HomeMy WebLinkAbout21-30875335 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 �- �- � �
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"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
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
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The foregoing instrument \Aes acknowledged before me thisjZday of ICA_ 201by
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--a ftype, of authority, e.g, officer, trustee, attorney in fact) for
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(name of party on behalf of whom instrument was executed).
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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
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My Comm, Expires Jan 12, 2024
Jan 1 2 02
Bonded through National Notary Assn.
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