HomeMy WebLinkAbout20-22539 CITY OF ZEPHYRHILLS
5g35-8TH STREET
(813)780-0020 22539
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22539 Address: 6535 NORTHLAKE DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0800
Improv. Cost: 5,400.00 OWNER INFORMATION
Date Issued: 3/03/2020 Name: MAIDEN DAVID
Total Fees: 105.00 Address: 7410 BEARFOOT CIR APT 3
Amount Paid: 105.00 ANCHORAGE, AK. 99502-7116
Date Paid: 3/03/2020 Phone: (907)317-9514
Work Desc: ADD SCRN ENCLOSURE 13X 25.6 ON EXISTING PAVERS
CONTRACTORS APPLICATION FEES
PATRIOT SCREENS INC BUILDING FEE 105.00
�(-Z
l
Ins ections Required
FOOTER 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 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.
CONTRACTOR 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 Application Fax-813-780-0021
Building Department
Date Received �r v�`
Phone Contact for Permitting V
Owner's Name D11wi C Owner Phone Number
Owner's Address �� vlL� � / i Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I r-_ /�
JOB ADDRESS &S-35— /l)O2T{� tke I>L- LL�OT# ®
SUBDIVISION ' 1l✓'e' �a�S PARCEL ID# (/�— D af� cXXW-QpG 06
�� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I r/I NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Qq FRAME = STEEL =
DESCRIPTION OF WORK 3•�Zf YO`Sf s a+l d; qSI-ai T3 -1 UEo—
2p
BUILDING SIZE SQ FOOTAGE 1° HEIGHT Q r
BUILDING $�LOQ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $J T AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ 2
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER yasc 6 COMPANY P���VT.SGzee,_5 �L
SIGNATURE REGISTERED Y/N FEE CURREN
Z Y/N
Address ' (S T3 License# -S �3 I`( l
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address F I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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 subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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.(A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 Divislort--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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or
expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also understands,that
such fees,as may be due,will be identified at the time of permitting.It Is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a"certificate of occupancy'or final power release.If the project does not involve a certificate of occupancy or final
power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,'I certify that I,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide'prepared by the Florida Department of
Agriculture and Consumer Affairs.If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the"owner'prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and that all work'will be done in compliance with
all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do work and installation as
indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I
understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I
must take to be in compliance.Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"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 sworn to(or affirmed)before me this Subscribed and sworn tgg,,(or aged) efore�e this
by by C/lJR t S
Who is/are personally known to me or has/have produced Who is/are it n to me or has/have produced
asidentification. C� as identification.
t
Notary Public (8V Notary Public
Commission No (0'
issia o.
Name of Notary typed,printed or stamped Name of Notary typed,pnnted or stamped
j,;CQUELINE SOGES
Comntiscion#GG 276457
Ez ires December 12,2022
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INSTR#2020036726 OR BK 10062 PG 3270 Page 1 of 1
03/03/2020 08:36 AM Rcpt:2140810 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
i
Permit No. Parcel ID No ��L��-��o�D'Qr�L�-Qcs-1-10
NOTICE OF COMMENCEMENT
Stateof ♦ (o�(� County of
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement d 3-"-ZI-OI 2C'LX0O? OKoO f(�S�blC1NLAfG n^
1. Description of Property: ParoelldentiflcationNo.64V4A 0ftc6r0V4WptUCPb?,I 96154o•49• La-r8D 0(L9a•V FC�JI/
Street Address: 1191M, /VOn/H
2. General Description of Improvement PCO) CFCxe- L3'V-- 6'V` vN l Sf/N�i Yrtr/nL/7a(iJ Wf FuS�atS• 48 CL
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W U E
_ a tv ojf a).3. Owner Information: u _
O 12
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(�3S n1o"ems LAIC �md- -�, ,a�r7/s IlC o (D
�-
Address City State 0 c U
Interest in Property: -f3S7/d-- o t_ Q O CT
Name of Fee Simple Titleholder. Q E) raj 0
CD
(If other than owner) C3 -C o RS N •,_
Address City State C N O
4. Contractor: PAMZ(t,\ ^ 22r�`� 10vC� Q @ N ,
p, �
Q'f(9 e Zt1dfcoW1r (6 L- 0 chi o N
Address p G �-y City State + c O t�! > C7
Contractors Telephone No.: O �O�" 1 37S�U ®e t0 0 d Q
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Address City State
Lenders 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 xtYYi�!+
Section 713.13(1)(a ),Florida Statutes:
Name I
f •
Address City State
Telephone Number of Designated Person: ll �p •
8. In addition to himself,the owner designates /o4� of
to receive a copy of the Llenors 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 is one year from the date of recording 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. NSPEC71OIN IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BBEOR OMMENCING N7a K OR RECORDING YOUR NOTICE OF COMMENCE NT.
STATE OF F�
COLL COUNTY IP CEN OVERBY
'a MY COMM'"ON 0 00031A81 Signature of Owner o er's A3farized Officer/Director/Partner/Manager,.,
EXPIRES S"mbw 2S,2040
Signatory's Title/Office
The foregoing Instrument was acknowledged before me this day of a\CLh ,20�0,by
as (type of authority,e. .,officer,trustee,attorney in fact)for
(n of arty on behal wh in t was executed).
Personally Known1AR Produced Identification❑1 Notary Signal,
Type of Identification Produced Q 11T U t(1 Name(Print) l)ee-ju
Verification pursuant to Section 92.525.Florida Statutes. Under penalties of perjury,I dw.4re t have read the foregoing and that the facts stated in
It are true to the best of my knowledge and belief.
Signature of Natural Person igning Abov
/ •,wpdatalbcs/bcs formslnoticecommencementjyo053048wce
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: P6 !(
Date Received: 2-o—
Site: cs
Permit Type: f 3� s7
Approved w/no comment :❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with e-permit and%or plans.
1",,:A I...,.----- FPR..-? 3 1202n I
Kalvin Swi er—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)