HomeMy WebLinkAbout16-17129 CITY OF ZEPHYRHILLS % �
5335-8TH STREET ;'
(813)780-0020 171�29
�` r BUILDING PERMIT �'�
.'
PERMIT INFORMATION � ��` - ' LOCATION INFORMATION '
Permit Number: 17129 Address: 36200 SHADY BLUFF LP L 3
Permit Type: IRRIGATION ZEPHYRHILLS, FL.
Class of Work: IRRIGATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
�i Square Feet: Subdivision: SILVERADO
Est. Value: Parcel Number: 04-26-21-0060-00300-0030
Improv. Cost: 900.00 OWNER.INFORMATION
Date Issued: 3/03/2016 Name: HIGHLAND HOLDINGS INC 36200
Total Fees: 40.00 Address: 3020 S FLORIDA AVE STE 101
Amount Paid: 40.00 LAKELAND FL 33803-4058
Date Paid: 3/03/2016 Phone: (863)619-7103
Work Desc: IRRIGATION CONNECT ONLY************
CONTRACTOR S � APPLICATION FEES
JEFF RILEY IRRIGATION IRRIGATION CONNECTION 40.00
Ins ections Re uired �
PLU BING FINAL
REINSPECTlON 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 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.
v
CONT �TOR SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-ooaa City of Zephyrhills Permit Application Fax 813-�eo-0021
Bullding Degartment
da#e Re�e�vec� ` .., .�.� , - < Rhone-Cantact for'Permittln - - ��� :�J tt/� _ Q� � � -
• - a -
Ownar's Name � n� _� - .. ���o L-1 '�'����Q� . . ' Owner Phone Namber
�nrner`s Addrass, OwaerPhone Number � �
Fee 3lmple Tltleholdar Name � � � Owner Phane Number � �
. �---
Fee 3imple Titleholder Address- ''`
JOB AbDRESS ���✓ � ' �""�� � �' LOT# �
SUBDIVISIQN -� � PARCEL ID# •
- . (OBTAINED FROM PROPERT.YTAX NOTICE):
WORK PROPOSED NEW CON5TR ' ADD/ALT � SIGN � Q � DEMOt,1SH -
e }� INSTALL 8 REPAIR
PROPOSED:,USf Q' SFR '[� COMM � t?THEiZ _
TYPE OF CONSTRUCTION'. Q BLOCK"' Q �FRAME ` ' � STEEL [].
,.� �/. , .
DESCRIPTION OF WORK .t' � i 1 Q.�) 1 C�� �-KJ Y�1; U�.C✓"�
BUILDING SIZE �r � S6!FOOI'AGE�,.r_� HEIGHT��� .
=�r<��,:�.�, �:,�-•� .._ .
� �8�������" . � � VALUATION�F]'O7AL CONSTRUCTION
L...�..
[�EE.�CTRICAL �SS� AMP SERVICE •' Q PRCIGRESS ENEFtGY D W.R.E.C.
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�F�UMBING $/y3 j�� t�U�� ` ,
�- w��� , � ,�f 2-�
QMECHANICAC $ VALUATtON t3F MECHANICAL IIVSTAL6ATIOiV s�'T
, '
Oc�s Q. �tao�tN� p s�EciA�.�r Q oTr��r�
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE Ai2EA QYES: NO
BU0.�ER COMPANY
SIGNATURE REGISTERED Y/ N FeE Gu�n ,YJN ,
Address License# � �
ELECTRICIAN � GOMPANY '
SIGNATURE �"' REGISTERED Y/ N FEE GURRE� Y/N
Addres$ Llcense#;� . �
PLUMBER . . COMPANYr =- �
SIGNATURE � REQISTEREp : Y l-N - FEE CURRED Y/N�. .
Addres� , License# � �
MECHANICAt ' CCIMPANY
SIGNATURE � ' ' ' REGISTERED Y./-N Y FEE CURRE� Y/:N;.-,
� , . �" _ �
Address��� ' ' ' " License# 1.. • -
? , _ , z �-� ��1 �r��` :��r'I��'1
OTHER , • � ' ' , COMPANY '
S1�3NATURE.~ REGISTERED Y/ N--> .� ,FEE CU . � `: Y .- „
Addra�s -.�� U ``V�;'�'����� ' - �, License# ( �
, � ,:.x�... •`-4-.,. •'�;:�:-=. �.'E'�'.�" '
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RESiDEN1'IAL.-_�:~AtNacti(2}�Plat�Ftans;.�:(2}`seis=offBuilding�"Plans;-(1 j"set of.3Energy��oi�m`s';R=.O�W�Permit fornew,'consbuction,
�:�.:
� ,; .Mfnimums.ten�(�1;0);worlcing,days�,after�;su�:mittal tlate:�:Required onsite;;Constnictlon=Plans;-�Stormwater'Plans w/Silt Fence insCaited,
... '`Sanitary�EacVtiti�s;;&�1,,dumpst�r�Slte�.Wo�tckPermltfQr sutidiylslo�is!large'proJecGs``:"��a�r:�'R;:-.,��, ' , -
COMMERCIAL Attach(3)'comptete set`s bf Baflding Plans pius a Life Safefy Page;'(1j set of Energy Forms.R-O W Permit far nsw construction.
Niinimum ten(10)working days aftar submittal date. Required'qnsite,Constnuctlon Plans,Strartnwater Plans w/Silt Fence instadled,
SanlNary Fac�liUes&1 dumpster.Stte Work Permit far aU;newiprojecCs.Al!wmmercfal.requlfements must meet compllance
SIGN PERMiT Attactt(2)`set's af`Englnesr,ed:.P,ians;z-.�,.-- . , w-• - * � °
, "••PROPERTY SURVEY reguired forall NEW,.constr.uation.,.. . _ �
� Dlreattons: : :�.,,. ,::,..,,s. , _ - `
Flll.outapplicatlon completely. -
Owner.&Confractor.sign back of applicaUon,notarized .
If over E250Q,,a Notiae of.Cammencement is required. (A/C upgrades over 37500) , ,.
e� F.,:w?.l,`,S:!r1:?;Y�=:
Rgent(far the'cantracto�)ar;Poiwel''of Atfgiiiey+(fo�Uie owner)would be snrrieane wi#h notarized lettar from awner authorizing same
OVER THE.COUNSER',PERMITTING��--•:�-{Front;of-Appifcation Only) � � � t`" ' �
Reraofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
`.Y'.,1+.. } r , � a . ,
'Drivawrays-Not over Caunter if on public roadways:'needs RQW
NOTiCE OF DEED RESTRICTIONS: The undersigned under�tands�.th�t_this:,pQrmit:.may:be•subJect,to"deed",resUicttons" �
which may��be.:more��r.est�ictive�than Countyr�regulatlons:�The undersigned�assumes=responsibilitjr for°coriipliance wi'th`any ' �
applicable deed�rest�icttons. _ . � _ _ -
UNLICENSED CONTRACTORS AND _CONTRACTOR RESPONSIBILITIES: ��If the owner has fiired�°a��contractor or
contracto�s to undertake work, they may be;required�_to be.:licensed in accordance.with state�.and�local regulations. �If�the
contractoc is not:licensed as requlred�tiy law, both�the owner and cont�actor�may be=cifed�for�a=misdemeanor violation
under state law. If the owner or intended�contractor.are,uncertaln as to wh�t Ilcensing.requirements Ymay apply.-for�the� �
intended work, they are advised to contact the Pasco.County Bulidtng Inspection Divislon-l.icensing Section at 727-847-
8009.. Furthe�more, If the owner has hi�ed e contracto� o� contractors, he t� advised to have the contractor(s). sign
portlons of the "contractor Block" of this application for which they will be r.espo�sible. .If.you�-as•:the ow`n'e�slgn``as�the
contractor, tliat may be an indication�that he is not.properly Hcensed and"'is not entitled"to perrrtitting privileges in Pasco
County. �
__�13�lIV�PORTATlON IMPACTIUTILITIES-IMRAC7ANb-RESOURCE.RECOVERYFEES:The�undersigned�understands
that Transportatfon rmpact-Fees and-�tecourse-�ece�very:Feas-�ay-�pply tv�the'constniction_of.n�vv_�utldings,4change�of
use in existing bu{Idings,�or expansion�;of�ezistiri,g�6uildings, as speclfled (n Pasco County Ord(nance number 89-07 and
90-07, as amended._ The undersigned also understands, that:such fees..as,may�be..due;:;wlll�:be identified at the3=time of" �
permitting. It is further understood that Transportatfon Impact Fees and�Resource Recov.ery'Fees.must be paid prior to
receiving a "certificate-of occupancy" or finahpower=�elease: .If the.project�.does not Involve.a:certificafe of occupancy or
final power release, the.fees mu�t be paid prior to permit Issuance. Fu�thermore;�ff Pasco,County Water/Sewer-:.Impact .
fees are due, they:.must.be:paid._prlor to permiF-Issuance-In accordance with applicabie Pasca County o�dinances.
COfVSTRUCTION'�LIEN"LAW(Chapter 773� Florltla Statutes�as amended): Ifi valuation of work is$2.500.00 or more, I ,
certify that I, #he ,applfcant,. have-been provided with. a copy- of the "Florida Construction� Lien :Law=Homeowner's
Protectfon Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone .
other than the"owner", I certify that I have.obtained�a'copy.of the above..described�document°and:p.r.omise in,good;faith to •
deliver It to the"owner"prior totcommencement: ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certiiy ttiat all the Information In this application is accurate and that all work
witl'be done in compliance with all appl(cable'laws regulating constructlon� zoning and fand development. Application (s
hereby made to obtain .a permit to do work:and installatlon as indicafed:. 'I certffji that no work�or installatton has
commenced prior to issuance of�a permit�"and-that.all work will be pertormed�to meet standards of all laws regulating-
canstruction, County and City codes, zoning regulations, and land development cegulattons�in the jurisdfction. I also
certify that I u�derstand that the regulations of othe�government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what.actions I must take to beFin:.corrlpliance: $uch agencies include but-are..not Iimited to:
- Department of Environmental�Protection=Cypress:Bayheads; VNetland Areas and Environmentally Sensittve
Lands,WatedlNastewater Treatment. -
- Southwest Florida Water Management: .Distrtct-Wells, Cypress.w Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health� & Rehabilitative Services/Environmenfal Health Unit-Welis, Wastewater Treatment,
Septtc Tanks: � ,
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authorlty-Runways.
I understand that the following:restrlctions 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 address(ng a
"compensat(ng volume" will be submitted at time of permitting which is prepared by a professionai engineer
Iicensed by the:�tate of Florida.
- If the fill material.is to be used In Flood Zone °A" in�connection�wlth�a permitted building using stem wall
construction, I ce�tify that fill�:wtll::be used only.to.fill the area wlthin the�stem•wall. �
- If fill material is to be used in any area, I �certify that .use. of such fiil wlll not adversely affect adJacent
properties. If use of flll is found to adversely:affect adJaEent��propertfes,.the owner may be cit�d for violating
' the condi#ions of the bi�fiding�: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 permitt(ng conditions set forth in
this affidavit prior to commencing construction. I understand that a-separate permtt may be requfred for electrical work,
plumbing, signs, wells, pools, alr conditioning,.gas,�or other Installattons noE speciflcaily inclu�led in.the application. .A
Ipermft issued shall be construed to be a Iicense to proceed with the work and not as:authortty to.violate,cancel, alter, or
i set asfde any provis(ons of the technical.cod�s;�nor shall (ssuance of a.permit.prevent the Bullding O#�icial from thereafter
' requiring a correction af errors in.plans, constructlon or violatlons of any codes. Every permit Issued shall become invalid
unless the work aulhorized.by such permit.is-commenced�withfn sGc m.onths of permit issuance, or if work authorized by
the permtt is suspended or.abandoned for a:period of�six(6)months.after the tirne the�wo�k is commenced. An extension
may be �equested, in wrlting, from the�Building.Official for a perfod=not to exceed ninety�(90) days and wiil demonstrate
justifiable cause for.�the extension�. If work ceases:for ninety(90)cons.ecutive day.s�..the)ob�is considered aba�doned.
WARNING TO ONINER: YOUR.FAILURE TQ.,R�C.ORD,A.NOTIGE=OF•COMMENCEMENT�MAY�RESULT IN YOUR
PAYING TWICE.FOR_IMPROVEMENTS�,TOYOUR�.PROPERTY. .IF°YO.U�INTEND�'�TO!'OBTAIN��FIPFApCING;'CONSULT
WITH YOUR LENDER.OR AN ATTORNEY BfFORE�i�ECOR�DING�I�OUR�NOTICE"OF'COMNlENCENVENT�
FLORIDA JURA�(F.S:1 �.O�I- ' .. . . . ..
OWNER OR A(3ENT � CONTRACTOR
Sub�,crl�a-nd swa to(or aHirme beto e me thls Subscribed and'swom to(or aflirmed)�before me'ttiis
� .by- -
� Who Isfare arsonall known to.me or has/have prcduced Who Is/are personally known to me or has/have�produced •
� as Identlflcatlon. - as tdendNcadon.
�Notery Public Notary Publtc
Commissl Commission No.
,;o�.:eya�,, JACQUELINE BOC�S
.�:
Name ot Nofa ' Name of Notary typed,printed or stamped
,,,, -,�.��o�,; �� � e ber 12,2018
„��� Bonded ThN Trby Fein Inwranco 000•385�7018
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