HomeMy WebLinkAbout20-22324 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22324
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22324 Address: 5524 11TH ST HISTORIC
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11700-0150
Improv. Cost: 105,922.00 OWNER INFORMATION
Date Issued: 1/29/2020 Name: TROYER DARVIN W TST& RUTH ANN
Total Fees: 1,057.50 Address: 5524 11TH ST -HISTORIC
Amount Paid: 1,057.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/29/2020 Phone:
Work Desc: RENOVATION W/ ROOFING
CONTRACTORS APPLICATION FEES
KERNS FAMILY CONSTRUCTION CO BUILDING FEE 855.00
REESE ELECTRICAL INC ELECTRICAL FEE 67.50
JACKSON PLUMBING INC PLUMBING FEE 67.50
CHRIS' A/C COMPANY MECHANICAL FEE 67.50
THE ROOFING COMPANY OF TAMPA BA
Ins ections Required
FOOTER 2ND ROUGH PLUMB MIS(; 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.
T OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 780-0020 City of Zephyrhills Permit Appli Fax 81&70 021
Building Department
Date Received Phone Contact for Pernittin 813/ 294 5158
Darvin W.Troyer,Trustee of the Darvin W.Troyer Revocable Trust 62404
Owner's Name Ruth Ann Troyer,Trustee of the Ruth Ann Troyer Revocable Trust 6-244731Wrier
Owners Address 13327 Camoustie Circle Dade City FL 33525 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 552411th St. LOT# 15& 16
SUBDIVISION Town of Zephyrhills PARCELID# 11-26-21-0010-11700-0150
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION R BLOCK FRAME = STEEL
DESCRIPTION OF WORK Complete ren vation to i ude new electrical,plumbing,HVAC,roofing,trusses,siding,etc.
BUILDING SIZE 15x50&20x30 OTAGE 1,267 HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTIONCr
105,922.00
=ELECTRICAL $ AMP SERVICE Fv_A1 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ _�'ti'1"
1W Ot
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1
go
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ® �vvllJJW�� —F�
BUILDER COMPANY Kerns Family Construction Company Inc.
SIGNATURE �R6GeiQRED I Y/ N FEE CURREN
Address 5031 rpo ROB Zephyrhills 33542 License# CBC1255980
ELECTRICIAN C n // COMPANY
SIGNATURE G REGISTERED I Y/ N FEE CURREN LZ/N /rGt✓
�- pl
Address License#
PLUMBER I CIO 0
f�/J��/ COMPANY Jackson Plumbing Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address j License#
MECHANICAL p A�L COMPANY Chris ABC
SIGNATURE �X1�/F' I I REGISTERED I Y/ N FEE CURREN Y/N
Address i License#
OTHER �' ' I COMPANY The Roofing Company
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlliltllltllllllltllltllllllll
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 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,Stornwater 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 Attomey(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
813-7eo-0020 City of Zephyrhills Pe in't Appli Pion /� Fax-ala-7saaoil
Building Depattrtrent i
Date Received fr+ /0• Phone Contact forPermidtn 813, 294 5158 -
'Z-�f'1'T'1-iT' - - nni-r- "1 _ -
Dardnvt TroycyTrustee althe DaMn W.Troyer 11mrabteTrust s-24-ar _
OwneesMame Ruth Ann Troyer,TnsteealtheRM Ann TrayerRevocrblaTrent &24tgypner nttH
OwneesAddmss i3327Carnars(ceCimlaDadoC4FL33525 Owner Phone Number
Foe SimplelltleholdorNamo .( OwnorPhono Number
Fee Simple TtttahoiderAddross
JOB ADDRESS 452411thSt. LOT#
SUBDIVISION Town of Zt=phyrhiils PARCEL IDd 11-26-21-0010-11700-0150
r—� (eeTAIMM RWM PROPOM TAX Nonce)
WORK PROPOSED NEW cGWR&Z ADDIALT SIGN Q = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM r--j OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL C} r}l{
DESCRIPTION OF WORK Complete rend�vaUon tot ude new electrical,plumbing,HVAC,roofing,trusses,siding,etc. 0U`
BUILDING SIZE 1 15x50&20x30 �WdO-TALE 1+26T HEIGHT " h
m
�BUILDING $105 922 00 VALUATiONOFTOTALCONSTRUCTION 00
ot
+
=ELECTRICAL 1$ AMP SERVICE I y'1 PROGRESS ENERGY Q WA.E.C.
OPLUtABiNG 1$ �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i r
@ ftfO
=GAS = ROOFING Q SPECIALTY = OTHER T �'•
FINISHED FLOOR ELEVATIONS FLOODZONEAREA =YES NO
BUILDER COMPANY Kems Family Construction Corn an inc. " .t
v
SIGNATURE E—=��`-4MCARTSM I YIN FEEctrRRLTa Y!N
Address 50311 rp0 Roa Zeph y "
yrhitls 33542 Licenses CBC1255940
ELECTRICIAN 7COMPANY
aca
SIGNATURE RsrEt m Y/N tgCt7i2RFJt Y!N
Address Uarnses tV/'
PLUMBER COMPANY Jackson Plumbing Inc.
SIGNATURE RMSTMW I YIN FffaxdmN I YIN
Address itcanse&•{ ��
MECHANICAL COMPANY Chds'AIC
SIGNATURE I YIN FMCURREN. LyjN
Address ,�...- License8l
OTHER y COMPANY The Roofing Company
SIGNATURE Rsais3FReD ^7Yt N FP€ctatREN L.YjN
2
Address ' _ ;) L fi l�L Ucense (t -!,1, z�J
Itittliitititllli[ tiltltitl/ itlttitttiillIitfi.1 / ttttifilt/ ttittttttil
RESIDENTIAL Attach(2),Plot Plans.(2)sets ol'Building Flom(1)set ofEnew Forms;R-O-W permit far new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomlwater Planssw/SM Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pennitforsubdivistowarge pro)ects
COMMERCIAL Attach(2ycomplete sets of Building Plans plus a life Safety Page:(1)set of Energy Forts.R-O-W Penult for new construction.
Minimum ten(10)wo*ing days after submittal date.Required onsite,Construction Plans,Stomtwater Plans w!Silt Fence installed,
Sadtary Facilities&1 dumpster.Site Work Permit#nr all new projects.AD commerdal requ rements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY requited forall NEW contraction.
Directions: - -
FlII out application completely.
-
Owner&Conbudarsigq bark of opprtcadog,notsdzed
Irover$2500,a Notice of Commencement is required: (AtC upgrades over$TS00)
Agent(for the contractor)or Power of Altomay(fortho miner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING. (copybtcontract required)
-
Remals If shingles` Sewers Service Upgrades A!C Fances(PiotlStuvey/Footage)
Driveways-Not over Counter it on public roadways-needs ROW ++I
I
a
S43Ttr0-0024 City of Zephyrhilis Permit Applicatioil. ` Fvx-0137s ()Zl
Ddildirig Department ^,
Data Recotved 4A-
OwneesI VPhone Conhcl.forPemtitUn ' .4 $i3' 2S47"i"7DaTtoyar ltustl6 a!Cee�r++tn YiC Tmyei RevorabkrT""rust' 6.2A-01.Owner'sNama .nroyerTyereeorthetluurMn7royerRetivwbtpTrust $2>�Wnar ttelkt
Address .13327.Camrniq;ee Circle Dade
�C4y FL 33525 Owner Phone Number I
Fee Simple Tnileholder Name { ovmor Phone Number
Pat Simple Tian rotderAddrsss
JOB ADDRESS 552411thSt. _ .. LOT# 15& 16
SOBDlvtstON Town Of Zephyrh)tis PARCEL tux 11-26 2 t 001 0-1 1 700-01 M
�� (otTTAIN60 FRdrd PROPERTY TAX N(MCE)
WORK PROPOSED NEWCDNSflti111 ADDIALT SIGN Q = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM L J OTHER ,.
TYPE OF CONSTRUCTION R BLOCK FRAME STEEL
DESCRIPTION OF WORK Compiete rendvation to i ude new electrical,plumbing,HVAC,roofing,trusses,siding,etc
BUILDING StZE 15x$0.&20x30 TAG 1,267 HEIGHT � ,
VALUATION OF TOTAL CONSTRUCTION 1
BUILDING S 1 t)5,922.00
ELECTRICAL i$ �. AMP SERVICE Ist PROGRESS ENERGY = w.R.E.C.
MPLUTADING �' „r Q
=MECHANICAL f VALUATION OF MECHANICAL INSTALLATION r4l/'
r �
QGAS r�j ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATION$ FLOOD ZONE AREA =YES NO (jJ/ Ps
L! � �Ar[
BUILDER _ LICO
ANY Kerns a ily Constructio CSIGNATURE REo Y!_N t�Cuar�N `YN iri�8riy Inc.
5031 ;,�o, o Z h " ' s 3542 1 98
Address rp - � ep Y 3 LJcensett C$G 255 0
ELECTRICIAN ( COMPANY Y� t
SIGNATURE . , ! RMSTERED YIN tia GuRfMN YIN fi t
Address dtoVr^ Zk.UC L`337730i Licenses
PLUMBER 4 !' . COMPANY .IBG�SSart Piutnbing Inc.
SIGNATURE REGISTERLD YIN FEE CURYMN
Address License
.t
MECHANICAL COMPANY ChrIS`A/C
SIGNATURE RCOISTt Rao Y t_NI FM CURMW Y r N
Address License 0
OTHER wupANY I.The Roofing Company, Q�
SIGNATURE RBOISTERED Y b N FEE CURMN .Y I N
Address License P t — {
titttiitltltllttt"tillliitilltiltltitilltiF / 1II11111it1111111 lilt III
RESIDENTIAL Attach(2)Plot Plans;(2)sets olBdflding Plans;(1)scl of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)vmrKig days after submiiWt date. Required onsite,Construction Plans.Stormwater Plans wf Sill Fence installed,
Sattitaty Facilities&T dumpstar,Sit&Work Permit for sttbrfiASiotisrtarge projects
COMMERCIAL Attech(2)compteW sets of Budding Plans plus a Lire Safety Page;11)set of Stratify Forms,R-O-W Permit for new constuaion.
minimum ton(10)working days alter submidal date.Required onstte,Construction Plans,Stomnwter Plans w1 S8t Fence Installed,
Sanitary raclinles&1 d2lipster.Sile Work Permtifor oil new projects.All comMairlal requirements must meet compiler=
SIGN PERMIT Attach(2)sets of Winesfed Plans.
—PROPERTY SURVEY required for ott NEW construction.
Dilations.
Fill out application eornptetaty.
Owner a Contractor sign back of application,notarized
It over$2500,a NaUco of Commencement is required. (A!C upgrados Ivor$7500)
Agent(for the contractor)or Power of Attorney(for the oMer)would be someone vaTh notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs H shingles Sewers Service Upgrades A+C Fancas(PbVSurucy/Foolage)
Driveways-Not over Counter it on public readways..needs ROW
813-780-0020 City of Zephyrhills Permit App11Ca F.81 7 021
Building Departrnent f
un DRavwWed 10 PhonoContatxfarPonnittin 11 813", 294 _ .515'8
WMn Owmel1PAAMTT1"1-"1.1TM--160C`;ft
sNsme
Owner's Address 13svcnawusteGrcta Dade OtyFL3325 Owner Phone Numbor _
FooStmptoTitiohotdorNQmo OwnerPhoaeNumbar
Fee Simple Titloho&tarAddmva
aqB ADDRESS 552411th St. " -- LOTo 15&16
SUBDIVISION Town.4fZephyrh19S � j PARCELiD# 1126-V-0010'417t10-0150
�-�t (tial' KDFROMPRMERW=tmncE)
'WORKPROPOSED NEWWWREZ ADD/ALT C} SIGN Q Q DEMOLISH
INSTALL REPNR
PROPOSEDUSE, SFR L] COMM OTHER _I.
TYPE OF CONSTRUCTION BLOCK FRAME STEEL �————
DESCRIPTION OF WORK, I Complete randrVBGon to 04
We new electlipl,plumbing,hiVAC,reoGng,verses,siding,etc.
BUILDINGSIZE 15X50&20x30 TALE 1,287' HEIGHT c h
7091
BUILDING $105,922 00 VALUATION OF.TOTAL CONSTRUCTION
QELECTRICAL 1$ AMP SERVICE 19� PROGRESSENERGY W .C. ll
QPLtIMBtNG 4��J
QMECHANICAL S VALUATION OF MECHANICAL INSTA1 AnoN +
[]GAS ROOFING [j SPECIALTY�] OTHER r
FINISHED FLOOR ELEVATIONS FLOOOZONEAREA AYES NO1-,
Air
BUILDER COMPANY Kerns Family Construction Compan Inc.
SIGNATURE _ �"" r Y!.N FEE CURREN LyjNjg
Address 15031_ q Ro Ze h chills 33542 Ci C 5980
A�rp P Y ucenaa a
ELECTRICIAN COMPANY !
SIGNATURE RrfastEt:En Y!N FEEctm?RBI YIN
Address usenses f
PLUMBER. COMPANY JacicsOn Plumbing Inc.-
SIGNATURE FinasxEtEe YIN tOcURREN I YIN
Address License$
MECHANICAL COMPANY Chris'A/C
SIGNATURE retrsnR® YIN FEECURREN Y/N I
Address Lkenso i�' I
OTHER COMPANY I The Roofing Company
SIGNATURE _ F=15nEREs I YIN FEECURREN
Address License It
# I_Il/k# i## I111 #Ilkkn it### tit# # It1iIliitlT ###tlkllll # IIIIt##-# ###t!#
RESIDENTIAL Atlaci(2)Plot Plans:(2)sets orBUIlding Plans:(1)set-of EnewForms:R-O-W Permit for new consbuction,
Mmimum ten(10)Wmking days altar submfitol date.Required onsite,Conshucton Plans Stormwater Plans wl Silt Fence Instaned,
Senit&y Fatalities&1 dumpster.She Work PCmdtiorsubdMstonsiiarge projects
COMMERCIAL Attach(2)complete sets of Budding Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Peonn for new eansiruction.
Nf3nma m ten(10)working days after submnbi date."Required onsita,Construction Plans,Starmwater Plans W1 SIt Fenco inttaned.
Sanitary FacMas R t dumpstar.S'Ro.WorK Potmit for all now pro)eda.All Commercial requirements must meet conpltance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY mq*W foram NEW constn edon.
Dtroctlons: '
FIR outapPlkadon CarrrPlatety.
OowwSL Conbaciors8n bade of appiicodon,notmtmd
Irever$269%8 Notiec of Commoncomont Is required. (!UC upgredts aver$750a)
Agent(for the Contractor)or Power of Attorney(for the owner)would be someone with notafted Ietierirem owner authorizing same
OVERTHE COUNTER PERMITnNG (copyofconhactrequtted)
Retook if shingles Sewer`s Servke upgrades AIC Fences(PWJStuvey1Faa1xge)
Drive%mys•Not over Counter If on WMa roadwiays..needs ROW
813-7e0-0020 City of Zephyrhilis Permit Applicaiii n �'" y Fax-ala-7s 1021
Building Department
Date Received s• 10• Phono Contact for-PorrtitUn t 813 294 5151i.
Onmri VV:Troyer,Trustee of the 0Wn w.Troyer RevowbE Tnut rr24-04
Owners Name Ruth Ann Troyer,Trustee of Cie Ruth Ann Tmlu Retiornbla Trust QT 524•��yder .' A loft
Owners Address 13327Camws,e ,rt .Dade-City FL 33525 Owner Phone Number
Fee Simple TitloholderNamo Owner Phone Number
Fee Simple T10ohotderAddroas
JOB ADDRESS 5 4 11th St LOT ft 15&16
SUBDIVISION Town Of Zephyrhills PARGELIUM 1 1-26-21-001 0-1 1 700-01 50
toamINEo FROM PROPERTY TAX NOTIM
WORK PROPOSED NEW CONSTR� ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM LJ OTHER -
TYPE OF CONSTRUCTION BLOCK FRAME = STEEL �] 0LOtA
DESCRIPTION OF WORK Complete Ten nation to.iude new electrical,plumbing,HVAC,roofing,trusses,siding,.etc:
BUILDINGSIZE 15X5O.&2OX3O TALE 1,267 HEIGHT (
1/ �C
BUILDING 51,05,922.00 VALUATION OF TOTAL CONSTRUCTION J O ,
=ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Ot
J" {
=GAS = ROOFING 0 SPECIALTY = OTHER f
FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO 5 �_t
BUILDER / COMPANY Kems Family Construction Corri an .Inc.
SIGNATURE Y1 N FgcuuZEN f YIN e`
r� 9
Address 5031 � po Roa>�Zephyrhllls 33542 License�,CBC1255980
ELECTRICIAN v/f COMPANY
SIGNATURE Rewsstelz£n YIN F ctAu�r+ Y!N t1 �f fJ✓
Address• License 9
PLUMBER COMPANY Jackson Plumbing Inc.
SIGNATURE REGISTEREo I Y/ N FEE cURREN Y I N
Address �7 License R
MECHANICAL y' / _ COMPANY Chris AIC
SIGNATURE _i/ /, �'�' REGtstEREO I Y/N FEE cuRREN
Address o/4,e- 3;33:,• T License 0
OTHER COMPANY The Roofing Company
SIGNATURE REGiSTEREo YIN FEE cuRREN ' YIN
Addross License#.
1111111111'1111'I1'119t11111111111111111111i1t11111i1t1111111111111111
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,Slormwater Plans%v/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subtlMsions/large projects
COMMERCIAL Attach(2)complete,sets of Building Plans plus a Life Safety Page;(1)set o!Energy Forms.R-O-W Permit for now construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonw inter Plans wi Silt Fence indalled,
Sanitary Facilities&t dumpster.Site Work Permitfor oil new projects.All carnmerciaf requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constntdlon.
•Directions: .
Fill out applicatlon completely.
Owner&Contmctersign back of application,notarized
If over$25D0,a Notice of Commencement is required. (A/C upgrados ovor$7500)
Agent(for the contractor)or Poxwr of Attorney(fortho ownef)would be someone with notarized latter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Rerools H shingles Soviets Service Upgrades A/C Fences(Plot/Survay/Footege)
Driveways-Not over Counter if on public roadvrays-needs ROW
NOTICE OF DEED : The undersigned undermtandmthatthhmpmrnoitmnaybmmubjemthm~dmed^reatrictions'
which n{oybo more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTORRESPONSIBULUTVES: If the owno! 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 bacited fora misdemeanor vjm|aUon
under state law. If the mvvnor or intended contractor one 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 omn1namhzdo) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
uontroctur, that may be an indication that he is not properly licensed and is not entitled to permitting phvUaQea in Pasco
County.
CONSTRUCTION LIEN LAW
i ��(Chapter 713, FUo�da Statutes, ame
nded): |fvo|uoUonof work ie$2.5O0.OQor more, |
��� �xthot |' 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. |f the applicant iusomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver dto the^mwnar" prior to commencement.
- CONTRACTORS/OWNER'S AFFIDAVIT: l certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating oonatructimn, zoning and land
development. Application is hereby made toobtain o permit hodowork and installation as indicated. < certify
that nowork or installation has commenced prior to issuance of a permit and that all work will be performed to
meet standards of all |amva regulating construction, County and City codes, zoning naQu)abonm. and land
development regulations in the jurisdiction. | also certify that | 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 hobeincompliance.
|f| amthe AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit priorto commending construction. I understand that separate permit may be required for electrical vmorh,
plumbing, oigne, vveUo, poo|o, air oonditimn|ng, gau, or other installations not specifically included in the application. A
permit issued shall bo construed tmbnm license to proceed with the work and not mm authority bu 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 nodhoexceed ninegy (QD) days and will demonstrate
justifiable cause for the extension. If work ceases for ( D)consecutiyz�, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO -CE 0 CO ME�WEMENT MAY RESULT IN YOUR
PAYUNu�K��UK�E FK�kKU8QPRW»yEQOENU��U���YK�U��P����PE�x CONSULT
i I
J
City of Zephyrhilis
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: 1-lC)
Site: �Z �~
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: 0 Denied w/the below comments: ❑
�� rSlaf' 14 l'r1r/u,t f � /
This comment sheet shall be kept with the permit and/or pI s.
JAN 2 0 2020 --'
,lvi rtzer—Plans Examiner Date /C4666r-li(Vor Homeowner
(Required when comments are present)
Daniel M. Ossman Drafting Service, Inc.
2139 Park Crescent Drive Land 0 Lakes,Florida 34639 Phone: 813-310-6802
Ref. address: 5 524 11 th Street b&
Zephyrhills,Florida 33542
To whom this may concern,
The contractor elected to change from concrete block piers that surround the perimeter of
the structure,to a concrete block sternwall. The 8"x 8"x 16"concrete block sternwall
will sit onto top of the 8"x 16" concrete footing w/2 - #5 rebars cont. Contractor to
install 1 -#5 vertical rebar in a concrete filled cell every 6'- 0"o.c. (max). See sheet S -5
for additional information. A double 2 x 8 P.T.rim joist to be anchored to the concrete
block stemwall with a Simpson HETA 20 @ every 24"o.c. (max).
Should you have any questions,please feel free to call me at 813-310-6802.,
Sincerely,
Daniel M. Ossman
SHALL COtAP4
ALL WORK SV" "'UILE)N6000-t'
Ir'Ot)FS FLORID PRI
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IF
1-Y Thayer Hersom Architect Date:
(Fl. Reg.AR10528)
CITY OF . " NOTICE BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS PERMIT
5 5D G `41 JATE
2 7
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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. 1�,12
�SOFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
INSTR#2020010645 OR BK 10040 PG 2603 Page 1 of 1
01/22/2020 01:03 PM Rcpt:2127874 Rec: 10.00 DS:0.00 IT:0.00
` Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
0
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby phres notice that Improvement wig 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.11-2r-21-MO.11700.0150
Street Address: 552411th SL Zephyrhills FL 33542
2. General Description of Improvement Complete renovatlon to Include new electrical,plumbing,HVAC,roofing,trusses,siding.
3. Owner Information or lessee information if the Lessee contracted for the Improvement
DanM W.Tmyer.Trustee elthe DaMn W.Tmyw RevmbteTrut um e•24W d Rm Mn Tmyer.TmMe area Ruth Mn ToyerRWM=bb Trutt UM 0.2404
Name
13327 Carouses cimme Dade City FL 33525
Address City State
Interest In Property:
Name of Fee Simple Titleholder
Of different from Owner listed above)
Address C �\ State
4. Contractor m,. t
oAddress
Contractor's Telephone No.: City tJ State
5. Surety.
Name
Address city State 0
Amount of Bond:E Telephone No.:
S. 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:
9. In addition to hlmsA the owner designates —Of—
to receive a copy of the Uenor 3 Notice 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 before the completion of construction and final payment to the
contractor,but will be one yearfrom the data of nxarding 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
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 perjury,I declare Bud I have read the foregoing notice of commencement and that the fads stated therein are true to the bast
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owmer or Lessee,or Owner's or esseWs Authorized
-Of cerrDiredor/PaMerManager .
wA Signatory's Tmie/OFfice -�__ _
The foregoing Instrument was atlmoWledged before me this lU day'��(�',,',-2D 'by d N Sir
as 1 (type of aulhorfty,a.%.officer,trustee,storey in fact)for
( party on b of whom Instrument was executed).
Pe�d.nlfiflcafio.
Produced Idemificaton❑ Notary Signature
duced Nellie(Print)
JACQUEUNE BODES '
.Commission GG 278157
Expires December 12,2022
••'••.E'!;t.:' Batdedilru7loyFdnfc�trat100,965.70t8
cupdatalbcs/ncrUcecommencementpc05300
SfATE OF IFLORIDA,COUN-rY OF SCO
THIS IS TO CERI IFY THAT THE FOREGOING IS A
AK TRUE AND CORRECT COPY OF THE DOCUMENT
FILE OR OF PUBLIC OF
RD IN OICON - FICIAL StACTHISSS�YHAND
=� DAY OF b 2
—&y ERA CO TROLLER
1887
DEPUTY CLERK
By.