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City�of Zephyrhilis P.,E 01 M� NUMBER i"'i
5335 Eighth Street
Z6phyrhills, FL 33542 BAR-0008;3-2020
Phone: (813)780-0020 Fax: (813)780-0021 Issue Qatd!"10/26/2020
Permit Type: Add/Alter (Residential)
'Aj Slp 6-006yi
12 26 210300 00000 0260 39516 9Th Ave
W- Information"_"
Name: ROBLES ISMETTE FELIX Permit Type:Add/Alter(Residential) Contractor: HOMEOWNER
Class of Work:Add/Alter Residential
Address: 39516 9Th Ave Building Valuation:$4,650.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (215)820-8370 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:!$4,650.00 0
Total Fees:$94.87
Amount Paid:$94.87
Date Paid:10/26/2020 9:07:35AM
Project, qrs gr-i ig
A'. —, 41TIAM, 10*ltll
CONSTRUCT SCREEN RM 312.4 FT ON EXISTING CONCRETE
Eees�
A!rRis cat M
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Building Plan Review Fee $31.62 Building Permit Fee $63.25
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
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name tht {�C((,�' (JL°S Owner Phone Number o2�r' U7
Owner's Address 2yr 33J 7� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number.
Fee Simple Titleholder Address //�
JOB ADDRESS 7��W L l �� „� �L 33s�(�- LOT 7�a�R
SUBDIVISION $ ��`141E f PARCEL ID# oZ-�4"d-I 0.30 0 -Q=V 6.2&
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK/ C��N atitl
BUILDING SIZE 02qlg X SQ FOOTAGE HEIGHT
TI�rTITrITrTPITI"1"1"f°"TIT1"i`TITFTrI"1"T�tTP1Tl��PiTP�TITf�ITFT'7�fT1"1"P'P7�PTTP1�1"pT�
QEUILDING $'y�OSO O v VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ C�'VV "
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
L
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 7 �
. . •—.—.-rP�—it—i—t—.-.;: 1/—�.-....r.—�� / ,,
BUILDER —_ --- — - `1 _; COMPANY �IYI2°(JK/II e! x 775 r Zo /LDS
SIGNATURE y-REGISTERED Y/ N FEE CURREK YIN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK
Address license#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREK
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllll111'IIIIIIIIIIIII11111111
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/Iarge 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,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.
tractions:
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(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 ],.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 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 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-NEMSE OF—COMMENCEMENT.
FLORIDA JURAT(F.�: 0
WNER OR AGENT + ( CONTRACTOR `—p
scrib andswy to(or a i me¢ f e met is /Subscrib d and bvy r (oraffirme )befor b
Y 5 -
Wh is/are personally known to me or has/ ave produced _Who is/a a personally knovW rto me or has/have produced
as Identif ation. as Identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
City of Zepliyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 71S 7TC
Date Received: I t .30 A,2,�—o
1 �Site: 3
PermitType: l�Soh I J �S( Y-aa VL,) j914 xf
Approved w/no comments:❑ Approved w/the,below comments: 0 Denied w/the below comments: ❑
? 2 Z
This comment sheet shall be kept itlt"tlie permit and/or plans.
OCT ��
Kal ' 't —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
DISCLOSURE:STATEMENT FOR OWNER
CITY OF ZKPHYRHILLS BUILDING DEPARTMENT
have read and fully understand and
agree to the provisions of this -instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by _ said domicile, and same is not for
rent, lease or sale. That he or she shall comply 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 provisions of the City, of Zephyrhills
ordinances and codes pertinent to the building.
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 = the event the Building Inspector shall recImIre corrections to be made,
the owner will assume full responsibility to insure they. are made, and upon
completion will call for a reinsp I ection before proceeding with the building.
5. That the owner shall assume full i 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 rein pectlon
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with 'all City,' State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable-
8. That -the owner shall comply with :all the safety 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 that 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 license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a' commercial building,l! provided your costs do not exceed $25,000.
The building or residence must.be for your own use or occupancy. It may not
be built or substantiallyiiVroved for sale or lease. If you sell or lease a
building you have built or.substanti ally improved yourself within I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working an your building. it is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed 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 direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers, compensation for that employee, all as prescribed by law.-
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWMM,S SXGN&TURE DATE
ADDRESS X.,WJ
PHONE. 00Z 67- qJ 74
WITNESS. PERMIT #
INSTR#2020162267 OR BK 10186 PG 3503 Page 1 of 1
09/30/2020 12:10 PM Rcpt:2209726 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez Sowles,Esq.,Pasco County Clerk&Comptroller
i
�6/Vf
Permit No. Parcel ID No
/ NOTICE OF COMMENCEME
state or 4"on C 4t County of _jg C e
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain reel property,and In accordance with Chapter 713,Florida Statutes,
the following Information Is provided in ids Notlee of Commencement-
1. , ,
66 1. Description of Property:Parcel Identification No. �-.2 L-.2 / — d 300 —(20 a b
streelAddress: ",.4.14 EL 3s ryas
2. General Description of improvement C I'eGH syl
I
3. Owner IMornatlon or Lessee Information Ifthe Lessee contj clad for the Improvement:
a/i� 6/�s
Name `R )k Xk`2 i ��� [ As �..tr 33�
Address ^ city V State
Interest In Property:1--)ACJ/7 p�S
Name of Fee Simple Titleholder.
(if dlterant from Owner dieted above)
Address P6
4. Contractor A1�lJrlirl C ��i / ��S State
9�^`1 "�e i/ Imo- 33 S
dress
Contractors Telephone No.: 0`/f— 3 5 7 l— /7& city State
5. Suraty.
Name
Address City State
Amormt of Bond:$ Telephone No.:
S. 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
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address CRY stele
Telephone Number of Designated Person:
8. In addition to himself,the owner designates 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.
8. ExpIrstion data of Notice of Commencement(the expiration date may not be before the completion of consWetlon and final payment to the
contractor,but wit be one year from the date of recording unless a different dale Is specilled):
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 NOTIC? 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 pedwy,I declare that I have read the foregoing notice that the stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slgnstrrne of Owner orT
offae,or Owners or Lessee's Authorized
OBkerlmredodP r
Sgnetany�s..Tltlmotriea, !• '7%
The foregoing Instrument was admowledged before me thIs day 9fS eY t .,20_by fri l)YJ
es (type of autihorfiy,e.g.,of car,tnrstee,attorney Infect)for
(name of party on beheN of whom ins ment Yves ).
Personally Known 0 QH Produced Iden cs tlop� Notary Signature ltrJZ
lC2/Irj
Type of Identification Produced 8- /(/uS ame(PAnq Q /I.C![J !'OD S
Notary Pubk Stela of Florida
Nancy J Brooks
My Calurt)sticn GG 178530
wpdataft&to9ceeommencenan(pc053048 ��� EXOM 02/1ll IM
State of Florida,County Of Pasco
This Is to certify that the foregoing Is a
true and correct copy of the document
on file or of public record in this office.
this
Land official�eal tv
Witness my hand and official eal t Is
day of
Nikki Alvarez-Sowles,Esq.,Rerk&Comptroller
Pasco
asco County,FI n a
1887 13Y Deputy Clerk
"OF