HomeMy WebLinkAbout18-19193 CITY OF ZEPHYRHILLS
5335-8TH STREET
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(813)780-0020 19193
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
P�rmit Number: 19193 Address: 6635 FORT KING RD
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: SUMMERSET
Est. Value: Parcel Number: 03-26-21-0010-03500-0000
Improv. Cost: 6,120.00 OWNER INFORMATION
Date Issued: Name: SUMMERSET APARTMENTS LIMITED PA
Total Fees: 108.00 Address: 3550 S TAMIAMI TRL STE 301
Amount Paid: 108.00 SARASOTA, FL. 34239-6014
Date Paid: 1/30/2018 Phone: (941)929-1270
Work Desc: INTERIOR & EXT REPAIR
CONTRACTOR S APPLICATION FEES
H & F CONSTRUCTION BUILDING FEE 108.00
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Ins ections Re uired
FOOTER 2ND R UGH PLUMB MISC IN ULATI CEILING
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: (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
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 properly 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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ONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. i IIIIII Ilill Illli IIIII IIIII IIIII IIIII IIII{IIIII11111 INl Ilil
2018009527
Permit No. Parcel ID No�3�(o�I—�'J�71 D—rJ�'"�
• • NOTICE OF COMMENCEMENT e v�
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'Stateof ��UvIC7(�( CountyoT ��fSC(� ��� �
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THE UNDERSIGNED hereb rves notice that Im rovement will be made to ceAain real p ����
Y 8 D Ixoperly,and in accordance with Cha ter 713,Florida Statutes, \• �+
the toflowing infortnabon is provided in this Notice of Commencement r� / p . N��N
1. DescripUon of Property: ParcelldenCfication�o.�,n�V✓{'11�5 �f�� Y1�i L�'Y k2!YIU �(L��i ��� Y�i � (br-
Or ~ A
StreetAddress: .�G � f` o � �iGfS c�, y � UPSC fJs lrm� AT.Sw�f���5, -� �
' I�, - !/ (�(n3� m ao
2. General Description of lmorovemeM�i< �Y � �1C Y�'1 CY ����X L/'�S �KYG� •
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3. Ovmer InformaUon or Lessee information if the Lessee cont�acted for the improvement �-G/77/�G/ � Q
oa..
J�C'ty'�i7.e�- � � �' � D/ fL �� �a •
ame � ��~
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Address �,.1 City State (y B
Interest in Property: �L.1/n-�� ~ �
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Name of Fee Simple Trtleholder. �
n (If dffferent from Owner iisted above)
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4. Contrador._Y� £ � (-C)/��7�'2.(L�CL� c� Yl�l�.e.s GGL' State
3Ja � it�o l�s-#�.� C f ��an�rr� 1�L
Address J� City Stata
ContractorsTelephoneNo.; 'V' �3a �7�� -
5. Surety:
Name �D
►�'c
� Address City SWte ��r
D
Amount of Bond: $ Telephone No.: ��N �
6. Lender. �N� ��
Name B m
Address City State
�0D r
Lenders Telephone No.: ��_
7. Persons within the Slate of Florida designated by the owner upon whom notices or other documents may be served as provided by �p�
Secdon 713.73(1)(a)(�,Florida Stahrtes: ��
(na a
_ Name - 3 0
' " Gl�-►�
Address Ciry State m
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Telephone Number af Designated Person: �
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8. In ad�tion to himself,the owner designates o{ �O
to recelve a copy of the Lieno�'s Notice as provided in Seetion 713_13(9)(b),Florida Statutes. � �
Telephone Number ot Person or Entiry Designeled by Owner. �
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9. ual'an date of Notice of Commencement the e iratian date ma not be before the wm letion of consWction and final �
�P� ( � Y p payment lo ihe r
contrador,but will be one year from the date af recording unless a difrerent date is spedfied): T
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFfER THE EJCPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 7'13.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A TICE OF COMMENCEMEPIT MUST BE
RECORDED AND POS7ED ON THE JOB SfTE BEFORE THE FIRST INSPECTION. IF YO D TO OBTAIN FlNANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDI G OUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that t have read the foregoing notice of commenceme a that the facfs stated the2in are We to ttie best
of my knoHrledge and bellef.
STATE OF FLORIDA -
COUNN OF PASCO �
SignaWre of Ovmer essee,or Owners or Lessee's AuThorized
OtficedDirector/P dAAanagu D /J �
f�'�.(/ T
, Signatay�s Title ce ,�� �/
The foiegoing instrument was acknowledged before me this�,day o �' 20%�by l✓(JZ�G(.1� "1J ' �C( �
' as � of thority,e.g.,affi Wstee attomey i ct)for
ame a halfofwhom wase d).
Personaliy Knovm O rodueed Identification[] NoWry SignaW ,
Type of Identi�cation Produced Name(Print)
������ MARIA'J MELENDEZ
���er r ei,,
� ��,;State of Florida-Notary Public
:• �= Commissian �GG 152460
%'� P�� My Commission Expires
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wpdatalbcs/noticecommencementyco5so48 '��i����` OCtObet 20, 2021
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� STAT��F FLb�I�A,COU�T'�OF P6�5�0 ���,�����8�
THIS IS TO CERTIFY THAT THE FOREGOING IS A � . a ���
TRUE AND CORRECT COPY OF THE DOCUMENT �p�
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE -:
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WITN�E�Y HAND AND OFFICIAL SEALTHIS �� .
�lo DAY 2 D r� �5' � I"G`�h'e 7,�r•
PAULA S O PJEIL LERK&CO TROLLER � . �`""4"',; 0� �
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BY ��� ��PUN CLERK �+ �• 1�8y _� °
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s��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
• Date Received ,�.. �- phone Contact for Permitting � �
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Owner's Name ►/Y)?/V i/�i)6� Owner Phone Number
1 OwnePs Address �/Y�C(,�� < <�N Owner Phone Number
�1/YG < < _ 1
Fee Simple Titleholder Name Owner Phone Numher
Fee Slmple Titlehol r A
JOB ADDRESS ° ✓ / / � G LOT# �
SUBDIVISION PARCEL ID# D,� � �j'���Q�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER '�
TYPE OF CONSTRUCTION Q BLOC�K Q FRAME 0 STEEL Q
DESCRIPTION OF WORK (/Y .Y/.S � 3
BUILDING S12E SQ FOOTAGE� HEIGHT
!
QBUILDING $ ' /r� VALUATION OF TOTAL CONSTRUCTION
v
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q .R.E.S�7�
/�r `'����, �
�PLUMBING $ �!��I��J ��
`� [ ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
�
OGAS Q ROOFING Q SPECIALTY 0 OTHER � ��J
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO„_ _ __
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BUILDER � 1 C��Y � O Id_/�
SIGNATURE � �L � ��E67sTEaeo Y/ N FEE CURRE��'Y/N
Address f ��� icense# � � ��
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�i
IIIIIIIIIIIIIIIIIIIIIIIIIIItlltllllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new cons[ruction,
Minimum ten(10)working days after submittal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence instailed,
Sanitary Facilities 8,1 dumpster;Site Work Permit for subdivisionsflarge 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 onsite,Construction Plans,Stortnwater Pians 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.
""PROPER7Y SURVEY required for all NEW construction.
Dvections:•
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a NoNce of Commencement is requlred. (A/C upgrades over$7500)
. " Agent(for the contractorj or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
L
,
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
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 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—Homeowners
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"ownet"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 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 8� 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 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 OB 1N FINANCING,CONSULT
W1TH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR N F OMMENCEMENT.
FLORIDA JURAT(F.S.117.03 � -
/��,( 1
i OWNER OR AGENT �� C�C�'` CONTRACTOR ��
Subscribed and swom to(or a�rtned)bef re me this Subscribed and swom or rmed)he,fore me this .
by by CG �
Who is/are personally known to me or has/have produced Who is/are personall nown to me or has/have produc d
as identification. as ide �cati n.
Notary Public � Notary Public
CommissionNo. CommissianN•. // � �
� ' �j
Name of Notary typed,printed or stamped Name of Notary ty ed,printed or stamped
��,Yd�B, MARIA J MELENDEZ
?a° �-Scate of Florida-Notary Public
_ Commission # GG 152460
=N ''
%�. p°' My Commission Expites
'"°���"` October 20, 2021
, � .
312 North Star Blvd Sanford, FL 32771407-732-7911 Fax 407-732-7850—License#CGC1524145
Wednesday,January 4,2018 I
I, Eric Franco,license holder for H&F Constructions Services LLC, License#CGC1524145 authorize Dawn Hitsman to
sign for&do all things necessary to obtain Site/Building Permit for the following:
6627 Fort King Rd,Zephyrhills, FL
Acknowledged before me this 4�d of January of 2018, personally appeared Eric Franco,who did not take an oath.
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No ary Sig ure MARIA � M NoLaNDpEb ic
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BUILDING PLA�T�R�VIfiW C.OMMENTS ��
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Contractor/Homeowner: � ,�� ��S ��
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Date Received: � r� S ( � �'" .
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Site: '�;�-;
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Permit Type: __1'����}y 11��u�� ` r-f�``'� '
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑ ,I
a.�tn�o l� I�-I$- u�� �S�v`�-eY
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This comment sheet shall be kept with the permit and/or plans.
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Kalvi Sw' er-Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)