HomeMy WebLinkAbout19-22063 I
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22063`-
BUILDING PERMIT
I
PERMIT INFORMATION 1 LOCATION INFORMATION
Permit Number: 22063 Address: 7712 KAY MARIE AVE LOT 235
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s) 235 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parce Number: 34-25-21-0170-00000-2350
Improv. Cost: 6,100.00 1 OWNER INFORMATION
Date Issued: 12/03/2019 Name: KIRK, BOBBY& LORRAINE
Total Fees: 112.50 Address: 7712 KAY MARIE AVE LOT 235
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33541
Date Paid: 12/03/2019 Phone: 352-949-8420
Work Desc: CONSTRUCT SCREEN RM 12 X 13.6 W/ CONCRETE
CONTRACTORS APPLICATION FEES
SUNSTATE ALUMINUM INC BUILDI G FEE 112.50
Na
Z
Ins ections Required
FOOTER 2ND ROUGH PLUMB Misc I 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 a ditional restrictions applicable to this property that
may be found in the public records of this county, and there may be ad e ditional 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�I
City of Zephyrhill
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ,Sv �e)Z &)Mx tv M
Date Received: / /051A019
Site: Or
Permit,Type: ,S(���Q.(I (�I��c�v�, lf' Co h cre4e .
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
f 5,e f4ackJ
This comment sheet shall be kept with the permit and/or plans.
m
NOV 2019
Kal m/Szer—Plans Examiner Date Contr ctor and/or Homeowner
(Req ired when comments are present)
GRAND HORIZONS HOMEOWNERS ASSOCIATION
APPLICATION FOR APPROVAL
EXTERNAL ARCHITECTURAL OR LANDSCAPING
IMPROVEMENT,ALTERATION,ADDITION, DELETION OR REPAIR
Date:
Please Print Below Information:
From: OWNER: Q u _ �L nQR /�2 K 1 1L L/ LOT# d 3 G
1-�g
ADDRESS �71 iQ,� m9121 e iau e-.
REQUEST FOR: Preliminary Approval? —j� Final Approval?
I,the undersigned owner, hereby request approval of the following described external architectural or
landscape improvement, alteration,addition,deletion or repairs as required by the governing documents:
�1', ins ra Sce�,e..n� 2�o/n beti�'nd h�usp .
Plans are attached: Yes i/ Noi Esti ate Date of Completion:
Note: Plans are REQUIRED for all requests detailing any and all changes proposed. Plans need to provide
sufficient detail that we can determine what and where the changes are to be made AND must be signed by
the homeowner. See back of this form for additional instructio s.
Owners Signaturei-2 e 16
ALC Approval 1: ti Date:
ALC Approval 2 Date:
ALC Approval 3: Date: '
Approval valid until this date:
April 4, 2019
813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021
Building Department Date Received Phone Contact for Permitting O Q 1 -Ip f
Owner's Name �7�7 /rk 0 er Phone Number
Owner's Address / /� e4j Q p/,-�/^. ?h 5'y/
Owner Phone Number
Fee Simple Titleholder Name Ow i er Phone Number
Fee Simple Titleholder Address /L /
JOB ADDRESS F77 Ct /1� / /l: lS L �3J 7 LOT# a�fr
SUBDIVISION LdIrS PARCEL ID# rJ y r°1 -0/70 '06be)v
OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = $IGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLO(C'K' 0 FRAME = STEEL =
DESCRIPTION OF WORK
✓ ? /- J� D d ak r.l�
BUILDING SIZE 1�/ �1d ,(Y i SQ FOOTAGE HEIGHT
T1 . . . . ITrI'r.I I I I ICI I I"'I"I I I I I . . . . . .T�7T"
=BUILDING $/r100.O U VALUATION OF JUIALUL)NO�IRUGTION
=ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ Lp
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.�,'-:�.=-r.--.�.-.-.��'o�:-'r'r:-.-.gyp.--ra •�-^c-..j,'.R''.�P..-rt•-:�:-�.�/i-/-_Ft�a-;-:-t��'.�' }.�.:-tom
BUILDER /%%?G �x'• 1 •1 J-COMPANY• G1 J`AT� �G! /n�l�//L �• '(j➢��
SIGNATURE // U REGISTERED Y/ N FEE CUR b
Address CL��L �7�• /{� ZAP is rV� License
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y,/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY I
SIGNATURE REGISTERED YI/ N FEE CURREN Y/N
Address License#
OTHER COMPANY I
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address Ucense#
IIIIIIIIIIIIIIIIIIIII11111111lIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111
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,Constr[iction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large proj cts
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of nergy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cor imercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
-1-f-i•f-F-1-t•-�i-t••I-1--t1-��1-i-1-{.•I-1--I�•1-1-f-I-del--1-�1--1-I-t-i-R-1-1••I••f� 1--1-i-1-6-.f-.4-f-1�-4 1b-1-t .-I-
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 notarl ad 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 Counler.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'SIOWNEWS 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"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 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 savor o`or affirmed efore me this Subscribed a d sworn to ffir ed)before me this
/r-S-I by ,aY-hit ItwL S /1-t-1� by A-� 1� tit m S
Who is/are personally known tolme or has/have produced Who is/are personally known to me or hhs/have produced
as identification. a{s Identification.
X r.4Jotary Public / Notary Public
Commission No. Commission No. 14
N e o4typ Name of Notary ty
ogW;V't�1��1g d Fkxida
a4 Nancy J Brooks MIR
ate of Florida
My Commission GG 178530 ks Exptros 02110=22 GG 170530
022
I
INSTR#20191189217 ORBK10001 PG2786 Page 1 of 1
S/H 11/05/2019 11:5'4AM Rcpt:2105792 Rec:10.00 DS:0.00 M0.00
I Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
FBC Plans
cl � a S
&Engineering Floridan Building 6272 Abbott Station Dr.
Building Unit 101 C
QT10
ns,FL 33542
Gode ermit P
Parcel ID No
NOTICE OF COMMENCE
state County of
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real pl.p.uy,and In accordance with Chapter 713,F1 rldaSatutes,
the following Information Is provided in Us Notice of Commencement
I. Description of Property,Parcel Identification No.. - Q_ 0 S-.) I - /)1-,7 o - 60m ip .;t S
Street Address: '72M kl lka ,-,,-,- A�. ;E4,04t,i.�Lf
2. General Description of Improvement 5e-1V,. Anyu_ Jr
3. Owner Information or Lessee Information If the Lome contracted ffor the Improverne I t:
r
ye,14i
Address CRY I state
Interest In Propedr. of-I •
Name of Fee Simple Titleholder. Of different from Owner listed above)
Ad city state
C.=.r. 'S .Sr` ,
4. ;,W 1, &_
(�011ne7Et:z�g "
Address state
Contractors Telephone No.: 19�
5. Surety: <
Name C.)
C0 iEz co W
Address city, state 0 Li-- :3
Amount of Bond: Telephone No.: u Q S 0 X _1
c)a) 0
a. Lender, -4 00 < CIA(if
Name CL Q C3 LLI I- LU
U_ LL] uj `3 0
7-1 Of -
Address city State 0�J_ .
Lender's Telephone No.: >_ LL_ F- CI 0 t
I-- UL. W_
Persons within the State of Floridadesignated by the owner upon whom notices or other documents may be served as provided by W
7. Z O O E
Section 713.13(1)(a)(7),Florida Statutes: :3 >- 0 U_
0 0 F- CL Uj
Name 0 C) 0
0 0
i_- CO
Address city State Q CO 0 LL
tL W ,:) 2: ()
Telephone Number of Designated Person: W 11 <
6. In addition to himself,the owner designates J LIJ 0 0 >_
LA_
to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b),Florida,Statutes. Lj_ C-) (.)
O00rn
Telephone Number of Person or Entity Designated by Owner. 0 F- Z LLI C/3
J) < _j w
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the LU L W E: Z
I.- co
contractor,but will be one year from The date of recordingpqi unless a different date Is a I < :D
ed) I.-
T W z >
WARNING TO OWNER; ANY PAYMENTS MADE BY T14E OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT U) i_- r 0 3: CC
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I 'SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TV410E 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 perjury.I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my Knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signs ore Owner or Lessee,or OwneYs or Lessee's Authorized
Officer/DirectoriPsitnerIM4inager
go ird�.
signatory's Title/Office
The foregoing Instrument was acknowledged befo me this_Lpd.y I
et al 20&L
...—as i0a)re AJ AFA_ —(type of authority,e.g.,officer,trustee.attorney In fact)for
(name 0JI.tty on b half of whom instrument was axe
Personally Known[I 2a Produced mU aUo4 Notary Signad Ac
Type of Identification Produced Nam.(Print) 1 10,674 C_�Oxrd
flu
wpdatatosMotiocconmenmmonLj)cOS3048 moll III* r
Page No. of Pages
Contrart
SUN STATE ALUMINUM, INC.
6154 Fort King Rid.
ZEPHYRHILLS, FL 33542
(813) 788-7368
J 9
_SLIQMM1741)TO PHONE DATE
STREET JOB NAME
CT(,,STATE and ZIP CODE JOB LOCATION
Y,
ARCHITECT DATE or PLANS JOB PHONE
We hereby-subtrift specifications and estimates for. �—T
S
T-T
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............ ................ ............ .......... ................................... ................................ ................ ........... .............. ............ ...................
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. ......... .................................. .......... .....................................................................I.......... .......... ......................... .............. ................ ........... ................................................
............ .......... ............. ............ ............. .............. .............................. .................... ............ 1..1._.1.1.1.1..._.:..........................
.............................. ........... ---------.................. ..........
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...................................................................................... ............................................................. ............... ............................ ........... ....................................
................................... ..................... ............................._............ ...................... ........................................... ............... .......... .............. ......................................
.................................... ................... ......................i....................I—.......................... ........... ........... ...... .........................111--1............ ........... .............. .............I.....................
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__..»__..._ ____.._..____.,._.___._-.___ ..__-__-.._1,..-___..__.__.___.._ ..._....___`. .____._--.._-. _._ _____....__.. --._..._..-_ ...........___..-------I——............ ---------
t.
IN Contrad here�yl to f6riftsh rn�ierial and labor com' p*late ipAacc9rdance with above specifications, for the-sum of:
Payment to be made as follows: dollars($
All unpaid balances subject to 1.5%monthly interest fee.
All material is guaranteed to be as specified.All work to be completed In a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authoriz6o.—
Sig-t el- I
Involving extra costs will be executed only upon written orders,and will become an extra nit.
charge over and above the estimate. All agreements contingent upon strikes, accidents t"
or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. '=Z_.-NotefTffliproposall may be
8 beyond
withdrawn
by us if not accepted within days.j
5
racteptanCC Of Qftfltrart—The above prices,specifications ,� A
and conditions are satisfactory and are hereby accepted.'You are authorized Signatu ic
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature-
,
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