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City of ,Intl epIII II I
hyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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BR-003171
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Issue Date: 12/15/2021
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
SIGNATURE PE IT OFFICEt)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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Permit No.
INSTR#2021243913OR 131<10483 PG1 304 Page 1 of 1
11/10/2021 11:39 AM Rcpt: 2377311 Rec: 10.00 DS: 0.00 IT: 0.00
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NOTICE OF COMMENCEMENT
State of County Of
THE UNDERSIGNED hereby gives notice that improvement Will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided In this Notice of Commencement:
9. Description of Property; Parcel Identification No. 02-21, -24 - 00 Lin - 0 Xopo- M2-o
Street Address: _6L&O _)ALIM 0. bAb WPHYiZ t4i LLS , r-L 33sv 2-
General Description of Improvement P
Owner Information or Lessee Infonnation if the Lessee contracted for the improvement:
Interest in Property:
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address n city state
04. Contractor: Z A 41Z44::4_ i e-,,., k .
6 'k oName I
Address - city state
Contractor's Telephone No.: SLZa--y1-2 �--2 y
5. Surety:
Address
Amount of Bond: $
6. Lender.
City
Telephone No.:
Address city
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Address city state
Telephone Number of Designated Person:
8. In addition to himself, the owner designates of
toreceive a copy of the Lienor's Notice as provided in Section 713.13(1)(1)), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of 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 OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE 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 ATTORNEY 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 my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee, ciir-Twnees or i Authorized
Officer/Director/Partner/Manager
F
v e- CA
Signatory's Title/Office
The foregoing instrument was acknowledged before me this eday of A[Q 0")v - 7
4 20U by FA 0 C-
5 U- F-Z-
as — (type of authority, e.g., officer, trustee, attorney in fact) for
on behalf of whomAVstrument was executed).
Personally Known 0 P_R_ Produced Identification 0 Notary Signature
Type of Identification Produced '1
'-� 11—
�'Tq Ug6n&�� Name (Print)
I
JA06UMMEMS
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N' C.Wli # GG 276W
Expifin December 12,2022
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wpdaWbcs/noticecommenrement_pc053048
813-780-0020 City of Zephyrhills Permit Application
Building Department
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Owner Phone Number
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
(0 1 0
LOT #
SUBDIVISION
PARCEL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONITR
ADDIALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
R,erna
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DESCRIPTION OF WORK
;
BUILDING SIZE
_r_r"rT1r
7 771
=
SQ FOOTAGE
HEIGHT
BUILDING
VALUATION OF TOTAL
CONSTRUCTION
HEM
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
<� 17
v -7, � 5
VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER 0
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY r
SIGNATUREr ex REGISTERED Y /!N�FEE CURREN Y/N
Address License #E=====
ELECTRICIAN COMPANY EQo; L"
SIGNATURE REGISTERED FEE CURREN
Address License #E::::===
Er ',fir RE
PLUMBER COMPANY r
SIGNATUREREGISTERED N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY E;;;;;
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License #E====
OTHER COMPANY E:Y��FEE C�URREN
SIGNATURE REGISTERED
Address License #E=====
11111 11111111111111111 ltillifil 111111 111111 111 111111 111111 11
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 Plansvv/ 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, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I 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.
11 11-4 1 11 11 11 1 1 1 11 1
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 F DEED EST ICTIO S: 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.
UNLICENSEDCONTRACTORS AND CONTRACTOR E SI ILiTIE : 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 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 I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFI AViT: 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, Wetland Areas and Environmentally 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.
- 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 o€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.
WARNING TO OWNER: YOUR FAILURE TO EC NOTICE F COMMENCEMENT Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
iTFI Y URLENDERORANATTORNEY8EFORERECORDINGYOURNOTlCE0FOMMENEMENT.
FLORIDA JURAT(F.S 9 .03)
i
OWNER OR AGENT ' CONTRACTOR � , `--
S bscribed and ewer t (or affirmed)before me is ubscribed ands rra to or affirmed}before me this
� �o is/are per onaIiy know o me or has/ha a produced o is/ar rsgnail tQ me or has/have p duced
identification. as identification.
Notary Public Notary Public
Comm sion Commission No.
.gam,
iACQUELINERQGES :ar«°pY ..e JACQUELINESQGES
Name of Notary pad sn Name of of ppd,
a= Expires€ ceMber t2,2022 �;Expires D rat r 92,2022
:FOP f&: Bonded Tiuu Trop Fain insurance
2049 ;" Eo d Ttwu Trop Fain insurance 20t9
have read and fully understand and agree to the
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by — said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
OWNER'S SIGNATURE)q-��4— DATE X)
PHONE
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4' MAX.
FROM
CORNERS
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O.C. MAX.
Installation Notes:
1 . Seal flangetframe to substrate.
2For anchoring into metal framing, use #8 TEK Self Tapping screws with sufficient length to achieve a
minimum embedment of three threads past the frame thickness. Locate anchors as shown in
elevations and installation details. Steel substrate min. 18ga., fy = 33 ksi.
3. Host structure (wood buck, masonry, steel) to be designed and anchored to properly transfer all loads
to the structure. The host structure is the responsibility of the architect or engineer of rccord for the
project of installation.
This schedule addresses only the fasteners required to anchor the
noted. It is not intended as a guide to the installation process and does
fJ
not address the sealing consideon that may arise in different wall rati%
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conditions. For the complete installation procedure, see the instructions
packaged with the window or go to www.jeld-wen.com.
ZONWe40"
DISCLAIMER:
This drawing and its contents are confidential and are not to be 202102.03 05:15:29 -06'00'
JOSEPH A. REED, P.E.
reproduced or copied in whole or in part or used or disclosed to others nortda FZ 55m, mm. No. =47
Natimmil CarUned 7 yj:A�
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General Notes:
e 1 The product shown herein is designed, tested and manufactured to comply with the wind load crit I
of the adopted International Building Code(IBC), the International Residential Code(IRC), the Flod
Building Code(FBC) and the industry requirement for the stated conditions.
2, All glazing shall conform to ASTM E1300.
3. At minimum, glazing shall be single strength annealed insulating glass.
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