HomeMy WebLinkAbout15-16108 � CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (si3)�so-aozo � 1610
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit-Number: 16108 Address: 36130 SHADY BLUFF LP LT 7
' Permit Type: IRRIGATION ZEPHYRHILLS, FL.
' Class of Work: IRRIGATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVERADO
Est. Value: Parcel Number: 04-26-21-0060-00300-0070
Improv. Cost: 900.00 OWNER INFORMATION
Date Issued: 3/20/2015 Name: HIGHLAND HOLDINGS INC
Total Fees: 40.00 Address: 3020 S FLORIDA AVE STE 101
' Amount Paid: 40.00 LAKELAND FL 33803-4058
Date Paid: 3/20/2015 Phone: 863-619-7103
Work Desc: INSTALLATION IRRIGATION .(�CONNECT CHARGE) C�, -
CONTRACTOR S APPLICATION FEES
JEFF RILEY IRRIGATION IRRI ATION CONNECTION 40.00
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' Ins ections Re uired
PLUMBING FINAL �
I
' RL�INSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
', inspection when called e) permit not posted on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
' may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� .
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CONTRA OR IGNAT RE PERMIT OFFI R
PERMIT EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
o�,-r�v-�,��u City of Zephyrhi{is Permi#Appiicatian Fax-813-780-4021
Building Department
� —
�date Rsceived Phone Contaat for Permitting J� ��� – v �
Owner's Name � Owner Phone Number
Owner's Address Owner Phone Number ,_„w„___.
Fee Simpie 3ittefiatdar Name � � Owner Phone Number � �
Fee Simpie Titieholder Address
J08 AQDRESS V �+.JV � t Lt LOT# [�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PRORERTY TAX N01'!CE}
WORK PROPC}SED e t�Ew CON5TR 8 AdD/ALT C,� SiGN (� [� DEMOLISH
iNSTALL R�PAtR
PRQP�SED USE Q SFR �] COMM �� OTHER
TYPE OF CONSTRUGTiON [�) BLdCK Q PRAME �� STEBL Q
DESCRIPTION OF WQRK � �n.��--`�-' �
BUILDING SIZE �!� SCR FOOTAGE�,� HEIGHT �_�
08UII.DING �� VALUATION OF TOTAL CONSTRUCTION
[�ELEGTRIGAL ($ � AMP SERVICE � PROGRESS ENERGY [� W.i2.E.C.
�_
��PLUMBING $ R�,��?
tJ
QMECHANICAL (�i � VALUATIQN OF MECNANICAL INSTAl.tATIQN
L
QGAS Q ROOFING Q SPECIALTY [—� OTHER
=tRtiSHED FLQOR ELEVATiONS ��� FLOOD ZONE AREA QYES NO
3UlI.DER COMPANY
StC�NATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � i �
EIECTRICIAN COMPANY
iiGNA'TURE REGiSTEREd Y/ N FEE CURRE� Y 1 N
Address Llcense# � �
'LUMBER � � CdMpANY
cIGNA7URE t����srE�Eti Y! N FEE CURRE� Y/N
Address License# �— ' �
�ECHANICAL COMPAI�lY
�IGNATURE REGiS7ERED Y i N FEE CURRE� Y/N
Address License# � '—�
1THER i � �(J ` COMPANY J Z T� ���, Y r ! �C)�
�IGNATURE _ ��'°°x��� REGISTERED N FEE C RREh /N
Address �Q � �.1�',,.1 _ License# � � �J�� �
;fStDEN'iIAL Attach(2}Plot P(ans;(2)sets of Building Rlans;{1�set of Energy Forms;R-O-W Pemtlt for new constru�tion,
Minimum ten(10)working days after submlttal date. Requlred onsite,GonstrucHon Plans,Stormwater Pians wt Sflt Fence instatted,
Sanitary Facilldes&1 dumpster,Sike Work Pertnit for subdlvislonsAarge proJects
OMMERCIAI. Attach(3�complete sets of Build'+ng Plans plus a Life Safety Page;(1)sei of Energy Forms,ft-Q-W Permft#or new construction.
Minimum ten{10)working days after submittal date. Requfred onslte,Constniction Plans,Stormwater Plans wi Si(t Fence insfatied, _
Sanitary Facilltles 8�1 dumpster.Site Work Permit for aA rtew pro}ects.All commercial requirements must meet compliance
IGN PERMIT Attach(2).sets_of_Engineered-Plans. -- -�J`—-"
'" � - � "'•"PROPERTY SURVEY required for a!!NEW conskruction.
Irections:
Fill out application completely.
Owner&Contrackor sign back af appl(catton,notari�ed
If over 5250Q,a Notice af CommencemeM!s requFrsd. (AfC upgradss ov�r ETSdOj
Agent(ior the cantractor}or Power af Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same
VER THE COUNTER PERMITCING (Front of Application Oniy) . � - "" '".� ~
eroofs if shingles Sewers Servlce tJpgrades AJC Fences{PfotJSurveyiFootage} _ �' '
QNveways-Not aver Gounter if on pubiic roadways..needs ROW �
� k
. __.
NOTICE OF DEED RESTRIC'�IONS: The undeesigned under�tands°that this.petmit.may.be.sub)ect to"deed"restrictions"
which may be:more�restrictive-than.County regulatlons. �The undersigned assumes responsibiltty for compliance with any
applicable deed rest�lctions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has h(red 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 violatfon
under state law. If the owner or Intended contractor are uncertaln as to what Iicensing.requirements may apply•for the �
intended work, they are advised to contact the.Pasco County Building Inspectlon Dlvislon—Licensing Section at 727-847-
8009. Furthermore, tf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Black° of thls appllcatfon for v+rhich they will be responsible. If you, as.the owner sign as the
cont�actor, that may be�an indicatfon that he is not.properly flcensed and is not entitled to permitting privilege� in Pasco
County.
TRANSPORTATION IMPACTIUTIlITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry Fees majr apply to the construction of new bulldings, change of
use in existing buildings, o�-expansion�of existirig buildings, as specifled in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as.may�be due,;wfll 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 flnal power release. :If the,project does not involve a certificate of occupancy. or
final power release, the fees must be pa(d prior to permft issuance. Furthermore, ff Pasco County WaterlSewer Impact
fees are due, they must be-paid prior to permit Issuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes,as �rnended): If valuation of work is 52,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protectio� Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appltcant is someone
other than the"owner", I certify that I have obtained a copy,of the above described document�and promise in,g�od faith to
deliver it to the°owner"prior to•commencement.
CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certify that,all,the Information in this application is accurate and that all work
will�be done in compliance with all appiicable laws regulati�g construction, zoning and land development. Application is
hereby made to obtain .a permit to do work and Installation as indi�ated.. I certify that no work or tnstallation 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 regulatlons�in the jurisdiction. I also
certify that I u�derstand that the regulations of other government agencies may apply�to the intended work, and that it is
my responsibflity to identify�what.actions I must take to be�in.corr�pliance. Such agencles inciude but are.not Iimited to:
- Department of Environmental Protection-Cypress. Bayheads; Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management .:District-Wells, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 ReMabilitative Serv(ces/Environmenfal Health Unit-Wells, Wastevirater Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal.Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- 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 subm(ited at time of permitting wfiich is prepared by a professional engineer
Iicensed by the State of Florida. -
- If the fill material is to be used in Flood Zone "A° in�connectfon with.a permitted building using stem wall
� construction, I certify that fill�:wlll-be used oniy.to fill the area withln the stem wall.
- If fill materlal is to be used in any area, i certify that .use. of such fill wiil 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 buflding.permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll, an engtneered 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 s�t forth fn
this a�davit�prtor to commencing construction. I understand that a--separate permit may be requtred for electrical work,
plumbing, signs, wells, pools,, air conditioning, .g�s� or other installatfons not specifically included�in the application. .A
permit issued shall be construed#o 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 Buildirig Oificial from thereafter
requiring a correction af errors In plans,-construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized.by such permit:is commenced wlthtn six months of permlt issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(6) montf�s after the time the�work fs commenced. An extension
may be requested, in writing, f�om the.Building.Official for a period.not to exceed�ninety(90) days a�d•will demonstrate
justifiable cause for the extension, If work ceases for ninety(90)consecutive day.s,..the job_is considered abandoned. � ,
WARNING TO OWNER: YOUR.FAILURE.TO RECORD A MOTICE OF COMMENCEMENT MAY�RESULT iN YOUR
PAYING TWICE,FOR IMPROVEMENTS TO YOUR�;PROPERTY. IF YOU�INTEND`TO OBTAIN•FINANCING;�CONSULT
WITH YUUR LENDER OR AN ATTORNEY BEFORE��RECOR�ING YOUR NOTICE'OF GOMMENCEMENT
FLORIDA JURAT�(F.S.117.03)
OWNER OR At3EN -- - - - ` <�'a!��GTE�lZ- - ---- -- - _ ----
Sub ctlbe and , (or fflrmed)b e me this Subscribed and swom to(or affirmed)�before me this - -
�y
o Is/ e ` vm to.me o has/have p ced Who Is/are personally knovm to me or has/have produced.
as i ntlBcatlon. as tdentl8cation.
� ry Public . Notary Publlc
Com Commission_No.
����`•""'�%r_ CQUELINE BOGES
, : La :�.;. Com ' Name of Nolary typed,p�lnted or stamped
Na 4�a'i�q, @anded�Troy Fein In�� �
600385•7019