HomeMy WebLinkAbout16-17698 i ,
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CITY OF ZEPHYRHILLS
' ' ' • 5335-8TH STREEf
(813)780-0020 17 8
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit @lumber: 17698 Address: 38404 38406 12TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class��f Work: ROOF REPLACEMENT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): �lock: Section:
Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�t. Value: Parcel Number: 11-26-21-0010-05500-0010
Impr�v. Cost: 5,490.00 OWNER INFORMATION
Date Issued: 8/31/2016 Name: BUCKMAN THOMAS �
Total Fees: 65.00 Address: 12442 CITATION RD
Amount Paid: 65.00 SPRING HILL FL 34610-4822
Date Paid: 8/31/2016 Phone:
Wo'rk Desc: REROOF SHINGLE DUPLEX
I� CONTRACTOR S APPLICATION FEES
PAUL D;SCHAPER ROOFING INC REROOF RESIDENTIAL 65.00
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�' Ins ections Re uired
DRY IN ROOF INSP
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TAPE JOINTS ROOF I SP / �
FINAL Ii �O'���J '
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I� first reinspection,whichever is greater,for each such subsequent reinspection. ' ;
NOTICE: In addition to the requirements of this permit, there maybe 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.
"War�ning 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."
Comp�ete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
�� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O. ;
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�CON CT IGNATURE PERMIT OFFI R
I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �
Bullding Department '
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Date Received t^ 3 � _��� �
� I �yc Rhone Contact for Pertnitting
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Owner's Name Owner Phone Numher
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Owner's Address 12�►y2 C��FG�k►pn t�d. c �O Owner Phone Number
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Fee Simple Titieholder Name Owner Phone Number
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i Fee Slmple Titleholder Address �
JOB ADDRESS 3p�/—S �-�iC�Q �2�� LOT# �
� SUBDIVISION PARCEL ID# 1(`���ZIY ^K7.�O^ I
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED � NEW CONS7R e ADD/ALT 0 SIGN Q Q DEMOLISH �
INSTALL REPAIR I
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION , Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 6 h r � � "� '�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ p �
Q VALUATION OF TOTAL CONSTRUCTION i
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � , /��Q
� ��l%
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
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QGAS Q ROOFING Q SPECIALTY � OTHER �y
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER L.R'�(��(�� COMPANY � ��"��
SIGNATURE � � �"�V'—� REGISTERED N F CURRE� /N
Address License# �� �3�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY i
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#
IIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111 �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcfion, �
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, '
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects �
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction. �
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Ptans. !
••••PROPER7Y SURVEY required for all NEW construction.
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Dlrectlons:•
Fill out application completely. �
Owner 8 Contractor sign back of application,notarized '
� If over$2500,a NoNce of Commencement Is requlred. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the ownerj would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (copy of contract required) '
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurveylFootage)
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Driveways-Not Over Counter if on public roadways..needs ROW
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� � � � � 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 regulaYions. 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 Bwlding 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 i
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 i
i receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
I final power release,t#ie fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer 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 �
i certify that I, the applicant, have bee� 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 '
Iother 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. 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
constructFon, eounty and City codes, zoning regulations, and land development regulations in the jurisdiction. f also ,
certify that I understand that the regulations of other govemment 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. i
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. j
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, 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 wlthin 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,fnr lQts 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,
I plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shail 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 I
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid ,
unless fhe 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 I
justifiable cause for the extension. If work ceases for ninety E90)consec�tive days,-the-job is-considered abandoned.
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' WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. lF YOU INTEND TO OBTAIN FINANCING,CONSULT I
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) J
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OWNER OR AGENT CONTRACTOR`�j/�„A✓
Subscribed and yworn o(or af�irm50.fo�e�� Su scnbed and b�om t or affi`�edYb�re�n�e�t�his�S I
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Who is r a y c n to me or haslhave produced Who s/ar r no n to me or has/have produced �
as Identification. as identification.
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38400 12th Ave, Zephyrhills, FL 33542, �
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Cus omer has 4 duplexes for you to bid address_ �% -
384 ��0/38404/38406/38352 needs this bid with ones - �
in D de City done by Friday 8/26 per poug he took
call direct all 4 units are single story block homes
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' CITY OF ZEPHYRHILLS
. � � � • 5335-8TH STREET
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(813)780-0020 176
� BUILDING PERMIT �
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`I' PERMIT INFORMATION � ' LOCATION INFORMATION
Permit'',Number: 17697 Address: 38352 38400 12TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class,of Work: ROOF REPLACEMENT Township: Range: Book: �
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
S uare Feet: Subdivision: CITY OF ZEPHYRHILLS I
pE�t. Value: Parcel Number: 11-26-21-0010-05500-0010
Impr�ov. Cost: 5,683.00 OWNER INFORMATION '
Dat� Issued: 8/31/2016 Name: BUCKMAN, THOMAS
To#al Fees: 65.00 Address: 12442 CITATION RD
Amoiunt Paid: 65.00 SPRING HILL FL 34610 I
D,ate Paid: 8/31/2016 Phone: (813)404-1230 I
Work Desc: REROOF SHINGLE DUPLEX ;
I CONTRACTOR S APPLICATION FEES
PAUL D SCHAPER ROOFING INC REROOF RESIDENTIAL 65.00j '
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� - Ins ections Re uired - I
DRY IN OOF INSP
TAPE JO NTS RO �jINS9
FINAL I V �'l� ��
REIN�PECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIQE: In addition to the requirements of this permit, there maybe 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
I entities such as water management, state agencies or federal agencies. �
"Wa i ning to owner: Your failure to record a notice of commencement may result in your paying twice for
imp �vements to your property. If you intend to obtain financing,consult with your lender or an attorney
� before recording your notice of commencement."
Comp ete Plans, Specifications Must Accompany Application. All work shall be performed in accordance vvith
� City Codes and Ordinances. NO OCCUPANCY BEFOItE C.O. �
� IVO OCCUPANCY BEFORE C.O. �
C' �:
I,
�CON CTOR 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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• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, , . Building Department
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Date Received � 'al I C�ty �2 —!���
Phone ContactforRermitting �.r�
� 4� I
Owner's Name x Owner Phone Number
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�2 Z �DKSVIII�FI 10 �
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address �
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, JOB ADDRESS � • � �'I�i LOT# i
SUBDIVISION PARCEL ID# I I Z�—Z�� — I
I ,�,/ (OBTAINED FROM PROPERTY TAX NOTICE) I
I WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �1 11 �G r� (�J i
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING S C� pV VALUATION OF TOTAL CONSTRUCTION ,
J
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. ,
�PLUMBING $ ,� !��
/ �/
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I
OGAS Q ROOFING Q SPECIALTY 0 OTHER (n�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO VG ���
BUILDER � COMPANY U� J�. (
SIGNATURE REGISTERED N FEECURRE� N
Address �Q � ��. License# a�
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 CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111
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&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsi[e,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of Engineered Plans.
"••PROPERTY SURVEY required for all NEW construction.
Dlrectlons:• �
Fill out application completely '
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement Is requlred. (AIC upgredes over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ;
Driveways-Not over Counter if on public roadways..needs ROW �
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� J 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 �
i 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 'I
� County. �
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE 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 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 I
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 j
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone i
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to i
deliver it to the"owne�"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 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 codes, zoning regulations, and land development regulations in the jurisdiction. I also ;
certify that i understand that the regulations of other govemment 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 ; I
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Doeks,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 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 fhe 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 FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORPIEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117 03 _ '�yy�
OWNER OR AGENT ��D CONTRACTOR , V \✓�� �
Suks��ibe ;�bswom to(or affirmed)b fore me this S bscribed and sworn to or a irtned)before me this
�� y m r►��.���. s�� rt�- �dnes
Who is/ar ersQnalt cno me or has/have produced 'v'vn is e per me or hasTave produced I
as identification. as identification.
I `7��11.�'yV:.� L..�>�V1N.3ir' Notary Public "L� ���/W3�' Notary Public �
CommissionNo. ��a3�P 5�.3 i
:�4.`�'��f' it`►`rV'LY'T� � N • �
• atno cf�t����s�v�573 Name of p ;pri
';•., '� ''; MY COMMISSION�i FF23S5T3
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w ,� '�I NOTICE OF COMMENCEMENT 201513Bi45 I
� � � State of FLORIDA County of PASCO i
�, ' 11_ 2 c���u
Property Identification No: (o-Z-l��V-V�O- I
i THE UNDERS[GNED_hereby gives notice that improvement will be made to certain real;properry,and in . I
� accordance with Section 713 of the Florida State Statutes,tk�e following information is provided in this Notice of I
' Commencement: �
� 1. Description of properiy([egal description): �
� C'a;� O F' 2tp�r hi LtS �
Q�31 P654 �oTS �a Z. �o��UG 5v� i
�� 3557 PU 7rA 1 or 355� P� ZZI �
� 38�fo�t. .+ 38�0� �2+�+���e �
Street Address c��00 � c3�3�J Z �2� ��I E •+ '
2. Genenl Description of Improvement: �E Q.G�i� , I
3.Owner Information or Lessee infortnation if the Lessee contracted for the improvement:
a)Name and address�F��,g `t�l.1.GGr1�Cxl.► 12�t�'L ('a-}�,�-jp�n QL'� �+�p1�.5U�1(D FI 3cIG¢I�
b)Name and address of fee simple titleholder(if other than owner):N/A ' �
c)Interest in property:Owner I
I 4.Contractor: Paul Schaper,8949 Gall Blvd_,Zephyrhills,FL 33541 -Ph:(813)782-0920,Fax:(813)715-4875
5. Surety: Bauer&Associates, 12210 Highway 301 N.,Dade City,FL 33525-$5,000 bond �
I
6. Lender: Name/Address: NIA '
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may �
be served as provided by Secrion 713.13(1)(a)(7),Florida Statures: : �
. a) Name and address: N/A I
b) Telephone No.: Fax No.
(aPt) G
8. In addition to hunself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b),Florida Statutes:
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 3354] -Ph:(813)782-0920-Fax:(813)7l 5-4875
9. Expiration date of Norice of Commencement(the expiTation date is one year fi-om the date of recording unless a I
different date is specified): ,
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OW1�ER AFtER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENl'ARE CONSIDERED IMPROPER PAYMEN"I�UIdDER CHAPTER 713,PART I,SECTION 713.13,FLORiDA _
STATUTFS,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICEOF
COMMENCE114ENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPEC!'ION.IF YOU
INTEND TO OBTAIIV FIIVANCIIVG,CONSLJLT YOUR LENDER OR AN ATTURNEY SEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA �
COUNTY OF PASCO- ! 1 :f.�'
�
•' Signature of Owner or Owner's Aud�orized Offi irector/Partner/Manager
�FiorYY��S_�1 C�� .
Print Name '
I� The foregoing instrument was aclrnowledged before me this�day of�Q��s�t' ,20�by
� �_�j(Z�f c'1a'ViC'1� plAy1�2� (type of authonty,e.g.officer,trustee,
I attomey in fact)for (name of party on b.uehalf of whoms trument�/2 ��
was executed). ��3rc � 1 �
I ,
jPersonally Known OR P.roduced Identification � � :Not, Signature
� Type of Identification P,roduced � '�., iLY, Li [,.: . �,� {�p��,s�j
� Rc t:1797859 ' ' :�`•,=�'�;. �TNRIN M ROBINSON
'� P Rec:''10.00 - � I, a ;;: tuly COMMISSIQN 11 FF236573
! DS: 0.00 IT.--'0.00�"' ' '
' � 08/31/2016 K. D. K. , D ! Clerk ' - ' EXPIRESJune02,2019 I
� p� y • � � � i�C/f�N6C�s� _ Fariarf�wror so•wc«.owr,
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PRULq 5 0'NEIL,Ph D PRSCO'CLERK 8 COMP.TROLLER ' '- � I
' 08/31/201 �j1:5 m 3 f 1 �
j OR BK �'!2� �PG, �3,�1�' - ,�� � ' .. , . �
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���� �� � e� ���� STATE 0� �LQRIDA, COURITV OF P,4SC0
�. .�� ,��� . �a �` THIS IS TO CERTIFY THATTHE FOREGOING ISA
��,'`��k �.�,y TRUE ANQ C�f�RECT COPY OF THE DOCUME
� � ..;d;;,� �:�. �. � NT
n. ?,.,,Sr . ON F1LE OR QF PUBLIC RECORD IN THIS OFFfCE
� � In���f I��•A�•�-.• � WITNESS MY HAND A D QFFICIAL SEAL T(�HIS
�' �. �,�,' .� �� � DAY OF Z � �
� . 1881
� PAULA S.O'NEIL, CLERK OMPTROLLER
• �. a t�� � �
�����g�� BY� 'f �A , DEPUTY CLERK