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21-1380
e- - City of Ze h rhills fY p Y PERMIT-NUMBER " l- 5335 Eighth Street Zephyrhills, FL 33542 BAR-001380-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02116/2021 i Permit Type: Add/Alter (Residential) Property Number Street Address 05 26 21 0100 00700 0100 6988 Silverado Ranch Boulevard Owner Information Permit Information Contractor Information Name: SANMATTIE RAMNARINE Permit Type:Add/Alter(Residential) Contractor: RON L ALUMINUM Class of Work:Add/Alter Residential Address: 6988 Siiverado Ranch Blvd Building Valuation:$4,792.00 ZEPHYRHILLS,FL 33541 Electrical Valuation:$0.00 Phone: (813)789-7492 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$4,792.00 j Total Fees:$95.94 Amount Paid:$95.94 Date Paid:2/1612021 10:02:58AM Project Description INSTALLATION SCRN RM W/COMPOSIT ROOF 12 FT X14 FT Application Fees Building Permit Fee $63.96 Building Plan Review Fee $31.98 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 rr 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 Permbt 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,9 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 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 1,the applicant, have been provided with a copy of the"Florida Construction Lien Lew—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. 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 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 lake 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"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,1 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 YOUR LENDER OR AN ATTORNEY BEFORE RECOR12INra YOUR NOTICE OF COJ4MqNCEMENT- FLORIDA JURAT(F.S.117.03) = _ OWNER ORAGE � lr�✓CONTRACTORt"T�'�ST' FV�i�t qar Subscribed and swom to(qr affirmed)befo[e me this Subscribed and sMo�or�affirmed) afore me this Who is/are personalty Known to me or has/have produced Who.is/are"personally nownto me or has/have produced' as Identification. — _ -as identification. Notary Public is Commission No. Commission N =ro~tm°l = S Wires December 12 202 Name of Notary typed,printed or stamped Name of Note d ObOM Troy Fain Insurance 890-3W7019 INSTR#2021,012187 OR BK 1 0261 PG 2298 Page 1 of 1 01/20/2D21 12:09 PM. Rcpt:2250975 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Thla apace for use by Clerk of the CIrco t Court only, ofoo -Oa700- bloo NOTICE OF COMMENCEMENT Permit Number. Tax Folio No. The undersigned hereby gives notice that Improvements war be made to terWn real property,and to accordance with Section 713.13 of the Florida Statutes,the following informedon Is provided In the NOTICE OF COMMENCEMENT. 1. . Legal Description of Pgros�yy(street address n q i.* to S'1 Id -aAwh h'11 1 ! 'V'h ala IZ.Auek Shlb d:,eigo t 11A ill; Ta 77 Ono),) AIBCI- -' iC& 2. Gencml description of improvements: -y C bIM j2 ha Im W rdr-A Tarim 3. Owner Name. VYl r 1/� Owner Address leg gir 9 �s1tg-A 111 Z=-ki1�3.A-fit{ 2 aY`> 3b. Owner's interest in site: n/a a m C N E V 3c. Fee Simple Tide holder(of other than owner) n/a ty Ca Address: IL c 0z af0i Y Ot to 4. Contractor Name: Ronald Allan « @ U Address: 3122 McIntosh rd Dover FL=27 Pbona 813661 7255 o S. SuretyNmte: tJ/A Amotmtofbond: Q 0 a 1 Ci t U Address: Phonct too . aL U U 6. Lender Name: NIA contact: z .0 c O o Address: Phone: b -tE Q L >, N 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by o o m Section 713.13(l)(a)7,Florida Statutes. u m Q N m m - o ID Y Name: WA Address: .FL- o z M m PhomeNumber: 3. In addition to himself,Owner designates the fallowing person to receive a copy of the Lienor's Notice as provided in Section �@ � 713.13(1)(b).Florida Statutes. r r�y8`>, ° e Name N/A Address: �d aW er Phone Numb ?+'W77 � `Fyn j ? e. 9. Expiration date of Notice of Commencement(expiration data is one(1)year from data of recording unless a different data is specified). WA WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER TIRE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSFR®UYPROP@R PAYMENTS UNDER CH [ERAP 713,PART 4 SECITON 7MI3,FLORIDA STATUTIM All CAN RESULT UV YOUR D) Ile LAYING TWIN FOR 1MlROYEMENI3 TO YOUR PROPERTY.A NOTICE OF COaDYD:ItCBMENT MUST B@RECORDED AND POSTED ON 77i@ f� G�yt.;✓ lOBS177t B[SFORE THE FIRST EC INSPTION. IF YOU INTEND TOOBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNt?Y }� ,�' BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEYCF.ME.W:- PAUL R.Bully V/k- C4Rtl015ii0I1#GGIW78 Signature of Owner or Lessor,or Owner's or Lessee's Authorized Offua/DirectodParmer/Manager Sigmtoty's Tide/Office STATE OF FLORIDA COUNTY OF HH.LSBOROUGH The foregoing lastrumcat was admowledge before me this_ l D day of 4JLC _20 oL 0 by S t%tMnA :C J a_PO4 lilts 0-w?A2.& for Personally Known OR Produced Identification Type of IderAf:cation Produced Signatue-Notary Public Under penalties of perjury,I declare that I have rad the foregoing and that the fads gated in it true to the best of my knowledge and belief. Sigaaane of Natural Peraoa Signing Above (A rape Of�q 6mdmrrtbe amchad rt7LaRn+o or madaNm oftlds NdaoTCa�meom,eN1 tJpdsMd29N0VW12 . I D Q. F.E11111 City Of Zephythills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BAR-001380-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Add/Alter (Residential) j Property Number Street Address 05 26 21 0100 00700 0100 6988 SIIveraWanc oulepyard Owner Information Permit Information Contr tca or Information Name: SANMATTIE RAMNARINE Permit Type:Add/Alter(Residential) Contctor: RON L ALUMINUM Class of Work:Add/Alter Residential Address: 6988 Silverado Ranch Blvd Building Valuation:$4,792.00 F ZEPHYRHILLS,FL 33541 Electrical Valuation:$0.00 Phone: (813)789-7492 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$4,792.00 �cCMse— Total Fees:$95.94 Amount Paid:$0.00 Date Paid: Project Description pm INSTALLATION SCRN RM W/COMPOSIT ROOF 12 FT X14 FT VtW Application Fees Building Permit Fee $63.96 Building Plan�Review Fee $31.98 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 financiing,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. I CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM ;WEATHER ACCMEO CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDIYYYY) 1 1 1/14/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Insurance by Ken Brown, Inc. PHONE K Derek Brown FAx 707 Pennsylvania Ave Ste 1300 A/c No.E :1321-397-3870 1 ac No):321-397-3888 Altamonte Springs FL 32701 ADDRESS: certificates@insbykenbrown.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:White Pine Insurance Company 11932 INSURED RONLA-1 INSURERB:Old Dominion Insurance CO 40231 Ron-L-Aluminum, Inc 3122 McIntosh Road INSURER C: Dover FL 33527 INSURER 0: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:16549614 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD L SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY WPCP008122 3/11/2020 3/11/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FK OCCUR DAMAGE TO PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY E ECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY B1T9394V 3/1/2020 3/1/2021 Ea awl ideDtSINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) X HIRED Ix NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acc dent X PIP$10,000 $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ Y/N WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 1 5335 8th Street AUTHORIZED REPRES TTATTIVEE Zephyrhilis FL 34248 �r�.-"�— ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 813-780-0020 City of ZephyrFiills Permit Application 9m.813-780-0021 Building Department Date Received Phone Contact for Permitting a€aa€a€a aaa€€ Owner's Name %, 0'0AM:QA!6e p�+ P'j/� Owner Phone Number Owners Address 4O 0 ) 0 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1, JOB ADDRESS 69 V 6 5 ch �3 h^�I L� ,�Uf LOT# SUBDIVISION 1 Q� PARCEL ID# �L7 " DLO rTl — 00°' IbIS)OU r' CA (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED a NEW CONSTR B ADDIALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK f en poly, X I LOT __y 6 r0 Pn BUILDING SIZE I x SQ FOOTAGE I lS7 v HEIGHT =BUILDING $ 9�•e O VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ 1,-k—/3�� p �� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION rw =GAS = ROOFING 0 SPECIALTY = OTHER � jf FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' NO ;� ////�� A4_ BUILDER COMPANY SIGNATURE ik� REGISTERED I Y/N FEE CURREN I Y/N Address 33&, License# �CC— a D. ELECTRICIAN COMPANY SIGNATURE F REGISTERED I Y/N FEE CURREN Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y!N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE o A REGISTERED Y/N FEE CURREN Y/N Address License# OTHER ' `r COMPANY REGISTERED Y!N FEE CURREN Y/N SIGNATURE p v Address 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 subdivisionsAarge 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. ****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(PlottSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW