HomeMy WebLinkAbout16-18035 CITY OF ZEPHYRHILLS �
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BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 18035 Address: 6938 MEDICAL VIEVI(�LN
Permpt Type: COMMERCIAL ZEPHYRHIL.LS, FL.
Class of Work: ADD/ALT C(aMMERCIAL Township: Range: Boak:
Propos�d Use: COMMERGIAL Lot(s): Block: Section:
Squaae Feet: Subdivisian: CITY OF ZEPHYRHILLS
Esti. Value: Parcet Number: 02-26-21-0290-00000-0070
Imprav. Cast: 21,500.00 OWNER INFORMATION
Date Issued: 12I3012016 Name: NQRTHUVEND PROPERTY MANG LC.0
Tot��al Fees: 270.00 Address: 5850 CAMERON RUN TERR#916
Amount Paid. 27Q.OQ ALEXANDER VI 223Q3
Date Paid: 12/30/2016 Phane: (813)780-2550
Work Desc: MOVE INTERlOR WAL.L
� CONTRACT{3R S APPLICATtON FEES
RYMAN CONSTRUCTION OF FLORIDA IN BUILDING FEE 202.50
MARTlN�ELECTRIC E�ECTRICAL FE� 67.50
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! Ins ections Re uired
F TER I 2N OU PL MIS INSU TIO CEILI ,
FOOTER BQND DUCTS INSULATED SEWER M1SC.
ROUGH ELECTRIC LINTEL MISC MISG.
1ST ROUGH PLUMB PRE-METER lNSUWTIQN WALL MISC. ,
DUCTS INSTAL�ED WATER MISC DRIVEWAY
PRE-SLAB� SHEATHING MISC. MISC.
CONSTRU4CTION PQLE FRAME P1iiSC. [ViiSC. �
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida 5tatute 553.80 (2)(c)the
lacal government shall impose.a fee of four times the amount af the fee imposed for the initiai inspection or
�� first reinspection,whichever is greater,far each such subsequent reinspection. '
NOTICE: In addition to the requirements of this permit, fihere maybe additional restrictians applicable to this property that
may be faund in the public records of this caunty, and there may 6e additional permits required from other gavernmental,
� entities such as water management, state agencies or federal agencies.
"1Narning to awner; Your failare ta recard a notice of commettcement may resuit in your paying twice far
improvements to your property. If you intend to abtain financing,consult with your lender or an attorney
�� befare recording your notice of commencement."
Complc�te Ptans,Specifications Must Accompany Apptica#ion. Atl wark shall be pertormed in accordance with
� Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
�� Nt� OCCUPANCY BEFORE C.O.
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CON CTOR SIGNATURE PERMIT OFFI R
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PERMIT EXPIRES IN 6 MUNTHS 1NITHCIUT APPR{�VED INSPECTION
CALL FOR INSRECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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•� 201fs203581
NOTICE OF COMMENCEMENT Rcpt:1826198 R�c: 10.00
DS: 0.00 IT: 0.Ql0
PermitNo. 12/30/2016 K. R. M. , Dpty Clerk
Property Identification No. oz-zs-z�-ozsa00000-oo�o
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. ,
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1. Desl ription of property(legal description:) oz-zs-z�-ozsa0000aoo�o O N�
1� I SLTCet AddTeSS: 6938 Medical View Lane,Zephyrhills,Fl 33542 i �W�D
2. General description of improvements Interior Re-Model � N o
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3. Owner Information (�� �
3� I N3ITle aTld 3ddr0SS: Norfhwind Property Management,LLC,6938 Medical View Ln.,Zaphyrhilis,FL 33542
b) Name and address of fee simple titleholder(if other than owner) ��s
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c) Interest in property Owner i ��D
� 4. Contractor Information a �
a� Name and address: Rs�,a�co�5woqo�or Flo�aa,Inc..,36413 SR 54,Zephyrhills,FL 33541 � �
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b) Telephone No.: e�saez-oezs Fax No.(Opt.) e�a-�ee-s»a �'�-'�
5. Surety Information �Q '�
a) 'Name and address: N�' `�
b) Amount of Bond: ' ' �`"'3
c) �Telephone No.: Fax No.(Opt.) � A
6. Lender �
a) ,Name and address: r
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7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; ,
a) �Name and address:
b) �Telephone No.: Fax No.(Opt.) �
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713�.13(1)(b),Florida Statutes: �,
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a) �Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified): ^^a��h 3i,zon
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPII2ATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, �
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINAI�TCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE �
COMMENCING WORK OR RECORDING YOU NOTIC ,OF COMMENCEMENT._
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STATE OF FLORIDA
COUNTY OF PASCO
' i er-o er's Authorized OfficedDirectodPartner/Nlanager
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� Print Name
The forelgoing instrument was acknowledged before me this ZG day of �eC�'h`^� ,20 L�,by �<<�r'' Q-y n"`'��
� as M�w��.i ( e of authority,e.g.officer,trvstee,attorney in fact)for ;
i (name of party on behalf of whom ins ent as e uted).
Personaily Known ✓OR Produced Idenrification_ Notary Signatur
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Type of�Identification Produced Name(print) (/t'�'�"h �t-^�
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I d i r n t at e facts stated
in it are'true to the best of my knowledge and belief. o1o�r°�e` Notary Public State of �orida
? ; Tammy Verdadero
FORMS/NOC.cvsd2007 a FF 184019
SignatureofNuturalPerso iAt1P��`o�v_ EXPIf�S12/16/2018
��a-7$°-°02° City of Zephyrhilis Permit Application rax-rs r,�-rnv-Uv��
Buiiding department
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Date Receive� r a �j� 1 Phone Contact for Permitting "�(� � � __ ��j ���
Owner's Name �D2"tT� �t A,9 `t''� -�- LL.I.. Owner Fhone Number
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Owner's Address� Vb C� � IC��� �I C� t.� ��'►� Owner Phone Number� �V�
Fee 5imple Tif+teholder Name Owner Phone Number�^ �
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Fee Simple Titleholder Address
JOB ADDRESS tt/`'�1 e�� t"�.Gu l G�A� �„J[�'t.C7 ��'WC .LOT# � ' ^.�
su�ao�v�s�oN' �—�.�..—�`� RARCEI.ID# fj2--ZL��Z� �U°2'�i?� '"C�c�c�o��- UO 7t1
i (OHTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEp NEW CONSTR ADp/AL7 � SIGN � MOVE Q DEMOL(SH �
� � �NSTALL REPAIR
PRt}POSED t1SE � SFR � CQMM � ' 07HEEt
TYPE OF CONSTRUCTION �] BLOCK 0 FRAME � S7EEL [�] OTHER
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DESCRtPTiON�OF WORK �ta.l 1 �!� . �+i�-• t N1 d�i rtt �,��:�, . �S-' `
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BUILDlNG SIZE '�!'�`!C �V(� � SQ FOOTAGE���..._� HEIGHT 1 V_��_�
BUiLDWG � u
VAL.UATION OF TOTAL CONSTRUCTIQN
; ._�.�o�� ��
[1`i �ELECTRICAL $ `��Q v' AMP SEFZViCE PRC}GRESS ENERGY Q W.R.E.G.
[� PLUMB�}UG $ "� ( � 7�!�F3'�L7M� � i
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� MECHANiCAL $ � y� j� VALUATION OF MECHANICAL INSTALIATION t-v,,, f(G'./���
I �,.7 � �r �/"'� V U
� GAS I 0 ROOEING � SPEClALTY � ' OTHER
FINISHED FLOOR E�EVATIONS FLOOD ZOhIE AREA �YES ONO
BUILDEF2 ��1,��� CdMPANY �`JM�"'' ��"'������ � ��
SIGNATUR ��� REGISTERED Y N FEE CURRENT Y N
Address I.'3 ��. S �.e?eS'� �C¢>� t License# ��j� M �'�{�'�a�
ELECTRICIAN I ' � �\,}' COMPANY 1'"l a�-�t`� G.`C,�C"l��C`�
SlGNATURE , t REGISTERED N FEE CURRENT N
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Address ( �Q �OX�� ���C�" �2, 33��'�' License# ��i �3(70(.�{��
PLUMBER �� COMPANY
SIGNATURE �I REGISTERED Y I N FEE CURRENT Y 1�)
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Address License#
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MECHANtCAL; GdMPANY �
SIGNATURE REGISTERED Y/ N FEE CURftENT Y/N ,
Address � L(cense# �- r �
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OTHER � COMPANY " �
SIGNATURE REGISTEREQ Y/ N FEE GUftREN7 Y/N �
Address License# �� !�
RE3IDENTfAL Attach(2}Plot Pians;(2)sets af Building Plans;(1)set of Energy Farms;R-O-W Permit for new constructlon, _
Minimum ten(10)working days after submittal date. Required onsite,ConstrucHan Plans,Stormwater Plans w/Sllt Fence installed,
Sanikary Facititi�s&1 dumpster,Site Wark Permit far subdlvisians/largs pra}ects -
GOMMERCiAL Aftach(3}sefs of 8uilding Plans;(1}set of Energy Forms.R-O-W Permit far new construcklon.
Minimum#en(10}working days afiter submittel date. Required ansite,Constructian Plans,Skor€nwater Plans w!SilfFence installed; ,
� Sanitary Facilities&1 dumpster.Slte Work Permtt for aU pew pro)ects.Ali commerciai requlrements must meek comp{lance
SIGN PERMIT; Attach(2}sets of Engineered Plans.
� '**"PROPERTY SURVEY required for all NEW consfruction.
Directions:
Fill ouk aptplicafion complefety.
Owner&Contract6r sign back of applieation,notarized
If over$25U0,a Natice of Commencement is required. {A/C upgrades over$500d)
*' Agenf(forifhe cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ,
'OVER 7HE COUNTER PERMI7TING�"` (F'ronE�af Applicaf(on Only) � , ,
Reroofs ; Sewers � ' "ServiceUpgrades�, A/C Fences(P(ot/Survey/Foofage},,, � � ' � �
D�tveways-Not over Gounter tf on publiaroadways..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 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 cont�actor 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
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 �elease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterLSewer 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 rivork 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
othe�than the"owner", I certify that I have obtained a copy of the above described documenf 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 complian,ce 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
coFlstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( 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�l 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 Nealth 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
"com'pensating 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 ihvalid
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 commericed. 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 wo�k ceases for ninety(90)-corsecutive-days, th�job-is-considered abandoned.
" — WARNING TQ OWNER:__Y_OURFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.--i��YOU INTEMD TO OBTAIN-FINANCING, CONSULT__ _
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03). _ _.
OWNER OR AG CONTRA I
Subscribed and rmed)b re me this Subscrib w to r a med)6efore me this
(Z-13-((� b . ; (Z-13-Ib rnu„�.
Who Is/are personally known to me r has/have produced Who is/are personally known to me r has/have produced
as identiflcation. as identiflcatlon.
�1 ; tary Public
,�'W� Notary Public State of Florida �4DRY Pb� Notary Public State of Florida
r° �^ Tammv Verdadero Commisslon No. ? �
Commisslon No. •
y�S � 'My Commission FF 184019 �� �a My Commission FF 184019
' �aFM,� Expires 12I7612018 9jtor�� Ex ires�2H6/
Name of Notary typ Name of Notary typed,
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i City of Zephyrhills �
BUILDING PLAN IZEVIEW COMMENTS ;
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Contractor/Homeowner: ?�•.�O12,T�-} (nf�J�J� .P��(��� �}('yy�' f�_-
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Date Rece'%ved: �a- �`� — j �p ,
Ij Site: I � � i C� I.�(�,/��
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Permit T 'e: '
YP �J U/l�/NG- L.-�X/STiNCr-j'YIOV/x/G-I�l��jd� C��l�.
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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� This comment sheet shall e kept with the pernut andlor plans. �
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Kalvin S 'er- ans Examiner Date Contractor and/or Homeowner �
� (Required when comments are present)
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