HomeMy WebLinkAbout22-5166 (2)City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
SL-1. 05166-2022
Issue Date: 12/15/2022
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 ions
reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictapplicable 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 11 11 1 111111!11 l�"I 1111 11111!!1111 1 !1 Pill, 11!1111 1111111 1111111 '',,1 11 l 111!1111 11 1p
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.
CO RACTOR SIGNATURE PE T OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received F
I I Phone Contact for Permittina
9 91911 191. . I � I I � 4114111
Owner's Name =prtF)r kJ Rprnri� Owner Phone Number
Owner's Address 1 39352 Lincoln Ave ZePhy:r:h�1llFL 33�5342� Owner Phone Number
Fee Simple Titleholder Name I Hector & Idalia Santos Owner Phone Number
Fee Simple Titleholder Address 1 39352 Lincoln Ave Zophyrhills FL 33542-4637
JOB ADDRESS 39352 Lincoln Ave ZephyrfAls FL 33542-4637 LOT # 27
SUBDIVISION Lincoln Heights `SubdivisiOPl PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR = ADD/ALT = SIGN DEMOLISH
11 INSTALL L_J REPAIR
PROPOSED USE SFR
COMM
OTHER
I Cabana/outdoor Eitt;bep
TYPE OF CONSTRUCTION EXI BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
BUILDING SIZE [{-'one' Pad is 15 X 15 1 SO FOOTAGE 225 HEIGHT 3 feet
..a. L a: IL L X a V OL IL IL IL a �L �L a -L IL W_ a � 9- & a W. a �L WL a & x & a Li a OL IL & a �L L IL P_ & a M a a'a IL 4L a 4L 4 AL a �L 4L % 'L &,L . OL,
®BUILDING $ tlae VALUATION OF TOTAL CONSTRUCTION Sfft4* —_7
[Z]ELECTRICAL AMP SERVICE 0PROGRESS ENERGY W. R. E. C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO XX
- - - - - - - - - - - -
BUILDER COO y
BUILDER
REGISTERED YIN FEE CURREN YIN
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED L_11 N_J FEE CURREN Y/N
Address License #
PLUMBER COMPANY =
SIGNATURE REGISTERED Y/N FEE CURREN
Address License #
MECHANICAL COMPANY =
SIGNATURE REGISTERED L_Z_LN _J FEE CURREN T/N
Address License 4 1
OTHER COMPANY I L_Y IN- J FEE CURREN L= SIGNATURE REGISTERED
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 It 0) 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.
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. (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 (PioUSurveylFootage)
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 "dead" 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 Recovdry
Fees must be paid prior to receiving a "certificate of occupancy' orfinal 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 —Homeowner's Protection Guide" prepared by the Horde 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.
A 11; WL-1 -1 -A R:; 0 101:4 aLs) -0-1 z W-.1 a im v � I:VM :1 :4 asiv -1 .4 zlt-i-1 .4 -11 � Emgi, 1 -.4 0 1-] a I" :K-1 agm i" I J, 1:4 1:1 lm:q I :10 1
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has[have produced
as identification.
Notary Public
Commission No.
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
Who is/are personally known to me or has/have produced
as identification.
—Notary Public
Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
INSTR#2022261903OR BK10738 PG949 Page 1 of 1
12/1512022 11:41 AM Ropt: 2532832 Rec: 10.00 DS: 0.00 IT: 000
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
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JACQUELINE BOGIES
Commww # HH 32W2
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,
Witness my hand and official seal this
IN 41
day of25f9__ 2 -Z—
Nikki Alvarez•Sowles, Esq., Clerk & Comptroller
Pasco County, Florida
By Deputy Clerk
a
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DEPARTMENT
M have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she 0all comply with the 11 wing
conditions:
I/Masterfonns/OwnersAffidavit/NovO7
31009 Pasch Road
San Antonio, Florida' 3578
352 588 5126 fax 35 ' 588 5125
INVOICE
Customer
Name Hector and Jdalia Santos Cate 4}512010
Address 39352 Lino rin eve {girder No, W10-0305
City Ze h.'!t qis . State FL ZIP 33541
Phone
81)95 89
_
D4 scrlp#lgn Unit Price TOTAL
1 Boundary Survey LOT 27 Lincoln, Heights Subdivision $275,00 $275,00
m . , _..... _
Subtotal $275.00
6iY #1044:0R«r 4✓V-io ... �"
(J Ca-sh
x Check
E � S
Please make checksJohn Wals
ayabJe tcs_
Thank you for your business
TOTAL
Office Use Only
Legend
P.OX,
P:C.P,
Point of Ccxstinenosment
Permanent Control Point
ZHCCL
Zoph ylrhiils Colony company Lande
Plat Soak , Page
P, .M.
P stet Rettrftca Monmalat
TAB,
Top of Bank
PAS,
Point of Beginning
TAS.
'Foe of Slope
PAL,
Point on Litt
CONC.
Conoreta
FI&
Found Iran Rod
ASPH,
Asphalt
F 1,P,
Found boas Pipe
Wl
Masonry
F.� D)
Found hail 1?ise
Fit,
Frame
F.C.M.
found Concrete Monument
PerI sa ar Pki dM)
W.F.
WDV
'Wire Fence �+OE
Wood Fence
C
Calculated
C L.F.
Chain Unk Fence
Field Measured
S P.
Screen Porch
P
pmmted haled gn Vold aa48sa3M at
C.P.
Ca art
Radius
OHL
tiv�rhaad utility Tine
Ch.L.
Chord Length
U.P-
Utility Pole
ChZ
SIR,
Chord Bearing
Set lJ,� Iran Rod Cap� pith
IdesaEilicaiiosx 'w $Dal"
VX,
SFC.
Utility Sox (Cylender)
Section
SX& D.
Set Nail & Disc
tt{ A X
Right of Way
Centeruna
Stamped L 8061'
�'
SCALE:E = 30'
A/C
Air Cotaditionsr
01 30,
N. 83M 'l l ; Z' O331.83, (,M)
fit. r `3O,, - 82,89' P
"' q
w' NCD
LOT 27 �
$ G.ihr�`t#' .FIB'dG`Ff°T',S` SU$.tJTirlSldl.Y �
7t't,'Prove7Y2. nts R'xi.9t that
are Not shown � o
vi
ai {Yf38 heod `tlt Yi y Lena v h a
$ L'NPiATTED LAND
LEGAL DESCRIPTION
LOT', 7, "LINCOLN HEIGHTS SUBDIVISION" according to the map or paid thereof, as recorded in Plat Book 13, Pages 113 and
114, Public Records of Vasco County, Florida,
NOTES:
The purpose of this Boundary Survey is to locate the fencing on the subject parcel for the installation of a new fence.
Improvements have not been shown on the survey at the request of the client.
This survey was prepared without the benefit of title opinion or abstract of title, no search of the public record regarding the
subject parcel was done by this office. "therefore there may be instruments found in the public record affecting the boundaries
of the subject property; that have not been shown.
Bearings shown hereon are assumed on the South boundary of Lincoln Avenue per the plat and as shown hereon
, Being N. 39° 9"304 B, assumed from plat,
No underground utilities or other apparatus were located except as shown, no open and notorious evidence of easements were
observed on the subject parcel:
Legal description based on description recorded in Official Record Book,
sJohn Walsh, invoice No. 254
31009 Pasco Road
San Antonio, Florida 33576
352 566 5126 fax 352 563 5126
IN VOICE
Customer
r
Name Hector and ldalia Santos Cato 416/2010
Address 393 2 Lincoiin eve _ Order No, WIO-0305
City State FLU €P 3354
_. - -
hone �513�3�5 6 �i9
...... <_ . _ ... r r_
t'...... µD scrip t n _....._ Unit Price TOTAL
1 Boundary Survey LOT 27 Lincoln, Heights Subdivision $275,00 $275,00
Subtotal $276,00
Payment Details $0,00
Cash
Check
Z TOTAL
Pl make checks laa�able to_ ;O fice Use Only
John Walsh, P.S.I :
Thank you for your business
Legend
P ' 0 C,
Paint of Commencement
ZHCCL
Zap hills Colony Company Lands
P.C.F.
Permanent Control Paint
Mat 19ao3 , Page
P, .id.
hrmaned Reterews Monument
Z0.13,
Top of Bank
P;7.0.
Point of Beginning
T.ti.S.
Too of Slope
P.Q.L.
Point on Lisle
CONC.
Concrete
F':L&
Found iron Rod
ASPS
Asphalt
FXP.
Pound Iron Paps
MA;,
Masonry
F,N.& A.
Found Nall & Died
FR,
Frame
F.C.M.
Found Concrete tionament
Y.F.
Wive Fence
P Lq4 er Plat (R wdoi)
WD,F',
Wood Fence
C
calculated
C,L.F.
aISP
Chain Link Fence
M
Field Measured
SY,
Screen Porch
Pmeted bwd on iiaid wagumoat
C,P.
Carport
Radius
OHL
Overhead Utility idne
Cia.L.
Chord Length
U.P.
Utility Pots �
Ch.R.
Chord Searing
*
U:H,
utility Box (Cylender)
S,L&
tron Rod Capped with
gat lei
Idea ificat€on "LS
SZC.
Section
B061"
R/ifAY
Right of Way
SX&c D.
Set Sall do Disc
canteraine
Staanped '18 fit°
SCA,"_LE: 1" = 30'
A/C
Air Conditioner
' 0' 60'
N� 89*59`30, E,
. 4 GC4 . WALK YS,IiC' if4}
4114.43' (M)
#9'a9'
fi" E
N_ 89' 9'30" E, — 83M' (R)
33p.Cti' (et) 331.87' (M)
N. S9' 9'30" E - 82.89"
3
Ina
Wi].f.
X. G
N
W»pE
..,emu,
IL
zi
f.
LOT 27
x.
f
1
ppTpApP�f/yt��qqp Y3¢tT.,evtFR«.w �rPFYsg�YYYpe4 ttD n�illl.
.L1NOOLN :dtw'.s GHY'3 U.V,ls id.Y d3wY.t V.'Y
Fiat Book 13, Piga
t
L,s,#
t
0
:Fm.'noveme is Exist that
..
�..
I
are Not shown
i
Ca c
Mre Fence
00
00
"
+7
Cc
Ove, l ead Oft Line
�..__j�_�..--
--
-- _ �
�
--a---�
i,tNPLwAl t0 LAND
LEGAL DESCRIPTION
LOT 27, "LINCOLN HEIGHTS SUBDIVISION" according to the map or plat thereof, as regarded in Plat Book 13, pages 113 and
114, 4, Public Records of Masco County, Florida,
TES
The purpose of this Boundary survey is to locate the fencing on the subject parcel for the installation of a new fence,
Improvements have not been shown on the survey at the request of the client,
This survey was prepared without the benefit of e title opinion or abstract of title, no search of the public record regarding the
subject parcel was done by this office. Therefore there may be Instruments found in the public record affecting the boundaries
of the subject property that have not been shown.
Bearings shown hereon are assumed on the South boundary of Lincoln Avenue per the plat and as shown Hereon
, Being N. 89°5930- E., assumed from plat,
No underground utilities or other apparatus were located except as shown, no open and notorious evidence of easements were
observed on the subject parcel:
Legal description based on description recordedin Official record Book