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City of Zephyrhills PERMIT NUMBER-
'{ 5335 Eighth Street
Zephyrhills, FL 33542 BAR-001366-2021
Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/08/2021
Permit Type: Add/Alter (Residential)
Property Number Street Address
03 26 210120 00000 0360 37110 Foxrun Place
Owner Information Permit Information Contractor Information
Name: DANIEL&JOANNA SMYTH Permit Type:Add/Alter(Residential) Contractor: PATRIOT SCREENS INC
Class of Work:Add/Alter Residential
Address: 37110 Fox Run Blvd Building Valuation:$9,375.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)789-0124 Mechanical Valuation:$0.00 ul
Plumbing Valuation:$0.00
Total Valuation:$9,375.00
Total Fees:$130.32
Amount Paid:$130.32
Date Paid:2/8/2021 11:55:12AM
Project Description
INSTALLATION 16 X 21 SCRN RM W/ROOF EXISTING FOOTERS
Application Fees
Building Permit Fee $86.88 Building Plan Review Fee $43.44
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
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 ftrmit Application Fa"13-780-0021
Building Department
F
Date Received Phone Contact for Permitting r7
"P 0 Owner's Name AN ANdA Owner Phone Numbs
Owner's Address 3 Q rox ?"w Owner Phone Number
Fee Simple Titleholder Name F_ Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS 3 q i i o rw '(Zu,,) LOT#
SUBDIVISION Si 1,/L, o PARCELID#103—dto—dj—0 0-0-6=u—03(a.0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 5 ADDIALT SIGN Q Q DEMOLISH INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL
DESCRIPTION OF WORK —,A (.0
BUILDING SIZE SO FOOTAGE I HEIGHTIr
-1E-X7V1" k K JL JE AL IL JL k IL X dL IL-L ft��L -L IL W c x-k e.IL k k JEk IL&IL&L JL IL IL 1L IL q. 11.ME t
i -'LLLL'KI LD IN'G I' VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE O PROGRESS ENERGY W.FLE.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION Q
=GAS Q ROOFING = SPECIALTY = OTHER tJ
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No
Zee
BUILDER COMPANY E N-r(:z. SC A3�:L NU
SIGNATURE REGISTERED YIN FEE CURREN I Y/N
Address (yCf/q (an.-A TIA'. License#
COMPANY
ELECTRICIAN REGISTERED Y/N FEE CURREN L SIGNATURE _y N
Address License# L_J
PLUMBER COMPANY = I
SIGNATURE REGISTERED Y/N FEE CURREN
Address —1 License#F—
MECHANICAL COMPANY = I
SIGNATURE F REGISTERED YIN FEE CURREN LY/N
Address License#
OTHER COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN L_KLN J
Address —1 Ucense# F— 1
N'SAW�F9JECE a ALS'lliva.a It a t.M:9*:XWA at-W ts.2irt a I itYEf..€$$1
RESIDENTIAL Attach(2)Plot Plans.(2)sets of Building Plans-,(1)set of Energy Farms:R-O-W Permit for now construction,
Minimum ten(10)working days after submftf date.Required onsite,Construction Plans,Stormwater Plans w/SIR Fence Installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivigionanarge 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 clumpster.Site Work Permit for all now projects.All Commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
Directions: ssss sss ff*%11.0sili-liffs4st III fF*4 4 111
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)
Asont(for the contractor)or Power of Attorney(for the owner)woult!Do someone with notarized lefter 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
I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
NOTiCEOFDEED RESTRICTIONS:The undersignedundersfands that this permit may be subject to"deed'restrfctfons'wNch 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 notinvolve 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 1,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Gulda'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'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 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 car*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 Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental 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 amthe,AGENT FOR THE OWNER,I promise it 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 perit 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 swamto(or affirmed)before me this Sybscrib d� (or of ;�)bef, me the
usc
Who is/are personally known to me orhasfhave produced Who i/s/are,1 ona11y kriiuritalme or has/have produced
as identification. as identification.
r
Notary Public ry Public
Commisoion No. Comm)0ionO.
Name of Notary typed,printed or stamped Name otary type a,printed or stamps
oAa'r,P� J=90GESES
276457 12,20228Insurance 800-3W7019
INSTR#202'1008516,OR BK 10257 PG 3963 Page 1 of 1
01/14/2021 09:36 AM Rcpt:2248870 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clark&Comptroller
NOTICE OF COMMENCEMENT
State of -�i-(ttc�o. County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713,Florida Statutes, the fallowing information is provided in
this Notice of Commencement:
1. Description of Property: ParcelNo.03 a�- -bfr}0- -U3 0 "51110 t�clz `�► -
St1du-okt� PNa-.,- uve..A5 at, PC-,S l m73 P `_-
�T3
do/r7g
N35DEt 23'�" R1v c,�u 6vy tz5 Ft ftf S ato 3b :�
M �tl ;Wr- ao fa0.3L or
(Legal description of the property and street address if available)
2. General Description of Improvement�s�
3. Owner Information: Name t
Address 3'7tt_0 City Z44f{5 Statef 3 'Y
Interest in Property: AxJ;0eA-_
Name of Fee Simple Titleholder:
(If other than owner)
Address City State
4. Contractor:Name \-*�'giZ;-x- $ciue", �r�-
Address N 6 CA �' City 7,7tfYd As Stater(
5. Surety:Name A11A
Address City State
Amount of Bond: $
6. Lender:Name tvtp,
Address City State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as pi6Q&-d by Section 713.13 (1)(a) (7),Florida Statutes:
Name
Address City State
8. In addition to himself,Owner designates_ 400
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1)(b),:Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is 1 year from the date
of recording unless a different date-is,specified:)
.
Signature of Owner:
Sworn to and subscribed before e this 'l*� day o ",I
Notary Public: "� � ar Janet WY Mc
My Commission Expires: o STATF OP Ft OR4QA
."W)AWO' Expires 2t412023
PC930530481A _
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State Of Fl�orlda,County Of Pasco
C� This Is to certify that the foregoing is a
true and correct copy of the document
n file or of public record in this office.
' I e s my hand'Ind official seal this
' .in God')*7>-wt /
• '�day of;1l�'�i, 2 Cl
Nikki Alvarez-9. Giles, Esq.,Clerk&Comptroller
1�8 Pasco County lorida
7
By Deputy Clerk
�LF FL0
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CURVE TABLE
CURVE RADIUS ARC CHORD CHORD BEARING DELTA ANGLE
C2 25.00' 49.79' 41.96' S 02'26'45" W 11,V06'30"
C3 130.00' 64.51' 63.85' S 45'17'01" W 28.2559"
C4 25.00' 41.16' 36.66' S 78*13'46" W 9419'29"
C5 120.32' 9.22' 9.22' S 56048'13" E 04'23'26"
PREPARED BY
MAURICE
Professit
Florida I
NOT VALID UNLESS IMP