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HomeMy WebLinkAbout19-22173 INSTR#2019217127 OR BK 1 0026 PG 2972 Page 1 of 1 12/20/2019 03:43 PM Rcpt:2119415 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No. 1� Parcel ID No �� `d�I W +V(✓ )U—�v I f NOTICE OF COMMENCEMENT? stated �' County of t El S t U THE UNDERSIGNED hereby gives notice that Improvementwill be made to certain reel property,and In ecOordar4swith Chapter713,Florida Statutes, the following information is provided In this Notice of Commencement 1. Description of Property:Parcel Identification No. Street Address: (�/� I A 2. General Description d Ion m,..t `rL— -+ stir ti` `�� �r ic k-L L A �( 2 r e�j S�" K t --� 3. Owner Information or Lessee Nfamadon If the Lessee eortraded for the Improvement bGl��U1e 5�-r�C(i c rr� �I c•� 7�P�Tf'�/ state Address city Interest In Property: None of Fee SimpleTitletroMer (if different from Owner listed above) Z U W Address T City�• Stale O Ur .LPL J } 4. Contracts U n� O( L/� l / �j V Z OHO J Contractor's Telephone No.: t"'I 1 / S W LU W n m oo 5. Surety: >- LL — Name Z W LL O U U Address city F- >- U LE Amount of Bond:S Telephone No.: 0 � a W 0 Y 0 � — 0 B. Lender. U 2 OU U Z W Name Address Cif State 02 W U m W I Z O L� Lenders Telephone No.: 0 WW Of O LL = 0 7. Persons within the State of Florida designated by the owner upon whom nodoes or other documenW may be served as provided by Section 713.13(1)(a)(I),Florida Statutes: LL ®Z Name W Q LIJ �' ~ _m Ltd Address City State g E' Z ~' - Telephone Number of Deaignaled Person: CO il-F-- O �S m B. In addition to himself,the Owner designates Of- to receive a copy of the Llenoes Notice as provided in Section 713.13(1xb),Florida whites. {L Telephone Number of Person or Entity Designated by Omw. 9. Expiration date of Notice of Commencement(the topiretlon date may not be before the completion of construction and final payment to the �!i • y��j� contractor,but will be one year from the date of,e= Ing unless a different dale is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT® ARE CONSIDERED IMPROPER PAYMENTS CINDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN t RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE ® m RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULTt' �1J WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of pwkuy.I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the bast of my knowledge and belief. \ „�r•r1��® w �1, STATE OF FLORIDAP�ap COUNTY OF PASCO Signature of Owner or Lessee,or Owners or Lessees Authorized e Officer/Dlreder/Partnar/Manager t� SlgnaWs Tltle/OIHcd w .. The foregoing Instrument was acknowledged before me thislday of '' 20 ti by as (type of authority,e.g.,officer,trustee,attorney In fact)for (name of party on tmhalf of whom Ipstnxnem was eimcuted). Personally Kncwn j7Qfi Produced Idendficetlon❑ Notary Signatu(re� Type of Identification Produced Neme(Print) 't't\4L:, 0. LIJ, t�� e-A--%, ALYCIA WARREN a Commission N GG 43439 MY Commission Expires • October 31, 2020 wpdetaroWnoticecornmerrowt_pcO53MB 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting �2�— 7 5 Owner's Name I I G S Ivw• ov Owner Phone Number Owner's Address 6&0 6 45 I!A Owner Phone Number s 33SY Owner Phone Number JOB ADDRESS V G S vk /��i��s {L 3� Ti LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR= ADD/ALT ®� SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK e L eawl f rVtO..t ,. � yt �► ►Z ( '�j BUILDING SIZE I 6 SQ FOOTAGE 21�� HEIGHT y =BUILDING $ ` ' O� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ O�Q AMP SERVICE = DUKE ENERGY Q W.R.E.C. =PLUMBING $ 1'?J =MECHANICAL $ ` VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO � BUILDER COMPANY Y'► Gouh Gn.,�U Lt �4r` c-. SIGNATURE REGISTERED Y/ N FEE OURREN LY.LN Address' 12 0t Ccfrbt R0 - License# CGe_0e2-2s 6 a 3y rr7 ELECTRICIAN COMPANY =e-Deue-ei r4t.v_ SIGNATURE /��f REGISTERED Y/ N FEE CURREN YIN Address 40 br- c4W License# L V C>O L PLUMBER ( `✓ COMPANYl� Jh.C C livkt'jl� SIGNATURE Ulf REGISTERED I Y/ N FEE CURREN Y/N Address 31 Z �i.J�✓L i�S C� Wrs),etll License# I CgL P-I Z&- 3 i MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address 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. (AIC 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 4Service Upgrades A/C Fences(Plot(Survey/Footage) Driveways-Not over Counter if on p`utllc roadways:.needs ROW NOTICE OF DEED Rea TRICTI IONS: The undersigned understands that this permit-may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersig,ped assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTOR AND CONTRACTOR RESPONSIBILITIES: -.If the owner has hired a contractor or contractors to undertake work, 1 ey 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 r intended contractor are uncertain asAd what licensing,requirements,may apply for the intended work, they are advise 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. TRANSPORTATIO14 IMPACT/UTILITIES'IMPACT,AND RESOURCE-RECOVERY-FEES:.the undersigned understands that Transportation Impact Feed 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 ust be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be pai prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW( hapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, h6ve been provided with a copy of the "Florida*Construction Lien Law—Homeowner's Protection-Guide" prepared by Ithe Florida Department of Agriculture.and:.Cohsumer 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 cornmencement. 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 per it 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 certify4hat I understand that tl�e regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify whit actions I must.take.to:be incompliance. Such agencies include but are not limited to: Department of.Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Was�tewater 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 vo`ume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the'fill'materiallis1.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 b'e 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, poolsi air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be constr led 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 I from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the exteni ion. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARMING 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 WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE—OF COMMENCEMENT. FLORIDA JURAT(F.S.117..03) OWNER OR AGENT _ CONTRACTOR5 Subscribed and swornto(or affirrne )before me this SubscrLbed go sworn om r i afore-me•this--- y b Who is/are personally known tQ me or has/have produced Who is/ar erson known to me or has/have produced ash identfication. as identification. Notary Public Notary Public Commission No. Commission No. i v Name of Notary typed,printed or stamped Name of Notary typed,printed'or stamped CARLOS MALDONADO r Commission#GG 346275 � ,d: Expires June 18,2023 %;� ° Bonded Thru Troy Fainlnsurance800.385-7019 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: G Imo , rOVY-)��) C � s'f�U Ati;j Date Received: J O Site: u (� S�ti(i� 1 Lim dy- " Permit Type: nb 0 V', A 0]/J , Approved w/no comments! Approved w/the below comments: ❑ Denied w/the below comments: ❑ i I This comment sheet shall-be kept with the permit and/or plans. DEC s. 2019 Kalvi itzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) r 11/21/19 Attn: City of Zephyrhill5 Building Dept 5555 8I" 5t Meridian Ave Zephyrhill5, FL 33542 I hereby authorize Andrew 5titham to handle all permitting, inspection needs (apply for, pick up, Schedule inspections) for the following: Project: Florida Medical 6606 5tadium Dr. ZephyrhillS, , FL 33542 Tha u, Joel 5teven5on Tri County Construction, Inc. CGC062(561 This foregoing instrument wao acknowledged before me This ' � day of ( ) who i5 personally known to me or ( ) who has produced Il -I L as identification and who (kq) did or ( ) did not take an oath. Notary /i/ G�✓�/ .�!'"� ' .`pWuglr r���'"••;^� ALYCIA WARR&N Commission N GG 43439 "; •� MY Commission Expires My commi55ion eXpireo --� y'wwa°a October 31, 2020 CITY OF " NOTICE " / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION , D • NOT REMOVE �,,y ,, ADDRESS � DATE PERMIT THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. 78 It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. 7Q ' OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR