HomeMy WebLinkAbout16-17193 • -��� '� CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 171
� BUILDING PERMIT �
PERMIT INFORMATION `- " LOCATION INFORMATION �
Permit Number: 17193 Address: 36153 SHADY BLUFF LP LT 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: 04-26-21-0060-00200-0100
Improv. Cost: 900.00 ' OWNER INFORMATION ' -
Date Issued: 3/23/2016 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: 3/23/2016 Phone: 863-619-7103
Work Desc: IRRIGATION CONNECT ONLY*************
CONTRACTOR S - � � � APPLICATION FEES �
JEFF RILEY IRRIGATION IRRIGATION CONNECTION 40.00
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" • r -� � ' Ins ections Re uired �
PLUMBI G 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 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.
CONTRA TO SI ATUR PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78Q-0Q24 Gity of Zephyrhills Perm;f Application Fax 813-780-Op21
Butiding Qepartment
,:: • '
: , � � y �
pate Recelved phone Gontact'for Permlttln
qwner's Name l V 1 v � . Owner Phone Number _ _
flwner's Address Owner�Phone Number � �
Fee Simple Titleholder Name � � Owner Phone Number � �
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Fee Simple Titteholder Address "
JOB ADDRES$ � T LOT# C�
SUBOIVISION � I PARCEL IQ#
jdBTAINED FROM PROPERTYTAX HOTIGEf
WORK PROPOSED � NEtN CONSTR ADD/ALT [_� S1GN � CJ DEMOLISH �
, e If+lSTAlL 8, REPRiR
PROPQSED USE Q SFR Q COMM [� C?TNER
TYPE pF CONSTRUCTlON Q B�QCK ' Q FRAME [_� STEEL Q
DESCRIPTION OF WQRK V� �C�Y� � G '
BUIGDING SIZE SQ FOOTAGE C_�� HEIGHT ���
�BL}!l.QING �6� VALUATION'OF�TQ`TAL CONSTRCJCTION
[�ELECTRICAI $ —� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBlNG �/��
v �
G]MECHANICAL $ , VAI.UATlON OF MECNANlGAL INSTALLATION
,_,_,��
QGAS Q ROOFING Q SPECIALTY �] QTHER
FINISHED FLOOR ELEVATlONS �� FLOOD ZONE AREA QYES. NO
BUti.DER COMPANY
SIGNATURE REGISTERED Y! N FEE GURREt+ Y!E!
Address License# � �
ElECT'RiC1AN COMPANY
SIGNATURE �' REGlS7ERED Y! N FEE CURREh Y J 1V
Address �License# t �
PLUMBER CQMi?ANY
SIGNATURE ' � REGISTEREO Y/ N �E cuw�� Y!N
Address Llcense# i ---�
MECNANICA! GQMPAMY
SICiNATURE REGIS7ERED Y/ N FEE GURREl+ Y/N�
Address License# � � �
OTNER � COMPAt�tY a1� �" � t Y i
SIGNATURE � � � REGIS7ERED Y/ N FEE GU REA /N
Address � Llcense#• c�� � ��� � �
r A.
. . .. �- .0 ,.- . 4 . .
RESIDENTIAL Attach(2�Plot`.P.lans;(2�sets:af=Bullding'Plans;(1)set of Enetgy°Forms;R-O;W Petnilt for neix.construction, .
Minimum:ten:(1.0,);working;days.after,submlttal date.. Required onsite,ConstruoBon�Plans;StormwaterPla�s w/Stlt Fence Instaped,
5anitary Faciltties�8�;=1,dumpster;,v�ite Waric�Rermik fbr`sutidlvisions�arge pmJects -� " '
CdMM�RCIAL Attach(3)`cotitplete sets of Build(ng`Plans plas a`L1fe Safety Page;(1)set of Energy Farms.R-O W Pettnit tor new construcUon.
Minimum ten(10)working day5 after submlttal date. Requlred onslte,Construcdae Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facil�#es 8�1 dumpster.Site Work Permit for atl new pr6jeots.Ail commerclal reguirements must meet compilance
SlGM PERMIT AtGacti{2)seis ot Englrieered Rlans., �. -
"`"PROPERTY SUR1/EY required for:all NEW construcUan.
Direatlans:
FIII aut eppltcaUon completely.
Owner&Contractor sign back of appticatlon,notarized
tf over�2504,a Notice af Camcnenc�ment ta regulred. {AtC upgrades over 57500j
" Agent(for tha corttractor}or Povrer of Attamey(for the awner)would be someone with nota�ized letter from oumer authorizing same
�VER TME GOtlHTER PERMIT71idG {Front af Apptication On{y)
Reroofs!f shingles Sewers Servlce Upgredes A!G Fences(Plot/Survey/Footage)
QNvewsya-t+jat over Caunter if on pubtic roadways..needs ROW
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NOTICE OF DEED RESTRICYIONS: The undersigned•under�tands;that this,p�rmif.maybe.subJec�tq"deed"restric�lons°
which may be�moce�rest�ictive�.�th�n,Gounty regulations. �The.un'derslgned'assumes=respon'slbiiity'for�ci�mpliance v+rith �ny
applicable deed cest�ictions. .
LltJLICEPISED CONTRACTORS .AWD .CONTR�ICTOR RESIPAIVSIBILITI�S: -If the own�r has -h6*�d a contractar or
contractors to undertake work, they may.be,r.�.quired;to�:be:llc�nsed In accordance.with_state.and�local.regulatlons. If the
contractor ts not��lfcensed as�requlred=by law, both the owner and�conUaeto�-may be-clted�for�a��misdemeanor violatton
under st�te law. If the owner or (ntend�dr eontractor.:are.unc�rtain as to what Iicensing.requirements may�apply��for the
intended work, they are advised to contact the.Pasco County Building Inspectlon Divislon—Licensfng Section at 72T-847-
8009. Furthermore, If the owner has hlred a contractor o� contractors, he Is advised to have the contractor(s), sign
portfons of the "contr�ctor Block" of this appllcation for_which they will be.responslble. If you, as.the owner sign as�the
contractor, th�t may be�an indication that he is not�.properly flcensed and�is not entitied to perrrilttEng peivileges in P�sco
County.
TRANSPORTA710N:IMPACT/UTILITtES��IMRAC'i'�AND-�tESOLDRCE RECOVEItY FEE�: Th�undersigned�understands
4hat Transportat6on Impact Fees.arod.Reco.urse Ftecove.ry.Fees may��apply:�to:the construct(on of new bulldings� change of
use in existing buildings;�o�:expansion:•.of�ezistin,g'�builctings, as specifl�d in P�scv County Ordinance number 89-01 and
90-07, as �mended.,,The.undersigned also:und�rstat�ds, that such fees�-.as;rnay�be:,due;;,wlil,.be identEfied a4 the�tim��of
permitting. It is fu�tFier understood that Tra�sportatlon Impact Fees and�Resour.ce Recovery��Fees must be paid prior to
receiving a "ceeEificate.of occupancy" or flnal-power�release. :I#the projeck..does.not Involve a.certfficate of occupancy o�
final power release;the fees mu�F be paid prior to peemit Issuance. Ft��thermore;-�ff Pasco County Water/Sewer Irrepact
fees are due, they�must-be,pald.prior to permit-lssuance-�n accordance with applicable Pasco�.County ordinances.
CONSYRUCYBOfd I.IEN"LAW(Cha�pter 713� FloNda Statutea, a�amended): tf valuation of work is$2,500.00,or more, I
certity that I, the appOicant, have�been provided with a copy� of the "Florida��Constructlon Llen Law—Homeowner's
Protection Guide" prepared by the Florida Deparftment of Agric.ulture and ConsumerAffalrs. If the applicant is someone
other than the"owner", I certffy that I�have.obtained�a copy;of the above..describ�d docuri�ent°and p.r.or�l.se in,good faith to
deliver it to the.'owne�"�prior�torcornmencement: � ,
COPIT�ACTOR'SIOWNER'3 AFF'IIDAVIT: I ceetify th�t ail th�,,information In�this application is accura#e and that all v�ork
will�be done in compliance wifh all appl(cable laws regulating construction, zoning and-land�development. Appi(cation is
hereby made to obta(n .a permit Co .do wotk.:and installatlon as Indle�ted.�- I certffy that no work :or installatlon has
commencad prior to Issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking�
construction, County and City codes, zoning regulatians, and land development cegulations-in the jurisdtction. I also
certify that 1 uaderstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify.what,acttons I must take to be,ln:.corr�pliance: Such agencles-include but-are.noY Ifmited to:
- Department of E►tvironmental'�Pratection-Cypress.�Bayhead�, Vlletland Areas and E�vironmentally Sensltfve
Land�,WateelWastewater Treatment.
- Southwest Florida IAlater Management: ..Distrlct-Wells, Cypress.��Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engfneers-Seawalls, Docks, Navigable Waterways.
- Department of Health� & Rehabllit�tive Senilces/Environmental F�ealth Unit W�iis, Wastewater+Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatton Authorityr-Runways.
I understand thaQ the following;restrictions apply to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless�xpressly permitted.
- if the flll material Is to be used In.�Flood Zone. "A°, It is undersQood that a drainage plan addresst�g a
°compensating volume" will b� submitted at#ime of permitting wrhlch is prepared by a professional engineer
Iicensed by�he State-of Flor(da.
- If ihe fill material i"s,to be used In Flood �one °A" Ins connection�with:a�permitted building using stem wall
construction, I certify that flll aadllµb.e used only.to.fill the area w(thin the stem�nrall.
- If flll materlal is to be used In any area, I �certify that .use. of such flll will not adversely affec4 ad)acent
pr�perties. If use of flll is found to adversely..affect adJacent�pr�perties,.the owner may be cited for violating
the condliions of the�building,permit issued under the attached�ermit application, for:lots less than one (1)
acre which are elevated�by�flll;an englneered dralnag�plan is required. .
If I am the AGEfVT�Oit TH�OWNER, I;promis� in good falth to inform th�owner of�the permitting.condftions set forth in
this affidavtt prior to commencing eonstructlon. I understand th�t a�;separate permlt may be requlred for electrical work,
plumbing, signs, wells, pools; afr conditioning,.g�s, or othec Installatlons not•spec�ically included�in.the application. .A
permit Issued shall be�construed to be��Iicensesto�proceed with the work�nd not as:authortty to,violate,c�ncel, alter, ar
set asfde any provisions of the technical.c+odes;�nor shall issuanee�of a.permlt.prevent the Bulldirig O#�iciai from thereafter
requiring�correc4lon.af errors in pians, constiuction or vlolatlons of any codes. Every perrnit issued shall become invalid
unless th� work authoriz�d.by such permlt•Is.commenced�vvithin sUc months of permit issuance. or if wrork authorized by
4he pe�mOt is suspended or.abandoned for a:period of�six f8)�months..after the time the�work Is commenced. An extension
may be requested, in writing, from the Buflding:Officlal for a perlod.:not to exceed ninety�(90) days and wfll demonstrate
justi�able cause for.the extension� If work ceas��.for ninety(90)cons.ecutive:day.s...th�Job�is conside�ed aba�doned.
lNARNING TO OWWER: YDUR.FAILURE Tt?..REC.QRD.A NO'fIGE.OF-COMMENCEMEMT:NFAY itESULT IN�YOUR
PAYING TWICE FOR IMPROi/EMEN.T3�TO YOlJR4��.PROPER-7Y..i�YO.U;IN��END:°T�°�t��TA1N��FIrtAN�IPIG;'CONSUd.T
WITH OU D- OR AN�A'�'YORNEY�B�FOR��RgCOFhf�I�1G:�YOIJR'NOTICE°OF'CdMMENC�EIIHENT
FLORIDA JURA�(F.5�1 �.03) ' � �
� �,� ,
—- OWtdER OB2 A(3EKY - ���44'��T.Z� "
Subscrlbed and awom o{or affirmed)b e me this Subscrlbed and'swom to(or afflrmed)�b�fore me thig
by •by
Wfio Is/are personelly knowm to.me or�has/have produced VNho Is/ere p.ersonelty knoum�to me:or has/have•produced
as Identlflcatlon, as Identlficatlon.
Notery Public Plotary Publlc
Commisslon No:` Commlaslon No.
Mame ot Nolary typed,printed or stamped Name of Notary typed,printed or stamped