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Home My WebLink About21-3042r ?I City of Zephyrhills 5335 Eighth Street mullo". Zephyrhills, FL 33542 BGR-003042-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/18/2021 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 inal 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. 111111117"Kil IMICIFF I I III III •• ••)KOD-II1441 CONTRACTOR SIGNATURE JI PE IT ITHOUT APPROVED INSPECTION City of Zephyrhills 5335 811 St ZeDhirhill mt-'r-I HOW Permit No. 0 licensed under Chapter 468, Florida Statutes as a(n): Contractor Engineer_ Architect_ Building Inspector_ License No. On or about did personally inspect the: Check: Roof Deck Nailing --iz Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Sticketh (List) At the following address: :3 zL�13 6 111(5- 0 ',1 a t P xv ani'l -a t i Aftf Signature:—�: Sworn t ",nd�ubscribed befor e this days BY: Not ry ublIc State of Florida INGRID ROSARFO My COMMISSION # GO 987406 EXPIRES: May 12,2024 - Bonded Thru Not Public Under* niters 6,13-780-0020 Date R6661vod .S oa City of Zephyrhills Permit Application Fax-313-730®002e Building Department Phone Contact for Perms tin Owner Phan ;Num r . E: �. •!k QWherTkonelornoer Fee Simolo Titloboldot-Addreas UPI .'. ADDRESS SUBDIVISION WORICPRO"ED El �N$TALL PROPOSED USE FR DESCRIPTION"OPWORK NED ' .. p , `I DEMOLISH 4i Ili r�il� tJ1LD1 IC VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP,SERVIPE PROGRE$S'ENI5kGY PLUMBIN ME HANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED IPWOR ELEVATIONS FLOOD ONE AREA =YES NO ELECTRICIAN - Address. E PLUMBER d MECHANICAL Addressz OTHEW SIGNATURE YY KESIDENTIAL At, s ER j WkE C; • p • . '", • . ♦may, a*! ,^i y .. ! P 'y ^TT �. _ ,.l. v • ^s s 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 undersignedassumes responsibility for compliance with,any .w applicable deed.restrictions, , UNLICENSED CONTRACTORS!AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake,work, they maybe,,required t,to be licensed in accordance with,state,andJocal.regulations if the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under estate law. If the owner or intended contractor"are uncertain as to.what licensing,.requirements....may..appiy'for the Y intended'work, they are'advised to contact the Pasco County Building InspectionDivision-Licensing Section at 727-847- 8009. Furthermore, if the .owner has v hited'a=contractor or contractors, he is advised. to.have..the contractor(s) sign portions of.=the°"contractor sBlock".of,this,application.forwhich they,will,be responsibleIf 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 tnprivileges.i Paco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND U RECOVERY FEES: The undersigned understands, that Transportation Impact Fees and R urse~Recovery Fees may apply cornstruction 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.pnders gr ed also unçerstands, that such fees, as may be due,will be identified ed 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 °th applicable Pasco County ordinances. CONSTRUCTION t I N-LA (Chapter713, 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 La Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is omeonee other than the"owner", I certify thati have obtained a copy of the above described'document uand.promisetin good faith to deliver it to the"owner"prior to commencement. CONTRi , / , I DAVIT:W I certify at all the irtfort atiOn.iflthiS appLicatiO1 Is ap", r tq and that all work..1. will be done in compliance with all applicable laws regulating construction, zoning and Land eveloprt eat. Application is hereby made to obtain a permit to do work and installati n as indicated. i a 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 ,and cies a but nv are not allyre not ted to: Sensitive - Department of Environmental Protection-Cypress Bayheads, Wetland Areas Lands,waterlWastewater.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 t.rotectiori Agency Asbestos abatemento Federal Aviation Authority Runways. I understand that the following restrictions apply to the use of fill: Use of fill Is not allowed,,in,•Flood x 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 nis.,prepared.by_a.professional engineer licensed by the State of Florida. If the fill material Is tobea-,usedwln.Flood.:Zone "A" in connection with a permitted building using stern 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 ooffill 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 whichare elevated py°filly an°engineered draindge 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. gas, lh r understand other installations separate otx specficall permit i .Included in he~required plication. A plumbing, signs, wellsi_pools, air conditioning, te, cancel, alter, or permit issued shall be Constith lof permit prevent the e work and not as authority us ding iolaciiial from thereafter set aside any provisions pfthe technical codes, ors al issuance requiring a correction of of errors in plans, construction or violations fofany , or if work inceudeutholeri°Invalid y unless the work authorize by such permit is commenced within six months ths of permit issuance, the permit is suspended or abandoned fora period of six(6)months after the'time jthe' orkkisscommente n Anexten5Ion may be requested,:in writing, from.the Building;Official for w'period not to exceed ninety(90)days and will demonstrate justifiable,cause.for the aextension. If work ceases for ninety(90)tonsecut ve,. aye,the job is considered abandoned. WARNING TOWNER: YOUR FAILURE T OUR R NOTICE IF Yet N TAI FINAN IN CONSULT. PAYING 1C IMPROVEMENTS F I _ ,V i N N �, T. WITH YOUR FLORIDA'JURAT(F.S. 117.0 OWNER Q G T coNT "ioR Subscribed and sworn.to(or affirmed)beforo`ine`this Subscnbed'and sworn ton(or=affi ) afore me this b Who isle persanany kn t r sfh u P . u Who islare personally known to mas Ir enti hast cation d� as identification, Notary Public Notary Public commission No, commission No. Name of Notary tiyped,printed or stamped carne ofiNc ry .z >pint "nr tin ed CARLOS MALDONADO Commission#GG 346275 ' 51! Expires June 16,2023 '.�'0 Bonded Thru Troy Fain Insurance 600.385-7019 INSTR#2021221418OR BK10462 PG1 064 Page 1 of 1 10/18/2021 11:25 AM Rcpt: 2365646 Rec: 10.00 DS: 0.00 IT: 0.00 Permit No. I - Parcel ID No NOTICE & COMMENCEMENT 8'0'0 of County of THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real prop and In i the following Information Is Provided in this Notice of Commencement1. - ", a ance with Chapter 713, Florida Statutes, Description of Property: Parcel Identification No. i 2 -;Lp'- N-3 a -0 0tad 0- LQ street Address: a?5 �6 5, 2, General Description of as Owner information or Lessee lnfarmatlicn If the Lessee contracted for the Improvement: h- 'e �fflkJl - Interest In Property: - VIV614 k;ity state Name of Fee Simple Titleholder. Address 4. Contractor:` 4VII, ;j city state Name ARN J?Z-7 Address Contractor's Telephone No.: %$ _ �O3 5. Surety: Address Amount of Bond; 6, Lender: City Telephone No.: I ON Address __ City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provide by Section 713,113(iXaX7), Florida Statutes: d Name Address CRY Telephone Number of Designated Person: state 8. In addition to himself, the owner designates Of - to receive a copy of the Uenor's Notice as provided In Section 713.13(9)(b), Florida Statutes. Telephone Number of Person or Entity Designated by Owner: --------- Expiration date Of Notice of Commencement (the expiration date may not be before the completion of on and final payment to the contractor, but will be one year from the date of recording, unless a different date Is specified): Under penalty of perjury, I declare that I have mad the foregoing notice of commencement and that the facts stated therein are true to the best of my know4edge and belief, STATE OF FLORIDA X? 7 COUNTY OF PASCO SHARON MENDOZA NOWY Publi, - State nf Florida Signature of Owner or Lessee, or Owner's or Lessee's Authorized Cnm,missW = GG 362073 Officen'DI"Wilor/Partner/Manager My Co"m Es lle, Aug 4. Z023 86nd d through National NotaryAssn' bignatorys Title/Office The foregoing Instrument was acknowledged before ma this i-A,.Y ofVJ, 202j, by as (type of authority, e.g., officer, trustee, attorney In fact) for {nam f party on hall whom Instrument was oxamted). Personally Known DR Producqq identification Notary signature _tip _82�� 0 S tk� Type of Identification Produced n q)"me (Print) 0 xis 2 3 E Q5 'T � 0 E 0 C> 0 M 0 -C Z5 ra Cs 0 0 't5 > qq 0 44.) 12 (o 'T 0 C 0 ' 0- 00 wpdatafbes/noticowmmencemenLpcO53048