HomeMy WebLinkAbout15-16123 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (sis)�8o-0020 16123
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16123 Address: 5024 9TH ST HISTORIC
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21200-0110
Improv. Cost: 3,233.00 OWNER INFORMATION
Date Issued: 3/30/2015 Name: DEFALCO STEVEN & CECILIA H MONTE
Total Fees: 82.50 Address: 5024 9TH ST HISTORIC
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/30/2015 Phone: (973)420-5551
Work Desc: SLAB 20 ' X 25 '
CONTRACTOR S APPLICATION FEES
L.R.E.CONSTRU T ON E VI ES,L BUILDING FEE 82.50
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Ins tions Re uired �
FOOTER �,
SLAB
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 res�niting
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 recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
n
NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
n��-,a�-���� Gity af Zephyrhills Permit Application Fax-813-780-0021
Buitding Department
', �l��—�� „_~'_�
Date Recetved,_ !� Phane Contact for Permittin -��� ��� - $���
Owner's Name �'�f'�f�^ ��t�i�t�� Owner Phone Nurnber ��7 ��' ����
Owner's Address �� Z� �T� 4'T Owtter Phana Number _,
Foe Slmple Titleholder Name �rl-id C,w� �i,���C.+� � Owner Phone Number �
Fee Simple Tltieholder Address
.�'G z.Ll �t'�' S F Ze�'b"�,`'��4 t� 3z 5�Z
JOBADDRESS C"L� ��� 'F" ZL �� "�•,1�5 �''L ��5�'i„L LQT# ���'@�
SUBDIVISION � � FARCEL Id# t� ' Z�- Z�- t��1�' � Zi L �� `- ��1��,
(OBTAiNED PRQM PROPERtY TAX NOTICE}
WQRK PROPOSEQ e NEW CONSTR ✓� ADQ/ALT � 5lGN Q Q DEMOLESH
INSTALL Q REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTI4N � BLOCK � FRAME 0 STEEL Q
DESCRIPTION OF WORK ��v�f C,B�`c.,r'-�, �� ��'. f�,c.l a ���,t, t11s9'� ����"'�J�'\ `��` � S �_
BUILDING SIZE � � SQ FOQTAGE C� HEi6HT �
QBUILDlNG $ �` 2��� VALUATlON OF TOTA�CONSTRUCTtON ���r��
QELECTRIGAL (��� AMP SERVICE Q PRQGRESS ENEFtGY W.R.E.C.
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�PLUMBING �9i� . j � � f `����
� � N� ��,
QMECHANICAL $ VALUATION QF MECHANICAL INSTALLATION ���y�
. � � �� �
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QGAS Q ROOFING Q SPECIALTY � OTHER ����}�,�'
=1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � `i"1�
9UILDER �/ COMPANY t,��t'.. t.,�nfF��r; ,.z•- �rtt��
31GNATURE y REGISTERED Y/ N FEE CURRE� Y/N
Address � .� ���v� ��" a'rr��'�`ti•�t t �T. �P`���' ticense# r�,avt.�a-v�fo.�.�i�G1 �
°_LECTRlCIAN CQMPANY
>IGNATURE REGISTERED Y! N FEE CURREl� Y/IV
Address License# �� ���
'LUMBER � COMPANY
CtGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# � �
�ECHANICAL � COMPANY
i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �ECense# r ��
ITHER COMPANY
�IGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# �` ��
;ESiDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forrns;R-O-W Permit for new constructlan,
Minimum ten(10)workfng days after submittat date. Required onsite,Construction Plans,Stormwater Plans wJ Sflt Fence installed,
Sanitary Facitities&1 dumpster,Site Work Perrnit far subdlvisfonsilarge projects
OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Permit for new c:onsfnac�on,
Minimum ten(t0}working days�after submtttat date. Required onsfte,Cans#ruc#ion Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpster.Site Work Pemtit for a8 new projects.Ali commercial requirements must mee#campliance
IGN PERMIT Aktach(2)sets of Englneered Plans.
'**'PRdPERTY SURVEY required for all NEW canstruc#ion.
Irectlons:
Fiil aut appiicafion completely. ,
Owner&Contractor slgn baok af applica�on,notarized
If over�2500,a Notice af Commencement is required. (A1C upgrades over ET500)
Agent(for the cantractor)or Power af AYtomey(for the owner)woultl;be�someone wlth natarized letter from owner authorizing same � .
VER THE COUNTER PERMITTING {Front of Application;Qnly}" " � ,
eroofs lf shingtes Sewers Service Upgrades A/C � ; Fences(P1oUSurvey/Footage) ,
bNveways-Not aver Gaunter if on•pubHc roadways:.needsROW ' � ` ' - - -- �
NOTICE OF DEED RESTRICTIOCVS: The underslgned under.�tands that this,p�rmit.may.be.subJect to"deed"restrictfons'�
which may be:more restricttve than Countyregulatlons. �The undersigned assumes �esponsibiltty for compflance 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 Ilcensed in accordance.with state and�local regulations. If the
contractor is not Ilcensed as required-by law, both the owner and contractor may be ctted for a misdemeanor violatton
under state law. If the owner or intended contractor are uncertain as to what Iicensing.requlrements may apply��for the
intended wrork, they are advised to contact the Pasco Counry Bullding Inspectlon Division—Licensing Sectfon at 727-847-
8009. Fu�thermore, tf the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this appllcatlon for whtch they will be responslble. If you, as.the owner stgn as the
contractor, that may be an indicatton that he is not.properly licensed and is not entftled to permitting privileges tn Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY�FEES; The underslgned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may��apply to the construction of new buildings, change of
use in existing buildings, or-expansio� of=existin,g'buildings, as speclfled 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 tdentified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees musY be paid prior to
receiving a "certificate of occupancy" or flnal 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(ssuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, as amended): If valuation of wrork is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida ConsUuction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtained a copy,of the above.descrlbed "docurr�ent and promise in:good faith to
delive�it to the"owner"prior�to�commencement.-
CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ce�tify that all,the Information in this application is accurate and that all work
will�be done in complfanc� with;��ll appl(cabie laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit to .do work and installation as Indlcated.� 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 regulattons-in the jurisdictlon. I also
certify that I uaderstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�rn►hat.actions I must take to be_In.corrlpliance. Such agencles include but are not limited to:
- Department of Envlronmental Protection-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .:District-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawails, Docks, N�vigable Waterways.
- Department of Health & Rehabllitative Serv(ces/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septtc Tank's. _
- US Environmentai Protectfon Agency-Asbestos abatement.
- Federal�►viation Authority-Runways.
I understand that the following.restrictions apply to the use of flll:�
- Use of fill is nvt 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
ucompensating volume" will be submitted at time of permitting which is prepared by a professional engfneer
licensed by the State of Florida.
- If the fill matertal is to be used in Flood Zone "A" in�connectton�with.a permitted building using stem wall
construction, I certify that fill�will:b.e used only to.flll the area within the stem wall.
- If fill material Is to be used fn any area, I certify that .use. of such fill will not adversely affect adjacent
properties. If use of fl�l is found to adversely:affect adJacent�properties,,th� owne� may be cited for viofating
the conditions of the building.permit Issued under the attached permit applicatlon, for lots less than one (1)
acre which are elevated by flil, an engtneered drainage plan is required.
If I am the AGENT FOR THE OWNER, I,promise tn 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 elect�ical 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 Ncense to proceed with the work and not as authority to,violate,cancel, alter, or
set aside any provisions of the technical codes; nor shall tssuance of a permit prevent the Bulldtrig Official from thereafter
requiring a correction af errors in.plans, constructlon or violatlons of any codes. Every perm(t Issued shall become invalid
unless the work authorized.by such permit�is commenced�with(n sfx months of permlt issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the�work ts commenced. An extension �
may be requested, in writing, from the Building.Official for a period.not to.exceed ninety�(90) days and�will demonstrate
justl�able cause for.the extension. If work ceases,.for ninety�(90)consecutive days,..th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE.TO,RECORD A NOTICE:OF�COMMENCEMENT MAY RESULT IN YOUR
PAYING TlNICE,FOR IMPROVEMENTS TO YOUR-P.ROPER-TY. IF YOU�INTEND'TO OBTAIN�FII�ANCING;�C.ONSULT
WITH Y UR LENDE OR AN A'�'TORNEY B ORE�RECO � G YOU O �I E`.O - O E CEMEN
' FLORI�A JURAT-(F.S.117. - _ - _ _
�
OWNER OR AGENT� �� CONTRACTOR�
Subscribed and swam to(o iflrm d efore this Subscrlbed and'swo affirmed)�before me this
�-2S'�-s by �r , � M �2S=1 S—:by � � . .
Wh Isfar ersonall ovm to. or has/have produced Who Ifi[,are erso ally kyol�m to me.or haslhave produced.
�i���Cas �-•�9�as Identlflcatlon. f=C� ���� �•^S-� as IdentlBcatlon.
u.Qx�� � Notary Public 1�s- Notary Public
�Gom slon -�_°' "`��: �ACQUELI BOGES Commiss o. eq��"PYB�,, JACQUELINE �ES
- ;; ,P,: Expires De ember 12,2 18 ;; ��;' p e Decembe�12,
Ex ir s 2018
Name of NoC21 � �Ff°t0"�800��-�0�9 Name of Notary
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�'�}f� L.R.E. Construction Services, LLC.
„f:f:�_:�:
F��✓ Y P.O. Box 10263
/� �=:;t;:::;.-
` ��=� "' Brooksville,Florida 34603
` .;.."r Voice: (352)796-0229 Toll Free:(800)580-0229
Fax: (352)754-4558 Web: www.lre�si.com
Construction Services, LLC. F7orida License#CBC1256398
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Name: � q ' � Mailing Address: ,� s7'. �+. rdi i��S F� 3,3s
ProjectName: aCFA-I�GC) BID AMOUNT
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C&RNumber: g��6� ~ � � �33.�-3
�, � � / r/� 50%($ )
Project Location: ��1� �'.i S�i r�Q Y�h' s payment Method:ChecWCash ❑ Financing❑
Credit Cacd❑ Other ❑ Bid Date: 3 /0 /:
— �/Z�,O �9,Q�A �J'e�,� �� �ovse R �3 oZv� X o2� ' .s/�a9B �/''Y�,ca
.. . .. — �,�o �o� �a�rz (�65') •a'x..t„ �
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Pavers ,7 /
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Concrete
o�e��y Te�� ❑ � ��SS � 6i1zK AeD �y�Lp ��i
Y v ��i� A//�}�.
Other ❑ � j,� � �e
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Concrete:
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••�� Pavers: �� ��Gd�i��rr 0� v�iv- C'G �//•s
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Overlay Texture:
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• Permit fees and cost of engineering if required
• My demolition or work other than above scope of work
� • Underground utility location
• Root removal may be necessary to accomplish desired results.Cost to be determined upon demolition.
• L.R.E.Construction Services,LLC.shall not be liable for the health of any trees affected
All material is guaranteed to be as specified. AII work to be completed according to the standard practices. Any alteration from above specrfications will be executed only
upon written orders,and may becrome an exfra charge. All agreements contingent upon accidents or delays beyond our conVOl. Our workers are fully covered by Workmen's
Compensation Insurance. Client assumes all responsibility for damages due to breakage of any hidden fuel/utility lines,though we will do our best to avoid such damage.
L.R.E.CONSTRUCTION SERVICE C. CUSTOMER SIGNATURE:
AUTHORIZED SIGNATURE: CUSTOMER SIGNATURE:
DATE: lrZ /S DATE:
Acceptance o/P�oposa!-The prices proposed,specifications and conditions are satisfactory and are hereby accepted."My signature indicates that I accept the terms of
this Proposal.
Payment of 50%due prior to mobilization,remaining balance due 10 days after invoicing.Remaining balances after 10 days will be charged 1.5%a Monthly Interest.Contract is
not considered finalized until countersigned by an authorized individual from L.R.E.Construction Services,LLC.LRE Construction Services,LLC reserves the right to cancel
this contract at any time.
L.R.E. Construction Services, LLC Re resentative: ��5.��
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2015046320
' Rep1.:1670053 Rac: 10.00
DS: 0.00 IT: 0.00 m D
03/25/2018 D. W., Dpty Clerk , o�N D
n-z�-zt-oo�azizaaono m`�"`•"
Pennit No. Parcel ID No x�_
NOTICE OF COMMENCEMENT (Q��
1'a'm�
Slate ot FLORIDA Caunty of P��� F'
�W o
THE UNDERSIGNED hereby gi�es notice that improvement will be made to cerlain real property,and in accordance with Chapter 713,Florida Statutes, �W a
the toUowing information Is provided in this Notice of CommencemenL' 3 0
1, Desaiption of Property: Parcel Idenllficat(on No.CrtY OF 2EPHYRHILLS PB 1 PG 54 LOT511612 BLOCK 212 OR 8846 PG 2503�il•26214010-71200.0110 �M�
m
Street Address: 5024 9Ih Sf..ZEPHRYHILLS,FL 33542 �o x
NON-STIiUCTURAI.COSMEi7C REPAIRS '��
2. General Description of Improvemen[ N�,,,o
. �
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3. Owner Informatlon or Lessee Infortnalion if the Lassea contracted for iha improvement: �
p
STEVEN DELFACO
5024 9TH ST. Name ZEPHRYHILLS F� 33542
Address City Stale
Inlerest in Property: o��
Name af Fee Simple Tilteholder.
(If di(ferent from Owner lisled above)
Address City State
4. ConVactor. FRANK VITALE-LRE CONSfRUCTION SERVICES.LLC _ _
Name BR��y�� �. 34603
PO BOX 10263
Address 352-796-0229 City State Q z U �
ConVactors Telephone No.. \ W �
� � � � � (/N J U
5. Surery: U C7 r�
Name ' � � ZV � 1—� � �
Address Cfty State � � � � = Q N � �
Amowt of Bond:b Telephone No.: � � W �' � � �
� � = z �
6. Lender. � � � � 0
Name W �t- � U
Address City State = � � � U- oZS
Lenders Telephone No.. o � a W �
7. Persons within the State ot Florida designated by the owner upon whom notices or other dowments may be served as provided by U 2 �U U J
Sedion 713.13(1)(a)(�,Florida Statutes: Q 1— � J U
� � U m p �
Name . � LL' W � Z OJ
o � � Q w I
J WO � ZII
Address Cily State LL U U � `�'
Telephone Number of Designated Person: � Q 0
8. In addition ro himself,the owner designetes , o�_ � � Q O �
lo receive a copy of the Lienors Notice as provided in Sedion 713.13(1)(b),Florida Statutes. � � z �
Telephane Number of Person or En6ty DeSignated by Owner.
v�i � � 0 � m
9. Expiration date of Notice of Commencement(the e�iratlon date may not be before the completion of consWdion and final payment to the
conVador,6ut will be one year(rom the date at rewrding unless a different date Is specifled):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT I * *
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN *
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE I _`��C . '• b
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA{N FINANCING,CONSULT i r
WITH YOUR LENDER OR AN AITORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �G � ` A�
Under penaRy of perjury,I deGare that I have read the foregoing notice af commencement and that the faets stated therein are We to the best �. �`a } ��
of my knowledge end behef. ti •
cb �.
STATE OF FLORIDA --�.�� � � •�
COUNTY � �� `cs �i!
Signature of Owner or Lessee,or Owners or Lessee's Authorized °
��`� � CHRIBTOPNEH IA KAWA Officer/DiredodPartnedManager �' � .'�Q
. Nptory PuEliq-StW9 W fb7lda �
i: ' My Comm.Explte�S�p 19,2017 (��n P_� �
'•.,; ��,� Commbel'on�FF.055689 � Sfgnatory's TiUe/Office � �
T h e f o re g o , fo me this L�da y of�q l -�,20(,�,�by ���� * • .� *
as (type of aulho�lly,e.g.,officer,trustee,attomey in fad)for
(nam a on b of whom instniment was executed).
Personally Known�0�Produced Ident�cadon❑ Notary SignaWre��� •
1/ \
Type of Identificalion Produced Name(Print) v n. Q.�e
i
wpdata/bcs/noticecommencement�c053048 ,
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City of Zephyrhills
BUILDIIVG FLAN REVIEW COIVIMENTS
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ContractorlHomeowner: 1 � � �(�'y�.S�f� (�+c�.
Date Received: �- �--5 `��
�it6: ���-� ��. ��
Perrnit Type: �k Gf�'`�-� 5 �C�6 �G � �
Approved wlno camments:❑ Appraved wlthe belaw comments: Denied wlthe below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
:
�.��:_��_
Kalvin Switzer—Plans mer Date act r an or Homeawner
(Required when comments are present)