HomeMy WebLinkAbout21-3392 (2)City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 ELCMISC-003392-2021
Phone: (813) 780-0020 Issue Date:
Fax: (813) 780-0021
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.
!I 11111RIMPI I I Plifl7i 1111 11 11 1 Jill
23131��Mi
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
PEfIT OFFICEC)
ITHOUT APPROVED INSPECTION
1. 11 * ffiffiN11,11, li;�-i
wil'
813-780-0020 City of Zephyrhills Permit Application iql 3 3 (, ), Fax-813-780-0021
Building Department
Date Received I I Phone Contact for Permittin-q W13 ) 2_3 f
Fee Simple Titleholder Address
JOB ADDRESS
Ue>6
IY141fl
ze- Id 14
&
LOT #
SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN
DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
X11
BUILDING SIZE
SO FOOTAGE
HEIGHT
==
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
E:ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING rz ---------------- I
1,P I
=MECHANICAL I VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER
F
COMPANY
SIGNATURE
REGISTERED
Address
ELECTRICIAN
COMPANY
SIGNATURE'
REGISTERED
Address
e). AM
PLUMBER
COMPANY
SIGNATURE
REGISTERED
Address
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
Address
OTHER
COMPANY
SIGNATURE
REGISTERED
[Y/ N
FEE CU'RREN
License #
YIN
FEE CURREr,
License #k
_1Ly1LN
_=H�_�
FEE C U—RR—EN Y
License:==
��FEE
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License
FEE CURREN Y/N
License #
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RESIDEATIAL 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/ Slit 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.
4
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500)
Agent (for the contractor) or Power of Attomey (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 Applicatio Fax-813-780-0021
Building Department
r------- - a
Date Received Phone Contact for Permitting
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F!�sv& jgert ... 9f Z— LOT #
SUBDIVISION PARCELID#1 0)'/6) 1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
PROPOSED USE
M=
INSTALL
REPAIR
SFR
In
Comm
BLOCK
FRAME
F 2 .
I SCE FOOTAGE
=MECHANICAL r& -------------------- I
GAS ROOFING
FINISHED FLOOR ELEVATIONS
HEIGHTF /Y
AMP SERVICE PROGRESS ENERGY W.R.E,C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
C"
FLOOD ZONE AREA =YES
BUILDER COMPANY
SIGNATURE REGISTERED —N FEE CURREN
-'#F jzx - -cor Address Lif - License..._ I - q -7 Z-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address E19=15L ET=Z 5EVE License#
PLUMBER COMPANY
SIGNATURE REGISTERED =/N FEE CURREN
Address I License #
MECHANICAL COMPANY
--T-----T—F--E---
SIGNATURE REGISTERED Y/NECURREN
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN ==N
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 wl 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. Ali 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. (AIC upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
333MEMSEEMOM
INSTR#2021253338 OR BK10491 PG3350 Page 1 of i
SIH 11124/2021 10:14 AM Rcpt: 2382457 Rec: 10.00 DS- 000 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Ptimd No,
! - �10 I � � =M
StXc, tA --Elorida Counly 01
UWERSX:;NED t"dw, notaae dvil iaqwwLowv4 vA be fm-Xb- to certain real psopecty, and in accordance Veth c2optor 713, Fb6da StabAm
in thi.;
11-26-21-NlG-14200-0140
st 55M 18th-St ZephvyhiHs, R 33542
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$FATE CC FLORIDA jl
COUNTY Of PASCO
Sqyutum of Own& 6i Lessee, cmw of 's Audwxaed 'his 0
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Nwelyoukq ff'�gj"nwm (I_ %y Of 20
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NOTARY PUBLIC
'59 STATE OF FLORIDA
Comni# GG31 D501
Expifes 3/11/2023
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GRAPHIC 5C-41-7 (In Feet)
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NOTE.
BEARINGS SHOWNARE BASED UPON
RECORD PLAT OR DEEDVESCRIPTION
ROM
W COA`P1.1AVC,-W7WFZ,0RVA STATUES 61G17-8.00,71f,9M, IFLOCH HWOF
EASEOR RlOffr-OF-WA YOFRECORD, OMER MAN THOSE ONRECORO
FU'FISREOlItRED,7'HISINFORaTA77OA!AIUSTBEFURfft$MEDTO
THE SURVEYORANO RAPPER,
4
GENERAL Aft) TES:
1.1 EGALDE$r-RIP770PPROV70EDBYOTHERS,
2) THE LANDS SHOW HEREON WERENOTA6VIRACTED FOR EASE rYT9
OR 077fFR RECORDED SPICUMBRANCESNOrSHOWN ON THE PLAT,
1UPROVEREAT S iWU NOT 1, = 7FZL
R WALL 77,15 AP6 TO ThE FACE OF THE WALL A NO
ARENO-gTOBEUSED rORECOVSTRUCTSOUNRARYLWES,
51 ONt Y WSIBLE ENCRO4ChWff7-. L OV TED,
61 MO IDEIVIVICA nVffFMW LIT V-rRq 0 Z5URF 077,57PMF SHMI
7j GIguENSIONS SHOM, I A RE PLAT 4.N0 VSMSI M I RT.ESS 07?!r , SE Sffim-
61 PENCE MWERSH4P NO 7 DE17VIM-NED.
gr) a EVA 77ONS IFS ARE'SA SED UPON N0, KA UNIZIESS OWRWSE NO TED.
Uj 101 RE4RIN(;S REFERENCED TO UNTNOTED 5-k
= 11) MIS SURVEY DEPICTED HERE POWS A CLOSED GEOHMIC RCURE.
LIJ fh NO UNDERGROUND PFROWW-M OR VISIBLE ANSTALLA 77ONS
HA VE SEEN LOCA TEO OTHER Tw SHOWN,
f31 A4L 7TVVEDANGLES ON CURVESARESHMIN, To THE CHORDPISTANDE
a- 141 TM SURVEY18 FREPARED FOR INEfiXCLUMIEUSEANDBEIVERTOF THE
to PAR77IF-SW70HEREOR. LARWY TO THIRD PARIIESDA YNOTOF
tRANSFERRED OR 4SS'9AEV,
1.4; NOWE TWS -ORA KV Y�A Y NOT BE TOSCAL 6 DUE TO ELEC TROPIC TRA P$F,17?
161 POTICE:77fiS DRAOW, PREPARED IN COLOR, SURVEYVVIO FROTIV COLOR.
181 FENCE CORNERS AND HUMNO CORNERS ARE MMSS NONMEM
idol
y 7,
B99OCK10 Ct l BLOCK 142
t
O41
140.00' P.
140,455' M. FV.
1/2' 1A LOT 10
10-7- 43 BLOCK M2
8bXK 142
Legal Description
LOT 14 AND 15, BLOCK 142, CITY OF
ZEPHYRHILLS, FLORVA, AS PER PI -AT THEREOF,
RECORDED IN PLAT BOOK VAGE 54, OF THE
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
Revised Certifications. 1217412005
Community Number, 120235 Panel., 0005
SuMix C FI.R.M. Date. 12,117119.91 Flood
Zone. X
Field Work. IIIJO12005 Completed. 121112005
Certified To.
77MO77-IY P. SA WDGE AND KATHLEEN ZUKOSKY;
Meridian Title Company, Inc.; Attorney's Title
Company, Inc.; Master Financial, Inc., its
successors andlor assigns.
Property Address:
5506 18th street
zephyrhills, Florida JJ542
Survey Number: 0-156157
FOR REFERENCE Oft Y
NO-7VAL—OLIDLESS MLED wim mossEv SEAL
UNI- ESS THE SUR VEYOR'S ELECTRONIC SEAL IS A UTHORIZE
LERERO PHOTOCOPYING FORBIDDEM COPYRIGHTED MATERIAL.(
WOOD FEPOE )CA F014%1V
P, 7R5 FENCE itR, NOURAWL CONC BLOCKWALL
PR,7P--MrCORNER 0,RL MISME41741NER COVERED AR&
4N &MBENCHMARK PPPOffRPOtE a= CONCRM
EXCR ENCROACHNEW 7x TRANSFORM P. nELDREASURED
CATV CARLERWER A PLAT""