HomeMy WebLinkAbout21-25691179
5335 Eighth Street
Zep hyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-002569-2021
Issue Date: 07/28/2021
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.
III III 1110�11111
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.
NO OCCUPANCY BEFORE C.O.
Fr
C7
M
ArTFIR SIGNATURE PE IT OFFICE[)
t'ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
City of Zephyrhills
5335 811 St
(813) 780-0020
Permit No�:-2CvR-:Q=(oC(- 202-k
Check which was used: 30# felt Peel and Stick—j�=
10� �41 -
U�
Notary Public State of Florida
Alicia Herweh-Cannon 4
My Commission GG 218378
Expires 05/16/2022
Of
813-780-0020
Date Received
111*1141
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS F: 3- �
WORK PROPOSED
PROPOSED USE
DESCRIPTION OF WORK
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
I I
I LOT #
NEW CONSTR
ADD/ALT
El INSTALL e
REPAIR
SFR
Comm
BLOCK
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 0') VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=PLUMBING
=MECHANICAL 1$ 1
=GAS ROOFING F7
FINISHED FLOOR ELEVATIONS
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
BUILDER COMPANY 52J)0a0_r
SIGNATURE REGISTERED L_Y_LN J I— FEE CURREN N_J J
Address C2al 131 U;T License #
ELECTRICIAN COMPANY SIGNATURE REGISTERED FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN L12N
Address I License #
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L_y
LN
Address License#
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 & 1 clumpster. 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 OfZaphvrhiUs 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 | u 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 hoicnot properly licensed and ic
not entitled topermitting privileges inPasco 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 orfinal
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
topermit issuance inaccordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2.5OO.0Oormore, |certify that |. 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 promiseingood faith todeliver it,uthe ''own*rprior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will bodone incompliance with
all applicable laws regulating construction, zoning and land development. Application iohereby made mobtain apermit todowork 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
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility toidentify what actions |
must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Bayheads.Wetland Areas and Environmentally Sensitive
Lands, VVater8NeotevvutarTroatmunt.
- Southwest Florida Water Management District-VVe||s, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps ofEngineers-GeawaUa.Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVa||s, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Fodmru|AviaUonAuthority-Runweys.
| understand that the following restrictions apply tothe use nffill:
- Use offill isnot allowed inFlood Zone Wrunless expressly permitted.
- If the 0| material in 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 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 vveU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill mabahu| in to be used in any area. | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propediep, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots |aos than one (1)
acre which are elevated byfill, anengineered drainage plan isrequired.
n|emthe 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 ofsix (6) months after the time the work iacommenced. 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.
OWNER OR AGENT
Subscribed and sw Aefore me this
Who is/are personally known to me orUas*amproM`cbd
Commission No.
Notary Public State of Florida
Alicia Herweh-Cannon
Subscribed and sworn to (or tled�be ore me this
Who is/are personally known to me or ha"a4_ff�
Notary Public
INSTR#2021149918OR BK10395 PG972 Page 1 of 1
07/1912021 04:20PM Ropt:2327803 Rec:10.00 DS:0.00 IT:0.00
Ni6ki Al p[2a2yje§, L2 g2 �2WatX Q2L6 ComDtroller
NOTICE OF COMMENCEMENT
State of FLORIDA County of Pasco
Property Identification No: 10-26-21-0120-00000-0060
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Section 713 of the Florida State Statutes, the following information is provided in this Notice of
Commencement:
1, Legal Description: WEDGEWOOD MANOR PHASE I & 11 PB 27 PG 11- 14 LOT 6 OR 4708 PG 1862
Street Address: 37401 TEABERRY LOOP, ZEPHYRHILLS, FL 33542
2. General Description of Improvement: Shingle re -roof
3. Owner Information or Lessee information if the Lessee contracted for the improvement
a) Name and address: REILEY KEITH & KAREN E
37401 TEABERRY LOOP
ZEPHYRHILLS, FL 33542-7934
b) Name and address of fee simple titleholder (if other than owner): N/A
c) Interest in property: Owner
4. Contractor: Paul Schaper, 8949 Gall Blvd., Zephyrhills, FL 33541 — Ph: (813) 782-0920, Fax: (813) 715-4875
5. Surety: N/A
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7), Florida Statures:
a) Name and address: N/A
b) Telephone No.: Fax No.
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(1)(b), Florida Statutes:
Paul Schaper, 8949 Gall Blvd, Zephyrhills, Fl, 33541 — Ph: (813) 782-0920 — Fax: (813) 715-4875
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
COMMENCEMENT 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this ---Q_ day of
Ui�V--u - as (type of authorit
attorney in fact) for (name of party on
was executed).
20-ZL, by
e.g. officer, trustee,
ehalf of whoifijinstieftnt
Personally Known OR Produced Identification '�
Type of Identification Produced L 1r Notary Public State of Florida
0
Alicia Herweh-Cannon
18 '3
M era Commission GG 218378
y
051,6120
E.p',,.. 05/16/2022
coiuz""'Zy 7"' Co cue ano 0-40 MR",'
On Ole U: of 0V KC Tcovd 11 AS (WA&A
won____
Nikki ANN Esq
Palo t- 04 rK I a
BQ
m