HomeMy WebLinkAbout21-2556City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
. . . . . . . . . . . . . . .
M
BAR-002666-2021
Issue Date: 09/22/2021
c ordanc with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
41�
C�N:��6f(SIGNATURE PE IT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
INSTR# 202 1 1 78349 OR BK10420 PG3407 Page 1 of 1
08/20/2021 10:09 AM Rcpt: 2342454 Rec: 10.00 D& R00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713,13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT.
I. Description of property (legal descriptiow) FT TO Poaor5MIG
aat
a) Street Address: 3-9045 3RD AVENUE, ZEPHYRHILLS, Fr 31,5,12
2, General description of improvements WINDOW REPLACEMENT, SIZE FOR SIZE
3, Owner Information
a) Name and ad&ess: MARTIN SHiRLFY A n345 3RD AVE ZEPHYRHILLS, FL 33542-5266
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property 100%
4- Contractor Information
a) Name and address: COASTAL GREEN ENERGY SOLUTIONS 6710 BENJAMIN ROAD 4200 TAMPA FL a3634
b) Telephone No.: 813-512-6014 Fax No. (Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No, (Opt.)
6, Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or Other documents may be set ved;
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8, In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(t) (b), Florida Statutes:
a) -Name and address:
b) Telephone No.: Fax No. (Opt.)
9. Expiration date of Notice of Commencement (the expiration date is 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
COMMENCVIVIENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR LPROVENLENTS TO YOUR PROPERTY, A
NOTICE OF COMMENCEIVIENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LEN-DER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF CONTMENCEMENT,
STATE OFF LORIDA
COUNTY OF PASCO
hori2,d Office `Dir-cior/PartnerNfanager
Print Name
The foregoing instrument was acknowledged before me this day of
as (type of authority, e.g. officer, trustee, a srneyinfact) for
(name of Party on behalf of whom instrument was executed).
Personally Known OR Produced IdentificationN Notary Signature
Type of Identification Produced - Name (print) ti
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and betief.
LYNDSAY MIJAL
"a Myr0MMISSI0N#HH0136i9
EXPIRES: June 23,2024
B4ndd Th- Nay p&j, UndwrilM
The products listed herein have been evaluated for compliance with the Florida Building Code in accordance with the product approval
requirements of Florida Statue Chapter 553.842 and the Florida Administrative Code Rule Chapter 61G20-3 and based upon testing, comparative,
or rational analysis, or a combination thereof said products comply with the minimum requirements of the Florida Building Code for the purposes
intended.
^
ProductType
(Window, Door, etc.)
Product
Manufacturer
Product Model
Number
Application Number (N.O.A.
or Product approval)
U-Factor/
SHGC
Rating: Impact or
Non -Impact
OAC% b
Is
AND 1-Hi:
�GIITY OF
CMVI
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Code Version
2020
FL11
15781.15
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f —L# 1 lyp Manufacturer Validated By. 1Status
EL 15 7 lL1 - vision Soft-Lite LLC Ryan J. King, Re Approved
FL#: FL15781.15 P. E,
i
Model: o. Series "Barcelona" Model "DSL30" (813) 767-6555 i—Istory, Description: Extruded PVC Horizontal Sliding "Non -Impact" Window (XX
Configuration)
Category: Windows
Subcategory; Horizontal Slider
*Approved SPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary,
Contact Us :: 2601 Blair Stone Road, Tallahassee "L 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright
YL Privacy Statement :: 4Accessibility Statement
Under Florida law, email addresses are public records, If you do not want your e-mail address released in response to a public -records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1),
Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails
provided may be used for official communication with the licensee, However email addresses are public record, If you do not wish to supply a personal address, please
provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S,, please click here
Product Approval Acceptsa
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Credit Card
Safe
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REVIMAI DATE
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813 780-0020 City of Zephyrhills Permit Application Fax-slaaao-oo21
' . Building Department
Date Received /21 Phone Contact for Permitting 813-512-6014
Owner's Name MARTIN SHIRLEY A Owner Phone Number
Owner's Address 1 39045 3RD AVE Owner Phone Number
Fee Simple Titleholder Name I_ Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 39045 3RD AVENUE, ZEPHYRHILLS, FL 33542 LOT#
SUBDIVISION PARCELID# 12-26-21-0000-03700-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Window replacement, size for size - 3 Windows, FPA#: 15781,15, 23505.4
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $4 976 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=PLUMBING
=MECHANICAL
=GAS = ROOFING
FINISHED FLOOR ELEVATIONS
AMP SERVICE PROGRESS ENERGY W,R.E.C,
VALUATION OF MECHANICAL INSTALLATION,,,,,.,,
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
Green BUILDER COMPANY Coastaln Enemy tJOIUtIOnS
SIGNATURE - REGISTERED Y / N FEE CURREN Y / N
Address 6710 Benjamin Rd #200 Tampa, FL 33634 License# I CGC1523579
ELECTRICIAN COMPANY
SIGNATURE REGISTERED LY! N FEE CURREN Y t N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y 7 N FEE CURREN Y l N
Address License#
MECHANICAL COMPANY
SIGNATURE ��--^--� REGISTERED Y / N FEE CURREN Y / N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y 1 N
Address License #^T
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 subdivisionsilarge 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 Zephyrhills Permit Application Fax-813-780-0021
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 properly licensed and is
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPACTILITILITIES 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 1, the applicant,
have been provided with a copy of the 'Florida Construction Lien Law —Homeowners 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, WateriWastewater 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 W" 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,
[men KqEK911111-Am" 111112IMME"M
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
Subschbed and sworrWL
c swer
(a affirm ch fare me t�
'a affirm
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ip
Who is/are personally known to me or has/have produced
a, , p
are p �onally known
to or has/have produced
as identification.
—as identification.
Notary Public
A%
- Kitz_Notary Public
Commission No,
\1
Commission No._]��
t-AXck
Name of Notary typed, printed or stamped
Name d?Notary typed,
jinted or starAder!
LYNDSAY MIJAL
MY COMMISSION # HH 013619
EXPIRES: June 23, 2024
Borlided Thru Notary Public UndwWriters