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Home My WebLink About21-3045City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BGR-003045-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/19/2021 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. 4 ii •I)t. 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. CONTRACTOR SIGNATURE PEJAIT OFFICEf V ITWOUT APPROVED INSPECTION A 813-780-0020 City Of ZephyrfTl))S Permit Application Fax-813.780-0021 Building Department t� Date Received Phone Contact for Permittin tt[€eesse Inv 0t , ige f 0Is t ii Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name a� Owner Phone Number Fee Simple Titleholder A^dydrrre�ss„ , } JOB ADDRESS t let+ `�t� t+1 1 ( Vt\\d LOT# SUBDIVISION LaL� PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN Q DEMOLISH e INSTALL REPAIR 8 PROPOSED USE SFR ® COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL DESCRIPTION of WORK Y� v1�ll �F: 1 a-4 5 r i BUILDING SIZE SO FOOTAGE HEIGHT -a 0 ~`! �l =BUILDING $ @ r..may VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ -- =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING ® SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y (N FEE CURREN Y ( N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Address License # ��•�� MECHANICAL COMPANY SIGNATURE _.,....,..0 REGISTERED YIN FEE CURREN Y / N �� Address � License # OTHER =�" COMPANY Vlk SIGNATURE REGISTERED I Y / N FEE CURREN N �� Address License # E:: !>I!eeeeft#fi�i$�d!tF##t£e##�!Y#IifIPi!lt6Y#�€EattIltlQeiltilaa: RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ton (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 dumpster. Site Work Permit for all now projects. All commercial requirements must most 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-813-78M021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "dead' 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- 80M Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractDqs) 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 Passe County. TRANSPORTATION IMPACTIUTILITIES 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 idenfiffied 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 tes, 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--Horneowner'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 AFFIDAVTT-, I sartly 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 04 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, Welland Areas and Environmentally Sensitive Lands, WaterNVastewater 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 offiti; 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, weft, 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 jusfifiable cause for the extension, if work ceases for ninety (90) consecutive days, the job is considered abandoned, OWNER OR AGENT CONTRACTOR it L`(A_1_ _11 A , Subscribed and swam to (or affirmed) before me this Subscribed and �M d1arafflimeditieftirs-mW by `by Who is/are personally known to me or has/have produced Who isla gnat out a me or hasibrive r as identification, �-_�Jdenl Notary Public Notary Public Commission No. Commission N.-_ . Name of Notanj typed, printed orstarp C C ARI :DNADO 0 L7] ARLOS MALDONADO Color GG 3462 5 Expft, 18, 2023 lisidii, Fain insurance .. 800-385-7019 Commission # GG 346275 Expires Jun e18,2023 n�,�i_ Ei,6' Doodad Thin Troy Fain Insurance 800-385-7019 INSTR#2021201257OR BK10443 PG1230 Page 1 of #9/22/2021 11:08 AM Rcpt: 2354863 Rec: 10.00 IDS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller DocuSign Envelope ID: OD872D6"ADI-4BEO-AF5D-82F986EE5817 Permit No. Parcel ID No '35- 2S- 2 1 - 61? C`O0C)C>- OS(-eO I NOTICE OF COMMENCEMENT Slate of Q2�& - County of h-zc) THE UNDERSIGNED hereby gives notice that Improvement \-All be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information Is provided In this Notice of Commencement: 1 Description of property: Parcel Identification No. 3,-V- 7$- 2I - Oslot') Street Address: _71CRO Mtf CkNOA viki, e, df 2,rDv-,,,Av v,-k US PL 33"o 1 General Description of Improvement 3- Owner Information or Lessee information if the Lessee contracted for the improvement: 94, Address City state Interest in Property: CK,Y�Ax Name of Fee Simple Titleholder. (if different from Owner listed above) Address city state 4, Contractor. - P CAC rd S ew�l"Ct ly-\-C, I Contractor's Telephone No.: 5. Surety: Name Address city State Amount of Bond: Telephone No,: 6. Lender. 1Noma Address City State Lenders Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name Address Telephone Number of Designated Person: State 8. In addition to himself, the owner designates of toreceive a copy of the Lienor's Notice as provided in Section 713,13(1)(b), Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. Sig wd by: STATE OF FLORIDA COUNTY OF PASCO Signature of Owner o—rLessee, —Owner's or Lessee's Authorized Officer/Director/Partner/Manager David ippolito Owner Signatory's Tille/Office The foregoing instrument was acknowledged before meAhis -2 , k Odsiycf-!(�'�20R'Y, Qlli,61i I L-Nb -----as se (-k� (type of authority, e.g., officer, trustee, attorney in fact) for %N) M obt -1 +n (na(meo arty on hall ot wtwm Instrument was executed). Personally Known 171 QR Produced Identification Notary Signature Type of Identification Produced Name (Print) Pays ce i o Notary Public State COO Florid. ' S T, M y Tabitha MarsCeill 023: t HIH MY Commission HIH 0231M wpdata/bcslnoticecommencement_pc05aO48 Expires 07123/2o24 City of Zephyrhills e rhill yyY #a 1, licensed under Chapter 468, Florida Statutes as (n): Contr ctor_ Engineer— Architect. _ Building Inspector License No. C tin or about did personally inspect the: Check: Roof Deck Nailing —Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Stick— Other (List) At the following address: q Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based can Section 553.844, Florida Statutes). x