HomeMy WebLinkAbout15-16668 I
;�; ��. CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 16668
BUILDING PERMIT
PERMIT INFORMATION ` LOCATION INFORMATION
Permit Number: 16668 Address: 36116 SHADY BLUFF LOT 10
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: 04-26-21-0060-00300-0100
Improv. Cost: 900.00 OWNER INFORMATION
Date Issued: 10/13/2015 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: 10/13/2015 Phone: 863-619-7103
Work Desc: IRRIGATION CONNECT ONLY
CONTRACTOR S APPLICATION FEES � '�
JEFF RILE IRRI ATION IRRIGATION CONNE TION 40.00
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f - ' — � Ins ections Re uired
PLUMBING FI AL
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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 such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 properly. 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTO SIGNATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
;813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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Buftding Department
Date Recetved �n, }� �,� Phane-Contact far Farmittin —
Owner'a Name Owner Pho»a Numbar
Owner'�Address j ' Owner Phane Number � �
II Fee Simple TlNeholder Name �� � Owner Phone Number � �
,
Fee Simple Titleholder Addre+ss
JOB AbDRESS l.,lL �� � LOT# �__�
SUBDIViSiON �� �� PARCEL ID#
(OBTAINED FROM PROPERTY TAX NQTICE)
WORK PROPOSED NEw CONSTR ADDiALT � S1GN` Q CJ DEMOLtSH
e INSTALL 8 REPAIR
PROPOSED USE Q z SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q 94.00K ° Q FRAME C� STEEL Q
pE3CRIPTION OF WORK S Y
BU1LDiNG SIZE �� . � SQ FOOTAGE�� HEIGMT ��_____�
I OBU���1�� � �y� VALUATION QF TOl'AL CONSTI2UGTION
�J '
�ELECTRICA�. $�'� AMP SERVIGE � PRQGRESS ENERGY Q W.R.E.C.
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[�LUMBING ��VV,b� � c6�b�
f—
[�MECNANICAI $ VA�UATtON OF MECHANICAI.lNSTA1.lATION
����;
QGAS Q RQOFIIUG Q SPECIAl.TY [� QTHEFt
FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYE5 NO
BUILQER CBMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� .Y/N
� Address License# � �
ELECTRtC1AN COMPANY
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
' Addrssa License# � �
PLUNtBER � �l{ GOMRANY �-tt`� �t ( Y � I ��
SIGMATURE `1 REGISTERED Y/ N FEE CUR EA Y/�
Address (}�, �3� License# �� ���J��( �
NIECHANIGAL COMP�tHY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�
Addre�s ' License# �
OTNER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N
� Address ' license# �� �
l2ESEDENTIAL Attach(2}Piot Plans;.�2)sets af�8ii11ding Plans;{1)set of Energy�Farms;`R-t}-W Permlt far new construcGon,
Minimum;ten(1.0)working days after�subtnittal date. Requlred onsite,Constructlon Plans;Stormwater Plans w!Silt Fence installed,
Sanitary FaciliUes�&1:dumpster,Site Work Pertnit for subdivislonsAarge proJects �
COMI4AERC4AL. Attach(3)campfete sets�of Bulldirig Plans plus a I.ife Safety Page;{1}set af Energy Fotms.FR O-W Perm9t fac new canshuctton.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary FacAitles&1 dumpster.Site.Work Pertnit for all new'proJects.All commercial requtrements must meet eompfiance
St6N PERNIIfi Attach{2)sets of Engi�eered Plans. � �
'••"PROPERTY SURVEY requtred for all NEW canstructlon. .
IDErsetlans: � •
Fill out applicaHon completely.
Owner&Contractor stgn back of applIcattan,notarized ? �m
if aver 32500,a Notice of Commencement ia required. (NC upgrades over�7500) •. � � - ' ��
`" Agent(for the cbntractor)or Power of Attomey(for the awner)would be someone with notarized letter fram ownerauthorizing"same�;� �." � A ', ,
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OVER THE COUNTER.PERMtTTiFtG (Front of AAplication Only) . , � �,� �f�;i^.t,.,:`.�r,` . `'`', �- .
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , ,° ` ��;�r, ' . - � • ,
Driveways-Not over Counter if on public roadways..needs ROW ` .,��.� � , ' ''W ° .':''.� �,�'LL;'��.tl��
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OTiCE OF DEED RESTRICTIONS: The understgned unders�tands::that.this:p�rmit.may_be,subJectto,"deed"restrictions"
hich may be.mote�r.est�ictive-than County-��egulatfons:�The undersigned'assurnes'�esponsitiility for'compliance inrith any
�pllcable deed restrictions. . . -
NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -If the owner�has�hired a contractor or
mtractors to undertake work, they may be required�:to be-llcensed in accordance.with.state.and�local regul.ations. If the
I, mtractor ts not I(censed•as requlred�tiy law� both�the owner and-conUactor=may be cited�fora-misdemeanor violation
�der state law. If the owner or Intended,contta�tvr:are�uncertain as to what Itcensing.requlrements may apply.��or'the
tended work, they are advised to contact the Pasco County Buliding Inspection Division—LicenSing Section at 727-847- .
)09. Funhermore, If the owner has htred a contracto� or contractors, he is advised to have the contractor(s),,sfgn _
�rtions of the "contractor Block° of this application for,whtch they will be responsible... If you� as..the owner`sign'as the ,.
mtractor, tfiat�may be an Indication that�he (s noY.properly Iicensed and�is not entitled to perrriitting priv(leges in Pasco �
ounty.
RIINSPORTATION IMPACTIUTILITIES=IMPAC7�ANb RESOURCE RECOVERY FEES:°'Fhe undersigned understands �
�at Transportatfon Impact Fees and.Recourse Recove.ry.Fees may:.:apply�to:the constructton of new buiidings,�change of' �
se in existing buildings, or�:expansio���.of-�existin,g`=6uildings� �s speclfled.in Pasco County Ordinance number 89-07 and -
�-07, as amended., The undersigned also understands, that such fees�.as<may be�due;,-wlll�be identified at the'time of� �
ermitting. It is furtlier understaod that Transportation Impact`Fees and�Resource Recovery"Fees must be paid prior to '
:ceivtng a "certificate of occupancy" or flnal•power.release. :If the project does;not involve:a=.certificate of occupan�y.'or �
nai power release,_the fees must be paid prior to permit Issuance. F��thermore;if Pasco.County�lNater/Sewer Impact
:es are due�.they must be�pald prior to permi!-Issuance=ln accordance.wltFi applicable Pasco.County ordinances.
� :ONSTRUCTION LIEN LAW(Chapter T13� Florlda�3tatutes,as amended): If valuation of wrork is$2,500.00 or more, I
ertify that I, the applicant, have.been provided with. a copy of. the "Florida Conshuction�Llen Law=Homeowner's
rotection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the applicant Is someone'
ther than the"owner", I certifjr that I have.obtained%a copy.of.the above described�document-and.promise�ln,good faith to
eliver it to.the"owne�"prior to�commencement: : '
�ONTRACTOR'SIOWNER'S AFFIDAVIT: I ceMify-that all the Inf.ormation In this application is accurate and that all work
rill'be done in compliance with all.appltcable laws �egulating cons@ruction, zoning and land development. Application is
ereby made to obtain .a permit to do. work.,and -installation as Indlcated:� 'I certify that no work�or installatton has
ommenced prior to issuance of a permlf and that.all work will b� performed to meet standards of all laws regulating�
� onstruction, County and City codes,;zoning regulations, and land development regulatlons�in the jurisd(ction.- I also
ertify that I understand that the regulatlons,of othe�government agencies may�apply�to the intended work, and that it Is
�y responsibility to identify�what,actions I mu'st take to beJn:.cor�lpliance. S.uch agencles Include but-are..not limited to: � ,
- Department of Ettvironmental=Protection'=Cypress.'Bay6ieads, Wetland Areas and E�vironmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management :District Wells, Cypress. Bay.heads, Wetland Areas, Altering -
Watercourses. -
- Army Corps of Engineers-Seawalls, Docks, Navigable Vllaterways.
- Department of Health� 8 Rehablfltative Services/Environmenfal Health Unit-Weil.s, Wastewatec�Treatment,
Septic Tan�CS. � � � � _
- US Environmental Protection Agency-Asbestos aba#ement.
Federal Aviat�on.Authority-Runways.
understand that the following.tesUictio,"ns apply to the use of flIL•• '
- Use of fill is not allowed in Flood Zone"V"unless expressly permttted. '
- if the flll material is to be used.'In :Flood Zone �A", tt. is understood that�a drainage plan addressing a
°compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
Ifcensed by the State of Florlda.
- If ihe fill material is to be used In Flood �one °A" ih�connec�ion�with.a permitted building using stem wall
� construction, I certiy that fill�:wall�be used only.to.fill the area within the stem�wall. �
- If flll materlal is to be used in any area; I� certify that use of such flll will not adversely affect adJacent
properties. If use of flll is found to adversely.�ffect adJaEent�properties�.the owner may be cited for viofating
the conditions of the building,permlt Issued_under the attached permit applicatlon, for lots less than one (1)
acre which are elevated�byflll,an eng(neered drainage plan is required. •
'� `I am the AGENT FOR THE OWNER, I;:promise in good faith to inform the owner of the permltting condftions set forth in
'' iis affidavit`prior to commencing construction. I uriderstand thet a�s�parate permit may be required for electrical work, -
I, �lumbing, signs, wells, pools; air conditioning,.gas,_or other inst�llations nol�speciflcally Included-in.the applicatlon. A .
' �ermit Issued shall be construed to be a Iicense to proceed with th�'work and not as:authority to,violate,cancel, alter, or � �
et aside any provisions of the technical.codes; nor shall issuance�of a.permit.prevent the Bulldirig Official from thereafter '
�quiring�correction.af errors In.plans, consfruction or violatlons o�any codes. Every pemnit issued shall become invaiid �
�niess the work authorized.by such permit is-commenced•withln �ix.months of permit issuance, or if work authorized by
'I ie permit Is suspended or.abandoned.for a:period of six(8)-monti�s�.after the time the wofk ts commenced. An extension � ;
�ay be requested, in writing, from the Building,Officfal for a period'not to exceed ninety(90) days and will�demonstrate
' astifiable cause for.�the extensivn�. If work ceases,for ninety(90)cons.ecutive:day.s,..th�)oli�is.considered aba�doned. - ``'
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VARNING TO OWNER: YOUR.FAILURE�TO�REC.ORD.A:.NOTI6E OF•COMMENCEMEMT MAY=RESULT IN YOUR � ?
�AYING TWICE.FOR IMPROVEMENTS TO YOUR;PROPERTY. �IF�YOU�IN�fEhID`T�OBTAIN•FINFAIe1CING;�CONSULT .
VITH YOUR LENDER OR AN ATTORNEY�BfFORE��RECORDIh1�:�Y0UR��N�TICE'OF COMIIl1ENCEMENT�, � '
LORIDA JURA�(F.S_117.03) - - - - ------- - — -- -- - � - - ——— - - �
i1NNER OR A(iENT � CONTRACTOR�
ubscrt ed an bswo _ or a rtne be� g me this Subscribed and.bwom=to(or afflrtned)�before me'fFii�
Y
Jho Is re personally k�own to.me or as ave p d ced Who Is/are personallyknown•to me or haslhave•produced •
as Identlflcatlon. as Idendflcation.
_ Notery Public . Notary Public
�ommis o No. : ����Y D��i� Commlaslon No.
_+;� �+` Commission#FF 137073
r�:
lame of Nota µ�,,� ed�i�t�,qjg ' Name of Notary lyped,pdnted or slamped
ry Y r • r� 'n Insurance A00.3g5-7019
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