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HomeMy WebLinkAbout22-5235 (2)City of Zephyrhills Riml! 5335 Eighth Street Zephyrhills, FL 33542 BAR-005235-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/17/2022 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. 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 PERMIT EXPIRES IN 6 MONTHS W PEf]T OFFICE() JTHOUT APPROVED INSPECTION ML 0 0 111 FEW INS R# 0'?/24/202,1 09-20,j,,- Fi c: P t ' 2'i-` 4 5 9 9 ["'Y' 1, 104T11 P(-, 3683 I of' 1 NOTICE OF _COMMENCEMENT Permit Na Property Identification No, I Z CO "Z� D 10 -1177) i X "#T 177 t,-;7W a) Street Address: W, L ki fkagwagg y'r%J gzaagii. DS' 01 , 0 01 IT: 0 re, Nikki Et�q "^oL.Anty Clerk & Comptroller & M64A M�Iffila �1 0 3,Owner Information ;? e a) Name and address: BL'il-01)fl — b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4.Contractor Informali n 0 "Q a) Name and address: A L b) Telephone No.: '=C, ti Fax No. (Opt.) -578urety information F a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt,) 44Ander a) Name and address: Phone Na. 7. Identity of person within the State of FI 'd I i ted b . T whom notices or other documents may be served: n "� OR, 7�77 a) Name and add 1) h , z 7, Fax (Opt b) Telephone N _, nor, Notice as Provided in Secto. $.In addition to himself owner d,,i;.I, following person to ree,'o copy of a Lie 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: L Fax No, (Opt.) 9.Expirstion date of Notice of Commencement (the expiration dateis—...year from the date of recording unless a diff--t date is specified): C- \ 3'-�) Is q D) WARNING To OWNFR- ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTE$, 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE F COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO si re of crorOwner u orlud5KC-00m(.�.-M--w e- a t h LJ Y1 V-- Print Nwne twasacknowledged before me this day of im Li C.gofficer, trastee, attorney m 'ct ,rsimally 1,..— 11 Produce T I ype of Identification Produced am Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best ofmy knowledge and belief. Steve Hazahvood lgnaturoofN ralPen S ingAbove Notary Public State of Florida 01 Comm# HH166247 EA Expires 5/8/2025 D- R71TU-MI'l City of Zephyrhills Permit Application Building Department �Phone Contact for Permittinq 11 lr� 7' Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION E==== PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR Lyl- I ADD/ALT SIGN E�fl DEMOLISH El INSTALL REPAIR PROPOSED USE I VI "Ale SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Loeno-!-1119 -I �q*- lei �"; 3�101( a, �'-" I= BUILDING SIZE SO FOOTAGE HEIGHT [:= G M= =MECHANICAL =GAS ROOFING FINISHED FLOOR ELEVATIONS [::= zhS SPECIALTY = OTHER FLOOD ZONE AREA =YES BUILDER 4COMP PANY DWOC SIGNATURE REGISTERED J N FEE CURREI\ Y/N Address Fsu fC Y lYt License # COMPANY ELECTRICIAN E SIGNATURE � REGISTERED Y / N FEE C�URREN Address License # L Y PLUMBER COMPANY F- SIGNATURE REGISTERED FEECURREN Y/N _ L_ T _J Address License #E==== EMECHANICAL COMPANY SIGNATURE REGISTERED ;;;FEE �CIJRREr, Address License #E=:=== OTHER COMPANY E SIGNATURE REGISTERED ;;;;;�FEE C�URREN Address License #E------=== 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 subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forrns. 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 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) EEZMMM�� MINIMUM 4" 3000 P51 GONG TE 5L �116"X6"X1t�l1G a GOr~1G THR OUT CAR FIBER I OVER 6 MIL V1 VAPOR BARRIER OVER GLE��1 � � GOB PRE GO AGTE e TREATED 1L _ INTERIO rf 2. f l _ 4. I I 5. 5 fl !— — — — — —— C 501 L BEL BE"(ONP ALL; F1 in I . (10) ALL II GOS a HEAC)E c I I HE PRE ( — (11) ALL f - (12) car E 15T1 5EE DE T1AL 2 ON 51 ;L 2 /O / / / TH15 ET TO MEET L-11VAL4021KNI'm 01111all I I oil 0142 C A= a I &I 1, -.,t o -� (,3 n — 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, andd*,,g to or N said reroofing his or her own domicile, that he or she actually occupies, or will occupy by &CU9 domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 2 ' " OWNER'S SIGNATURE DATE 1 ADDRESS L-- 5 'b-CIL' ?, -1 PHONE WITNESS PERMIT I/Masterforms/OwDersAffidavit/Nov07