HomeMy WebLinkAbout22-5367City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542 BGR-005367-2022
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/13/2022
Will 11IN111111111111 !111!11 111 1
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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.
--UL 11 014
PE IT OFFICE
fERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
i Sixth Avenue LLC
MA MUM so=iM
Fee Simple Titleholder Name ( I Owner Phone Number
Fee Simple Titleholder Address
SUBDIVISION
PARCEL ID#1 12-26-21-00213-00500-0000
JOSTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEWCONSTRF--1
ADO/ALT
SIGN DEMOLISH
11
INSTALL Ej
REPAIR
PROPOSED USE
[X]
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
=
BLOCK
FRAME
STEEL
11IMMOM. IN
MEE=
7mm
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING U
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING [D SPECIALTY = OTHER Ilk
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER Johnson's Excavation & Services, Inc.
SIGNATURE REGISTERED Y/ N FEE CORREN YIN
Address 1706 E. T a 11 Plant City, Fl 335566 License III
ELECTICAANY E
SIGNATURERIN REGISTCOMPERED ;;N FEE �.URIIEIIY 1 N�
Address ====== License #====
PLUMBER COMPANY E
SIGNATURE E:=== REGISTERED FEEYIN
Address License #E:====
MECHANICAL COMPANY E
SIGNATURE REGISTERED ;;;; FEE CUF�IR�1Y / N��
Address License #E===:=
OTHER COMPANY
SIGNATURE ;;
REGISTERED �FE. C.RaElY l N��
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 wl 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 Forms, R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wt 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.
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, a Notice ofCommoncemont is required. (A/C upgrades over $7600)
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)
Retools if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage)
Dflveways-Not over Counter if on public roadways..needs ROW
. 00 0
.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Panel No, Parcel ID No
NOTICE OF COMMENCIMENT
Stain of Ficu €cia Caunty of Pn.gctt
TItG uNDGRSi6Ni D hereby gives notice that Improvement WN be made to certain real property, and In accordance wilir Chapiar M, Florida Statutes,
the tollawing information In provided in this Notice of commencement:
1. Description ofProperly Parcel tdentrAeoilonW. 12-26,21•00211,00500•01)
Street Address: W14561hAvenue, faphyrhllk,Pl. 3355-10
2. General Description of Improvement Clereiolltlon end legal disppsui . �itc I a
3, Owner Information or Lessee Information If the Lessee contntcled for Iha Improvement:
Suds Avenue LU: chi Duff Plieips, A Kroh Rusniess
917 Name
eat It whin tan 4f„,4 2 f
chlca 6o
ABkires5
rims
Clty 5 oS
tntorast rn Properly: C)cvner
Name of Fea Simple Tillahoklen
tlf dllforanl kom CNmnNfsiod arbove}
Address
CNy Sia4a
4, Contraclar. Jehneunla 6"asnvslma maSaiWrorl..
Name
rrooa, u�ynaane
Plant City FL
Address
CfIY StatC
ConlrectotaTalephemoNo.• 813-752-7097
8, Surety:
Ndmo
Address
MY State
Amount of bond: S
Telephone No.:
a. Lander.
Name
Address
City Store
Lenders Telephone No,:
7_ Persons within the State of Florida designated by the owner upon wham nonoos or outer documents may no seruad as provIdM by
Section 713.13(9)(a)(7), FroddaStatuter,
Name
Address
City $Into
Telephone Number of Designated Person:
3. In addition to himself, tho owner designates
Of —
to receive a copy of the Lionors Notion as provided to Sargon 713,13(#)(1)), Florida Stntrnes.
Telephone Nomhar or Person or FoRy Doslgnaled by Owner:
g, fxpirailon date of Notice of Commencement (the oWrallon date may not be before the comphdron or construction and final pgnraml to the
contractor, but VAN be one year from the dale of recording unless a diilerent dote Is speclffad}
Under penalty of foolery, r dachwa that 1 have rod f er forormarr
of my knrrivtodga and holier.
Signatory's TiitdOffloo
Tho forogoing instrument was admModged before me this day of $ 2t by "2
rss k {type nlaitdrCrlly, e.g„ ntNrsar, tnrateC, atlarnoy in fact) tar
{name of party ohaif ofwhm» rostrum as :Urledj;
Pamnnnity Knavn(,{�g Prorhmnd IdantlNcallon � Notary Stgnatura
Type of tdaniiNaol3on Prodaaod Name ¢l'dnt} �, � .
SUSAN 1- KOWltL �
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6TH A,',,ENUE
1, Don athan A. Johnson, President of Johnson's Excavation & Services, Inc. do
hereby designate the following individual (s) as having the authority to sign and submit
applications and related documents for the purpose of obtaining any permits under my
State Contractor's License, reference #CBC059540 for Johnson's Excavation &
Services, Inc. I further acknowledge and accept as a licensed contractor, my
responsibility and liability for each project pennitted under the authority designated on
this form, and that my failure to assume and fulfill said duty may be grounds for the
initiation of disciplinary action against my contractor's license.
DESIGNATED SIGNERS:
1. Scan Givens
2. Robert Beach
to and subscribed before me this —2
day of December 2021
(X ) Is ( ) Is not personally known to me.