HomeMy WebLinkAbout20-1158 i a ,
+� City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Ian Zephyrhills,FL 33542 BAR-001158-2020
Phone: (813)780-0020
? Fax: (813)780-0021 Issue Date: 01/11/2021
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Permit Type: Add/Alter (Residential)
�11121117LG Number Street HZIEWRIIIIIIII
39591 Dawson Chase Dr
Owner Information Permit Informa-ion Contractor Information
Name: RICARDO ROSARIO Permit Type:Add/Alter(Residential) Contractor: MARVIC CONTRACTORS
Class of Work:Add/Alter Residential INC
Address: 39591 Dawson Chase Dr Building Valuation:$11,700.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (352)396-2547 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$11,700.00
Total Fees:$147.75
Amount Paid:$147.75
Date Paid:1/11/2021 11:57:32AM
[PUoject Description
CONSTRUCT SCRN RM 18 X 21 W/SLAB
Application Fees
Building Permit Fee $98.50 Building Plan Review Fee $49.25
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.
CONT C OR 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-UO2U City of Zephyrhills Permit Application Fax-813-780-0U21
Building Department
Date Received 1 Phone Contact for Permitting ( )
! ! ! [ [ a T.a t1 fitIra A 9 a a a I
Owner's Name Y_G 1� S 'VI D Owner Phone Number —,Crl T r
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '^
JOB ADDRESS95i �' V LOT#
SUBDIVISION PARCEL ID#
eTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �EW CONSTR e ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q BLOCK
FRAME STEEL ��,�
DESCRIPTION OF WORK Q I t c OO Owc IA J C�7 IL./�0 WW S l ato
BUILDING SIZE l I r SQ FOOTAGE HEIGHT
EPP'CCCi:LC ZCL'C'CCCC CLCCZC+CCU[."x.Li:i.i;CC.CCCtCII.CL LZC:i CCCL ECCCCCCCCCCCC CCC[C�
UILDING $ ®O,^�'ftJ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER s��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Vac,
BUILDER COMPANY Y C lx-kCG Y S �i
SIGNATURE REGISTERED 2kj )PIN FEE CURREN 21
Y N
Address &-h ;Larc License# UrG 3
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED Y/N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
tiltltli [ E [ iI [ iill [ i [ I [ lEit [ [ [ 6 [lii [ IflililEl [ T [fitiiliFiiiTii [ IFiti':
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 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/Silt 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.
Directions:
Fill out application completely.
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 Lephyrhills Permit Application ------
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 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 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 taw—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 INTEND TO OEITAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN AT f—k �0-
FLORIDA JURAT(F.S.117.03)
V--A
OWNER OR AGENT CONTRACTOR --. —
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirm )before m `
by by
Who is/are personally known to me or has/have produced Who is/are rsonally Xmin to me or has/h produced
as identification. L as identification.
Notary Public Notary Public
Commission No. Commission No.
G
Name of Notary typed,printed or stamped ama of Notary typed,printed or starriped
"Y'Yw CARLOS MALDONADO
=;ACommission#GG 346275
W Expires June 16,2D23
Bonded Thni Tiuy Feln lneuranee$Q0,%&?019
INSTR#2021006391 OR BK 10256 PG 628 Page 1 of 1
01/12J2021.10'13 AM Rcpt:2247786 Rec:10.00 DS:0.00 IT:0.00
' Nikki Alvarez•Sowles,Esq.,Pasco County Clerk&Comptroller
:fhii ace for use by Clerll oflhe Cll.tult!court only,
'. NOTYcr oF:coW7.rricrnrPc.
Pettnil Number:
The,undersljm'id herehy gives notice flial III1proventeol4 Trill Ile made(a'eta*
IlropCl'ty,an+l In uecardateo with Sectlnn'/ll.l�or Iho. .. "
Florida SluluG�,the rullowlnU Inrepr aliau Is j+rnvidad In the NOTICE OR COMMENCEMENT.
L.• gal fes 'ipllou of eny(street address,egliitedl:4 'i!Y cYi
r_.
de cri (lot of intjiro elnents:
3m Oa'nerNanxt _ �Jln�' r. -.
O.wne?Add ess: A( uton,ChMELDL
36. Owner's interest'in site; 16pd1 y{)d.
:• - v,
]c; Ted Simplo Tide heltiq(oroihcr than ow+ierj ' —_-
3.
— y- .• i:: r ofilraeior N5rE,—•`alvfc:Conlreclors
Address;'4302 hludsoii Lone Ternaa FL 336ill Phone: 013-rl03-4000
5, Surety Nunle:8nla[IGali ullislnlliQnd Ainoual of bond: 5 0 0,00
Addrek.1401 W'Btisdh Blvd.Tainoa,-FL "Phone: 013-931.7467'
G. Lerider Narme. (Jontact;
Address: , Phone;
•Pafsoll within Ilid Stald of Fltiridn designated t!y 0-ii)?upoil.-WIioln•polices or olher do;uineuls Ipay'hc served as provi(led by _
--' -Section7�3-13(11(ajd Poridti�tnitlies--------:---_�___:_ - -- ---•-.-- _ ------- --
Nmue Address:` - :>
Phone Nunib"er:
5, :,tn addiiion io hin 1p ;Owl`rdesignales•the.following person lo.reccive.a copy,of the Lienor.'s Natiti ac prpvitI d iU$anion:':•`"'•r_ ... _. ..
Address: '
Phone Nurah'er:'-
9. ):xpirlitinn dab:ofNotico of Commencemetil(enpimtion dnle is ono(I)year From d'uje'of recgrding unless h ilifferenl,date is .
•speelfied). ;
1YAIUlINC TQON'NEIt:'A 1'AYa9EM'S MAUL ""1'tiGO •R,llr'I' 7'IIE EXITRA170N Oil III S NOTIC1t OF COMM ENCEhIIl`I'I'AItE
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IOU SITE UEI�ItE'I'lllt 1>It}S'1'INSP an. 1FYUl -rEN TO Oil-,1I •i ANCINC,CONSULT WI'I'll YOUR I,ENDRR OR AN ATTO1tNF.1'
REFORIt CUalhrEtrC1NC lYO1l1:.Q ItF. t T.
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.. ., SibRntory'a.TltlelAtiisk.: �_
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q' Pr duct rov 1Menu>Product or Aopiicasion Scarch>Application List>Application Detail
"Frr3} YES FL# FL7561-R4
Appllcal on Type Revision
Code V rslon 2017
Applical on Status Approved
Comme its
Archive Ik
Product Manufacturer Elite Aluminum Corporation
Addres Phone/Email 4650 Lyons Technology Parkway
Coconut Creek,FL 33073
(954)949-3200
dic@dokimengineering.net
Authorized Signature Do Kim
dk@doldmengineering.net
Technic I Representative Bruce Peacock
Flddres Phone/Email 4650 Lyons Technology Parkway
Coconut Creek,FL 33073
' (954)949-3200
bpeac:ock@eliteal um inum.corn
I
Quality Assurance Representative
Addres Phone/Email
i
Catego y Roofing
Subcatc gory Products Introduced as a Result of New Technology
Compii nce Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer-
'I"! Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Do Kim,P.E.
the Eva uation Report
Florida icense PE-49497
Quality Assurance Entity QAI Laboratories
Quality Assurance Contract Expiration Date 12/30/2022
Validated By James L. Buckner,P.E.@ CBUCK Engineering
i
% , Validation Checklist-Hardcopy Received
Certificate of Independence EL7561 R4 COI Cert of In-dep_endenre.udf
Referer ced Standard and Year(of Standard)
Equival nce or Product Standlards
Certifle J By
Section from the Code
1709.2
Product Npproval Method Method 2 Option B
Date Su miCted 08/15/2017
Date Valdated 08/16/2017
Date Pei iding FBC Approval 08/20/2017
bate Ap roved 10/10/2017
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(PUX,3C4X-74. PAGES 101 121) LEGEND:'
i5u R/w) F-0O.0 EXISTING GRADE
LOWS `ST F'�.00R ELEVATIONS,
LIVING AREA, 77131'
GARAGE AREA: 7,6.79'
1 EStRI#PTIQN:,' ELEVATIONS REFERENCED TO
L OT MAP'OR ;FIAT ENT;T EC1 "HfDDEN RIVER .PHASE 'O lE B"., NATIONAL GEODE-I TIC VERTICAL.
'AS RECORDED !N PLAT BOOK 076, -PAGES 077 THROUGH J&2. DATTUYl OE. 1929 .MEMI 'SEA
�JF' THI =L13L1C .£ZE:.COI�DS OI` I'A C;f7 C�JtJN'1Y, FLORIDA. LEVEL._'Q.O.OtI iT.
APPARENT FLOOD HAZARD ZONE: 'X" �OMMl1NITY PANEL NO. 120230' 0460 D EFFECTIVE DATE: 9 30 1992
ore.}rct Nutuber: lSqyore Feet: - 6GOO.UO -t L£NNAR HOMES
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