HomeMy WebLinkAbout13-14300 CITY OF ZEPHYRHILLS
' S335-8TH STREET
(813)780-0020 'F�4300
BUILDING PERMIT �
Permit Number: 14300 Address: 3508 MALACHITE DR
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0040-00000-1330
Improv. Cost: 9,000.00
Date Issued: 6/19/2013 Name: RASCO, KENNETH &WANDA
Total Fees: 180.00 Address: 608 TOM MILLER RD APT1
Amount Paid: 180.00 PLATTSBURG, NY 12901-6401
Date Paid: 6/19/2013 Phone: (518)561-3193
Work Desc: 11 x 14 SUNROOM ON EXISTING PATIO
OWNER
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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 f) 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 rec:ording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in acxordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO RACTOR 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
, Buflding Department
Date Recelved � � Phone Contact for Permittin �3 �� _f3��
�
Owner's Name /�-�/L/lQ.�/� /C..l�lf�OL° Owner Phone Number J� C/� �j�Q 1''�j� 3
Owner's Address Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number �—
Fee Simple Titleholder Address
JOBADDRESS �(�� ��E.ICc[.'/��L �I" . LOT�! �33
SUBDIVISION �l�2 ��?/lC.�� �(��7 PARCEL ID# �y d-� —02� dd yd- �Oc�- /33 U
(OBTAINED FROOM PROPERTY T�ricE)DEMOLISH
INORK PROPOSED � NEw CONS7R B ADD/ALT � SIGN
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �I�/JT �/d CDG�— O • ��I/Z��J
BUILDING SIZE �l x �J SQ FOOTAGE �.S-�
HEIGHT
�BUILDING $
9 � VALUATION OF TOTAL CONSTRUCTION x„/i���
�,�
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
PA.SCO PERMiT SEq1/ICE
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813)78g.�314
�'� �-866-824-78g�.
QGAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
4 /�- /- --
BUILDER � • ���� COMPANY ,�G�"[f� f �^y2G�l7� • �� .
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �� �� �l � z— f �
License#
ELECTRICIAN � t � COMPANY D�J�,/°�— ic..e/[�/� �fC�Q�
SIGNATURE r^� REGISTERED Y I N FEE CURRE� Y/N
Address 3 S'dd �ri-lQC �I"'. Z -� 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 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 Work Permit for subdivisions/large 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 FaciliUes 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 requ(red for all NEW consVuction.
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over;7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (Front of Appiication Only)
Reroofs'if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 regu�ations. 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 misdemyanPoPyiolation
under skate law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 IMPACTIUTILITIES 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 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, 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 Ag�iculture 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 atl 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 all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that khe 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 8� 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 the filf 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 �II will not adversely affect adjacent
- the owner may be cited for violating
prope�ties. If use of fill is found to adversely affect adjacent properties,
the conditions of the building permit issued under the attached permit application, for Iots 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 ab from the Build ng'Offic al fosa per od not to exc�edtn netyr(90) days and will demotnstrate
may be requested, in wnting,
the ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR F N'TSTO YOUR PROF'RTY.TIF YOU INTOENDETO BTA N FIANANCSNG C'ONSULT
PAYING 7WICE FOR IMPROVEME
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S 117.03) , i���L�f
OWNER OR AGEN'�� CONTRACTOR
Subscribed and sworn to or affume efor me this Su�c��d and s`nrom to(qr affiqrted) rer9e this —
b cf�!'/E _ °�/f � �/ by Cf�dCC/t �i'�/Lc�%f
�D_1�3 Y- Who Islare personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
as identification.
Notary Public
�_Notary Public
. ommissi n No Commission N ��ic-��ATr Or FLORIDA
-�� , � Ft,oRInA .�uranne Bahr
, 5uzanne Bahr ' �n;�:��,r#EE044504
ry�P�, r��� EE044504 Name of Notary ryped,printe� ;,��ZZ 201
Name of Nota �,.���- , �OV 22,2014 , ��r, �
� ,����. , r, t�c�
ROV'DF,"�;•'R1 � ,� _ „�I�GCO,INC.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
____`, �
C�nt�a�fOr/Homeowner: � �
,
�-
Date Received: � - �-� f,�
w,
Site: , �:
Permit Type: C •�.��o!l,�/� C/.f»71���������
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall ,e kept with the permit and/or plans.
_ ���
Kalv' wi - ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
pasco PEaMirsEav� �,�,/
� (813)788-6314 ��`-v� 07��/
FAX 1-868-8247894 Z,�t[��
I Iillll Ilill IIIII Illll IIIIf IIIII IIIII IIIII IIIII lilll IIII IIII
2013100507
Permit No. Parcel ID No e2�`�d�� D��v' �_/-"`�
NOTICE OF COMMENCEMENT
staro or ���rl� county ot J���
THE UNDERSIGNED hercby ghres notice that improvement wiN De made to ceAain real property,and in accordance wlth Chapler 713,Flonda Statutea,
the foUawinp Infortnalian is proWded in tMa Notice of Commencement �,1
1. Descriptlon ot Property: ParcelldentKCation No. e�- -d-�-d"/—��O""�(�L��i�.7� �� �
stre��ndd�as: 3sdj' /�7l�aL'.� �r . � ,(�� .,? T �.o/!� C�
2. General Description of Improvement
�odm �.dol�,�.a�
3. Owner InformaUon or Lessee informaUon ii tlie Lessea coMrected for the knprovemenl:
/1�a�y/� �°QJea e
��lf ����clu,� .Or• Ze ✓ 3,3�f�
P.ddreas ' C y State
Interest In Property:
Name ot Fee Simple Titlehdder
(It differenl from Owner listed above)
Addreas iI� [^ J /,_ �, • �C . City Stale
4. Contraclor �C.J /L � ���(
Ne��y�� ,� . .�i�� .e 7.� r �� �
��s �i State
Contradors Telephone No.
5. Surety:
NamE
Addreas Ciry Slate
AmouM of Bond: S Telephone No.
8. Lender:
Name
Addresa ���Y
State G��CV��
lentler's Telephone No.. � • • *
7 Persona within the Stete of Florida designated by the owner upon whom notices a other documents may be served as prowtled by � • ,� �
SecUai 713.13(1)(a)(7),Florida Statutes: � �
t
Name ,ql���� , *
� • ��� �
Address City State � 5�" n
Tekphone Number oi Designated Peraon� `
� ���1 •/��
8. In addition to hMSelf,the owner de�ignates °�— # � . ��`_
to receive a copy of Ihe Lienors Notice as provided in Sectlon 713.13(1){b),Florida Statutes. * �rr
Telephone Number of Peraon a En�ty De�ignated by Ov�r: � . �:��
9. Expirotion date of Notice of Commencement(fhe expiratlon Oate may not be bebre the canpletlon ot construction and Mal payment to the
coMrecla,but will be one year from the date of recording unles�a diHerent date Is apecified): F. W Y
WARNING TO OWNER: ANY PAYMENTS MAOE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT Q z U �
ARE CONSIDERED IMPROPER PAVMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLOR�DA STATUTES, AND CAN Cn W LL � W �
RECORDED AND POSTED ON TFIE JOB SITE BEFORE THE FI ST NSPECTION RIF YOU INT�END TO OBTAIN FINA C NG,CONSUl7 U C7� � _ �J U
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOVR NOTICE OF COMMENCEMENT � Z U � �-. O �
UndCr penalty of perJury,I deGare that I have read the foregdng noUCe of commencemeM and that the facts stated therein are irue to the best a � O = Q N (Y �
of my knowledge and bel�ef. a
� � � zcwn a~ LL'
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STATE OF FIORIDA NOTAR7 PL'B!.1C•ST`��r•�^F�O•^�ID:\ � _ O � � �
COUNTY OF PASCO ,,,",• Si:.1Ct: ,. �}"iV.'IF{
:I��'•_ S nature ot Ov�mer w lesaee,a Owner's or lessee's Aulhorized � � �+- � U O
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Type of Identifieation Produced u� Name(Print) � C/e- w'y � O � � � �
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PRULR S 0'NEIL,Ph D PiiSCO CLERK L COMPTROLIER
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