HomeMy WebLinkAbout23-6571City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BAR-006571-2023
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 07/12/2023
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Phone
WSZOWSIM
Class of Work: Add/Alter Residential
Building Valuation: $5,816,00
Electrical Valuation: $0.00
Mechanical Valuation: $0,00
Plumbing Valuation: $0.00
Total Valuation: $5,816.00
Total Fees: $69.08
Amount Paid: $69.08
Date Paid: 7/12/2023 10:17:04A]
35574 Stella Vast Drive
Contractor: RENEWAL BY ANDERSEN
OF FLA r`l
/1 250
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 thal
may *e fiynle in the "e lie mcoris *f thiis o*,imty, anif therewy-4e Aermit reltyireif fr*m #tMr1g*,eermmei-1t,?,I
entities such as water management, state agencies or federal agencies.
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
SIGNATURE
No ON,
PEfIT OFFICEU
:RMOUT 4111111,11MIM&MU01,11
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 16/29/2023
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Owner's Address 135574 Stella Vast Dr Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 35574 Stella Vast Dr Zephryhills FL 33541 LOT III
SUBDIVISION PARCEL to# 1 32-25-21-0100-01900-0080
(OBTAINED rRom PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Replacing 1 door size for size
BUILDING SIZE SO FOOTAGE = HEIGHT
[MBUILDING $ 5,816.00 J VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R,E.C.
=PLUMBING
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
= GAS ROOFING
FINISHED FLOOR ELEVATIONS
7RTM
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
IIIIIIII
RESIDENTIAL
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
COMPANY
Renewal By Andersen of Florida
REGISTERED LILNJ FEE C.RRE1
FL 32810 License # I CGC152613
COMPANY F_
REGISTERED LILN_J FEE UTFIFI
COMPANY License #
REGISTERED Y J N FEECURREN
License #
COMPANY
REGISTERED
License #
COMPANY
REGISTERED FEE CURREI\Y I�
License #
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 & 1 dumpster; Site Work Permit for subdivisions/large projects
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 & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
M
1114111 11 1,11 ......... ........... ......... I a 1 1 11
Directions:
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
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, 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 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, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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 "V' 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.
0 .
12-1vill
OWNER OR AGENTS ___1_1 'A / I CONTRACTOR
Subscribed and a ir had) 6 is Subscribed and s orn to raffir
b y y
tome
A orl fle
y y
or
Who is/are p�er n to tme or hi6/wfive produced Who is/are pe nown to me or has/have produced
as identification. as identification.
Public
Commission
Commission
r'P 117 17
Name of Note tea or siampeT— Name of Notary ty r stffi
aR d
Notary Public ry Public
State of Florida State of Florida
Comm# 1-11-1399456
COMM# HH399456
Expires 5/17/2027 Expires 5/17/2027
Public
rici Parcel to No 32-25-21-0100-01900-008iX
NOTICE OF COMMENCEMENT
State Of FIt7rYdS county of PASCO
THE UNDERSIGNED hereby gives notice that Improvement we be made to certain real property, and In accordance with Chapter 713, Florida Statutes.
the following information Is WWded In this Notice of Commencement
1. Description of Property: Parcel identification No. 32.25-21-01 1900-OM SOLVERADID RANCH SUBDIVISION PHASES 7, 9% 1 1A AND I 1B
Street Add ass: 35574 STELLA VAST DRIVE, ZEPHYRHILLS, FL 33541
2. General Description of Improvement
1 Owner Information or Les3evinformation Ifthe Lessee contracted for the improvement:
NELSON MARIAN KARLCTA
Nam
35574 STELLA VAST DRIVE ZFP14YRHII I R FL 335At
FL
Address
CRY
State
Interest In Property. ChIffm
Name of Fee Simple Titleholder.
(if different from Owner listed above)
Address
city
state
4. Contractor; Baneml j}+gAnden�en of Florida
011? 9 A= pdv-,.
Tampa
FL
Address
city
State
Contractot's Telephone No.;
5. Surely;
Ad see City
Amount of Bond; Telephone No.;
6. Lender;
Nam
Address CRY state
Lender's Telephone No.:
7. Persons within the State or Florida designated by if* owner upon whom notices or other documents may be served as provided by
Section 71 3.13(l)(a)(7), Florida Stamdes:
Name
CRY state
Telephone Number of Designated Person:
S. In addition to himself, the owner designates of -
to rocsW a oW of the Uenor's Notice as provided In Section 713.13(lXb), 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 dade Is specified):
Under penalty of pe4ury I declare that I have read the W"c*V notice of commencennent and that the facts stated therein are true to the beat
of my knowledge and Qef.
STATE OF FLORIDA
couNw or PASCO
Signature of Owner or Lessee, or Ownses or Lessee's Authorized
Offloon/Diremor/Partner/Manager
Undatl bjalaon
S. terys Tinstorthe C-Y-1
The loregoing Insbuntent was acknowledged before me th1szQ0dayGfMW'Uy-VA0-r'd'kq p .O w%.—%
se ft.. of authadw. .-,�1ear-trustes in fact) for
SO (norno of party onAshal I in exacgited).
Personally Known 0 QR Produced Identificationk A
Type of ftlentitication Produced N425:551 -61 -866D
Wkoly ru"n-
State of Florida
COMMill HH272126
Expims 6/5/2026
vvoaMA�cA/notmecommenceff*nLpoOS3048 Doc ID: ddfe6972e9343oea7fO99Oc6b64b3d8l9671-
i Door
Agreement Document and Payment Terms
RBA: RENEWAL BY ANDERSEN OF FLORIDA
WEWA
Marian Nelson
Legal Name: JLM Windows, LLC
35574 Stella Vast Or
P. E N L 0GC1527613
Zephyrhills, FL 33541
byANDERSEN' 997 West Kennedy Blvd. Suite Al I Orlando, FL 32810
H: (980)205-0138
Phone: 407-
Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of JLM Windows, LLC d/b/a Renewal by Andersen of
Florida("Contractor"), in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in
the Table of Contents, and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and
incorporated herein by reference (collectively, this "Agreement"). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed
all work under this Agreement.
TOTAL JOB AMOUNT: $5,816 By signing this Agreement, you acknowledge that the Balance Due, and the Amount Financed
must be made by personal check, bank check, credit card, or cash.
DEPOSIT RECEIVED: $5,816
BALANCE DUE: $0 Estimated Start:
16-24 weeks
AMOUNT FINANCED: $0
We schedule installations based on the date of the signed contract and secondarily on the date
METHOD OF PAYMENT: Check in which we complete the technical measurements. The installation date that we are providing at
this time is only an estimate. We will communicate an official date and time at a later date. Rain
and extreme weather are the most common causes for delay,
NOTES:
Buyer(s) agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the
signed, written consent of both the Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the
terms of this Agreement, and has received a completed, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on
the date first written above and 2) was orally informed of Buyer's right to cancel this Agreement.
NOTICE TO BUYER: Do not sign this contract If blank, You are entitled to a copy of the contract at the time you sign.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 05/20/2023 OR THE THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF
CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE
Joyce Towne Marian Nelson
PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME
05/17/23 Page 2 / 29