HomeMy WebLinkAbout19-22179 I
CITY OF ZEPHYRHI LS
5335-8TH STREET
(813)780-0020 22179
BUILDING PERN IT
PERMIT IN M LO ATI.O.NI INF®O.RMATION
Permit Number: 22179 Addre s: 39044 5TH AVE
Permit Type: ADDITION/ALTERATION � ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00300-0040.
Improv. Cost: 85,058.75 ,NERANF.QRMA0TiION
Date Issued: 12/17/2019 Name: BOTTICELLI, CAMELLIA-
Total Fees: 595.00 Address: 39044 5TH AVE
Amount Paid: 550.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2020 Phone. (954)609-6772
Work Desc: REPLACE METER/ BREAKER PANEL W/ PLUMB ADD
C**,O,NTR�A'CTO:R'S,- _ APPLICA�I'O.N FEES
HOMEOWNER ELECTRICAL FEE 95.00
BONNELL PLUMBING INC BUILDING FEE 390.00
GUARDIAN RESTORATION PLUMB NG FEE 65.00
RE-INS ECTION F E 45.00
in, ecti,onsRm uired - z
FOOTER 2ND ROUGH PLUMB MIS(; IINSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC I 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 amountl 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 commi I bncement may result in your paying twice for
improvements to your property. If you intend to obtain Tina,cing,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 OCC�PANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
--Vol (
CONTRACTOR SIGNATURE /�.� 46 C�✓ PERMIT OFFI R
PERMIT EXPIRES IN 6.MONTHS ITHOUT APPROVED.INSPECTION
CALL FOR INSPECTION - 8. HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22179
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22179 Addre s: 39044 5TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Town hip: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s), Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: 0_�S r�5— Parcei Number: 12-26-21-0030-00300-0040
Improv. Cost: r J OWNER INFORMATION
Date Issued: 12/17/2019 Name: BOTTICELLI, CAMELLIA
Total Fees: 550.00 Address: 39044 5TH AVE
Amount Paid: 550.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2020 Phone: (954)609-6772
Work Desc: REPLACE METER/ BREAKER PANEL W/ PLUMB ADD
CONTRACTORS 'i APPLICATION FEES
HOMEOWNER ELECTRICAL FEE 95.00
GUARDIAN PROTECTION SERVICES INC BUILDING FEE 390.00
BONNELL PLUMBING INC PLUMBING FEE 65.00
Ins ections Re uired
F OTER 2ND ROUGH PLUMB MISC I INSULATIONC-EILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATIO 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 eac i 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 commgncement 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 lommencement."
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 WITHOYT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOU NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Bonnell Plumbina Inc
6900 18th Street North
St. Petersburg, FL 33702
bonneliplumbing@gmail.com
727-644-6238
Lic# CFC057862
1, Karl Wayne Bonnell Sr, grant permission to Kyle Andre Bonnell to act as my agent in all
aspects in order to obtain permits in Zephyrhills, Florida. his will allow my agent to answer any
and all questions on my behalf and to sign any and all do uments for me. I accept full responsibility
to ensure all projects meet building and zoning codes.
Ap
Karl W. Bonnell Sr,'
Koe A Bonnell
State of Florida
County of Pinellas
The foregoing instrument was acknowledged before me is 21 s t day of May
2020by Karl Wayne Bonnell Sr. (name of person acknowledging).
WI CAROL A.MILLER
78307
(Seal) Commission#GG 278307
ExPhs March 6.2023
41W. Bo,�Tku Troy F*kwrwa M365-7019
Notary Signature
Personally known - x
Or produced ID Personally known
813-780-0020 City of Zephyr-hills Pet it Application Fax813-780.0021
-
Building':Depa eff. . r
Date Received :.},`7
:PhonotCAntA.0fa#rP:errr ng: .
Owner'sOwhir:.Phor ,Nuriitier.'T
.Owiier'S Andress` OwnerlPho»e Numbop ±_.10 J•� r l
�• - •:Owner PhoneiiVumtier
JOB?ADDRESS
',,Sty ASION' `PARCEL IN
•' �(Oa7AINEpFR01lt�}+ROFEItiY-TIU(NOTtGE},.,, -'
WORK PROPOSED `' "NE1N CON5TR` :' ACID/ALT' SIGN OL•,IS `
,e ;DEM H
INSTALL° ° REP/1lR
8~
PROPOSEt)°USE Q' . `SFR' [ r COMM`:':' OTHER;'`',. -
: . . ;<
TYPE`OF CONSTRUCTION ;' 6LOCK Ej,. FRAME` :;STEEL p[�J
RESC,Rits'f1Qt�,O'WORK. �:I � a� S
BUILDING SIZE: SQ FOOTAGE; HEIt3HT' = ,,i. `
O 'O(ALUATI � N
QEL`ECTRICAL4 .- '' `'AMP'SERVICE' 'Dlil(E`ENEFtGY. [ VU R.E C:•
QMECFtANiCAt, $ VALUATION•,0"ECHANICRf.�1NS7ALt:ATION"
- Y
[ GAS Q ROOFING •'' ' St?EGIALTY
FINISMCf6FLOOR-ELEVATIONS••" 'r'' ��. FLd'OD''ZONEi4R YES` NO
F.. 1 V b
BUILDER COMPANY � 2✓
SIGNATURE / '`REGISTERED'.' YT N; r 'aEE:cuRREn Y%N
ELECTRICIAN. COMPANY;' 42 Am
SIGNATURE REGISTEREO tY/-:tV`:" FEErG�URREK ;Y'[ ,*
.Addr.®,ss. License-#.`'
PLUMBER OMPANY
SIGNATURE., lL— -�,... ;;REGISTERED_ `YI�.N''.s �;FEE}.CUIIM ^Y+/--_�7
:..
Aiiilr �� ?:..l '� ST, G(cerisia I.,G'_lrG►
-
r -
ess
17
MECHANlGAl., ;COMPANY- _.
SIG'AI fJRE ' ` REGI§TERED Y/ N ftcE+CURRER t ;.X% !l••,`
`Aitdfress°..'. : - •. -.....: .._ ,. - L'icet� �aM#' `. ..
OTHER' COtiriPAMt..:
SIGNATURE " REGISTERED`
Address :L1ierise,#.
' .�' ..«i-` _ :4 tiffs. tt-. rt•� - -.-. - _ -.
RESIDENTIAL Attachi(2);PtotPCOn :r.(°3e7sof-$uildt glslan$,(ljssbt#of3r� rgyPo s.:RAC--WF?ertnitforflewoAsfitt�cBl�n;.
Minimum ten(f0pteiorkin§,daywbfter'su6ffiIttai date:•Requireif.onsite tins tivcUon Plans,Stormwater Plan's.w/'SllkFence�instatied;�
Sanitary Facilities&I dumpster,Site Work Permit for.subdivisions/large pnpjacts „-
COMMERCIAL Attach:(2�complete.sets•of-Buliding,Plans,phis.- --ife'�f*y Page;•(1�set of-EnergyF...grrns.,R-0=Vtii.P.enrlit:fbr rreanr eoristructlori:
Minimum-ten(10):wdtk.lhl days�afGer° bmite Ia date.":sRdgUli�ed•onsitel Construction Praris;Storinwater Plans w/Silt"Fence installetl
Sanitary•FadUGes 8.1 dumpster Site ilVork Pemiif<foralt.new.projects.A l comrWardial.requirerrierits"must meetoompllanoe'.•.• -
SIGN PERMIT Attach(2),setsofEtiglneereit Plans. >"
'••"PROPERTY`SllitVEY required-for all-NEWconstruction.
Directions:
Fill out applicatlon.completely.
Owner°8'Contrabtor=sign"back ofappilcation;.notarized
.. If over$2500,a Notice of Commencement is required. (AfC upgradesvver-.$7 00) :
Agent(for the contractor)or Power of Attomey(for the owner)would be someone wit notarized letter from owner authorizing some
OVER THE:COUNTER-PERMtTTING-- ' -(copy of eontract•regutredy=; '
Remofs If shingles Sewers-- • Service U i4/C' Fences(PIoGSurvey/F otage)
Driveways-Not over Counter if on pudtic roadways-needs ROW _ _,
N4TIC'E:OF:`DEED.:RESTRICT IONS:_The,undegsigrledFunde�s)ands.that.this permit may.be.subject to,"deed"restrictions"
which may tae:Mbrfirestrictive-than:Cour<tyregulations: The:undersigned:assumes,respansibil%tyfor•.:cortptiance:wlth any
opplicable�.leed::restrictions:
UNLICENSED::;CONTRACTORS'1 :ND:;COT `ACTOR` PON;SIRIhTIE- df rthe°owner�.has hiretl==:a'?-contractor,or
}: e,� „��{_ RA. ARE ..
-*yt`r7.aa'4-`t,�f*: t'.T.i- =T a �> ^f' ,+.. ' ;,s�,.5r w.�. .. ..
-contractors=ta urrd rkake;:work,:thiey;may he:require,Ao;be.licensed.j ri:accordance:with state:and:lot:at'reg aactons alf.the
contractor.:s.nat°,I FePsed dais requi�ed4 y law;both:>the.:owner.%andscorrtract¢r may�::be'-cited;for-.a 1n%demeanor'violation
under s#ate:-law.: Iftihe'owrrec.or,;lntended contrac#or arel'uncertain as ta:what licensing requirements.may:apply fof;the.
in#ended Work '.tlae ,are:a uised.toco tact>`tf�e'Rasca.Coun auiCdih, ins ectiQn=�Dvisibt.-Lcensin Section'at,�722=8.4.7-
r:800.9:. '.Furthermore;.if:the`owner:has, hired ai contractor'°or contractors, he is: advised' to(have:the-contractor(s) sign
,Qortions-;of the-"contrractor=Block"'of thin-application for:.which:they will.**bb,-responsible:-=If'you, as the.owner sign-as the
zggri#Aotor,that-may& .an indication=.thi,-e:`is not..properly licensed and'is not,entitled;'to permitting privileges in Pasco
County::.. .
TRANS„'O�RTATIpN iM�'AC:T/UTi,I'ITj, S MPACT'AN'D RESOURCE RECOVERY FEES."-The undersigned.understands
..: .. .
that°Transportattor•�.lmpact:Fees;and Recourse:,RecoveryFees may'rapply to:tte:construction yof new:buildings?change-of
use in:existing buildings, or expartsiiin.:of',existing=:buildings,<as'speb ed;:ln Pasco•County Ord'irtance::number-M07:and
as::amen'ded:;:.Ti a:undersigned'also:untlerstands th. !such-fees,.as-may,be:due; will-ba ider tife d.a'f�ihip...et:.
:permittfrag'.=':lt:is fug#, et ands stood,ti at:firanspotfation Impact Fees an - esource.Recovery:Fees must be;paid:prior to
receiving;a:°certi iicat4 of�&bupancy^`or final.power;release.;, if;the..,projoct};loos.-:not involve.:a certificate.dof:�accupaney.;or
finat'u ovtirec:re�e"ase'ttie':fees Haas!b'e aid `r or. to- ermit iss�'a�ice. :p'rkl ermor G''_'Pasco°`Count Water/Sewer Impact
'
p.., .. .. . ,. .. - p .. p. p: !, U e„if Y. p
fifes:ace due;tileymustbe p2 pr quo,permit<issuance;,in:accor:0,6nce.with;applicable;Pasco�County:ordinances ::
�- r , .
C.CINSTJiUC IQ�I LIVU- ,AW'(Cl ito .'4-O;"F�orida"t6tutes,�s amended): If,:valuation;oi work:is:$:2;500.00,or mor,,e,J
r" tx`t'_ :e 5 'a ..li n ,.' .:Ve``.l a _r=,vl: s : ri a C t- e ion'' Ieri:":L'"i+i H m iii+ er's cew ,h ,;.th.,, a ,ca•.t,1 a_ :.��_.,.e+ ...A_o,.ded.with::a,;copy'of:°the„Fio...d ons cut k a a ea n
:Protection�Guide+pr. pared'>'by fl e�Flo-dda'}DepakmeriC'of-Agriculture and:Consurner�`Affai&.. �•I1f:the:applicant s soirteone
othertlaaiathe".ouuner", lcertify-that:i:haue:rititained::acopY:gf the'above:describeddocumentand:promise;in"good faith`to°
deliver it foah .owner"':priorlo:'oorrimencement.
CONTRACTOR'S/QWN R'S;AFF'ip.%1-;iT 4I.Carkif .chat all ahe;infarmatiba^, 1'#his a licatian is:,accuratesan-dahat=all`:work
aF�..:t: V Y.. ,..ter PPx.:, b
wil' f:' `rn v m f: A` i' 'ti 'ri"is
dQrie_tial co „taila'p wtlt..a l appttcatite,}lawstregalati g.:ce is ructiarr di4 ng;andtJarid,..de eJop erx .ppl pa b
hereby::made:ao.:.otitain a:permit`to ,dofwork.:,andinstallation;.asiridicated: l certify that no.work:'or insfaliation .has.
commenced<prior.°to issuance-of a..perirait-:and`that all:_worlcrwiIf-be:performed::to:meet.S of-ards:of,all:taws.regulating.
construction,;Oounty:and; :jtx� od0_,zoningMregulations;,an ,�ijq d�::devetopmenf'regulations In the jurisdiotion ;I,also'
certif 'that°-1=understarid:that#iie:regu7atians-ofl:other;:government agencies.may>apply_to.tMe.:intended:work;:and`that'.it is
my responsibility;#o iderifify'.what-actions:l-must:-take#o:be in compliance::'Suciaa�encies;irici'i�de but'are not lirttite„o:ta:;s
Department ofT'Environmental'Protection»Cypress Bayheads,�Wetland'Areas and`-Environmentaliy':Sensitive
Lands,:WaterMastewater.Treatment.
Southwest 'Florida Wator.:;aManagement• •Distrlct':-Wells; Cypress Bayheads, Wetland :Areas; Altering
Watercourses.-
- . 1. teArmyCorps.vfEngineers- w arwas
ntHea & lEhirormetaH ealth'UnitWlls,;,; aseter,',Treatrent;ert t.Depm Wv ;>
Septic Tanks:
.:US`Environmental;Protectigri,Agency!Asbestgs::abaternent::..
er-a AvijQiW•Auth6f#y R nwayd.;':•
I: riderstantll-'s", >folfowing''restrictions:apply.to the use of fill;G„
;UseofLllsis snot alowed';in<Flood ZoneV"`unleas,eXpressly'.permitted. -
- If'th* F`flII rnateriat;'is`1:#0: be, tased'-in; Flood Zene.:."A", its is:uridexst+ od'that:=a :drainage:'plan addressing a
compensating otume"';will`be submitted::at tune_of.;permittih which is:prepared by'a:peofessional engineer
If`the fill:material .is;ao,;he:used:`in Mood Zone;,"A :inx connection.with-a permitted:building using stem wall w.
consfracttori .t ceCkify#Iiat flit�ririll;lie:uspd onlyad�;t I,,er*ea;within:.the:stem_Wall, .
if°•fiiJ maternal-.is.to be used m::any:area, I certify that`-use of 4such'flit will not::adversely:affect.adjacent
properties..Jf:use;df.°fllrjs:fpund to.a affect:adjacenthproperties;:the.;owner. maybe rcited"for'vid'11 ting
.t oxonditionsbf tt%e tulldin3g:peimit;:issued under:the:attached`-.permitappiication;°for tots less°::#han one,(1�)
ed acre;:whichare:elevat ;by fll;:an,engineered cl..airiage plan:is'required.
If'I>am-the AGENTf FORiT IE�OV1fl ER,T it in se 6`good�faitr}:to-in he., of the;permi#j%..conditions set'forth in
this:affdavif'prior tb:cornmencing,;cOnstr4tction: i understand that's separate":permit may.be 1.required for.eteetrical work;
plumbing, signs;::vitells pools, air:;candltigning,:.:gas,.:or.:other ltlstallations°:Hof pecfically..included:.in tFle'}application:�''A-
permitissued:shall'tie�cons#rt�Iedta.be a?License''ta�prciceed,with�the-woi•k:artif riot as authorityto•violate;-;car'*cei,bite<r;�r..:,:
set aside any provisions of.the:technical:codes;:nor sh.`all:issUanbdilof.a permit-prevent,the Building.Official from thee$after..:,,
r i iris .a;correct'io' `:f`errors:5irit iaiis cxinst a coon or�viola#i—:6t,an`::codes.;:Every.,,permit,fssuedKshail:become`'invaGd
eq....._,,:g... .. ., Ii. Y.. .
unless"the 6' authorlied.'.1i ;such permit is'commenced yi+itfiin'six months:of*'.ermk-issuance,:or,:#,;work autlio ' ed;ai,
Y ,. . p n Y
the+pert fit is susperide dr abandon'eii i i'a,;per )4-,,;six)''months after^°tile:;time'tite,:work-:is commenced:='An'extens on
maybe requested;,in.writing, from",the BuHdmg.Officnal-for:.;a;,p rlod:not=to-exceed-:ninety'(90)-days.:and:will.demonstrate..
justiiiabI.& "se for.the,etctenston ..,If work:ceases:for..hihety(90)�;consedutive'days,the.job is considered;abandoned-.:
WARN N'G::TO;:OWNER y.YO.UR;,FAILURE;'TO'RECORD:'A �IQTI E O,F:C,QMMENCEMENT,MAY RESULT;iNI Ai K.
PAYINGS CEs QRI PRLYEiM.EIVT'�f:TOYCIWD'-? OPIFYOU�INTE.; 1'I;Q!?QEIN�tRiNAN; )NGYCONSCILT:
� ,. y
:WIT YO ;L1rNDE`R 0.11AN ATT.Ui2t E:lt ZE�FC>`RE'1~tE�Ot�DiNG YOUit`N07iCE�C1F�-CONItV111E=�C:1=I1tti=NT
'FLORI�t?A JURA .�F:.S'`c�C17:03),
OWNER OR:,i4GEN 1 M, l�Xi ;'...^ CON:7R11C,TOR
r 'BJY ! ,
Su scri ed;and=swo' to(pratiffli?n?Qd)'b: forte, 'Is;;.;.•= 1 ' . S",bs qed ntlt'woya{�rrried)tiefoie
1`Lt�; ' ueCr2�'11 1 ?�;i _'t l'.�11 - _ GP.�. t
Y.:`
Wh leis erso a)ty known;to=me'.ocaiasJha've produced: ho i !a "p neon known'to rije,oraiasthave'AToduced::
as•Idenfification. � asAdertifioat dn'
Notary Public Notary'PUblic':. I.
Commission No. Commission'No: :
Nameof:Notary:typed,printedor roped NameofNotary.tjip'ed`prin -
-
pi-OS MALDONADO
.:'. DO CARLOSMALNADO
Commission
Commission#GG 346275 ,:=Expires dune', 2020
^` Q"Expires June tB 2023 'r~~�"•=
+�•.,,,.•Pi p , •;fNF� 8ondedTivaTroy'rainhtsurance$OQ-305d018
fi4pfk°'' Bonded Thru Troy Fain Insurance 000.38won
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22179
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22179 Address: 39044 5TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s)� Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00300-0040
Improv. Cost: 10,949.75 1 OWNER INFORMATION
Date Issued: 12/17/2019 Name: BOTTICELLI, CAMELLIA
Total Fees: 485.00 Address: 39044 5TH AVE
Amount Paid: 485.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2020 Pho e: (954)609-6772
Work Desc: REMODEL/ REPLACE METER/ BREAKER PANEL
CONTRACTORS APPLICATION FEES
HOMEOWNER ELECT ICAL FEE 95.00
GUARDIAN PROTECTION SERVICES INC BUILDI G FEE 390.00
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 renspection,whichever is greater,for eachsuch 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.
r1
CONT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR I IOTICE REQUIRED
PROTECT CARD FROM WEATHER
Bolt Electric Invoice 54864699
:9-888-8867-1072 Invoice Date 12/11J2019
ai `i. tT= - Completed Date
>t : Customer PO
Billing Address " ``` Job Address .
Camille Botticelli Camille Botticelli
39044 5th Avenue,.' 39044 5th Avenue
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
':description ef.Work
Claim#1
Payment Terms;
Deposit of 50%due upon scheduling: Remaining balance due upon ca%ei
fetion.
Please Note:All required repairs are a resultof a severe surge.There isdence of this surge throughout the home. First
and foremost the"home's service equip,rnent:is damaged and.must be re�rfaced in order to restore power.We must perform
a Megger test in order to determine.if;<the:bca�ch rcuit wtring is.safe to be re-energized.The quote below does not
includde any repairs•of bra.nehti>circuitwiring,.-t iany,6" Os ohiligfiting in t�e home.Additional repairs will be quoted after
the work an,this invoice is;romp[eted;tinc uding'U 6c !fegger,test:.
r , =
Task# Descri tion`y,'
p Quantity Your Price Your Total
Misc. Electrical Permit,inspection;.utility reconnect 1.00_ $10,337.00 $10,337.00
42 circuit 200:.amp CH weather.tightpaneI ,
200 amp rated ma'. socket,
Roof=penetrating.riser 8t weatheihe'ati= 4:.> ` ".:
4..i..�
Code c-&6pliantgrountling`sys p :,;
20.0,arrmp dated servicedisconnectr.i';>'._
200 amp,ratedfeeders.from disconnect to panel
Misc. Perform Megger Test for insulation qu'a(ityand safe operation 1.00 $598.00 $598.00
Misc. *Strongly recommended but optional* 1.00 $0.00 $0.00
Vault BTU system&whole horriesurge'protection:@i$1:83$'
PP "; . :-i_ 1.00 $14.75 $1.4.75 FFS FuePand field-su lies ' =s
Sub-Total $14,949.75
Tax $0.00
Total Due $10,949.75
Balance Due$10,949.75
All*Repair sand insb de ilations inclu .a 1 year warranty on parts and labor.
443 Interstate C6!U'5ai" ota k 34'240 ji"BoltElectri L.com l Lic#E'C13005160
I authorize BOLT•ELECTRIC to begin theagread:upontasks authorized on this inv�ice in the amount of$10,949.75.(understand that
once the job has'begun,I am responsible for the full payment of$10,949.75.All prices on this invoice reflect a 3%cash or check
discount.Any cost associated with collection-of unpaid balances,including attorney fees,court fees,office and field time/labor will be my
com�lete responsibility.Canceledjobs' ecluire:48''t ours'notice to:be.eligible for:refund,Canceled job deposits returned minus material
and abor costs,,Ccde violations and p rmt fea =Initials= >::,
I understand.that if my.payrnerit does;got cle;rr:1 --Aa.le for any'charges from.a.e bank,including a bounced check fee of$50.1 agree
to pa 2°!o per mon. for past due confractsor;a rnrntmum ofi$20 per month,wh chever is greater.I agree that in the event of litigation,I
shall be soley reasponsible-forony and'ill cost trirurf ecl 6y BOLT.ELECTRiG,includi g attorney fees.I confirm that.the total listed on this
invoice is the total price:agreed.upan.lnitials
., • •� '
/Signature
Print Name itle
Date
. _`,;;_ _
TGUARDIAN
RESTORATION
To Whom It May Concern: 2/25/2020
We here at Guardian Restoration Services, INC will be doing work located at 39044 5tn Ave,
Zephyrhills, FL 33542 for Camillia Botticelli. We would like to be added to the permit, that is
currently in place for the building portion of the project.
We ask that the following list of people be able to pick up/question/turn in permits is as follows:
Cameron Bernard Tiffany Howard
Liam Lynch Levi Hies
Patrick Keller Daniel Allen
Dale Burnham Kurt Ahrens
Richard Ruiz Adam Grant
Our authorized Notary list is as follows_
u-,
Heather Millwater
Hannah Gross
Chris Bur
Gua estoration Services, Inc
3093 46t" Ave N
St. Petersburg, FL 33714
727-527-3282
State of Florida, County of RA&\\cS Sworn to (or a firmed) and subscribed before me
via Ophysical presence OROA-online notarizations this avr`" day of , 20--34
By
Personally known R produced identification 1 (Ty)e of identification produced
Signature of Notary Public S;Y'P�e HEATHERMILLwATER
Nofary Public—Scale of Florida
•: Comma§or.#GO 083853
My Comm.Expires Mar 15.2021
fronded Wouch Na6anal NotaryAsui.
3093 461" Ave N • St. Petersburg, FL 33714 PH 727-527-3282
www.GuardianFlorida.c m
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22179
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit#:22179 Issued: 12/17/2019 Address: 39044 5TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 10,949.75 Total Fees: 95.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 95.00 Date Paid: 12/17/2019 Parcel Number: 12-26-21-0030-00300-0040
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Na e: BOTTICELLI, CAMELLIA
Addr: Address: 39044 5TH AVE
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (954)609-6772
Work Desc: REPLACE METER AND CIRCUIT BREAKER PPANEL
APPLICATION FEES
ELECTRICAL FEE 95.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER /
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 may be 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 ag ncies or federal agencies.
"Warning to owner: Your failure to record a notice of comme cement may result in your paying twice for
improvements to your property. If you intend to obtain finan ing,consult with your lender or an attorney
before recording your notice of c mmencement."
Complete Plans, Specifications and Fee Must Accompany Application. ll work shall be performed in accordance with City
Codes and Ordinance .
117 .
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOU APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR OTICE REQUIRED
PROTECT CARD FROM EATHER
DISCLOSURE STATEMENT F R OWNER
CITY M 4i
OF ZZPHYRHILLS BUILDI G DEPARTMENT
ce.(G- hav read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or Sh is. desirous of constructing,
renovating, adding to or reroofing his or her o domicile, that he or she
actually occupies, or will occupy by Sa domicile, and same is not for
rent, lease or sale. That he or she shall compl with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provision of the City of Zephyrhills
ordinances and codes pertinent. to the buildin
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That *in the event the Building Inspector shal require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection befor� proceeding with the building.
S. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written reques from this office shall
constitute an official notice to pay addition 1 fees..
7. That the owner shall comply with all City, St to and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
S. That the owner shall comply with- all the safe y codes issued by the Florida
Industrial Commission.
9. state law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to th t law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a li ease. You must provide direct
onsite supervision of the construction yourse f. You may build o�; improve a
one-family or two-family residence or a farm utbuilding. You may also build
or improve a commercial building, provided yo r costs do not exceed $75,000.
The building or residence must be for your o use or occupancy. It may not
be built or substantially improved for sale o lease. If you sell or lease a
building you have built or substantially impr ved yourself within I year after
the construction is complete, the law will pr sume that you built or
substantially improved if for sale or lease, hich is a violation of this
exemption. You may not hire an unlicensed pe son to act as your contractor or
to supervise people working on your building. it is your responsibility to
make sure that people employed by you have li enses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a lice sed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your dire t supervision and must be
employed by you, which means that you must de uct F.I.C.A. and withholding tax
and provide workers' compensation for that e*Oloyee, all as prescribed by law.
Your construction must comply with all applic le laws, ordinances, building
codes, and zoning regulations.
A.
OWNER'S SIGNAT - DATE
ADDRESS 0 _
PHONE CAS41r 0 9 to
WITNESS PERMIT #
INSTR#2019213558 OR BK 10023 PG 2578 Page 1 of 1
12/17/2019 12:10 PM Rcpt:2117945 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq,Pasco County Clerk&Comptroller
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and ir accordance with Chapter 713,Florida Statutes,
the following information Is provided In this Notice of Commencement /� 1- h
1. Description of Property(. Parcel
Iddenti8catbn No.��/„/�•��4LD ? ` 7'�_� U{,, n �r
Street Address:�B9 o� St h Ati, t Af-' - �,mil+ 41 Y 1(us. EL. 3 7'742
2. General Description
of Improvement �w1h �t ��j(1 l/I t h �.` ni rid
3. Owner Information or Lessee Inf on if the Lessee contracted for the improvement:
Address n•�`._ city State
Interest in Property:_
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address I city State
4. Contractor. Q F- U
� wLL W w
Address nn `` 1 city State ® Ur •OILL. = � }
Contractor's Telepho a No.:"1'V�° 8 1 ' Z U ( H®O 1—
CV
5. Surety: = Q I
Name ILW LLI t] ~ ��' 11. p
Address City State ® Q � Q `� Q
Amount of Bond: $ Telephone o.: II— li W U U
8. Lender. �; _ LL• 0 J
Name r , a LL-
LLJ O
Address . , City State _ V Z LU
Lander a Telephone No.: ' ' ' "' *` 1— J _J
7. Persona within the State of Florida designated by the owner upon wham notices or otter docurnents may be served as provided by U m
Section 713.13(1)(aX7),Florida Statutes: ix pW Q z
LL
Name .. .- UU O O}
Address ... . .. .. . . City I State �.'✓E—
Telephone Number•ol'bseignaW Person: ( LLILU
8. In addition to himself,the owner designates of
to receive a copy of the Llenors Notice as pfO vided In Section 713.13(1 Kb),Florida Statutes. ?r �C FK Z m
Telephone Number of Person or Entity Designated by Owner. 0
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction end final payment to the �(
contractor,but-will beone year from the'dats of recording 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,UNDER CHAPTER713. PART1.SECTION713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE ® �®
RECORDED AND POSTED_ON-TFiEJOB SITE-BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT pp��
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of per)ury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are We to the be
of my knowledge and belief. {�
STATE OF FLORIDA s. ° Win• '� #
COUNTY OF PASC
• dr.
''*e, Timothy McKenna Signature of Owner or Lessee,or Owner's or Lessee's Authorized
MY COMMISSION#GG91406 otficer/Direclor/PaMer/Manager
a EXPIRES:September I9,2023 �y A• ° ® }
Ignalory's Tltld/Offioe /
The foregoing Instrument was acknowledged before me this day df gE o�9 by ( 1'V&l
as it.of i.tharity,e.g.,officer,trustee,attorney in fact)for
' •' '' '' (naroJipt,pad of om instrument was executed).
Personally Khown❑QR Produced fden8lrcatloiA Notary Signature
Type of Identification Produced rr L D.'L• - Name(Print) GCev1
wpdata/bes/noti cecammencement_.pM53048'-
Permit No. Z L Parcel ID No Z�y 1 /r}( f
�/� ,+ ' NOTICE OF COMMENCEME �v
State of 1 `0 V(/l( County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real prop rty,•and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of;Commencement
1. Description of Property: Parcel Id^entificatioh_No,
Street Address: 3-1 �5"c . � h �1( ��
2. GeneralDescription, �p`ovement Qi� P 'F� � h���,��i('„n.�
3. Owner Information or Lessee infor tion,if:the,Lessee contracted for theimprovement;
L' G1YY1 I��1 G1 r j GQ LC
Address _ _ city State
Interest in Property:.
Name of Fee Simple7itleholder.
(If different from Owner listed above)
Address Cif State
4. Contractor:
Na_
Address Ci State
Contractor's Telepho a No.:
5. Surety: -- --- -
AddressName —�NSTR# 2019213558 BK 10023PG 2578
Amount of Bond: $' - --- __ = - _ 12/17/2019 12:10pm Page 1 of 1
J _ 14opt: 2117945 Rec: 10.00
6. Lender' �- -A- 6ki
0.00 IT: 0.00
Name
Alvarez-Sowles, Esq.
Address Pasco County Clerk & Comptroller
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 7ci State
Telephone Number of Designated e6rst7n:
8. In addition to himself,-the owner_designates. _ I Of_
to receive a copy of the Lienor's N tice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement;(the expiration date may not.be befor the completion of construction and final payment to the
contractor,but-will be one_yearfr6m-the date_of.recording unless a different date is s ecified):
WARNING TO OWNER:- ANY-PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPERTPAYMENTS-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 INSPECTIOW IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR R CORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I-have read the foregoing,notice of commenc ment and that the facts stated therein are true to the best
of my knowledge and belief-
- ..
STATE OF FLORIDA
COUNTY OF PASC
pf� ,`k jV1CK Signature of Owner or Lessee,or Owner's or Lessee's Authorized'
o _`,T1IT10thy --. eDiia.:
Officei/DiiectoNPartnerManager.
MY COMMISSION#GG9I4686- .
O EXPIRM Septe, b,r 19;,2023
Signatory's Tide/Office 1
The foregoing instrument was acknowledged before me this day of �(W0(Q y (/CAry)e l(1 OL �4 ice,I I 1
as . (type of authority,e.g.,officer,trustee,attorney in fact)for
(na / of horn instrument was executed).,
Personally Known I]'OR Produced.fden(ification{' -- Notary Signature
Type of Identification Produced ft: §': _. Name:(Primt) / f1�1 Gbh
wpdata/bcs/noticecommencemerit_pc053048
: -
CITY OF ® BUILDING
ZEPHYRHILLS, `� NOTICE
DEPARTMENT
1 .
OF ADDITION OR CORRECTION
. • NOT REMOVE
ADDRESS DATE PERMIT#
THIS JOB HAS NOT BEEN COMPLETED. The following additions qr corrections shall be made before the job
will be accepted.
far
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE/
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-I NSPECTI/
the installation. /
OFFICE HOURS 8:00 AM -4:30 PM MON.-FRI. INSPE TOR //