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m FiveuH City/ Of Zephyrhilis PERMITNUMB'ER`:' a 5335 Eighth Street Zephyrhills, FL 33542 BAR-000577-2020 Phone: (813)780-0020 t Issue Date: 08/27/2020 Fax: (813)780-0021 Permit Type: Add/Alter (Residential) Property.Number Street Address 05 26 21 0100 01100 0040 6788 Wagon Trail Street Owner Information Permit Information . Contractor Information Name: ELIZABETH SIMMONS Permit Type:Add/Alter(Residential) Contractor: PATRIOT SCREENS INC Class of Work:Add/Alter Residential Address: 6788 Wagon Trail St Building Valuation:$7,700.00 ZEPHYRHILLS,FL 33541-2560 Electrical Valuation:$0.00 Phone: (813)862-8648 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$7,700.00 Total Fees:$117.75 Amount Paid:$117.75 Date Paid:8/27/2020 2:27:01 PM Project Description iNSTALLATION 12 FT X 16 FT SCRN ROOM W/SLAB Application Fees Building Permit Fee $78.50 Building Plan Review Fee $39.25 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 r 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 ,Date Received Phone Contact for Permitting aaaicis<a c C €a111 Owner's Name jiLr Lpl�ay(7�T -�Ifr ti/�t ON 5 Owner Phone Number p Owner's Address d® Al:'3rJ f eA S, - Owner Phone Number U/3'O���0(O a Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Adddrre L�f�ss G / ' �of� JOB ADDRESS 6O W'R=701� I - LOT# J SUBDIVISION r(r en Y O 24WCV PARCEL ID# DS -a�a -0 40-0l 100-OD () (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH ET INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK TA( 1a.X l ror S b LJ Azol As T`rr's U 6+CJ e7 SCRgA+0 tZX/- BUILDING SIZE SQ FOOTAGE HEIGHT DING $ 0p VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY (/4 2lb= �Gf1 SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# 5CC ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEECURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# 1111I.(IlI■ II11ININNINE& It"1 111.IIa1.II1■I-aaaa11.91aIIIaaItIaIaI-tIIIIII 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 dale.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 Fortes.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. 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(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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. TRANSPORTATION IMPACTIUTILITiES 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 specked 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 ofoccupancy 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 amendedr 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 CONTRACTORVOWNEWS 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"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 F 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 YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOiJR NOTICE OF COMMENCEMENT, FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and n (or Finned bar me this by r. Who is/are personally known to me or hasthave produced Who is/are pi6sonally k to me or has/have produced as identification. as identification. Notary Public {h"� J Notary Public Commission No. Com issio)No. Name of Notary typed,printed or stamped Nam of Ngte •1Yp Corrlmi ion i#GG 276467 Exirir0s pecember 12.2('72 EyndeC'hfu Troy fain i:rt .•..000.3fi57038 INSTR#2020134242 OR BK 10158 PG 2370 Page 1 of 1 08/17/2020 11:35 AM Rcpt:2193920 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles Esa Pacco County Glerk&Comptroller Permit No. Parcel ID No NOTICE OF COMMENCEMENT State of_ 0(o&A.p.- County of�1411r-& 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:0$ikg-d(-600-0I(Oi0-COI(p7idr wrRo,J TAA( W. 1. Description of Pmperty Parcel Identification No.S ✓btradJ l S�krd rSrbu� pkMse$ g Alin iR�116(a 11 ky0?9 8/mL1/for StrdetAddress: (09PT f JAErorJ ItZAI Sr -'! / 2."-- General Description of Improvement -R�( !3 t[Jr,'9(ah�11r� I �Lt/Cx 1✓�� �a�w Icy tea!Suv�J2c0 n 3. Owner Information or Lessee Information tithe Lessee contracted forthe improvement: �Lyzaba'!T� SiMrnoNi (D'18d e�J_it C�oat Thar r Sr �t/J((�rt Address / �� Ct�- State Interest In Property. ornSFrRJt- Name of Fee Simple Titleholder. (If different from Owner listed above) Address n City State 4. Contractor._ YA�Rrd 1 Saz e er snx _ 1971 ClAdit --p4 •• �c ri,r!{I(S ?3cgo o s Address /3- / "Yto�f Gity � State © Q U Contractors Telephone No.: N 5. Surety: l o m c ai .N p Name N CL E +_ (V d C =3 0 (0 Y � Address City State .� 'p O n a.)N O Amount of Bond:S Telephone No.: ® aDO a j-: U B. Lender. N h�-- _ - lT Name 7 L O p 72 OCo N State I Co 0 CO N Lenders Telephone No.: i M'3 - c� -o p c U OLL C O 7. • Persons within the State of Florida designated by the owner upon whom notices Z, or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes:N I C a C rl1 O O m � Name O O N 1 U d) N,25 N Address Clly State on a) c +C ' s � Telephone Number of Designated Person: )rt N H +� O Z O- m 8. In addition to himself,the owner designates Of— to re Iva a copy ofthe 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 date of recording unless a different date Is specified): (0/',,��5 "j! ' WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT i a e ARE CONSIDERED IMPROPER.PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN �d 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. a Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are hue to the best of my knowledge and belief. 3 o STATE OF FLORIDA PASCO © '•• u COUNTY OF ASCO • - •— Sigh re bT Ovmer or Lessee,or Owners or Lessee's Authorized Officer/Director/Partner/Manager ON h-PY, e Signatorys Title/Of oe The foroadna r^'tr"'^^^t woo ocfmawledgod boforo mo thlo day of A"12 o2Q by EI 1 ZCA 1nt as (type of authority,e.g.,officer,trustee,atiomey In fact)for (name.of party on behalf of whom Instrument was executed). Personally Known CI ga Produced Identification ElNotary Signature ,1 L Type of Identification Produced Name(Print) J eTsnluj Du h a ;•p'"'• JESSICADYBAS MYCOMMISSION8GG83 M ':•s'. EXPIRES:January 15,2o24 or Banded ThnjNowypiftUndernfisr wpdale@cs/noUcecommencementycl1S3048 1 ' BOUNDARY & AS-BUILT SURVEY DESCRIPTION: (AS FURNISHED) LOT 4. BLOCK 11. SILVERADO RANCH SUBDIVISION PHASES 7. 9B. 11A 11B AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-86, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA' 06 so Wof oo sm so' a R 15 fo.2 O ��` Ef cf � •" .. � tlt Z�OJ► O .A n 0 *JM WA RodAw Oft Chad Oaf Cy 4SS2' So400' SS3'3�' N73DC4TE 4451 C2 2Q7' 46Q.OQ• 077Y4' f17S'42'SS'E ZDr s.,�� �l►s- C3 tOb35 539OC 4f'ItSf' S7o7lCfo'M iomi to57 6i '34.44' S30 OC 5WW LS73WWW SC42' law /•/• to /• ADDRESS: 678g WAGM MAIL STREET ZEFgjyRHj" FLORIDA 33541 FOR THE BENEFIT AND EXCLUSIVE USE V.C.O DHI nnE of FLORIDA. INC. DM MORTGAGE COMPANY LTD. EU7-#S H AM SiAMONS OW RMMJC NAnONAL IM E aRNOM-Al"J LEGEND: Owo un OW rgt•,�a's NOTES.' .� foils WL AM WW 1_ALL 0WCTIONS AND OISTANM HAVE BEEN FM —— naff�W�WAYUK A W fM3 .►.wtirdG7TYfyFS IMVE 1M NoM ON N1TYyi 0 �I�IM RW AM CM