HomeMy WebLinkAbout21-3126City of Zephyrhills
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5335 Eighth Street
Zephyrhills, FL 33542
BGR-003126-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/02/2021
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.
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
01911
FEfFOFFICEU
ITHOUT APPROVED INSPECTION
A 0 . 0 0 1 11.4044; A A " INIIIIIIIII
City of Zephyrhills
5335 W1 St
ZeQrhill
Mtara
Permit No..
P "? , c-'If 64 , IV,,A,,'l - licensed under Chapter 468, Florida Statutes as
Contractor �"4ngineer Architect— Building Inspector
License No, -,L'.'C- CC" —Vi, q
On or about—iLl- —2/ did personally inspect the:
Check: Roof Deck Mailing ---�—"—/ Dry in c--- Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick— Other (List)
At the following -
4
Signature:
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va ERICACHASE
My CommiSSION # HH 167947
EXpIRES: SepWrdw 14,2025
Swded Thm Nokvy Pubk WWeWK$($
813-780-0020 City of ZephyrhillsPermit Application Fax-813-730-0021
Building Department r yol
®ate Received Phone contact for Permittin
Hens WarneOwner Phone,Numbor
j
Owner°a,Addr s .. tta l e rear Phone, � hxrtahar ;
Fee Simple Titiehol4er, Name Owner Phone Nomber
Fee SI ple `ritiahoide'r"Address
J *' � i iWORK
UIL iNC 'VALUATION OF TOTAL CONSTRUCTION
LECTRICAL, $ ,AMP SERVICE � PROGREBSINE14GY
PLi1hA131NC
MECHANICAL
VALUATION OF MECHANICAL
INSTALLATION
=GAS
ROOFINGSPECIALTY
OTHER
FINISHED FLOOR ELEVATION
FLOOD ZONE AiREA
YES NO
"�
BUILDER
NY
TRE7T:RE
,
,
SIGNATUR
Y'! N FEE'CURR�h., "
Address
License # -
ELECTRICIAW
COMPANY
SIGNATURE
sREGISTFRED
Y'/ N ' 'FEE CURREn-
Address
License
PLUMBER
CbMIPANY ,
SIGNATURE
REGI0
Address
LiaRse
��.
MECHANICAL
COMPANY 'E
�FEECU�RREIIY1'Pi
SIGNATURE
REGISTERED
Address
License
OTHER' �'
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�.
COMPANY
SIGNATURE
�r �
REWTt RED
Y O N FEE CURREN YJN'
E
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NOTICE T I TI ,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 restrigtions,
UNLICENSED T T iAND CONTRACTORf ILITI : 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 notate law. If the owner or intended icontractor4 are uncertain as..to what Iicensing,,x requirements...,may..applyfor the
,x
intended work, they are'advised'to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has trhired,a,contractor or contractors,.he is.-advised,.to,have,,the a}contractor(s) sign
portions of.the "contractor -lock",of this,-appli tion for,which they."will,be responsible.,..If you,k 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,AIMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse recovery Fees may apply to the~constrpction of,,new,;bulldings, 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.pndersigt od°-also understands, that such fee , as may be duet,will be identified?fat 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 linvolve 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 paid.prior_to permit issuance in accordance�wlth applicable Pasco County ordinances.
CONSTRUCTION I a tort 1 , Florida tatute%as amended): If valuation of work is$2,5OQ,QOormOre4
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-1 have obtained a copy of the above described document"and:.promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRCONTRACTORS/OWNER'S/AFFIDAVIT: 1 cart°r ghat all the informationin this appli c :ton Is:acgar ate and that all work..
will be done in compliance with all applicable laws regulating construction, zoning'and Ian&deVeloPment. Application tion is
hereby made to obtain a permit to do work and linstalltio'n as indicated. I s certify that no work or installation has
commenced,prior to issuance of a permit and that all work will be performed to meet standords 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
g e and agencies
include. but
a a not re
of Ii t dito:- Sensitive
Department of Environmental Protection-Cypress Bayheads, a
Lands,waterIWastewaterkTreatment.
- 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- 6Ilsi ante ter,z'Treatment):
Septic Tanks.
- us Environmental- rotectiont gency«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 iZone l"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 x,
licensed by the State of Florida.
If the fill material into 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 fili-the'area within the,stemwall. .
if fill material is to be jsed 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 adjacentwproperties- 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 whichtare,elevated oy.,ill,an engineered drainage plan is required
If I am the AGENT, 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,"nonspecifically.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
within six months of permit iissuaince uord shall become invalid if work authorize
d by
unless:the."work,authori e byn such'pern"tit is commenced
the permit is suspended or abandoned for a period-of`six(6)months after the time µthe°work is°contrnen d An extension
may be requested,:in writing, from the,.Building,Official for a'period not to exceed ninety ( 0) days and will demonstrate.
justifiable cause,for.the extension. If work ceases for ninety(90)consecutive.days,the_job is considered abandoned.
WARNING TCEOWNER,• YOUR FAILURE T YOUR PROPERICE OF COMMENCEMENT MAY RESULT IN YOURS
TY, YOU INTEN T " AIN FINANCING,CONSULT
PAYING IC FAR IIR yyy Ag yt
coN cTOR
OWNER OR'AGENT Subscribed and to(or attira�®d) aforee=:ryas.
ubscribasd end swa>rn,#4{draffi ed)°6aford_mfhis ,�_ � bY
byWho is/are p onaii ern to me=t�rhas/have.prgduped-
Who is/are/are personally known to mss identificationproduced as identification.
Notary ublic
Notary Public
commission No.
commission No.
e
ed, rinted or stamped Name of aatary typ d> rinted'or . r pod
dame of Notary hip P
�w:e�iw,. CARL0S MALD0NAD0
,:. Commission#GG 346275
Expires June 18,2023
'° °, Bonded Thru Troy rain insurance 800385.7019
INSTR# 2029 233500 OR BK 1 43 PG 1 Page 1 of 1
10/29/2021 11:26 AM Rcpt: 2371973 Rec: 10.00 DS: 0.00 IT: 0.00
r Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parhel ID No
NOTICE OF COMMENCEMENT
State of /� ®/ud/IT County of I su
THE UNDERSIGNED hereby gives nofloe that Improvement will be made to certain real property, and in accordance whh Chapter 713, Florida Statutes,
the following Information Is provided in this Notice of Commencement
1. DescripNar of : Parcel Identllication No. 11 "1-4 -�- l - p 6l0 — / b'?UD —DO"y
StreeliAddness: r Q y s .S"L"µ 5r '7-&71)M6L) .1 Z- -
2. General Description of Improvement
Owner Information or Lessee Information If the Lessee contracted for the Improvement
city state
Ingest in Property:
Name of Fee Simple Titleholder:
- (If different from Owner listed above)
Address Al%tti/ /-®d�lAJli
Gty
Sate
4. Conhacmr.
Name P0Address �� l3tfi3
/
S�- sp 7'- 50,E `V
city®��
smote
Contractor's Telephone No.:
5. Surety:
Name �--�
Address --
City
state
Amount of Bond: S
Telephone No.:
v-
8. lender.
Name
Address _•-
City
State
Lender's Telephone No.:
7. Persona within the State of Florida designated by the owner upon whom noloss or other documents may be saved as provided by
Section 713.13(1xa)(7), Florio.SmWtes:
Name <---..-
state
Telephone Number of Designated Person:
r
8. in addition to himself, the owner designates crf-
-- to receive a copy of the Us noes Notice as provided In Section 713.13(1 xb), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement (tine expiration date may not be before the completion of s nexloh and final payment to the
oontrscl r, but will be one year from the date of recording unless a different date Is specliflady
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OVTHE NOTICE OF COMMENCEMENT
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, t:ON5ULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are hue to the beat
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slg Wre of er Ownor L , or Owner's a Lessee's Authorized
Offlcer/Director/Partner/Manager
Signatory's THWOMo ®® "_ �(
The foregoing Instrument was admowledged before me this day of 's-
0;g by ghAA �� to
85 (type of authority, e.g., office, trustee, attorney In fact) for
(name of party on behalf of whom Instrument was executed).
Personalty Known ❑ 0 Produced Identification 19-1 Notary Signature
Type of Identification Produced ' n d . k5 (n c t nc c' Name (Print)
`., SUSAN A. MORROW
z �.h Notary Public . State of Florida
- y Commission # GG 944754
?c. � ?. My Comm. Ex"'es Feb 25, 2024
^bonded through National Notary Assn.
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