HomeMy WebLinkAbout21-3055City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 BGR-003055-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/20/2021
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
# 0 0
complete Mans, Specitications aaa Tee -Must Accornparly Ap � I# 1.— - - -
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
TLM 1=4 0 11111M
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11
PE f IT OFFICE
ITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 1( —
*111199224i 't W
Owner's Name Owner Phone Number f0i TL
Owner's Address Aw— &A SO4le Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
152,72
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JOB ADDRESS
SUBDIVISION
PARCEL ID# L&
WORK PROPOSED
NEW CONSTRF_�
ADD/ALT
H
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
FRAME
DESCRIPTION OF WORK
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I niql hp
rn- ran
P/ JIN2 LOT #
` / — MIL) — /) -oft
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN = DEMOLISH
OTHER
STEEL
< HEIGHT BUILDING SIZE SO FOOTAGE =
Avv �_V -Xw BUILDING 7, VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$
=PLUMBING 1$
=MECHANICAL 1$
=GAS 21� ROOFING 0
FINISHED FLOOR ELEVATIONS
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
W.R.E.C.
BUILDER COMPANY
SIGNATURE REGISTERED Y I FEE CURREN I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED L_Z_LN _J FEE CURREN F
Address I License #
PLUMBER COMPANY
SIGNATURE REGISTERED L_Y_LN _J FEE CURREN [LY / N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED L_yj N_J FEE CURREN L N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for now 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 & I 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.
*4
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
81 3-780-UO2U 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 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 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 —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 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, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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.
WARNING TO OWNER: Y
PAYING TWICE FOR IMPR
WITH YOUR LENDER__ )
FLORIDA JG F�/ T �(FS. 11 UO3Y°;Z
OWNER OR AGENT
sorrdffd sworn t SA , by_�=
Who is/are personally knowrLto me
Commission
Name of Notary typed, printed or stamped
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Public
ENotary Public State of Florida
a I a
Alicia Herweh-Cannon
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My Commission GG 2163�78
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)22 J E*piros 0511612022
Subscribed and sworn a or a rmq ore me this by
produced
Who is/are personally known ;a me or ore
14 produced
Commission
Name a d, d to s a ed
af'0"' 'ksr Notary Public State of Florida
Alicia Herweh-Cannon
My Commission GG 218378
Expires 05/16/2022
Public
INSTR#2021219656OR BK10460 PG3156 Pag-iofi
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10/14/2021 10:12 AM Rcpt: 2364534 Rea 10.00 DS: 0.00 IT: 0.00 /H Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
9mm"Im=
Property Identification No: 11-26-21-0010-02300-0111
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: CITY OF ZEPHYRHILLS PB I PG 54 LOTS 11 & 12 BLOCK 23
Street Address: 5828 10TH STREET, 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: TANNER WAYNE & TANNER-ALLEN MELANIE
5243 GALL BLVD SUITE 7
ZEPHYRHILLS, FL 33542
b) Name and address of fee simple titleholder (if other than owner): N/A
c) interest in property: Owner
4, Contractor: Paul Schaper, 9949 Gall Blvd., Zephyrhills, Ft 33541 Ph: (8 13) 782-0920, Fax: (81-3) 715-4 OZ-01 -
S. 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(f)(a)(7), Florida Statures:
A'VN_
71 A,
a) Name and address: N/A
b) Telephone No.: Fax No.
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8. In addition to himself; owner designates the following person to receive a copy of the Lienor's Notice as
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provided in Section 713.13(lXb), Florida Statutes: B W =
— Ph: (8 13) 782 Fax: (813) 715-4875 Q
-0920—
C R
Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541 7!
9- P1,
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9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unleso
C
different date is specified): "0
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF o t C I
COMMENCEMENT ARE CONSIDERED, IM[PROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA 0 �O-
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR WROvEMENTS To YOUR PROPERTY. A NOTICE OF ;5 -aQ6 i 0
COMMENCEMENT MUST BE RECORDED AND POSTED ON TINE JOB SITE BEFORE TuE FIRST INSPECTION. IF YOU cm 0 <
INTEND TO OBTAIN FINANCING, CONSULT YOUR 1XNDFR OR AN ATTORNEY BEFOU COMMENCING WORK OR :R
RECORDING YOUR NOTICE OF COMMENCEMENT,
0 �42 IT 03
STATE OF FLORIDA
COUNTY OF PASCO Signature of Owner or Omwr"w', A ruedOfr.c.or/DirmetociPaftmmwr/iMmaor
Print amc
The fbreko.�g instrument was acknowledged before me this day of QUO 2LL�!�202L by
as of authority, e.g, officer, trustee,
on behalf of In instnune
Mi 1ame of party, "o
was executed). MITI W1,
Personally Known j/OR Produced Identification
Type of Identification Produced
Signature
JEANINE M. MORRIS
State of Florida -Notary Publi
Commission # GG 192945
My Commission Expires
March 06, 2022