HomeMy WebLinkAbout20-367 1`4 fit]fill
City of Zephyrthills -PERMIT."NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 SITE-000367-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/15/2020
Permit Type: Site Permit
Property Number 'Street Address,
19 26 22 0010 00000 0130 3761 Correia Dr
Owner Information - Permit Information" Contractor Information
Name: CHANCEY PARTNERS LLC Permit Type:Site Permit Contractor: CARR CONTRACTING SVC!
Class of Work:Commercial INC
Address: 35310 State Road 54 Building Valuation:$150,000.00
ZEPHYRHILLS,FL 33541-1901 Electrical Valuation:$0.00
Phone: (813)997-2477 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$150,000.00
Total Fees:$780.00
Amount Paid:$780.00
Date Paid:7/15/2020 9:00:08AM
Project Description
SITE WORK ONLY........
[Application Fees
Building Permit Fee $780.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 663.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Receivedt%y1-�, Phone Contact for Permitting
Owner's Name p a wixeri f= Owner Phone Number d t l/ �t1'
Owner's Address 3'A.s-s) SU` rLi 20s R, 3 Owner Phone Number �sl3 �? ' 00
3 b I bl i
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 3 ti Sk S Lt
JOB ADDRESS M P LOT# l `�
SUBDIVISION F PARCEL ID# "'1 n (9 010 - 0 00 0 0 ` U( 13
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK-PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL E REPAIR
PROPOSED USE = SFR Comm 0 OTHER
TYPE OF CONSTRUCTION E:2' BLOCK = FRAME =�STEEL
DESCRIPTION OF WORK P�`� nS3�L (� �- �� �l LU( S lvr C"T0 51
BUILDING SIZE 1 1 )- ' U\ I SQ FOOTAGE= HEIGHT b$! q if,f ow ��
BUILDING $ S� 0 q VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL $ v AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
EV1PLUMBING $ V,?,m
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY.® OTHER
FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES NO:
BUILDER /\ COMPANY of
SIGNATURE /� REGISTERED / N FEE CURREN /N,-'
3� 3 A/b i 2 /`�o
Address 3 ��� s� r� License#• .-��T'l.. 6666 L4
ELECTRICIAN COMPANY
SIGNATUR9 REGISTERED Y/ N. . ',FEE CURREN
Address License
PLUMBER COMPANY �p
:.SIGNATURE �1 REGISTERED N. FEE CURREN /N
Address 3g33'��crrd( � 7 t/° �' `'License# C ,�_
MECHANICAL COMPANY =:
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
IGNATURE REGISTERED Y/ N. FEE CURRE� Y/N
Address I License#
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/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 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.
""PROPERWSURVEY 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 theCcontractor)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
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 cited fora 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" orfinal 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 l 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,certlfyJhat 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,WaterMastewater Treatment., .
Southwest Florida Water Managent 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 applyto.the use of fill:
Use of fill is not allowed in Flood Zone.`` "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-. .Af 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;ielevated.;by fill, an engineered drainage plan is,required.
If I'am,the_>AG.ENT:FOtTHE:OWNER, I promise in good faith to inform the:owner of the permitting conditions.set forth in
this affidavit',.pcior to'commencing.construction. I understand.that a separate permit may be required for electrical work,
plumbing i•:signs, wells;. pools, air'conditioning, gas, or other installation t"s,not" included in the*application. A
permit'itsiced.;shalh.be construedto:be a license to proceed with the.work and not as authority to violate, cancel, alter, or
set aside'=any."provisionsof,the`aechnical.:codes, nor shall issuance.of:.a permit prevent the Building Official from thereafter.
requiri%,a..correctioh: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 perm'it'is=suspended'orabandoned for a period of six.(6)months afterthe time"the work is commenced. An extension
may be.req.psted, in.writing,'from the_Building Official for a:period=not to exceed ninety (90) days and will demonstrate
justifiable cause#or th'e extension:''°Ifwork 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;"I.TO YOUR'PROPERTY.'-:IFYOU�INTEND TO'OBTAIN FINANCING, CONSULT
TH YOUR LENDER OR AN AT fORNEY-BEFORE,RECORDING=YOU - CO
MMENCEMENT.
WI _
FLORIDA JURAT-(F.S.'117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by �by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as Identification. as identification:
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2020097985 OR,BK 10122 PG 978 Page 1 of 1
" 06/19/2020 01:05 PM Rcpt:2173661 Rao:10.00 DS:0.00 IT:0.00
S/H Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. ParcetIDNO I�I"� -Z2�eir.]Cl—fIG01%(1 —Ui3t
yy NOTICE OF COMMENC NT
State of�\V��Ac, County of �S C
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: arcel Identification No. '
�1 r dl` iLGCj /L S.J• Z
Street Address: Gti1 � /"(�Gfi L�- �1 ,3 L1i �t� f;�• cr �+`� 4,79
2. General Description of Improvement .�ns'yLvG?� of f eta z--
/
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
3�sSrame S•1�TC �) S z
Address 1 r City State
Interest in Property:
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address Cafr- CC(4r�.c tru Serin'C_eS Inc. 91,0Cj r�l CG/Y State
4. Contractor. G
Name ZP0dt>«)1'I (j r L
3 Q33 y /Yu cal fr1 L"_
Address City State
Contractor's Telephone No.: 1 h
5. Surely:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender:
Name
Address City State
Lender's 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 City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of-
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone 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 one year from the dale of recording unless a different dale 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 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROTHE FIRST99PERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND PTED ON THE JOB ,CONSULT
WITH YOUR LENDER OR AN ATTORNEY TE BIEFO EORE COMMENCING WORK OR RECORDIN.-IFO GI NTEND YOUR NOTICE OF CO MTO OBTAINN NING CEMENT.
Under penalty of perjury.I dejW*UWblWve read the foregoing notice ofWmeia nd t acts stated therein are true to the best
of my knowledge and belie(�.���G•G�/�/j 4,4
STATE OF FLORIDA 0�f r10 ARY`l��'%
COUNTY OF PASCO My Camm.Expires
s Signature of bwner or Lessee,or Owner or Lessee's Authorized
June 10,2022 OHic Director/P Aner/Manager
No.GG 226691
-.d'�`• o G R:Z ! 0 k �i1 ' �JyA6C Kam'
l UB0 O."
OF ......
V **'�� Signatory's nla/offioa t
The foregoing Instrument was acknowle.df�btlrpt^tAslN me lhls day of- lA�� ,20Zby
as �(a `P t� (type of authority.e.g.,officer,trustee.attorney in fact)for
In of arty on behalf of whom i rum nt was executed).
'''' ,,,,�����q111 '7
Personally Known El OR Produced IdentiNcatio Notary Signature
Type of Identification Produced �1.. Name(Print)
wpdatalbcs/nolicecommencement_pc053048
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