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Home My WebLink About18-19989 CITY OF ZEPHYRHILLS / 5335 -8TH STREET (813)780-0020 9989 BUILDING PERMIT PERMIT-INFORMATION=- LOCATION INFORMATION Permit Number: 19989 Address: 39735 CHANCEY RD 6-9 Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 24-26-21-0000-00100-0050 Improv. Cost: 35,000.00 OWNER INFORMATION Date Issued: 7/23/2018 Name: AGAPE BAPTIST CHURCH Total Fees: 17,547.64 Address: 39735 CHANCEY RD Amount Paid: 10,362.64 ZEPHYRHILLS FL 33542 Date Pai 7/23/2018 Phone: Work Des : 4 MODULAR UNITS HOOK UP WATER/SEWER ADA RAMPS-NUMBER EA. NTP.ACTOR S APPLICATION FEES STINE CONSTRLIGTION INC BUILDING FEE 240.00 EDMONSON ELECTRIC INC ELECTRICAL FEE 180.00 PIPE PROS INC PLUMBING FEE 180.00 SEWER CONNECTION MOBILE 4,438.08 WATER CONNECTION MOBILE HOME 1,415.32 FIRE PLAN REVIEW FEES 24.00 POLICE IMPACT FEE 688.52 NIJFIRE IMPACT FEE 730.76 PUBLIC SAFETY 5% 70.96 ivy; v! �` iL TRAFFIC IMPACT FEE 99% 9,484.20 �� TRAFFIC IMPACT FEE 1% 95.80 a Ins ections Required FOOTER 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. i CON Rl�CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Stine Construction-39735 Chancey Rd-6-9 units adding 4 more modulars for classroom set up Column SO. FEET PRICE MAIN OR LIVING: $ 106.36 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ - FEE SHEET ADDRESS DRIVEWAY BUILDING: $ 240.00 4 x 65-mh cost ELECTRICAL: $ 180.00 4x45-mh cost PLUMBING: $ 180.00 4x 45-mh cost MECHANICAL: $ - SUB-TOTAL $ 600.00 TOTAL $ 600.00 SEWER: $ 4,438.08 WATER: $ 1,415.32 IRRIGATION: $ - TOTAL: $ 5,853.40 WATER METER: n/a IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 24.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 24.00 PUBLIC SAFETY IMPACT FEES POLICE $ 688.52 FIRE $ 730.76 5% $ 70.96 TOTAL: $ 1,490.24 SUB-TOTAL $ 7,967.64 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ t-, -Q�T I F'S : $ 9,580.003 ] P99% $ 9,484.20 �J1% $ 95.80TOTAL: $ 17,547.64r l 3 µ` J}� PAS COUNTY, FLORIDA t N Permit No. l Date Permitted 7--7-3— Builder Name/Owner Name ke_ Control#. County Parcel No. Zq�-24-V—0C -OBI QC--Of)�r'� SubDiv: l ( Address/Location Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: (OS ❑ No How Determined Exempt ❑ 'Yes Impact Fee Amount $. / C7 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount (067) Mobile Home (058) Other Residential 123) Collection Fee Exempt [� Yes ❑ No How Determined PARKS AND RECREATION FEE, Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ ` Exempt ❑ Yes ❑ No How Determined' LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt '❑ Yes ❑ No How Determined Total Amou RESOURCE FEE ERU TOTAL AMOUNT Prepared By ulb Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence,but simply receipt of-a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 4' Building Department Date Received '� Phone Contact for Permitting 913 3)-3 Owner's Name �� j/-1 7 ISM (, N�U�C l� Owner Phone Number I L?l3 -761- 250a Owner's Address ✓ /23S niveri 11 w9j) Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple.Titleholder Address JOB ADDRESS :Y-9 IQ po vK, LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK SIiL(L �>I�Ifs ��( �S1toJs ODk� D/+ 1n. BUILDING SIZE /OS(p yu jl SQ FOOTAGE JD SRO HEIGHT /2," BUILDING $ �O)QOa VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ /S coo AMP SERVICE = PROGRESS ENERGY W.R.E.C. 1 =PLUMBING 9 $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO BUILDER COMPANY STJ/1/�1 altlCT211Cnon� ENO SIGNATURE Y/(i+ REGISTERED / N FEE CURREI% Y/N Address s�'1 ota t C avr l p pLRN7 071 33566 License# C aC Jo?to 01 EL I N RE �(� *� /7') COMPANY j SIGNATU w �/ � REGISTERED Y/ N FEE CURREt, Y/N t I AddressF77 License# y I" BER COMPANY I Oi ATURE REGISTERED Y/ N FEE CURREI, Y/N . Address -- ._ License# _ I` MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 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 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 on public roadways..needs ROW 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 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 ail 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. 1�: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, Welland 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 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 W" unless expressly permitted. If the fill material is to be used in Flood Zone "K, 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."N" in connection with a permitted-building using stemi 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 condi tions 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 fo ft., h in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical W'ork, 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,de 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)y Iays 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 YOURPROPERTY. 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 CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who Dare—personally known to me or has/have produced Who islare personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Agape Church Portable Building 4 Units o umn Es SQ. FEET PRICE MAIN OR LIVING: $ 112.65 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ - FEE SHEET ADDRESS DRIVEWAY BUILDING: $ Zb ELECTRICAL: $ 172.50 a PLUMBING: $ - ' �O MECHANICAL: $ - SUB-TOTAL $ 382.50 TOTAL $ 382.50 SEWER: $ 4,438.08 WATER: $ 1,415.32 IRRIGATION: $ - TOTAL: $ 5,853.40 WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ 688.52 FIRE $ 730.76 5% $ 70.96 TOTAL: $ 1,490.24 SUB-TOTAL $ 7,726.14 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ - T I F'S: $ 9,580.00 99% $ 9,484.20 1% $ 95.80 TOTAL: $ 17,306.14 12?21t 8* AGAPE CHURCH(*PORTABLE BUILDING-PERMITCMMW 39735 CHANCEY RD SQ.FEET PRICE MAIN OR LIVING: OTHER AREA UNDER ROOF: $ OTHER: $ VALUATION $ FEE SHEET kt q '17 NZ',lA4-9kt"�0 ADDRESS DRIVEWAY, BUILDING: $ cif ELECTRICAL: $ am PLUMBING: $ MECHANICAL: SUB-TOTAL $ RADON:j $ TOTAL I$ Igza I SEWER: $ 1,109.521 WATER:, $ 353.83 IRRIGATION: $ - TOTAL: $ 1,46J3.35 WATER METER: $ §Ml'-INSTALLATION OF ONE METER ONLY IRRIGATION METER I $ FIRE DEPARTMENT FEES PLANS TOTAL: $ IS INSPECTION TOTAL: 4 PERMIT TOTAL TOTAL: OTAL: $ PUBLIC SAFETY IMPACT FEES POLICE I $ 172.13 FIRE $ 182.69 t AXE 5% $ 17.74 TOTAL: $ 372.56 SUB-TOTAL $ 2,701.52 PARK IMPACT FEES $ 7-1 N/A SIF'S:l $ 100 700/.-r - TOTAL:j $ N/A TIF'S: $ 2,395.00 99%1 $ 2,371.05 25%due at permit pick up$598.75+$2,701.52=$3,300.27 1%1$ 23.95 due before pre-meter$1,796.25 TOTAL: $ �r\3� _ RL0f,11Ufl City of Zephyrhills BUILDING PLAN REVIEW COMMENTS 9 Contractor/Homeowner: Date Received: 68 Site: Z S Permit Type: i Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ I &2 czz � This comment sheet shall be kept with the permit and/or plans. Bill Burgess—Building Official Date Contractor and/or Homeowner (Required when comments are present) ,Jacqueline Boges From: electricrowland@aol.com Sent: Wednesday, July 11, 2018 5:46 PM To: Jacqueline Boges Subject: Re: License Agape Baptist Church 39735 Chaney Road Zephyrhills, FL 33542 Sent from my Verizon HTC Smartphone ----- Reply message----- From: "Jacqueline Boges" <jboges@ci.zephyrhills.fl.us> To: "electricrowland@aol.com" <electricrowland@aol.com> Subject: License Date: Wed,Jul 11, 2018 4:41 PM Thank you received and updated.What job will you be signing onto? Need company name or address of project. X r/aekie Boges 813-780--0020 ext 3F 3 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He Himself we have."Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. From:electricrowland@aol.com<electricrowland@aol.com> Sent:Wednesday,July 11,2018 4:27 PM To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us> Subject: License Here you go: Thank you for your help. Davitta Rowland 1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 9� ° Date Received /PhoneContaetforPermitting E Y�n�3 Owner's Name (,tj Pk ��/1 r l$� t•ylJ6�l Owner Phone Number / Owner's Address /�� l. 111 W riiZ 441) Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS S>9nl�i IIS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR e ADD/ALT Q SIGN = Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL = DESCRIPTION OF WORK Weer- SYitaSrtPxs , ('Jto P 00 iEtln AS BUILDING SIZE 1 q/L li SQFOOTAGE= HEIGHT /Z1 444- =BUILDING $ n VALUATION OF TOTAL CONSTRUCTION d{9,Oo . =ELECTRICAL Is Ie p00 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS . Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER X }r/n/yy COMPANY Sr/A11L�aNsy /onoJ Oe- SIGNATURE n lm- REGISTERED I(YI1 N FEE CURRIEn I YIN Address ;1 sal f b a;s l C LT.'a lZca n 1,1,1WT 0171 335fFG Licennsse# C 90 4261 0/ ELECTRICIAN COMPANY SIGNATURE InREGISTERED Y N FEE CURREt, I YIN (x f, Address S• �ItiC e r I l r License# CC,ODD v 3 V PLUMBER COMPANY SIGNATURE REGISTERED Y/ N F'EECURRM YIN Address License# MECHANICAL COMPANY F SIGNATURE REGISTERED YIN FEECURREf, Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA I Y I N Address License# 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 onstte,Construction Plans,Stormwater Plans wl Silt Fence Instated, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 onsile,Construction Plans,Stormwater Plans w/Sift 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$2500,a Notice of Commencement Is required. (A/C upgrades over WSW) •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs If shingles Sewers Service,Upgrades AIC Fences(PlotfSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 2018121677 Permit No. Parcel ID No d q -;6 -.2(- woo-oo►o o eoso ��!! NOTICE OF COMMENCEMENT /�i,D,E)Dig County of 1�A 5 C D I State of , THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes, the following Information is provided In this Notice of Commencement: 1. Description of Property.Parcel Identification No. Street Address: '3q')35 NAC j yl Roan, 7-1piTMR Ni LLS. ''L. 33SN-2 2. General Description of Improvement .tie r-I)P o F q h A C►4 1'M O D U I-A P- CLASS doom S a,i{it:+j, = /i05&gIF 3. Owner Information or Lessee information B the Lessee contracted for the Improvement AaAPE BAD-nST 0-IN02C14 Name Y1135 CNANhF_y FOAL ZEu►+,QNrLLS FL• 33S'�a Address - City State Interest In Property: Aw- Name of Fee Simple Titleholder. (if different from Owner listed above) Address !r City Stale 4. Contractor. 61-1 orc CDrVSTRUe-nc,,)-AoC- a " o s� Tlztg3 Ce1L¢Y- &Aa p,�,as �,c-► fj_ 3356� Address City State Contractor's Telephone No.: �13- 7$a- g►)q 5. Surety. Name Address City State Amount of Bond: $ TelephonB No.: 6. Lender. Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 6. In addition to himself,the owner designates of to receive a copy of the Lienoes Notice as provided In Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by owner. 9. Expiration date of Nodes of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 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 OTI RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NCEr OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of com ment and that 7factstherein are We to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO R pt 1975297 ReC: 10.00 Signatu of er ar L see,or owner s Lessee's Authorized Officer/Dlrector/Padner/Manager D5: 0.00 IT: 0.00 5711E Coeq r V. 07/19/2018 J. R. , DPty Clerk �h slg� or/.Tme/Offrce The foregoing Instrument was arJawvdedged before me this day of t If 297by It-evil, ma Svc A as "`� (type.of authority,e.g.,officer,trustee,attorney in fact)for 1111-- fnamL ofnZrtvjhn behalf r nstrum nt wiz, executed). Personally Known o Produced Identification❑ Notary Signature furl Type of Identification Produced Name(Print) Noary PWM Sims d Fbrk{e .+�ZJ DeWe N Mefcef My CommiulottfF 067689 pA (ryppy0e/�pjp PAULA S.0',NEIL,Ph.b.PASC0 CLERK & CONPTR P wpdatalbcs/noUcecommencement_pco53048I ON AAA 07/1g/201801 m 1 of 1 OR BK jm7 PO 13650 .s" �® STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ,d,we t ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �r� Trus WI S N1Y HAND ND OF ICIALSEALTHIS l� ' DAY 2 � �1s PAULA S. O'NEIL, ERK OMPTROLLER 1t3�? s BY DEPUTY CL.EkK 813-780-0020 City of Zephythills Permit Application Fax-813-780-0021 Building Department - - - Date ReceWed /- 22 Z�UPtwrro Contact for PermlNin 13 3 m 73 _ GG�"7 Owner's Nae t7A P11 7N TIS'f CH09Cµ Own er Phone Number r7/.3'-7 �1- so8 Owners Add... -3?�735_ AAMFu ft,,p Owner Phone Number Fee Simple Tldehardar Name Owner Phone Number Fee Simple Tttlehalder Address JOB ADDRESS Sr1mk f1S qN.,. u LOT SUBDIVISION PARCELID# .rr I'N"�I'0000 IPCIP& c"OSO (OBTAINED FROM PROPERTY TAX NOTICE( WORKPROPOSED ® NEW CONSTRB ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION 0, BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK S)'f/IRQi°; WAur- ,ciP.,dSIFa� ,JOP RDA&qr-ps BUILDING.SIZE /OS(v q, 9 I SO FOOTAGE Ill SIO HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ /S OOD AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBINGi,q, � , =MECHANICAL $� VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY= OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER r/Cfz COMPANY ST/Ali AJcnoJ NG SIGNATURE REGISTERED N FEE CURREP, Y/N Address �S� VC E CLL6L IJ Ab iLAOC1TT 33 License# CATO /.740/ _.,ELECTRICIAN E. ` COMPANY t SIGNATURE \ 1..LLLI(- REGIST.. I YIN FEECURREn I YIN Address License#f P BE" COMPANY L P-e, /O.s ,'t e— ATURE REGISTERED Y/N FEE WFI RB, Y/N Address. n—o J 7��✓j License# F MECHANICAL COMPANY SIGNATURE REGISTERED I YIN I FEE WRRE), LY.LIN Address F License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE WRREI, I Y/N Address License# tiESI0ENT1Al. Attach(2)Plot Plans;(2)sets of Bui r ding Plans;(1)set of Energy Fos;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, San"Facilities 81 dumpster,Site Work Permit for subdivisionsflarge 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 onslt%Construction Plans,Slormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster.SRO Work Permit for all new projects.AD commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans, ""PROPERTY SURVEY required for all NEW construction. DlrecttOns: Fit[outapptkabon completely. • Owner 6 Contractor sign bark of application,notarized If over$2800,a Notice of Commencement Is required. (A/C upgrades ovsr$TWO) Agent(far the contractor)Or Pourer of ADamey(for the Owner)would be someone with notarized letter from owner aulhorWng Same OVERTHE COUNTERPERMITTING (copy of contract required) Rereofs If shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) • Drivoways-Not over Counter Ron public roadways-needs ROW