HomeMy WebLinkAbout16-17130 CITI( OF ZEPHYRHILLS
5335-8TH STREET
c _ �, (813)780-0020 17130
BUILDING PERMIT
� - " PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 17130 Address: 36206 SHADY BLUFF LP LT 2
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: 04-26-21-0060-00300-0020
Improv. Cost: 900.00 - OWNER INFORMATION
Date Issued: 3/03/2016 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: 3/03/2016 Phone: 863-619-7103
Work Desc: IRRIGATION CONNECT ONLY********'`****
CONTRACTOR S APPLICATION FEES
JEFF RILEY IRRIGATION IRRIGATION CONNECTION 40.00
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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 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.
� C NTRAC R SIGNA RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8��-�saoozo City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
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Date Receiv�d .{ Phone Contact far Permiftin -�� — 1 � t -
Owner's Name . .� . � y � Owner Phaee Namber
Ownar's Address - OwnerPhone Number �— �
Fee Simple Tltlehalder Name � `� Owner Phone Number �� �
. �—
Fee Slmple 1'itleholder Addr�as °°
JOB ADDRESS � ��� � I�l LOT# ��
SUBDiVISION � � PARCEL ID# � �
(�BTAINED FROM PROPERTY TAX NOTICE).
WORK PRQPOSED '� NEW CONSTR ADD/AI:T C� SIGPi Q Q DEMQt,ISH -
INS]'AI:L REPAIR •
PROPOSED tlSE Q S�R [� COMM , � OTHEFt , � . .
TYPE OF CONSTRUCTION" [� � BLOCK "' Q FRAME � STEEL _Q, �
DESCRIPTION OF WORK � Y I C�--� �.'f Y� '(,, '
BUILqING SIZE � � SQ FOQTAGE� HEIGHT �,�, �
QBUlCDING �--� ti..s_-z_ .�;.. .....,.
.VALUATION�F TOTAL CONSfiRUCTION
QEt,ECTRICAL r> � AMP SERVICE ; Q PRt3GRESS ENEF2GY Q W.R.E.C.
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�Pl.UN1B�NG �{'� 6�1��_ J - „ . �/ ��
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QMECFfAtVtCAI $ VALiJATIOI+t OF MECHANtCA�ENS'fAL�ATIO(V �
QGAS Q ROOFlNG Q SPEC1AI:l'Y•�� OTHER ! { �
FINISHED FL.00R EI.EVA710NS FLOOD ZONE AREA ' �YES. NO
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' BUt1.DER CQMPAFiY '
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y./N.
Addres� � License# I �
ECECTRlCIAN , C��IPIINY � .
SIGNATURE �"% REGISTEREp Y/ N FEE GURRE� Y/N
Address - � -.License# I , �
PLUMBER � - COMP.ANY� • -
SIGNATURE .. Rec31S7eREo . Y/ N FEE CURREA Y/N
Address � License# � �
MECHAI+tICAI. � CC?MPANY ..
SIGNATURE ' ' ReGisTEri�o Y:/ N Fee curt�n Y/.N,
Addrsss� ' t „ , �
' _ Lfcense# � I
o��� �-� - � �o�P� �'1 �-F-� 1 lr.r1� � �,� .
SIGNATURE � REGISTERED Y/ N , � FEE C REA , Y/� . .
Addreas ���t�; .V.ti,1�.' j0.2�- � � • � License#�'�������
a- � - ,�... . ._„ . „.. ,,�s` ',�:,� •�_.... �:Hf.; .
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RESIDENTIAL-; �-Ait'acti(2)�Plc#�Pla�s;:{2}sefs=of:8uilding�'Plans;(1)se#of�Energy�Foiins;F R-O=W;Permif for new;construction,
. Minimum�ten:(E1,0);wrorking;days;after„sutiinitfal:tlate:�:Required onsfte;-Canstrticd'an=Plans;StormwaferPlans w/Silt Fence installed,
( , .. 5ariltary FeciUties,;&�1;dumpster,-Sits*Work:=P:_ermltfor.'stitiilivi5to'nsllarge:proJeCts`::�"�•<;`'.,., ,=� �
COMMERCIAL Attach{3)complete sets of'Bullding P1ans�ptus a Ctfe Safetyr Fage;{1}set of Energy Forms.R O-W Permit For new wnstruc�tton.
Mi�imum ten(10)working days afker submittal date. Required onsite,ConsUucUon Plans,Stormwater Plans w/Slit Fence Installed,
Sanitary Fadlitles&1 dumpsier.Site Work Perm.lt for ai!new:proJects�Ai!cammercial requlrements must meet compltance
SIGN PERMlT Attacli{2)"sets cf�Eitg�nee.�ed=.F_.lans;�,;:;t�-a'.`% ,.. . }�.�.r , .. ' �
"'"PROPERTY SURVEY:requirecl for aIN NEW conshuctlan., _
Dlreatlons: �.,...; . . _ �
�FIII out applicadon completely.
Owner&C,ontraGtor stgn back of appiicat[on,notatized
if over�2500,a Notice,of CommencemeM Is required. (AIC upgrades over 57500) . ,
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_._._ _.., __ � .
" Agent(for the coatractor)or,Pbwer of Atft�riiey(fii�tFie ciwner)would be someone with natadzed letter ftom ov�mer authorizing same
DYER'fHE COUNTER�PERMITTiNG, ,....{Front.of Application Only} -. . • 1 • �
Reroafs If shingles Sewers Service Upgrades A/G Fences(Plot/Survey/Foatage)
Drivewaya-Not aver Counter if on pubtia roadways..neecls�ROW � ��'� �
_,
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that_this:p�rmit;may.be,subJecfi to,"deed",_restr(ctfons" ..
which may be%more�r.est"r.ictive�-than County�regulatfons:`The�undersigned�as§uiries�r'esponsitiiltty-for�compliance'with any '�
appiicable.deed rest�icttons. . � _ _. = -
UNLICENSED.:CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� If the owner has �hiredy�a contractor or
contractors to undertake work, they may.be required.#o.:be.licensed In accordance.with state.andr•local regulations: �If the� �
contractor fs.not.licensed as�required"by law, both the owner and-contraoto��may be-clted�for�a�misdemeanor vtolatton
under state law. If the owner or intended contractor are;uncertain as to what Itcensing.requlrements may apply-�#oc�the
intended work; they are advised to coritact the Pasco County Bullding (nspection Divislon—Llcensing�Section at 727-847-
8009. Furthermore, tf the owner has�hlred�a cont�acto� o� contractors, he is advised to heve the contractor(s),_s(gn _
portio�s of the "contractor Block° of this application for which they will be r,esponsible.. If..you�,as.the owne� sign�as the
cont�actor, that may be an indicatlon that�he is not.properly licensed and�is not entitled"to permitting privileges in Pasco
County. �
TRANSPORTATION IMPACT/UTILITIES�IMRAC7 AI�b-RESOURCE RECOVERY FEES: The undersigned��understands
--4�eal��ar�sRortati��a-Ompact-Faas-a�d-E�s��urs�-Recov�.ry:F�es-oro�3�-apply;t�:.h�.constn:cQE�r�-rrf-nav�►-�ulldi�gs,��hae�ge-�i�--- - -- -
use in existing bufldings, or:expansion,of�exfsti�ig`�6uildings, as speclfled in Pasco�County Ordinance number 89-07 and
90-07, as amended..._The undersigned also�;understands� thait�such fees„as<may'.��be�.,due;;:wlll.tie identtfied at the'time of� °
permitting. It Is ftirtlier understood that Transportatfon Impact Fees and�Resource Recov.ery�Fees.must be pafd prior to
receEving a "cerfificate-of-occupancy" or flnal powec-release. :I�the.proj�ct_.does not Involve:a�certiflcate of occupancy or
final powerrelease;the-.fees mu�t be paid prior to permit issuance. F�tthermore;if Pasco County�Water/Sewer�lmpact �
fees are due,they:.must.be:paid prlor to permit-Issuance-in accordance with applicable Pasco.County ordinances.
CONSTRUCTION LIEN`LAW(Chapter 713� Florlda Statutes�as amended): If valuation of work is�2,500.00:or mor,e, I I
certify that I, �he. applicant, have.been provided with. a copy of the "Florida Construct(on� Lien,Lav�—Homeowne�'s
Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffa(rs. If the applicant fs someone •
other than the"owner", I certify that I have.obtained-a�copy.of the-above..described�docuir�ent=and promise in,good faith.to .
deliver It to the°owner"p�ior to�commencement: � . '
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify.that all the.information in this applicatlon is accurate.and that all work �
will'be done in compliance with all.appiicable laws regulating construction, zoning and land development. Appltcatton (s
hereby made to obtatn .a permit to do. work.;and instaliation as Indlcafe.d.� `I certffjr that no work or Installatton has
commenced prio� to Issuance of a permiC and that all work will be pertormed�to meet.standards of all laws regulating�
construction, County and Clty codes, zoning regulations, and land development regulatlons•in the jurisd(ction. I also
certify that 1 unde�stand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsfbility to Identify�what.actions I must take:M be,in:.corrlpliance: Such agencies include but�are.not Ilmlted to:
- Department of Er�vironmental-�Protectlbn=Cypress.Bajrhead�, Wetland Areas and Envlronmentally Sensittve
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management� .Distrtct-Wells, Cypress.�Bay.heads; 'Wetland Areas� Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigabie Waterways.
- Department of Health 8 Rehabllitative Sen+ices/Environmenfal Health Unit Wells, Wastev�tater Treatment, i
Septic Tanks. � . I
- US Environmental Protection Agency-Asbestos abatement.
Federal AvlationAuthority-Runways. �
I understand that the following,restrictions apply to the use of flIL•� I
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil material is to be used_in �Flood Zone. "A", It. Is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of petmifting which is prepared by a professional engineer
Iicensed by the•State of Florida.
- If ihe�fill material.is:to be used In Flood Zone "A° im conneclion�wlth.�a�permitted building using stem wall
� construction, f ce�tify that fitl:wall�be used only.to.fill the area withln the�stem�wail. . _
- If fill materlal is to be used In any area, I certify that .use of such fill will not adversely affect'adJacent
�. properties. If use of flll ls found to adversely:affect ad)acent,�properties,.the owner may be cited for violating
the condi#ions of the building:permit iss�ed under the_attached permit appiication, for lots less than one (1)
acre which are elevated by flll, an englneered drainage plan is required. • •
�f I am the AGENT FOR THE OWNER, I;<promise In good faith to inform the owner of-the permitting conditlons set forth tn
this affidavit prior to commencing constructlon. I understand that a-;separate permit may be required for electrical work,
plumbing, signs, wells, pools, alr cond(tioning, .gas, or othec installations not specffically included in.the application. .A .
permit issued shall be constcued to be a`Iicense to p�oceed with the work and not as:authoriiy to,violate,cancel, alter, or
set aside any provisions of the technical.codes; nor shall Issuance�of a.permit.prevent the Bulldirig Officlal from thereafter
requiring a correction af errors in-plans, consfruction or violat(ons of any codes. Every permit issued shall become invalid
unless the work authorized.by such permit�Is-commenced•within sfx months of permlt issuance, or tf work authorized by
the pe�mit is suspended or.abandoned for.a:perfod of six(B)�mont�s.after the tirne the�work��is commenced. An extension
may be requested, In writing, from the Building.Official for a per(od-not to exceed�'ninety�(90) days and�will demonstrate
justifiable cause for.the extension�. If work ceases:for ninety(90)cons.ecutive day.s,..the Job�is considered aba�doned.
1MARNING TO. OWNER: YOUR.FAILURE�TO..RECORD,A NOTIGE..OF�COMIMENCEMEMT:MAY�RESUlT IN YOUR
PAYING TWICE,FOR IMPROVEMENT$�TO YOUI���PR'OPERTY. .IF°YOU�IId�°FEND'�TO�OBTAIN��FINAIVCrtNG;'CONSULT
WI7H YOUR LENDER OR AN ATTOR(dEY�fFORE RECORDIWG�YOUR�NOTi�E`OF�COMINfENCEIIMMENT�
FLORIDA JURA�(F.S.11�.0�) � ' � �
t�/
OWNER OR AOEN � CONTRAGTOR "
SUbscrldQd d s ►if (or a rme be " e me thls Subscribed and'swom tv(ot afftrmed)�before me'thls .
S ,.5� , .by..
Who islare ersonally kno to.me or has/have produced Who fs/are p.ersonally known to me or has/have�produced •
as IdenBflcatlon. � as IdendBpUon.
� �
� �� Notery Public
- Notary Public
Com lo Comnnlsslon.No.
�YO��
..=oti�••Yi;��; JACQUELINE BOGES
Name of N ' �P s°6�� e 2,2018 Name of Notary typed,pdnted or stamped
���P,F;4°�'� BandedThruTroyFeinlnsurence800385.7pig '
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