HomeMy WebLinkAbout23-6062 (2)City of Zephyrhille
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-006062-2023
Issue Date: 05/11/2023
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 relinspoction, whichever is greater, for each subsequent reinspoction.
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 PE IT OFFICE
."III111IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813-780-0020 City of Zephyrhills Permit Application Faxv813-780-0021
Building Department
J.PehoasContact for
6 1 (NA, I,
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Owner Phone Number
Ownm, Phone Number
Owner Phone Number
L t
JOB ADDRESS LOT # yn am S_ L Y_
SUBDIVISION P Clmt� ID#
fotiTAIAIED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SiGN DEMOLISH
PROPOSED USE
TYPE. OF CONSTRUCTION
INSTALL
REPAIR
SFR
COMf4
BLOCK
EA
FRAN E
DESCRIPTION OF WORK t�.�: 1 �ec_,y'' ,
BUILDING SIZE SO FOOTAGE [L:A:§:
E�dBUILDING :,,A
CP ELECTRICAL
' PLUMBING
MECHANICAL
GAS ROOFING
FINISHED FLOOR ELEVATIONS [:=
OTHERww.�..
STEEL
VALUATION OF I'OTAL CON STRUc,riON
AMP SERVICE PROGRESS ENERGY
VALUATION OF MECHANiCAL INSTALLATION
SPEC AALTY OTHER �
FLOOD ZONE AREA =YES N0 �
W.R.E.0 %
t,
BUILDER
e a
� COMPANY
SIGNATURE
REGISTERED IN FEE ctiurto, Y I R!
Address
Mk v h:0:hS !n Lice,ise #
S t3NA'TLiRE
s 3 ECIs�tE:er N¢� EE culzREn,
Address
incense #
PLUMBER
COMPANY
SIGNATURE
REGISTERED YIN FiE Cur F_r5, Y I N
Address
>. License #._.
MECHANICAL
„-�� '" COMPANY � ..
NATURE
FtEC laiEi2EfJ I N SEE f;UR Fi �Y I N
Address
License # E
OTHER
COMPANY [:7=Yl
SIGNATURE
REGISTERED ! FEE cuRREn YIN
�.
�
Address
License # _,_��,�..�,.:�,.�.e�. .
ll III loll 11111oil III IIII Ifill I1till 11111111if11111111INIII III oil III
RESiDENTIAL
Attach (2) Plot Puns; (2) sets of Building Plans; (1) sct of Energy Forms; R-0 U`1 Permit for new fonstruction,
Minimum ten (10) working days after submittal dater Required onsite, Construction Plans, Storm water Plans w( Sift Fence installed,
Sanitary Facilities & 1 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 Playas, Stormwater Flans wt Silt Fence insta€led,
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 upgvades over 7500)
* Agent (fear the
contractor) or Bower of Attorney (for the owner) would be someone with notarized letter from owner authorizing !same
OVER TiiE COUNTER PERMITTING (copy of contract required',
i omofs if shingles Sewers Service Upgrades A/C Frances (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways -needs ROW
RECORDWARNING TO OWNER: YOUR FAILURE TO
PAYING TWICE FOR IMPROVEMENTS CIF YOUR PROPERTY.
WITH k' LENDER OR AN ti 'x
O-WNER OR AGENT CONTRACTOR x5L,
/*'S,uj1j',,ftd ds or affirm e me this Subscribed and "vorn to (or affirmed) before me this
pty
s identification. -as identification.
'"`... '—Pry Public
Commission No.
(j F
i�a rye ofNotarytyped, printed or stamped
Name of Notary typed, printed or stamped
No. 16; Z""'
Permit N Parcel ID No
NOTICE OF COMMENCEME
State of County of
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 CommaTem!!t: C, 01
"(
1. Description of Property: Parcel Identifi— cation No.
Street Address:
2. General Description of Improvement
1 Owner Information or Lessee infoi
--
-iiLa-slitLL-
-
Address
Interest in Property:
Name of Fee Simple Titleholder:
Address
4. Contractor:
if the Lessee contracted for the improvement:
nt" n
(if different from Owner listed above)
Aaaress " ) yy (--1 C V—
Contractor's Telephone No.:
5. Surety:
I
City St —ate
7 r�" �'
City State
Address city State
AmountAmount of Bond: Telephone No.:
6. Lender:
Address City State —
Lender's Telephone No.:
T Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes:
Name
Address city State
Telephone Telephone Number of Designated Person:
8. in addition to himself, the owner designates of
to receive a copy of the Lienors Notice as provided in Section 713,13(1)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9, Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
RECORDED AND '�&STMU THE JOB SITE 6EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
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 my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
SiAnature 5 ei 6r Lessee, or Q3wWWDr Lessee S Authorized
K C /Director/Partner/MaMe, Ir
N
V 0;
y "� E71;
EVIN LACHANCE U
My COMMISSION HH1281 18
Signatory's Title/Office
`r4,,r,d4y EXPIRFS: May 10, 2025 g3
The f[L this h—day of 20 --by Ink r� —Aa
as (type of authority, e,g., officer, trustee, attorney in fact) for
(name of pa stru ie� was executed).
I 711
Personally Known [I aR Produced Identification EA' Notary Signature %behalf of
Type of Identification Produced —Q11L( 5 Name (Print)
4 s
wpdata/bcs/noticecoi,nmencement _pcO53048