HomeMy WebLinkAbout20-1137 ID
City Of Zephyrhills PERMIT NUMBER
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5335 Eighth Street
Zephyrhills, FL 33542 BAR-001137-2020
Phone: (813)780-0020
Issue Date: 12/08/2020
Fax: (813)780-0021
Permit Type: Add/Alter (Residential)
"# w 'P.�operty,Numtier a �, �, .,
Aw �Streef Address' � ` ;
24 26 210090 00000 1040 3200 Moulden Hollow Drive
Ovine Information k '� 'Permitlnformation � Contractor Information µ
Name: RICHARD EDWARD SR LINDA Permit Type:Add/Alter(Residential) Contractor: CLIFFORD WOOD LLC
MARCUM Class of Work:Add/Alter Residential
Address: 3200 Moulden Hollow Dr Building Valuation:$8,200.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (561)722-1403 Mechanical Valuation:$0.00 V yk —ej
Plumbing Valuation:$0.00
Total Valuation:$8,200.00
Total Fees:$121.50
Amount Paid:$121.50
Date Paid:12/8/2020 1:14:50PM
CONSTRUCT SCRN ENCLOSURE 240 SQ FT
i4 p cafionyF ee SF R` v . - �y o .,z.
Building Permit Fee $81.00 Building Plan Review Fee $40.50
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.
IVCONTF TORSI AUR110 PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2020207974 OR BK 1 0232 PG 1 300 Page 1 of 1
12/08/2020 12:32 PM Rcpt:2235387 Rec: 10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
�T�TICE.OF CO�CEMENT
Permit No.
Property Ide�stifieatioallopc Lif"3z G�� 00�fL V �G� /V T
THE UMERSIONBD hereby give irknus you fiat the hnprovemem will be made to.oertain reel p vpedy,and in accordance with
Soctian 713.13 of Ora MmidaStatatak the Mowing idn=i1on is provided in this NCVMI 61?COBEftNGEMEMr.
i.Desraiptinn of property(4V
a)SftdAddnm:
2.Oeaesnt description of
3.t)wner bifatrMtion a)Name and address: 1 1`
b)Nei®end address of fee e' e titleholder(if ar than owner)
c)l me*in property
A.Canuaatjarinfintosatian
a)Nance and address: t f
b)Telephona No..! F-No.(Opt)
S.Smety Imonnadofn
a)Narpo andefte :
b)Amamt:ofBoad
c)Telephone No.: Fax�lo.(Opt)
bd.eadtr
e)Name and address
• PhoaeNo, '
7.ldenft ofparsan wM1nthe Stabs ofFiori3rt designated by dwuer%_)n'*hoM n�as Or atlfar doeaasema may be sertrod:
a)Name and address:
b)Telephone No.: Fox No.(Opt.)
8.1n addition to himsalC owner daBlgnates Cite followft pftdinto mod"a copy of the 1,kn is Notice as provided in Section
713.13(l)(b),Fiotids Statatns:
a)Nam and ad MM
b)Telephone No.: t. F*No.(Opt)
4.Er�ration data ofNatice of Cent{tits mgiiceCTon Sate is are yesr fl+oar the darn ofirecosding unless a ditietent dateis
WARMG TO OWNBRt AIQY PAYMEN`;iSi MADRBY THE OVUM AFM THE MOMATION OF TM NOTICE OF
COMMENC$NfSNr ARE CONSYIIER)?D I1MpROPER PAX141�1TS UIVDffit C»APTltkt 713,PART t 15E(,PION 713.13,
FLORB)ASiATFITEs;ANDCA11TRESIJ.TINY013RPAYINGTWYCI;FOR']MPICOVEML+N' TO.YOUR PROPERTY.
A NOTICE OP COMMENCEME Pi`MTrSt E 1tECORi}liD AND POSISb Ohl'i'M JOB srm BBFOit TM
1NSPECITON.JE YOII 1l!ITEND TO OBTAIN FINANCING,,CON$pI,T Y0 I.ENDBR OR AN ATTORNEY B
C014IMENCING WORK OR RECORDING YOIIR NOTICE ,,
97A1E OB tiL.OBtpA � � •
COUNTY M PASC O
j
.(t
F1rut
the fatigoiag bratnrment was aehtow�dged fmwsae tills�&y off 20,2)
as (typo of authority,o.g.o _.bustm*WTOY
in )for (tame ofperty on beta f of whom bourn t was Omted).
Personally Known_ OR Produced IdeWficla-)a Notary Sign •'''!./�
type ofldedfifccetionhvfted�L-/}L Na> 7nr3ntl i���n l�cst..;�s:
YaMcedonpurauant to Section 92.325,Florida Simutm Under penalties f ,I Ism l have the forego that
the chats stated inh wetics to the bast trfmyknowledga eadbaltaE '" ,A
dAMCOLYERDAWSM
Mato Of Florida,County Of Paaco
This Is to certify that the foregoing is a
s' • A true and correct copy of the document
'l
on file or of public record in this office.
•• W ess my hand nd official seal this
•,,:y.- /sw, day of
• '" J Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller
Pasco County,F rida
By Deputy Clerk
r .
`�x�4TE OF��®�
813-780-0020 City of Zephyrhills Permit Application FaX�sl3aso-oo21'
Building Department
Date Received "
r v ,.Phone Conta t.for P, _. fitting. —.r... j- ;:); ::•
�. -
Owner's Name Phone Numbere<
'owner;4
OwneF's'"Address t7 !' f -">:" OwniWlphone•Number :"x'= _s
Fee Simple Titleholder Name "Owner Phon®'Numbsr
Fee Simple Titleholder Address
�"
JOB ADDRESS D� - / YI. � .,'.LOT#�
SUBDIVISION: . :. ;-PARCEL ID#_i
y ,(OBTAINED'FROM':P,ROPERIY-TAX.NOTICE)..
WORK=PROPOSED NEW:CONSTR;. ," :'.:,ADD/ALT 0 :,SIGN r.0 ;0' .:DEMOLISH ,
. - .'INSTALL.•. .:. REPAIR
PROPOSED USE SFR'. COMM , OT.HEK`: _. .
0"
TYPE OF CONSTRUCTIONBLOCK " FRAME STEEL'r
DESCRIPTION OPWORK•' l�
BUILDING.SIZE �v :SQ FOOTAGE.
BUILDING $. VALUATION.OP7OTALCONSTRUCTION
2,0 .
=ELECTRICAL-". $: 'AMP`SERVICE 0- PROGRESS ENERGY-. `.;Q-. ; W.RX.C. ,
pCUMBING'' $
=MECHANICAL $,,: VALUATION OFNECHANICAL.INSTALLATION, Z��G
=GAS = ROOFING 0'• SPECIALTY.- =< _ .-",OTHER.:
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ,NO'
BUILDER. COMPANY" C% 7 • ,!� (/ Cam.
SIGNATURE "•REGISTERED ' Y•1'-N:• ':*" TFEE'CURREK,; `- ''Y1[N;"= i
Address- C License# �: L~
ELECTRICIAN': COMPANY
SIGNATURE REGISTERED' Y/-'N ' FEE`CURREN�'.+ Y•/'N ,,a
AAddress" " .-License:#
PLUMBER „ COMPANY
SIGNATURE REGISTERED : :,.::,.:: „Y:'/.."N- F.EE:CURRER;. :':Y'/,N`,'`-
"Address,: License.# .
MECHANICAL COMPANY.
"SIGNATURE, . ,-_- _ s" REGISTERED. _ . Y/_;N, FEECURRE� :YTN
Address
. r "'.License#:•: •
OTHER COMPANY .
SIGNATURE' REGISTERED Y`/`N``.'-' '' . FEE CURREK` '_' : Y
Address License:#.: ;t
RESIDENTIAL A$acFi'(2j',PIoYPlans;(2)'sets:OfBuildtng.plans,(1:)setof�Energy+Forms;'RHO=W:�ermit;fornew'construction; :,;;-.
Minimum ten(10)working.days after.submittatdate. Required onsite,'Construction Plans,Stormwater.Plans-w/"Salt Fence=installed";
Sanitary Facilities&1 dumpster,Site Work Permit for,subdivtsionsHarge projects.
COMMERCIAL Attach(2)completesets;of:Building PlansIplus;a'Life`Safety'Page;.(1)"set of•,EnergyAForms.'R=0-W:Permit-for new,constructfon
Minimum.ten(1djworking days aftersubmtttal.date.,Required'onsite,,'Constiuction`Plan's;Stomiwaterplans'w/Silf"Fence installed,-
Sanitary",Facilities;&i;dumpste[;Site,lNork:Perriitt for all;new projects.All commercial_requlrements;must meet compliance .
SIGN PERMIT Attach(2)sets;of Engineered Plans:
•'•*PROP'ERTY"SURVEYrequir`ed for•all'NEW"construction.
Directions:
Fill:outapplication completely.
Owner&Contractor sign.back of application,notarized
If over$25u0,-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 not arized'lefter from owner authorizing same
OVER THE COUNTER PERMITTING (copy-of contrac6r'equtred)-
Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this permit-may be subject to"deed"restrictions"
Which may more"restrictive than Countyregulations. The undersigned assumes"responsibilityforcompliance with any
applicable deed restrictions: -
UNLICENSED`CON7RA`CTORS"AND`+CONTRAC'TOR'RESPONSIBIE:ITIES ' if"tile owner fins hired'a°contractor or
contractors to undertake work,-they-maybe:required%to be licensed in-accordance-With state and local regul6tions..:-1f••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,;,forthe;
intended"work, theyare-advised to contact the Pasco County-Building_rispectiow.Divisiort6"Licensing.Section at 727-847-
8009. Furthermore, if the owner,,has:,hired,•�a>contractorior contractors, he is advised to have the::.contractor(s),,sign...
portions,of the"contractor.,Block".of,ahis: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 IMPACTfUTILITIES.IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation`Impact Fees-,and-Recourse-Recovery Fees:may.applyto-the-construction:of new-buildings, dhange*
use in existing..buildings, or expansion of existing buildings, as.specified�in Pasco'CbUhty"Ordinance'number 89-07.and
90-.07,.as amended.,-The.undersigned.,also..understands,`that:such-fees,.as.may.be:due,..will.be identified et-the4ime of-
permitting. It is further`understood'fliat�Transportation.Impact Fees and Resource-Recovery Fees must be paid prior to
receiving a•'"certificate of.occupancy";or final power release. If-the:=project.ckies`not;involve a-certificate.of:occupancy:or-_.:
final power release; the:fees-must be paid prior to permit issuance.- 'Furthermore;if"Basco County Water/Sewer Impact
fees:are,due they ymu'st be:paid:prior to permiLissuance in accordance,with,applicableRasco County.ordinances:.: ,.
CONSTRUCTION 1:1EN-LAW.(Chapter7:93;,f1orida Statutes;as:;amerlded):i-if valuation of work is$2,5,00.00<or.more,J. .
certify:=that:l, -the:-.applicant,..have._been",_provided-with::a'copy ofAhb."Flodda..Construction::Lien-Law Homeowner"s
Protection Guide" prepared by the Florida Department of Agriculture:and"Consumer Affairs. if the appticant..is someone..
otherthan'.the"owner"; I certifythat`l,have,obtained a-co pyof,the above'described document::and promise'n;good"faith to
deliver it to the"ownee"prior to commencement.
CO,NTitACTOR'S-IOWNER'S AFFIDAVIT- 'tcertify,.that all'the-information in"1fiis'appliication-is-accurate.and%that all-work
will lie done'in" compliance With,all,applicable laws iegulating'construction; oning'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 :K
commenced prior to issuance of a permit and that all-work will,be performed-to meet-standards of all laws regulating
construction, County and-Citytcodes; zoningf•_regulations, and.-lan&,-development regulations in;the jurisdiction:,.-I also j
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 l must-take.to.be In.compliance. Such agencies Include but are not,limlted;.to:
Department of Environmental Protection-Cypress Bayheads; Wetiand Areas'and:Environmentally Sensitive
Lands,Water/Wastewater..Treatment.
Southwest Florida Watei t"Management Dlstrict*ells; ' Cypress Bayheads, Wetland 'Areas, Altering
Watercourses.
Army Corps-of Engineers-Seawalls;Docks,Navigable=Waterways..
Department. of Health & •Rehabilitative So rvices/Envir.,onmental--Health UnitiiWells, Wastewater,Treatment,
Septic Tanks.
US Environmentai.Proteetion.Agency-Asbestos..abatement.
-Federal-Aviation-Authority-Runways:
I understand-that'ft foiloWng restrictions eipplyto the use:of_fill:
Use�of:fiil is not ailowed<in l=loodZone"V'°:untess:expressly permitted.
-If the--fill-material-is to.be used in Flood Zone.°A", it-is-•under§tood',•,that`a:-drainage:plan-addressing a
"compensating,vpiui W>witl-jbe subrhiddd at time.,of permitting whibh-isµprepared by a professionaFengieeer
-licensed°bythe'State of Florida:
If the fill material Is_to be-usei .iri Flood;Zone•nA"_in=connection with a permitted building. using stem;wall -
construction,' I"cec ify,that-,fiil:wilf'be ussd:only to fill-the':areaiwithin the stem.Wail.
'if fill-material-is-to Abe used in-any..area, 1--certify that use-of~such:fill will:-not adversely--affect adjacent
properties., lUuse..offiilAswfound to•adversely.affeet::adjacent.properties,the::owner maybe-cited1orviolating.
the conditions of the'building,,peemif isstiied .ulidec the attached permit application;for lots less•than one (1)
acre,which ar_e-elevated=byflt,;:an,orngiheered:drainage;=plah"is required.
If I am•the AGENT_ FOR.THE�:OWNER, I promise::in;.good."faith to'inform ahe ownerof the permitting conditions set,forth yin
this affidavit prior to_commencitig construction. i understand that a separate permit.may be`regfuired for electrical work,
plumbing,-_signs;;wells,--pools;-air conditioning, gas,;or.othelr---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-shail is'suar ce-of:a permit prevent the•Building:Official from.thereafter-
requiring..a.correction,of-errors.in plans, constructionorviolations';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 workauthorized by
the,permit;is=suspended�or,abandoned-fora-period.of.six(6)months-after.:#he',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
justifiablecause,for::the extension: : ork1ceases•fornlnety'•.( ),consecutive days;the.job is considered abandoned._. . ,
WARNING:O.,OWNER: YOUR:FAILURE TO`RECORD:A NOTICE-OF,COMMENCEME-NT:MAY RESUI:T,�IN YOUR
PAYING'fiNICE FORaMPR01/EMENTS TO;Y .UI :RROPERTY:w IF YO,U lN1'AND.T0'<OBT-AIN FINANCINGy CONSUL'1
- WITH°YOUit:L"'isNDER OR AN ATTORNEY:BEFORE REC.ORDIN.G Y0UR �pO..iC , OF-CO MEXCENIENT - ----
FLORIDA°J.URAT(F.S: 11T.03)
OWNER,OR AGENT _ CpNTRACTOR
Subscribed.and sworn to{or affirmed):beforo me.this subscribed;nd.swo i To a 3iA for me thi "
Who Is/are personally krioiivii to me'or`haWhave"pro duced"' Who islare personally nown tb'me:or`has/have produced'''
as identification. as Identification.Notary Public Notary�Public�:
Commission No. Commission_No.
Name of Notary typed,printed or stamped Name of Notary,typed;;printed-or stamped