HomeMy WebLinkAbout23-6735 (2)=11=16 owana
E-426-HOU-71111 0 �L�
1191 P%1 P&[o] Ii E to] 11111011A
Name: OLGA LARACUENTE
Address: 39516 Meadowood Lp
ZEPHYRHILLS, FL 33542
Phone: (813) 931-1680
Niiiiam
1 BAR-006735-2023
Issue Date: 09/01/2023
Permit Type: Add/Alter (Residential)
Class of Work: Add/Alter Residential
Building Valuation: $26,000.00
Electrical Valuation: $1.00
Mechanical Valuation: $1.00
Plumbing Valuation: $1.00
Total Valuation: $26,003.00
Total Fees: $255.00
Amount Paid: $255.00
Date Paid: 911/2023 4:05:49PM
REII,ISPECTIOr.--�ES-�-�+Tlith-re"ect-*.o P�einspeetkm-f-.e�-,wi-H-conip"th-Florkia-Statute-�. �2&)-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.
!i 11111INYWIT IMIRIV 1 1111 111 1 111
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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.
CONTRACTOR SIGNATURE
" PE IT
fOFFICE
k a #110-111M.
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received '_8WO
Phone Contact for Permitting
F
CT
list&
Owner's Name Owner Phone �Number
Owner's Address IIIPCAA 0 61 Lda,() Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID# 0 Zj 4c)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR8 ADD/ALT
INSTALL REPAIR
PROPOSED USE
SFR O Comm
TYPE OF CONSTRUCTION
BLOCK FRAME
DESCRIPTION OF WORK
f LILL,
BUILDING SIZE
SG FOOTAGE
lx� BUILDING
$
;_? 4�1 E VALUATION OF'
=ELECTRICAL
AMP SERVICE
= SIGN = DEMOLISH
OTHER
STEEL
PROGRESS ENERGY = W.R.E.C.
=PLUMBING �$ 1 1
=MECHANICAL �$ 1 VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY S �C
SIGNATURE REGISTERED Y/N FEE CURREN
I -
Address
License #
ELECTRICIAN COMPANY F_
SIGNATURE REGISTERED L_LLN J FEE CURREN LILN _J
Address License
PLUMBER COMPANY [
SIGNATURE REGISTERED L12 N Fee DURReN Y/N
Address License If
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN
Address License #
OTHER COMPANY I I
SIGNATURE F REGISTERED YIN FEE CURREN Y/N
Address L J License #
I I It I t I a I I I a I I I I t I I I I I I I I I I I I t I I I I I I I I It I I t I I III I I a I I I I I I I IIIII t t A I I
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 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 w/ Silt Fence installed,
Sanitary Facilities & I 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, (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 (PloUSurvey/Footage)
CtrWCW1
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills 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 Linder 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'SIOWNER'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, Welland 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
11 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)
I-- y `�
OWNER 0 AGENT CONTRACTOR�
Subscribed a rn to (or affirmed) before mpthis Subscribed and sworn to (or affirmed) before me this
— by-(-- by
Who is/are personally �known t. me or �h..Ih.ve �pod.c._d Who —is/are personally known to me or as/have produced
as identification, as identification.
--Notary Public
Commission No.
Notary Public
Commission No.
Name of Notary typed, printed'or stamped Name of Notary typed, printed or stamped
INSTR#2023153907OR BK10876 PG3443 PE,go 1 of 1
08131/2023 08A9 AM Rcpt: 2618919 Rec10.00 D& 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
A �� 120 4 On
permit No _W4 0— POMNIDNO
Slate Of NOTICE OF COMMENCEMENT
County of,�
THE UNOERSIC�dED haneby gives notxa Mat pTryrovemani wti ba made to certain, real o
tit® f.1— � tT�Yand to accordance Warn ChaPfar 713, Fkaid. Statues.1, 06 LOT 126
2, O"neral Desoutamn -I
_fir #or mold and water damages
3. Owrw Mmmomon of Lasuonfamneran if the Lessee coneacied for the rIpMornenc
Address —dr.ss City
linlenest in P.,,,,, Owner
Name of Fee Simple Titleholder,
Address City State
4,
Address city Star.
COmmomrs Telephone No.,
5. Sure y
Name
City Stato
Amount of Bond
6. Londar
Lenders Tafphoo. No-
T.IApr.Ao No.
Fa—v--- State
7, Persons MIAs the State of Florida designated by the miner uPan whom notices of offiet documents may W sawed as fAvAdool by
Section 713.13H)(a)(7), Florida Statutes:
lelephoni, Number of D-SOM10d Person:
S. In addition to himself, the —or designates of —
le re— A o.Py of in. Lmnor`s Nor,ge as phlidacf In S-bou 713.13(1)(L), Honda SWM.5,
Telephone Number of Person or Entity Designated by OWMI
9. EnOletion data of Notice of Cammelmefn-ut One expiration dale may not be before the complebou 0 conduction and final payment to the
GAP,ac,s, but yap be _a year from the data of recording unless a diff-MAt data is speoffied)
WARNING TO OWNER' ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING IWCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST HE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE F RST INSPECTION. IF OU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORYDING YOUR NOTICE, Or COMMENCEMENT
Under Penally of penury, I declare that I he,,a read the foregone notice of commencement and that the facts staled Ihatojn AM Wo to rho beat
of my k-Wedga and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature a—LAA e,orOwner's .rL.&s0a,;Z �el i
Signatory's Tawofto
The foregoingristrumera —A w1mewe'dged bafalt .0 this bw
as (type of awhorny, e.g.. at5aat, trustee- afte—Y Iw) for
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