HomeMy WebLinkAbout20-802 D
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City of Zephyrhills PERMIT NU �R
5335 Eighth Street
Zephyrhills, FL 33542 _ BAR-00 02-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue ate: 10l2012020
Permit Type: Add/Alter (Residential)
24 26 210110 00000 3200 139648 Dawson Chase Drive
:. � g�Perm�t Info mation, Contractor Information
Owner�lnformation� G.
Name: MARK HAINES KRISTIN DRUPP Permit Type:Add/Alter(Residential) Contractor: MARVIC CONTRACTORS
Class of Work:Add/Alter Residential INC
Address: 39648 Dawson Chase Dr Building Valuation:$10,030.00
ZEPHYRHILLS,FL 33540-7343 Electrical Valuation:$0.00
Phone: (571)481-7165 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$10,030.00
Total Fees:$135.23
Amount Paid:$135.23 y(
Date Paid:10/20/2020 12:00:31 PM V
Protect Description: a ;F; :,
CONSTRUCT SCRN RN W/ROOF&SLAB 220 SQ FT
Ap 1plp ication Fees -, ;"' `,i_,�_ NQ
Building Permit Fee $90.15 Building Plan Review Fee $45.08
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
813-78O-0020 City of Zephyr hills Permit Application Fax-813-780-0021 ,
Building Department
Date Received
Phone Contact r Permitting ( _
>s� l:�te
Owner's me r r n-e S �p Owner Phone Number
Owner's dress vl b \ a `k�` Owner Phone Number
Fee Simp 'tleholder Name C Owner Phone Number
110,
Fee Simple Titleho Address CC
JOB ADDRESS vYv U� Y LOT#
SUBDIVISION I kdde-h PARCEL ID# —PW— It o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR Lf ADD/ALT 0 SIGN Q Q DEMOLISH f!r INSTALL Lj REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION Q ►/^^BLOCK 0 FRAME
1 � �STEEL
DESCRIPTION OF WORK I ( v I� �w` k'+, SI.r yccr\
BUILDING SIZE SQ FOOTAGE® HEIGHT
=BUILDING ha► VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ l/ lJ✓V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y
=GAS = ROOFING 0 SPECIALTY = OTHER �� ^FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO /� ��C✓
//��'
BUILDER COMPANY 0, V��,r�6c_ bh Alvs C >
SIGNATURE REGISTERED I Y/N I FEE CURREN I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COOT^ANY
SIGNATURE. REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN
Address I License#
ItVI[gaaa V11.i1 I'll
1 ,A111,1144,12141.S9.lt-1112 €.lf11I!#Ifill'a1.1.li11aisas1112't1&'I.Y#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,Slormwater 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 dale.Required onsite,Construction Plans,Slormwater 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 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 V,500.00 or more,I certify that I,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowners 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 W"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 1 am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in(his 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.
i
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 LENDERBEFORE RECORDING YOU COMIUMNCEMENT,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affi before me this
by by
Who is/are personally known to me or has/have produced Who is/ person jly known to me or has/h reduced
as identification. L I s identi lion.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
CARLOSMALDONADO
Commission#GG 346275
Expires June 18,2023
OC,tR.," Bonded Thru Troy Fain Insurance 800-385.7019
i ,
Marvic Contractors Inc.
Specializing in Aluminum Structures
4302 Hudson Lane
Tampa,FL.33618
Ph:813-863-4000
Fax:1-813-31&4915
i
1
To whom it may concern,
I Ernest Rodriguez with Marvic Contractors Inc.
CRC1326637, hereby authorize Danielle Rodriguez to act
as my agent in obtaining permits in City of Zephyrhills.
If you have any questions,please do not hesitate to contact
me at 813-863-4000.
STATE OF FLORIDA COUNTY OF HILLSEOROUGH
Thank you, The foregoing instrument was acknoudedled before me this
.20 t ,by
C-ZNotary Public
Ernest Rodriguez Personally Known OR Produuced ntifice
Type of Identification Produced �C���-
THOMAS R. KURTZ
MY COMMISSION#. GG 231600
EXPIRES:June 29,2022
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INSTR#2020 1 431 52 OR BK 10168 PG 434 Page 1 of 1
08/31/2020 03;29 PM Rcpt:2198950 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles Esq. Pasco County Clerk&Comptroller
Tills spncc Car use by Clark of the circult cool-t only,
NOTICE Or C0111[MENCEA/1'ENT
PermirNumber'.
•'fax Folio Ido —t�C`d
Tht.undersign d herehy:gtras aollcu IhiU hnprovcmonls trill he node In certain real property,and to itceurdanre with Section 71$.11 ui the
Floriiin Slnlules,the(ollnnlne-infminition is pruvidcd in ill.NOTICE Or COMMENCEMENT.
I. gal es ri�ltirvri+ perry(stree dress required)• o ll(i(WJ S C J�l�.
Vj
2. GGeen'epl Iescriptidn tfimprevenient
-
3a: Owner Nome:` T Ownei Address; 6 e.,l e s-YL h A 5 G' ✓ �a JON y y-Fes' r S it
Owner's interest in site: R!/h�R�t d�S�QLalle,te _.
] . Fed Slniple'Pillu holdC`r(of•nlhor than owner) �C ,/�,nw _
4ddress:_lZ_a +1"4E J�K�r fnfrL/YI rrSL`TdN ��KB4 I
4.' Co ilrnclur Namc:_Man'ic Contractors Inc
Address: 4302 Hudson Lane TenlD:t:FL 33618 _ Phone: 813-863-4600i_ 'a g
-IMC20016613ond Amount ofbond:15.000.0U__-
Address: 1401 W Busdh Blvd. 2ffiga,FL Pholle: 813_931=7467
6. .Leriderhame: Contact:
Addiess:r Phone: �\JwD A.
:7.. Person within the State of Floridn designated by owner upon wham notices or other documents may be served as provided by o cm
--------' -...----'--" ----'--Section'713:13(t)(n}-•larida talutes--------- `---'----- -=`--•----'--___-------'--'-- - Y
Name:_ Address: .�� ••���
Phonc Number: Q
8. In addition.to himself;.Olvnerdesignales the•fallowing persmt lo.reeeive a copy of the Lienor's Notice as provided in Section
. Ti3.l](1)(b),Plori "S S. .. - W lY
V) ) � N o
Name: Address: {�
Phone Number: — W = v }
9. Expiration date ofNolice of Commencement(expiration slate is one(1)year from datc'of recording unless.a different date is ® Z Z) O J CN
specified). — O U _
U) Vr Q"F.J W
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•1YAIWINC•1.0 o4YNIM:-ANY.PAYMENT'S MADE flY THE OWNER AlrMitTIIE BXl11RA'I'ION OF-)HE NOTICE OF COMM E.MrIENT ARE 0. X-W Z J
CONSIDERED IMPRO11EIl PAYMENTS UNDER CIIAPTER 713,'1'AItT i,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR U. 0 = Q
PAYING TWICa:FOR IAIPROVGMRN'TS TO YOUR PROPINMY,A NOTICE OP COMhIENCEMENT IrtUS7'RE RECORDED AND POmit)ON TILL' ® u-. �, h..) lY
JOB SITE ItEFOIIE-tile.FIRS:INSPL••CTION._IF YOU INTEND To OBTAIN FINANCik,CONSULT WITH YOUR LENDER OIt-AN ATTORNEY >_ W•G IL
. BEFORE COhIMENCINC IYOliK.010MC0110) 1'OUiI 'rTCE OF COMMENCEMENT. )„ W U-
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Signattire of Owner or Lessee,or Owner's or Lessees Authorized OtBcer/Director/Pminer/ManatlCr t—
W
CL Q O
Sivatory's Title/Office W
WATU or FLORWA. � U CU S Q
COUNTY Or 111LI[MORPLIGII �{`-- u� 0 z 0 to
The tonguing inslttnntent was acknowledge before me Ibi.-day of /I�j�60 20CG�L_, � Ui Q _3 W
by_.._..------'----- --'- ------ as—'-------......._.- .......__'.—..for_ --'-•-----. _..-.:.___- Q j
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Personally Known. OR I'Ipduccd 1ylcnlilication � p )�. Q
., ' Tplx ul'hlenlilicaliuuPrmlucctl ' •• ""
raw dy+,. CHARLENE KAY BUCCtONE
Commission#GG Og74g7 In F
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; ra Expires August23,2021 signman'e-Noun/onli.
%,YQ.f Clad TfoY Fain tnfurants A00.3t45 71118
ilNlfc he(ongoing and that lha filets slated in it are true I,)the bell f ary knowledge rani belief. _
.Signature of Natural Person Signing Above
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'ProAuct Annroy,�tyggrttt> ">-Ap,ducdt w >Application Petall
i`e - .. FL7561-R4
O7.N,in i. Application Tyke, � � Revision
Code Version 2017
Application Status..'
Approved
t.
Comments
Archived
Product Manufacturer_;. ' "' EliteAluminum Corporal:ion. .:':
Address Plio' -mail e' a Parkway/� 4650•iyohsT chngiogy. . , w..y...
/
ut Creek,'Ftr•33073'`;.=
"Cocon
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dkQdokimeng(ngeririg.net .
Autiz4dzed Slr�nature Do Kim
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Technical Representative Bruce Peacoc!< :'
AddiessJPhone/Email �1650 Lyons.Technologg Parkway.
..
Coconut Creek FL 33073
bpeacockftlitealuminum._com
Quality Assurance Representative
-Ad ress/P
".. . ...
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ategory RooFliig
Subcate o Praducts'Introduced as a.Result of New Technojogy. '
ite 'o Co e" e p Arch t r L ce s.
ntptiance Method'' ,.. Evaluation"Report from a Florida R.giSL r, . .. c,..,.a i..n �d
Ftorlda Prpfessional Friolneer
i M yaluatlon"Report .tiardco0y Received' ;. ;..
•
` Florida Engineer or Archltect Name who develo ed .'Do.K!(n'P,E. `
,i p
(., {
the Evaluation Report
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Florida License PE-49497
Quality Assurance;Entity-'. QAI,Laboratories,
Quality Assurance Contract Expiration Date 12J30J022
; .
I Validated D James L,S4ickner,P:E',@ CBUGK Engineering
Y =
ti,ValidalIon Glieckllst" HardCo�y Received '
Certificate of Independence. .' Ei 7561 R4 COI Ced.of IadQ6endePq#-,P_ '.w
RP.ferenced Standard"find Year.(of Standard)`. . �.
qutvalence of Product Standards:
l" _. .t_'ei'tlFled B
Seetians'from the Code" -
:� 1709.2 ..
i Product Approval Method '. Mettiod'2-Optlon B
,
Date Submitted 08J15J2017
DaCe;Vaftdaieci 08Ji6/2017 '
Date Pending FBC.Approvat 08J20J2017,'.
P."Date Approved 10/10/4017
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