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Home My WebLink About21-30675335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-003067-2021 Issue Date: 10/22/2021 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 14 '4111P '111FIT 11� � 1, accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. - r1- PEfAIT OFFICEt) IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-180-002U City of Zephyrhills Permit Application Building Department Fax-813-780-0021 rate Received Phone Contact for Permitting NumberOwner Phone twner's Name Addressi _V;RMq Owner Phone Number Fee Simple Titleholder Owner Phone Number Fee Simple Titleholder Address r LOT #2 i JOB ADDRESS§ s ID# ^� SUBDIVISION PARCEL WORK PROPOSED eTR TALL ' , PAIR (OBTAINED FROM PROPERTY TAX NOTICE) SIGN DEMOLISH PROPOSED USE SFR J= COMM TYPE OF CONSTRUCTION BLOCK FRAME t_.� STEEL DESCRIPTION OF •• FOOTAGEBUILDING SIZE I SQ =BUILDING VALUATION OF TOTAL CONSTRUCTION d =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING C =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS EFLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y t N FEE cuRREN Y I N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED ;;; FEE CURREN Y ! N Address I License # PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE cuRREN Y / N Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED ;;;�IEE �..IRREN Y I N Address License # Y _ . e OTHER z SIGNATURE REGISTER -D Y / N 441 Y / N 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 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. 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-UU20 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, Wetland 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT J U RAT (F. S. 117.03) OWNER OR AGENT Subscribedand sworn to (or affirmed) before me this is/are personally known to me or has/have produced V\Pho is/Are personal)lLnown to me or as identification. Public Commission mission Name of Notary typed, printed or stamped game of Notary —typed, printed or " It INSTR#2021208391 OR BK10450 PG34 P-ge 1 of 1 09/30/2021 08:22 AM Rcpt: 2358526 Rec: 10,00 DS: 0.00 (T� 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Permit Number Key Numbor 11 -26-21-0010-04700-0070 NOTICE OF COMMENCEMENT State of Florida County of Hernando THE UNDERSIGNED hereby gives notice #,at improvements will be made to certain real property, and in accordance with Section 713, of the Florida Statutes, the following information is proviiiied in this NOTICE OF COMMENCEMENT, I.Description of property (AW1 dascdpdon): Assessed in Section 11, Township 26 South, Range 21 Eastof Pasco County, Ffori a) Street Ob) Addross: 5849 19TH STZEPHYRHILLS, FL 33542 2.GeneW desc6ption of improvements: Tear Off and Re Root 3.Owner Info 'on or Lessee info ion if the Lessee contracted for the improvement: a) Name and address: Gloria J Mullet 5849 19TH STZEPHYRHILLS, FL 33542 b) Name and address of fee simple titloholder (if different than Omer listed above) 0) Interest in property: 4.Contractor InformaWn a) Name and address: COulthern Safe Construction Po Box 320764 Tampa A 33679 b) Telephone No.: 8 _68_1500 Fax No.. (optional) 5.Surety (d applicable, a copy of the payment bond is attached) a) Name and addrem NA b) Telephone No,,. c) Amount of Bond: $ 6.Lender a) Name and address: NA b) Tel No.: 7, Persons within the to of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713-13 (1) (a) T, Flonda Statutes: a) Name and address-. NA b) I elephone No.: Fax No.,, (optional) 8.a,ln addition to himself or hemelf, Owner designates Of to w6ve a copy of the Lwors Notice as provided in Section 713.13 (1) (b), Florida Statutes. b)Phorie Number of Person or entity designated by Ownev NA 9- ExpW4on date of notice of commencement (the expiration date may not be before the cornpletion of oonstrucWn and final payment to the contractor, but will be 1 year from the date of recorcling unless a different date is spedfied): .20 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. A, r6t:r6d Ownior of L(-4ee, of C*Mr" or Lcssw.c ;,AStmvec Ml �ff1DirmjvtPartncfA%f State of _r � Y'i6. County of t The fuegoN instrument was acknowledged before me this day of r_Ly 20 by - (Naar of Per -son) (typeofaLfflun off (X'f, it for 6 t' (name of p" on behalf of Morn instrunwt was executed), Personalty Known Produced 10 Type of I D L Notary Signature OY NOTARY PUBLIC Flint name STATE OF FLORIDA rmwn# GG298251 1A r>AYa fiM=Ia_Jn CCC 1331293 - PO Box 320764 Tampa FL 33679 Date: 10/21/2021 I hereby name and appoint: Zack Hall (Applicant's Name) an agent of: Southern Safe Construction (Name of Company) to be my lawful attorney -in -fact to act for me, to apply for, receipt for, sign for and do all things necessary to this appointment for: All future projects License Holder's Name: Ronald E Bennett JR State License Number: Signature of License He STATE OF COUNTY OF The foregoing instrument was acknowledged before me by means of *physical presence or 1771 online notarization this 2 ----day of _cAfA(-)Q-J\ 20_,q� by who is personally known to me, or EI has produced as identification and who did not take an oath. y " i% Signature of Notary Public Updated: 01/17/2020