HomeMy WebLinkAbout22-4651#: Zephythills
Phone: (813) 5335 Eighth Street
•
"C
,
l
Issue Date. 0812912022
• a ♦ ♦ rI IF1r'1 11111:11 1 11 111 111111 111t hbahAdAmbbI r r
Complete Plans, Specifications r Accompany Application. All work
shall be performed in
accordanceCodes r Ordinances,OCCUPANCY BEFORE C.O.
NO OCCUPANCY
BEFORE
B..,OR C.O.
COIN I C I OR SIGNATURE PE IT OFFICE
WITHOUTPERMIT EXPIRES IN 6 MONTHS INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit Application
Building Department
Date Received J Phone Contact for Per
Owner Phone Number
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Fax-81 3-7s0-0021
0731
313-751-5362
JOB ADDRESS 701 l�irchntvill CirolLOT F46
Cretviow Hi115 35�5�1-010-00000-0460
SUBDIVISION BARGEE lD#
(OBTAINED FROM PROPER-rY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE SFR Comm OTHER
TYPE OF CONSTRUCTION BLOCK E:] FRAME STEEL
DESCRIPTION 6F�vc�lt Nina round Fiberglass Pool
BUILDING SIZE �... SQ FOOTAGE HEIGHT
BUILDING S 5 350.00� I VALUATION OF TOTAL CONSTRUCTION
MELECTRICAL 50000 AMP SERVICE PROGRESS ENERGY W:R,E.C.
PLUMBING
i
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER-�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER i� COMPANY
Elite Pool Designs Inc ��
SIGNATURE REGISTERED Y 1 N FEE GURREN Y/ N �•
Address 9879 lJ Hwy 41 S Gib$OrEtc�n, FL 33534 License # CPC1457671
ELECTRICIAN1 COMPANY
SIGNATURE LAG � �� REGISTERED Y l N F GURREN Y f N �
Address
6504 Bimini Ct, Apollo Beach, FL 3357 JEC13010437
License #
PLUMBER COMPANY Elite Pool Design lnc
SIGNATURE REGISTERED ;�
Y/ N FEE GURREN Y 1 N
Address 9879 US Hwy 41 $, GibsontOn, FL 33534 License # CPG1457671
MECHANICAL OMPANY
SIGNATURE REGISTERED Y 1 N FEE GURREN Y% N
Address License #
OTHERE:=== COMPANY E;;
SIGNATURE REGISTERED Y / N FEE GURREN
Address License
111111t111111111Ill tItIIII11I1'11off IIIIIttIIIIttoff III IIilitItIftill
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1)set of Energy Forms; R O-W Permit for new construction,
Minimum tot) (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,
Minim urn ten (10) working days after submittal dates Required onsite Construction Plans, Stormwater Plans w/ Silt Fence; installed,
Sanitary Facilities & 1 dumpster, Site Work hermit 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. (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)
Driveways -Not over Counter if on public roadways,.needs ROAN
JURAT (P.S. 117,03)
OWNER OR AGENT CONTRACTOR
Subscribed and swam to (or affirmed) before me this Subscribed and swam to -(or affirm
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
RIMMIMS # L.
1e inis
m
as identification.
Notary Publ'o
Comion No. t F.t`.= `. '
Omar Shepherd, Mans Examiner
Hillsborough County Building Department
410 3 t' Street SE
Ruskin FL 33570
Subject: Contractor Approval to Use Standard Engineering
ELITE POOL DESIGNS, INC.
Dear Mr. Shepherd.
Please let this letter serve as authorization for Elite Pool Designs to master our
digitally signed standard residential pool engineering for projects within the
Hillsborough County. This authorization will remain in effect until June 30, 2023.
If you have any questions, or if I can be of assistance in any way, feel free to contact me.
VED
Sincerely, pl"t it
This item has been electronically pN• t
Signed and sealed by I, Kent Mmes, e to °.
PE an date&time stamp shown ig0917m D &B .�„. „..,,»,�.
using a bi ital Signature: Pnnc F!° „gaf f° id"....� �
Copies oe this document are r+ R soe¢,n3 d Code
considered signed and seal mi dotpment `> tJ Reviewed 4'at E. i ,.t Compliance
Jill the re must be verlt r�on Date: 2022.D6.22 12:35:43.04'00' _
J. Dent Kim t dobe tv ' }s
7-+ ././. �p �p Pc co tes. 08106/2ti%2 1
,t1 #33 t C9 "ate. 02200 . k �S1 I�F"Cli CWTF .
x
� t i t 's i`o,=tgt. iF 9nSTAR OF
08105/2022
PerrnitNo. ---- Parcel M No �0 C)
NOTICE OF COMMENCEM MT
State 0 f`71County o6�
THE UNDERSIGNED hereby gives notice that Improvement Aill be made to certain real property, and in accordance with Chapter 713, Rhode Statutes,
the 10110%ing information is provides in this Notice of :
!
Commencement
I Description of Property Parcel Identification Nfrz2��' � a
Street Address; "I q liq--Ake—f �11 �— '
2, General Description of Improvement AA
31 Owner Information or Lessee information if the Lessee contracted for the Improvement:
N _EZ
Address City
_ tiara
m"rido.p.rly'
Name of Fee Simple Titleholder.
(If different from Owner i1sted above)
Address ity state
4, Contractoc, Evk��
Address
Contractor's Telephone NA,:
5, surety
Address '---------
Amount of Bond: S
City State
Telephone No.
6, Lender.
Name
Address _ City State
Lender's Telephone No,:
T Persons Wthin the State of Florida designated by the owner upon wham notices or other documents may be served as pervided by
Section 713,13(l)(s)(7), Florida Statutes-.
'Tess City S4a¢e
Telephone Number of Designated Person: mm
6. In addiffion to himself, the owner designates Of
to receive a May of the Lienors Notice as provided in Section 713,13(1)(b), Florida Statutes,
Telephone Number of Person or Erflity Designated by Owner.,
9, Expiration date of Notice of Commencement (the expiration date may not be before The completion of constmodon and it payment to the
contractor. trat %vill be one year from the date of recordriq unless a difterent date is spetAs4.
Under penalty of papery, I declare that I have read the foregoing n(Ake0f Care 'neersera and that 'facts stated therein are true to the best
Of my knowledge and beflef,
STATE OF FLORADA
COUNTY OF PASCO
i for Lessee, ort3 or LesseWs Authorized
$19polor/s Tateloffi-
Vt
The foreserring qrsturners was acknowledged before me this -3N.y 20Z_Z by
-1 attorney in fact) for
a executed).
Personally Knoorn 0 AR Produced 9
Type Of Idenfilleafion Produced
b �0 sty Polio state of FloAds
Cynthiy
a 0 MOse
INsTR# 2022,1503 sK 10654m; 1115 MY commissitio
07/1912022 08:56am page I of I It MH 26602
Rcrpt2481049 Roo, MOO EXP$12612026
0s: SAO IT: F-sq0,00
Nikki AlvareM—Setas, .
Pasco County Clerk & CoMtroiller
REPRESENTATIVE (DAR)
Employment Affidavit
The law requires that all Duty Authorized Representatives (DAR) are employees
the Private Provider firm and as such, entitled to receive unemployment benefill
under Chapter 443 of the Florida Statutes.
DULY AUTHORIZED REPRESENTATIVES
If more space Is FL License
needed to list all No(s)
DARs, please submit a
jJeffrey Morrison
supplementary I
signed/sealed form
with the Information. IMichael Pelger•
You must also submit Jesus B RodrigL tZ PE82928
copies of 11cense(s) for
,aw,z-b-aA P-ur&n� Francis Ferrano� PE47581
(screen print from Brandon Celli
DBPR website is I
!Scott Buckley
acceptable). Name;
(Printed) ISteven Flowel
BN3822, RPX368
BN8133
3N7761
You can submit this by email: bdept@d.zephyrhi1Is.flus
MAIN #: (813) 780-0020
DAR Signature
EM