HomeMy WebLinkAbout21-3209IIS
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
tftff 111104,014,
BGR-003209-2021
Issue Date: 11/16/2021
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.
117 71111 ITIFIRVItII
$ - I . . 0 0 0 0
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
1A IQ Z
CONTRACTOR t�"TURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813-780-0020
City of
Zephyrhills Permit Application
Fax-813-780-0021
Building Department -:7N 5_q90
Date Received
Phone Contact for Permitting
Owner's Name
C_e,
(20OP-SPI
I
Owner Phone umber
Owner's Address
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
i Ln �m�i
d
LOT #
SUBDIVISION In ftot
PARCEL ID#1
n1QQ 0!0ML2—
tD a_n
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT SIGN DEMOLISH
e
INSTALL
REPAIR
PROPOSED USE
SFR
COMM OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME STEEL
DESCRIPTION OF WORK A-�& zbot Veakeg-, -\-�PQff)F A -pm,_ pks uJAJowthail niuvyl_,i� sk(,V,
I . I
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING 1 $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
4*4 0444-*44-�,
BUILDER COMPANY 1104w�74IX3�IoA- LL
SIGNATURE REGISTERED Y/N FEE CUFiAEN 1 Y/N
Address I 4qui -�Viv&abmz_ Ayk oLicense# I crLa
V
ELECTRICIAN COMPANY
SIGNATURE REGISTERED / N FEE CURREN Y/N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y N FEE CURREN
Address License #
OTHER COMPANY
SIGNATURE REGISTERED LILN FEE CURREN L11N
Address License #
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, Stormwater 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
813-780-0020 City of ZephyrhU|g Permit Application Fa»-813-780-0021
Building Department
NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "dewd^restrictions" wmid, may be more restrictive
than County regulations. The undersigned assumes responsibilitycompliance 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 tocontact 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 nuntmctor(a)sign portions ofthe "contractor Block" «rtkis
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 mpermitting privileges inPasco 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, aamay Undue, will beidentified atthe time oxpermitting. |t is further understood that Transportation Impact Fees and Resource Recovery
Fees must bapaid prior mreceiving a"certificate ofoccupancy" orfinal power release. |fthe project does not involve mcertificate m[occupancy u,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
topermit issuance maccordance 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 |. the applicant,
have been provided with acopy ufthe "Florida Construction uv+ Lien Law —Homeowner's 'ionGui�oprepared bythe Florida Department of
Agriculture and Consumer Affairs. |fthe applicant |ssomeone other than the ''mwneC|certify that | have obtained mcopy nfthe above described
document and promise in good faith todeliver it tothe ^mwnn,^prior tocommencement.
CONTRACTOR'S/OWNER'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 |nthe jurisdiction. | also certify that |
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions |
must take mueincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection -Cypress Beyheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Diotrict-VVe||a, Cypress Bayheado, Wetland Areos, Altering
Watercourses.
- Army Corps ofEngineors-8eavvo||s. Docks, Navigable Waterways.
- Department of Health @ Rehabilitative Services/Environmental Health Unit-VVe||e, Wastewater Treatment.
Septic Tanks,
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation Authority'Runwmye.
| understand that the following restrictions apply tothe use offill:
- Use of fill in not allowed in Flood Zone ^\y' unless expressly permitted.
- If the fill rnohaha| 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 bythe State ofFlorida.
- If the fill material is to be used in Flood Zone ''A^ in connection with a permitted building using sham wall
construction, | certify that fill will be used only b>fill the area within the stem wall.
If fill material is to be used in any area, | 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 |eao than one (1)
acre which are elevated by fi||, 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 mthis affidavit prior tn
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 inthe 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 ofsix (6)months after the time the work iacommenced. 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.
wmo is/are personally known u,meu,xbommveproduced
as identification.
Notary Public
Commission No.
Name of Notary type StA1t*-pdubhC - State Of Flona—a
my Comm. Expires Aug 5, 2025
Bonded through Nationa[ Notary Assr.
RM
bed -and 4',(or affirmed) before Te this
cvw���m o,xaa�pr
oduced
as identification,
fl,tA_ i=u�_Notary Public
^ \`
Name of typed, printed orstamped
INSTR#2021243976OR BK10483 PG1420 Page 1 of 1
11/10/2021 02:12 PM Rcpt: 2377358 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez -Styles, Esq., Pasco County Clerk & Comptroller
Permit No, Parcel to No
NOTICE OF COMMENCEMENT
State of I 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 Common t T6� 1, Description of Property; Parcel Identification No !te f
Street Address:
2. General Description of
3. Owner Information or Lessee information if the Lessee contracted far the improvement:
1 Nam
A
-Az'z
Addrasa
city
State
Interest in Property; -w4muk--
Name of Fee Simple Titleholder:
(if different from Owner listed above)
A:
4. CO-11UGIC V, -
city
state
171
Address
Contractors Telephone No.
& Surety;
Name
Address
City-
state
Amount of Bond:
Telephone No.:
B. Lander.
Name
Ar
Address
city
State
Lender's Telephone No.:
T 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: M
W
LIJ -j
8, In addition to himseff, the owner designates of < -j
to receive a copy of the Liener's Notice as provided in Section 713.13(l)(b), Florida Statutes. fQ W Ut- ly
Telephone Number of Person or Entity Designated by Owner, (D 5
Z
ct) -j CV
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to fil 0 <
contractor, but wilt be one year from the date of recording unless a different date is specified): 0 0 W
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEME W
X Uj
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13, FLORIDA STATUTES, AND CAM 0 2:
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST I,- L In L'
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSUY Uj L,
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
C) LL
U- --j
Under penalty of perjury, I declare that I have read the foregoing notice of ment and that th stated therein are true to the b >- LU C) 0,
of my knowledge and belief.
STATE OF FLORIDA Z W
COUNTY OF PASCO _J <
Wk
Owner's or Lessee's Authanzed U-
artn gar LU =) z
X 13- < >-
a Cr U_ :r < N -
Signal a Title/Office W 0 0 >-
0
The foregoing instrument was acknowledged before meisday of 20by
,
as (type of authority, a.g,, officer, trustee, homey in fa In W
U) j
in shelf of whom
tm*w
Personally Known 0 Identification z _QR Produced Identification Notary Signature
1 0 z
Type of Identification Produced Name (Print) In
wpdamlbr noUcecommenc,ement-pcO53O48
City of Zephyrhills
5335 811 St
Zephyrhills FL 33542
(813) 780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.c.
licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer — Architect— Building Inspector
LicenseNo, 0 IP-7 6
On or about did personally inspect the:
Check: Roof Deck Nalling____��_ Dry in Flashing and Drip edge
-Check which was used: 30# felt— Peel and Stick Other (List)
Based upon that examination, I have determined the install
SwoMand subscribed befor this ay
Notary Public State of Florida
BY 0 William B Iacono
My Commission GG 354305
Expires 10/04/2023
Notary Public State of Florida RliiEl