HomeMy WebLinkAbout18-20469 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20469
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20469 Address: 6526 WAGON TRAIL ST
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: SILVERADO
Est. Value: Parcel Number: 05-26-21-0080-00600-0150
Improv. Cost: 6,037.00 OWNER INFORMATION
Date Issued: 11/20/2018 Name: ARC NELSON & LYUDMILA
Total Fees: 112.50 Address: 6526 WAGON TRAIL ST
Amount Paid: 112.50 ZEPHYRHILL FL 33541-2556
Date Paid: 11/20/2018 Phone: 813-616-0710
Work Desc: SCREEN ENCLOSURE W/ FOOTERS 540 SQ FT
CONTRACTORS APPLICATION FEES
POMBOS CONTRACTING SERVICES INC BUILDING FEE 112.50
Ins ections Required
F OTER 2ND ROUGH PLUMB Misc INSULATION 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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTO SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit ApjSfl ion Fax-81 - -0021
f Building Department
T Date Received _ 'ID '2 l (� Phone Contact for Permittin Z 0 7—
11I 11111 (r,�^ 111 1
Owners Name Nel�n' V la_�y�CG ner Phone Number f D f
Owners Address 2 1 K1�J Owner Phone Number I I
Fee Simple Titleholder Name I ON Owner Phone Number
Fee Simple Titleholder Address 0/% /y�
JOB ADDRESS On (&%X, LIT
SUBDIVISION V 1 PARCEL ID## 5�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH, INSTALL e REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Chi eY
BUILDING SIZE I I SQ FOOTAGE® HEIGHT
BUILDING $ 60 N VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 4J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO fJ
BUILDER
SIGNATURE R�GMPD `Y/ N FEE CURRE< \Y 1 111 v
Address License#/
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
eaa.ess r o
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N
Address License#t
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
Address License i#
OTHER I I COMPANY
SIGNATURE REGISTERED I Y 1 N FEE CURREf Y/N
Address License##
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllll
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 wl 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 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades 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 an public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
r which may ire 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 1, 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'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 performed 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 & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abater,,epf,
- 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
tho conditions of the building parmilt issued under the attaGiBd par rinit application,for ioia leas 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 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTORR � 4Gih���
Subscribed and sworn to(or affirmed)before me this bscribed and swor �4( f"y�d baforne t
by '� 1 by fl�l Jl 4��9
Who is/are personally known to me or has/have produced W /ark��mnally kilown to mes a e produced
as identification. • d.MM-lS Ctee_,L� as identification.
Notary Public Notary Public
Commission No. Co� ' slon o.
JACQUELINE BOGES
o.
Name of Notary typed,printed or stamped Name of Notary t elf p' p1s[
a: Expires December 12,2018
Bonded Thre Troy Fein Insurance 600-306.7010
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: `��/y4�8 (�!OIA41Y-aA
Date Received:
Site:
Permit Type: V�1'�e/1 cSlQl2�,
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�(?, /j
Kalvin S Sze — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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2018182626
•Rcpt:2001594 Rec: 10.00
05: 0.00 IT: 0.00
NOTICE OF COMMENCEMENT 10/29/2018 J. G. , Dpty Clerk
Permit NO. PgULq S.0'NEIL,Ph.D.PgSCO CLERK a COMPTROLLER
10/29/2018 10:01am 1 of 1
Property Identification No. 05.25-21-0038-0� 15o OR 8K 9809 PG 2414
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.
1. Description of property(legal description:) SILVERADO RANCH SUBDIVISION PHASES E.8 a 8A PS 75 PG 075 BLOCK S LOT 15
a) Street Address: 6526 WAGON TRAIL STZEPHYRHILLS FL 33541
2. General description of improvements SCREEN ENCLOSURE,FOOTER AND PAVERS
3. Owner Information
a) Name and address: NELSON OR LYUDMILA ARCE 6528 MGON TRAIL ST ZEPHYRHILLS FL 33541
b) Name and address of fee simple titleholder(if other than owner)wA
c) Interest in property ONNERS PRIMARY RESIDENCE
4. Contractor Information
a) Name and address: POMBD'S CONiRAOrING SERVICES INC 4413 N HALE AVE TAMPA FL 33814
b) Telephone No.: 813.323.7433 Fax No.(Opt.)
5. Surety Information
a) Name and address: wA
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address: wA
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 Lierioc's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address: WA
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):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 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 FINANCING,CONSULT YOUR LENDER OR AN TTORNEY BEFORE
COMMENCING WORK OR.RECQRDING YOU NQTI4 E_OF COMMENC _ E
STATE OF FLORIDA
PASCO aVANESSATROJNAR COUNTYOFPASCO ,
MY COMMISSION 4 GG258402 Signature OF er r Owner's Authorized Officer/Director/Partner/Manager
EXPIRES:September 13,2022
wvvvvPrint Name
Th foregoing instrument was acknowledged fore e,this t —t day of Q ,20 by
�sQnI�n F as /lX IT— (type of au ty,e.g.officer, t ,attorney in fact)for
(name of party on behalf of whom ins t was exe
Personally Known_OR Produced Identification_ Notary Signature
Type of Identification Produced Name(print)
Verification pursuant to Section 92.525,Florida Statutes:Under penalties of perjury,I declare that I have read the foregoing and that the facts stated -
in it are true to the best of my knowledge and belief.
FORMSNOCrvsM07 ..
V���
.r�C _O Signanue ofNawnd Person Signing Above
-�52� - � Cam.
o •�`� TE OF FLORIDA,COUN OF PASCC3
,AlY OF THE DOCUMEN
ST S IS TO CERTIFY THA THE FOREGOING tS�C
THIS CT CO IN S OFF
D CORRE T,H� „. .
=�-�l TRUE t�N EC:ORD
No-SS�v` F CI L.SEAS'_5A
___D
w
ON FIL�QY HAS AI`l` ._,.E
�DAY OF TROLLER
' 1L,CLERK�+C®i�4P
a� 7 PAULAS,O'
DEPUTY CLERK
POMBO'S CONTRACTING SERVICES INC
4413 N HALE AVE
TAMPA FL 33614
CELL 813-323-7433 FAX 813-249-0077
I YOESLANDYPOMBO,LICENSE HOLDER FOR RESIDENTIAL CONTRACTOR,POMBO'S
CONTRACTING SERVICES INC,AUTHORIZE THE FOLLOWING PEOPLE TO APPLY/SIGN FOR
PERMITS UNDER MY LICENSE NUMBER CRC1328960 TO THIS CITY OR COUNTY:
CITY OF ZEPHYRHILLS
PLEASE ALLOW ONLY THE PERSON LISTED BELOW TO SIGN,THIS LETTER SUPERSEDES ALL
OTHERS
TERESA J PADILLA SOUTO
Voj, &a� Poznho
CONTRACTOR SIGNATURE CONTRACTOR PRINTED NAME
THE FO EGOING INSTRUMENT WAS ACKNOW EDGED B FORE ME THIS DAY OF
'li ,2018 BY Voie,S 0 0 WHO IS PERSONALLY
KN, OWN TO
ME OR HAS PRODUCED AS IDENTIFICATION.
Iawn
o�;;S'w ,,, MAGDIEL FERNANDO CEPERO
Mv� ;r _State of Florida-Notary Public
'If11„ •= Commission # GG 237948
f�°:� My Commission Expires
NOTARY PUBLIC July 12, 2022
1