HomeMy WebLinkAbout16-16581� CITY OF ZEPHYRHILLS
5335-8TH STREET
„� (sis)�so-oozo 16581
* BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16581 Address: 36122 SHADY BLUFF LOT 9
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: 04-26-21-0060-00300-0090
Improv. Cost: 900.00 OWNER INFORMATION
Date Issued: 9/11/2015 Name: HIGHLAND HOLDINGS INC SHADY
Total Fees: 40.00 Address: 3020 S FLORIDA AVE STE 101
Amount Paid: 40.00 LAKELAND FL 33803-4058
Date Paid: 9/11/2015 Phone: (863)619-7103
Work Desc: CONNECT IRRIGATION ONLY*********
CONTRACTOR S APPLICATION FEES
JEFF RILEY IRRIGATION IRRIGATION CONNECTION 40.00
�
� -
�
�
� c
Ins ections Re uired
PLUMBING FINAL
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C N RA TOR SIGN TURE PERMIT OFFI R
PERMIT EX IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�s-�ao-oo2o City af Zephyrhills Permit Applica#ion FaX-s�a-�saooz�
, Building Depafinent
.�,..,, ,..�,�..F�,.:..,:..,:.> >-,_:.. ,a...-..,.,..,.�..�...v..�,:.�.. . ,._., .,
Date� ce{vec{�,�v ; �;'S,£ '.� ,',s ' � - { [ � _ '" t` ! � �
M� ,�:�,� :.�: °PhoneCantactforPermttEin� =t�� .��titJ�'
ti �.,.. -,- �i,;' - ::•..;.,, ;' ^�:J.:" r �,�,,�,,��;1�` ,
Owne�'�Name ? ' U�- " �...Qwi�ec.Pho»e Number-- � , , °
Owner's Address Owner Phone Num6er r� �
` Fee Simple Titleholder Name �— � Owner Phone Number � �
Fee Simple Tltleholder Address
JOB AGDRESS l!1 I � �1�cl "� LOT# �_���
SUBDIViSION � � PARCEL IQ#
(OBTAINED FROM PROPERTY TAX NOTICE) '�
WORif PROPOSED } e NEW tON5T#�8 ADDlALT � SIGN [� Q DEMOLISH I
INSTALL FtEPAIR
RROPOSED USE Q SFR Q COMM Q t}THEi2
7YPE OF CONSTRUCTION Q BLOCK � Q FRAME � STEEL Q
DESCR�PTION OF WORK 4���Ch.�\ � C�J - R�y{�1 u���.(^
BU1LDtNG SIZE � � SQ FOOTAGE HEIGNT �_�
���1�'�i��' 'w � VALUATtON QF TOTAL CONSTRUCTION
�
QEIECTRICAl. $�'�� AMP SERVICB Q PROGRES5 ENERGY Q W.R.E.C.
�
�Lt3MBING $ �j
� �
QMECHANlGAL $ � �� VALUATION OF MECNANICAI.INSTAILATION
� � �`:
QGAS [� RQQFiNG Q 3PECIALTY �] OiHER
FIIVISHED FLOOR ELEVATIONS �-� FLOOD ZQNE AF2EA [�YES NO
� � � �.��� . _ ,. � . _ . ,
�
BUi�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I, Addre�$ _ ' License# �— �
E�ECTR[CtA[+! COMPANY
$IGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
PLUMBER � CONIPANY
SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
Address License# �— —�
� MECHANICAI. CONIPAfiIY
, SIGNATURE REGI$TERED Y/ N FEE CURRE� _ Y/N �I
Addre�s License# � �
OTFtEl2 /y COMPANIt �.�� � � YY 1 C��)O�'� .
SIGNATURE „_�S:? � cQ rC REGISTERED Y/ N FEE CURR � Y/
Address ���� a� � �� License# �� / �c��"�}�
�—�
IZESIDENTIAt: Attach{2}Plot Plans;(2}sets of Bu3lding'Plans;{1}se#of Energy�Forms;R-Q-W Permlt for new construc#on,
Minimum ten(10)working:days aftec submittal date. Requlred onsite,ConstrucHon Pians,Stormwater Plans w/Siit Fence instelled,
Sanitary FacillUes&.1,dumpster 5ite Work•Permit for subdivislons/large projects -
- COMMERCIAL Attach{3)camplete sets of Bullcl3rig Plans plus a(.It`e Safeiy Page;{1}set of Energy Fotms.R Q-W Permtt far new constructioa.
Minimum ken(10)working days after submittal date. Required onsite,Cbnstructfan Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Wark Pertnit for all new proJects.All commercial requirements must meet campliance
SIGN PERMIT AftacF�{2}sets of Englneefed Plans.
� ""'PROPERTY SURVEY required for all NEW constniction.
Dlrections:
Fill out applicaUon completely.
Owner&Contractor sign back of applicatlon,natarized
If over�25d0,a Notice of Camrnenaement is requlred. {A/C upgrades over E750Q)
" Agent(fo�the contractor)or Power of Attoi'ney(far the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMI'iT1EtG {Fmnt of Application Only}
� Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Foatage)
, Driveways-Nat over Counter if an pubtic roadways..needs ROW
f"e� � �7
NOTiCE OF QEED RES'TRICTiONS: The unclersigned under�tands that thls.�pt�mif.maybe.subjecfi to"deed"restrlctlons"
which may be�mare.r.estNctive than County regwiations. �The underslgned�assumes responsibitity for campiianae with any �
applicable deed restrictlons, �
UNl.ICENSED CUNTRACTORS AND Ct?NTRACTOR RESPONSIBtl:1TiES: di the awner has� hi�ed a contractor or
contractors to undertake work, they may be requi�ed..to be:llcensed In accordance.wlth state and�local regulatians. If the
contractar 3s not licensed as required°by law� bottt the owner and cont�actar may be ct#ed for a misdemeanor vlolation
under state law. if the awner or intended contraetor �are-unce�tain as ta wha# Ilcensing.requirements may apply iar the
intended work,they are�dvised to contact the Pasco Gounty Bulldtng Inspect(on Dlvislon—Licensing Section at 727-�47-
G 8009. Fuc#hermore, If the owner has hired a contractor or contraotors, he is advEsed to have the cantrac#ar(s} sign
iportians of the "cantractor Blaok° of this application far which they will be responsible. If you� as.the awner sign as the
` co�tractor, that may be an tndication that Fie is not properly licensecf and Is not entftled to permit#ing privlleges fn Pasco ;
Counry.
TRANSPORTATION IMPACTlUTILITIES IMRAGT ANb RESOURCE RECOYERY FEES; The undersigned understands
that Tr.anspartafion Irnpac#Fee_s_and:.Reco.urse_Recove.ry.F_ees may:_apply�to_the_construcEian of new_buildtngs, change of _
use in existing buildings, or,expansi�n�of�ezis#i��'�buildings, as specifled.in Pasco County Ord(nance number 89-07 and
90-0�, as amended. The undersigned also understandsi tfifait-such fees,-as�tnayr be:due�:wlll:be Identif�ed at the time of
permitting. It is tunher understood that Transportation Impact Fees and Resawrce Recovery�Fees must be peld priar to
recetving a"certiflcate of occupancy" or fittal power.-release. .lf�the project.does not inuolve:a cert�ftcate of oacupancy.or
final power reiease; the fees mu�t be pald�prtor ta permit issuance. F��thermore;if Pasco County Vtla#er/Sewet Impact
fees are due, they musk.be-paid pNor to permit-issyance�ln acaordance with�appAaable_Pasco County ordlnances.
i CONSTRUCTI�N L1EP1'l.AW(Chapter T13�Flor�da Statute�,as amettded): If valuatlan of work is$2,�00.00 ar more, 1
certify that I, the appHcant, have.been provided with a aapy of the "Florida ConsVuctton Uen Law—Homeowne�'s
Protectton Guide" prepared by ttie Florfda Departmettt of Ag�Ectttture and Gonsumer Ai#airs. If the appilcant is someane
other than#he°owner", 1 certify that t�have,obtained�a.copy af the above..descrlbed dacurr�ent�and.promise in,good falth to
deliver it to.the"ownec"prior ko�commencement:
CONTRACTOR'510WNER'S APfIDAY1T: t ae�l�fy that all.the inf�rtnatlon In thl�applicatlon is accurate.and that all work
will'be done in compliance with all applicable laws regulating conskructian, zontng and:land develapment. Applicatian is �
hereby made to obtain .a permit to do woik.and Ins#afiation as !nc![ceted:�� 'i ce�ifjt that no work ot installa#ion has
commenced priar to issuance of a permit and that all work wilt be pertormed to meet skandards of ail laws regutating- ,
constructian, County and City codes, zoNng regulatic�ns, and land development cegulatlans-in the jurlsdic#Io�. ( aiso (
certify that ( u�derstand that the cegulations of other gavemment agencles may appEy�ta the intended wark, and that it is �
my responsibility to iden#Ify•what,actions I must take ta be<In:.corrlpliance. S.uch agencles include but�are.not limited to: �
- Department of Et�vironmentat�Protectton-Cypress.�Bayhead�, We#land Areas and Envtranmentally Sensittve �
Lands,WatedWastewater Treatment. ,
- Sou#hwest Flor4da Water Management .D[strict We!!s, Cypress Bay_heads;� Wetland Areas, Attering
vUatercaurses. ,
- Army Corps of Engineers-Seawalls, Docks� Navigable Waterways.
- Department of Neslth- & Ret�abtlitative ServiaeslEnvi�onmenfal Nealtfi� 11hit VYel1.s, Wasfewater Trea#men#�
Septic Tanks. � � '
- US EnvirQnmentat Protection Agency-Asbestos abafemen�
- Federai Aviation Authorityr-Runways. '
i understand tha#the following restrlctlons�apply to the use of flIL••
' - Use of fili is na#atlawed ln Flood Zone"V"unless expt�essly permltted.
- If the flll material (s to be used. in �Fload Zone. "A°, (t. Is undersfood that-a drainage plan addressing a
"compensating votume"will be submitted at tlme af perm3tting which is prepared by a professfona! engineer
licensed by#he State of Fiorida:, `
- !f the fill materia).is fo be used in Flood Zone °A° (ny conneation��with.a��ermitted building using stem wa#
cvnstruc#�on, l cer#ify th�#fi11��+ir�ll-b.e used only.to.fill the area within the stem�vuaii. (
- If flll material is to be used �in any area, I �certify that .use. of.such�flll will r�of adversely affect adjacent �
properties. !f use of f3111s�ound to adversely,affect adjacent�.properties,.the owner may be cited for vloFating.
the condltions of the buflding.permit issued�under the�attacFied pecmit applicatlan, for lots less than one (1)
acre whtah are elevated by tlll�an englneered dralt�age�plan Is�reqiiired. .
if i am the AGENT FOR THE OWNER, I,rpromise in gaod fai#h to lnform-#he-owner af�#he.permitting conditions set forkh in
this a�davit prior to cammenctng construction. I understand thet a-separate;permit may be requtred for elecMcal work,
plumbing, signs, welts, pools, alr conditloning,.9�s, ar�ather. Ins#all�tlons not,spec�fcat�y included�in.the appllcation. .A
permik issued shail be constcued to be a`Itcense.to proceed with tFie'work and nat as~authorily to..violate,-cancel, al#er, or ,
set aslde any provlsfens of the technica!codes;�nor shaH fssuance�af'a_permit.prevent the Buifdlrig C?�ftcla!from thereafter
requiring a correction af errors in�plans, canstructlon or violations of any codes: Every permit issued shail became invalid
unless the uvork authorized.by such permit�Is.ca�nmenced�withtn s[?i months of permit Iasuance, ar if work authorized by
the permlt is suspended or.abandoned fot a:periad of silc{8}montF�`s�a�ter the#ime tha�work ts commen�ed. An extensEon
may be requested, In writing, from the Building.Official�for a per(od��not ta.exceed ninety(90) days and will demonskrate
justlfiable caiuse for the extension: If wark ceases.for nine#y(90}consecutive days,..the Jab�is considered abandoned.
WARNING TO OWNER; YOUR.FAILURE.TC1.,REGO�tQ,A;NQTICE OF•COMMBMCEMEMT_NtAY°RESUl:T IN YQUR
PAYING"'FWiCE;FQR IMPROVEMENTS.TO Y61UR-<PR4�ERTY.�:IF YO.U�1N'iEND'TQ OBTAIN°aFiHFAN�tNG;'CONSULT
WITH YOUR`LENDER�'!R AN ATTdRNEY BfFOR��I�ECOR'�ING;�YQU �N4TICE'4��CQ�IAMENCEMENT:
FLQitlDA.lURA�{F.S..t17.03j , . .
C�.� t
OWNER OR AOEN CONTRACTOR/'�� ���
Subscribed an b or a e efor me th s � S�ibsc�tbed and.b m {or affftme f be 'm .#hts���
y � Y
Who Is/are per.sonally known to me or haslhave prvduced Who(s/are p.ersanellyJcnown ht me.or has/have�produoed. �
as IdenUfica�an. as 1denB�catEan.
,_ ,
� ' �
Notery Publta . Notary Public
Co ston No. Com on.Na.
,,.+� �',►' ,a'iiy�q!Py' JOELE.BACON
, ;�S i�;,,, JOEL E,BACON �,�
Name�+�f NoRaty, � , , tda e of Nota , _ .
;, :; o; xpxres nne 29,2418 ;;, p; pires e 9,2018
,%�,"�F���?:`� gonded TAru Troy Fain Inswance BC�0-395�7019 '�;f����°�` 8onded Thru Troy Feinlnsurance 800JB5d019