bcs/noticecommencement�c053048 01/11/13 11:46am 1 of 1
OR BK ��'1Z PG 3��
STArE OF FLORIDA, COUNTY pF pqSCO
�,�N,VD , . C THIS 15 TO CERtIFY THAT'THE FOREGp►N
t� , TRUE AND CpRp�Cr Cppy d�7HE nOCUME T
� ON FILE pR pF pUgUC RECORp►N 7`HIS OFFICE
G
* � , � W11'NES�S MY HANt�AN ppFl�fAl SEAL THIS
* � ��°'��'a nw.� ' � f�AY(��
� .,.�.,� � �r PAULA� ' � IC S�' CQ pTROL��
* �g� .
• � BY
�',4 � � � GEPUTY CLERK
�°���P � '
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
,��r s 54��<�.��.�
Contractor/Homeowner: �'''�
Date Received: �l���
Site: �8�v �Z �-<'1�� �'J�"�.
Permit Type: �j � Z Z'j �c-�t� r��'►�
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.
l �� ��
Kalvin Sw e Plans Examiner Date Contractor and/or Homeowner
;
(Required when comments are present)
�) �2 �-� -��/- n�'-sG- :�c:��'c�t ,�%�_;0
• --' " , ' . �° - -f,�' � �� �- �� ;
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