HomeMy WebLinkAbout22-3492BGR-003492-202
Issue Date: 01/20/2022
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.
1. #
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
I
C-
Pifl` OFFI E
THOUT APPROVED INSPECTION
I U • . 1• 0 0 0. 0 -
I Z R
A
9:14-
8; 3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone �Cootact �fbrPen!Itinq 352 567--1822
or Pho r
Owner's Narne no Numbe
Ownees Address ti Owner Phone Number
Fee Simple TWeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1533
SUBDIVISION EE:i�`I�L�.�
WORK PROPOSED
NEW CONSTR
11
INSTALL
PROPOSED USE M
SFR
ED
TYPE OF CONSTRUCTION
BLOCK
0
I. 33542 LOT# F5 & 6
PARCEL lv#LIL-2_6-21-0_010-1,5200-00_50
(OBTAINED FROM PROPERTY TAX NCRICE)
ADDIALT SIGN DEMOLISH
REPAIR
Comm OTHER
FRAME STEEL
DESCRIPTION OF WORK
NG SIZE So FOOTAGE [ �Combined
SUILDI 2,952 14EIOHT
IL vx ct1vto W_X1LXCJLkIL1L$
to
[Z]BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 5__1 AMP SERVICE PROGRESSENERGY WR,E.C,
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
42 2-1-
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY L TNT Environrrie�nt,LLC
SIGNATURE FEE :e
REGISTERED YIN FEE C�DRREN Y/N
Address License
ELECTRICIAN COMPANY E
SIGNATUM REGISTERED ;;;�FEE C�URREI
PLUMBER COMPANY E
SIGNATURE REC4STERED ;;N��IEZ C�UIIREI
Address License
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE �CUIRE
Address Ucense*=
OTHER COMPANY E:�� FEE IU�RR SIGNATURE E=== REGISTERED El
Address License
RESIDEN71AL 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 Ptans, Stormwater Plans w/ Sift Fence installed,
Sanitary Facilities & I dumpster: Site Wo* Permit for subdivisionstlarge projects
COMMERCIAL Attach (2) complete is 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, Constniction Plans, Stormwater Plans w/ Sift 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.
Monti,
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notke of Commencement Is required. (kC upgrades over $76W)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter is owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Senrice Upgrades A/C Fences (Plot/Survey/Footage)
06veways-Not over Counter if on public roadways.,needs ROW
City of Zephyrhills Permit Application
Building Department
Notary Public
Commission No.
flame of Rotary typed, ,printed or stain
Notary Public
Commission No. HH 121967
Donna Russell
Name ofWot ry ty , printed or -stampW
EM
B S01 400
UGRBSM 44
UOPBSM 60
TOTAL 900SQ FT
BA.S01 972
FUS02 792
USP01 144
USP02 144
TOTAL
2052SQ FT
ME
5331 gth St.
►hyrhills, FL 33542
12/6/21
w
N
s
E
AWorkers' Compensation insurance covering the legal liability of the Contractor and its
Subcontractors under the applicable workers' compensation or occupational disease laws for
claims for personal injuries and death resulting there from to the Contractor and its
Subcontractor's employees. The Subcontractor shall also obtain a minimum of $500,000 of
Employers' Liability insurance. Certificates of insurance must include a waiver of subrogation in
favor of Contractor.
Page 1 of 2
III 11111111! 1111 l 11 1!1111!11 !11111 Ing"
III lqi��I I IgI
The work performed by the Subcontractor shall be at the risk of the Subcontractor exclusively.
Subcontractor hereby indemnifies and holds Contractor, its parent and affiliates and their respective
officers, directors, employees and agents, harmless from and against any and all claims, actions, losses,
judgments, or expenses, including reasonable attorneys fees, arising from or in any way connected with
the work performed, materials furnished, or services provided to Contractor during the term of this
Agreement.
Any controversy or claim arising out of or relating to this Agreement, or the breach thereof, shall be
any court having jurisdiction thereof. The prevailing party in any arbitration concerning this Agreemen)
shall be entitled to reasonable aftomeys'fees.
Article 6. Warranty:
Subcontractor warrants its work for a period of I (ONE) year(s) against all materials or
workmanship.
•
Subcontractor, all sub -subcontractors and materialmen. Payments will not be released without these
executed documents.
This Agreement is governed by the laws of the State of Florida. Any amendment(s) must be given in
writing.
SUBCONTRACTOR CONTRACTOR
Company: TNT Environmental L'
By: T J STATEN
Title: MANAGING MEMBER
Date: 11/19/2021
W3111M
Permit No. Parcel ID No 11-26-21-0010-15200-0050
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
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. 11-26-21-0010-15200-0050
Street Address: 5331 9th Street, Zephyrhills, Fl. 33542
2. General Description of Improvement Demolish both structures, remove all debris to leave lot empty.
3. Owner Information or Lessee information if the Lessee contracted for the improvement
Troyer Darvin W Trust & Troyer Ruth Ann Trust
Name
13327 Carnoustie Cr.
Dade City
Fl,
Address
City
State
Interest in Property: Owner
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address
City
State
4. Contractor: TNT Environmental, LLC
Name
17852 Pine Knoll Dr.
Dade City
Fl,
Address
City
State
Contractors Telephone No.: (352)567-1822
5. Surety:
Name
Address city State
Amount of Bond: $ Telephone No.:
6. Lender:
Address City State
Lenders 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:
Name
Address
Telephone Number of Designated Person:
8. In addition to himself, the owner designates
City State
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(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.
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 F ID
COUNTY Z t I
Owner Lessee,
ee 0
OF
No V- r or r gerr
t f 0
MaMr, H 'nature o
MY: M rcerlDirectoripa rtne riMana
EXPWeS �53V Jil I 1A
The foregoing instrument was acknowledged before me this day off 20Cr
Z7
as f authorIt e officer, attorney in fact) for
t stoy
%Ign 0 ' ' 't
name of p rty on behalf ' t -rumenet a'scexecuted).
Personally Known 0 OR Produced Identification Notary Signature
Type of Identification Produced 46 (Print)
02/03/2022 04:,121,)m pi-2�e I of I
Rcpt: 2412497 t"eC7 10.00
DC: 0.00 IT: 0.00
wpdata/bcs/noticecommencement—pc053048 Nikki Alvarez--Sowt,� : Esq,
Pasco Opiurity Clerk & CompLroiier