HomeMy WebLinkAbout15-15929 i
CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
� , � ' (sis)�sa-oozo 159 9
B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15929 Address: 39616 AMETHYST WAY
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE ,
Est. Value: Parcel Number: 24-26-21-0020-00000-0250 ,
Improv. Cost: 1,943.00 OWNER INFORMATION ' 'i
Date Issued: 1/23/2015 Name: ROSE HOMER D & MICHELE L '
Totai Fees: 67.50 Address: 39616 AMETHYST WAY
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/23/2015 Phone: (606)694-5025
Work Desc: ADD METAL ROOFING PA EL & BRACING
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESID NTIAL 67.50
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Ins ections Re uired�
DRY IN ROOF INSP
TAPE JOINTS ROOF INS�
FINAL 'L -2`�- 1�
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not posl ed 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 m nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing, consult with your lender or an attorney
before recordi g your notice of commencement."
� Complete Plans, Specifications Must Accom any Application.All work shall be pertormed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M � NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
Date Received �" ,2��� phone Con act for Permitting b C/ —5�o�,.�'j
Owner's Name � b /�'� f O �% Owner Phone Number �� � �9�—��
Owner's Address � � v��,t� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple T�tleholder Address
JOB ADDRESS ~ 3 cT�o � f'l i�T 5 I LOT# � �
SUBDIVISION � � V� ��. P I CEL #
- �- - ' � ' ' (OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE ; Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME
� 0 STEEL Q
DESCRIPTION OF WORK � d � �� � f I ��j�� � •r v �•d � I2 U cs
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING °' "
� ��3,Z� ALU TION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ `��� ` °
� c����.�
QMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION � s� ✓
QGAS Q ROOFING S ECIALTY OTHER a G������� .
1 � 1 �' �
FINISHED FLOOR ELEVATIONS � F OOD ZONE A�REA DYES NO ` ���
� �' c 1�-
BUILDER �
� COMPANY (�Ol�� lJ�.c�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 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 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 d te: Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pe it 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&1 dumpster.Site Work Pe �it for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. � -
""PROPERTY SURVEY required for all NEW nstruction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/ upgrades over$7500)
'" Agent(for the contractor)or Power of Attomey(for the owner) �ould be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING•-- . (Frontof°Application On y) , ;
Reroofs if shingles Sewers ' Senrice Upgrades.A/C ences(PIoUSurvey/Footage) � . - _ , .. .,, ,.
,
Driveways-Not over Counter if on public roadways..needs RO , ' �
NOTICE OF DEED RES'TRICTIOfdS: 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 COPITR�RCTORS �►ND COIVTRACYOR RESPOfVSIBILITIES: If the owner has hired a contractor or
contractors to unde�take 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 a� the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileg�s�in Pasco
County.
TFtANSPORTATiON IMPAC7'/UTILITIES IAflPACY AND RESOURC� RECOVERY FEES: 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 buiiciings, 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. !f 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. '
COIVSYRUCYION LIEfV LA1�1(Chapter 713, �lorida 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'SlOWNER'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 pertormed to meet standards of all laws regulating
construction, County and City co�des,�zo,ning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regu�atic�ns 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 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 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 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�1GENT 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 Buildirig 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.
�,
{NARNING TO OWNER: YOUIt FAILURE TO RECORD �► NOTICE OF COflAMENCEMENT Afll4Y RESULT IPI YUUft
F'�4YING TWICE FOR IIIAPROVEAAENTS TO YOUR PROPERTY. IF YOU INTEND TO O�TAIN FINANCING, COfVSULT
WITH YOUR LENDfER OR�4N ATTORPVEY�EFORE RECORDING YOUR NOTICE OF COMMENCENiENT.
FLORIDA JURAT(F.S. 117.03)
OVYNER OR AGENT COPVTRACTOR� i �I�J ��� -
Subscribed d sw to(or rmed)before m�,y is Subscribed and swor to(or affirmed)befor e thi
1-r2-1�"byo�'1-1 c� M��2 Y-C'�.5�� l-�Z-�s by !-�o�l='�, l�'. �as�
Who isla�e pe�rs�onalJY known to me or has/have produced Who Is/are pP�rsonally known to me or has/have produced
�LJI��� l.t2x-v�S� as Identlfication. �� c�,c��1,�2+�����— as identification.
_ IVotary Public l.t-����P Notary Public
C.0 I lon N . Comm$SI n N 6lOL•8f•OIN3e�ue�nsu u�e ,�o�
6lOL'S9E-009 eoue�nsUl�I�d Fal N41 Pepuog `�ao��dd.� �Z'Zl�a9waoaa sandx3 �°��� ���'
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Nam of p �r ' t� �,.: Name of Nota typed,�@�o�t�8e�f ":��e A�;°:'
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4tiv�_
Gity of Zephyrhills
BUILDIN PLAN REVIEW CORrIlVIENTS
ContractorlHomeowner: �i�
Date Received: l � ,Z-- v�
Site: � - � � �if sj ��
Permit Type: � °i— G�`�°'-�1���'�
Approved wJno comments: Appxoved w/ e below camments:_,� Denied w/the below comments: ❑
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This comment sheet shall be kept with the permi and/or plans.
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Ka ' S it r—Plans Exanniner Da Contractor and/or Hameowner
(Required when comments are present) '
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� nzs�as S2'���'�3'1:NT .E'QR CfWRIER
CISl' OF ZEP II:Z+S �HLTTLDING DEPARTMENT
_ ' have read arxd ful.ly understand and
agree •to the provisiozis of �this i trument.
.The undc�ssigried .states and af�irms that he ax she is desi.�ous of constructing,
resaovat�.xig, adding�to ar xeroaiin his or her own dcmi.cile, that he or she
actually occupies, or will occupy said domic:i;le, and same is not fox
•ren�, lease or sa1e. That he ar s e sha11 camply wi-th the followi'ng cQndi-r..a.ons:
1. That the ownes and.he ar she one sha1.1 act as -�.he builder far a1.1. phases� of
ccnstru�tian. • .
2. That the ownez wi:ll coscply wi a11 provisians o£ the City of Zephyrhil�.s
ordixsanaes and codes pertin� to the buildir�g.
3. Tha� in the ev�t variaus pha es af canstruction are subcontracted, he will
ELSgage or�.y •propps�,y licerxsed subcontsactors and will personal�.y supervise
such wa�k. -
4. �lza-�, in the event the Btzildin 2nspector sh�11 re�,;.re cozrect�a.ons �to be made,
�the owner will assume full ra aasibility to insure •they aze made, and upon
comp3.eti.on will caZ3 �or a re' eata.on befose proeeeding with the builc33ng.
5. Tha� the owner sha11 asstm�e f 1 responsibility far �he cazistructir�zi asxd vri].1
no� +axpect_ supesv3,sian of his work f'rom the Ciiy .af Zephyshills Bu3.lding
Depart�es7.t. -
6, �'�iat. prior ta fizs.a.l izispe��Yso any additi.onal fees, including seinspection
fees, must be paid ia ful1.. wri�ten request from this affice sha11
constitute an official not�.ce -�o pay additiorlal. fees..
7. fihat the awzzles shaZ1 comp�.y w th a11 City, S�ate and Fedezal laws s.n r�:t3cZrd to
social aeeuri.�y, warkman's c ensation, liea laws, etc. , where applicable.
B. That the owuer sha�1.1 comp3y w �h a11 the sa:Eety codes issued by the E'1o=ida
Industrial Comm.ission.
9. 5ta�e law re�7;res canstruc'ti t�. to be done by licensed contractors. You have
applieci �or a permit ursder an eace�gtion to t.hat 3.aw. fihe e�cemption allows
you, as the owner of your pro ty, to aot as your owm contrac�or vri.th certaia
restrictions even though you a not have a I.icens�. You �must .Prov�.da direet
onsite sup�rvisioxx of the con truct�a.on yourself. You may build or improve a
one-family or two-family resi +�uce ar a farm outbuildiag. You may also build
or improve a commercial, bu:i1, g, p=ovided yaur costs do not e�cceed $25,Od0,
, The building or residence mus be �ar your awn use or occupancy. .It may no'�
be buil�t or subs�tial2�r img ovad for sale or leasa. If ycu s�ll or lease a
building you ]save built or s staa�a.ally i�proved yov.rsel� within 1 yeas af�e=
the cons!-ruct,ion is co�plete, #he law w3.11 pses�ae•that you bu�.lt ar
substant-i.aZ2y i�psoved •if i"or sale or lesse r which is a violat-a.on af tt2=.s
P�Cemptioxx. You may aot hire unl.i.c��ed pG�L�sori to act a's your cantractor or
to supesvise peaple wazkizxg o your bui3.ding. S� is yaur responsib=.lity to
- make sure that people �ploye by you ha.ve licenses rec�,;�ed by state 1.aw and
by caunty or munzcipal, liaeas' g o�diaances. You may nat de3egate the
responsibility fax supervisin worlG to a liaensed coxy.tractar who is not.
liaensed to perfosm th�e wor]c e.s.xig dnne. Arsy pErson worka,.ag on yovs bztildixig
who is not lic�nsed must warl� uzides yavs direct suppsvisi�n arid must be
EIIlployed by you, which meaus t you must deduct F.S.C.A. and withholding tax
asid pravide workers' aomp�a,s 'on for that e�play2e, a13 as prescr�bed by 1aw.
Your constsuction must compl with a1I appl.a.cable laws, ordu�arices, buiZding
codes, arid zaning regulati.ons.
OWNER'S SIGf7A"1'LTF2E DATE
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PHONE - �
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' U .
� ' Procedure r Lot tmpravement Requests
(Please refer o#he "Rules end Regulations"}
1. 1.Ali requests are to go to the.Ch rman of the Lo# lmpravement Committee, You can hand
deliver i#to the Chairman or place t in the EPPGA mail box outside the EPPt)A C7ffice. The
Chairman wiii present it to the �ot mpravement Committee for their review.
2. An re uest which is N T #illed out ro rl which incfudes,
complete de#ai�edlsketc #o include #aatprint, setbacks, #ront
elevat�c►n, back eleva#ia , ieft & right elevatian and must include
all sizes and lacations o windows and doors, wi�h length, width
and heigh# of #he averall structure inciuding colar of siding, trim,
shutters, doars and pav rs, (i# applicable }, wili be returned to the
a licant withaut an ac#i n bein taken.
3. The Committee wiH review ali requ sts and visit the site of the request as necessary.
4. After the Committee has recomme ded appravai or denial of the request, it wil! be presented
to the Board of Directors for their a �proval or denial. The fina! decision of the Board to approve
or deny the request must be made y at ieast three (3) directors, one ofi which must be the
Board iiaison ofi the Lot lmproveme # Gommittee, if available.
�
5. There wili be NO more one day approvals or last minutte aoprouels. Request wilt take 7 to 14
days for appropria#e review and can�sideratian, thus giving the Committee and Board members
, time to review and consider the req �est in a thorough manner.
'�, 6. The ariginat request witi be dated a d signed as approved or denied, and after being copied
; the origina! will go into to the rnem rs fite and the copy returned to the Lo#owner by the
', Board of Director tiaison or the Chai man of the committee.
7. The cammittee wiil foliow up on req ests to determine that the request as presented and
approved is being adhered to.
8. No permit will be AGCEPTED FQR PPROVAL after Apri11 af each year.
As the owner of Got# � -�' , i un� erstand the Lot improvement Commi#tee andlor the
Bo�rd of Directors will en#er the praperty to follow the externa! progress of the constrvction ar
improvemen#. as submitted on the Lot impr vement Request.
� � { �v 2.�
Lot Owner's Signature Date
� . �� � Los Rov��NT ��vES�
- To: 1�PP0A Lot Tmprovement Committee & Board of Directors
Fram: �.!� a �
Lot#lAddress: � � Cp �..L°- 1 t'��� � tl�Jt�
Phone number where you can be reache : � � 1,��. '"' � � � 'i j� �r�
We request EPPOA approval for oonst ction, addition to or installation, on the
faZlawing:
( )Shed { )Lanai (�RV Port ( )Park de1 { } Cottage {�Concrete Slab �� Pavers
A11 request for canstruction/additio s/remodela.ng are require to have a camplete,
detailedJskatch to i.nclude faotpri.nt setbacks, front elevation, baak elevation, left �
right side elevati.cn and tap elevati n. All alevata.ans must include all sizes and
locatians of windows and dooxs, with length, width and height of �he overa23 struature.
In addition, all request require and must inalude the full deseription, including color
' of siding, trim, shutters, doors and pavers if applicable. "PRTOR TO BEGINNING
CONSR'RUCTION" a capy o� the 2ephyrhi ls bua.ldiz,�g permit and a aopy of the conaple�ed
, engineering p2ans must be RETURNED t the "IAT IMPROVEMENT CG'Y2�tITTEE", these wi.11 be
returned to you for constructa.on. Up n aompletion of your constructioa a comp2ete copy af
the engineering drawings o�' the stru ture, (as built) permits, iraspections and final
permit approvals must be returned ta the Emerald Pointe Lot Improvemezit Committee for
Office filing.
� i h v n��e 5 5 i rn u�wi e n�"s�lr,a.� �'► l� ��e. e�av�.e i� S�"a b c.,-�`
e f' a � ' o rm e..�'1"��t ' � � i'-��'{�" A.P'l��S
r-o h -� o � o w�" a' � 2� r ° �a �` !�' C..b ��e..ft e. ►-`�v�.u:a.�
� r e= a i fi r e ` � � ° � d fio �'o'e-G-'�" 3� �'e. � r-e. L a�"� a(w�g tu2
, -- t � e.._ s�`�.��f'� ��, v�.r t e..v.�-�c�l l s e ` ' 1��
� i v�. ( � � o ea s g ro 'e��� �"p olc� c�c.� ` r p��cc �r-- w
ril t�V� G..U Lr S '{"D �,. 1 �"� v� a ��f"'S m �' S� � E'_� GZ •
', L`7 Vw.. 11� ��-� Q 0�*-a�a �
'; Lot Owners 3ignature )���^..th.._I ~J�..� Date�� ��...� D. �� �
I � _.� _ —_
'' Recommended for Apgroval Recommended to be Denied
lOt ImpraV�aaent Commit�ee:
Date:
APFroved Denied
8oard o� Directors
iDate:
Remarks:
� SE� .�`�"�'.�CH�I} ��Z.��'VINGSI�K��' `H F�IR .��.L R�t�l.il€�1E�9 ➢:1E'1['�IL�.
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