HomeMy WebLinkAbout22-537451335 Eighth Street
Zeoyrhills, FL 33542
Phone' (813) 780-0020
Fax: (813) 780-0021
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 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,
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
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.
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TRACTORSIGNATURE PE OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,try Ui 4t�pl IylI ref IIIIL I
Building Department
Date Received
*pit
Owner's Name
Owner's Address t
Fee Simple titleholder Name E
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
PARCEL ID#°
WORK PROPOSED
(
NEW CON5TR
ADD/ALT
u
INSTALL
�
REPAIR
PROPOSED USE
SFR
COMM
TYPE OF CONSTRUCTION
BLOCK
FRAME
DESCRIPTION OF WORK
% 5 /c9 , �
F l ;?
s t2d rim f? -
Owner Phone Number
Owner Phone Number
Owner Phone Number ,
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 DEMOLISH
OTHER
STEEL
BUILDING SIZE SO FOOTAGE = HEIGHT ®�
44Xx IL .& , x4t W"tIxtiultilt X1Lk44txtx W WILA4 11LAILItALILILALtit . .. ..$
BUILDING E � VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 1 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' t} a COMPANYtl..k
SIGNATURE ( p 3 REcIsTEREo �fj R FEe cuRR Y 1 N
Address t License #
ELECTRICIAN COMPANY J
SIGNATURE REGISTERED YIN FEEcuRRENYlN
Address ...License #
PLUMBER E== COMPANY
SIGNATURE REGISTERED Y / Nµ-� FEE GURREN �
Address License # E
MECHANICALE--= COMPANY -�;1
SIGNATURE REGISTERED N �FrECUIRE�.t N
Address License #
OTHER COMPANY n� T
SIGNATURE REGISTERED Y lrEE cuRREI, Y l N
Address License If _
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 clays after submittal date. Required onsite, Construction flans, Stormwater Plaits wt Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Budding 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 EngineeredPlans,
****PROPERTY SURVEY required for all NEW construction.
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 ROW
tty UI Z-t:'Pl I yP f i lrtZi rCllitlt tlfJP1ri GitlUll
Building Department
NOTICE OF DEED RESTRICTiONS: The undersigned understands that this permit may be subject to "deed" 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 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 727-8 47- 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation ImpactFees 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 Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final 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 Fusco 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 p copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida 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 "W 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
constructions I certify that fill will be used only to fill the area within the stem wail.
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 sat 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 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 fora
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;
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
as menancauon.
Public
Commission
Name of Notary typed printed or stamped
iaen{ITlcauon.
INSTR#2022256704OR BK0734 PG 1201 Page 1 of 1
12/07/2022 01:19 PM Rcpt: 2630655 Rec: 10.00 DS: 0.00 IT: 0.00
_.. _ ki ,Alvan
NOTICE OF COMMENCEMENT
State of FLORIDA County of PASCO
Property Identification No: 02-26-21-0180-00000-0570
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with -Section "713 of the Florida State Statutes, the following information is provided in this Notice of
Commencement:
l:Description of property (legal description): PARK FALL SUB UNIT 1 PS 14 PG 70 LOT 57 OR 9633
PG 171
Street Address-, 6101 17TH STREET, ZEPHYRHILLS, FL 33542
2. General Description of Improvement: Shingle Re -roof
3. Owner Information or Lessee information if the Lessee contracted for the improvement
a) Fame and address: BOLENDER CHADA I SO
ZEPHYR ILLS, FL 3 42-2694
b) Name And address of fee simple titleholder (if other than owner): N/A
c) Interest in property: Owner
4. Contractor: Paul Schaper, 8949 Call Blvd., Zephyrhills, Fl, 33541 .- Ph: (813) 782-0920 Fax: (813) 715-4875
5, Surety: NA
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may
be served as provided by Section 713.13(l)(a)(7), Florida Statures:
a) Name and address:-,..,- l�IA. ___ ._.___..__ .
b) Telephone No,: Fax No.
(Opt)
8. In addition to himself"* owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(l)(b), Florida Statutes.
Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541 — M (813) 782-0920 — Fax: (813) 715-4875'
9, Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a
different date is specified)
` ARNING TO OWNER. 4NI' PAI'MEN TS INIA DE BY'THE OWNER .AF" 1'ER "1THE EXPIRATION OF THE NOTICE OF
C OMINIENC ENIE NTARE CONSIDERED INIPROPER PAVMENTS UNDER DER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES. AND CAN Rh:§l"LT 1N YOUR PAYINC¢ TWICE FOR E 1PRd VENIEN'T`S 1`0 VOUR PROPERTY. Y. A'NOTICE 'OF
C'CD tI�1E tit"E �IEti'1' 11!'s'I' RE RECORDED AND POSTED ON "I HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FI'NA NCING, CONSUL TYO R LENDER OR AN A'170RNF Y BEFORE d:OMNIF NCINC:'i WORK OR
RECORDING Y01 R NOTICE OF C ONINIENCE.ME:` T.
S T,' TE OF FLORIDA
*tune �>ft vn for w crrize t ' rt irector/Partnerllvianagcr
Pr1nt game
The foregoing instrument was acknowledged before me this 4 day of 20 by
1r d f as CJ f" (type of authority, e.g. five ,trustee,
attorney in fact) for (name of party on beha in instrument
was executed).
Personally Known OR Produced Identification Notary ure
Type of Identification Produced
ii
4
B
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 seat this
day of.,11
Nikki Alvarez-Sowles, Esq., Mork & COMPtroller
Pasco county, orida
y 1' Deputy Clerk