HomeMy WebLinkAbout23-5941 (2)=1 W, MIMM, �
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
III III PIII 111111, R 11111! 11 11
SL-005941-2023
Issue Date: 04/05/2023
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
dance City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
N CTOR SIGNATURE PE IT OFFICE
PERMI EXPIRES IN MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
IN, FINUTETIZE11129
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
r.
Rhone ��.nja�f for Permitting
Date Received
*F Al - 447--
Owner's Name 7Lennar Homes, LLC Owner Phone Number
Owner's Address FL Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS [C:M: 3�3542 LOT# =
SUBDIVISION [L:ea�f�ide�_.� PARCEL
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING S17E =
A VA
=BUILDING
=ELECTRICAL
=PLUMBING
=MECHANICAL
=GAS
Fv_7 NEW CONSTRF--]
INSTALL.
SEK_-1:3
-``BLOCK
C nstruct Plawrot
W
ADEYALT
REPAIR
FRAME'S
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN = DEMOLISH
OTHER
STEEL
HEIGHT [:=
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS [:= FLOOD ZONE AREA =YES NO
BUILDER COMPANY Eh�IEEMRRENFC�
SIGNATURE REGISTERED
Address 0 E nolds �., Plant City, FL 33563 License #
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED �Y / N �F..RREN/ N��
Address License #
PLUMBER COMPANY E
SIGNATURE REGISTERED �Y/ N FEE C.RRENY 7 N��
Address License If
MECHANICAL COMPANY E
SIGNATURE REGISTERED ;;;;: �FEECIRREN���
Address License#
OTHER COMPANY E
SIGNATURE REGISTERED ;;;; �FED.UR.N��
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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit for SUbdivisionsfarge 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 & I clumpster. 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 $2600, a Notice of Commencement 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)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813 780-0020 City of Zephymills Permit Application Fax-813-780-0021
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 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, of
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 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 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, WaterNVastewater 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
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.
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
FLORIDA JURAT (F.S. 117,03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
_b
Who islare personally known to me or has/have produced
as identification.
------Notary Public �Not�aryPullc
(C 7.!s Commission No. miss,. Na
Name of Notary typed, printed or stamped N—kLa—Je of Notary —typed, printed or
110� YOELLY MAYOZ-HGUEROA
Notary Public - State of Florida
Commission N HH 356357
My Comm. Expires May 9, 2027
Bonded through National Notary Assn,
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
15- - 1-02 -00 (�-0000
Permit No.. _.---------.____.. Parca! ID No
NOTICE OF COMMENCEMENT
state Of --El-orida County of_Easce
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following Information Is provided In this Notice of Commencement:
t. Description of Property: Parcel Identification No. j,� 9, 15^26-21-0 20-0000O-o000
Street Address:. A 4 ": $- Y d ®" e t J
2. General Description of Improvement Lealside -Playground
Owner Information or Lessee Information if the Lessee contracted for the Improvement:
Lennar Homes, LLC
4301 W Boy 98M Blvd., Suite 600 Tampa FL
Address City Skate
Interest In Property:
Name of Fee Simple Ti@eholdor:
(If different from Owner listed above)
Address
4. contractor. Tillie Rovers ses- of Soutit Florida. LLC -J c
Contractor's Telephone No.: 813-41 -2447
5. Surety:
Name
MEN
EL —
city State
city state
Telephone No,:
6. Lender
Name
Address city Stale
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.19(1)(a)(7), Florida Statutes: Anthony Pavlides
Name
710 P Reynolds St Plant City
e$13 $15«447 city
Telephone Number of Designated Person:
8. In addition to himself, the owner designates of
to receive a copy of the Lienoes Notice: as provided in Section 713,13n Xb), Florida statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiration date of Notice of Commencement (the expiration date may not as before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different data isspecified):
Under penalty of perjury, I declare that i have read the foregoing notice of commencement and that the facts stated therein are true to the best
of rnv k'211, naa anrt traHef.
STATE OF FLORIDA
COUNTY OF PASCO
ear
Signature of Owner or Lessee, or Owner's or Lessee's Authorized
OfficerfDiaectorlPartno pager
Steve Smith, Division President
Signatory's TittetOHice
� yk ti'•
The foregoing going instrument was acknowledged before trio this day of .: km . ' <LW 20B by
�ss ii t ti tjt aim ti, \ (type of authority, e.g„ officer, trustee, attorney in fact) for
. c� i m 'k.: t�� `� _,�, .r r i t "-�. S.`_ (name of taadry,pn behp#p€whom iizument was executed}.
y (�"Qj3 Produced identification [� Notary signatur�h'. . ;' k
Type of ident#fiea#lon Produced Name (Print) -ti r t r' � t -'-
KRISTEN JOSEPH
Commission # HH 095701
`= ExpiresAprli 21, 2025
Bonded Thin Troy rein Insurance 8*385.70i9
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PAS C
COUNTY FLOR11-
ZESIMMMM
PROPERTY OWNER INFORMATION
PROPERTY APPRAISER'S PARCEL IDENTIFICATION NUMBER: 15 26 210220 OOCOO 0000
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your newly established address.
If an address is assigned to a structure, and after construction the structure does not face the road
to which the address was assigned,- or, the site plan changes at a later date and structures no
longer references the original addressing plan; the address(es) may be subject to change.
New Address: 37676 Leafslde Lane
Zephyrhills, FL 33541
Playground
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GIS ADDRESSING/INFORMATION TECHNOLOGY DEPARTMENT
(727) 815-7154 1 West Pasco Government Center 18731 Citizens Drive, Suite 351 1 New Port Richey, FL 34654