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Home My WebLink About14-15699 CITY OF ZE HYRHILLS 5335-8TH STREET � - ' - �si3>�s -0020 15699 BUILDIN PERMIT PERMIT INFORMATION LOCATIOId INFORMATION Permit Number: 15699 Address: 4626 KRUSEN FIELD RD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Ciass of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0080-00000-0010 Improv. Cost: 225,000.00 OWNER INFORMATION �ate Issued: 10/02/20'�4 Name: CITY OF ZEPHYRHILLS Total Fees: 1,29 ' Address: 4626 KRUSEN FIELD RD Amount Paid: 1,290� ZEPHYRHILLS, FL. 33542 ' Date Paid: 10/02/201 Phone: Work Desc: CONSTRUCT NEW CONCRETE SKA EPARK 8000 SQFT FEE WAIVED CONTRACTOR S APPLICATION FEES FLORES CONSTRUCTION CO BUILDING FEE 1,290.00 � j � � l- Ins ections Re uired FOOTER 2ND RO H PLUMB ISC INSULATION E LIN FOOTER BOND DUCTS INSULATED S WER MISC. ' ROUGH ELECTRIC LINTEL ISC MISC. 1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC. DUCTS INSTALLED WATER IISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME ISC. MISC. REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections no made when inspections called d)work not ready for inspection when called e) permit not posted on jo site� plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme , state agencies or federal agencies. "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your otice of commencement." Complete Plans,Specifications Must Accompany Appl cation. All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. '1 � TRACTOR S GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2014157392 }' Rcpt:1633711 Rec: 10.00 DS: 0.00 IT: 0.00 NOTICEOFCO MENCENYENT 10/06/14 T. Stine, Dpty Clerk Permit No. �/,, � �Q PqULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER Property IdentificationNo. '"�Y"�/"�OU�"' "Q0�0 10/06/14 09:05am 1 of 1 OR BK �� PG 3Z�� THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provid in the 1lTOTICE OF COMNYENCEIVIEN�'. 1. Description of property(le a!description:)7Tl IT�'D�� /q7e�'� 3 �j S��+ {�1��•'�/�(��' a) Street Address: 2- e �LC L 2. General description of improvement CD _ S 3. Owner Information G,! O u �2� $ C�'� ��i(�s �,L %��T�� a) Name and address: J b) Name and address of fee sim 1 titleholder(if other than wner) c) Interest in properiy � . ContractorInformation �� /�� `'��r� 3'_I a) Name and address: T Y ��k 3 W� b) Telephone No.: O Fax No.(Opt.) 'O O 5. Surety Information a) Name and address: �O b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. - Identity of person within the State of Florida designated by o ner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person o receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: � b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement the expiration ate is one year from the date of recording unless a different date is specified): � WARNING TO OWNEIt:ANY�AYli�N'I'S MADE BY T OWNER AFTER THE EXP�'II'ION OF THE NO'd'ICE OF COIVIMENCEMEN'B'A�tE CONSIDERED I1�IPROPER PA NTS UNDER CHAP'I'ER 713,PAItT 1,SECTION 713.13, Fl[.ORIDA S�'AT�JTES ANIID C�N RESUL'I'IN YOUR PA G TWICE FOR IPROVEMEN'�S TO YOUR PI�OP�RTY.A NOTICE OF C011�MENCEMENT MiJST BE ItECORDED D POS�'EI)ON THE.�OB SITE BEFORE�E FIRST INSPECTION.IF�'OU IIN�'END TO OBTAIN FINANCING CONSUI.T YOi1R I.ENI)EIP OR AN A'PTORNEY BEFORE CO1Vdi1�ENCIIVG WORK OR ItECORDING YOiT NOTICE F COM11�fiENCE . STATE OF FLORIDA ' COUNTY OF PASCO ' ature OF Owner or Owner's Authorized OfficerlDirector/Parmer/Manager t�A-tLLCS �.%, �ROCTU� P � t Name The foregoing instrument was acknowledged before me is b �day ut C.{�1'�i.-f.C� ,20�,by �l-�}-��S L=, �iQDCrD� as �u-aJ�« ��E�'�.D�dJi' (type of authority,e.g.officer,trustee,attorney in fact)for .z_ � � uc. e o behalf of hom instrument was executed). ?'r L,INDA D.BOAN � Personally Known OR Produ.etl;� �a��pj�jpn�EE 171 Signa e ��— :;�Q� Expires June 15,2016 � ��=� � �v� TypeofIdentificationProduced ��'F'g� bndedThruTioyFeinh�eenoe � rint) ' Verification pursuant to Section 92.525,Florida Statutes.Under penalti of p��, d8cla{e�afI hav read ore ing and that the facts stated in it are true to the best of my knowledge and belief. �` FoxMSixoc.r5azoo� � Si ature of Natuml Person Sig�ing Above � _ a�� ''`� �" . . ' � � �3 �„ 'C� ,;;;_ � � City of Ze hyrhills BUILDING PLAN VIEW COMMENTS , Contractor/Hameowner: f Date Received: '" Z�� S1tE: � �/ Permit Type: �' Approved w/na comments: Approved w/the belaw omments: ❑ Denied w/the below cornrnents: ❑ ! This comment sheet sha11 be kept with the permit andlor plans. � ,� 1 ` �� Kalvin Swi zer ans Examiner Date Cont�cactor andfor Honneowner (Required when comments are present) s�s-�eo-oozo City of Zephyrl�ills Permit Application Fax-813-780-0021 , suilaf'ng Department J Date Receieed � �� r phone Contact or Permittin f�J� 3�� 7 q� Ovxner's Mame �( � �r�Ya�i�s Oeuner Phone Mumber (3 �� 2 �roner's d�ddress p S Owmer Phone fVumber Fee Simple Titleholder Mame � 2�� Owner Phone(dumber Fee S(mpie Titleholder Address �J%�� .lOB ADDRESS � r D LOT# � SUBDIMISIOR7 PARC L ID# , (OBTAINED FROM PROPERTY TAX MOTICE) WORK PROPOSED � NEW CONSTR e ADD/A T � SIGN Q Q DEMOLISH INSTALL REPAI �EtOPOSED USE [� SFR Q COMM [� OTHER lYPE OF COMSTRUCTIOM Q BLOCK Q FRAM Q STEEL Q DESCRIP'�IOR1 OF lMOR6f �� I`L1 .►-, ' BUILDIfdG SIZE SQ FOOTAGE HEIGHY ^" �BUILDING S ��p� VALUATIO OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERV CE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � e �� MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECI LTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO SUIILDER C I�IPANY �L�� "`�'ll�!�UCn [.O SIGfdATURE R GISTERED Y/ N FEE CURRE� Y/PI 4lddress � �� X��ll � ! License# � C � 7 IELECTIZICIAM C MPANY �IGfdATURE R GISTERED Y I N FEE CURRE� Y/N Address � License# PLUAABER C MPAMX SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL C MPAMY SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/IV Address License# , 04HER C MPANY � SIGR�ATURE R GISTERED Y/ N FEE CURRE� Y/N Address License# RESED�fdT1AL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)s of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivfsions/large projects COAAAIIERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Faciflties d�1 dumpster.Site VVork Permit for all new projects.All commerclal requirements must meet compliance SIGM PERMIT Attach(2)sets of Engineered Plans: •'•"PROPERTY SURVEY required for all NEW cons ction. I Directfons: � � � " Fill out application completely. Owmer 8 Contractor sign back of application,nota�ized If over 52500,a(dotice of Commencement fs required. (IAIC up rades over�7500) •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notaNzed letter from owner authorizing same 01/ER THE COUNTER PERMITTIMG {Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � WOTIC� O� �fE�D Rf�S"Pf�OC�'IOR9�`�The uridersigned understands that this permit may be subject to"deed" restrictians" which may be more res#rictive than County reguEations. The undersigned ass�mes responsibility for compliance v+rith any applicable deed res#rictions. , , ; . , • , ' , � . � ' ', , � �1�L.@��lSIE1D �G1PI71��C�'�R� �F�l� ��RfY��'��i (��'Qfti�Yf�Y�.tS"Y��: lf the o�nrner has, hired a; contractor ar i contractors to undertake wrork, #hey may be required fo be lic�nsed in accordance with�state.and tocal regulations. (f the � contractor is not licensed as required by lavv, both the awner and contractor,may be cited for a misdemeanar violation under sfate lavv. If the ovtirner ar intended cantractar are uncer�ain,as �o vvhaf licensir�g,requirements may apply for the , intended work, they are advised to cartfacf the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furt#�ermore, if the owner has hired a confractor or contractors;�he is advised-'ta have the contractorts} sEgn portio�s of the "conkractar Block" of this application for vuhich they wili�be re5ponsible: If you, as the owner sign as the contractor, that may be an indication that he is no� properly lic�nsed and is nof entitled fo;�rermit#ing_peivileges in Pasco County. . .. . , � . , � � - 'Y�1Rl�P��.'��TEON E�l�'�C711J�'IL9'YI�� 9��'G�f�� 6��C�I�f�CC� �f�CO@/f��Y�f��: 1"he undersigned understands that Transportation tmpact Fees and Ft�course �2ecovery Fees tnay apply to the constructian of newr buiidings, change of use in existing buildings, or expansian of �xisting buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The und�rsigned aisa ur�derstands, that such fees, as rnay be due, vtirill be_identified at the time of permitting. It is furfher understood tha# Transpo�ta#ion Impact Fees and i�esource Recovery Fees must be paid prior to � receiving a "certificate o�occupancy" oP final power r�lease. (f fhe project does not involve a certificate of occupancy or final power.reSease,,the fees must be paid prior ta permif issuance. Furthermare, if F'asco Caunty VVatec/Sewer lmpact fees are due, they must b� paid prior to permit issuance in accordance with applicable Pasco County ordinances. �C3R9�Y�llG'Y��1 �I��d �..�1lfi��G��a��r'�'��, �I�r�c9��t��o.�s �e�ee�d��}: �If valuation af,work is $2,500.OQ or mare, t certify that I, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeowner's Pratection Guide" prepared by the Flaeida Departm�nt of Agriculture and Consumer Afifairs. lf the applicant is someone other than fhe"owrner", 1 certify#hat 1 hav�obtained a copy of#he above described document and promise in gaod faith to deliver it fo fhe"owner" prior to commencement. , ,. CONT��iC�'CD�t'�If31�1�9��'�kl�F��ld�Va�': 1 certify that all the Enformation in this applicatiort is`accurate and that aA uvor�c vvill be done in compliance uvith all applicable laws regulating construction, zoning and land development. Application is hereby made ta abtain a permit to do work and ir�stallation as indicated. 1 c�rtify that no vsrark or instaliation has commenced prior #o issuance of a permit and that ail vuork wrill be performed #o m�et standards of all taws regulaking construction, County and C9ty codes, zoning regulations, and land development regulations in the jurisdiction_ ! also cerfify thaf I understand that #he regu(ations of oth�r government agenci�s may apply to the infended vuork, and that i# is my responsibility to identi�y what actions I must take to be in campliance. Such agencies include but are not limited to: - Department of �nviranmenfa] Pratection-Cypress �ayheads, Vll�tland �lreas and Environmentally Sensitive Lands, V1laterNVastewater Trea#ment. - Sauthuvest Flarida 1lVater Managem�nt Districf-t�leEis, Cypress �ayheads, 1flletland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, fVavigable Waterways. - Department o€ Health � RehabiEitafive Servicesl�nvirt�nmental Fiealth Unif-VVells, Was#evvater Treatmen�, . Septic Tanks: , • , - US�Envi"ranmen#a1�F'�ofectian Agency=Asbestos abatem€:nt. _ • - F'ederal Aviation puthority-f�unways. 1 understand that the follav�ring restrictions apply to 4he use of fill:� . . - � 3 - - ' =Use of fill is no#allawed in �iood Zone"V"unl'ess�expr�ssly'permif�ed. ' � � " ' � •� - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating valume" will be submitted at time af permitting vuhich is prepared by a prafessional er�gineer licensed by the State of Flarida. - If the fill material is ta be used in Flood Zone ",�" in connection vrrith a permitted building using sfem vualE canstruction, 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, ! cerfify #hat use of such fill +nrill not adversely affect adjacent properties. lf use of fill is founci to adversely affecf 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�ngineered drainage plan is required. If I am khe�C�IER9�' I�OC� �'OiIE �1li�lW�C�, I promise in good faith to infarm the owner of the permitting condikions set forth in fhis affidavit prior to comm�ncing construcfion. 1 understand thaf a separate permi# may be eequfred for electrica! v�rork, plumbing, signs, wells, pools, aic conditioning, gas, or other insfaliafions not specificatly included in the application. A permit issued shal! be cortstrued to be a licenss to proceed �nrith the work and not as authority to.violate, cancel, alter, or s�t aside any provisions of the technical codes, nar shail issuance af a permit prev�nt the Building Officia!from thereafter requiring a carrection of errors in plans, construction or violations of any codes. �very permik issued shall become invalid unless #he rrvark authorized by such permit is corrtmenced vvithin six months of permit issuance, or if vvork aufhorized by ihe permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be reques#ed, in writing, frorn the Building O�cial for a period not to exceed ninety �90) days and wilt demonstrate justifiable cause for the �xtension. lf vvork ceases iar ni�ety(90)consecutiv�days, the job is cansidered abandoned. �, r��r�� r� c�a�� uo� ��o�� c��z� � �e�Y�� c ��t� ��.v ��t��.�- �� oa.�� iYlFdt� �Y�fp�E IFID72 9ii�l��t�i/{�i�l��"V"� vCi Y0�9��'3�'(EI�'If1f. YfF YOIJ �W�f�iVfO �Y'J�►I IPIId►R1�C9i�f�, �GOP1��D�.Y �illffN Y�3l9��F�f��t 6��9��IRi��Y��C2�1� ��i��1�� Y��1��90�'1 � ��9G��f!lEI�T. FLORIDA JURAT(F.S. 117 03) 41�lidEFt OR�G��f7 ��li'�tAG'fQ� Subscribed and sworn to(or a�rmed)before me this Subscrlbed and swor to(o a`ff} /e�d,)be me bY b� ��Y 1t.� ��%�� Who islare personally k�own to me or hasthave producecf Who islare personaEly�cnown f�me or haslhave praduced as Idenkification. as identification. Notary Public Notary Public Commission PJo. Commission No. Name of Notary typed,printed or stamped Name af IVotary typed,printed ar stamped - Print Form CITY OF ZE HYRHILLS UTILITIES ORK ORDER WATER ACCOUNT NO.: DATE: Oct 6,2014 OWNER/RENTER/BUSINESS:City of Zephyrhills CONTACT PERSON: Shawn MAILING ADDRESS: 5335 8th St attn:Shane PHONE NUMBER: 813-713-4890 Zephyrhills FL 33542 EMAIL ADDRESS: SERVICE ADDRESS: 4626 Krusen Field SHUT OFF SERVICE ❑X ❑X WATER TURN ON SERVICE X❑ ❑ SEWER INSTALL METER ❑X ❑ GARBAGE READ MEfER ❑ OX IN CITY CHECK METER ❑ ❑ OUT CITY OTHER ❑ DESCRIBE OTHER: 3/4 water NUMBER F UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC. C ARGE METER: FULL 3/4 IRRIGATION WORK COMPLETED BY&DATE OR ER TAKEN BY: Jackie Boges COMPLEfED OR ER GIVEN BY: Revised 9/2010 � ' � -�c,�,•"R .��; , • ,�.:'.� _,�9 ;� e � / �. C�� City of ephyrhills BUILDING PLAN EVIEW COMMENTS Contractor/Homeowner: � � � �� T U(, a Date Received: �� - z 0 ( Site:� S K �A�� Permit Type: E.�I lS 1 ``-� Approved w/no comments: Approv e o comments: ❑ Denied w/the below comments: ❑ i This com ent sheet shall be kept with the permit and/ r plans. � Kalvin Switzer s Examiner D, te Contractor and/or Homeowner (Required when comments are present)