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Home My WebLink About21-30875335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 00,711wn BGR-003087-2021 Issue Date: 10/25/2021 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, T iii! I l? IRS I! I iiiiiiiii 1111 Jill I I I �- �- � � illi�liil!!li 1111111111 ir Ijllil�iliJlllIII!I I i I I 11 11111 � I I I I I � I I 1� 11 lipi�ll!lil! I III I I' I "Mill'; —Will "Ji accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE 1A 4PE 1 TOFFICE - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i 813-780-0020 City of Zephyrhills Permit Application ef * 3v N /Fax-813-780-0021 Building Department 7A/V Date Received Phone Contact for Permitti Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONITR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK�F�, - X BUILDING SIZE SQ FOOTAGE HEIGHT _r1r"rT1" "r_`Ir_r"V_r"r"rq =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 BUILDER COMPANY O16) G- C SIGNATURE REGISTERED Y/N FEE CURREN Y/NRQ: � Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License #E==== PLUMBER COMPANY E SIGNATURE REGISTERED Y 1 N �FEE CURREN Address License #E===== MECHANICAL COMPANY E SIGNATURE REGISTERED ;;;FEE CURREN Address License #E=------= OTHER COMPANY EY� FEE CURREN SIGNATURE REGISTERED Address License # E===== 11 11111111111111 111 ligilliffill IIIIIII 111 111111 1111111 liiiiiiiiiii III III III 111 111111 111 If 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/ Slit 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. (AIC upgrades over $7500) 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 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 CONTRACTORSP SU ILITIES: 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 RESOURCEEC VE Y 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 I, 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, 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 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 NER: YOUR FAILURE TO OTIC OF COMMENCEMENT AY RESULT IN YOUR PAYING ICE FOR IMPROVEMENTS TO YOUR P . IF YOU INTEND TO TAI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGYO TICS OF COMMENCEMENT. FLORIDA JU T(FNS. 117.03) OWN R OR AGENT CONT'RACTo Subscribed and sworn to(or affirmed)before me this Subscribed and swo n to(or affirmed)before me this by by who is/are personally known to me or has/have produced who is/are personally n wn to me or has/have produced as identification. 1L4L ,, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped t ".. CARL0S MALD0NAD0 Commission#GG 346275 Expires June 13,2023 "¢ " Bonded Thru Troy Fain Insurance&40.3157Q99 INSTR#2021227592OR BK10467 PG3539 P,g. 1•f 1 10/25/2021 10:27 AM Rcpt: 2368788 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki A' -- state of FLORIDA County of PASCO THE UNDERSIGNED hereby gimos notice that Improvement vA be made to certain real property, and in accordance %40 Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commahcorrient 1. Description of Property: Parcel Identification No. 35-25-21-0010-07800-0010 ZophyThills Colony Company Lands PEI PG 55 wrest 75 it of Beef. Street Address: 38700 Carriden Avenue, Zelphyrnills FL 33540 z General Description of Improvement RE -ROOF W'rH GAF TIMBERUNE HM ARCHIIECTURAL SHINGLES AND PEEL - AND -STICK UNDERLAYMENT MAIN HOUSE AND DETACHED SHED 3. Owner Information or Lessee information it the Lassee contraded forthe improvement GARALO VANROSSUN OR CONNIE VANROSSLIN me &792 QAMQEN AV9 ZEPHYRHILLS FIL Address city state Interest in property: HOMEOWNER Name of Fee Simple Titleholder (ft different from Oymer bsW abow) Address City 4. Contractor. ROBERT U107TOR RHMOGENCRALOMPACT04, INC Name 2M] jBWjQtj RD P�ANT C!TY FL Address City Rate Contractors Telephone No.: 813'719-2082 S. Surety. Name Address---- city mate Amount ol'Bond: S Telephone NO: 6, Lander. Address— MON— . . Lander's Telephone No.: 7. Persons within the State of Florkla- designated by the Omer upon vithom notioes or other documents may be served as Section 71 3.13(1)(s)(7), Florida Stattites: Address City state Telephone Number of Designated Person: 8. In addition to himself, the owner designates Of_ to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florkis Statutes, Cll Telephone Number of Person or Entity Designated by Omer. 9. Ei0ndion date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the 10eaa CL E >1 contractor, but YA be one year from the data of recording unless a different data is specified): 01131= E Cy WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 0 .0 0 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR6PtRTY. A NOTICE OF COMMENCEMERt 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 REOORCING YOUR NOTICE OFOOMMENCEMENT. 41 Z5 Under penalty of perfury, I declare that I have mad the foregoing notice of commencement and that the facts state are true to the of the best r- ,*a of my knowledge and belief. Uj STATE OF FLORIDA (n COUNTY OF PASCO Signature of OwnOuster or LesseeK Owner's or Lessee's Authortzed Q —0 V — 0 UL 0 CHfroa ractorlpafterMahaffer C)- -C (n >' a) 'U Uj 12M& Ale OW Vtoryc' f oe < The foregoing instrument \Aes acknowledged before me thisjZday of ICA_ 201by 4) T) 0 40 — s --a ftype, of authority, e.g, officer, trustee, attorney in fact) for 'V -T 01- c' C (name of party on behalf of whom instrument was executed). (n -C F- + 0- co Personalty Knmkm [I QR Produced Identification I& Notary Signature - Type of Identficabon Produced Name (Print) —TU\er POrkir' TYLER PARKER Notary Public - State of Florida Commission # GG 946590 ��tV My Comm, Expires Jan 12, 2024 Jan 1 2 02 Bonded through National Notary Assn. t , As wWati/bWnoticemnunmemionLj)cOS3048