HomeMy WebLinkAbout20-670 D
City, of ZephyrhillsPE'RMIT=NUMBER
5335 Eighth Street E
Zephyrhills, FL 33542 BAR-000670-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/01/2020
Permit Type: Add/Alter (Residential)
' Property,Number Street-Address
35 25 21 005A 00000 1410 38540 Trellis Avenue
Owner Information' Permit Information Contractor lrfotmation"
Name: JUSTIN&ALYSS DAVIS&MAHON Permit Type:Add/Alter(Residential) Contractor: WEST COAST WINDOWS&
Class of Work:Add/Alter Residential EXTERIORS INC
Address: 38540 Trellis Ave Building Valuation:$3,730.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$0.00 p
Plumbing Valuation:$0.00 l
Total Valuation:$3,730.00 l cy Total Fees:$87.97
Amount Paid:$87.97 �1
Date Paid:9/16/2020 10:59:36AM
Project Description
REPLACE 7 WINDOWS
Application Fees
Building Permit Fee $58.65 Building Plan Review Fee $29.32
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 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 permit 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 add fee 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 PE IT OFFICE
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 Phone Contact for Permitting
'n ��3� 997 ySa3
Owner's Name .�T u5�-1 n �TL SSG JJ��I� ' Owner Phone Number
Owner's Address 3 V5yo ire I'' bi Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS 3�d5�1o. i c'e f 1 ;5 AUL LOT#
SUBDIVISION PARCEL ID# � A'S -006A '1 10
(OBTAINED FROM PROPERTY TAX NOTICE)
.WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK 7 Win dc,J slze For S, L-c_
BUILDING SIZE SO FOOTAGE HEIGHT
[ BUILDING $�i�3� �-= VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��`�
p)D
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS. ;FLOOD ZONE AREA =YES NO_ Div w I�J CP
BUILDER : (1 Q J rryl COMPANY I CC45�W 1 n(�4kJy �Yhl�r i R
SIGNATURE 0"L REGISTERED • Y/N FEE CURREN, Y/N
Address License# CS',* y(a
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address F. License#
PLUMBER COMPANY
SIGNATURE I REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N
Address License#
i[#.II##.#.I.# i:I.I.#.#111#XX1.#..IA.1:I.9#:#.d.I##_#_I.##.I.i'#11114(f#.I'##'.I,I##:##2—IX#'I I I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormmwater 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 Wth 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
1 -7y
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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 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'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. 117.03)
OWNER OR AGENT` L\JH -�0��9�4��Y) CONTR.".CTOR-L�TIlR IJQ��F1gUY1n
serf dLanndd swum to(or affirmed)before me this Su s bedland sworn to(or affirmed)before me this
Y Y
Who is/are personally known to me or has/have produced Who is/are personally known to me or hasthave produced
as identification. _ as identification.
Notary Public Notary Public
ommissien No. ommission No.
�r)seAl, lYlurc. .�i�1o/�✓� ?6.5.e./4� �f9tzrc .�.�?aO�e�,•.
Name of Notary typed,printed or stamped Name of N tary typed,printed or stampeU
��✓'lot* Notary Public State of Florida
Joseph Marc Stapleton
+y • My Commission GG 321352
'1409 Expires 06/22/2023
INSTR#202012235E OR EIK 10146 PG 2205 Page 1 of 1
07/30/2020 09:27 AM Rcpt:21$7417 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
�tk SCt3
Permit No, Pend ID No 5_o7J�-21' 0,05A_00000 Y/0
NOTICE OF COMMENCEMENT
State of County of II
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 Commencemeny�
1. Description of Property.Parcel lden�tifloatlon No.y S d5 a 1-00194-00000-1 y10
Street Address 9520 1 t5�r ,rs 4veti yg-c ze e h,/�t ; EL?�;IZQ
2. General Description of Improvement W I Maw S J, z-e e'Ol .�Z-t
i
3. Ownorinrwn.Uorf or Lessee Information H&Lessee contracted for the Improvement
A SSA- ri
3 5yo-~ 7.(.;5 vt 1 ;1 .335vo
Address CRY State
Interest In Property:
Name of Fee Simple Titleholder:
Qf different from Owner doted above)
Add:aos ��fr' city' — Stara
4, contractor. L-04a WJ ' OWS 4 -r-t-jeriOk5
$tD ama•rTet�t�lP�eftexcQLQ 14wy 7emrtll�trte-•rt- 33b37 n
Address Cif State
Contractors Telephone No.:
&. Sleety:
Name
Address CRY State
Amount of Bond:S, Telephone No,:
B. Lender.
Name
Address City state
Lendoes Teldphone No.:
7. Persons,within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Sedbn 713.130)(a)(7),Florida Statutes:
Name
Address CRY State
Telephone Number of Designated Person:
i
O. In addition to himself,the owner designates —of—
to receive a copy of the Uenoes Notice as provided In Section 71113(ift Florida SRshrtos.
Telephone Number of Person or Entity Designated by Owner,
8. Exptration.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 year from the date of recording untess is different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CON 1D1 ED IMPROPER PAYMENTS UNDER__CHAM- 714..PAPT 1 SEC?IOM 7?3+3�FL:iRIDA N ,NNO.CAN. .
tiEStTIT'fN^TOLir�PAY11rYG-•1',YICE'rOk`iMF'R01/EAiENTa N"YOUR PrZOP�R"rY. A NO710Er'0( COMMENCE ENT'MUST BE'
RECORDED AND•POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING;CONSULT
wfrtf YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of per)ury-1 declare that I have read the foregoing notice of commencement and that the facia stated therein are We to the beat
of my knowledge and QIef.
STATE OF FLORIDA LLB'N
COUNTY OF PASCO V
Signature of sr er Lessee,o s or LesseWS Authorized
OtRcsrtDiroctodPartnsrtMenagsr N
S pnsl s TRlefOftice
ThefaregobpIMbiunent was acturowtedged before mathts dayotrV 2t?aby Jgj Yfsf Syr}V 3
4 (type of authority,e.g.,offiwi trustee,ottomey in fact)for W
u Z f r' 15 40- V (nanse of rimy on�bbeehhalf of whom executed). . i
Personally Krrown 0 fig Produced IdWi enratlnn❑ 'Notary Slgnetu:am-- 11
Type of Identification Produced Name(Print)
I�t .31-01:3 sq-5g3 0;
wpdsWbcsinotl—encemeM pcOs M
State Of Florida,County Of Fusco
This is to.certify that the.foregoing is a. .-,
true and correct copy of the document
4 on file or of public record in this office,
-Witn QW"My hand. nd official seat-this
k. ...:_ ::.. ....:.. . . 1 .day 0. 2
--Jn yoG 1Ye Trust
,• , Nikki Alvai I s, sq.,Clerk&Comptroller
fi Pasco C�un , I da
By , Deputy Clerk
S�� Oi: O��o�
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West Coast Windows, 8106 Temple Terrace Hwy, Temple Terrace, Windows! Doors - Diagram
Name: JU40t7 (j �- � �S� "ice s
Street Address: "39� D 'j'"MU5 hvc,
City �y�
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Existing Windows: House:
Size Type Glass Size Type Glass
1. 5 ! 1C qq L! 5 J_Ow e tibn 2. G3,pt"_'tjs
2. 5 /6 y Invll;oh 13.
3. i ly x �y 14.
4. 3 E Yy x Lj /q 15.
5• 16.
6. Ac L) 17.
7. � 3�
8. 19.
9. 20.
10. 21.
11. 22.
Window Brand /Series:
Special Instructions/Supplies:
Customer Signature Date Completed