HomeMy WebLinkAbout20-108 � a
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r�oii7�n City of Zephyrhills PERMIT NUMBER
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- 5335 Eighth Street
Zephyrhills, FL 33542 BAR-000108-2020
ti Phone: (813)780-0020
;. . Fax: (813)780-0021 Issue Date: 06/03/2020
Permit Type: Add/Alter (Residential)
Property Number Street Address
03 26 21 0160 00000 0420 6908 Stephens Path
Owner Information Permit Information Contractor Information
Name: BERNARD&SARAH CONLEE& Permit Type:Add/Alter(Residential) Contractor: LIFESTYLE REMODELING
MCVEY Class of Work:Add/Alter Residential
Address: 6908 Stephens Path Building Valuation:$26,832.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 ►n`,
Phone: (609)351-9498 Valuation:Mechanical
p 0 �70
u bing Valuat on:$0.00 ' /Z
Total Valuation:$26,832.00
Total Fees:$261.24
Amount Paid:$261.24
Date Paid:6/3/2020 11:42:35AM
Project Description
INSTALLATION SCRN RM W/WINDOWS
Application Fees
Building Permit Fee $174.16 Building Plan Review Fee $87.08
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
PERliIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INGTR#20720087360 OR BK 10111 PG 2548 Page 1 of 1
06/02/2020 02:31 PM Rcpt:2167380 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit Number ' NOTICE OF COMMENCEMENT
v�q a�
Parcel ID Number //7 e� s�!��jlr�' State of Flori�SCO
County of
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the Wowing information is provided in this NOTICE OF.COMMENCEMENT. /
1. Description of property(legal description): .
a. Street(job)Address: r
2. General description of improvements:
3. Owner Information or Lessee inf mation if th Less a co tracted for the im rovemf nt: 7 /
a: Name and address �Y1C�^ � e C 'q_ 7e/Icrts ��I 6P.�J�vI' ? lI A
b. Name and address of fee simple titleholder(if different than Owner liste above) 31W
c. Interest in property: (91,,2 7j'gl
4. Contractor Information
a. Name and address: LifeML1e Remodeling•4897 W.Waters Ave.Suite 8:Tampa FL 33634
b. Telephone No.:(813)448=3711 Fax No.:(optional) (813)448-3710
S. Surety(f applicable,a copy of the payment bond is attached)
a. . Name and address
b. Telephone No.:
c. Amount of Bond:$
6. Lender
a. Name and address:
b. Telephone No:
7. Persons within the State of Florida designated by Owner upon-whom notices or other documents may be served as
provided by Section 713.13(1)(a)7.,Florida Statutes
a. Name and address:
b. Telephone No- Fax No:(optional)
8.
a. In addition to himself or herself,Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b. Phone Number of Person or entity designated by Owner,
9. Expiration 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 1 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 71313,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 BEFORETHE 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 facts stated therein are true
to the b f my knowledg'7and belief. _ /1
ZZ
..�- — .-:— :cv.-rr•ca..--�-sca` .•' (Print Name and Provide Signatory's Title/Office)
(Signature:igf;:0ivrie':or; `'orONmefporlessee's (Pri
(Authorized Officer/D' ctar/Partner/Manager)
The foregoing instru ent was acknowledged before me thisj!S day of Y'l 20Lb
j(
By Qrd i�,,e as �V71A fkef (type of authority,e.g.officer,trustee,attorney in fact)
For as
(Name of Person) (type of authority...e.g.officer,trustee,attorney in fact)
for (name of party on behalf of whom instrument was executed).
Personally Known Produced ID�ItIVtMS
e,5t-c�09�'gV337 o y -�
Type of Notary Signature
Public0f Flprids Print name r—to FF�f•Rb S rc�+T
Richard 8ferra
p r � My Commissm 00 32DE09
�j�F Expires 04M?12023
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STXrE OF FLORIDA,COUNTY OF PkGCO
THIS |STO CERTIFY THAT THE FOREGOING |SA
TRUE AND CORRECT COPY 0F THE DOCUMENT
0N FILE 0ROF PUBLIC RECORD |0 THIS OFFICETrot
WITNESS K4Y HAND AND OFFICIAL SEAL THIS
DAY OF 23 -20-
N|KK| COMPTROLLER
U DEPUTY CLERK Of
813-780-0020 City of 2ephyrhilfs Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
aa1[flaa illaa
Owner's Name (J� a Owner Phone Number
Owner's Address a e<15 Cf Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (0 S� Cl LOT#
SUBDIVISION r (� PARCEL ID#
/v(�ca-,„�5 (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH
�NSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK n �,JAn4X
BUILDING SIZE I SQ FOOTAGE® HEIGHT ,a� H �7«5 Fi K✓ '� 5/�"�7
JCL IL ILL IL IL
=BUILDING $ /�j r� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ b7d' AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (/
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address , L 63 y License# G
ELECTRICIAN 7 COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEECURREN YIN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y!N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Ly
/N
Address License#
1.1.1.12111VJAI.if1.1It x'st .f.I.1.I.fitaaaaira al:Its.IaIa a aal:sx1.1a_aatst*saa af..INa'sWI
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 subdivisionsmarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater 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.
Dlrectlons:
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)
Rereofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public rcadways..needs ROW
813-780-0020 City of'Zephyrhihs Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this penult 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'SIOWNEWS 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 govemment 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 maybe 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 RECQRDING YOUR NOTIC9 OF COMMENCEM9
FLORIDA JURAT(F.S.117.03) c
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Subscribed an swam to(or affirmed)before me this
by
Who is/are personally known to me or has/have produced Who is/are grsonally'k wn to me or has/have produced
as identification. as ident' cation.
Notary Public Notary Public
Commission No. Corn iss' / La
;.•trig JACQUELINE BOLES
Name of Notary typed,printed or stamped Name of N !Vty, 17 t
Expires December 12,2022
Boridsd Thru Troy Faln lneulanc®800.38S"7019
ic
if 181- le r
:. 4897 W.:Waters Avenue Suite B
.Tampa FL 33634
To.Whorn it May Concern:
1,-Jeffrey Stavish, hereby.authorin:the folio:vtiing named.persons to sign, apply.for arid:purchase.permits
and/or licenses for Lifestyle Remodeling.
THIS LIST IS TO REPLACE ALL OTHERS:PREVIOUSLY ISSUED,WHICH ARE NOW TO BE CONSIDERED NULL
AND VOID
Mark:D. Madison :. Tracy Caroer
Jennifer Madison IVlichael Nelson
Christopher White :Gary Dootson
Darrell Curts
Henry Hanbury
Sincerely,
Jeffrey Stavish
CGC1518,164
State of Florida -
Hillsborough:County
Sword to and subscribed before men this 14 day of May 20 20
kiy Jeffrey Stavish_ Who i personallyknow�no me or produced:
For identification;
Notary Public State of flcada
Notary Sigriatu � *N Christina M Giroux.
Expires 09/23/2023" 78 025
Print Name: --�
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o
fi_'U Hi O(1
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received
Site:
Permit Type:
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 plans.
Kalvin i r—Plans Examiner 0 on tractor and/or Homeowner
(Required when comments are present)