HomeMy WebLinkAbout21-34085335 Eighik Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
23131���
BAR-003408-2021
Issue Date: 03/24/2022
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.
10
CONTRA OR Sit NATURE PEfAIT OFFICE[)
IF EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
611ding Department
III �
Date Received `7
Fee Simple Titleholder Address
JOB DRESS
1
-�" �t � a �{� Li3T
SUBDIVISION
„
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADDIALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK ED
FRAME
STEEL
0
BUILDING SIZE SO FOOTAGE = HEIGHT [:j�
BUILDING
� � �y � VALUATION of TOTAL CONSTRUCTION
=ELECTRICAL
{�q AMP SERVICE
PROGRESS ENERGY W,R.E.C.
PLUMBING
=MECHANICAL
� � VALUATION
OF MECHANICAL
INSTALLATION
=GAS
ROOFINGS
SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS �
FLOOD ZONE AREA
YES NO
BUILDER
COMPANY
E;; �FEEURREh
SIGNATURE
REGISTERED
N Y f N
Address
License #f ==
ELECTRICIAN
COMPANY
L & Y Electrical Solutions
SIGNATURE
REGISTERED
Y (N FEE CURREh Y f N
Address 6902 Shady PL Tampa FL 33634 -
License # ER 09797
W
PLUMBER
° a ;COMPANY
� �
SIGNATURE
REGISTERED
Y / N FE�CURREt, Y% N
Address
License
i
ME H I
�OtdIP Y E:;�
�Yf
SIGNATURE
REGISTERED
FEE CURRO,
Address
License
OTHER
COMPANY
E�Y; N
SIGNATURE
REGISTERED
FEE CURREh Y / N
Address Licensew
RESIDENTIAL Attach (2) Plot Flans; (2) sets of Branding Plans; (t) set of Energy Forms; RMO-W Permit for new construction,
.. - - ..—• �. .. __ _ _.._ w___x___n._� a�..__ Px„..M....An.»m Pltauw„—.t 4'FeM �....a..ro Swa.dretlEr.wt
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
q
Date - C Phone. for
JOB ADDRESS
SUBDIVISION F
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
ff]BUILDING
ELECTRICAL
PLUMBING
= MECHANICAL
NEW CONSTR
ADD/ALT
INSTALL
REPAIR
SFR
CORM
ND
BLOCK E:]
FRAME
GAS ROOFING
FINISHED FLOOR ELEVATIONS
IVM-,-*A1107,01[t19III
AMP SERVIC
• r A -
(OBTAINED FROM PROPERTY TAX NOTICE)
OTHER
STEEL
HEIGHT
3TRUCTION f`
PROGRESS ENERGY W R.E.C.
._
L INSTALI-Af Q U
OTHER
r w F
YES NO ` F ,v°.s�x"
BUILDER
COMPANY
N..-
�
SIGNATURE
REGISTERED / N�FEEN/ N
Address
' t I �, I�
License #
ELECTRICIAN
SIGNATURE
COMPANY I «�
REGISTERED YIN FEE CURREN LL_YLN_j
Address
/
License # t 7
PLUMBER
COMPANY
~ E L d g
SIGNATURE
REGISTERED Y / N FEE CURREN Y / N
Address
I ✓ w License # R
MECHANICAL
COMPANY
SIGNATURE
REGISTERED YIN FEE CURREN Y I N
Address
, LlCense #
d
OTHER
COMPANY
SIGNATURE
REGISTERED Y / N FEE CU(R�EEN� Y / N
Address
License #
I
. Attachans;ans;nergyorms;new construction,
DEMOLITION NOES:
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MEtNCAL BUILDING
MODIFICATIONS
NORTH
38058 ARBOR RIDGE ORNE.
ZEPHVRHILL . FL 33540
«u".....s--DANIEL JALIL
DEMO PLAN
i
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 727-847-8009.
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 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, 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 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT AY RESULT IN Y
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INT 0 TO OBTAIN FINANCING, CONS
FLORIDA JURAT(F.S.117.03}
OWNER OR AGENT CONTRAC X
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn o(or e befo iet is
Who islare personally known to me or has/have produced ho is/are< sonar. nown to me orPlas/have produced
as identification. as identification.
Notary Public �tio _. Notary Public
Commission No. Commission No. a
` `
�
�
V [/
PREPARED e,AND RETURN TO:
RoeERTE.MEaa/cw.Eou. ,
^l—~�"°COU... IQ"°
2033 Main Street, Suite 600
Sarasota, Florida 34237
Tel: (941)366-0100
Permit No.
Tax DIP |D
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 Nuh*y of
Commencement,
1 Legal Description ufreal property (include street address, ifevm|oble):
38O58Arbor Ridge Dhve, Zephyrhi||s, Pasco County, Florida.
SEE EXHIBIT "A" ATTACHED HERETO FOR LEGAL DESCRIPTION (the ^Pmpert/),
2. General description of improvements to the Property: interior renovations, together with related site
improvements and amenities.
3a Owner Name: AD4AREAL ESTATE, LLC.aFlorida limited liability company
Owner address: 2053Bruce 8.Downs B|vd..Suite 1O8'16D.Wesley Chapel, FL33544
3.b. Owner's interest in the Property: Fee Simple
3.o. Fee Simple Title Holder Name (if other than Owner):N/A
4. Contractor Name:
Contractor Address:
5. Surety Name (if ony): N/A
Surety Address:
& Lender Name: SYNOVU8BANK, aGeorgia banking corporation
Lender Address: 1148Broadway, Columbus, SA31gO1
7. Personswithin the State of Florida designated by Owner uponwhorn notices or other documents may
be served, as provided by Section 713.13(l)(a)7, Florida Statutes:
8, In addition to himself, owner designates the followingperson(s) to receive a copy of Lienor'sNotice.
esprovided inSection 71313(1)(b). Florida Statutes:
|oard.Merrill, Cu0a.Timm, Funm&Ginsburg, P�l.2O33Main Street, Suite000 Sarasota, FL34237
Attention: Robert E.Messick, Esquire
01353170-1
In
Attention:33716, Aaron Sherwood, Senior Vice President
Expiration date of Notice of Commencement [the expiration date is one (1) year from the date of
recording, e
i i. i � i i r i ►r s ,. +t 1. � r
• i • /� i i i
ADAA REAL SATE, LLC, a Florida limited liability company
Amir Ahmad4t,-113 Manager
Arm -Rh ff6ukmedjian, MD, Manager
STATE OF FLORIDA
COUNTY OF
company, who �Ps personally known to me or Q has produced a Q rver's License as Wentification.
My Commissil Wma So +" \.
imm.#HH075733 K-otary Public
STATE OF BO& Thru Ann Notary
,.
COUNTY OF
The fo egoing instrument was acknowledged before me by means o physical presence or 0 online notarization, this
day of August, 2021, by Armen Deukmedjian, MD, as Manager of ADAA REAL ESTATE, LLC, a Florida limited
liability compa y,hio s personally known to me or O has pro uced a Driver's L'cense as identification.
F1�
My Commis Andrea
►; _ . COMM H075733 Notary Public
:00.01,2021 Printed Name:Aldlya
,K ✓C��
Verification pursuant to Section 92.525, Florida Statutes:
Under penalties of perjury, the undersigned hereby declares that he/she has read the foregoing and that the
facts, st ted in it are true to the best of his/her knowledge and belief.
Amir Ahmadian, Mid Armen D ukmedjian, MD
if
(A copy of any Bond must be attached at the time of recordation of this Notice of Commencement.)
FAILURE TO POST A CERTIFIED COPY OF THE RECORDED NOTICE OF COMMENCEMENT
ON THE JOB SITE MAY RESULT IN THE FAILURE OF YOUR INSPECTIONS.
01353170<1
M
M
State Of Florida, County Of Pasco
This Is to certify that the foregoing Is a
true and correct copy of the document
on file or of public record in this office,
han d I this
'heas my d offs
I $Oa' I
lf`20
day of
livar Z_
a Bowies
erk & Comptroflei
pir q90 u MY, F1 ri
puty Clerk
LOTS accort It e Mao or piat inereor as recoraec7in "757757M
22, Page 44, of the Public Records of Pasco County, Florida,
X-1
State Of Florida, County Of Pasco
This is to certify that the foregoing Is a
true and correct copy of the document
1"'e' 71 we on file or of public record In this office.
W, ss my hand and oftlal seal this
41 ki Alvarez-Sowl Clerk & Comptroller
asc County, F1 ri
pr puty Clerk
01353170.1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Pormittin O�
F
�g ' - -1
Owner's Name 4 D AA- F,� �,-+ 1, ) I _
c- owwn�erPh,,e Number
C
AAf,% I �-J Ajo � (
Owner's Address 5UIA cc Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address L e, - e-
A
-d4 2�
JOB ADDRESS e. YC LOT # E=
SUBDIVISION PARCEL ID#1
(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 ev 7 le (e, eelw L)A- I( ( gay �s �11
11 - I I WL
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
J-0
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY SIGNATURE REGISTERED FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License #E:==:==
7
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN Y/N
Address License #F—
MECHANICAL COMPANY
SIGNATURE REGISTERED -----L-X--/—N-J---FEE CURREN
Address License#
OTHER COMPANY E
SIGNATURE REGISTERED ;Y ;/;N��FEE CURREN �Y 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 w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (2) complole sets of Building Plans plus a Life Safetv 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, Ston—water Plans wl 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 & Gont,,nefw sign tack of application, notarized
it 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 sani
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
MEMME33M
NOTICE F 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 D CONTRACTOR RESPONSI ILIT1 S: 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 U 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 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, 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 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.
WARNING TO E : YOUR ILU TO RECORD A NOTICE OF COMMENCEMENT Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO T I FINANCING, CONSULT
WITH YOUR LENDER AN TT Y BEFORE C i YOUR TIC E OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117,03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
�by by
Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced
as identification, as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
'asasar ar �asv.rwwa aaw �
susanastom Arbora •a 22 PG 44
WORK PROPOSW .lilt AnWALT SIGN 1r13 ,
AMP WKE PROWMS BERGY W R.E.G.
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