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Home My WebLink About16-17286 CITY OF ZEPHYRHILLS 5335-8th Street � � (813)780-0020 � 86 � � ELECTRICAL PERMIT ' II ' -PERMIT.INFORMATION� . �� LOCATION.INFORMATION � - Permit�:17286 Issued: 4/25/2016 Address: 5520 21 ST ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Propos'ed Use: NOT APPLICABLE Lot(s): Block: Section: � Sq. Fee�: Est. Value: Book: Page: Cost: 2,350.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 50.00 Date Paid: 4/25/2016 Parcel Number: 12-26-21-002A-00100-0020 - ;I� CONTRACTOR INFORMATION - - - � - OWNER�INFORMATION Name: '�MARTIN ELECTRIC Name: SIX FEET UNDER LLC Addr: IP.O. BOX 437 Address: 31448 REED RD , DADE CITY, FL 33525 DADE CITY FL 33523-7444 , Phone:'(352)521-3319 Lic: Phone: Work Desc: REPLACE SERVICE REWIRE � � � - - 'APPLICATION-FEES � � ELECTRIC L FEE 50.00 � - � - INSPECTION REQUIRED: - ° � ' ROUGH ELECTRIC CONSTRU�CTION POLE I PRE-MET�R � � ` FINAL I 1 ' � � � � r REINSPECTlON FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local �overnment 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. ; NOTICEi: 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. � i � � "Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for i , improvements to your property. If you intend to obtain financing,consult with your lender or an attorney � i� before recording your notice of commencement." Compll"te Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City' Codes and Ordinances. i � � i � � , � I i � CO CTOR PER OFFI i PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO - ' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ' , � , �. , i .�I`'__1 ! . 1 ' _-�___L_ �-�-�---�--�-!--_�..._i i � _�__,�_ _ ---_� _l_J___i_.__I-I i-_i�- ! � � _! , - � -a-1__.-- I I=�C I_- ---_. _-I---1_��___1___I__.L __ _1 _ � -��f + � � r _ �� _ _ �__�_ ___I_ � _�__ �_ ___�_._(____ _I , � _._,� �=-i- _�� _ _�- �� _�I__ �-- ----s __-1-.-- ----i _� _._� � , ;�- -�- , � - ,, �� J _ i _I__I____�--I_�_-------_-- _- -.--- -�--I--�1_!_�_� _ � ; � ��+ C_�__ �_1_i_I_ -I_;-' - -I._i-�--- , -- ;_._ � � � -�,;---�-- --- { , ; ; � � , __�__�_-_;_�__�� _ ;!- � , -� �I�i I _ �_��-I_---_--�-I i -- -_I � _�-�- --.� �_� �, -�--�-� � ! _ � �I l 1 I _ i �___I __1�_ !---- -� -_��1; I � _I!I_ �,�, �; _1-�� --r-- --�--�---- I � ; I � - -- - I� ._�__. � � I �1 �.�� -�-�-; � � �: �� ;�. - -- --�-----��-�-- ^ �� _�, ��_ � i � , � -�--�--i ', � � � -,��_,� -l- � _I _.-�_�_ I �1�----.-�----i �- ; � I �� II _-I . � -;- ��:,�, �_�I I_-�--CT�- - �-_ �- ---� - �7J-- - -�=-�� ' �I=�i - _---�_ _� � _ _�_�_; ! � __�� ; _� - !� � ��' ' -�_ I I �; -a--i T � p �- I _� � --�-� ' . - - - : - _ _ �� f � � _ � � ; --�--�� , � � = � ' '-�-� - � —1—�l--- �!--�-- �' ;��' �� -,_:-- � , � � � P � I 1 � � _I �� I i � �� . �- � -{ �_'i- =� !�y�� '_ i i i[_i._' �-;--- i-_� � _�- �-�� -�� I `i i- � � �l_+ �' - ' ; � 1 � � - .�,- -- i- �� i � � � � i I �. —1��--—�---�'`�;'�--�--I i � ��z i � � � . _�� —j--� m i �,�.,� —_7—�-----i� �_. _�— � .; ,: -- i�n�l �—� - — —----..._�-._--- --�--I---�--!—�—��—�� - I � . � -- - -�--=- ` � � � I � �� !l�U ! ��1-�1 I�I � � =�- -----,-.�- -- - , -n _I__i_ I j__!_-�- —�_--� � �__' � ��F ' L '� - � � � � , -� ,� �� -- - - ��-C ��: �_ � � � I �i �� ; .J�J_ -l_ �_ ! ; �`� � i '��' -� , --(�--��---� � � - � � - � - __� � �� E� � �� I��^ ! �� ., �I �� i � � �� „ 1 � � � � -�----- r-- � � - �� ,, -i -� - --- �- � _ �� ''-gb _� �� f�� — ----� � _I �! ;� � �� _ _` �, ),:�"�.� �� •� i�-r=:� u .��_Q - - �� -- �-.�°' - � '� � ' �� _ � ��1_[�`' � � _- � - ' ► -- a � �+ 1;.�. 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'`, 1 - . , �,- :x�`.,r-<. ,,; �v a � '�x �:�'- _ ,s".`r�:: ,�,z,: �, . . ��''�.�^. ` --- --w= .,,c��,y. • � � .a: �� ' � � 1 , � � � 4. � V �' � � q � ' '_r."- .".4��.4 _ � "_. _. �� .. � . , p�� I . # O f� I � � � � � l � � -- - - � • � + a` • ` L F ` - .-a- "� -�__ -- � ' - `.� � --'-- ' -- -- '-'-T"---- _ _ � ! I / � �' - -- � � I •a � �� p I � � •-i: ��1 k >¢ � � • � � �. . t � ' I i CITY OF ZEPHYRHILLS ' 5335-8TH STREET (813)780-0020 17 �9 � I BUILDING PERMIT � I PERMIT INFORMATION - � LOCATION INFORMATION Permit Rlumber: 17349 Addre"ss: 5520 21 ST ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-002A-00100-0020 Improv. Cost: 2,000.00 . OWNER INFORMATION Date�Issued: 5/17/2016 Name: SIX FEET UNDER LLC Tot�ai Fees: 315.00 Address: 31448 REED RD Amo�nt Paid: 315.00 DADE CITY FL 33523-7444 Date Paid: 5/17/2016 Phone: � Wo'rk Desc: RENOVATION /9 WINDOW REPLACEMENT � I CONTRACTOR S � APPLICATION FEES DAVID W. JOHNSON BUILDER, INC BUILDING FEE 67.50 ' MARTIf� ELECTRIC ELECTRICAL FEE 0.00 BRUCE,CARRIGAN PLUMBING PLUMBING FEE 60.00 BAHR'S PROPANE GAS &A/C, INC. MECHANICAL FEE 60.00 AFTER THE FACT 67.50 AFTER THE FACT 60.00 � � � . Z- 2�� i�! �e.��{- �, l� e`e�e. ��. 3-z�e-► � ! • � Ins ections Re uired - F OTER I 2 D R UGH PL MB MISC S LATION EILI G 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-SLA SHEATHING MISC. MISC. CONSTR CTION 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 ;I 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 ',1 entities such as water management, state agencies or federal agencies. � "Wa�ning 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 �i City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. , ' NO OCCUPANCY BEFORE C.O. � � � CONTRA R SIGNATURE PERMIT OFFI R P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . � 0 o - ' �,i!d�� -- �;:_;, _ . .., s�, Mh '�: J� '� � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ; � � Contxactor/Homeowner: �J a.t�� (� l�'�1 � �� (�tlW' � Date R� ived: � ��1 �' Site: � 55?� 2��' �� ' . g Permit Type: �.EYIa��,�tl1� �1�(�t �C�.�.C'ner�1 Approved w/no comments:❑ Approved w/the below comments: - Denied w/the below comments: ❑ � ;. �d�� !� �t � f�./��,�� .O��es�� crr�'(. � f�b� ` �6'` , e I I � � �C,�f �'f��v a�� `fG!/� .�-/s� /�c/� �:/�.,� � � ' . � G�� - � � � ��,�,��.� � � �� ,� ' �� ' � !'-�a� ' � �� 1�%�� r��c�p , ' �� E �� .S'�s� -� P� �� l� , �� i ( i , �P � �� , �� /��c/� � � This comment sheet shall be kept with the permit andlor ans. ' � � . I Kalvin Switzer—Plans Examiner Date Contractor and/or omeowner (Required when mments are present) a� 'laso-oozo City of Zephyrhills Permit Application FaX a�aaeaoo2� �; � Buiiding Departrnent � P i Da�e Recelved � P.hone Contact�for`Permtttin ; D`� �� , = S�� Owner's Na I e L�Z� �� Owner Phone Number O l,7 ' � � �oT f f � Owner's Addreas G � . L� LJ. Owner-Phone-Number � � i Fee Simple,INeholder Name � Owner Pfione Number ! � �z-.r i Fee Simple , Itleholder Address ° . i � 5- „ - —/ j- JOB ADDRESS � �l Z / .S �C. LOT# � � - , � SUBDIVISIO PARCEL ID# - a " (OBTAINED FROM PROPERTY TA7(NOTICE�, � WORK PRO OSED �- NEw CONSTR �ADD/ALT Q SIGN "Q Q DEMOIISH - I I B INSTALL. . B' REPAIR PROPOSED USE Q SFR � COMM Q OTHER , TYPE OF C NSTRUCTION Q BLOCK"' Q FRAME [� 'STEEL Q i �1 i DESCRIPTIONOFWORK �(,. GJf��N L�'D�Gf � �.� Td/lI � � /� � ��/� oZ ��T7y� d/J T�$" , BUILDING SIZE � SQ FOOTAGE�� HEIGHT ., ; . QBUILDING $ ` �=a�..�-- .. �.�. � - - , VALUATION'OF TOTAL CONSTRUCTION QELECTRICAL $ AMPBERVICE Q PROGRESS ENERGY Q W.R.E.C. � QPLUMBING $ • I i �� , 1 QMECHANICAL $ �VACOATION OF MECHANICAL INSTALI:ATION � . �9D1�, � - - ; QG�S Q ROOFING ,.Q SPECIALTY �] OTHER ' I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA , �YES. NO i I BUILDER i COAAPAWY � SIGNATURE REGISTERED Y/ N ' FEE CURRE� Y/N ; Addre�s ' License# � ' ELECTRICI,� COMPANY i SIGNATURE'i � REGISTERED Y/ N FEE CURRE� Y/N Addres' . , -Ltcense.�# PLUMBER COMP.ANY- . ~ � I SIGNATURE� � . REGISTERED �,,Y/,-N . ;: FEE CURREA, Y/�N i I Addre � License# - � MECHANIC� /j�' � " ,C.OAAPANY 6��i�L�..S � �/�DP�/UC✓�7g$��/� SIGNATURE v""""" REGISTERED , .Y;/ N . FEE CURRE�" Y/=N . � Addres '=. . �� sTj �'�V _� ' • License# �� . ��.-Ta , OTHER • „COMPANY '� � SIGNATURE - ' " ' ' REGISTERED `Y/ N..� _��._FEE CURRE� ;`. Y./-N--. Addres� . _ . � � ' =L'icense# � �. , _ -..�n p, .. ,p..M1 . .-.:' < ._"' _' . :�Y. .,. . .s x ��-,..`.��i a.:;: ..�,_ c <:.t- . . , �. �.� . � . . _ l. ... 1 1 - RESIDEWTU4L, -� Attaoh(2).�.PIotP,lans;;(2)`s"ets:oftB�uilding'Pians;'(1)setiofEnergy$Fo`rrris;''R-O=WPeri"r%iffornew.,constructi,on, ., � x ,, � �F:•.. ��__ ._.,�.....e^� , -.Minlmum�ten;.(:10);workingjdays�after,",�,subiolftaLdate.�:Requfied onsite;=Constniction�Pians;Stormwafer'Plans w%Silt Fence installed, ~Sanitary_Facil(t7es;8a7kdumpster.,Sitet:WorkaP,;ermit.for::sutidiyislons/lerge:pro)eats;';='>,,�� `. ' � COMMERCI�. Attach(3)coinplete'sets of Building Plans plus a'�Life SafetyPage;�(1)-se�-ofiEnergy+-Forrns.R-O=W-Pem►►tfor-ne�!-oorestn,dto�.� —. Minimum ten(10)working days'after submittal date. Requlred onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, Sanihary Facilitles&1 dumpster.Site Work Permit for all`new.proJects:All commercial.requirements must.meet compliance - SIGNPERNAII Attach�(2)"sets'of`Engineer,ed�Plans:,;.c:;�<`.d= -�� -: •,.. ' , i ""PROPERTY SURVEY reguired.for,all NEIN_canstrucBon., Directlons: � - A - FIII out appHcaUon completely. . Owner&�Contractor sign back-of appllcatlon,notadzed If over�3500,a Notice of Commencement i�required. (AIC upgrades over ST500) .. �.-,;.r.w<y;c;;: � . I\qent(for ttie'conUactor)or:Po`w`er"of Attomey`(fo��theYowner)would be someone with notarized letter from owner authorizing same '�VER THE COUNTER.P_ERMITi1NG.---.-- (Front of�Application Oniy)• � ` , Reroofs if shiigles Sewers Service Upgredes A/C Fences(PlodSurvey/Footage) : �.,:. . Driveway�-Not over Counter if on public roadways..needs ROW � I ' N�'t`iCE��DEE1�13��'tRO�'�i�►N�: T'fi��under��gnect.under�tands:fh,�t�#his;;P�rmi#,;may_be.sub)ect.to�deed"restrlcticins°�_ ; whi�h maybe�mo��rest�ictiv�:�tha�ri�G�unEjr-�r�gt�1�Q(ot��:�Th��a"redersigc�"e��as�ume`s re�po%i�l�illty fi+�r�c�recpilari�e vvith"aiiy app9#ca6i�s d��d eestti�t�ons. .. ,. _�� ; . . � � : "-` � IUNLiCEPl�rE� .C�N7R'IA�'T�iRS .I�N� CC�NT13d��TOR R��P�N��1�:1`=�E�:_ �!f-the owner=has'�hlr�d 'a c�retra�t¢�r or contP�ctors to undertake wark, th�y nroay-b�:r�qulred<Fto�;be:picen�ed In�cca�rdan�e.�itDt;st��.��rd�l�cal yeeguB�ticara�.��-If the � contract�r.is�nat iicens�d a�s requiced"�►y i�; botfi�th� own�,r an��cont��ctsiryinay�be�-cit�dyfor=a�ml§demeanor vQol�tlon und�r stat� Oaur. �fi the a�rner os intendedx cantr��tor;ar�.;uroc��#siin �s fo wStat iicensing.req�uir�a�ents'rnay:appijr�for'�the -� intended work, t9�ey��e advis�to coritact'#h�`P2tsco Cotit�4y�u8il��tg�nsjiecQ�on;.E3d`v�sloit--L�censit�g�:5ectfon at 727-I34�'- ,...._. . 80(D�. �urthermore, if the owner�h�s"ht�ei! a c��ikracto� 6i�Tcmti'tractors, �ee Is �dvlsed t� have•the cantractor(s).,stgn porQions of the "contr�cQ�r �look" of thls_appli��kion for,which they.will be re�pa�sl6�le. .If,you,�:�s...#he o�tiiier_sign�as Qh� contracfor, #h�t rn�+ be�an indication that�he is r�ot�.propei�y licens�d and 1s n�t'en#6tted to p�rmitting prE�bleges ln Pasco Cotanty. ' � 'il�AN��RTATIAN�lMP�1�CT'I�ITOLIT'��I�P��►�`��►Nb-1�E�t��JI�GE RE��ERY FEES:�T�h��a�de�igrae�vnd�rstar�ds that Trarospo�tatlon Impact Fees and.Ftecotars�Recove.ry.Fee�a�ay�appfy�4�the cgns4ratctto�of..new buildings;:change�of use in exisk6ng buAdi�ags,�mr:e�panslon�.,of=��icis�ing:�builtlings, �s s��alfl�d In Pasco County Ordlnanc� n�mber 69-07 �nd 90-07, as amended.,,,The undersigned als�.�underskands, that:�such fees;;�s�rnay�be�due,:<will>�be identlfied at thertirrie�'of"� �� permitting. it Os furt9i�r a�nders#ood th�t Transpbrtalion Ompact �'e�s a�d�esour�e Recov�ryi�F�es-;mus# be pald prlar #o receiving a"cert�icat�-mi o�cuparocy",c�r final�.pavuerrele�s�. :If the proj�c#,,;do�s:not invoiae..a�ertificat� �f accupancy o� final p�v�aer rel��e;:�h��fees mu�t-b� patd�prior to permlQ I�suance. F�a�thermore;'�6f P�scd�Cou�ty`l+Vatar/��wer Impact � , fees are d�se, they rnust..be:pald_,pr:l�r to,permlt>lssuartce�ln accorclance wlth appltcable,P�scta�Caunty or�ll��n�s. COIV�TRU�CTII�N`LlEF�"CAY��(�4i��t�r 71�� FEoA'1il�I S't��It�s�s��r¢i�r�d��p: If�aluatl�n 4f vvork 9s$2�50QA�:oe mo�e; f � �- certii� that t, th� �ppil��nt, hade been,_prooeld�d with a copy,-.,of: the°-"Flocida� Cons#ructlan l.len_L:'awr—Homeowrn�r's Pratec#i�n Guide" prep�ced by thi� FBorida Department of Agric.ulture and Consumer Af�airs. If the appltcan# Is someone , o#her than the"owne�', i certify,tha�t_t have.siptr�ined��copy,of th�.above:�escribed'document�and,pr.omis�:.in,good faith.�o del9ver 4t to the�ow�er"'p�lor.#orcc�m�n�rtcemenC:�� . . . . �OIV'�R/ACTOR'�/04VM�R"�A�Fl�AYlT: I c.erttifiy.�tti�t�ll�Qh�.lnformatlon�en�thl��ppilcatEan!s accurate�nd th�t�li work will'be done in camplian��vith ail a�ppUcable�I�ws c�gul�ting constructton� zonl�g and°�land�deuelc�pmee�t. A�plicatlan is h�reby made to obtaln .a perrv�i�. Co.�do. wo�k,-;and, t�i�tallatlon �s indlcafed:-�• I certify tFiaQ no work`;or InsQ�Ilatla�n h�,s cammenced prlor to Issu�nce af a permit an�that.aN wark vv�ll be pertorcned to me�t_standards,o� al( iaws regulating� constntct�aet, C�un�y and City codes, xoning regui�tians, and land davelopment c�guia#i�ns�in the�jurlsdiotian. i alsa , c�rtlfy th�t 1 und�e�st�nd #hat 4h��eguf��Eons of other gov�rnme��gen�les may-apply�to the intended.work, ��d tha�t it is � my respoa�sibllity t�a Identt�r wh�t.�ct��ca�I m�st•take:�o be�ln:.ca�mpl{ance: �:uc9t a�en�#es inaitade bu#��re.no�Ifr�lted.to: - Depa�tment of Er�viranrr�eMa1-�1�ot�ction-Cypre�s. �ayh�ad��VlTetlar�d Area� �aad �nvlP�rimerata!!y Sensitiv� Lands,liVaf�rlV1/as#�wat�sr�'re�tment. - Southw�st Fiorid� Wa#er �llanagement .Distrdct Weils, Cypr�ss.��eyheads; INetland Are�s, Alter�ng Watercourses. ` - Army Corp��ngln�ers-Se�vval@s� Do�4cs, Plavlgab#e lMatecu�rays. ; - Depar�ment of Health & Ret�abdNtativ.� Ser.via�aslEnv3ra�nment�l N��lth Ut�lt VVelis, Wastev�aater°Treatrraent, , aepttc T�nks. . - U� Envirananentat 1Pratectlon Agency-Asbestos abatean�nt. - Federai Av�at(on Ata##�ority�Rumvays. I underst�nd th�t the foitca�ing��estric�i�ns�pp{y ta�°the�ase of fllt:� - Use of ttN is not allowed#n Elood Zo�e'°V"unl�ss expressly perml4ted. - If #Me fill tnateria! is to be us�etl_ I� Fl�od Zane. °A", 6t. Is understood that a drainage plan add�essing a "compensating volume" will be submltted at time o�permiftfng whBch is prepar�d by a pr�fess6ohal engineer licansed by#h��Sta�e of�FMorida. - �f the fiti mat�rial_is to be use� ir� Flaod Zone °A� in�c�nnec#for� r�th:a�p�rmfi�ed building a�sing �stem r�a91 � construction, !c��t6fy 4h�Q t�El�,wllf�b.e tt�ed aac�ly.t�tili th��rea wi�lhin the�stem�fl. - @f fi!! materl�! �s ta be t��ed-Irr any are�� 1 aertlfy lhat .u�+�. of suah ffEl wll! not ad��r�ely af€ect adjacea�� prop�rties. 9f use af flll Is found to advetsely..��fect"adJa��ant��prope�ties�.the►owner rr�ay be clted for violatln� kh� condl#ions-of ttie 6uilding�;p�armlt Iss�a�d�under the �t�aafi�d�ermit��pplicatlon� for:Iots less #han ane (1) acre whicfi arE etevaQeri�by flOt; act engin��red drain�g�pl�n is required. . tf i arn the�G�WT�t�R°fH�_011VWER;l�prd�ifiise in,good faith to Inform the�ownec�f•#ha pern�itting conditions set forth in khls a�davit prlor to commer�cing aor�strvct�on. i'�ani�erstand #hat„a:s�pacat� pe�lt may be r�q�tred 1°or�lectrEca! work, plumbing, sign�, a��lls! pool�; �ir ��rpdi4Qorofng�..�as, a��ot&�er Ins#a!!atlons nok,spec�Ical�y In�6o��ed�in.the appll�tian. .A permit(ssued shatl be c�nstcued to b�e a�lic�nse-to proceed with the dvork�nd nmt as�authqrity taa,vialate,.cancel, al�er, or _ set aside�ny provisions of the techni��i.codes; nar shall lssua�nc��o�a.perrnit.pr�vent the 8uildir�g O�icial from thereafter reguiring�cvrr�ction.�f er��rs 0n�pta�s;cao�sfructi�rn.or vio}ati�n�of�c�y codes: �ve�.ry=peranit Issued shati`bec�me invaiid unless the work author6zed.by such permlk��fs-co�menced�vuithln s6�.months of p�rmit Issuar�a�, or if u�aar�authorized by kh� permit�s svspended or abandcansd for a.pertod,of�iat{B)rnanths�:aftec the time th+��wo�k ts commence�t. Ar�extensio�a �ay be r�quested, In writing; from the Buil�tng.Offici�l for� p�rl�d:not to exc�gd nln�ty��90) days a�id v�l!demvnsQrate • us#lfiable caus�for.the extension. if work c�ases:for ninety(90)c�ns.ectat➢v�d�ys,..the�qb�is��nsid�red abarrdoned. : l�AdtNONG Tf} C?II�Ni�I�: Yt�UR.Fl41LWRE Tt�.,ftEC:OR�,wQI;td�T�� C��•C�t�1NIEN�ENI��T iNF�Y=RE�UL.T iW Yt3llR �AYlMG TiPVIC�F��4IMIPR�VE�!!E't+�?�'��TCLV@UR:PRt)P��•'�'1P��-;a�°.YCl.�J�t�fi��l�"TQ:4��'�1�IN��Fi�aFA�1G1A1C;'Ct�N�l9LS NITH 1(OUla (dD 0�� A[+l/��'TORN �� OR4E�� ECA�� Ci�l�'O ' �f��K: '.6�'' °��41# � E ��E � !1lT:-- -- - - - - -- -- �LORIDA JURA�(F. . . .03) -'°� ___. � ._ aWIdEFt Oft AOENT ��2/� GOPlTRl4CT0 � ;ubscribed and swam or aflflrmed)before e this Subscrlbed sn ' m ta(of a(flrmad)�before me tFil� . my _.�y Vho is/are personelly known b.me or hasR�ave produced Who ls/ere p.ersonaily�ct�owrre ko m�or hastheve�produced • as idenBflaatlon. a�IdendflcaUan. t�otary PtsbAc t�o4ary�ulaftc :ammisslon�lo: Commission.No. iame of�otary tgrped,prtnted or stamped Name af Moflary typed,prfinted ar stamped s � � .PROPANE CAS Service Order/Proposal � � � �� '"' AND AIC [�vc. Air Conditioning 8�Heating �i��e �988 �.:. 813-782�50�3 '� Sales, Service & Installations _ WORN. -ORDER#1SERVTCEh1A�! E657` MAR i 4441 Allen Rd. • Ze h rhills,��FL•33541 , DATE�TTmE �At�.En� �`'��.e�i� ir�:�` p y TAliE�l PY i'..I h� �� NOTES: ' - -. � . DATE/TTI�E F�fdOt+'IISED , � � - CUSTOMER#/LOCATTQhI AC451`� � �" F'HOhIE# 81�—��7—L5�8 ROUTE/SE�? i�AR . , , , (�Al"T HULL�ERT REf�Ll"Y MATI' HULE�ERT REALTY 6`44 G�ALL BLVD JJG� `iST ST � Z��HYRHILLS FL U,�S�+` ZEF'HYRHTLLS FL,:�,.�54� h4I LLER I�OD #71 P�41� srn� ��a LOCF{ HOX CODE o ��7 �ER N,EVITN . � � , �,.-.,,..... .... . . ...r,...,;�-.# - - - - - - �;`=n,::.<.:::.:°:.r'£:��t�;^<.q. `�c"r.::a.5:.:�: ,,.,Y:�.:...��,.r:�. �' ': �'� `s._`.:}.:r Q._ :;:_.... MATE IAL3:$-S� RVICES<`::v:-'=_.',,., =:`?NIT'P �C,.. !�_A-.,. ``�' __b_.-,�D��GRIPTiqN'Of W,ORK=.,;�,�,.. : ;LY, R _ � _ � U� RI E,,, MOUNT_` -:. -,, ... ..---*�� - - - �-r�: ,.� • ......_��(_.'_"__..,.=.y;.: .n...-`..+5- � ._- ..k: " _ " _ _ _" _ - �'t' _ _ _ - _ . �..�........ ._ „'r.:...�. _ " _ - _ !:.:..",,... -- �i:. _ ��...i I .. ..:-.s�: •.-._s-:-..^'_"•. ...i�-:v:"_,�;....:. ..,'.....�._ ' -" " _ _ _ _ "_ _ _ ' " _ ' ., .- .:�.. . .v. ,... ..�, . .. .. _ _ .. .... :. . .... : .. ..�:. .� . ... .. . '"".- , .... .... .. :-,�.....� . .. -._,_. .. .. . � ' . .�'.' " " I _ . . ,�._"' ' ' ."_.,....-.•�,...:.. ..., . I • � � Z CTDO�h? � � G f G� l �6�` �/, v A � � " S£ �� i i v c. S sT� G�P° � , L `�i S�/ �a � �!/r` ^T L —ST � � _O � ' ' i i� ' i � I= �✓ L �' �'Ln/ i�i/ � • � � i i - Tiq�,n Fa �J � o � � -�:�:; :sir;7r;��t�-�- _ - - - z_�-." - =- - -__= - -- -��' �,�� - - `.''R -�0� EN�� 'f 0' - - - i i _- - EC MM DA I NS',:=�;=-- - '��::> �5.:,t;r,.:�'z' - -`i'i�;^��"�Y�, - "�>c.y�� - - - - - - -' -'a"" - I I -.l:-'�'`-_ - _ -- - ' - _ - �:r.t-= - - --=-K'.�:.� - �.,�':cc�,;yPr:��_'a.c'i�'41�_:�.t�`_�::-;;r~;:C_'r,.',,>r� - - - -- - 'Annual',aintenance�Recorrimended 6:.A1(E,`ui mei�t�Manufacture�s.;�'.._~; ' ' .._.._..r�' Y , q;.P.. ;....... . . ,.._�.: :..,t-.. -:�.--. - Pressures Lo HI TStat i i �:.;:�:--...., ... --•• I - - _ _ _ _ _ _ _ _ _ r_,. i �� REFRI�ERANT R-:.. I:BS a $,per lbs't:i' I I -�:.:�;u�:%t`nT"" '� _ FILTERS x x Changed Monthly I I . , FILTERS x x Changed Monthty � �1 I 11 = -_ -_ ::..�._. ..,__. �,-';:, - O REGULAR ❑WARRANTY -;=n;TQTAGSUMMARY,-:,;,_ ' - � � - `.-�,.:: ``qetiurimidis�Y"Settings:;,;When here"ON";.,`When Away 6�;= T-Stat 80°` ❑ MAINTENANCE CONTRACT - �� ; - - �_l::-:�>,..:.�.:: _ SERVICE i -..s:o.... .,. _ __ _ _...... , :sv:--, : CALL � LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' r= ;;.;;,METHQ�:OF=PAYMENT.,.-;_;`:�;:�'_•. or suppliers'wntten warranty only.All la6or perfortned by the above named company is warranted for �'"`=� �' - ==~• - --- 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK#` TOTAL i express or implie�,and its agents or technicians are not auihorized to make any such warran6es on MATERIALS i behalfofabovenamedcompany. ❑DEBIT ❑CR�DIT 0 OTHER MAINTENANCE � ' I have authonty to order the work outlined above which has heen satisfactority completed.I agree Ihat Seller FROG. W I C retains title lo equiQmenUmaterials furnished until final payment is made.If payment Is not made as agreed, C��M# .. , � seller can remove said equipmenUmatenals a[Seller's expense.My damege resulting from said removal shall � , � not be the responsibillty ol Seller.NET 30 DAYS.A 1 V2%SERVICE CHARGE WILL BE ADDED MONTHLY TO , I ALL UNPAID BALAtJCES OVER 30 DAYS.NO REFUNDS DATE COM PLETED - JTECH: T� , � ' I / ,�,,,,/ I G— i �\ CUSTOMERSIGNA�TURE DATE a/�l��V/UfL �au TOTAL � � ' ,� � I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department� Da4e Received Phone Contact for Permitting � — � / / �, Owner's Namle Six Feet Under LLC Owner Phone Number 813-997-2598 � Owner's Address 31448 Reed Road Dade Ci , FL 33523 Owner Phone Number Fee Simple Titleholder Name Six Feet Under LLC Owner Phone Number Fee Simple Titleholder Address 31448 Reed Road Dade Ci ,FL 33523 JOB ADDRESS 5520 21st Street Ze h rhills, FL 33542 LOT# � i SUBDIVISIO Yin lin PARCEL ID# 12-26-21-002A-00100-0020 , (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q 0 DEMOLISH i e INSTALL B REPAIR II PROPOSED USE � SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 S,TEEL 0 DESCRIPTION OF WORK Re lace windows �.� I`��V�- �rU� 1 BUILDING SIZE 26x40=1040 s ft SQ FOOTAGE� HEIGHT �BU LDING 2000 VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. I OPLUMBING $ � �� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� � OGAS � ROOFING Q SPECIALTY 0 OTHER FINISHED FLIOOR ELEVATIONS FLOOD ZONE AREA DYES NO �� U,�d ' BUILDER � � �%/'{ � `` � OMPANY ,{�r"� l� ��D'� ��' I�`�C' SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N Addres i License# ELECTRICIAN COMPANY �'!'?��, � GC.�/� G SIGNATUREi REGISTERED Y/ N FEE CURRE� Y/N � Address License# �L ,3�� 3�3 r r �I,�,p�� ! PLUMBER fD, COMPANY � � C//p`�1• �I� � SIGNATURE �� REGISTERED Y/ N FEE�CURRE� Y/N Address � ��, � �� C�1 License# Q ��Z MECHANICAL �j- (I,�n� ��n COMPANY �4 � � � fG GLh��. �-G SIGNATURE ��` ��p�" REGISTERED Y/ N FEE URRE� Y/N ( Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# , I � RESIDENTIiL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1"dumpster�Site Work Permit for subdivisions/large projects COMMERCI�L Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. i *""•PROPERTY SURVEY required for all NEW construction. Directions• � Fill out application completely. Owner�Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requ (A/C upgrades over$7500) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivew I ys-Not over Counter if on public roadways..needs ROW , ! 5/5/2016 Florida Building Code Online � . � s ♦ � 8 Q . • g ' 4 8 �.. . _, _ _,. - _ - "�. - �p(((��na��(�Tqf BCIS Home ( log I� ! User Reglstration ( Hot 7opics t Submit Surcharge � Stats&FaCts t Pubticatlflns � F8C Staff � BCIS SEte Map I L(nks � Seatch � i"' Busine�s � Profes�i � �� Praduct Approva! 3g, USER:Public�ser Regulat�on .�;��t�� '�� ' .p ,I, ,i�i Prod�cc Aooroval Menu>product or A n 5 1�� n�ist>Application Detait { -�i��i�� i� � ti�,0 0�� a� �Y� � �' � - FL# Sc1Ati �S�ti��C,G\��(; ' FL14095-R5 Cod�ecati��{��.�� C t�l�-'i�,S'•'' Affirmation � ��- Appi3c�t��s�A��`�4..'�.��1` , Approved ' � ��,�<�'�lY� i Comments�'�`S�� ._ I Archived � �C�J � � ��\ ��\� �, Product Manufacturer �� C' ��, p-WEN Address/Phane/Email �1.rbJ a��_,n�1��' 3737 Lakeport 81vd � a�1 �" Klamath Falis,OR 97641 ��\�� (80Q) 535-3936 fbci@jeld-wen.com ' Authorized Signature Kaede McLaughlin � fbcl@jeld-wen.com � ' i Technlcal Representattve JELR-WEN Corporate Customer Se�vice AddressJPhoneJEmai) 3737 Lakeport Bivd, Klamath Falls,OR 97601 (800) 535-3936 customerserviceagents@jeid-wen,com � � Qua(Ity Assurance Representative Address/Phane/Email i Category Windows � Subcategory Single Hung , � I Compliance Method Certification Mark or Listtng I I � �i • i Certification Agency Natlanal Accreditation&Management Institute ' Validated By tUatlona3 Acc�editation&Management Institute i Referenced Standard and Year(of Standard) St�ndard Year � TAS 201 1994 , TAS 202 1994 TAS 203 1994 I � � Equivaience of Produd Standards ' i Certified By , � ''� �I affirm that there are na changes in the new Florida Building Code which affect my product(s)and my product(s)are in compliance with the new Flarida Building Code. Documentatian from approved Evaluation ar Validation Entity r:Yes C'No `�N/A . httpsJ/www.fli ridabuilding.orglprlpr app dtl.aspx?param=wGEVXQwtDqtGLR%2byCBy1JkAudaJDrMf2e2gvht&P2°Ifl2bCNQkdBZ6Fz57w%3d°to3d 113 5/5/2016 Florida Building Code Online � � i i . I , ' Product Approval Method Method 1 Option A i ' Date Submitted 02/20/2015 Date Validated 02/20/2015 Date Pending FBC Approval Date Approved 02/28/2015 , Date Revised 02/26/2016 Summa of Products FL# Model,Number or Name Description 14095.1 Premium Atlantic Vinyl Single Hung (8100) 36"x 72"Insulated Glass (5/16 in PVB or SGP Lam - 1/8 out Annealed ) Limits of Use Certification Agency Certi£cate Approved for use in HVHZ:Yes FL14095 RS C CAC NI011567.04-R2.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 04/30/2017 Design Pressure: +65/-70 Installation Instructions Other: Miami-Dade NOAs for Quanex Building FL14095 R5 II DP65-70 36x72 Imoact Installation Instructions odf Products, Inc PVC(12-1017.02 and 13-0425.15). FL14095 R5 II DP65- Miami-Dade NOAs for Dupont SentryGlas(li- 70 36x72 Wood Throuah Frame Imoact Installation Instructions PDF 0624.02) and Butacite PVB(13-0129.27) Verified By: Hermes Norero, PE 73778 Interlayers. IG back bedded with Dow 995. Created by Independent Third Party: Yes Evaluation Reports FL14095 R5 AE PER3094.odf Created by Independent Third Party: Yes 14095.2 Premium Atlantic Vinyl Single Hung (8100) 36"x 72"Insulated Glass (1/8 in- 1/8 out Annealed) Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL14095 R5 C CAC NI011567.08-NI011567.09 odf Approved for use outside HVHZ:Yes - Quality Assurance Contract Expiration Date impact Resistant: No 04/30/2017 Design Pressure: +65/-70 Installation Instructions Other: Miami-Dade NOAs for Quanex Building FL14095 R5 II 36x72 DP65-70 Installation odf Products, Inc PVC(12-1017.02 and 13-0425.15). FL14095 RS II 36x72 DP65-70 Through Frame Wood Installation PDF IG back bedded with Dow 995. Verified By: Hermes Norero, PE 73778 Created by Independent Third Party: Yes Evaluation Reports FL14095 R5 AE PER3092 odf Created by Independent Third Party: Yes 14095.3 Premium Atlantic Vinyl Sfngle Hung (8100) 52 1/8"x 75"Insulated Glass (3/16 in- 3/16 out Annealed) Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes � FL14095 R5 C CAC NI011567.06-NI011567 07 odf Approved for use outside HVHZ:Yes quality Assurance Contract Expiration Date Impact Resistant: No 04/30/2017 Design Pressure: +65/-70 Installation Instructions Other: Miami-Dade NOAs for Quanex Building FL14095 R5 II 52.125x75 DP65-70 Installation pdf Products, Inc PVC(12-1017.02 and 13-0425.15). FL14095 RS II 52.125x75 DP65- IG back bedded with Dow 995. Windows with 70 Through Frame Wood Installation PDF insulated glass units wider than 36" require Verified By: Hermes Norero, PE 73778 setting blocks. Created by Independent Third Party: Yes Evaluation Reports FL14095 RS AE PER3093.odf Created by Independent Third Party: Yes I 14095.4 Premium Atlantic Vinyl Single Hung (8300) 52 lj8"x 75"Insulated Glass (5/16 in PVB or SGP � Lam - 1/8 out Annealed) I Limits of Use Certification Agency Certi£cate � Approved for use in HVHZ:Yes FL14095 R5 C CAC NI011567 02-R1 odf Approved for use outside HVHZ:Yes Quality Assurance Contract,Expiration Date Impact Resistant:Yes 04/30/2017 Design Pressure: +50/-60 Installation Instructions Other: Miami-Dade NOAs for Quanex Building FL14095 RS II DP50-60 52 125x75 Imoact Installation Instructions odf Products, Inc PVC(12-1017.02 and 13-0425.15). FL14095 RS II DP50- Miami-Dade NOAs for Dupont SentryGlas (11- 60 52.125x75 Wood Throuah Frame Imoact Installation Instructions odf 0624.02)and Butacite PVB(13-0129.27) Verified By: Hermes Norero, PE 73778 Interlayers. IG back bedded with Dow 995. Created by Independent Third Party: Yes Windows with insulated glass units wider than Evaluation Reports 36" require setting blocks. FL14095 RS AE PER3091.odf Created by Independent Third Party: Yes 14095.5 Premium Atlantic Vinyl Single Hung (8100) 52 1/8"x 75"Insulated Glass (5/16 in SGP Lam - 3/16 out Annealed) https://www.fli ridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqtGLR%2byCBy1JkAudaJDrMRe2gvht6P2%2bCNOkdBZ6Fz57w%3d°/a3d 2/3 , 5/5/2016 Florida Building Code Online ! I ' , Limits of Use Certifcation Agency Certifcate I • Approved for use in HVHZ:Yes FL14095 R5 C CAC NI011567-NI011567.Ol.pdf � Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date ; Impact Resistant:Yes 04/30/2017 Design Pressure: +65/-75 Installation Instructions Other: Miami-Dade NOAs for Quanex Building FL34095 RS II DP65-75 52.125x75 Imoact Installation Instructions.odf Products,Inc PVC(12-1017.02 and 13-0425.15). FL14095 RS II DP65- Miami-Dade NOAs for Dupont SentryGlas(11- 75 52.125x75 Wood Through Frame Impact Installation Instructions.pdf � 0624.02)and Butacite PVB(13-0129.27) Verified By: Hermes Norero, PE 73778 Interlayers. IG back bedded with Dow 995. Created by Independent Third Party: Yes Windows wfth insulated glass units wider than Evaluation Reports 36" require setting blocks. FL14095 RS AE PER3095.odf Created by Independent Third Party: Yes Bac& Next i i Con[act lls:: 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824 I The State of Flortda is an AA/EEO employer.Copvriaht 2007-2013 State of Florida. :: Privacv Statement::Accessibilftv Statement::Refund Statement ' Under Florida law,email addresses are public records.If you do not want your e-mail address released(n response to a public-records request,do not send electronic mail ta this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees Iicensed under Chapter 455,F.S.must provide the Department with an email address if they have ' one.The emafls provided may be used for offtcial communication with the licensee.However emafl addresses are publfc record.If you do not wish to supply a , personal address,please provide the Department with an email address which an 6e made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please click here. Praduct Approval Accepts: � � �� SCCtItI �tFTttIC� � � � � i I � i � i I https://www.fli ridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqtGLR°/a2byCBy1JkAudaJDrMRe2qvht6P2%2bCNOkdBZ6Fz57w%3d%3d 3/3 1 , I � � i NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed'restrictions" which may be more restrictive than County regulations, The unde�signed assumes responsibitity for com�ance with any appGqble deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR t2ESPONSiBILITIES: ff the owner has h'ved a eonVactor or oontraclors to undertake work,they may be required to be licensed 1n accordance wiUi state and lopl regulaUons. If the contractor is not licensed as requlred by law,both fhe owner and conVactor may be ated for a m'isdemeanor violatlon under sfate law. If tha owner or intended crontractor are uncertain as to what licertsing requiremenb may apply for the � intended work,they are advised fo corttact the Pasco County Bunding Inspection Division--Licensing Sectian at 727-847- I SQ09. Furthermore, K the owner has hired a contractor or contractors, he is advised M have the contractor(s)sign portions of the'conVactor Block'of this applica@on for which they wifl be responsible_ If you,as the owner sign as the contractor,that may be an Indiqtian that he is not property licensed and ts not entitled to permitting priv7eges in Pasco County. 'FRANSPORTA7IQN IMPACTlUTILITIES IMPACT AND RES�URCE RECOVERY FEES: 7he undersigned urnferstands ihat Transportatlon Impac!Fees and Recourse Recovery Fees may apply to the conswcbon of new buildings,change o! use in exisUng bu(ldings,or expansion of existing huadings,as specified in Pasco County Ordinance number 89-07 and � 80-07,as amended. The urtdersigned also understands,that such fees,as may be due,w11 be lden'bt'ied at ihe time of permittit�g. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prior to ; receiving a'certiftpte ot occvpan�or final power release. If the project does not imrolve a ceRificate ot acxupancy or final power release,the fees must be paid prior to permit issuance. Furthermore,ff Pasco County WateNSewer Impact fees are due,they must be patd priot to pennit Issuance�accordance with applicable Pasco County ordinances. CONS7'RUC'f10N LIEN LAW(Chapter 713,F(orida Statutes,as amende�: ff valuaGon of work!s�2,500.00 or more,I certifjr that I, the applipnt, have been provided with a copy of the 'Florida Conshvction Lien Law—Homeowner's Piro2ectfon Gulde"prepared by tAe Florida Depariment of Agriculture and Cortsumer Affairs. H the applicant(s someone other than the`owne�',I certify that I have obtained a copy of the above described documeni and promtse In good faith to deliver R to tha'owner'prior to commencemer�t, CONTRACTOR'S/OWNER'S AFFIDAViT: I oertify that all tfie IrtEartnation in this appliqGon Is accurate and that all work wiil be done in compliance with all applicabie laws regulating construcdon,zoning and land develapment. Appifcatiort is hereby roade to obtain a permit to do work and fnstallatlon as indicated. I certify that no wark or lrtstallation has commenced prior to issuance of e permit and that all work will be perfartned to mcet standards of ail laws regufa6ng construction, County and City codes, zonirtg tegulatlons, and land development regulaVons tn the Jurisdictlon. I also certify that I understand that the regulaGons of other govemment agenaes may appfy to the intended wwk,and that R is my responsibility to identity what actions i musi take to be in compliance. Such agencles include but are not ffmited to: - Department of Environmental Protedian-Gypress Bayheads,WeUand Areas and BnvlronmentaNy Sensitive Lands,WaterMlastewaterTreatmenG - Southwest Florida Water Management Distrki WeUs, Gyrpress Bayheads, Wedand Areas, Altering Watercourses. - Army Corps of Engineers-Seavrdtls,Docks,Navigabte Waterways. - Department of Health & Rehabiiitative ServiceslEnvlronmenial Health Unit Wefis, Wastewater Treatment, Septic Tanks. - US Emrironmental Protedion Agency-Asbestos abatement - Federal Aviation Authorit�Rur�ways. I understand that the foltowing restrictions apply to the use of�i I: - Use of fiA is not allowed in Flood Zone'V"unless expressiy pertnitted. - If the fiq material is to be used in F(ood Zane "A', tt ts understaod that a drainage pfan addressing a 'compertsating volume'uwll be submitted at time of permftting which is prepared by a professionaf engineer licensed bythe State of Florida. - if the fii! materiaf is to be used rt�Flood Zone'A'in connection with a permitted bu�lding usirtg stem Hrafl construction,I certify that ftll will be used only to fiil the area within the stem wali. ; - If fii► material is to be used in arry area, I certJy that use of such fill will not adversety affed adjaoent properties. If use of fiU is found to adversely afled adJacent properties,the owner may be cited for vioiating the conditions af the building permit issued under the attached permit appliqHon,for bts less than o�(1) acre whtch are elevated by fitl,an engineered dra�age pEan is requfred. If I am the AGENT FOR THE OWNER,I promise in good faith to irrfarm the orvrtser aE the permitting condiHons set forth in � this�davit prior to CommenCir�q conSWClian. I understand that a separate permit may be requ'�rcd for eledrical work, plumhing,signs,�Os,pools,aG condiGoning,gas, or other Installations not speaficafty included in tha appl'tiation. A pertnft Fssued shall be construed to be a license to proceed with the work and rtot as authoriry to viofate,c�ncel,alter,or set aslde any provisions of tlie technical codes,nor shail issuance of a permit prevent the Buiiding Official from thereafter requiring a wmection of errors in plans,construction or vlolatlons of any cades. Every pertnft Issued shafl become imratid unless the work authorized by such permit is commenoed within six months of pertnit issuance,or if work auttarized by the permit is suspended or abandoned for a perlod oi six(6)morrths after the Gme the work Is commenced. An extensfon may be requesied,In writing,from the Building Offidal for a period not to exceed nlnety(90)days and will demonstrate ]ustif'�able cause for the extension. tf woslc ceases for nfneiy(80)consecutive days,the job is considered abandoned. WARNING 70 OVYtJER: YOUR FAILURE TO RECORD A NOTiCE OF CO RAENCEMENT INAY RESULT I UR PAYING TIMCE FQ PI�LO TS O YOUR PROPER7Y. IF YOU�ND O OBTAIN FI ANCIN O !T WITH YOUR LEN IAN BEFORE RECO DI G O NOTIC CO CEME � FIORIDAJURAT(F. 1 OWNEROR CONTRACTO � � r SUb�ed 9nd o f e� fsl_ S b0d 7nd W(ot elfmned)trefare me fha `� v�o ts�pers�ona�y Imoum t9 me or�slhave proouoed � Who ts/are " nam tn mo or hash�ave P d�xed as idmtiflcation. as�dmnfflwtio�. ; (.L ��(J LL7L•Y�-Y✓ obry Publie ^�� Puhf,e Com ��.FF S'9 82 2� an �� -.� �� ' '_' e��'� Commission#�FF'150d22 ;� � � �"��qy M�m��l!'��Irned Of p�W Name o . � , • i , ��em ar u.c n i � BondedThn�Tru Fainlnsuran:a6C0-165=;O�J � � , Natu�►Pu01k•6hte of ftaFAi �;;�•F,�"•` r �'P,�„� ' • • COIAfIIb310f1�fF d��6 ' My Camtn.Er�Oct 6,za» _ 9 �' .ead�aqyo,�,l�fanMN,ta�„1w,, i �__,._.._�. ' .`...� _.�.....__.....__ '__'. .."'' _.�..__ __'_ ""... ""_'_'" """ '. .. f ' ' l i � a��a�so-oozo City of Z�phyrhills Permit Application Fax 813-78Q-Q021 Buliding Department � � • i Date Recetved { � . '-,PlionaCoetacfi.for Psrm3tNn :_ � Qwner's Na le �t �� vlvti �,_ Owner Phone Number , Owner's Add�ess 3�'-�"�$ �"� � , V�, dwner Phane Number � � ; � � � ! Fee Simple T tleholder Name Owner Phone Number .,j�, � - � � - Fee 8lmple T eholder Address °° ; JOBADDRESS �C.� �I Sfi ��• LOT# [�.� � SUBDIVISIQ� � � PARCEL ID# �o��iP"�,t '��?.�'�O)Da— {�17� (OBTAINED FROM PROPERTYJAX NCTICE) W4RIC PROP�t}SED , '°NEW CONSTit' �, ADD/ALT � SIGN' Q Q DEMOL�SH , l e INSTALL 8 • REPAIR � PROPOSED i�lSE Q SFR �. COMM C,� OTHER � TYPE OF CO STRUCTION-`� [� BLOCK �' Q FRAME [� STEEL Q ' DESCRIPTId -OF WORK �S.A..� �Y�tst.�1 '(�Q..l►Ji t� iID�.S,R.� - ' BUiLDING SI,Zf �� SQ FOOTAGE�_�, HEIGH7. �____y� � Q �"�}'�d� _ _.1Sr.,,.� . . , , VALUATION•OF�fbTAL CONSTRUCTION , � su��.a�rt� $� , � „ � �E�ECTRICAL $r� I�� AMP$ERVICE � PROGI2ESS EEtERGY � W.R.E.C, i � G� QPl:UMBlNG' � � ` � ��,J ( � QMEGHANICAI $ VAt.UATIOtd OF lV1ECFiAiU1CAL INSTA�lATION �� OGAS i Z I Q t�00FING ,Q SPECIAI.TI-� � OTHER � FINISHED FI.QOR EI.EVATIONS FIOOD�ONE AREA QYES NO j ; { - , BUII.DER COMPANY i SIGNATURE RECaISTERED Y/ N "�E cuRrten Y/N , Address, " � License#`� � ,, , EIECTRtCFAtd COMP1iNY �" ' 1Qt'"�� 12. 't�-'��1f�_ SIGNATURE �' REOISTERED Y/ N FEE CURRE� Y/N � Addres� ��'$2•� ��• JR.�� `a�3 ucense#;�C.13 Z�U l�� PLUMBER COMPANX� - SIGNATURE '� REGIS.TERED - Y./.-N. . FEE CURRE�- Y/N i • Address; ' License#� �� -� � MECHANIC ' . " COMPANY.- SIGNATURE � X_ ftEGISTERED . Y.,/,.N . FEE CURRE� ,Y/N . � Address' - � " � Ucense# � � � � � , , OTliER . � . , COMPANY... , i SIGNATURE: �' - --. - 'RE�Is7E� Y/ N . FeE CUR�� Y/N ' Address . _ � � . L'lcense# ��...... � , i FA, , - �RES1DENi7 ' :�',�_:Attacti(2};PIot,Plans;..�2}�sets�of:8ii!lding�E?lans;:{1.}°sef`af€na'rgy�Fomis:'F2=0-W Penrtii#forne+itir canstructlon, , Minl,mum;ten°(�1:0)tworking,days;�;fter,.subiinittal':date:=Required.anslte,rConstnicNon Plans;Stornriwater'Plans w/Sllt Fence Installed, � � �3anitary Facflities-&�1:Sdurnpster SIte.Work.Pertnit:for;subdiri5tons(latge,projects •" ' � � �" ; COI�6MERCiAl. Attach{3}�complete sets`'of Suildtrig Plans�plas a Ufe"Safety Page;(1�j set af Energy Forms.R-Q-W Permtt for new wnstruc�tion. Minimuen ten(10)working days�after submittal date. Required onsite,Construchan Plans,Stormwater Pians w/Silt Fence installed, . San!lary Facflitles 8�7 dumpster.Site Work Pemttt tar ait new;pro}ects::Ail commerciai requfrements must meet complEance s SlGN.PERMITi Attacti{2)sets ofEngines�ed�Ptans.,,4•�"�"�•-n'�,r f .." ;'t: : ; r . - "'"PROPERTY SURVEY requiredbfor all,NEW_canst[ucUon., ._ Dlrecttans: ' .. _ . Ffll out aRpNcaUon completely. Owner&�:ontracMr stgn�back of appqca�ao,notarized tf over�«�00,a Notica of Commencement is regulred. (AJG upgrades over�750Q) " Agent(fa�r,the cbntractoi)tor PoVver of Attomey(fn�ttie ownerj would be someone with notarized letter from owner author�ztng same OVER THE C�►UNTEi2.PERMITTiNG� � •- (Front of Applicatlon Oniy)�- Reroofs If shingles Sewers Service Upgrades AIC Fences(piabSurvey/Footage) _,... .. . Drlvsways-Not over Counter if an pubita roadways..needs ROVV ; I� � � NOTICE OF DEED RESTRICTIONS: The undersigned„undergtandsj th�t.,thisap�rmit.may�be,.subJect to"deed".restrlctions",,};;_G; "* , which may be,more-restlrlctive�th�n'County4i�8g�ilataons:-TFie"��under`signed��assumes responslbil(ty for°compllance`�:with'any applicable�deed restrictions. .._.r<.::..�..�:-..-....... , � . .. _._ . .. _.�_.. :. ' - . ;, UNLICENSED CONTRACTORS=AND��CONTRACTOR RESPONSIBIGITI�S:;°�If„the �owner has-�hired��a�-contractar or contractors to undertake work, they may;be;r�qulred:,to;be_Ilcensed In.accocilance.with.state;and;_Iocal.,regulations: flf�the�= ; � • _- �ontractor:ts-not l(censed�`as--required'�by law, both the owner and�contracto��°may-�tie�•cited`�fior-a��misdemeanor vtolation under state law. If�the owner or.(ntended;,contca�tor�,are,uncertaln es to what Itcensing:requirements;may�applytYfor,�the- �• :' �-.' intended wo�ic; theyare advised to�contacf tfie.Pasco County Building'In�pectlon`DIYIsIo�n=Licensing Section at 727-847- 8009. Furthermore, ff the owner tias"Nl�ed a contractor or contractors, he is advfsed to have tNe contractor(s),.sign ,: �ortions of the."contractor Blocl�' of�.thla application for.which they.will be tesponsible.-.�If you,.as�:the owne�°'sign�as4 the " '� ' _ , _ �ontractor, tfiat inaybe an indication'thet�he-ls'not�.prope�y�licensed-and`is not"entitled fo permitfing privileges in Pasco County. � . ; ��-�-_. r: r.��., 1'RANSPORTATION•IMPACTIUTILITIES�rMPdC'1'=ANb�RESOURCE RECOVERY�FEES:��The�understgned`unde�stands „ lhat Transportation Impact Feas:and.Reco.urse.Recove.ry.Fees may�apply�to�the construction,of.new buiidings�:change of��`' `'_ `�' °�' use in exfsting bulldings, orzexpansianfof��exisli�i��+bulldings� as speclfled.in Pasco County Ordinance number 89-07 and � BO-07, as amended.,,,,.The undersigned also�understands, thaft:�such fees;yas;Ymay_'�e�:;due�:wlll,1be identtfied at the`time�of�� '� -`- � , permitting. It Is furthe��understood that Tra�sportation.Impact`Fees and�Resource�Recovery�Fees..must be pald prior to rece�ving.a °certiflcate�of��occupancy" or flnal-powec:release: :I�•the proJ�cf:;does:no��involve�a>certiflcafe of occupancy=o��'- �=- - - final power�release;�the:fees--mu�t��be�paid pclor•to permft Issuance. F��thermore;�ffi:Pasco;;County�VllaterlSewer�lmpact} � : . , fees are due, they�must:be-paid:.prio�:to.permit�issuance°in accordance-withrapplicable Pasco��County�ordlnances. CONSTRUCTION LIEN`LAW�(Chapter 713� Florlda Statutea�as amended): tf valuation of work is$2;600.0.O.�or more;.l . _ aertify that 1, =the-applicant,�.have=been.provided-with-a-copy� of-�the• ":Florida-Construction.Lien`_Lavm�—Homeowne�'s Protection Gu(de" prepared by�the'"Florida Department of Agric.ulture and ConsumerAffairs: if the applicant is someone __ , other than the°owne�", I certihc that 1 have.obta.ined�a`copy.of..the�above..descriaed�tlocu:ri�ent,.and�promise�in.good.:faith�to,_ _ .� delive�it to the="ownec"�.�pcio�:tofcominencement:'"` '` � �-� ' ' � " • - ' . CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify;;that.,allrthe,informetion�lmthi�appltcation is accurate.�nd that all work � ' ,,,_,.: wfll�be done in compliance with all�appllcable isws regulating construction� zontng and�land development. Appllcation is hereby made to obtain :a:permik.to.:do_;work;.sand �InsCallatlon as indl�efed::;,..l=cer.tffy"th'at no inrork:or installation�has commenced p�lo� to Issuance of'�a`pe�mif"and that':all�work will be performed�to meet standerds�of�all laws regulating- construction, County and City codes, zoning regulatians, and land development r.egulatlons-in the Ju�isdict(on: �(.:al'so� certify that I u�de�stand that the regulatlons of other�government agencies may�apply�to_the intended,work, and that it is my responsibllity to fdentffy.what.actions I must;take:b,be,in:,corqpliancs.;S.uch agencles�include but-are:not Iimited to: - - DeparCment of Environmental.�Profectton=Cypress:'BayFieads; VVetl'and Areas and Envlronmentally Sensttive Lands,WatedVHastewater Treatment. � - Southwest Florida Water Managemerit ::District-Wells, Cyp�ess. �ayheads; Wetland Areas, Altering Watercourses. � - Army Corps of Engineets�Seawalis, Dock§,Navigatile Waterways. - Department of Health�'.& ReY�abilitaEtve.;ServlcesLEnvironmental Healfh Unit Well.s� Wastewater Treatment, Septic Tanks.. �' � ' � _ � - � � . - US Environmental Protectlon Agency-Asbestos abatement: Federal Aviatton,Authori_ty,cyRunways� I understand that the folfowing,�restrlctlons apply to�ihe use of flll:� - Use of fill is not ailowed in Flood Zone"V"unless expressly permitted. - If the fill materfal is�to 6e'.used�.fn:�Flood Zone. "A", It. Is understood that a drainage plan addressing a °compensating volume" will be submltted at time of permitting which ts prepared by a professional englneer licensed by the�State of'Florida: � - - If th� flll materlal�:i's'to be.'used in Flo�d Zbne 'A" In+connec�ion�with.a•�permitted bullding ustng stem wall ' construction., i certify that fUl�:wall=b.e�used only.to.fill the area within the stem v�rail.` - If flll materlal is to be used In any area, I �certify that use. of such flil wlll not adversely affect adjacent ' properties. ,If use of fill is found to adversely:�ffect ad)acen�'�propertfes,.the owne� may be cited for viofating the condilio�is'of the buiiding;permit issued`under the attached�ermit-applicatlon, for�lots.less than.one (1) . acre wHich a�e elevated�by;flll,a�r engineered drainage plan is required. • If I am the AGENT FOR THE OWNER, I;promise In_good faith to inform the•owner.of°the:permitting-conditlons set forth In lhis affidavit��prtor to coinmencing construction. 'f uriderstand thet.a�separate permit may be requtred for elecMcal work,, - , olumbing, signs, wells, pools;. alr condltioning,.gas, o�other insfal�a�"tions"not.spec�flcally included�in.the applicatlon. ,A : aermit issued shall be constcued#o be a°Ilcense�to proceed with ttie`work'and'not as:authority to:violate��cancel, alter, or , " set aside any provisfons of tlie technical.codes;�nor shall issuance�of a permit.prevent the Bulld(rig Officlal from thereafter �equiring a coRecqon af enors in�•pians, construction or i►lolations of any codes.:-Eve.ry permit Issued shall"become�inval(d mless the work authorized.by such permit:�is.commenced•withtn �CX,months of permit issuance, or If work autho�ized by �� ..,,.. lhe permit is suspended or.abandoned�f,or a:periodof�six�f�)�montfi§;,efter:the-time the�work��is commenced.-.An extension �nay be requested� In writing,,from the:Building,Officlal for a period.°not to.exceed:ninet��(90) days a�d will demonstrate ustifi�ble cause for.�the extension. If work ceases�for ninety(90)cons.ecutive.day.s�..th�Job�Ps considered aba�done�:'� NARNING TO OWNER: YOUR.FAILURE;TO..�RECO�tD;A�:NOTIGE.OFI�COMMENCEMERtT�:MAY�RESULT IN YOUR �AYING TiNICE FOR:IMPROVEMEN.�S�TO X�OUi�:P.ROPER't;Y.;;IF�.YO.�J-1N��'E�4D`TC��087�IAM��FIN�ANE1Nf;'CONSULT NITH YOUR LENDER�OR AN°ATTORNEI�$�FOR��R�ECOR�Iw�`''YO�I I�`NOTIC�'dFrCdIIIIIVIENC�E1(MENT' 'LORICIA dURA'�(F.S.1.17.03} - .� � , . - - _ _ - . • _ � - — --- -� )YVNER OR A�ENT �CONTRACTOR � >ubscribed and swam to(or aflinned)before me thls Subscribed�and'swom�to(ot aflirtned)'b�fore me tFii� � by �Y Nho islare personaliy known to.me oc has/have produced IMio`.is/are p.ersonellyknowmto me�or_haelhave�produc¢d • ee Identlflcatlon. as ldentlficaUon. _�f Notery Public . 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