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HomeMy WebLinkAbout21-3126City of Zephyrhills r 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. 1 1,111111111111!Iiii, 23131•�� 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: Mffi �` U III ��111 11111�� 1111� IIIIp!!I 11111111 11 11��Ijj 1111111!!111 !1111 111 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' �' f �. COMPANY SIGNATURE �r � REWTt RED Y O N FEE CURREN YJN' E - - �,�� ,., K•-, ti: ,} a � ..,. ., R°,. � R ! r *! �. �,� � .. a' ,� R i' "' � t• •: k C" 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. %r. M wpde not mmencome ntpc053048