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HomeMy WebLinkAbout19-21683 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21683 �. BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21683 Address: 5841 GALL BLVD Permit Type: ACCESSORY BLDG. 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: 11-26-21-0010-00900-0130 Improv. Cost: 14,000.00 OWNER INFORMATION Date Issued: 9/19/2019 Name: PROVIDENCE BESA LLC Total Fees: 165.00 Address: 9603 ORANGE JASMINE WAY Amount Paid: 165.00 TAMPA, FL. 33647-3020 Date Paid: 9/19/2019 Phone: Work Desc: CONSTRUCT PATIO COVER 415 SQ FT CONTRACTORS APPLICATION FEES SUNSTATE ALUMINUMN INC BUILDING FEE 165.00 K" �)/ ffli FRAME Ins ectio s Required SHEATHING FINAL 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. -----------___-.._.N.O..000UPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0 y, `r 'Nd City of Zephyrhills BUILDING PLAN REVIEW COMMENTS 1 Contractor/Homeowner: (iCf l�LL!Y Date Received: Site: Permit Type: GL'h�' r r Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ r�e-A- A0 This commen sheet shall ept with the permit and/or plans. AUG 2 12019 Kalvi itzer—Plans Examiner Date ff&W an or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 33 7ff Owner's Name Y CS LL<1 7Own' er Phone Number Owner's Address ©/Yt t P��!/k/—�q bK pwner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ''^^ c LOT# Swaalytstew d c] PARCEL ID# "�L oZ��Wl D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE = SFR COMM OTHER TYPE OF CONSTRUCTION = BLOCKK� 0 FRAME = STEEL ,J= DESCRIPTION OF WOR✓Kr��s OG v C D I/e W/ !�`54�P T J BUILDING SIZE /L J awxl D SQ FOOTAGE 't HEIGHT YID PP l'P'4�P'e�v�1T1�F`,�FYP•FmI�PYrTF�P'P�4�P @ ITPrZ-P•�P'0"T^e•7�e"P'P�P>rl°°°i�r'rPPi �1�P�P'f UILDING $//f VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ i V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION _ f =GAS = ROOFING 0 SPECIALTY = OTHER !/�f/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO -i . I . . . s-.e�'p '-.- q.�'�• A. /.' o °--�� .�4 ��-'ae'.�- . 1-: .- BUILDER / Y �' J COMPANY ram!l[ Q l /�Jl.!Gf/L SIGNATURE REGIS�TEKED Y/ N FEE CURREN Y/N Al. Address Sr � 1�1� "A 3 �`i/ License#VBC I'Q ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# 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# I1I11111111t1111I1I11I11III1111I1t11111111111t1I1I1I11illlllt111111 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 dale. Required onsile,Construction Plans,Stormwater Plans w/Sill Fence installed, 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 onsite,Construction Plans,Storrnwater Plans w/Silt Fence Installed, Sanitary,Facllitles&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. .•L-1-1--�I--4-1��•-H-I•d-S-1-wl--{-1-4-L-4-1.•1-4.i-Fa--F-{+{-F-i-6-1-i-I-d-I••I••{�I•.f-Fl-6-L#-1.a-i-1--1-kd-1-1�-1•-1-t-1-d-1--1--F- 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(PloVSurvey/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 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 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 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 "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 OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.0 ) OWNER OR AGENT CONTRACTOR Subscribed and sworn o o affr )be ore his Subscribed ands orn to(or affir Ybef e e this S by fJ/? tw Jr Aki Who is/a personally k own o me o as/have produck Who is( personally kno e 6r has/have roduced as identification. as ide tification. �i (�I�Notary Public � �l t�L Notary Public Commission No. Comm iss n No. Name of Notary typed,printed or stamped Name of Notary type ,pnn ed or s amped 016 Notary Public State of FWda Jai Nota=Stateof aNancy J Brooks ' � Nan` aa nny comn,i�sion cc 17es3o'Z E res 07J18/2022n c My C0�•a w Expir INSTR#2019160069 OR BK 9975 PG 2720 Page 1 of 1 09/19/2019 09:45 AM Rcpt:2091963 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq., Pasco County Clerk&Comptroller Permit No. Parcel lD No " ?J"� be %Q) M 10 4:3 13") NOTICE OF COMMENCEMENT State of rV •-N Q...1 17 ch, Ceuntyof_��JSGO 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: Parcelldenti8ratlon No.—11 21.0 21 CNt5\ i,� d4ZIC1 CS 13 C1 StreatAddress: 52-ler1 �C-1��o�. �Lu 2-) %its L 33S42, 2. General Description of Improvement 3. Owner Information or Lessee information If the Lessee contra for the h rovement Qiz)\t 1t5F aid -,, •� `` Name jp�,,A Address City State Interest In Properly. a Name of Fee Simple Titleholder. (If different from Owner 6eted above) Address City State 4. Contra do..S \/M.R Address city State ContmcWesTelephone No.: 9sv O - � 5. Surely: L— Su V ,n Name Address CRY State Amount of Bond:$ Telephone 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: 8. In addtilon to himself,the owner designates of to receive a copy of the Llences Notice as provided In Section 713.13(1)(b),Florida Statutes. Telephone Nuanber of Person or Entity Designated by Owner. 9. Expiration date of Notice of Commencement(the worstlon 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 data Is spedfied): 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 IMPROVEMENTS 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of pedury,I declare that I have read the foregoing notice of me at the Grain are true o the best of my,knowledge and belie}. STATE OF FLORIDA COUNTY OF PASCO S natoro o or Lessee,or Ownsea or Lessee's Authorized Officer/Director/Partner/Manager usAIA115 S Dw.JEA— Signatorys Ti6a/Office The foregoing Instmsment was aclmowledg before me ods�day o 7,26yby&e� as�/.ls_ A=!P_ (type of euBh".e.g.,officer,trustee,attorney In fact)for (name arty on behalf of whom In an was e Personally Known❑DR Produced tiff Notery Sipne L�,prh oJ^^M�{'�l'. Type of Idantt8catlori Produced!'L ���4�/f Name(Print a SMRDEN K OIL COiiO Notary Publk•BLta o1 florlY Coeenlulon I ff"os61 •My Comm.E:plro Jun 26.2020 wpdatelbcs/noticecommencemen(pc053048 Banded Ifuouph NMlaul Notary Align. y ^ STATE OFFLO�|�� C��UNT/0- PA�C� THIS|GT�CERT|FYTH/�THE FOREGO|NG |SA TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OROF PUBLIC RECORD |N THIS OFFICE WITNESS MY HAND-AND OFFICIAL SEAL TH(S CL4k *o. BY DEPUTY CLERK