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Home My WebLink About16-16906 ; - _ ; CITY OF ZEPHYRHILLS ' S335-8th Street (813)780-0020 16906 ELECTRICAL PERMIT PERMIT INFORMATION " LOCATION INFORMATION Permit#:16906 Issued: 1/19/2016 Address: 3524 PYRITE DR LOT 189 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 2,300.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 50.00 Date Paid: 1/19/2016 Parcel Number: 24-26-21-0050-00000-1890 , CONTRACTOR INFORMATION OWNER INFORMATION Name: PATTIE ELEC. & REFRIGERATION Name: CALDWELL, JAMES &DARLENE TRUST Addr: 39111 PATTI RD Address: 3524 PYRITE DR LOT 189 ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542 Phone: (813)782-3319 Lic: Phone: Work Desc: REPLACE DOUBLE DUAL METER AT PEDESTAL APPLICATION FEES � ' ELECTRICAL FEE 50.00 � INSPECTIONS REQUIREDG, ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER 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 may be additional restrictions applicable to this property 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 and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. �� CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City af Zephyrhills Permit Application Fax 813-780-0021 Buitding Department _ Date Recelved pt�pne Contact far Permlttin Owrrer's Name �,� (1i � �i,(� Stlt-Q. Owner Phone Namber Qwne�'s Address � "� 1''L '� ` Own�r Phona Number � � Fee Slmpie Tltleholder.Name � �� Owner Phone Number � � Fee Simple Tltleholder Address � JOB ApDRES3 � � LOT# �� SUBDIVISION �� PARCELID# ��f �» .�-�l �d� ��'"� �� " (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 'NEW CONSTR ADDlALT � S1GN Q Q DEMOLISH e INSTALL 8 � REPAIR PROPOSED�t13E _� Q SFR [� Ct,}MM � OTHER TYPE QF CONSTRUC710W , Q # BLOCK � Q FRAME ��] STEEi. Q DE3Ci21PTION OF WORK BUILDING SIZE r� � SQ FOOTAGE C�� MEIGHT C�______� ... .., BUILDING � � •�.,�-�.:�r- �::.-' VALUATION QF TOTAC CONSTRUCTION LECTRtCAI $ AMP SERVECE �Ob �� /' Q PRQGRESS ENERGY Q� W.R.E.C. (/ o��B,�� - � - QMECHANICAL �;��, VAlUAT10N L?F MECHAN{CAL.INSTALLATION L O� O ROOP[NG Q SPECIA�'i'Y � t3THER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO BUiLDER COMPANY+ SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N , Addres� � License# �� ELECTRiC1AM G,r4r,�'" "1 ', COMPANY SIGNATURE REGI3TERED Y/ N FEE CUftRE� Y/N � Addre�s c��l Ltcense# LCaB �26� � PLUMBER COMP.ANY 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N Addre$s .License# � � MECHRNICAL COMRANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' Address License# r � il 13THER COMPAhiY SIGNATURE � ReciSrEREo Y/ N . �EE cuR�n Y-/N. Adcdress � License# � � RE8IDENTfAt. Attach(2}Plot Plans;{2}sets af.Biiilding'Plans;{1}set af Eneigy�Forms;,R-O-W Petmit for new construct3an,, Minlmum�ten(10j,working;days,after,subriiittal date. Requlred onslte,CanstrucHon Plans,Stormwater'Plans w/Silt Fence installed,, -~ - � � SanlfaryFao'sltUes,&1clumpster:Site`Work�Rermitforsutidivislonsflargeprojects = - CON{MERCJAI. Attach(3}camplete sets of Suitdirig'Plans plus a Life Safeiy f'age;(1}set of Energy Forms.R-O-W Permit far new cbnstruction. Minimum ten(10)wo�lcing days after submfttal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary.Facilitfes&1 duinpster.Site Work Permlt tar all new projects.Aii cammerciai�equirements mus#mest t�mpifance SlGN PER[�iT Attach{2)sets of Eogineered Ptans.;_ � ry '•""PROPERTY SURVEY required for all NEW constructlan. Directlons: Ftll out applicaBon rampletely. Owner&Contractor slgn back of apptication,natarized If over a280d,a Notice of Commencement ls required. (AIC upgrades over�T500) " Agent(for the contracto�)`or Power of Attomey(for the owner)would be sameone with notarized letter fram owner authoriztng same OVER THE COUNTER PERMITTiNG (Front of Appiication Only) Reraofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) Drlveways-Not over Counter if on public roadways..needs ROW —J - ' , NOT'�CE OF DEED RESTRICTIONS: The undersigned undergtands::th�t,this,p�rmlf may be.subject to"deed"restrictions" ' :_..,� � . _� which may be�more'.rest�(ctive-�th2�n Countyr�r"egulations: �TFie undersigned as`sumes responsibility for°compllance witFi�any appiicable deed'rest�ictions. • ' _ � _ '� UNLICENSED GONTRACTORS AND'.CONTRACTOR R@SPONSIBILITIES:��If�the owner has-�-hired a contractor or contractors to undertake work, ttiey may,be:required.:to be.:llcensed in accordance.with.state.and�local regulations: if the-� � -� contractor ts not Itcensed.�as'required=by law, both the owner and:contraeto��may be clted-for-a-°misderr9eanor violation under state law. If the owner or Intended=contractor,are,uncertaln as to what Iicensing.require�nents:may apply=�:for�the � - intended work; they are advised to contact�the`.Pasco County Buildtng"Inspection Dfvislo�—L•tcensing Section at 727-847- 8009. Furthermore, tf the owner has hired a contracfor vr'contractors. he is advlsed to have the contractor(s), sign , portions of the "contractor Block" of this application for.which they,will be responsible. If you,.as.fhe owner"sign�as'tfie" " contractor, that may be an indication that�he�is not.properly flcensed and'Is not entitied to per�riitting privileges In Pasco County. � TRAMSPORTATION::IMPACTlU71LITIES�IMPAC7-AND RESOURCE RECOVERY-FEES:� The undersigned understands that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�-apply�lto:the construction of new buildings,�change-of" � �" � use in existing buildings, or:expansion-of•�ezistin�g'buildings,a§ speclfied.in Pasco County Ordinance number 89-07 and 90-07, as amended, The undersigned also,understands, that-such fees,,-as�may;be�.due,�,wlll.��be identified at the�time'°of permitting. It is�furtlier 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�certificafe of occupancy. or - � final power release; the_fees�must•be paid prior to permit Issuance. Futthermore;-�if:Pasco County Water/Sewer Impact , fees are due,.they;must.be-paid,prlor.�o permit-lssuance-in accordance wlth applfcable Pasco'County ordinances. CONSTRUCTION LIEN�LAW(Chapter 713� Florlda Statutea,as amended): If valuation of work is$2,500.00.or more, I ;� ' certify that I, the,.,applicant,_.have-.been provided with- a copy� of the "Florida Construction Lien L'aw=Homeowner's Protection Guide� prepared by the Florida Departmer�f of Agric.ulture and ConsumerAffairs. if the applicant is someone other than the"o�nrner", I certify that I have.obtained'a.copy.of.the above.described tlocument=and.pcomise in.good faith.to ��,t. deliver it to the°owne�'�prior to�commencement: � � . � CON7RACTOR'S/OWNER'S AFFIDAVIT: I ceitify,that all the Inf.ormation Jn this-application is accurate and that all.work will�be done in compilance with all.appiicable�laws regulating construction� zontng and land development. Application is ' .hereby made to obtain .a .permit.to do work:;and installatlon as indicafed:�; 'I certffy that no work.:or InsEallatton has commenced prior to Issuance of�a permif and that.all work will be perfo�med to meet standards of all laws regulating- construction, County and City codes, zoning regulations, and land development regulatlons-tn the jurisdtction. (:also� ce�tify that I understand that the regulations of other government agencies may�apply to the intended work, and that if Ps my responstbility to identify�what.actions I must take.to be,in:.corrlpliance. S,uch agencles.include but are.not Iimlted to: - Department of Erlvironmental Protection-Cypress.'Bayhead�; Wetland Areas and Envtronmentally Sensitive Lands,WatedWastewater 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 & ReF�abifltative Serv(ceslEnvironmenfal Health Unit-Welis, Wastewater�Treatment, Septic;Tanks. - , - - !JS Environmental Protection Agency-Asbestos abatement. _ - Federal Adiatlon.Authority-Runways: I understand that the following.•restrictions apply to the use of flll:� - Use of fll is not allowed in Flood Zone"V"unless expressly permitted. - if the flll material is to be used_in :Flood Zone. "A", ft. is understood that a drainage plan addressing a °compensating volume"-will be submitted at time of permffting which is prepared by a professional engineer Iicensed by�he State-of florlda: ., � - !f ihe flll mater(al_is to be,used-in Flood Zone �A" in�connection�with.a peemitted building using stem wall construction, I certiy that-fill�.wlll:be�used only.to.fill the area wtthin the:stem�wall. .� - If fill materlal is to tie 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 violating the condi#ions of the building:permit issued�under the_attactied�ermit.application, for lots less�ttian.one (1) acre which are elevated�by flll�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 permitttng conditlons set forth in this affidavit�prior to commencing construction. I�understand thafi a-separate permlt may be requt�ed for electrical work, plumbing, signs, wells,.pools; air,conditioning,.gas;'or other iris#allations no�,spec�ffcally included-in the application. .A permit lssued shall be constcued to be a�Iicense'to-proceed vuith tNe'work and not as:authority to,violate;cancel, alter, or � � set aside any provislons of the techn(cal codes; nor shall issuance�of a.permit.prevent the Bulldirig Oflic(al fror�thereafter requiring a correction af errors In plans;construction or violations of any codes. Every permit Issued shail become invalid unless the work authorized.by such permit�is-commenced�within sfx.months of permit Issuance. or if work authorized by the permit is suspended or.abar�doned for a;period of six E8)mont�s.aftec the time the�work�ls commenaed. An extension may be requested, ln 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.tor ninety(90)consecutive:day.s;..the Job is.considered aba�rdoned. WARNING TO OWNER: YOU�:FAILURE�TO.�REC.ORD.A NOTIGE,OF�COMMENCEMEI�T�MAY RESULT IN YOUR PAYING TWIC.E.FOR:IMPRAVEMEN�S TO YOUR:PR�OPERTY.�:IF°YO.0 IN'�END':T��OBTAIN�<FIRtANC1NG;�CONSULT -_– iAlETH elO�R 8. NlD� �� fiPi i��YOi�PiE'�'�� 'F�FtE° _t��i3�D G� 00i�� '� �� '��' � CE EP6Y� _ FLORIDA JURAT(F.S.1.17.03} _ " —. OWNER OR AOENT ' - CONTRAGTOR � Subscrlbed and swom to(or aflirmed)before me this Subscrlbed and'swom to(o ed)�before e'ttit� by .by ` Wlio islare personally knowm to.me or has/Fiave produced �Who Is/are p.ersonally kno me ar haslhave�produced • I as IdentlBcetlon. . es IdenBRcaUon. Notery Public Plotary Publlc- Commisslon No. � Commisslon.No. Name ot Notary typed,printed or stampad Name of Notary 4yped,printed or stemped Jacqueline Boges � From: � Jacqueline Boges Sent: Friday, January 22, 2016 3:37 PM To: 'opcengineering@wrec.neY � Subject: release power Greetings Jackie from City of Zephyrhills I need power release to 3524 Pyrite Dr lot 189—replaced double dual meter at pedestal. Building permit#16906 Th'ank you dackie Bages I 813-780-0020 ext 351d '%�/take ca�e o�m�c/ra�actc�;in,y reputatian�i16 take care o�itse!¢"D�igl�t L, Mood�/ Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business. are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received� this message in error, please do not read, forward, copy, etc. and delete immediately. 1 ° � CITY OF ZEPHYRHILLS - I 5335-8TH STREET (813)780-0020 169 8 , BUILDING PERMIT PERMIT INF ORMATION LOCATION INFORMATION Permit Number: 16908 Address: 5327 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: , Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13300-0010 Improv. Cost: 2,500.00 OWNER INFORMATION Date Issued: 1/21/2016 Name: ACTIVE FOOD SERVICE MANAGEMENT I Total Fees: 100.00 Address: 11201 WOODLAND WATERS BLVD Amount Paid: 100.00 � WEEKI WACHEE FL 34613-6425 Date Paid: 1/21/2016 ho e: 727-410-0077 Work Desc: DEMO LOAD BEARING WALLS (2) CONTRACTOR S APPLICATION FEES RYMAN CONSTRUCTION OF FLORIDA IN BUILDING FEE 75.00 FIRE PLAN REVIEW FEES 25.00 � --- � �� Ins ections e uired FO TER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 frst 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 property 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. ti ,I CO CTOR_SI NATURE PERMIT OFFI R P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER i I - -- . - __-- - .- _�. .,_.:,�.�. _.._________ __ � ..- - , _. _ ..__.�__�_-.._��.�.;.�e�..._�._..._�..�---__-��_�.w__ - ,y , " \ � � . ,__ � - �� _- >:s� _--� "j - /! , '�` /:/` ' ^'`'�q�_. - City of Zephyrliills � BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �'Y!lC�YI [��'lJ'I GL�� !� Date Received: �� f��/� site:� � ��3z7 ��ll ��.� PermitType: � � % �r�— �Gr-il( � Gt/lCllS �� Approved w/no comments: Approved w/the�elow comments: ❑ Denied w/the below comments: ❑ i� � .:! , f � , � 1. I t This comment sheet sha11 be kept with the permit andlor plans. rC �� Ka in S 'tz -Plans Examirier Date Contractor and/or Homeowner � (Required when comments are present) --- � a�3aso-oo20 � City of Zephyrhills Permit Application Fax 813-780-0021 �, Building Depafinent D�te Recelved. �� -- ..� � � — _ � `� 6 ' r�° Phone�Contaat•forPermlttin `� �= L 3 ' � � ; Owner'a Name �J O h''(� I_2� Owner Phon�Number �- a. ��- y1�7-(� 07 Ownar's Address � I I�-O� �`Do �G�d (��,�cr �lvtl�, (y�i. �.�c�.��ll+�, �3�I,6 f 3 � OYvn�r Phori�Number Fee Simple TlNeholder Name Owner Phone`Numtier ' Fee Simple Titl�holder Addresa - . f- . JOBADDRESS �3�� C, ��-� �blvp Ze � �h� � ls �(- 335`�a � �mr# � SUBDIV/ISION ` ` . - PARCEL ID# (� `�b �a` � �- ��1 (� '� 13�b 0'— b b�p , • ' ' (OBjAINED FROM�.P.ROPERT1f TAX NOTICE) � WORK PROPOSED � • � ��NEW CONST ` • . Q' SIGN 0 � -Q DEMOLISH , B INSTALL. REPAIR - � , - ' - PROPOSED�USE ' - Q ' SFR. Q 'COMM,:= ` Q � �OTHER � ' � - " TYPE OF CONSTRU�TION � ,� ' 'BLOCK' ` Q FRAME . , '-�� , "STEEC �''Q�' DESCRIPTION OF WORK'' ^~ ��/"�lJ �"�O j,/��[-20':C�.r 1 aa.� �OeG./'i ,,,�c�,1�S '� i/�-S'�,�� L��--�5' BUILDING SIZE' � ' SQ.FOOTAGE.' �� . � '�` � � �� ,C�: .,_FIEIGHT�� '. � � , Q'�UILDING $, � 5- va , _. :, . , , k _ DU_-. VALUATION�OF"f0'i'ALrCO1�S'•i'RUCTION QELECTRICAL• $ � � , AMP SERVICE " '`:PROGRESS ENERGY W:R:E:C. . -�o a QPLUMBING `=$ _ ' ' . . �--�l�� OMECHANICAC $ � ; VALOATIONAF;MECMANICAL INSTALLATION. Q GAS ; �Q ROOFING ;Q SPECIALTY...Q �-",,.,OTHER�- =. ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �]YES. � - BUILDER � COMPANY='= �� a✓�; �+.S�tiLG`ri��`� .��`^-�-�- 31GNATURE REGISTEREO Y/ N �""FEE'CURREK� ' ` `;Y`/N- � � Address 3 �`i13 S2 5`'1 Z2 f'�, ��;��5 �L.3.3 5,!f;(. , ,:, ., - .License#� ` CG:C l5l —11�11 ELECTRICIAN; ., . . . , "COMPANY'` , : . .- �- , i SIGNATURE "` �' REGISTERED Y/ N FEE:GURaeN�' ` -°�-Y�/N"•: ` ' Addre"ss � . . � . � , _.. .. . , • , . � _ , .Lipense: ` u - - � .A- �� ' _ � ' � .. ' " -" . � _ . .,. l�Y� �� ' PL•UM�ER _ . , COFNPANY =•„ ��.: .- :;..;,,: :-.-. �. SIGNATURE'�"� , . ""�' . REGI3TERED,` Y./...N•.... .,�FEE.CURRER. , YI:N:� - - , . .. . _ �`,: Addreas . - . - .UcenseN# : ,_ . . - , . : :. .. ,. . . :. . � ,._ ,,. ��.a ,, .,: . . _ - ... . _ . NAECHAPIIC�IL` f . , _ _ .. ;COMPANY - _ - �. • '' • _ - ,. : ,�. ._ ,..; . -,. , . . .,.. SIGNATUMZE� � .'. ., � " ' ,.. �� . REGIS7ERED _ Y.:/ N� FEE CURRE�;_ YA��N�-_ , Addrea"s-'''� �:�,;: , -. ,. , . • � , �. , ;License.#: . - , , � :�� :; � � � - . - ' ' . ' OTHER _ , _ � , � , , , , �OINPANX ; ,_. ., SIGN�►TURE::..�.� , , :;:', , .- _; , i� _ v:. . , �` 'REGISTERED Y . '' ' Y/ N,.,.: FEE.CURRE� Y/N Address - .S; ,u,. .,: , . . � . � _ License#` ' - , - . ' � ; - • � .. ::. :, ., _;.,; ._ .� .,,,, : .{.:.>-_-...;�. . . . . .. :. � • ' ,. - -- RESIDENTIAL;�:�,��Attacti�'(2),PlotfP;lans;�(2)§ets`of+9ullding�•Flans;`,(7).seE;of�Energy=Foims;�R=O=W'Perm,itfor.new,consf�uction; .�--:�'Mlnlmumeten=(r1A�'Eworiiing�days;after;submlttal'dete:Y Requlreii�onslte;?Con'stru�ctlo'n�Rlans;'Stormwa4er'Plans w/Sllt`Fence lnsfalled, �" �Sanlfery Facllldes,8;lF;dump��er;Slka•;Worli�Permltfor`subdlvislon§/large<pro]ects:��9 ,� _ - _ ' • • , - COMMERCIAL Y Attach(3)�cample'te'sets"'ofBullding'Plans plus a Llfe Sefe�!Page;(1)set of Energy Forms.R-O-W'Permit for neW,construcdon. �' Minlmum ten(70)warking days'after submlttal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Sllt Fence Installed, Sanitary Fadlides 8..1 dumpster._Slte Work Permlt for all new�project's:�'All commerclal requlrements must meet oompllance ' � �� SIGNPERMIT Attacfi(2)"setsof"Engineere.d�Pla�s:;,...,:;��r;=�..;�,;.E:�.;' _ . _ .,_ ••••PROPERTI!.SURVEY required for:all,NEW:constructlon. � -- • Dlrectlons• , �,:,,.:.._;::<.::- _ . , Fill out applicatlon completely. Owner 8 Contrector slgn back of applfcatlon,notadzed If over g2500,•a:NoUce:of.Commencement Is requlred. (A!C upgrades over 57500) ,.�. - ,:� ..� , ,.�. a::::::. �ry=��•`-::y�',_ . " Agent(for the conVactor)orPower of`Attomey`(fo�ttie owner)would be someone with nota�ized letter from owrner authodzing same . - a a� � :.-�:.SL.t DVER-THE COUNTER�PERMITfING�•- �-�- �(Fronfof=Appllcatlon-Only�;��-� " "�`:"'`��.3 Reroofs If shingles Sewers Seroice Upgredas A/C Fences(PlodSurvey/Footage) ' � ` _ • � ' , i.�. -..� �. � ,.� h�.•�- �.: -n� a " � _ - ��'�t� Drlvewaya-Not over Counter if on publfc roaduvays:�.�eeds ROW - � . � ..� .. •.j f: �. . . � ^ . .. .. ' � �'� .�� . . . . 1 � 1'� �4.,: �'�:/'.j;. ESTRICTIO S: The undersi ned;under�ct�nds�;th�t�this;�p�rmi�,mey.be;,subJe�t:to"d�ed".,resUi,ctio�s" �;:' NO'iiCE:OF'DEEDR �1 �9. _ ,.Y��; - -.�: ..�.;:_, .�.._ ,� u., _ �..- �:. :_�{;��.�;.... - - �:�:�>��,. �.s;, - , - .. .a. .� `latfons:"�Tfie^rindecsT"ned=�a'ss'ur'ries��regponsi�bilifjr�for�=�compliance'wlth°,any" which may;tie=more�=r.e�ttictfve-t#i'�n�County-�ri�gri :� 9 , - , = v., �:. .,.-,-_.:;}:;:,, applicabl.e:deed=resMctlons. ' � .. ..r..:�ii'i:�,2.t.,:��d,.i;{.'.;J6r s'�c._ ... ..... ..... .. . .<.....,- .., -.s . IJNLICEN�ED�'CONTItAC.TO1tS �AND�LLCONTRACTOR RESPbNSIB1�ITIE�:`°If��tiie;owner has•�'hired'"a`�canttactcr o� contractors'to undertake work, they may;b,e;r,equlr,ed.yto�beYl��n�'ed,in>:acoprila�ce.with�stat��.and�local:tegulatlons:��If,the��-�. , ._, ., contractor�°ts�nof lteensede�aa�requlred=°�tiy law;�botit�tRe owner andN�cvntrecto�£�msy°be-cited'�fo�"a;mistlemeanor�violatlon under state law. If the owner or Inten,ded�.c,ont,r,a�tor:ere,�uncertain,as to.wfi�t Iicensfng._requirements�m�y�:apply,�for�tiie'�;,t - , _ „:. , � intended"work,they,are aiivlsed`to':aont�ct the Pasco County�uil'ding;Inspection�y�Ivlslon=-Licensing Section at 727-847- 8009. Furthermore, �if the owner has"filred a dontraotor or contr�ctors� tie is advl�ed to have �th`e contractor(s)�..slgn,R ,.,:_.... y.��,;,��_,�.,...;� ,w portions of the."contractor,:Biock"�of.this;_applicatlon�for:which>.they.will::.beMr.esponsible.,-:.if�you;sas..the,ovi'rner�sign'��a`s'the""' �'�'�-"�`� �� w.. _ .�. ,.,, contractor, that�may�'be an Indication"tFiat�h�"1s not':propeHy�IlcenseiJ'�antl"la rtot entitled`to permitting prhrileges In Pasco ,�Y {,, County. ' . . . .. . .. . ,..,,_, :. , _ TitANSPORTATION�IMPACTIUTILITiE$tIIYI�AC'��ANb°RESOUItCE RECOVERY FEES: The�underslgned-understands that Transportatbn Imp�ct Fees,and,Fteco.utse�FtecoveryyF�es m�y�rapply��tc:the`constructlon_,of new buildings,�change��ofh�>�;"-��x 4 use In exi$Hng buildings, or<<expar�slo��of�existi��'�buildings, as specifled.in Pasco County'Ordinance number 89-07 and � 90-07, as amende,d.�;The undersigned also.•urtderstands, th�t:�such fee:s;;as,;�nay:be•.due,.;wilFr;be idenfitfled at the4t(me�;of��Y:-�� ..�. � permitting. It is iu'rther understood that Trensportallon Impact�`Fees an�tiResource;;RecovetyYFees�,must-be paid prior to ; receiv(ng a''cerfiflcate of�occupancy"�or��flnal�.power,,celease: :I��Ehe.proJect�..does�not�l�volve�a:�certfficate";of o�cup�ncyao�"��':'-��-�.?+� �, ._.. - � final pow��release;�iFie,fees mu§t�be"pald�;pclor;to.,permit issu�nce. F�Xthermore;ff:<Pasco;:CountyaWater/Sewer•�Impact�:a :�t��.:-�� , .�.... _ , fees are due;.they�must�be�pald=prio��o:.permit'�IssU�nce=ln.accordance.witt'r;appllcatife�Pasco':�County onDinances. �, ' COfVSTl�UCTI�N"LIEN'LAYV"(Cliapfer�713� 1=lorlda Sta�ut�a�as arnended); tf valuadon.of work is$2�500.00:or-more;-1��.�.•,;:::�.,�;=, certify tHat _I;��h��,appllcant;_have,b.een =provided�-•with-a-co�yr�of`.the•:"Fiorida� Con�t"ruct(on�.:Uen:�:Law--Homeowner's' � Protection Guide" prepared by 't'Fie Fiorld� �ep�rtmer;�t+of Agrfc.ultuce an�Consum�r�Rfiairs. if the applicant Is someone.;._. ;,; :�s - �i,:n ,�::,. � , . other than 1he'owner" I certi�%�that I,h�ve:obtained�'a}copy.;of..#he�;abQva:rle�cri.�ed;�focurt�ent�and:ptomise=ln;good;;faith.fo , >.f , 1 .. , ...l.T,.:.r �.-..:.R..zJ."fi.u?�.' .... '°- _ ' ,. " .t.': i. . _ _ deliver it to tlie::'owne�'•"p�io�'toycoiiimencementt�";�`:..,.,,.:. ._ >;,_ �:.::.�-��::-,. . . ° _ _. • . . � , � CONTRACTOR'SIOWNER'S Af�IDAVIT: I.c,eittfy.;,tli�t,all:.the;infonn�tibn::i�-thi�,appltcation Is accurate.and that all work" will�be done in compliance with ail.applicabie laws regulating constn�ction, zoning and;land°�development. Appilcation is hereby made__to.:obtain..a;permik;Co��do��w�tk-,.�nd�ihsfellation as fndt�ated:-�.�:I certtfyi that no work�or Inst�llat(on`fias .. commenced p�lor to issuance of'a permit�and that�:all v�ork will be pertormed�to meet.stand�rds-�of all laws regulapng� constructlon, County and Ci4y codes, zoning regulatians� and land development r.egulallonss tn th�:Jurisd(ctior�.r I::al'so _ � ce�tify that I understand thatthe regulations of other�government agencies may�apply�,to the..intended.work, and that it is my responsibllity to identity•what,actions I must;teke;:M;be�in:oorrl,pi,lance�=.Such,agencies�include but=are:not Iinatted�to: ; , . <..;,r�. 1 - DepartmeM of E�lvironmental}Protectton=cypresg.�e�yneea�, VVeHand Areas and-Envtronmentally Senslttve � Lands,WaterllNastewater Treatment. � � , - Southw�st Florida Wat�r Management:-':�Istrict.lNells, Cypress.� Bey��ad�,� Wetland Areas� Altering � Watercouraes. .' . � � � � - Army Corps of En8lneers=Seawails,:Ddcks, Navigatile Waterways. - , Departmenk;of„Health�48,�.ReEtiabllltative;;ServiceslEnvfronnn�ntal..He�ith Unit-Well.s,•.1Mastev�ater��Treatment, � ' Septic TanKs. - � - . . - US Environmental Proteotfon Agency-Asbestos'abatement::. - � • � - Federel Avletton:iAutMority,Runways:�°; � � � ' I.u�id�rstand:.that.the,follow�ng>�estrict�ons apply'to�tFie use of flil:� , - ` - � Use of f(II is not ailowed in;Flood�Zone"�0"unless expresaly permitted. - if the�=�11 mate�lal��ls to�,`ti.e used:In�:flood Zone. "A", Ik. is understood�that�a dralnage pl�n addre�sing a °compensating volume"will be submitted at#ime'of;p,ermitting which is prepared by a profess(onal engineer - � - Iicensed by`�he�State of�Flotida:= '::"` �. ' ,� - If ih� flll material=ts to°�:be� uged In Flood �one 'A° In�connectlon'�with:a�•��er•mitted buildir�g u"sing stem wall ' conatruction� I certJy..that,�ILwall-ti.�u'sed only.to.iill the area wlthin the�stem�walL � - • � - if ffll mate�lal"is to be used�'tn any area;�'I'�aertify that .use of such�flll will not adversely affect adJacent -� , propertles. If use of flll Is:.found:.to.•_advers�ly:,�f�ect�dJa�nt��pr�pe�ies�.the owner m�y be'cited for viol'ating, ' . the-conditions�,.of the_buildtngz.perm(t.(ssued-under thei�aEtacfied,permit�appltcatlon, for:lots°.less,than:one (1) acre wF�ich are elevated`by flll,a�engineered dralnage plan Is required. � . , If 1 am the AGEIVT�FOR THE OHINER;;I;pr"omtse In.,good,faith to Inform��the��oevner of•the permltting condftlons s�t forth in this affidavit prior to commeracing construction. I und.efafand'.that.a;aeparete permft may be requlred for electrlcaf work, _ _ -.:�^3r" T...w. . ., plumbing, signs,wells�;pools;, alr conditioning,-.gas,-,�or�otMer.�ingtalf�,tlons noE,spec�ically included-in.the�application. .A: .,_ ' _ � ��.: , �.:.<.,.;.: . permit Issued shall be construed to be��a�'li�ense-to�proceed with tFie ntirork and not�as:authoNty„to,violate,�cancel;�alter, or � , ' , set aside any`provisions of the.fechnlcal;cod�s;�nor shall Issuance�of a.permit.prevent the Bulldirig O#ficial from thereafter . ' � requirtng a`coRection,af.;eRors in��plans;conshiictlon.or vlol�ttons of-any�codes:-.@very��pgmitt;�ssued sfiell�become•invalid � unless the�work authoNzedby such permtt:�is-commenced•within ,,,sUc.�months of�permit issuance. or if work authorized by the permit ls suspended ar:eba�doned;for:a:period;of-six,�)�montfis:�aRe�:the time the�work�fs commenced.. An extenston may be reque�ted�_In writing,_f�om tFie,Buliding,Officlai for a perlod:noEto_exceed'nirte�jr.�(90)�:days and-wil(�°demonstrate justifiable cause for.�the extenslon: If work ceas�s:for nineQy(90)cons.ecutive:day.�...the job�ls'considered aba�doned:'� _ 1MARNIPIG TO OWN�1�: YO,UR.,FAIL:IJRE..TCI,R��ORD.A::;1�OTICE.,OFx�C.OAAMENCCAAEN'T-,MAY�;RESULT:IN.-YOUR PAYING'i1MICE.FOR�IMPRO�'IEMEN�S:TO,YflUR:PItOPERTY �JF�YO.U�I�'�END�,7'D��OBTAINhF1N�wE1NG;:C.ONSUL'T � IWIT ` , : p N p� , � p � ;. :pV :. ., . -t- . E - FLORIDAJURA�.(F: �:t:17.03} ` • '� , ' ; ; ,. - - • OWNER OR AOENT - CONTRAGT S�bs��and swo rel�en re m hla Su6ecrib 'swom� ' ed)�b' re me:fFiiS . �� by -_.___— .by... � • � Wtio Is/are p rsonalty,known lo.me.or,haslheve.produced WhoJe/are p.ersonelly knovvn•.to.me.oc hesTha,v.e•produced • - ' as IdenUfloaBon. ` ' � � as'IdentlflcaUon. t�- �/� � ,�� ,� / . � � � l� No ry Pub . Notary Publlc ,�n.,.-ra�,_.::,�...va�a.,a�zaa...�v2�a+�,:ca-� . Commisal n .p;';,� "' � +� � Coinr�Ission.No.� . . ,o��,� �e�n, . ,� , . ;�, ; .. Notary Public-State of Florida ``��SPHY pv�� ANNA MARIE IYNCH TE t f Name of r ' Name of Nolery' typ ,� t �, Y ublic-State of Florida %; ommissi n EE 166865 = . ■ •_ M - , p; ;N, � _ y Comm. Expires Apr 4,2p16 �''%°;��'� Bonded Through National Notary Assn. 9, °'�= Commission#E . �'•.FOFv��?:�'� E 166865' ''� ��" Bonded Through National PJotary Assn. l