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HomeMy WebLinkAbout21-3132City of ZepIII hyrhilis 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 ing a M n BAC-003132-2021 Issue Date: 12/02/2021 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice f0a f I rtp�c�ft IfrIj accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PEJW&� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER DocuSign Envelope ID'. 5AD337C5-310E-4558-A4CC-179810DA36A7 81-7800020 City of ephyt-hills Permit Application Fax-8;n..7€11a0021 Building Department q Slate Resolved ^ Y � phone Co atnc,t for Parrnittin r to ( 41 QM ...j 2 2 "1 47 r .0 5 Owner's Name B ue ��rsrc Oroa s ar pfrona Ncarvrtaor { � 1 it) 6 r S � 3 3 7 0 � _ _... _ _ BOX - 2. > t r 'D1069112 � r� Owner's Add ssl c tT 2 3) 4 69 , f, 0 4 __�_ _.�.... ..._._.,..,...�, .. _. ._ _... ..._._._..t Owner Phone Nur€abar I .. Fla Simple Titleholder Nato d ue t'ritor. Brands Owner Phone Number �........ ... _.........___,,. .,.._.-m.._..._.. ._,.___......_._., Fee Simple TI leholder Address JOB ADDRESS 1 4330 2Ui_ a cap ZePhyr}7 �l7.S, nT. 3 542 i .....__. .._ .. _. _ __...... _ ._ _ i LOT � �.._.._._ l__.....__. _.___ �........._.._._ j N/A 3._1.. -23. 007 g-O t<t(10 C 000 SUBDIVISION(.,__._..._..,._.............__.._......_....._...._.....___.._.. PARCEL to# toL§rRINEQ FROM PRQF'FRTY TAX NQTMf-j WORK PROPOSED NFW COOP TR [ � ADDIAL-I SIGN �___ f)ENI01"Ist-i 1....__ __.....i 1 INSTA_k.. l REPAIR PROPOSED USE S F l t connIts O f R TYPE OF coNSrRuoTloN Cm:.....� Pt.Oc,K [�� FRAME STEEL ab demo & replacement for new floor drains an p� lumtainc DESCRIPTION OF WORK F31f ............_ _ _._ _ _. _.. _- _...._..___ �SCf t oral a ? BUSLCIPdCT SIZE exist: arz 7!^ 5IS FOOTAGE area HEIGHT g� � �� � x_ __ .. _ BUILDING VALUAIiON of TOTAL CONSTRUCTION (inch.ides cost of MEP I 49>,40t),Cl imz-ade.a below) €ELECTRICAL t� AMP � PROGRESS RGY W.R.E.0 Ea eJw Fx lPLUMBINo ' It'll 1, MECHANICAL VALUATION OF MECh-ANSC;Af. IN,,",I aLLATiON103,633,001 SAS ' ROORNG SPECIALTY IALTY O'IH R FINISHED FLOOR ELEVARON S .�.� . FLOOD ZONE AREA =YraS NO ems' 7 h xCxf<) Rrrnas fnnk.r+e xn CQej��r7) �� BUILDER .-, � COMPANY SIGNATURE. � _. � RFs.s-ERE Y t N W � E c aRc Y ; � I .....r ___r..�..1_.... g, _.. Z;a N Address vr= rx< a r License A C 6 6 7 6 2 Sll�� _ .... COMPANYELE{TF7CiAN aovSIGNATURE ritau 4`t^t`...--._.,.�. AdAddressss �s -ptC eEk Parkway STE400 IndT agapol T S 50 i< se PLUMBER � COMPANY A-1,,,ze2 Pi=bIng & AC SIGNATURE ovis RUG3iFRr,C} AGnisa3sF49�� 1 Actdrass r.tr.t)- 9z1� J .hoc.uigzzat7.:7a.-...._.._._._.,.,,._.-...--,,.;...... ... .. ... .. .. e�lj_. ( MGCF%ANICAl. ! ® y� COMPANY A_ esters of im.x,t "tua kinc ( � 3&Yery 311 errs, .. _. .. ........ _. ..�... �a SIGNATURE 9 0 ezrc?-sr[:.ar o Y l N kFc CURREN 'rid Ae§sasa , a3603 Licensed cRetacsansa°r I OTHER � COMPANY shr"sNATURE f xs'iasrr.eet:ta Nr ci Rrrrti Y ' _._ _ .. Address L � .._......_......._..,. � License # — ................._...__ RESIDENTIAL Attach (2) Plot Plans: (2) sets of Building Plans; {1) set of Energy Forms; R-O-W Perr it for nmR, cans ruction. Minimum ten (10) working says after suSimtool date. Required onite, Constnicetton Plans, `tor€e'ewvater Plans w/ Silt Fence installed, Smnl4 ary Fsci;i?iaa 1 dun'rSrsi e': Sste &io i Permit Per strbtSdv sEorvs iar ge projects COMMERCIAL Attach (2) complete sets of Building Plans] plus a Life Safely Page, (1) set of Eranfpy F orrns. R-O-W €'ermit for new conrutuction. Mlnirnurn ten (I 'I) working days after submittal date. Required or) site, C,onstrm-lion Plans, Stoorittwher Plans vol Silt Fence instancet, Sanitary S=aclli4le5 A I clurr. Aster. Site Work Petrma far all new projects All co;rimerriat t'equire.me nis must satrap compliance SIGN PERMIT Abash (2) sets of Engineered Plans. —PROPERTY SURVEY required for all NEW cons sudion- Direc#lons: Fri out appl 4MIon completely, Owner 5 Contractor sign back of application, notarized If over $250D, a Notice of Commencement is required. (AIR ula9mcles over$7500) `. Agent (for the conUactor) or Pourer of Attorney (for the ornner, would besot neone vath notarized letter €ro€ta owvner authorizing same OVER THE COUNTER PERMIT INO (copy of contract required) peroofs if shingles Sewers Service Upgrades AtC. Fences (PlQbSurvey/Footage) Drivoways-Not over Counter it on public r odes rs- reeds NOW DocuSign Envelope ID: 6AD337C5-310E-4558-A4CC:-179810DA35A7 813780-0020 City of Zephyrhills Permit Application Fox -0l3-7tl0002f Building Oparmnent NOTICE OF DEED RESTRIC71ONS The undersigned understands that this penrrit may be subject to "deed" restrctons` 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 retgulations, if the contractor is not licensed as required by late, troth the owner and contractor may be cited for a misdemeanor violation under state lase 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 Dimion--Licensing Section at 727-€ 47- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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 pnviteges in Pasco County, TRANSPORTATION IMPACTIUTILITIES 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 roasting 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 roust be paid prior to receving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or finar power release, the fees must be paid prior to per lit issuance. Furthermore, if Pasco county Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance Wirt applicable fiasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statuates, as amended): !f 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 --Homeowners 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 CONTRAC TOR'SIOWN R'S AFFIDA"T: I certify that ail this 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_ Anplication is hereby made to obtain a prinnit 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 waif be parfonned to meet standards of all laws regulating construction. County and city codes, zoning regulations, and land development regulations in the jursdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended were, 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 Env€ronntentally 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, FederalAviation 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 Zane "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 stern 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, plurnbing, 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 authonty to violate, cancel, alter, or set aside any provisions of the technical sides, nor shall issuance of a permit prevent the Building official from thereafter requiring a correcflon of errors in plans, construction or violations of any codes_ Every permit issued shall become invalid unless the work authorized by such permit is cormenced within six months of peel issuance, or K work authorized by the pernit is suspended or abandoned for a period of six (6) months after the time the work is cormenced. Ao extension may be requestedin writing, from the Building Offlcral for a Faced not to exceed ninety (90) days and wilt demonstrate justifiable cause for the extension. If work ceases for ninety t901 consecutive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT FLORIDA JURAT IF OWNER OR AGENT c01, ut bed rid swoF" o T r afiarme for ma Sub, to by ire sd e , y known to me or hasrhave of u„ed Min _ as ;ripe t rc t on.f _ M PublicCommis__ _...-_coo�".;.L. -yF.ata.taL.f tC2rid�.- hl me'iif ol�Na GG 2a�3�2> Dec i 3, 2072 and rile or RENA L JONES Notary Public - Strap of Florida Commission # CG 178983 -4, 0fl° My Comm, Ecxpines May 18, 2C21 °4 r", ` '` E3nex,xf Sh;augit l l= ra(P glary, ss Public Permit No, Parcel lL?Nca .3-26-2311-0070 0741000000 NOTICE OF COMMENCEMENT State of Florida County of_Pa a c.'c.) THE UNDERSIGNED hereby gives notice that improvement will be rraade to certain real proverty, and in accordance with Chapter '71 3_ Rehab Statutes. the following Information Is provided In this Notice of Commencement I, Description of Property: Parcel Idenlilu"Al ion No. 1. 3- 2 6 -- 21. -- 0 0 7 0- 0 7 4 0 0 -- 0 0 ta t) Street Address: �a�3'30 20tit St.. , ��.�y `h. l_ ii'Zt `s 3 a92 _.__._. _.. _ _.' ._ _............. .... . _._............ __._...__._.,_,.,..,_ _ 2. General Description of Improvement S lab demo& �"t� �..c"3,C@Rii.-'t"1.§e. L'o?.X' T1S and L?iutTtb1.;".K eaoiSt reinfoxc1.nq lair new CoriVfM',or_ 3, Owner Information or Lessee information if the Lessee contracted for the improverneent T ltieTriton Brands 4330 20th St: ^Ziepz. . A.t _._..... _ FL Address_....,_........._.�....,.,......_._.._..__..__.________..,....,�................_. _. city State__ Interest in Property. Owner Name of Fee Simple'Jigeholder N/A -..._. _._... .. __.............._._...._..... ... .... ...._....._.. ._. _.� _..._........... _. _._..................................... / (If different from Owner listed above) N/A Address State a. Conlriadar: The Whiting -Turner Contracting c°o%any ame 4300 WdNe"int Cvpress Street, Suite 1045 Tam a FL Address City State Contractor's Telephone No.: B 13 - 3 0 2 - 318 7 5, Sure N f A .. Ntartte iN/A. %1%e�`^i N! Address `��` City "h.a-te A mount of Bond$_„_N1 Telephone No- N/ A _.....................__......,.__.,.__.._...,....._....__.._........ - ..... .... .....__ 5. Lender: N f A Name Adriress tasty State Lender's Telephone No.: __ NI I 7. Persons vothln the State of Florida designated by the owner upon whore notices or other documents may be served as provided by Section 713.13(T)(a)(7), Florida Statutes: Shawn S� i,i k mrS0n Name--- _.. e _....._......_......_ 4330 20t h SC. o Zeph:y:tr)'i:1.:1,1 _... _,.._ �. Cim.a_ . Address Ur,y ... State Telephone Number of Designated€"oison:.._..._._..... ............ ......_.....___.__...__._._._._.__._..._....._..._.,.._...._�__.. ..._..._,_ �_�....._, .„.._...�,..__ t. Tyr .nt Vc> ley In addition to himself, the earner designates y of _ 4300 tsesc Conress Street, .vice ? caS. to receive a copy of the Lienor's Notice as provided in Section 713. 1 3(l)(b), Florida StalutesTampa,- .._._.,,..._._......._. _,.._,...._..�...,..� 2-3187 Telephone"Number of Person or Lnfi4y Designated by C aer: _........... _ ........ 9, Expiration date of Notice of Commencement (the expiretlon (fete may not be before the completion a9 construction and final payment to the contractor, but will be one year from the date of recording unless a different date is specified):, WARNING TO OWNER: ANY PAYMENTS MADE BY THE 0WNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED €MPROPE€2 PAYMENTS UNDER CHAPTER 713, PART' 1, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING T2NICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT 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 AFTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Under penalty of perjury. I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of nay NnovAedge and belief. ..... STATE OF FLORIDA COUNTY OF PASCQ Signature of Owner or, Lessee, or Orixner's or Lessee's Authorized Sign rg Tit) /Offs The foregoing instrument was ackmowiedged before me thi. _._..._.._._day cat 20 by Personally Known (I QR Produced Identification Notary Signature Type of Identification Produced -'" _ Name .>hajjAJ cf autiaonty, e.g., officer, trustee, attorney i a for O PA _ Atom in I t wasex" rtctk§'` _ ,.. CATHARAIY BE r i 1 `11 f °P Notary Public State of r,ortda' � a Comrrtisssor, 4 tat, 2u�8i>i1 my C:zrn€*r, E;x>tre5 L1.c' i:), 202;' wseSa#aihrsfraedcec:oraanteraoarrsent pcCl53o�4E3 "R S 4 1, "'k Whiting -Turner Contracting Cc 300 East Joppa Rd. 8th Floor Towson IVID 21286 USA PROJECT: BTB ZEP Li 2 Building Modifications To: F`K,*_JEL'T­1,1lAR,AGEMERT Transmittal LJO 00006 DATE: 10/28/2021 RE: 4330 20th St. - Building Permit Application ATTN: City of Zelphyrhills - Building Department JOB: 019348 Line Item Package Code Rev. QTY Date Description Status 1 Plumber License Permit 10/28/2021 Alvarez License 2 Plumber Tax Permit 10/28/2021 Alvarez Tax Receipt 3 Plumber COI Permit 10/28/2021 Alvarez Certificate of Insurance 4 Plumber Letter Permit 10/28/2021 Alvarez Authorization Letter 5 Mech License Permit 10/28/2021 Air Masters License 6 Mech COI Permit 10/28/2021 Air Masters Certificate of Insurance 7 Mech Tax Permit 10/28/2021 Air Masters Tax Receipt 8 CC C01 Permit 10/28/2021 Whiting -Turner Certificate of Insurance 9 GC License Permit 10/28/2021 Whiting -Turner GC License 10 GC Tax Permit 10/28/2021 Whiting -Turner Tax Receipt 11 Electrician License Permit 10/28/2021 Gaylor License 12 Electrician COI Permit 10/28/2021 Gaylor Certificate of Insurance 13 Electrician Letter Permit 10/28/2021 Gaylor Letter of Authorization 14 Electrician Tax Permit 10/28/2021 Gaylor Tax Receipt 15 Address Summary Permit 10/28/2021 Summary of Business Addresses 16 Notice of Commenc Permit 10/28/2021 Notice of Commencement 17 Permit Application Permit 10/28/2021 4330 20th St cc Luke Schneider Signed (To): Iove, Whiting -Turner Contracting Co lb I b PROJECT MANAGEMENT 1111F INS 300 East Joppa Rd. 8th Floor Towson IVID 21286 Transmittal USA No 00006 City of Zephyrhills - Building Department