HomeMy WebLinkAbout21-1469 Q
►�a����F City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-001469-2021
Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/26/2021
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Permit Type: Add/Alter (Residential)
Property Number Street Address
03 26 21 0120 00000 0020 16108 Silver Oaks Drive
Owner Information Permit Information Contractor Information
Name: DIANA TOWSEND Permit Type:Add/Alter(Residential) Contractor: PATRIOT SCREENS INC
Class of Work:Add/Alter Residential
Address: 6108 Silver Oaks Dr Building Valuation:$5,685.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)702-4509 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00 `�/�Of
Total Valuation:$5,685.00 Q l
Total Fees:$102.63 / /
(--1A
Amount Paid:$102.63
Date Paid:2/26/2.021 8:53:22AM
Project Description
CONSTRUCT SCRN ROOM 204 SQ FT
Application Fees
Building Permit Fee $68.42 Building Plan Review Fee $34.21
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 Permit Application FaX-813-780-0021
Building Department
Date Received Phone Contact for Permitting F(8/3
I a IFIF x 197t a I IV a
ZoOwner's Name Owner Phone Number
Owners Address F-Gt 0�? S1 I%JZ4 00" Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 0 OR S',lue't- ffA& LOT#
SUBDIVISION PARCEL ID#j
R
(OBTAINED FROM PROPERTY TAX..'rc.)
WORK PROPOSED NEW
r_0'MR ff ADDIALT SIGN DEMOLISH- INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK 7 _V-4// /L('V jut
BUILDING SIZE SQ FOOTAGE HEIGHT
k L k�L C L AL�JL CJLAL&JL'LAL&JL1LkW_1L LW_JL4L -L IL-L&k IL k
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY O W.R.E.C.
=PLUMBING 1$ ICA I t
=MECHANICAL 1$ VALUATION OF MECHANIC AL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N
ffifilifff4*9111109, 84
BUILDER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN LKLN J
Address License4 It (9
ELECTRICIAN COMPANY
SIGNATURE I REGISTERED YIN FEE CURREN
Address License# F
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN LILN J
Address F_ 1, License#
MECHANICAL COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN L N
Address —1 License 0
OTHER L COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN L_nN J
Address License# F_
149-TI'T a I a IV.*AA a 4;IrZ'V'allf!a a-IV a I's I II
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Foffrw,R-O-W Permit for now construction,
Minimum tan(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Faclifies&I dumpster;Site Work Permit for subdivisionsfiarge projects
COMMERCIAL Attach(2)complete sets of Bulfdlng 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 pmjects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
Fill-out application compietely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required.(AIC upgrades over$7500)
Agont(for the contractor)or Power of Attorney(for the owner)would De someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Rerools 9 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter ff an public roadways..needs ROW
i 813-780-0020 City of Zephyrhills Permit Application Fax-613-78o-Qa21
Building Department
NOTICE OFDEED RESMC77ONS:The undersigned'understands that this permit may be subject to deed'restrictfons'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 727-847-6009.
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 property 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 9M7,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'certficate of ocmpancy"or final power release.tithe project does notinvoive a certificate of occupancy or final'
power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County WatedSewer 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 commencerreni
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 worts or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
taws 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,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 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"tt°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"As 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 tamthe,AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth irtthis affidavit prior to,
commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,welts,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,after,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 RECORDING YOUR NOTICE OF COMMENCEMENT,
FLORIDA JURAT(F.S.117.03) y`
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and befo ma this
by y r n
Who islare personally known to me or hasrhave produced Who Ware pe nally kn to me or haslhave produced
as identification. as identification.
Notary Public Notary Public
Commission No. i55"ton O
Name of Notary typed,printed or stamped Name of N ry typ ,p n o
to
# 5G i t 6457
')2celnber 12,2Q22
"" Landed iris Iv;Fzim insurance${)Q 3g$y019
INSTR# 2021019359 13K 10268PG 1971
02/29/2021 01:35pm Page I of I
Rept: 2254845 Rec: 10.00
DS: 0.00 IT: 0.00
Nikki Alvarez-Soules, Esq.
Pasco County Clerk & Comptroller Parcel ID No 03-d&::,�L- iopo-O�W- C(),?O
NOTICE OF COMMENCEMENT
State of County of
— (02� _P(60,6
THE UNDERSIGNED hereby gives notice that improvement will be me ML7a,7pe Ity,and in accordance th Chapter Florida tutes,
(5er 713,Flo
the following information is provided In this Notice of Commencement: V6� b fo(sr .51,
a _%
1. Description of Property: Parcel Identificat an No,<&,e-(mi,� "t, 7,
Street Address:
*J A c d�2. General Description of Improvement, 14'7" :5Sd
do
3. Owner Information or Lessee information If the Lessee contracted for the Improvement:
DiAt--A _1�8%x4OSe —A Ai
1(59'me SA uel, 00(:-S "-DA-, OCC 735!;_f
Address City state
Interest in Property:_ ow
Name of Fee Simple Titleholder.
Of different from Owner listed above)
Address city State
Contractor, Po�[�il
Name &[
7-
Address city 1 11 State
Contractor's Telephone No.:
5. Surety: AJ[A
Name
Address city state
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Address city State
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 receij 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 complep,on of construction nd final paymc it t the
contractor,but will be one year from the date of recording unless a different date Is specified): PC&.ytXj cs%k,
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCIMENT
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 pedury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Partner/Mani3ger
tu
Signatory Title/Office
The foregoing Instrument was acknowledged before me this
ay Of 1—od )(,A. 202lby
as (type of authority,e,g.,officer A attorney In fact)for pt�
(name of par��of m s ent was executed).
Personally Known E3 OR Produced Iden tio 'Notary Signature
Type of identification Produced EL trVE%\-al ;ie'Nirne'(Print)
EUGENE E.BRIMMER
Commission#GG I 8W1
Expires February il,2022
krx1.dThriIT.yF&I,%..8*3WT4I9
wpdata/bcs/noflcecommencemenLpcD53048�
State Of Florida,County Of Pasco
This Is to certify that the foregoing is a
true and correct copy of the document
I O.d on file or of public record in this office.
"r Witness my hand and official seal this
{ day of jTC 20
• 188 Nikki. lvarez:Sowles,Esq.,Clerk&Comptroller
0 Pasco/C unty, Florida
BY Lr ��= •= , Deputy Clerk
Legend
P-O.C. Point of Commencement Indicates Asphalt Pavement
l�IJJJ P.C.P. Permanent Control Point �''=•
P.R.M. Permanent Refereaeo ttonument r'1 Indicates Asphalt Pavement
P.O.B. Point of Beginning 1 7
P.O.L Point on Una Cone. Concrete
F.I.R. Found Iron Rod Asph• Asphalt
F_1.P- Found iron Pipe Yes Masonry
F.
N.& D- Found Nail & Disc Fr. Frame
W ' F.C.II. Found Concrete Monument W.P. Wire Fence
Go R ►er Iqd D=616m sr Rd ftmr ltd) Bd f. Wood Fence
C Calculated CLF Chain Unk Fence
M Field Measured S.P. Screen Porch
H/D Proportions Section Rreakdovn CP Carport
RAD. Radius OHL Overhead Utility Line
Ch.L Chord Length U-P. Utility Pole
ChJL Chord Dearing E/P Edge of Pavement
S.i.R. Set.I/2-Ion Rod lhpped with U/C Utility Cylinder
Identification 'FSM 50sl- R/W Right of Way
SCALE 1 = 30' S•N.& D. Set Nail & Disc Pr Centerline
Stamped "PSM 6061-
A/C Air Conditioner
0' 30' 60'
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