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21-1426
PERMIT'NUMBER City of Zephyrhills rinnrurr 5335 Eighth Street Zephyrhills, FL 33542 BAR-001426-2021 Phone: (813)780-0020 Issue Date: 02/22/2021 Fax: (813)780-0021 Permit Type: Add/Alter (Residential) Property Number Street Address 24 26 210080 00000 2750 3508 Tourmaline Drive Owner Information Permit Information Contractor Information Name: DAVID&LYNN LESSMILLER Permit Type:Add/Alter(Residential) Contractor: HOMEOWNER Class of Work:Add/Alter Residential Address: 3508 Tourmaline Dr Building Valuation:$21,000.00 ZEPHYRHILLS,FL 33542 Electrical Valuation:$4,500.00 Phone: (920)360-5386 Mechanical Valuation:$0.00 ,n Plumbing Valuation:$2,500.00 Y` Total Valuation:$28,000.00 2,4 Total Fees:$390.00 Amount Paid:$390.00 Date Paid:2/22/2021 1:33:33PM Project Description CONSTRUCT 12 X 42 LANAI W/CONCRETE SLAB Application Fees Electrical Plan Review Fee $31.25 Building Plan Review Fee $72.50 Plumbing Permit Fee :$52.50 Electrical Permit Fee $62.50 Plumbing Plan Review Fee $26.25 Building Permit Fee $145.00 REINSPECTION FEES: (c)With respect to Rein'spection 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. ONTRACTOR 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-613-780-0021 Building Department Date Received Phone Contact for Permitting - �`` rA- 7TRIerN.me r i S 0 ne Phone Number U Q' a Owner's Ad /1�L 0`uC. / H WOwner Phone Number r Fee Simple Owner Phone Number Fee Simple Titleholder Address p , JOB ADDRESS SRO ��G! G�/� �f• 2e 4.4- /' %^/ C 3��gSYb LOT it a7 J SUBDIVISION /'U/4PARCEL ID# / 4j'o2 `��0 `""'���"a75 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK �G4hcc/• N/ /J a°L(J/a Li^CT� 4, L BUILDING SIZE � SQ FOOTAGE U HEIGHT TP1T1'TP'iTrTrTYTfT�iT'1'•1"'P�/9�PTY'PYT�rPrPTPiTrPI"P"rrT'P'P"r�P9�1'T'�1"1"riTfTl'�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION mod" =ELECTRICAL $ q Q©q AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING is O.,`r,/ � Cl =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY = = FINISHED FLOOR ELEVATIONS� ROOFING 0 FLOOD ZONE OTHER AYES NO �.-- P .-'.-'. ... . . . .. . . F. ..-rr�.- :_i•-�•-�i•-��.�./. l-;el.t-i-'a�F��l-i-i� BUILDER COMPANY K/ �r Z"��1 ale SIGNATURE �-r REGISTERE Y/ N FEE CURREN Y/N Address w J 'r / /. (,(/ :70 License# ELECTRICIAN COMPANY lclwl;O., ,nicl —gsm/ !&,,^ SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address k 01. N MIX 53OLI License# PLUMBER COMPANY G(I1Lev' Qvld PSSfN f e SIGNATURE (� REGISTERED Y/ N FEE CURREN Y/N � Address J S`ta �k Dr• /ti'ea 1 S�13�'( License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L)l N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address License# IIIIIIIIIIIIII111111IIIIIIIIII1111111111111111'IIIIIIIIIIII111111111 RESIDENTIAL Attach(2)Plat 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 Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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. direction-•�1-1--I 1.1-1-a-i-f-•f-1-1--1-{-{-f-i--1-1•-1-1--1-1-f-1-{-L-6-[-8-1-F-�4.1-i-1a { 1--i-1-,F.F-i-6-F-1-•1��..1--4-f-{-1-1-t-b•�i- Dlrections: Fill out application completely. Owner&Contractor sign back of application,notadzed If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(far 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(PloUSurvey/Footage) Driveways-Not over Counter if cn public roadways:.needs ROW 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 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'SIOWNER'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 INTERIP TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER-OR AN ATTORNEY BEFORE RECORDING YOU NOTI E OF CDMMENCEMENT. FLORIDA JURAT(F.S.1 .03 OWNER OR AGENT l CONTRACTOR < Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by s a Who ire p onqrnown to me or has/have produced Who Ware p rsonaLLy,lcno�wp�to me or has/have produced Identification. r� /� as Identification. Notary Public Notary Public Commission N . Commission No. / Name of Notary typed,print d or stamped Name of Notary typed,printed or stamped CARLOSMALDONADO .phy"lwir , CARLOSMALDONADO Commission#GO 346275 ,r :, Commission#GO 346275 Expires June 16,2023 t ' ; Expires June 18,2023 uran bonded Thru Troy Fain Insce 6001,8b 7019 „fi, `` Bonded Thru Troy Fein Insurance 800,185.7019 DISCLOSURE STATEMENT FOR OWNER CITY OF ZXPHYRHjELLS BUILDING DEPARTMENT 3:,. have read and fully understand and agree to the provisions of this -instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act an the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly Licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require dorrectlous to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any, additional fees, including- re±uspecti on fees, must be paid in fall. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City,' State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable- 8. That •the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under as exemption to that law. The exemption allows you, as the owner of your property, to act an your own contractor with certain restrictions even though you do not have a license. You must provide direct ons:Lte supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a' commercial building, provided your costs do not exceed $25,000. Tice building or residence must.be for your own use or occupancy. it may not be built or substantially improved for sale or lease. If you sell or lease a .building you have built or.substantlally improved yourself within I year after the construction is complete, the law will presume that you built or substantially -improved if for sale or lease, which is a violation of this exemption. You: may not hire an unlicensed person to act as your contractor or to supervise people working on your building. it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on: youk building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law.- Your construction must amply with all applicable laws, ordinances, building , T w`3,r r A,ff codes, and zoning r OWNER'S SIGNATURE DATE ADDRESS o2 ft n 11315 4- PHONE WITNESS- PERMIT # 3� 5 I� 5i I 3 /2RoPvs ED Ia ,x ya, /)q-/vAl Coivc�2�'7"c e.R)Lll �w Exi 6T, Z:)1�2� !� ✓ . DR, r!=�i- /vU I/ZFsr«1-7AJ7- FR/ 9pj !1 �lq-jl G( %�-S fyt t [I e/ _ INSTR# 2021014822 BK 10264PG 727 01/25/2021 01:00pm Page 1 of 1 L Rcpt: 2252477 Rec: 10.00 2-C� r DS: 0.00 IT: 0.00 Nikki Alvarez—Sowles, Esq. Pasco County Clerk & Comptroller Permit No. Parcel ID No NOTICE OF COMMENCEMENT, State of_ �!D/'i L�� i County of 'S C THE UNDERSIGNED hereby gives notice th It improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the follong information is provided in this Not ice tice of Commencement: 1. Description of Property: Parcel Ide tificatibn No.o2y.2& —c2/— cogs —O o66 y — a7 J 1) Street Address: 1 SO r Ph 4 I—As 2. General Description of Improvement 016aGt'c I 3. Owner Information or Lessee information /if the Lessee contracted for the improvement: a es �� era.7 � , �'v ao >°r �i��S � � L•�Soh i��P�' ?ya Lo S me Address City State Interest in Property: 1.��h r Name of Fee Simple Titleholder: (If different from Owner listed above) Address / / �// City�esl>7t 1ler State 4. Contractor: ��Ui d L +eS f21 [�1�f 'L!! 1-7✓! ame `1 3 t>Z ��yl �3,s� ' ALL 1i�24 !/K C' �f� 2-ey 1 [L�t t State Address City Contractor's Telephone No.: 5, Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender: _ Name _ _ ---� — -- - - � - City State Address Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the 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): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER 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 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. Under penalty of perjury,I declare that I have read the foregoing c f commencem nt and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Si at re of Owner or L ssee,or Owne or Lessee's Authorized Officer Director/Partner/ na er Signatory's Title/Office The foregoing instrument was acknowledged before me this 0 day of��_,20 A by NY n n � � G+�55 W 1 as (type of authority,e.g.,officer,trustee,attorney in fact)for (name of party on behalf of whom instrument was executed). Personally Known❑OR Produced Identification Ld, Notary Signature Type of Identification Produced&;/S OH 5/ /✓2 -Ar 11e;3; Name(Print) a9 Nancy J Brooks of Floods My Commission GG 178530 `��� Expires o2/1 812 0 22 • �aw� wpdata/bcs/noticecommencement_p c053048 IN57R# 2021015930 8K 10265PG 945 01/26/2021 02:38pm page I of 3 Rcpt: 2253103 Rec' 27.00 0s* 0.70 IT: 0.00 Nikki Alvarez-SaWles, Esq. Pasco County Clerk & Comptroller Prepared By Lynn Lessmiller 3508 Tourmaline Dr. Zephyrhills,Florida 33540 After Recording Return To David Lessmiller 3508 Tourmaline Dr. Zephyrhflls,Florida 33540 Space Above This Line for Recorder's Use FLORIDA QUIT CLAIM DEED State of Florida Pasco County KNOW ALL MEN BY THESE PRESENTS,that for and in consideration of the sum of One-Dollar($1.00)and/or other valuable consideration to the below in hand paid to: Best Invest Properties,LLC with Lynn Lessmiller acting as the Managing Member with a mailing address of 2426 Shady Oak Dr.,Green Bay,Wisconsin,54304. The receipt whereof is hereby witnessed and acknowledged,the undersigned hereby quitclaims to David Lessmiller and Lynn Lessmiller,a married couple,residing at 3508 Tourmaline Dr., Zephyrhills,Florida,33540(hereinafter called the"Grantee(s)") as joint tenants,all the rights,title,interest,and claim in or to the following described real estate, situated in Pasco County,Florida,to-wit: Lot 275,THE EMERALD POINT RV RESORT,PHASE SIX,according to the map or plat thereof as recorded in Plat Book 48,Pages 6 through 8,Public Records of Pasco County, Florida.Parcel No: 24-26-21-0080-00000-2750 Page 1 To have and to hold,the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate,right,title,interest,lien, equity and claim whatsoever for the said first party,either in law or equity,to the only proper use,benefit and behoof of the said second party forever. Grantor's Signature jrli� Date January 26 2021 Print Name: Lynn Less d er Address:2426 Shady Oak Dr.,Green Bay,Wisconsin,54304 qYLDA Cu Date January 26 2021 Witness ik Signature rNaa fn I') h4a n Name ofWitness 7399 US 4wv 99 S. if al-hieer). FL 3,38C/9 Street Address F zm— Date January 26 2021 Witness's Signature Name of Witness 3 Oot3 wei4,, Street Address Page 2 • State of Florida County of Pasco 1,the undersigned,a Notary Public in and for said County,in said State,hereby certify that 4m t) M - /-e-5:5 In i I/-,--/' whose names are signed to this Quit Claim Deed,and who is known to me,acknowledged before me on this day that,being informed of the contents of the instrument,they,executed the same voluntarily on the day the same bears date. Given under my hand this Ll-day of (SEAL) Notary Publico 0 My Commission Expires: 4ON Notary Public State of FIWOOOIWdfta 41? Nancy J Stooks My Comhaim GG 178530 Expires 02/1812022 Page 3