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City of Zephyrhills PERMIT NUMBER. .
5335 Eighth Street
Zephyrhills, FL 33542 BAR-000306-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/01/2020
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Permit Type: Add/Alter (Residential)
Property Number Street Address.
35 25 210120 00000 0230 7715 Merchantville Cir
Owner Information Permit Information Contractor Information
Name: MARYLOU MASSEY Permit Type:Add/Alter(Residential) Contractor: GL STEVE
Class of Work:Add/Alter Residential
Address: 7715 Merchantville Cir Building Valuation:$1,600.00
ZEPHYRHILLS,FL 33540-2070 Electrical Valuation:$0.00
Phone: (813)545-9154 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$1,600.00
Total Fees:$72.00 qel �� L
Amount Paid:$72.00
Date Paid:7/1/2020 9:53:46AM
Project Description \
PATIO ROOF 7 X 12 .
Application Fees
Building Plan Review Fee $24.00 Building Permit Fee $48.00
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.
06
CONTRACTOWSIGNATURE 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
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Date Received Phone Contact for Permitting_ �f< 7SJ — 73EC)
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Owner's Name /'�t7�J�T�n0� M S tY '!s Owner Phone Number S 15) S�
Owner's Address ! ` )G- r '�%�C-9AAD v��G Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �17�1!.G Y41�n�r`2Cf{�}o.� �1 U-E a� J� -7 SLOT# Z3
SUBDIVISION t.:br.1V71 V(tao L�j PARCEL ID# 35— 5 V 4 — CX!iv"0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADDIALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK /7�)2/ 1"7,AT I I] '30 ]i or
BUILDING SIZE I SQ FOOTAGE b t HEIGHT
=BUILDING $ �1 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. �
=PLUMBING $ ��Z.�f 1 f,
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y�/
=GAS = ROOFING Q SPECIALTY = OTHER !V� �J
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY �( -yE eON 12JCT/o� Z1�
SIGNATURE REGISTERED Y I N FEE CUR/R�EI, Y I N
Address j SI f� alu_- L 3 License
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP,
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N
Address License#
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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 subdivisionsflarge 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 wl 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. (AIc 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(Plat/Survey/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 contractors) 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.
CONSTRUCTION LIEN LAW'(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,-500.00 or more, I
certify that li 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.
CONTRACTORSIOWNER'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.
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 commending 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.S.117.03)
OWNER OR AGENT CONTRACTOR,-
Subscribed and swom to(or affirmed)before me this Subscribed and sw0m to(or affirmed)beficie me this
by
Who is/are personally known to me or has/have produced Who is/are p ovally kno o me or has/have produced
as Identification. as Identification.
Notary Public 61 -4 v4L A _Notary Public
Commission No. Co4ss, /-, n No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
JACQUELINE BOLES
Commission#GG 276467
5 Expires December 12,2022
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