HomeMy WebLinkAbout13-14619 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
' (si3)�so-oo20 14 19
BUILDING PERMIT
Permit Number: 14619 Address: 39512 CHARIOT LANE LT 237
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 12,500.00
Date Issued: 12/10/2013 Name: NHC FL 115 LLC (nickerson)
Total Fees: 270.00 Address: 6991 E. CAMELBACK RD STE 6310
Amount Paid: 270.00 SCOTTSDALE AZ 85257
Date Paid: 12/10/2013 Phone: (813)783-7518
Work Desc: CARPORT , SHED & CONCRETE
5 . . .
HOMEOWNER PLUMBING FEE 60.00
HOMEOWNER
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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 e�ctra 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 accessibie.
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 Acxompany 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
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
tract omeowner: C �
Date Received: JD �,�- /�
Site: �Cl��'�',Z� �,��� �--�
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Permit Type: �Q�QB ,�����c�t �'�
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.
1
l��'�� �
alvin S zer-Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City ot Lephyrhills Nermit Application raX-�,s-���-���,
Building Department
Date Recei`ved
Phona Contact for Permittin -
Owner's Name � � � �L'icl[i'fQ/,� Owner Phone Number
Owner's Address a/rS �D�- ��lr-/��Gr C1L.1� Owner Phone Number C
Fee Simpie Titleholder Name � Owner Phone Number C
Fee Simpie Titleholder Address
JOB ADDRESS 31 S��- C fp/- ��Q LOT# o�/
SUBDIVISION �4 es7�'CC �cL`� PARCEL ID# °Z��-�d -����Z'L��"O Gri���� �C„�
(OBTAINED FROAA PROPERTY TAX NOTICE)
WORK PROPOSED � NEw coNSTR e ADD/ALT Q SIGN � �] DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER �-
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��OC% U �(��,���
BUILDING SIZE ` � � �� SQ FOOTAGE SD�-�J HEIGHT ]
�BUILDING $ fa 5--� � VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBING $ l,� ' `�PERM�}r +��VIC�
:�13)78g.6314
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� �X �-�$,24-7$9�
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ��j� - COMPANY �� Gr� � Z C •
SIGNATURE (_�.�-rY�z'-Cri4� � REGISTERED Y/ N FEE CURRE� Y J N
r �i � � �
Address i�-�� �- fC1� �� • � License# C -�
ELECTRICIAN �' 1('�; COMPANY ��.�/^
SIGNATURE ���� G��'�� "`, REGISTERED Y/ N FEE CURRE� Y/N
Address � v �o�- � License# C �
S GNAT URE �" /�� COMPANY ����
REGISTERED Y/ N FEE CURRE� Y/N
Address �9 � �.1��(� c.s�l�2 License# C
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# �
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 construcUon,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Ptans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuction.
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 construcdon.
Directions:
Fill out application completely.
Owner 8 Confractor sign back of application,notarized
If over;2500,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 owner autharizing same
OVER THE COUNTER PERMITTING (Front of Application 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 RESTRIC710NS: The undersigned understands that this permit may be subject to°deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibiliry for compliance wiifi any
applicabie 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 FEE3: 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 idenfified 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 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 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 instailation has
commenced prior to issuance of a permit and that alf work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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, WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviativn 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 uA", 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 wail.
- If fill material is to be used in any area, I certify that use of such filt will not adversely affect adjacent
properties. If use of�II is found to adversely affect adjacent prope�ties, 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 spec�cally 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 pe�mit 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 FINANCtNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORiDA JURAT(F.S. 117.0 _ ^ � �
OWNER OR AGEN
Q C!.y !f/!(/l�.t., CONTRACTOR `--v ��` ��
Subs bed and swom to r affirmed)before m�this Subsc ed nd swom to( aftirmed)b ore e this
/�by J��C�c �,l ec/��✓�S /a -��/.� by �1'�Q t I� ���viy
Who is/are personally known to me or haslhave produced Who is/are personalty known to me or has/have roduced
-- ` as IdenNftcatlon. "" --�as identffication.
Notary Public
/ `_a�� Notary Pubtic
ommissio�No. NOTARY PL"BLiC-S PATE OF FLORIDA Commission No. NOTARY Pi'BI IC 5'ir�TF�F F'r numd _
, u�an Su�.anne Bahr
`�� Coc,!ti;ss'or�#EE044504 ' ` ' ,�' "�`
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Name of Notary typed,p .�r��'���— Name of Notary typed,printed' , ,,t+��ire5 \'0� 22,2014
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PA��A PERMITSERVIC� �-� ff Z���r
(�/3)789-5314 �I� I I
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2013188874
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,Z�—,1f_,L/ UCXJO- oD/d0-
Pertnit No. Parcel ID No _
Q
NOTICE OF COMMENCEMENT
State of �/��l� County ot �� _
THE UNDERSIGNED haeby gives notice that improvement will be made lo certain real property,and in aeeordance wilh Chapter 7i3,F�orida Statutes.
the fotlowing inlortnation is provided in fhis Nolice of Commencement: ' �� �i
t Description of Property Parcel identification No. L �7 �� � �`�f _
Street Address: c�9� �°�- C�h"d7" �`�' �6 r�(.�/ y `��� —
2. General Descriptwn ot Improvement —
C�'ii._���� cl' o� � Co.c G..e _
3. Ovmer Infortnation or Lessee in(ortnetion il the Lessee contracted for the improvemenC _
�J t.�.�e/uo'! —
a SI oZ.-NamR�Cc../"/6 �f �l 3�r�
L!L
Address y State
Interesl in Property: � -
�Rept:1861202 Ree: 10.00
Name of Fee Simpte Tltleholder �OS: 0.00 IT: 0.00 _
(Ildif(erentfromOwnerlistedabove) tll/03/13 B. MeBeo Dpiy Clerk
�------ --- --.
Address �� � � City State
4. Contractor —
�y�� � �� � ���
Address �ty State
r ---- — ---
ContractorsTelephoneNo. aau�a s o'NEIL,Ph D Pii5C0 CLERK 4 COMPTROLLER
�11/06/13 2:0 1 of 1
5. Surety OR BK �9�� PG 48�
Name �----- - - --- —
Address City Stale
Amount of 8ond: i Telephone No. _
6. Lender —
Name
Address City State
Lender's Telephone No.
7 Perso�s within the State of Flurida designated by ihe owner upon whom nolices or olher darumenls may be served as provided by
Secllon 773.13(1)(a)(7),hlorida Stetutes�
Name
Address City State
Telephone Number of Designaled Person: —
8. In addition ta himself,the owner designates of__
to receive a copy ot lhe Lienofs Notfce as provided in Section 713.13(1)(b),Florida Statules.
Telephone Number of Pewon or EnUty Designated by Owner. —
9. Expiratfan date of Notice of Commencement(the expvation date may not be before Ihe completion of construclion and final payment tn the
conVaclor,but wili be one year hom the date of recordi�g unless a diHerent date is speci6ed): _
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED iMPROPER PAYMENT5 UN�ER CHAPTER 713, PART 1, SECTION 713.73, FLORIOA STATUTES, AND CAN
RESULTIN YOUR PAYING TWICE FORIMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECOROED ANO POSTED ON THE JOB SITE BEFORE THE fIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONS�UIT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of pe�jury,1 declare thal I have read lhe foregang notice of commencement and that lhe facts stated therein a�e lrue to the best
of my knowledge and belief.
STATE OF FLORIDA
CO �'^ 1 —
'`"�'" STACIE LYNN HARTWIG Signature ot wner or Lessee,or Owner's a lessee's Authorized
,� 4c. OKcer/ irec orlPartner/Manager '
MY COMMISSION#FF064897 ��y//!J /1/�/i_�a^
i"�,��dF° EXPIRES Octaber 21,201� // iLf� _
'"•°i^% Signatory's Title/Office
{so���e�o�w FbrldeNOteryService.COm /��-��/ �p �/����✓1
The foregoing instrument was acknowledged before me ihis ►�aay of��20N,by ��4/��( �/�-N+�-O/� _
as ���l (type of aulhority,e.g.,officer,trustee,attorney in tact)for
(na party on behalf of whom�nstrumen was cgcuted).
Personally Known❑,Q$ProduceC Identification Nolary Sig a �� —
Type of Identification Produced N� Name(Pdnt) � N e � � —
wpdat albcsln oti cecom mencement_pc053048
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