HomeMy WebLinkAbout13-14054 CITY OF ZEPHYRHILLS
5335-8TH SIREET
�sis)�so-oo20 140
BUILDING PERMIT
Permit Number: 14054 Address: 39549 CHARIOT LANE LT 223
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 7,200.00
Date Issued: 4/05/2013 Name: NHCFL-115LLC
Total Fees: 112.50 Address: 6991 E. CAMELBACK RD
Amount Paid: 112.50 SCOTTSDALE AZ 85251
Date Paid: 4/05/2013 Phone: (813)783-3477
Work Desc: 14 X 40 CARPORT
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SHEATHING
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 called e) permit not posted on job site� pians 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.Ail work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PASCO PERMIT SERVICE d� Z-�� � I
(813)788-5314 '
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Pertnit No. Parcel ID No i,
NOTICE OF COMMENCEME� IIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII '
state o( �<��'�k- County ot ��� 2013053442 -
I
THE UNDERSIGNED hereby givea notice that improvement will be made to certain real propertK,and in accordance wlth Cha er 713,Florida St tutes, /
the following Infortnadon Is provided In this NoUce of Commencement: �� e J /� �� !�, �_ �'���/a,;� ` I
�V
1 DescripUon of Property: Parai Identlflca/Gon No�.. �-d o2�.3 S�- "� �,� �
street/+ddress: c3f.S�'F�j L'/l�-lXO� �/1 • Z21o� � 3 °1
2. General Descriptlon of Improvement • "w N�
Cc�-,00r-f d�t .�X/J J N..w
, �,m..
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3. Owner Intormation or Lessee informalion if tie Lessee contracted for the improvement:__ w�m
,0�-v�o� �4�/1U� � �
�9Sy9 �'' ���Q� L/9 Ze o s� / ����3 w
Address Cit� State m�..�
• -�70
Interest In Property: • •• �
� a..
Name of Fee Simple TlUeholtler ��M
(If different from Owner listed above) �.m m
�
Address ^� City State n m
4 COniractor��1 "'1-�C'
Name �7_ �r. �/ � �
� /.r"� �0/7�— /�L� LQ _ 7r
Addresa Cih State
Contrectors Telephone No..
�Bv
s. surety: w g
Name p�r
a
THAT PART OF EAST 80.00 FT OF NW1/4 8 THAT PART OF UVEST 1/2 OF staro a m" I
Addresa NE1l4 OF SEC 24 LYING NORTH OF ZEPHI'RI IILLS BYPASS EAST AND �w� I
nmountoieond: i_ LYING WEST OF MAJESTICOAKS COMMUNITY-PHASE ONE AS PER PB 35 I � I
PGS 107-112 EXC NORTH 20 FT THEREOF�OR RD R/W&MAJESTIC OAKS '��
6. Lender Neme COMMUNIIY PHASE ONE PB 35 PG 107-112L0T 1 TFiF2U 16 INCL 8�LOTS 19 �A'
THRU 24&LOTS 26 THRU 31 &LOTS 33 T'If�U 74 OR ti825 PG 87 State (Q3 n
Address
N
Lendefs Telephone No. "
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7 Persons witbin lha State of Flodda designated by tnr, owner ucon whom �,o6c�e -�� oth�,; J�.wmeias may be served as pro�ided Gy �0 m
SecQon 713.13(1)(a)(7),Florida Statutes: N'+x
_� �~M
Name "
� �
_ - � �
A
Address City Stale °
Telephone Number of Designated Person: _ �
8. In addiUOn to himself,the owner designates _ _. of._
ta recelve a copy of the Lienors Natice as nravided in Sectlon 713.13(1)(b),Florida Statutes.
Telephone Number ot Person or Entlly Designated by Owner: __
9. E�IraUon date of Nottce af Commencement(the expiratlon date may not be beforo the completion ot construction and finai payment to the
contrector,but will be one year from the date of rewrding unless a different date is soecifiecP,,: I
WARNING TO OWNER: ANY PAYMENTS MAOE BY THE OWNER AFTER THE EXPIFtATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC71pN 713.t3, FI.ORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERN A NOTICE OF COMMENC�MENT M1fUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y�)I:INTENQ TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORI:ING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that 1 have read the(oregang notice of cam ce ent and lhat lhe facta state therein are lrue to the best
of my knowledge and belief. �
STATE OF FLORIDA„T�Y.pi�-EI,IC uTATE�G�ORIDA �,� � I
COUNTYOFPASCP}�,,,,, ;;k��ie �-±-!�`��'��
�g�,�'�pp�+�;ioJ:-��r�;�=6`� Sipnature af Owner or Lessee,or Owners or Lessee's Authorized
-.?�'�r`�;yir;:;, OC�16,2013 OtficerlDirector/Q� erlMana�er �� /�
sorm'eut�tctxurcr!.nrmc�a:n,>;cco..e;c ,�CC.�//� � ` ��{Y�1//�
Signatory's TiOe/Office
ihe foregoing instrument was acknowledged before me this�y o(�-�20'-�by��'�"'"�� G - /''""���
as ���� (q•pe of euthoriry,e.g.,offlcer,truslee,aflomey in fact)for
J� (name of a�o�behalf of�ih nstrum t was ezecuted).
Personally Known❑Q$Produced Identiflcalion� �--�
Type of Identificatlon Produced �j► L'� �`—�L'��G w� �` �='�,f, `,`f�;.;:s�, CCyl1hlTY OF PASCO
�" G TH!5 i,: �„ ����T�r�- 7��ATTHE FOREGOING ISA
� ' �J► '��UE Aht�CGRRECT COPY OF THE DOCUMENT
.
„ ON FIL�OR�F i-�UBL{C RECORD IN THIS OFFICE
� . �
- fn§atlYe7rurt � WITNESS NlY HAND AND OFFICIAL SEAL THIS
* . � � * �-�-- c��v OF (�0.1�c� 2 O I
wpdatalbcslnoticecommencement�rA53048 * � PAULA c O'NEIL CLERK & COMPTROLLER
1887 •*
�p�.� ' � � �„ gy�;'�4 �Q �C�S�DEPUTY CLERK
A�OF Fi��'i'�
s�s-�so-oozo City of Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Receivec� Phone Contact for Permittin o�� ��G -- ,� �7'
Owner's Name �1�--�/� �U'�(/'� Owner Phone Number s�7� /J(/-c� 6�-�,�
Owner's Address 39.sy� G/tn��a f �('i�- Owner Phone Number
Fee Simpie Titleholder Name � Owner Phone Number
Fee Simpie Titleholder Address
JOB ADDRESS � /J �9 C�"c�-`Y�/ �/� LOT# �o�
SUBDIVISION �� � � ��-�tl PARCEL ID# d-'�—�O -�f d GU�—G{�I�O�-' D(JJ�C/
,�,� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I V I NEw CONS7R ADD/ALT � SIGN Q O DEMOLISH
Q INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � ��T
BUILDING SIZE �7 u y� SQ FOOTAGE �� d HEIGHT
�BUILDING $ � � D� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRE ENERGY Q W.R.E.C.
�PLUMBING $ ✓�(,��
PASCO PERMIT gERVrC;�.
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO �813��'�14
y � �'�4789�1.
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� `'i� /
BUILDER �,�� , //���,,,/, � �,MPANY ��J C� y� .,�52� �C.
SIGNATURE L`'— ti ��-Ywl REG�STERED Y/ N FEE CURRE� Y/N
Address ��S �1' � �� � Z � /C License# � Od ���7�
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y 1 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 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Woric Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
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 commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""`PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over:T500)
"' 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 Application Only)
Reroofs if shingles Sewers Service 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 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 understands
that Transpo�tation 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 "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, Florlda 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 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'SIOWNER'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. 1 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 Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- 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 expressty 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 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 bui�ding 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 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, CONSUL7
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S. 117 03
OWNER OR AGENT�k� �� """ CONTRACTO ''�""��
Subscribed and sworn to or a�firm )bef9re me this �-»L —� Subscribed and bwom t��orC�mec�ybefor �5 this�—�_.1j'
by ���G/C ��!'f-k�/J y �C .�$<
Who is/are personally known to me or has/have produced Who is/are personally known to me or haslt�ave produced
as identlfication. as identification.
Notary Public Notary Public
Commiss No. Commission
Name of Notary typed,printed or stamped Name of Notary typed,prfnted or stamped
�'� �
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City of Zephyrhills �
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���S /��� s 'l �-����m
Date Received: ,..� - Z� �"�
Site: 3 /��7'� � "��� ���Z_
Permit Type: � �1� �`C� ����
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.
�
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�� �
Kalvin S i Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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