HomeMy WebLinkAbout21-1390 City of Zephyrhills PE-11Td NIMPABER
i ' + 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001390-2021
Phone: (813)780-0020
Fax: (813)780-0021
Issue Date: 01/21/2021
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Permit Type: Building General (Residential)
Pro. - Number Street Address
18 26 22 0010 08600 0000 4241 Sky Dive Lane
Owner Information Re r,m i 0 Information Contractor Information
Name: Permit Type:Building General(Residential) Contractor: THE DRAIN TEAM
Aii Class of Work:Sewerline Replacement
Address: VIVt Building Valuation:$1.00
Electrical Valuation:$1.00
Mechanical Valuation:$1.00 )
Phone: `
Plumbing Valuation:$1.00 c
Total Valuation:$4.00
Total Fees:$51.00
Amount Paid:$51.00
Date Paid:1/21/2021 2:39:24PM
MOO iect Description
PARTIAL SEWER LINE
Application Fees
Sewerline Replacement Fee $51.00
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.
----- *zm.
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 Permit Application Fax-813-780-0021
-- Building Department
Date Received ry
Phone Contact for Permitting
Owner's Name l O i�`S/ �1iQ�� Owner Phone Number
Owner's AddressF�3 3 6714 cS Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address n �/�
JOB ADDRESS �f �l Iv d'�iVr I—Ali 4 _� j 2 LOT#
SUBDIVISION PARCEL ID# , Z-(--lit—W l69
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR B ADD/ALT SIGN = [� DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHE
TYPE OF CONSTRUCTION BLOCK QC FRAME = STEEL =
DESCRIPTION OF WORK I�T(� �-- J %%//✓ �� 11 %i✓.(��.•�� ��
BUILDING SIZE I SQ FOOTAGE HEIGHT 230
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C.
]PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER. COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N j FEE CURREN
Address License# F
PLUMBER COMPANY
SIGNATURE REGISTERED Y N FEE CURREN LLUN
Address to?, License# 62 7
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
OTHER COMPANY
w,^'• T,^' I. REGISTERED `T/ry FEE CURREN Y 1 N
*IVryAIUKC I
License#
Address
- - _ _ « . � � . : � � � � s � g ; � � ilE � ll � l.� � [ IIIi $ [ I � IlilflllEllllllillillllllll ! lilll€ IIII [ IEI i
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 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"owner",I certify that 1 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 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 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 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 ATTORNEY RgE!�RE REQ RDIN R blQ11rdE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 7.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swqm t ( r Ind)be re I t 's I-21-u'� Subscribed and sb tp(or affirmed)be re me this o- 1 -?�2-
Y
ho is/are personally kno to me or a-/h ve prbddded ho is/are a sonall nown to me or has/have produced
as identi tion.
ELIIABETH S.REES
MY COMMISSION#GG 294191 :�.`•'` �. ELIZABETH S.REES
PUMMOMM
Bonded
b`? EXPIRES:Jan 23 2023 r•: * COMMISSION GG 294191
%r P. Notary Public "� Notary Public
Thru Noy kbk
Uridenvrryers
INSTR#.2021012867OR BK10262PG433 Page 1 of 1
01/21/2021 10:13 AM Ropt:2251275 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF CgMM&NCEMENT
Permit No.
Property Identification No. 066, CL-c--inoo
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of'propertyftal don: A-V--r—
a) Street Address: 141 -4 Nift:
2. Gewral description of improver —'s ak-�M &Pl�id— w 1 !'501 Lett
1 6C -
3. Owner Information
a) Name and address: 04- &jQ1LtAV kA.;'r
b) Name and address of fee sirdple titleholder(If other than owner) 5-6 J'5— CR 74 S1 /
c) Interest in property
4. Contractor Information
a) Name and address: 16A) V"e 11
b) TeiephoncNo,:-b:-�-S2?y--:ip�ipo - -Pfix No.(Opt.)
5. Surety Information
a) Name and address-,
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt
6. Lender
a) Name and address:
Identity of person within the State of Floridra designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AMR 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 IPROVEMENTS 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 YOUR LENDER O AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMOE
STATE OF FWWDA
COUNWOF PASCO
Signature OF 0 orO,.wner'sAuthodlOfficffDi=Wr/Partner/ManageT
4t
Print Naxiie
The foregoing instrument was acknowledged before me this day Of 20 by. uz-P
as C)LJ ISEV, (type of authority,e.g.officer, attorney in fact)to
(name of party on beha of was
Personally Known ion Notary Signature Person OR Produced Identificait wi
I f
<
Type of Identification Produced t-OL4 A-U 10 rl4q5 amumne Tint
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I hjive lead the regoin d that the heft stated
in it are true to the best of my knowledge and belief.
FORMSINOC.-w-AMI
ELMABM&Rm S*mt=of NaMW Pasoo Above
WCOMMMONOGG294191
LVWS:jMVXy23,2023
$tote Of Florida,County Of Past
,� ,, 4• m �� This Is to certify that the foregoing is a
w ��® true and correct copy of the document
* } m on file or of public record in this office.
W ess my hand nd official seal this
In.�od" e fru c day Of 2
+ a"' b Nikki Alvarez- I Esq., rk&Comptroller
4 Pasco County,Flora `
?B8� By Deputy Clerk
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