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HomeMy WebLinkAbout21-1339 v , \ Ci of Ze h rhills _ �.�.%` �.,•;� tY p Y PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BAR-001339-2021 Phone: (813)780-0020 Y Fax: (813)780-0021 Issue Date: 01/25/2021 Permit Type:. Add/Alter (Residential) Prop=arty Number Street Address 32 25 21 0100 01800 0050 7173 Boxer Round Place Owner Information Permit Information Contractor Information Name: ROSS&JUSTINA HICKMAN Permit Type:Add/Alter(Residential) Contractor: HARTSHORN CUSTOM Class of Work:Add/Alter Residential CONTRACTING Address: 7173 Boxer Round PI Building Valuation:$8,325.00 ZEPHYRHILLS,FL 33541 Electrical Valuation:$0.00 Phone: (813)528-5548 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation.$8,325.00 Total Fees: Amount Paid::$12$122.43 � Date Paid:1/25/2021 11:51:17AM Project Description CONSTRUCT SCRN RM 216 SQ FT W/SLAB Application Fees Building Plan Review Fee $40.81 Building Permit Fee $81.62 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 lApplication.All work shall be performed_ in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I SIGNATURE ='r9- • r PE IT OFFICE :iy:• -_ PERMIT EXPIRES IN--6 MONTHS- PERMIT APPROVED INSPEC '10N — -- - - — CALL FOR INSPECTION-- 8-HOUR NOTICE REQUIRED -- PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780 Building Depanment j� la R1lA o► go Date Re ,(ed- tAblkff re�h�s,Phone Contact for Pei ( g 13 -0 _ 4 Ij u &11114 Owner's Name p Irknnno Owner Phone Number 3 \ Owner's Address e QUh Owner Phone Number Fee Simple Titleholder Name (Owner Phone Number \ � 1 Fee Simple Titleholder Address I JOB ADDRESS Ell-1 , F p b -e n ? 336 Ll I LOT# SUBDIVISION 17tver0( 0 Rainch PARCEL ID# 32 25-21 ` 01,©0 - (J 1 g00 - OObo (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q Comm = OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK Screen P Oov '1 L 5(r-eer) rCoc! rrd Cth r r BUILDING SIZE 2 j�0 5 �'I �l SQ FOOTAGE �L°• HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ U AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I =YES NO OF Iff ((•~•� v BUILDER COMPANY �l��r-FSj�err� CL C� -tt f SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address o 1.3 VQY1-}IA re Co-vt 1 -,3 License# I RE w;-sG-sZ_ ELECTRICIAN COMPANY SIGNATURE REGISTERED Y.f N FEE CURREN Y/.N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N i Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N : Address License# a a.a.a a_a.a.a_a_a i.a.a a a.a 1.1<XIE a.a_I.9.a a.a a a a a a a.a.a.a II a a a a.a 9.1.1_1.44-1_I..9.1.9_3 a_t4, .a_If t_1 X 1-11-31.l 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,'I ' 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. 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 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) i Driveways-Not over Counter if on public roadways..needs ROW I813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building DepaArrlent NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed"restrictions"which may be more restrictive F han County regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions. NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If t e 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 t e contractor is not licensed as required by law,both the owner and ontractor 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 B ilding Inspection Division—Licensing Section at 727-847-8009. urthermore,,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"own,er", 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'S/OWNER'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.ApplicqItion 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 �ayheads, 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 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 fPr 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 arty 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 PROPERTII. IF YOU INTE BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BE G YO FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR c3k�� Subscribed and sworn to(or affirmed)before me this Subscribed and sworn 1t' aff a efore me this by /� }7-1 by Who is/are personally known to me or has/have produced Who i$ 'e person�al�l� av knpwf�t me or has/he produced as identification. Y� C! as identification. c Notary Public Notary Public Commission No. Comm 41 Name of Notary-typed,printed or stamped Name o Nota ty ;A v{�rintla 0116I:MPME$ *: 00,allission 4 GG 276457 o; Ex ires December 12,2022 "•'.F,o'c Fy c' Bcnded Thru Troy Fain Insurance 800-385-7019 BOUNDARY & AS-BUILT SURVEY DESCRIPTION*(AS FURNISHED) LOT 5, BLOCK 18, SILVERADO RANCH SUBDIVISION PHASES 7, 913, 11A AND 11B AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-85, OF THE PUBLICI RECORDS OF PASCO COUNTY. FLORIDA. Lft To. urm o I Lngth LT PI 30' GRAPHIC SCALE LOT 4 0 15 30 BLOCK 18 VACANT AS OF 09 04-20 i M l 1 M82-53-52-E 115.00'Ii 31L ow t < pi GO "1 o 'o A boa_ cl :q Lin NCO A all; it S D&AE ri 71 115.00'.t -4 15-00' LOT 6 -.D;q IN BLOCK 11 a I. FORMSCM FOI-Mk'RM 897"w lop or FwMS ADDRESS' E1PVA1 ao fwPOSED 7173 BOXER ROUND PLACE ZEPHYRHILLS,FLCRIDA.33541 FORMSDARD SURVEY DONE 03--26-20 FOR THE BENEFIT AND EXCLUSIVE USE OF. DHI TITLE OF FLORIDA,INC. FEIC MORTGAGE.LLC OLD REPUBLIC NATIONAL TITLE ROSS MICHAEL HICKMAN JUS71NA NICHOLE UCAL23 NOTES: 1.ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD pRA04A0E UAMnE %SMFIED.INCCNSISTENOES HAVE BEEN NOTED ON THE SURVEY,IF ANY, LEGEND: Q FOUND OWL AND b= ma=Nr W.3 S.PROPERTY CORNERS SHOWN HEREON WERE SEY/IFOUNO NCHT OF WAY TIM 0 FIr IRON FM AND CAP WINN- ON 06-04-M UNLESS OTHERWISE SHOWN. DRAINAOC FLOW 1/27 IRON ROD AM CAP DWRM OVATION La 3.THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN _jg— : N—Illr I 1 ROD HEREON FOR EASEMENTS.RIGHT OFT WAY ONS OF A/C AIR CONDITIONER (P) PER FLAT VW WHICH MAY AFFECT THE TITLE THE CONCRETE POINT OF CURVATURE 4.NO UNDERGROUND IMPROVEMENTS HAVE BEEN I LOCATED- CM CONCRETE ULM WALL i Pcr PONT OF comp"D CLEM CNA CORNER NOT ACCESSME PFICP ��QFRZ�Nr 0' CMCRETE PAD PIK a BUILDING 1—SHOWN HEREON ARE NOT TO BE USED TO es POO POW CN CURVE RECONSTRUCT THE BOUNDARY LINES. PZMXI-&RF&IM MAXAMUENT AGENCY rm POW ON LINE G.EEVA71ONS ARE BASED ON PASOO COUNTY BENCHMARK FJJUL FLOW IN RATE W PRO POINT OF OUAVAWRE Pest UMXPER PRO M—M.WW"A MOA'S J4 P M,ELEVATION 99.8V NAVD ISSB DATUM. La XES rp;rN,Y Ls LICENSU)Summ ST,M MATA 7.TREES SHOWN HEREON WERE IDENTIFIED AND POSITIONED D&UE DRAIMME&UTLrIY EkSEMENT S/W SIDEVAIX BY THE CLIENT AFTER THE COMPLETION OF THE POE MV,0E DIMUIZE EASEMENT TYP TYPICAL LANDSCAPING.AND NOT BY THE SURVEYOR AT THE TIME FmAVD PUBLIC ZENW&31.1UM TP rAT&FOWIM"Al) wS THAT THIS FINAL SURVEY WAS PERFORMED IN THE FIELD ON ok& DRAMME a kocm EAMiIairY 7R laffUONE RISER OCI--04-20 ED ELE=Q Box FLOOD NOTE' CERTIFICATION NOTE I HAVE Ewmm THE aptArmma.12,101 t HEREBY carom,THAT THIS SURVEY.sm=TO THE DATE SEPTEMM 2L PROPERTY SURVEYOR'S NOTES CONTAINED HEREON MEETS THE APPEARS TO LIE IN ZDW X.AREAS DETERMINED To BE OUTSIDE THE APPLICABLE'MINIMUM TECHNICAL STANDARDS SET MM ANNUAL CHANCE FLOODIPLAX THE SURVEYOR MAKES NO '5NI FORTH By THE FLOWA BOARD &OMM07,160A GUARANTEES AS 8111�MM AND MAP�IW m 7jiE AWYE DfuRIJIMIDN.PLEASE CONTACT THE . ATIVE TO CHAPTER 472-OZ7. LZMAL FJEAA.AGENT FOR VERFICAMUN FLORIDA STATUTES. BEARING BASIS, BEAXM SHOW HEREON ARE BASED CH THE CENTURUKE OF WXER A Dukmsn ROM PLACE SEW S09WOM PER FLAT- C--ANLI fMU=0ATE4 03-16--20 REVISED: Li M\/ I SCA-S-- V-ZD FEET t&MAPPING IN' FOR 49 CERTIFICATION OF AMORIZAMON IMBEIR UWW JAMES W.BOLEMAN PS III lanza LOT B, CERTIFICATION 05-03-20 SHL 3197 MAWRE BOULEVARD.SUM 200 M BOUNDARY&AS-BOLT SURVMEY.62 VALOW"m igo NO. BLOCK 18 FINAL 06-ID4-20 LAF — ORLANDO.FLORIDA 3= WITHOUT THE AUTHENTIC ELECTRONIC SIGNATURE AND FURMBOAR0 03--25-20 AAW C407)426-7M THE AUTHEN11C 91MRONIC SEALCrA FLORIDA CRWANS, PLOT PLAN ii/2a/tO a& LICENSED SURVEYOR AND YAPPER, • Pc 1635 Page 1 of 1 INSTR#2020188138 OR BK 10211 11/05/2020'01:55 PM' Rcpt:2223804 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller A w • Permit No. Parcel ID No 32-iZ�-21 -0 ) 06 _0 1 goo —00 v NOTICE OF COMMENCEMENT Stateof Ot)rid.iz Countyof Ma'5/(i THE UNDERSIGNED hereby gives notice that Improvement will be made to certain reel property,and In accordance with Chapter 713,Florida Statutes, the following Information Is provided in this Notice of Commencement 1. DescriptionofProperty. Parcel Identification No.sjluei000 `7 �• )/A Street Address: 1 3 O dl✓ o(e N p 2. General Description of Improvement I 3. Owner Information or lessee Information R the Lessee contracted for the improvement U�P' 6 04-Ce UU PCB P4-e Zllt:riy-tA- Address r„� City stale Interest In Property: Name of Fee Simple Titleholder. ' (If different from Owner listed above) Address u j _fit Stets 4. Contractor: Ij 1/r/'�^a �iV Se"~ GtiM�'�7 'S Name Address City state �y �•� Contractors Telephone No.: E E 3 &16 02 3 l 5. Surety: Name ' Address City state Amount of Bond:S Telephone No.: 8. Lender. Name .-Address City state (r Lenders Telephone No.: Q F- U _ J 7. Persons within the State of Florida designated by the owner upon whom polices or other documents documents may be served as provided by W Section 713.13(txa)(7),Florida statutes: I U- O Name Z_ n F 1 0, `> GL � O , i_ ij 7 uJ Address City State ` rW Telephone Number of Designated Person: 0� ,r L a. In addition to himself,the owner designates of,_ � LLI L 0 LL to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. :E: } W � CJ Telephone Number of Person or Entity Designated by Owner. Q O O W, 9. Expiration date of Notice of Commencement(Ore expiration date may not be before the compll tion of corebuction and final payment to the S S JI contractor,but will be one year from the date of recording unless a different date Is specified): }_ F5 m O U WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � u- Ld "� Z O OU) ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 2 a Q } RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MUST BE (� Z Q RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT u.1 O O y O WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. -A O U Under penalty of perjury,)declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best O r, O 01 my knowledge and belief. �J 1 Lij Ur) J STATE OF FLORIDA UJ Ly L kr COUNTY OF PASCO 1l / Fm In 5 Signature of Owner or Lessee,or Owners or Lessee's Authorized Of icer/Director/Padner/Manager O Slgnatorye Ttdo/Of ce The foregoing Instrument was acknowledged blare me Me—day of L6 w`.202A b�S S �i c as (hom of authority,e.g.,officer,trustee,attorney In fact)for (name of Xrty on behsO of whom rostrum xecutede ). Personalty Known❑DR Produced Identifieador6191,11 Notary SignatureVLµ�- Type of Identification Produced 16 9% Name(Print) eQ;-hfnj - syri a Notary Puplic State of Florida re�,1]�4' Sabrina Alderman • [ e MY Cgs 8r1ssion 1512021 126676 Ex Exp" �lpr p� wpdata/bcs/ro0ceeommencememyCU53048 a�� .