HomeMy WebLinkAbout20-94 D �
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r Grimm City of Zephyrhills PERMIT NUMBER
z 5335 Eighth Street
Zephyrhills, FL 33542 BAR-000094-2020
"{ Phone: (813)780-0020
•
Fax: (813)780-0021 Issue Date: 05/21/2020
Permit Type: Add/Alter (Residential)
Property Number I Street Address
1126 21 0010 05200 0130 5802 12Th Street
Owner Informations Permit Information Contractor Information
Name: KEVIN MANASCO Permit Type:Add/Alter(Residential) Contractor: PATRIOT SCREENS INC
Class of Work:Add/Alter Residential
Address: 5802 12Th St Building Valuation:$7,700.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)479-7148 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00 r
Total Valuation:$7,700.00 zfi
Total Fees:$370.50 l
Amount Paid:$117.75 r
Date Paid:5/21/2020 3:44:05PM l►�n
Project Description
CONSTRUCT SCRN RM W/ALUMINUM ROOF
Application Fees
Building Permit Fee $78.50 Building Plan Review Fee $39.25
Mechanical Plan Review Fee $22.50 Building Permit Fee $78.50
Building Plan Review Fee $39.25 Plumbing Permit Fee $45.00
Mechanical Permit Fee $45.00 Plumbing Plan Review Fee $22.50
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fa)A18-780-0021
Buildinj Department
Date Received s �13 ��� _
Phone Contact for Permitting
Owners Name Ct/I p� 'F�wc7LA�1 mpfi a(> Owner Phone Number
Owners Address 0 U� TJIQ� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ` _ %�
JOB ADDRESS S'O, b' / LOT# ?�
SUBDIVISION PARCEL ID# 'f-rp—ZI
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
F INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL =
DESCRIPTION OF WORK �( �L�'2;tiacc"L T i!_f,Y�- OF) 51 'o
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING t k&JL IL$ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ J AMP SERVICE = PROGRESS ENERGY W.R.E.0
=PLUMBING $ '
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY �RTZtIJ sCflAer6 ff�JL^
SIGNATURE (� �! 'REGISTERED Y/N FEE CURREN Y/N✓1
Address O VAIP� ��� License# sCL 12-0 q I l
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y!N
Address License#
!Intl!!"!!! 1'i"![!!i"!"!!i!! I!!.!!liiti!!_E.9(ifi!!(E!li-ii !!!i!a all Ia!!!-E!!!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,Stommwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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,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.
5
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(far 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
1
^ J
a
ills
City of Zephyrh
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ir1� � hSY1 �-
Date Received: 0,�
Site: d -514
Permit,Type: s-mt n Aoa w, 'I 3 J� X/FVSvl/4r�'c�=t�
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plates.
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
C..:�:,.b•:nc+i{�::.:::�=KY.LSY..:::.......:'tv:.,;su:..+::..;'.u::.3:a,+:1.i+::::c+�r.:.r:.4s:S:tu:.:�r'�:c�nv.'-:l:::itf4.::ise.Gaa::....._ia::..+..a+_:au:4::T:.4:: .r:u�..:nlL 1»'_'i:::..:«1v.�::a.:w;•• J»:a�a�....:.:�:+ry. i c .... ... .... .. ,...
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building bepartment
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 1,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
CONTRACTOWSIOWNER'S AFFIDAVn•: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/WastewaterTreatment.
- 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.
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 Olticlal 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 swom to(or affirmed)before me this Subscribed and swo foT m his
by _ t
Who istare personally known to me or hasihave produced Who istar rsonally known to or hest -is produced
as identification. s identificafl n.
Notary Public o ry P blic
o.Commission No. Commissi n N
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,■r.r
JACQUELINEBOGES
:Commission#GG 276467
December 12,2022
Aires
Bonded Ttw Troy Fain lltsuranoe 800-US-7019
INSTR#2020075235 OR BK 10102 PG 2161 Page 1 of 1
05/15/2020 10:50 AM Rcpt:2162164 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Phsco County Clerk&Comptroller
Permit No. Parcel ID No ll-o`G-o2/-A7/0-05doU-b/30
NOTICE OF COMMENCEMENT
State of i'1 092 b Ilk
((��
County of NA Sao
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real properrttyy and In accordance with Chapter 713,Florida Statutes,
the following Information Is provided In this Notice of Commencement:I t-2(o L 1-LY>lo-OSa�'0130)S3 0Z/L 1-rST-
1. Description of Property: Parcel Identification No.(1j:j4 A?gj4Ra t15 Ply{j 4LaZ Ldr tatif tllr-kSa.cite 90WACY Sal
Street Address: .!$Cod jar"sr�T
T on;���•,, L7cuT ''?2. General Description ofImprovement Tll 3Trs 4kd of�Pa> c a7• .
Stab
3. Owner Information or lessee Information If the Lessee contracted for the Improvement:
ke A j--Dt6o�k AIANhSco
S8ci2 IZ�H �neaT 7��lfwnh•Ils �3��
Address Cily State
Interest in Property: Qi.l►f«
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address State
r.4. Contract.,.
ontracto PRTA�a\ Sar.s �+'rC Cif
( e fft- 'N• Z 1 .ch�IS r4 3sSt/o
Address ,/ City Stale
Contractor's Telephone No.: N3-2L8 r SI
i
5. Surety: N A s
Name O y
1
Address City State
Amount of Bond: $ Telephone No.: 0 Co C U L O :D
U C
6. Lender. /�IA- (f) EC
+ Cq
Name 4• tCiO 0 rn Y
Address City State N-00
Lender's Telephone No.: O Y C 'N-O
i-;Mo
7. Persons within the State of Flodda designated by the owner upon whom notices or other documents may be served as provided by O o-Section 713.13(1)(a)(7),Florida Statutes: Q Q)�t Name T t0 L U c�
�
v U Q � O lL ,
%T
Address City State C) O_L Co O
Telephone Number of Designated Person: --// Li, U O E .0 (6
8. In addition to himself,the owner designates N Of— N N �- Q O
to receive a copy of the Lienors Notice as provided In Section 713.13(1)(b),Florida Statutes. N d) - : N
7
Telephone Number of Person or Entity Designated by Owner. N Co 3 Z 0- m
B. Expiration dale of Notice of Commencement(the'expiration date may not be before the completion of
coon ttructionfand final payment to the
contractor,but will be one year from the date of recording unless a different date Is specifled): GLOM
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 that I have read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDACOU
ff [/�M /� /G/�/(�/yr•¢ a o
TERRY ORMOND Signature of Owner or Lessee,or Owners or Lessee's Authorized -
MYCOMOSION00072204 Officer/Diredor/Partn onager
E30?1 B 1:Febnrary 12,2021
Signatory's Tit Office
The foregoing Instrument was acknowledged before me this Aday of AO 2)by T ft
as (type of authority,e.g.•officer•trustee,attorney in fad)for
(nam of party on bah 8 f whom Instrument as executed).
Personally Known 6B Produced Identification❑ Notary Signatu �L6�/ate
Type of Identification Produced Name(PdnQ
wpdaia/bcs/no0cecommencemert_pc053048
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