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Home My WebLink About21-2576City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-002576-2021 Issue Date: 07/30/2021 Imam= Y R?*Fo ri�lll r = 3 I_ accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRA 0 , 4"', )RE PE IT OFFICEU PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyr ills Permit Application Fax-813-780-0021 Building Department _T/V V : * 3��3 Date Received I L__ I Phone Contact for Permitting 1( Owner's Name c ��) A�,C Y /, [ �zc Owner Phone Number 3 V,3 6 Owner's Address 7— ?_ 2— -5s Owner Phone Number 1 Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 33 S-V 2- LOT # PARCEL 10# (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONITR ADDIALT INSTALL REPAIR SFR Comm BLOCK FRAME BUILDING SIZE = SQ FOOTAGE W SIGN DEMOLISH . ..... ........... =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO -I BUILDER COMPANY E SIGNATURE REGISTERED YIN FEE C�URRU Address License # ELECTRICIAN COMPANY E SIGNATURE E:=== REGISTERED ;;;;��FEE �CURRU ------------ Address License #E::�� r -7 I at PLUMBER COMPANY P1 L-1 SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J Address License #E:=__:== MECHANICAL COMPANY E SIGNATURE E=== REGISTERED �Y f N�FEE CURRU, Address License #E:==== OTHER COMPANY E �� SIGNATURE E_ REGISTERED �FEE 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/ $!It 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 wl Slit Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Pen -nit 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. (AIC upgrades over $7500) — Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing sam6 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 NOTICE F 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 ACT CONTRACTOR P I ILITi : 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- 6009. 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 IMPACTIUTILITIES CTIUTILITI 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),ended): 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 La 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 AFFI VIT: I certify that all the information in this application is accurate and t at 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 , 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 CO NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO TIN FINANCING, CONSULT IT YOURLEN DER OR AN AORN EY BEFORE RECORDINGYOUR "TIC F COMMENCEMENT FLORii�P Jt l T(O.ar 117.03) If t OWNER OR`AGENT[ CONAed Subscribed and sworn o(or affrmed)`before me this Subsorn o(or a ):before me thisbyWho is/are personal nown to me or has(have produced Who own to me or has/have produced as identification, as identification. Notary Public Notary Public commission No. Commission No. dame of Notary typed,printed or stamped Name of Notary typed,printed or sta ped a,Y:kt •. CARLOS MALDONADO Commission#GG 346275 Expires June 18,2023 iw; � Bonded Thru Troy rain insurance BQQ-385.7019 Prepared by: Stephanie Prostak, an employee of The Whitworth Title Group, Inc,, 14502 N, Dale Mabry Highway, Suite 200 Tampa, Florida 33618 File Number: 9343 Corporate Warranty Deed This Indenture, made, July 8, 2021 A.D. Between Golden Sunrise Properties, LLC and Selin Properties, LLC whose post office address is: 3225 South Macdill Ave, Suite 129-347, Tampa, Florida 33629, both limited liability companies existing under the laws of the State of Florida, Grantor and Carlos A. Ortega and Ana M. Vega, Husband and wife whose post office address is: 5122 21st Street, Zephyrhills, Florida 33542, Grantee, Witnesseth, that the said Grantor, for and in consideration of the sum of Ten and No/100 Dollars ($1 O.00 ), to it in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said Grantee forever, the following described land, situate, lying and being in the County of Pasco, State of Florida, to wit: Commence at the Northeast Comer of Block 2, of Vacated PINECREST SUBDIVISION as recored in Plat Book 5, Page 55, Public Records of Pasco County, Florida, and run thence Southerly along the East Boundary line and the Southerly extension thereof a distance of 537.70 feet for a Point of Beenning. Continue thence Southerly along the Southerly extension of the Last Boundary of Said Block 2 a distance of 174.62 feet; run thence North 89 degrees 56 minutes 52 seconds West a distance of 280.00 feet to the Easterly right of way line of 2 1 at Street; run thence Northerly along the Easterly right of way line of Said 21 st Street a distance of 195.00 feet; run thence South 89 degrees 52 mintes 12 seconds East a distance of 135.00 feet; run thence South 00 degrees 26 minutes 12ecands East a distanceof 20.00 feet; run thence South 89 degrees 52 mintes 12 seconds East a distance of 145.00 feet to the Point of Beginning. Subject to taxes for the current year, covenants, restrictions and easements of record, if any. Parcel Identification Number 12-26-21-0000-04400-0080 Property Address: 5122 21st Street, ZephyrhiK Florida 33542 And the said Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. In Witness Whereof, the said Grantor has caused this instrument to be executed in its name by its duly authorized officer and caused its co e I to be affixed the day and year first above written. Golden Sun * r riles, LLC gn ad and 7Sed esence: BY:Z L- im Tavlan 7// Its: Manager S i riles, L el as LOV By: M dtio�-= nuicul TAN a Its: Manager State of Florida County of Hillsborough ization this 8th day of July, lwmifiwi M-W, '"im -"w 2U21, by NMIR I HVIon, JOHN LAW, -.--Ss Notary Public - state V Florida Notary Pub] Notary Pnitted GG 342555 My comm Ex-ires,trA,2023 2023 . my Commi! Bonded through National Notary Assn. Expires: