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Home My WebLink About21-3226City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 131311-003226-201 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/19/2021 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. 0 before recording your notice of commencement." 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 PEfAIT OFFICE() ITHOUT APPROVED INSPECTION I III Ili 11 11 813-780-0020 City of Zephyrhills Permit Application Fax-8 13-780-0021 Building Department 115 mom as ass - PW m At as OwnersNa''e Owner Phone Number Zy Owner's Address ec�c I LIP Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # 0-'ZA-(XA0- SUBDIVISION PARCEL to# _LL (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE '50, SFR r5Zr COMM OTHER E_ TYPE OF CONSTRUCTION BLOCK /ffi FRAME STEEL DESCRIPTION OF WORK 0-A6COM-OVI� 4- ft�Z_1,421 'SZ) 20 f 14T:Ln3lk� BUILDING SIZE I SO FOOTAGE = HEIGHT UK x x Alk lux IV x X Ulu X, x x lux lu It x x v V xx]U W-W wx X"Uxxx•X'U'X'JUU W B. k Ic x x x xx x X lu x-xU x x Ar lux x t cx-. X-r lEnkull-DING 1"i52-_S- VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING $ -------- =MECHANICAL 1VALUATION OF MECHANICAL INSTALLATION $ =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ----------- ------- ------------------- -0 BUILDER COMPANY C SIGNATURE REGISTERED ICVN FEE CURREN L-1, N Add' License ELECTRICIAN COMPANY SIGNATURE REGISTERED Y J N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED FEE CURREN =1 N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED FEE CURREN Address I License # OTHER COMPANY It A& Uhh SIGNATURE REGISTERED LN ' FEE CURREN I Y/N Address L3 -7Z-"License # tat*#*/a, ttst1111 1111ttlat its* t###*1 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 clumpster; 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 Zephyrhills Permit Application Fax-813-780-0021 Building Department NOTICE OF DEED 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 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 to contact the Pasco County Building Inspection Division —Licensing Section at 727-947- 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 1, 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, CONTRACTOR'SIOWNER'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 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, Welland 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 "W 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 of 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. 12-VA111"11,7114" FLORIDA JURAT (F.S OWNER OR AGENT�.�� CONTRACTOR Subscribed and sw,o,,��nn to {or affirmed) b fore me this IlSubsq 11bed an am to r ffir-m ) b a iVe this 1_1 %_ �Z4 Who is/ara personally known to me or has/have produced !WW-ho' I personally known to me or has/have produced as identification. ,�erso�,y MM_2MX!= as identification, Notary Public Notary Public Commission No. Commission No, 1,3� Il, (51C0 2- it 'I T-1-V VJ Ka —me of Notary typed, printeb or stamped Name of Notary typed, typed7prifited 4r stamped SZEI�C- Cf _;o!�da -kv vv000a� `46217 03 14 �C 2 01on" a0l M,�s a Q 6 tNSTR#2021237389OR BK10477 PG657 Page 1 11/0312021 08:55 AM Rcpt: 2373882 Rec: 10.00 IDS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller I State of Florida ParcelIDNo 11-26-21-0010-09500-0010 NOTICE OF COMMENCEMENT county of fa—SCO 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: 1. Description of Property:, Parcel Identification No, 11-26-21-0010-09500-DOIO Street Address: 38021 8TH AVE, ZEPHYRHILLS FL 33542 2, General Description of Improvement Roof Replacement 3, Owner Information or Lessee information if the Lessee contracted for the improvement: ACADEMY OF SPECTRUM DIVERSITY INC Name 4-" ZEPHYFIHILLS FIL dyes City State Interest in Property: OWNER Name of Fee Simple Titleholder: (If different from Owner listed above) Address State 4. Contractor: Name ev A rjEfe Tampa FL of 6s city State Corittaqar's Telephone No.: 813-264-5690 5. Surifty: Address city State Amount of Bond: $ Telephone No.: 6. Lender: Name Address city State 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 Telephone Number of Designated Person: City State 8, In addition to himself, the owner designates of — to receive a copy of the Lumofs Notice as provided in Section 713,131 1)(b), 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. Underpenalty 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, or Owner's or Lessees Authorized Officer/Di rectur/ParinertManager Signatory's Title/Office The foregoing instrument was acknowledged before me this J—day of 20,2/, by r— I',-, -fr-) VA 4. (type Of aut,h`odt,y, e,p., off icer, trustee, attorney in fact) for (name of on behalf of whom instrui nt was executed), Personally Known 0 OR Produced ldantificati-wlfr�Notary Signature Type of Identification Produced Z Noma (Print} 7Sr?�7 I 1-1-1— ::8 0 :N�N I E A M E�N D A Ei y LMX P blic S rlda Notary Public -State of Florida 2-54 Commission C "on HH , 17 Commission 4 HH 117254 daQ mM9nq&9M �&ftiiiti%pr 14,20R5 City of Zephyrhills 5335 81h St Permit No.: 3 2 '��l � 1, licensed under Chapter 468, Florida Statutes as a(n): Contractor Engineer Architect— Building Inspector License No. 2- On or about—Al:3 �2- did personally inspect the: Check: Roof Deck Nailin Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Stick 4 Other (List) zm�= Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based o Section 553,844, Florida Statutes), Signature: STATE 0 FLORIDA IVIOHUC11'13�151L00 Section,553, Signature: COUNTY OF PASCO m--.ary Put.11itc state of Fionda �,'v We oda 11 3G 217 Sworn to and subscribed before this day es 03" 1964, Notary Public State oTTrorida C�