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HomeMy WebLinkAbout20-965 D p City of Zephyrhills PERMIT NUMBER 5335 Eighth Street ; :. u Zephyrhills, FL 33542 BAR-000966-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 12/01/2020 =X - Permit Type: Add/Alter (Residential) Pro Nu'mber ,M $treet Re p 'Address g rtY 14 26 21 0010 02700 0120 4742 4740 17Th Street 0wrieranformationt,. :Permit lriformation LLCoritractorVriiformation Name: FLORDELIZA MAHILUM Permit Type:Add/Alter(Residential) Contractor: RYMAN CONSTRUCTION O Class of Work:Add/Alter Residential FLORIDA INC Address: 27 Benson St Building Valuation:$115,000.00 BLOOMFIELD,NJ 07003-2721 Electrical Valuation:$10,000.00 Phone: (813)782-0825 Mechanical Valuation:$10,000.00 Plumbing Valuation:$5,000.00 (1�1��J Total Valuation:$140,000.00 Total Fees:$1,275.00 Amount Paid:$1,275.00 Date Paid:12/1/2020 12:15:53PM P.,:Foject"Description>.,; Y, � _ r ;t _ c4'` °" • , . '. :.:.: ADDITION 615 SQ FT&INTERIOR REMODEL Applicition_Fees. Electrical Permit Fee $90.00 Building Permit Fee $605.00 Plumbing Plan Review Fee $32.50 Electrical Plan Review Fee $45.00 Mechanical Permit Fee $90.00 Mechanical Plan Review Fee $45.00 Building Plan Review Fee $302.50 Plumbing Permit Fee $65.00 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. PE IT OFFICE R =PIRZSN 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 Owner's Name Flordeliza Mahilum Owner Phone Number 8 -782-0825 Owner's Address 27 Benson Street, Bloomfield, NJ 07003 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4742 17th Street, Zephyrhills, FL 33542 LOT# SUBDIVISION J PARCEL ID#1 14-26-21-0010-02700-0120 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR . Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL DESCRIPTION OF WORK Addition to existing duplex and interior remodel BUILDING SIZE SQ FOOTAGE 615 HEIGHT 8' ®BUILDING $ I l5k®TION OF TOTAL CONSTRUCTION ELECTRICAL $ I© (0 0d AMP SERVICE r� PROGRESS ENERGY = W.R.E.C. ©PLUMBING $ �Q` 00 D of 0 =MECHANICAL $ r VALUATION OF MECHANICAL INSTALLATION LA =GAS = ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY Ryman Construction,Inc. SIGNATURE REGISTERED Y!N FEE CURREN U —7 Address 7v`�l� � l C ����1 S , ��-Z_35�­ License# CGC1517771 ELECTRICIAN COMPANY =Eastco Electric, Inc SIGNATURE REGISTERED Y/N J FEE CURREN Y/N Address License# PLUMBER COMPANY =JXSPIUmbing SIGNATURE REGISTERED Y/N J FEE CURREN /� Y/N Address License# CI Z/-7 T�/ 1 S MECHANICAL COMPANY Sonnys HVAC SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# I€a#111 i I i I I 111f 16.1E 1� f€I I 111f-1[f 11.1111111 1111 a i 111.1 a I 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 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/Silt Fence installed, Sanitary-Facilities•&'l-dumpster SiteWork 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 a licationrco betel 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(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department I 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 thelowner 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'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. 1 __-- - - Army Corps of Engineers-Seawalls,! Docks, Navigable Waterways. -- - Department of Health & Rehabilitative Services/Environmen'tal 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 ih 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 TOI RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU'IINTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, FLORIDA JURAT(F.S. I OWNER OR AGENT CONTRAC OR Subscribed and sw dim t (or affirmed)befQre me this I S thend swor o( affir before me this Whb is/are personally kno o-m€-o as/Have produced Who is/are personally known to me or has/have produced as identification. I as identification. Notary Public ' " � Notary Public Co m fission No.l:l�3 f-(N l)� Com ' sion No. G� M; 1 O gS z[a 11 Oy wcu Name of Nbtary typed,printed or stamped Name of o ary typed,',print d or stamped ' I i AtiGE A r3Awv00D ac ANGELA HAvw000 `i =`Lr Notary Public-State of Florida i �`. Notary oLa:�c State of �... Tt:; Commission=GG 344085 I �Tr: Corrmissior a GG 344085 My Comm.Expires Aug Florida24.2023 o,n?: My Corrm.Ex pues Aug 24,2023 3or=cec through National Not Assn. Bor,Cec through National Notary Assn. i I I ! INSTR#2O20180895 OR BK 1 0204 PG 366 Page 1 of 1 10/27/2020 10:40 AM Rcpt:2219801 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller t�emrftNo. Paraal10No P46710EOF CBft9i§4@ OEME" t steta�t ��llrr y� a'S'c.0 THE UND SIGNED hMby gtvaa nattea that Improva110M tu11 be mwh to raadoln roof property,and to ecconhum With Chapter 713,Florida etamm, the Wj6ftki`xrrsaNarr Ia p+wtdad in Bga No*m d Commeno� 1. tm%Wpbt;nofPMparV./Plarceil�dwrti♦9aftttta.- ) 1f4- Rif- 1200-0-10O21•-(00 el) atr3Cl Addeaaa: tY l iMO�'—WN/7'� I/�61 �t•s �1�i�c��"V(/.��r/ �N +,�i7^�rf:l� - 2 C,aisdrl[2otg18Wnottrrtpcovan:ant--7Rlbt✓(lid-'il3ilTYt7_- �?rTPf'Cf)-- - ---- - 3. t"?ww lntotmaft or L6nase Wormation N.,tft Lwaso coWadad W ft kWovomod IOrY�E�iv�0, A -�1 OA,'GIM AM" ;2 ( 6�1717(1 S f �UUCP) r t•lC' fntoreattnProp�ty. (��-t.�`�./Li� CRY Mots . Name of Poe Brrapfa lUshotder. (t1 fnsm oanac 0 0d sbM) CRY 4. 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TistaphanoNwrJwofPammorEi tYtIastgnatedbSrt}~ 9. t:trpkation date of NotW of Cantnttinumeart Me Mkaidoit data may not bo Wm.the r:ertptalfon 01=4I ttcttan end 14u1J paymard to tits eordtactor,but VV bit one yaer Prom Ftm data of m olft tWe4a adltfossaf date Is specified), WARNtNG�Tt1 a444IE1i:1tttY PAYA9t3t'18 tlNg}E�BY'ittS OtiNNNEFt AFt't?R'YrN�EMt7{G'ttiA?itlti di+'{7 t&NQttCE t7F�0#U�i'tCti�t3Y ���YOU�'R �OI�RAt+lA dt�riy&RNp>"_-�aYQAE��tVYQRISOR R6te0Rh�K3 YO���� thsder dodma 11M trite to the bast offrmlla+ ' Ttsan4b loT,,,ia g ANGFLA HAnvoao p r rye ry Public•state or Flwda "p commissionrlGG3a40E5 $ fM INtt;aa.M?,rN OPLRaammtlBAt tadxcd My Comm.Expires Aug 24,2023 O�rlP� aonded through National Notary Assn. 11 The foragttnp tr x rttr adatr Gsdpsd asfona mo b°y> of uC by �J ore i'�l Z.(� (' 14:�F 1 l 1,041 ;c.e,�'L�-t {tyyra�feut�tty,as.ac€�t;bt>��,+sa�a�,aylnfa�ror IMMIS of potty on b&WJ ofw-&n frrs)5�wlardwas mrscr44. 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Kim" • me •© aon oswaaad V"m •nvl9et H9nMf) Q © K'J19 Q dltlfi9V ol$wAeu f133SOJtYrJ7{aaAi !lRtoNRY4J4F?taNdfiRFemuYlNd i q�4aaoLZ()Q4U(1-{Z$ N'iawd L NOMMIM gS #a f Zb5££1!S l4 udsz'Isons 4+G7 zIPLy aanovsar • rFwdYnwwwmtmdwsf�i � ; . �� AOYeoN"uo4dYnwa �'�"'� Rv}(rReyagglLL0ldm�rqt £ocuo PN' eagg uossuds iz+o"eppva+a" 1 581�0"L8L£L8 '°o�on�vd:aRa r WnBRgWs�ll�Prold °'"Y"o J"' .. �a��•�b>wRaw.w�a��� _._._......___-� maw I ti�?W.{'C!4-�id uott+mw�ct�mv�t{+�za��tra omnKLaAtL9 f j - FLORIDA BUIL;INa CODE, .r NERCY CONSERVATION a {residential Building Thermal Envelope Approach � y i=DRM R402.2014 Climate Zone*Cl Scope:ecmplianca wills Section of Me Fneipy Conservation,shall he demonstrated by[tie use of Form R402 for single--and multiple-family resfdonces of threa stories or less in Height,addhinns in exisllnrg residential bulldings,alterations,renouaifons, and building systems in existing bulldings,as applicable.To oomply,a building rnusl rneel or exoeacl all of Ills enargy elficiency'fegWramants an Table R402A and'a9 applicahfe mandatary requirements surnmarizad in Table R402B of thfs form.If a building does not comply with this nieif;ed,or by the UA Altermalive method,it may siifi comply under Seclfon R•105 of the Florida Strildlrig Code,'�.terc�yGonservatrorl- r - •••.—.•••.••••.vYKwWi4gAtP4sRn�5- rl f2l']'ID JECT NAME: BUILDER: i rvw + ADDRESS;. t� 2 / �.� 1 gDth+lYLfi: qt ,r,�C� I PEPMITTiNCa OFFICE. Cv (��t�`4t-Is '"r "0 JURISDICT16M NWARFR: 3 } PERMITNUMBEft. p Ga n oral Instrractfons: 1.hill in all the applicable spaces of the"To Be Instailed"column on 7ablo B402A 4vfth the information requested.All"To Be Inslelled"vairres must be equal to cr mote efficlent than Ilia requJred levels, 2.Complete page 1 based on lha"To Be ihstailed"column lnlormation.. 3-Read the requirements at Table RUM and check each box to Indicate your intent to cgrnply with all applicable!toms. A.•Read,sign:Ind date the"Prepared By"carrtttloOlon slatemerit at Ilia holtam of,paga Y.The oviner or owner's argent must also sign and date the farm. I. New ccastroolon,adrllllon,or existing bulliting 1, ► 1 l7 2, Siriglo-tamllif aeWohecl or Irlullllil 4amlly ztlached 2. _��1 1 e— 1. If multlple-falnllyr number of Llnlls Covered by thl5 submle5lon 3. 1. Is ibis a worst case?(yeshio) d. 9. Conditions(I floor area(sq.ft.) S. 6. Windows,type and areg a) u4actov $a' .3a 13) Solar Heat Gain Coeff€tier!(GI•lQG) 5b, c) Area 6c. 414 A$ 7.- Skylights 6) 11-racier. 7a. ,.,.....,..._,.,.., ___._ hj Salar!teat Gain(oe[liciani t�l E^�C) 7b. B. Moor typo,rtreo or perlmeler,eincHnsida.11mir a) Stab-on-grade(R-value) Ila. __-__--Ira.._3_•-.-----.-.-,--._..._. .__ h) LL'ood,raised(R-valao) pu,- l:) Wood,common(R-value) d) Concrele,ralsea(R•value} e) Concrele,coniawn(R-vatue) be. 9- Wall type pn(j l:isulatlori: a, Exterior: I. bYood€came(Uisulaticn RvaEuel sell. ? Masonry(1:lsulg:lloa P•valua) gap- b) Adjacani: 1. Wcotl Iramc(lnstdallon R-valua) 9131. -------•-_-- 2. tvtasomy(Insulnilon R-valua) 9112. -rfl, Celfing type and Insufatlan;t) AII!c(lnsulailnn Ft-vulus) 't0a. - b) Slnr€o aseamply(lnsrrfatior,R vali.ro) Yob, 'It. Mr0falributionstrslem: aj Ductlocalion,insufal%an 1Ya. 9-*— ow;g-ic+tt!o S b) •AHU tocallon Y1b. gifr►5�ri.t\o. _____ ej Total duet Ipal; cge.Tas!tcpor;afiached. _ -- e5M11a13 s.f, Yes 0 PJo 0 '12. Cooling system; a)lvrio ^` 12a. ---a X_i S+i!►4 h)ellidency 1213. tt. 13. Heating system: a)lypo Ua. it, b)elliciency: I4. liVAC six)ng cal a"On:attached Y4, t( '(es No Lueler henllrirg Sy 'in; 8)iype ISa. I S b)allfciency Ish. i hereby certify Wal 1€ a ns and specilloatJnus covered In tlils If are Revlew a!plans and specifioaflons covered by tbls form indlcatr l+t rnm).iifan.e uvit37 tEt - a Building Code,Energy Lo erl`uion. compll;ince WiM the fierier Bultding Code,>nergy Conservation.eeiore PnEPARED[lY: Rata consiructfon Is complete,this buiicifn will be Inspactecl for ootnpflance In J Hereby certify that tf 1 building Is In compliance with Sire Flartda Building acaordance with Section 9U it Code,Eaeri y Conse a11611. COWS OFFICIAL: OWNEWAGFNT: )=1_GRIDA BUILDING CODE—ENERGY CONSEN ATIONl Sth EDITION(20111) H-C.3 1 - S t • i c `SECT ! TtwSr f tAS. = 5/8`lAON ROD. ' l8-E I32.00' FOUND LND 101 ::_;{-_•,, : 7.0' FOUND [NO ID) PVC FENCE S 89°54 cv a. n SHED SHED . Q� N co is :Cj'-•:QC.-_•;:-__ a - agopo5Eo to _ Q. o ,n a ONE STORY o A1JDlT!(7N M,CSONRY DUPLEX � :O. :� ? : 22':8' S0.0' �.• . _.�.•. � DESCR I PT 1014 lYE: :LOT.L.I N6 rti• ev;i:y:.� cvr- ;i.p�, :.- , rv.....,.• .�i,���' ...... ............. ASi'Fi 7'DR THE SOUTH 45 f':. F�-`T O. _OT 2 THr "7i T"•ifd'! ^�=oii`;'c�.-.r.=�J• ,.a..� Y=i� B OLK 27. FY4(IORt'S F f'R5'i A�J 5 i:t,.. iv. i� OF' c.., a L t ^�^^ CHA'C))_L 1.1dK FEN�E MAP OR P.LAT •TFtER1=gG wCORD i N FLRT �Ky!•. P:J_� _, F .�.5; tt_ ..• _ OF PASCO GGll:ITY. FL0gtFIAL- 1/2•IRON ROD PICKETT SmARD FEPECE 5/8.1RON .R00 FOUND B I07 = M S 89°54' 18-E 132.oo SET PLS276- L J ? LOT 1 m LL �•M BLOCK 27 'NOTES: P .p: � oY s '✓ 5%,8`IRON ROD i- THIS MAP REPRESENTS A BOUNDARY SURVEY. IFIXED IMPROVEMENTS' SHOWN) . �5-:i*i?.1., '.A}:a' �'.ikic','•"i ' FOUNO- i NO I D) 2- DESCRIPTION FROM RECORD BOOK 8857 PAGE 616 PASCO COUNTY PUBLIC RECORDS- r i u'c$; A PL SW: G69N811 BLOCK 27 NOT V:U ?D ksm.Esz:' i)Ap;4RTEO WtT'ri d- BEAR)NGS S}ROiWN HEREON ARE BASED ON ASSUMED DATUM AND. REFERENCED TO THE EAST RIGHT OF WAY LINE OF 17TH STREET BEARING 'N Od` 16'.58`Y1. a ��++,�Tt;;yyam �y,��+ 4> NO APPARENT SURFACE ENCROACHMENTS EXCEPT AS SHOWN.'HEREON. tD] D..dcc06'_-A`k_ BOBBY Wti, t33''fA'�i{t�XS_ 5- UNDERGROUND ENCROACHMENTS OR UTILITIES (1 F ANY) NOT LOCATED IN CONJUNCTION Pi8 -F of D WITH THIS SURVEY. P.C.P -P«�«tc a.�tp1w r� PRtt Kh-mawt A�f«,�nv'tt�xrent )4� 6- FENCES 'SHOWN 14EREON ARE ENLARGED FOR CZAR I TY AND MAY NOT BE TO SCALE. W1Y -Rkti of Warr P.O.b;}K Q!0 `wT'A,')E RL-u 5�, ' t Rac�vd SFk� fAk ar- P QR a E ,f N .D NAm3O.E 7- TH I S- SURVEY-.PREPARED W I TROUT THE BENEF I T OF A TJ TLE SEARCH• IZi C as d LZrrs E +� FA1`r��•''*=7 _THIS SURVEYOR NOT RESPONS,lBLE FOR. EASEMENTS.. ADDIT+OVAL R'I'QH`TS-OF.-')WAY P,C F:a1�r'of C 'OR OTHER ENCUMBRANCES OF RECORD NOT FURNISHED TO THIS 'OPFICE, P;T_ R3it of TA'"ly 8- NOT VALID_WU THOU f T,HE S[GNATURE AND THE OR l GI NAL Rq1 S[D SEAL OF A FLD.RIDA tJ} Fi¢r R kF��d I)ds of Str..Y: „�- art' lICENSED SURVEYOR AND MAPPER. 'ADD-ITI-ONS OR DELETIONS TO SUjI Y :MA'PS OR REPORTS m F'x'r? �` Qnhcl.At _�� r HY OTHER THAN THE S'PGNING PARTY IS PROHIBITED, kE S -Sat �} �iit D"►'Af�'' -. ..��.;� :`•w.:`:.`_• rw**'.4.b .• .--.. AC.Ai Q;-btooc• 'Nb h'��I •.k3 Nr}ar•: '�7. �:''�'•-4.`— 9- .ANY REPRODUCT•10;15 OR blStRI-6VrIOR OF THIS SURVEY MAP"OR REPORT WiZ'H011T THE RE-VISIONS EXPRESS WRO-TTEN CONSENT OF THE SIGNING PARTY kS ST ICTL•Y FRO J.BIT�ED. THIS SURVEY MAP OR 'REPORT -IS VALID 'ONLY TO THOSE I NO I V I•DUALSNOR J IN(I T I BS NAMED HE[�E4t�• T}}��I S SURVEYOR ASSUMES RO RESPONSIBILITY OR L I AB i L ITY TO ADDITIONAL PART I ES F'flR ITS UNAUTHOR•I ZED USE. r 3, 813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-002t Iti Building Department j-: i Date Received Phone Contact for Permittin �7 arat€Eaata aaa a owner's"Name Flordeliza Mahilum Owner PhoneNumtier 813-782=.0825 Owner's Address 27 Benson Street, Bloomfield, NJ 07003 Owner'Phone Number t: Fee-Simple Titleholder Name Owner.Phone Number e;. - 'i Fee Simple Titleholder Address JOB ADDRESS 4742 17,th Street, Zephyrhills, FL 33542 LOT# st1BDIVIslom �:': �. PARCEL ID# 14�26-21-0010-02700-0120 (OBTAINED FROM PROPERTY TAX NOTICE) t` 'WORK PROPOSED NEW CONSTR" ADD/ALT �� SIGN Q Q DEMOLISH e INSTALL 8 REPAIR ;. PROPOSED USE 0 SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME. STEEL Q .r DESCRIPTION OF WORK Addition to existing duplex,and,interior remodel BUILDING SIZE - SQ FOOTAGE 615 HEIGHT $1 f f> TCi Cf ETC'CIC Vt JLa � iL IL IL k BUILDING t ®. ��+� VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL $" AMP'SERVICE Q PROGRESS ENERGY Q W.R.E.C. l.p I,oDb PLUMBING $ itJ 00 D 17 G r `. =MECHANICAL $ j VALUATION OF MECHANICAL INSTALLATION j =GAS 0 ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR,ELEVATIONS FLOOD ZONE AREA QYE$ NO 61 BUILDER 4� ---" `""----• COMPANY Ryman Construction,inC. SIGNATURE REGISTERED YIN- FEE CURREN Y/N Address �v�j 6�. rtG l^`1f ' S ��, '�5 License# CGC1517771 ELECTRICIAN COMPANY 'East Paso EleCtrlC, Inc SIGNATURE REGISTERED Y/'N ' FEE CURREN a Y N '/ Address License# �O / - PLUMBER / ( COMPANY JJ'S Plumbing SIGNATURE _ REGISTERED Y.Y N FEE CURREN Y/'N Address License# Q O 1 s MECHANICAL COMPANY I.Sionnys HVAC SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N_J FEE CURREN Y/N Address License# �- 1;1211i<"#3t€)iili ii .�1t#le�Y� et�� ll��i�Ir' t#t{ fail$ lisslist > ti��.ltii€3 1I3�iE.1fY8lt;tl< 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 subdivisions/large projects