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Home My WebLink About21-3106City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BGR-003106-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/29/2021 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. III . . 0 - MM7JEMm=-irn- •n. nnwwm=-M��0111 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 'ell 101t77CT SIGNATURE PEIMIT OFFICEU PE9, 1 0 MOTTITOMITI.; A 104 0 1 IT, a TiT I �AMII NOTICE OF COMMENCEMENT Permit No. 'e"So Property Identification No. & - xc 713.13 of the e Florida Statutes, the following information is providd in the NOTICE OF COMMENCEMENT. I i I Description of property (legal descripdow) ZZ&2 a) StreetAddress: 5-1 t11-1A- 2. General description of improvements —4- 1 Owner Information a) Name and address: r-c-�1 57 1 --414" L'- b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information 34 IL a) Name and address:, tc e,3 '7;i-,, o b) Telephone No.: Fax No. (Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: 2 -1) '2 0 2 11 o R c) Telephone No.: Fax 6. Lender N i kk i P I v,-,i 53l i a) Name and address: pA, T Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: I i 0 b) Telephone No.: Fax No. (Opt.) 8, In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l) (b), Florida Statutes: a) Name and address: tj 4- b) Telephone No.: Fax No. (Opt.) 9. Expiration datef Notice of Commencement (the expiration —date is one year from the date of recording unless a different date is , specified): A-42:)szLk J0"q Wn "A111134EM Print ) W1 A The foregoing instrument was acknowledged before me this day of 6(-441 4C 20J/ by /0(�< G' as g. offi ly 7- " -71 __Cy-_L4��e-pt— (type of authority, e. cer, trustee, attorney in fact) for ------- (name of party on behalf of whom instrument was executed)' Personally Known — OR Produced Identification Notary Signature Type of Identification Produced I'Z�OL.. Name (print) 7— Verification pursuant to Section 92,525, Florida Statutes, Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief FORMS1N0C.rvsd200? Signature of Natural Person Signing Above tr% Notary PubhC State of Flanda Mary V stewagi MY COMMISS1011 HH 01, 72,990 Expires 07/16/2024 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received FOXIMM-2 Owner's Name Owner Phone Number rrrarr•rr• .rrrrrrr�r� rl�arr + �' lu rrrrrr a Owner's Address !� Owner Phone Number �p Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I — JOB ADDRESS 57 , LOT # J cx>— 0 Z f -4 SUBDIVISION r PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED El CONSTR ® ADD/ALT SIGN DEMOLISH INSTALL INSTALL REPAIR PROPOSED USE SFR COMM LeJ OTHER TYPE OF CONSTRUCTION BLOCK ® FRAME STEEL DESCRIPTION OF WORK i "e—^ O e BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. PLUMBING $ =MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE Address COMPANY REGISTERED E�COMPANY REGISTERED l COMPANY REGISTERED lit 0 0 COMPANY REGISTERED COMPANY REGISTERED 115151111111111lillllllllllll Y / N FEE CURREt` License # Y / N FEE CURRE� Y J iJ (� License # Y / N FEE cuR,R�Eyn 6YttN License # Y / N FEE CURREI License # FEE CURREN Y / N License # 61/B111/l11111//15/!li//1I1/ 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, Stoonwater 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 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. CON TRACTOR'S/OVMER'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, Weiland 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. Q-A, 4;AVM IN1101111 0111 904M 14IM1:11 IF-11 I a 2 1 ME, 101 IZ 0 OWNER OR AGENT Subscribed and sworn to (or affirmed) be -fore me this by Who is/are personally known to me or has/have produced as identification. Public Commission Warne of Notary typed,pantedor stamped - known to me or hasMave produced as identification. L --------------- f1_71 Y lot., Public Commission No. 0 of or. Name of otary�typd, printed �orstam�pe�� , I 813' S-418 DATE:10/12I2021 INVOICE #:15860 AND SERVICE AGREEMENT 727495-7474 Tech Name: J9 WO #:138111 And Services Saving programs have been 32-4-411 I, 863-226-5588explained: ®c e s.andservices.00m Hardness PH Iron PPM Appearance ❑Current Member { Air conditioning • Plumbing • Electrical contact@andservices,com ❑Agree to purchase Customer Info: CAC 1816819, CFC-1428695. EC-13002594 __... _'.__._.. ecline participation ii.... dzislaW,{grzech;'5712'20th Street Softener Information ephyrhills 33542 864-56 -7205 - _ _-___ Customer's Initials:-4L— Mahe: I have discussed And Services Saving programs with the customer. I have given a copy of the contract Model: to the customer. All work is complete and is in 1 compliance with And Services standards of i Serial# excellence in workmanship and in compliance with building codes, R ason For Call: camera inspection 0Work Complete Water Heater Age Condition 5!N Technician's }i3 ( Make Signature: i ®Attn. Supervisor ®Follow Up MWork Incomplete _ 24 HOUR EMERGENCY SERVICE o Z --- -------- _._ ... ____--- .____ _ ... __.__ _ PAYMENT OPTIONS replace sewer line up to 50 ft with 4 inch PVC install two-way clean -out Mainline jetting and home only up to code permit at 4;A7R , w O 1 W a y Acreament far Service: 9 the undersigned, am an authorized representative of the S t'ANDARb v premises at which the work above is being done. I authorize the performance of ( the work as noted on this invoice. I acknowledge that the estimated 'price does not r,. in, lude unforeseen parts or labor which may be needed after the work begins. My S€i*IC.d wrtten authorization will be obtained before beginning any additional work. I have . 1'.. read this contract, and agree to be bound by all terms contained herein. 4 S gnature:" a o i hereby acknowledge the satisfactory completion of the above work INSTR#2021229507OR BK10469 PG2432 Page 1 of 1 S/H 10/26/2021 11:07 AM Rept: 2369735 Rec: 1000 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Nv_t�al -Ifpl -`i;4ft-Pr0PT=T'-qTW 6 :nor 1 713.13 of the Florida Statutes, the following infbrmat�on is provided in the NOTICE OF COAMENCEAWNT. 1111610 its's " — , --FRRMNW�l 1 Owner Information a) Name and address: Me- Q 1;-,) G' P- -7 FX ;ND" b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 9, e 0— 4. Contractor Information a) Name and address: b) Telephone No.: 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: 6. Lender a) Name and address: W �M 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: iJ I A b) Telephone No-: Fax No. (Opt.) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713,13(l) (b), Florida Statutes: a) Name and address: �j 't a b) Telephone No.: Fax No. (Opt.) 9, Expirationdate f Notipe of Commencement (the expiration date is one year from the date of recording unless a different date is specified):_ A WE' 13i" KNJ) Ell 11 1 1 1141 MIA A W, 1 6" 1 1 STATE OF FLORIDA COUNTY OF PASCO Signalture OF Print Name a The foregoing instrument was acknowledged before me this JS day of OC40 16eA— 200by 1Y)eA AV) akj'�-- �CA as <04j .lie,...`...... — (type of authority, e.g. officer, truitee, attorney in fact) for (name of party on behalf of whom instrument wasv.ded), PersonalkA Known OR Produced Identification NOT, Siwat]OT�&— Type of Identcation Produced f--t—cy Name(print) P)-79��d V STYLid5�X'T— Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief FORMSMOC r"4007 SipvtwofN*w=lPtnrxxxS%pkzi&Abrrv- Notary Public State of Florida Mary V Stewart MY Commission HH 017269 Expires 07/16/2024 0. g . ° `ar STAFF OF FLORIDA, COUOF PASCO NTY THIS IS 10 CERTIFY I THAT THE FOREGOING IS A h TRUE AND CIORRECT COPY OF THE DOCUMENT ON FILE OR OF RL !BI-IC RECORD IN THIS OFFICE WITNESS MY l-!AN D AND OFEICIA€_ SEAL THIS F ,\ F =y it y f" if ,_.e.._ �.... NIKKI ALVAREZ-SO , CLERK & COMPTROLLER �� BY DEPUTY CLERK