HomeMy WebLinkAbout22-5358A
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-00535
Issue Date: 12/
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.
111 1111191 1 1 1 !1
10
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.
411 fr..
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION E::=== 'PARCEL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW C-ONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE Sty FOOTAGE HEIGHT
-r"rrr
=BUILDING t1:3 0 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL PEI AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=(GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED �CURREII1° f N��
Address License
ELECTRICIAN COMPANY
SIGNATURIE E::== REGISTERED �CURREII ° d N��
Address License #E===::=
PLUMBER COMPANY E
SIGNATURE REGISTERED ;N �FEECURREt,�° / IV��
Address License #E:==-
r--------- I -------------------------------- I
MECHANICAL COMPANY [;�; FEE CUR�R0����
SIGNATURE REGISTERED
Address License #
EOTHER COMPANY
SIGNATURE REGISTERED �Y / N��FEECURR�EN, Y �/N
/T-- License #E2E���
Address
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ton (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster, Site Work Perm, it 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 now construction.
Minimum ton (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wt'Silt Fence installed,
Sanitary Facilities 4 dumoster. -Site y(lorR permit for all ,low projects, All comwerclal requirements must meet compliance
9t G N P E PRI'NIT Attach (2) sets of Engineered Plans,
.... iQPERTY SURVEY required for all NEW construction.
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, a Notice of Commencement Is r:�qulred, (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
INSTR#2022258672 OR BK10735PG3906 Page 1 of 1
12/09/2022 01:55 PM Rcpt: 2531561 Rec: 10,00 DS: 0,00 IT: 0,00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parm4 10 No
NOTICE OF COMENCEMENT
State of U co at y Of 7 ti—la—
THE UNDERSIGNED hereby q` .notes thad improvement will be....... to coated real Property, and In accordance with Chapter 713, Florida Statutes,
the following information is provided to this Notice of commencement
I Description of Property: Pineal Identification Na
Street Address:
2. General Description of
1 Owoor if ftLess.0 torivided for the waphivement
'"al"ad L A�Idi. city I. —
"a" I latest in Propedr.
Name of Fee Simple Titleholder:
(If different train Owner listed abom)
Address StateCity
4, Contradon
re" 0
ry City State
- 412-
5. Surety: Name
Address city state
Amount otSood: Telephone Noa
a. Levidw, ai
Nam
city State Address CL
mn Lender's Tolapheax� No.: _ 0
T Persons within the State of Flodda des4trialled by this owner upan ishm notices or Was documents may be served as provided by -a
Section 713.130)(0n, FUO E r—
(n Q)
Nam 0 tL0
Address City State
Telephone Number of Desatrated Person: o -C 0 0 t- LJ
Q Q3
8, In addition to himseN, the Ownerdegifingles Of 1c, 0
N.
e—�-10 mewea ottina s &x In Section 793.13(l)(b). Florida Statutes. 0
0
Telephone Nurnber of Person or Enfily Desitinatem by Ownie: 00
iz E 0-
9, FVrallondaW of Wim of Cornmennamlet(the expindim dilkiplay rot const od final payment to the 0 0 a
0
contractor, but will be one year from the data of recording wless a different do's spocifiatr}- 0 0 -0 >
0
WARNING TOOVVWR ANY PAYMENTS MADE BY THE OWNER AFTER THE CWMT11O7N�tOFNOfICE OF COMMENCEMENT 3'C� 0 0
FL(
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER'713, PARTf, 17m , FLORIVA,STATUTES; AND CAN 40
F
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.CE OF COMMENCEMENT MUST BE to V 4) W
RECORDED AND POSTED ON THE JOB SITE BEFORli-THE FIRST INSKCTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT -C' :)
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWORK OR RECORINNG YOUR NOTICE OF COMMENCEMENT, f— 0 z 'T M�
Under penalty at Perjury, I declare that I have mad the foregoing Conn at and that the facts stated therei retruetothe best
of my knowledife and belielf,
E
"s title to
")a"
STATE OF FLORIDA
COUNTY OF PASCO
;f0—W.1 Lessee, "orOwWsortoksft's uthorizird
ofOww
KEVIN LACHANCE
My COMMISSION 4 14H 128118
FXPMES: may 10, 2025
The f
as (type of authority, e.g., officer, trustee, attorney in tact) for
(tawty betwofwhomt!s!��: axe ad
Personalty Known 0 P_R P denthicatim'a Nolsw Iva"
Type of Idenfifniftion Produ.-Tzz�
wpdata/bcstnoticecommencmenLpc053048
City of Zephyrhills
5335 gen t
Zephyrhills FL 33542
(813) 7 0-0020
Rq 2
%licGl
Contractor �Engineer—Architect— Building Insp ctor
License No.
n or about Ldid personally inspect the:
Check: Roof deck Nalling Dry in Flashing and Grip edge
Check which was used; 30# felt Peel and Stick father (List)
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes).
Signature.
STATE OF FLORIDA
COUNTY OF PASCO
Sworn to and subscri ,d befor;t�ls day
RY: ,
Notary Public State of Florida
NOTARY PUBLIC
STATE f)F P[.CpAID
Y GO IS ION EXPIRES JUN, 20, 2025