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HomeMy WebLinkAbout17-18075 i � � CITY OF ZEPHYRHILLS � � ,� I 5335-8TH STREEf (813)780-0020 18075 BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 18075 Address: 38741 CR 54 LOT 20 Perrr�it Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Propos��d Use: NOT APPLICABLE Lot(s): Block: Section: Squa��e Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV Es�. Value: Parcel Number: 02-26-21-0010-05000-0030 I Improv. Cost: 400.00 OWNER INFORMATION Date Issued: 1/23/2017 Name: SLEEPY HOLLOW MOBILE ESTATES IN Total Fees: 60.00 Address: 38615 LANSING AVE Amo��nt Paid: 60.00 ZEPHYRHILLS FL 33542-6312 Date Paid: 1/23/2017 Phone: 226-271-5213 Wo'k Desc: REPLACE ATTACHED SHED 4 X 8 CONTRACTOR S APPLICATION FEES HOMEO,WNER BUILDING FEE 60.00 � �� � � � , � Ins ecti ns Re uired FOOTER II 2ND ROUGH PLUMB MIS N ULATION E LIN 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. REINS�ECTION 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 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. "Wa�ining to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your properly. 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 perFormed in accordance with �� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. I; NO OCCUPANCY BEFORE C.O. �� � I �CONTRACTOR SIGNATURE � PERMIT OFFI R � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I � �� , � �- ---——=y�� I ,��. � ��4 � . '�•-.�.� `�@ •- -� �_,�., _. �.� , `�..a�.t 4-�. �.'.. ��:..� =�.`. � `, � I . ,��.� ___________-- ----- . . ._. ---- -- - --- ---� .�_w..,�_...__-----•---� t ._._.. ,. `�•• ; - - - - - , �. -- �, - - - - - t � `�\\� � ,;� ;.� I �, Y' ' � _. ...---------- — I �'' � � -,�' .a+s:.4. e t � � \ , a �`� r=�-} � , ~ . �� . ' � � . � + �, — — —---_._...--- — -- -- � -... , ; M� __ - — — --- - —�— —i�-.. �,,� �� I ,f, T.m, f ------------— — -- — ; \�i ; �``�`' �v> � E i • \ - �•�;� � t�%° , � I �\ 1 I f t \ �. �'„ Ia) � � <�\ '_ \ ti� � 1 \ .._..'_"�-„---- .�,.-.,.�._......,_ - �..-,._. _ __ .. _, � `\\ , . -�-._"_., . " _ ' _ �. � 4 `i ;�� 1 I '�. � ' �., �'•: � ! �_ -� < < _ l {y � �� -.. c.� � ;io � � , • _�~ � f i\y i-� � , ..'. . - . , ;REvI�/���� `��-� � ��, _ �,�. � _ �lTY OF.ZEP�,- -;F_ -�' - , ` f � � �� ��9�it�+��;��- .�,.: �i� ! , .�fe�s�y� ; �� _.�; ! � � � - , _;�� � �� � ! E` ') � �� _,I '��� ' .� '� h� l''.L WORK SHAL - L COMPLY Wii'y '� ' :�VAILING CODES ___ _ � "� �` � -.t'21DA BUILDIRlG_CODE.__-_ -..-_ ' ,o: � ,. , . ?=. a :A,TIONAL ELECTRIC CODE,AND CITY OF 2EPHYRHILLS ORDIfVANCES ' ���� :.r�; - �;. 5 �� ' ` = 1 1 _ _4, ?� i i va - �} �! _ ' Z. � � � �:� ' ' , I ,(`, � � ti `_i � �' ' -- — '— '_—-- —--- — � �� 1` `�� �\ ' ��`` s 0 u� �� '\\\- \ �`` � �'� \. ` � , I I _ . � ��. -�. SLEEPY� �+E�L�#1fll �QBt#�E fS.TA'TES�.�NC. � 38615 l.�1�ISlNG AVE�IUE ZEP#iIFRHtLLS, FL 33542 Phone: 813-T82-1111 � Fax: 813-783-7687 sleepyholiowparks@sEnail.co�n � . This is a request to the Board of E�i�ectors as Eaf�ed for in the Praspectus to� make the �ollowing addition or improvement �o.my hofne or Mome site. t wish to: � 1 C� t,e�i`�'l.. �2,t,J Vi.SL � �� t3a#e of iteq.�xest 1Z13 fl I 1 �� Lot # �� a- � o Stree� 3�� 1 C �- S E SigRatur ��3-�1�14-$o p � Date �Z� 3 �� �t 10 App�oved #�y �rC cJ� c��r.�-� �� ��'7Ls� �_'� �C� . , Qate � �� � Cot�en#s � � 'l�.S `.� � �a�� ��(-Q�c- �r-�d-f- Dc��- �o�e �,�.e�;,� /.s �d d�e r.�s� � � � ��� � .___ - -- - - - - - — - --------�---- - - , ,- • - - ..��------------- - - __..-__ -- - - -- � , _�___�_--__.__ _ . . -- y - . .l , , --- . . � 1;�= , - . �'O lJ NT � I F!. h .- •� � , � � LVD -� _ . . � , - _ - _. � � -L 33,542� �-- . - �. � -- -- - - -- , —�i-�G�S --- 83=?93OT_� - -: ���-%�-- - - ������=��-,� .� � , �� �` , j , ' ` � . � � � -�� � : - � . , 1� �.��_ ;� � - , , I � �, i -� ' • .�e ..S �;! � � � r�'��r�? `' - . . , � � �'� � '�C.(y,aP, , ' ' '� • � - ? '� - �p�;p.g k:, N.:ACGT,�. MDSE:�; .PAID;OUT+ . '. , , i ' -_ � . F2ET:;b,+, ' � - : �•� • ' - . . . . , ' , - ..QUAN. • a. �." , � `DESGRIPTIO�1. , " '.,�PRI.CE,. � ��RMOUNT.�r. .J . _ :t' , ,. t. �'1 � -� r �`"� �- ' . _ +f' � .. .a ..� -.,- ` :�. � � _- , ,,, , . ,. �V ,,r'' .., '4, � � " . � f � � y �' � �.�^_ '. �. , � y /'y `� . ' , ' 1 �s� d /�.^�J' f t,"f"' "�,. ./��• .3 1'l�'�' 'l�I� "" .,i f _ ; ` ��� - ,�;� t - • [,,. �/-�'G1 .n �:.'� " '_ „ ... � , ' t�r� , ��.�: . . �.�� J� , � . ",Ar ��� ' � /� ��.: �� . �'J •� ��3'�.✓ , , , '`.y,,. ,_ .�""'' - ' , �- � , . � � :0�..� �~ � - �� � �!' ''�'��', l�l�r_r�� - ' - �,,_ �. - . , - :f � - . � , . '� , 1 � , . - , , .�,� c - - . �.,,'"^_ , - � � .� �� � � - � , . , , � . � . �� _ � ' ''� _ ,-V' , . 'Tq}�" / ' ��/ j , • t � ' - , . TOTAL .�,,, ;A. �,„.' � , . - All clai and�ret}�'n�tl�goods�MUST,be accompanied�by this bill. ' � � � � - �� ��^u� Rec'd'tiy.. , : � ti_�__, , � ,' 4 . ` 1 ' � . , , , = -" ;�_:...; _ �r�'��;i`..•. ,,x;;+;�;:�;:r . � . _ ''�,k.:�'�F""�'� , . - ' � __ " ' _._. ..�.._...____ � . ._.Y.:�,...__- .._� . Y DISCLOSIIRE ST�TEMENx' FOR OWNER CTTY F EPHXRHTLLS BUII,�ING DBPARTI�]T T, I� hav� read aad fuZZy understaad and agxee the proviaiaas o� thie insttumeab. The �uadersigned etat�s aad aff3.rms th�t he or she is deeirous of coans�ructiag, ' reaovating, addiag to or reroofiag his ar her awa dom3ciie, that he or ehe actu�al2y aceupies, or vaill oecupy by aaid domicile, aad same ia uot for rent; lea�e or saZe. That he or she �hall comply with �he follawing caaditions: 1. �'ha� the owae= aad he or she alone Bha11 act as the builder far all phases of coa�tructiaa. � 2. ��That the owaer wi21 comply with a21 provisi.oas of the City of��Zephyrhills ordinaaees aad codes pertineat ta the bu3.ldiag. 3. Th�� ia �he event varioua phaseg o� aoas�ruatiaa are subcantsacted, he wi21 eagage oaly propexly liceaeed subcoatractors aad wi11 persoaal].y supervise �uch work. 4. b,at ia the eveat the Su3ldiag Taspectar sha11 xequire cosrec�ions ta be made, the ownez will aseume fuil re�paagi3si2�,ty to iasure. they are made, aad upan eompletioa will call for a x�3nsgectios�. befcire prcceeding with the buildia�g. 5. That the ovaaer shall aesume full sespoasibili�y far �he aonstruction aad wi12 nat expect eupesvision of his wark fxom the C3.ty of Zephyrhills �uildiag Departmeat. 6. R?hat pzior to fiaal 3napection any adlcliti.onal fees, iacludiag reiaspectioa ���es, must be paid ia �u33. A �xittea reques� frazn this office shaZl. constitute aa official aotice to pay additianal fees. 7. �at the owaex shall camply witla all City, Sta'�e aud Federal ].aws ia xegasd to social securi�y, workmaa's compensation, lien laws, etc. , whete appliaable. 8. R'�iat the awaer �hall campZy with aZl the safety codes imeued by the Florida IadustriaZ Commi.ssiaa. 9. S��tate law requirss aonstrue�iosa ta be dane bIr lieeas�d aoatractors. Yon have appl3ed tor a permit uader an exemptioa to that ].ava�. Th� exemption allows y��u, a� the owuer af your proper�y, to act as your owa coatractor with certaia restric�ions evea though you da aot have a licenee. You must provide direct onsite supervisian of the eaastructioa yawre�lt. You may'buii8 or improve a oae-familg or t�+ro-family xes3deae� ar a farm outbuildiag. Ycu may a2so bui3d ar unprove a comtnexcial building, pxovided your eo�ts da aot eacceed $?5,000. The buildiag or xeeidence mus.t be for your owa use ar occupaucy. I� a►ay aat ( b� built or eubstaatial].y impraved tor sale or lesse. If you sell ar leaee a b��.3.diag ycu have built os substaatially impxoved yousaelf withia 1 year after t �he con�txuction is comp3ete, �he law will. presume that you built os aubataatially impraved if for sale or lease, whieh a.s a violation of this exemptioa. You may aot hire aa ual3ceased person to act as your coatr�ctor ox tc�i supervise people warking an your buildiag. It is your respoas3bility to rc�a:ke sure that peap3.� emplayed by yau have Iicesi8es reguired by s�ate la�r and by� cauaty or muaieip�l licea�ing ordiaaaces. You may aat de2egate the respons3bility far eupervisiag work to a licensed eantractor who is aot li�ceneed to pexfarm the woxk being doae. Any persoa workiag oa yous bnildiag wh�o ia siot lic�naed must work under your direct supervision astid must be em�ployed by you, which meaas that yau mu�t deduct F.T.C.A. and withholdiag tax and psovide wc�ckers' ccmpensation for that emp3ayee, a31 ae pzescribed by Iaa►. Yo�r coast�uctiaa must camplj► w3th all ap 'eable 3aw$, ardiaaaces, bui2ding co�es, �nd zaaiag regul ioas. O�RrS SIGNATURE ~ DATE � � // ADDR$SS Z �I� PIiONE -- - .t�� �� f wx�sss PBRMIT # II , � � ( '� ; j I � � I 813-�ao-ooao City of Zephyrhills Permit Application Fax 813-780-Q021 Building Department v : . . . Date Recelved ,� ,�" �-�y�-• ,.:.Phone=Gontact'�for�FermltUn _ - 2 - ;� � • Owner's Nar�f � `V" ��� Ownar Phana Num6er � ' Owner's Address �0�/"!� v� �� �. p"U ' Owne�Ph'one:Number~. -�— .r.--- Fee Stmpie Tlt�ehoidar.Name .r� ��_����� Owner Phane Number � � � �r. Fee Slmple TI eholderAddre�as � 7"T �' _ �`7' �' ��� � ' v�•�.� . � �!��� ,i08 AS}dFtES3 . � ! 't t ��✓ Ty LOT# SUBDFVISION • � PAttCE�:ID# � - .. . . (OBTAINED FRpM.PROPERTY,TAX NOTICE) WQRiC PROP SED ` .� NEW'CONSTEt ° ADDIAI�T StGN` `Q. - Q DEMOI;lSH � �,. 1WSTALL � ,.. REPAIR � - PROPQSED?U3� . _ - � � SFR. [� 'Ct3MM , � Q QTHER ' TYPE OF CONSTRUCTION"<' �Q" •�6LOCK " � FRAME ` .� STEEL 'Q � � _ ;�°�.. , . �^ -�--- ! � DESCR1PTttN�d OF WORK r, ' .L.�c " `1 s? n.- J,�!G✓� �., r :� t„�N r"7 d� � N I � !' �y . . . �tltLDlNG'SIZE� ``t-��I,�� �'8Q FOGrTAGE r ,HE1.CsHT s� �i, „ � - - ��!IIQ��G $ 'y VALUATtON"(}F`TO'i'l4�GONS7F2tlG'flOt+t n � . � .� �� ' ELE TRtCAL $ " AMP SERVtCE. '��] '��PROGRESS ENERGY Q W:R.�.C. ' i OPLU� BING . . $ � � � �/� �1��� �1. _ L,,,f �r �C�,� �OTC�-�� `-' QMECHANICAL $ ' • � YALUi4'flON OF�INECtiA1VECEU:IiVS't'ALLATION r ; , ; �,,. _._.__h,�': : ,. , �, � ��� QGAS .. 'Q ROOFING :Q,'-;�- �PECIAL7�1!�;��:f'.;,OTHER,,,. . :-. . , � � � FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QY�S. ,NO - . � , _��.: ,.•r� .:�f.,,,..;- � . • 4� 8Wl.O�R COMfP%1NY�`:�::� --_ �"- ` � StGNA'TURE , REGISTERED Y/ N .' "�='��E euRi��� ` a Y/'N � � _. •r..l� .s=6R � "'��k` ;':i'�.��, ,. � ... . Atidress - �: ;k. _ . ;a _ � y Ltcease:#'' �.s'',-_ -- " � t .� .,. ., . ,. �� �� ,�µ. " ,. .. ..w .�. , _ ,���, . .. _ ._ , ... , ELEC7RiC,lAP1 .. , ,. , , ._ , •: �tCOMPANY' <_ `�}_=_`�� _;' . - - - : . StGNA7URE '� REGISTERED !1Y/iN FEE�cu��{ �`p�'r}�Y/:IV ' " • � . �.. , __ ;�.: ,-__ . , - ' _ �'rw =_; a�,,� . . �,. ;.: �� � j� Address , . :�csnse,#�.�>.- ' � -:.. . _ . . _ ,r-,r:;��-,�r_ - PLUMBER� � . ' " , � ' . G.QMPANY ,s ,- A ;_ - �5_ ,�t ~ .,,:.,- - � ,t b, «.:x.;., u,, •,�• _�. .. SlGFtATilRE' '`� . " ` `�REGISTERED ..Y/,.N;>, ,{,�:cut��:�� ., - Y=/.N,.,.�- . . , ._ , Address _ . `, . , , . � , . - - :I:tcatt,se#j�. , .--�, - � _ �� MECHRl�lIGAL . � ,. , , ,. _ �' �" COM.PANY . , .;;:� -_ �:: `.,i,.,.,�F -.�, . ;_� � � � , St{3NATURE� ' :,. . .�. � , .. , L - : , ,.;; � , _ ,_... REGiS7EftED Y/.N �FEE�CURREA,. YJ�N` . , ,:,, _ :-.:,:��,.,._:, ., . , ,. „ lM1�Yt�$�• vr� •,i ^r� - v,;t�.. :ttr'�� � . . .. �,., : ' • - _ • � �,�.r,Qn�J�ttt�'..`�.������ - , - . .. �. . .. � . . . .<. . . . . . -, .x,{,v..� .. O'FHER '7 x: ..= . ",. " ... � ';? .G�I1�iCr+a���,k. . _ ';^?.j .� y , . StGNATURE� . �,� s�-_.,.,,.��,:. _ :�� �,-r . .. •t•'- > � x. , . . , `REGISTEitED~" 'Y/`1V.:... 'FEE�CUFt'RE�'�� Y%N , '•4 .CVY� i�'•-,+. ... ., -.. . . , . . . ... . ._ . . - � •.. . - . _' . -(,._ :f. _ ., Ai/WQ� " - `C':� �.. _ .� wn}r� A.j{ . . . . ..:Rv Yt�4: ,+`!Sf� 4:�� ��� 't ,�Vfi+lSLlt�'� � `*RESlDEN'i1AL"F,n::AtkactlA 2 PI�t�Plalri 2� .. -�, �,,..�., .,�.,_:,�.: � •�� r.Y,;�,;,,:�,,�., b;-. k,�'�z w s�' �.c�r �:N.,, z;f>:� r'" ... � . � ' F_)¢ si.�( )sels:ofEtu�l$irigtPlans,�(Aj`set�ofxEnergy�Forms;�R=0-V1t�Peir�iiti#or=ner+sr�cxinstriictlori, -, �y;�i�ttlnimum{.ten{{1,0};waci4in�,d�y,ssafter,�submltfal�:d"af"e.�:;;Requlred crisife;'Gonstructlon'Rlans;�`StomiwaterPlans w!�itt Fence installed,� ' `��" SanitaryFaciliye,s_;;&;1idwmpster�„�Slte°Wor.lc,Pertnit;forsukidi,v'IslonsAarg�;Pro)"eots;�a�'==: .;, •:;'n�;i, ' .. - � .--- -' COMNl�RGIAk.' Attach(3j i oisipteteY"sefs'`tsf$Biitiding'1'ians pliis a'1:tfe S'ate�tiy Pz��;(i}set"of Energyr Fomns.R-0-W Petmit for nerit consUucflo».- F . Minimum ten(90)working days after submittal date. Requlred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fencs instalisd, Sanitary Facilitles 8�1 dumpster.Site Work Pertnit for all new:projects::All commercial.sequlremenfs_must meet campllance` � � .-SlGN PERMlT Attach"(2}"sets af�rig,i`r%ee;�:ed;l?lans:x,�:z�t�x�-=-� -,�.,� ��, >>__. . � . �� ' � •••*PROPERTY SURVEY reguire�fqr ai1,t�EVll con,struction._... _ - �� - xi; .D1r"eCtFqtl�: � •..z;�,.:,�;,�;,_ ,-��, � Ftii out ap�ticadon compietely. Owner 8 Ccnt�actor slgn back of applicatlon,notarized tf over�00.a No"Nc:e:of Commencameot ta requlred. (A!C upg�des aver i7500) . :'.'.'.�y:tYtryibs�_,�' '* Agent(for�the contractor)'o�"Power of Attoiney`(fo'r`tl�e ovv�ier)would be�someone with nakarized letter trom owner autho�izing same OVER't'l�iE.CQ�UNTElZ�PE1�MITf1[+IG�-�---�:-{Front�of-ApplEcation�{}n1y)------ ` _ :� •. ' Reroofs If sh(ngles Sewers Service Upgrades A!C Fences(PlodSurvey/Footaga) _ I � ..... _.....,..�....� .....e_ ........ ,- ..,� ....... ..... .... .. .:... .... ...� .,. �.�1 i .. . . _�r.�� �4' � ... Drivsw�ys-No#over Coun�eriF�m}7ubfio�roadwaysr:rieeds-ROW -. ., <��'-'��""•`�-j_���=�.`�.-�..{.:.'_.,::N,�.y^ .."."' � .J_t:i' 1[.i i.:�l"Ij{.l:,�A::=r;:,�(1 � .'.;r�!)i ':�11:'1.1�; ''�:i�.', �:,+:':!•..,. �''� ' '���.0 �.�J�!��.i;Cli:.�i7Si?1+"�� ' ' � '!ii;� :t;..t: . 1 �j�, t+r1a,Y . ".'tY`r(:i'.._�.. - - � =`Lj.."�S7`;�p,v,�,;a✓., ' „- 1:,: , � `1' 1 �,.c_ . +., , ,- .. 1`i;;:;:' ;,: .,::;'�r {. y�a�� �� .r �` �!`(-,'� ;� i �, :i,S. ' .. .iii;+�.r.,i"::�oa�ic .,. . J..� .,t.�.,».,, �"Zn'.i . ."T' ;n;' ,si:�,�_`,�;:' • / a.•-f"'anf^ww rom a.�.�aa.�a,y.�,�e,ue...� •..-c�.. .w..c _, " . . .n �. ...,s�a.....,n,r. s.d�.. _f.�..._-"_..>• �' ./ � , , ,,. -,., � _. . , _ _ ...,. " � ,,�r,.:�;:;,:•�.,�s;::�t;� I NOTICE�E D�ED�RE$.T.RiCTIQNS: The underslgned;under�sttandsuth�t�,: �.;��r�!tt;�n�y,_be,subje.c,t,�,t4ar"deed"tces�lc#lortsa...,..�r.���,r � ,, a ' _ : . C .. ..,�_ ,�,t� t..� f �.i,. ' �fw T t. � �S 4"I t y:,,.,,.. -c.J—,t;.�: which may�tie�-mbre'��r.�stticttve�t�ia���Gcun�i''.ir.�eg�fla#�ons���Ttie�-und'ers�gned��assumes7respons�6filty`fiar compllance�with.any� appficatile deed�restrlctions. _-.:�.t�,.r�:.�:;��.>,L,,;.;.,��. �: • . .._.. ._�._ , ,.�- �_�.. �. �.�.��. ,�,,.<.��:� _ UNLtCENSED=�CONTRACTORS}�AND CClN3'RA�'�gR�RESPO1��tBi�IT1E�S:-�-r<tf=�te°rowner::has°°l�ired��a"c�lttactcr or contractors.to undertake work,-they nnay�bs::reiq�li�:d:;to,-:t�e�llcensed;Irr;aacordance.with•�.tate�.and�la.caC:regula,ti_o_ns:�,:�if�the�:.�-�'r>-��^ ,,. _ ... , _.._.,�.,{-.�-«n�:.::_ �,..a..:;:,..�. corstractor-�1"s`«ttdt`Itceiissif��as��te'qu1F�tl'.6y-ti�w.��ti'+�t1`r�the owner a'rtd=cont�actor�.may:°�e,=�ttaclwito�°`�smisdeiriiaa�ot v€olallon under state law. If the owner.ar Intended�c�on,,,�r,a,�tor�ere,;�uncertaln as to what Itcenaing,requlreRnents�mey�^epply>��forutheA�=^����x��=��"' Intended wcrk�ttiey are:.aiivlsei!"to~cont�ct.tFie Pa�co Co�nty.Bu!ldliig Inspectton l�hil�la�tce.t�sing Sectlon at:TZ7-847- 80�9. FurtFiermore, !F #h�e owrierY`t�as�'fitred a�cofi�ac:taT dr eontractars. he is advised b have�:the cantrazcta,rjs)�asign���i,.,J-�� ° portians of the.:"contcactor..Biock" of.,thle,�applicatinnMfor�which�:ihey wilL�:b.e�.r;e�sponslble��Nlf.yau;�as,,the o.wn�r"st(gn as the� � cont�ac#or;ttiat�rr�s�y,be an I�id1c�#lon#tiat"t�e Is"�no#`:propei�Ifcense;t antl°1's riaf eiri�eci�to-peitml�ing prii�lleges In Pasca {{ . �'rOU11�/. _ ' ' s y�-v.�.�"t_.,'',;�,f:, � ._. ._. ._..._ ...� _ . .. ,.. .,.:. . _ . _ . ._.. ..... _,.,�...,.:_._.. ... TRANSPORTATlON�lMP'ACTlUTlLITIES�;C!'�PAG`#��ANb�lt��Q��tCE RECQVEEtY�FEES:'T�he untle�st�ne�understands th�f Transpartation impact Feas;and.Recoutse.Recovery^Fees,,,m`�y�applyo=#o�tfie�canstructtan;of new.bulldtnga,�change"�of�j•i�`=�°`•"Y :. ......._. ,.: .:...._..w.,:�...._. use in exisNng buildUgs;�:or�_expar�sl��r�cf=ekl�iti�;����uildings, as specifled.ln Pasco County Or�inanae number 89-07 and: 90-07, as$mended.,.,Th�undet�igned�Iso;�understands; ttiaifi°suct�fees,.�s�ma�:;�:��duar��r111=.be Ident�fled at ttte�time�`af°�"�.; �.>:�'`� permlNing. It Is furtiier understood that Tre�gp�ortation Impa'�`Fees �ind'��Resour.c�e.:;Re 'aivery�Fees`;-,mu�at be paid prior to receEving.a"cerEl#tcate�of:occupa�cy"..or�#irtal�powerEelease:°".if�the.pro�ec�;.does:no�involveEa�cert�icats of oc;cupancy=otr����`1�`=���� final power.�release;�>the��:fees�inus.t�be pald�pr1"'o',�.#o:permi#issuance. F�xthermore;��if�Pasco,;,Caunt�r;'llVaterJSewer��lmpact�� ��;�w�z:� fees are due;:theywtnust:be:pald.p�lor;ta,.perrrrit�l"ssy�ance�.in,acc+ardance.wit�ir�:appllcatite-Pasco��Gounty��o`rdtnances. • CQNS'1'RUCTiON�LIEN"I:A`Y{t tChapttur 713�Flort�a Stat�t�s,�a am�nd�d): It valuallon of wark ts$2,500AQ�ar.!more,;;l�.:; �-_��:t certify tFiat .1; �the ;applicant;:-h�v.e,;_been. proxidetl��with; a�-cvpy-:of��the��"Florida~ConstitiE.Gonir Llen�..Law--Homeowner's Protectlon Gu1de"prepared bya'tlie Ftoei�fa Departt't�er�t;of Ag�culh�re and Consum�r;:A�tr`s. 1�the�ppltcant Is.so'meor►e• ;..,..;.;,;� other than the"owner", I certffj►,f_th�at._i:;h�ve,obit�ined"a��copy,of:.the:abav.a:rles,erl.becl��loaii�ent�and;p�rar�ise�in�,goo.d';falth•to . �.� :,�r ', delhrer It to.�.the°'owrie�:`pi�to��`td com+�ien`ceiiiarit�``°.. - ` . � � � . - . -. .. . ., . I �CONTRACTtiR'S/tiWNER'S A,FFiDAViT: I.cert�y:�,tti�t;ali:the���informaticrn;in�thi�appltaetton is accurat�and that�aif wark ' will'be done in compliance with all.appitcable laws regulating consfructlon� xoning antl:�land�-developm�nt. Appllcatlon Is h�reby made.:t°�,obt�tri=:a.petmit�aE�;;;,do�.r,o%k£�;and,:=l�stellat�on as i�dt�ate.d:�.,<�I�ce%tffy #hat tta work��ar installatton Fias" � . commenced p�ior ta Issua�ce af'.� permitY"and th�t�.all work wlll be performed�ta meet�standerds-�of:�all laws regula�ng� � constructlon, Coun#y �nd City codes� zoning regula#ia�rts, and land devetopment r.egcilaUoi�s�°tn�tti'e ju�i�dlctlon:_=`.1,.a1'so.: � certify khat I understand that the regulatlons of attier�govemment agencles may�appiy.::#o:the:.intended.work� and that It(s � my responsibility to identify whak.acUons 1 tmust�t�ake;:to:tie:;in:.oatt'lplia�ce.:;;.S,uch:agen�cles�lnclude=but=aie.nat Ilmlted to: � - � � = L i,N vt;.:� i^ t.v�. - Depattment af Et�vironmental>=Protec�ori=Cypress'Bsyhead�; V�/e�and Areas and Enyironmentaliy Sensftive Lands�WateNW�stew�ter Treatment. .. - �� "� � - - SoutMnrest F[ortd� V�ater Managertteii���:Cllst�ct-Wetts;�:,:Gy�ttess.�8$yl�iaads�\_�Wetiar�d Areas, �ttte�ng Watercaurses. � ,;:f :.;.�,� .:;.�r,:., :.�� �:.-; ' ' - - Army Carps af Englneers�.Seawalls;zDocks,Mavigable Waterways. . i - Department;..ofq;Heatth£�;S,,,ReF�a6�ltitatiue;�.;Se.rti�cestEnvfiianment�tw�.F�e�Ith�Unit:Wetts;:VlFasteuirater��Treatmenf; � Septic Tanks:.. _ :' .--� ` . � - US Envlranmental P�tectlon Agency-Asbestos abatemen#:� *� ' Federal Avlell�n:Autho.Mty,�Runways:.� ' �` . . !understaitd.that the..foNovv�ng:�'restrl��tlons apply to the use of flN: - Use of�it is nof alfauved in�Flood:Zone'°t/"unless expreseiy permitted. - if the-�flll.�mate�lal"Is�to'�be use+�l:'�In::flood Zone. "A"� tt Is underetood that���a dratnage plan addressing a "compe�sating volume"w111 be submltted at#ime of�pemtifting whlch #s prepered by a professlon$1 engtneer •. . Iicensed by��he_�tateof;Flottda: .�: ' � -�• � . . - - if th� �l!:.me#ertal��:la''to-:be�used tn Fl�rod �orte °A" ln��conrtection�with�a�ermltted bulldEng ustng stem wall. � aonatructton,.l_certtfy.that:flll:vVJli:b'e�used only,tofill#he areawlthin�the�stem�rall: � - If flA 'ri^mateilal�1s'to be used�in.ariy area; 1 •ceKify lhat .use. of•.such f!!I wlll r�ot adversely affeot adlacent „ praperties.. .if use:_of:f�11.ls;fot�nd�.ta adv,er�elyr,�f�ect a�JacenE��prcipertles�.the owner may be citad for vl�r�ting:- the cond�lons•Mof:the bdlidlcig��perrriit�lssuedrunder tha_att�cFied:_�ermit�applHcation��for:lots�.less�thari`:one (1) acre wiiicl�"t gitia eievaterl�tiy flil.:a�t engtneer�ed dratnag�plan i��equtred. • ._ If I�m the AQENT�,�OR•THE-:OYVNER;,I:proii�ise.ln,good;falth#a fnform�the�owner ofthi�permitting condit�ans set forth in , thts afCidavtt°prlo��fo'comme`r�cing constructlan. �1 understend that;�s s+�parate'perrnit may be requlred fcr electrtca#:work, -. . _ � ptumbtng,,signs, wells,:poofs„att� c�nditianEng;<:gas;.;or.ott�et Instaft��'bns�nat.spec�ficalty inciuded�in.the�apptfcatlon. .A : ' perm(t Issued shall be coristrued to'be�a`Iicense"��to�p�ceed witb�'tFte�wark and�:not-as:authoNty:-�to.vlolate;=��ncel, alter� ar set aside�ny�provlsCons b�t�e.#ec1��Eca1 Acades;;nor shall lssuance��of a.permit.p�event th+�Bultdlrig O#t3cial from thereafter requtring a correction af-err;ors In�•.piens,:con�tructlan..or.violatlon�of-any�codes:�-�very�permlf�lssi�ed'sFiall=tiecome��invalid � unless the wcirk authortzed.by such permit:�Is.coEnmenced�wlthin si�c:Rmqr�th's of�permlt issuance, or if wark authnrized by t . #Fre permit��s suspended�:ar•:abandoned;:f,or:a:period}af;six���3�mnntFis:;after the tltrie tt+e�wot'k�te commen�ed.. An e�etensiom may be requested� tn.writing,:irom fFie;Building,Offii�lal�for a peiriod:.not.to.exaeetl'�ninet3r�(90)�days a�d�-will^demonst�te justlf#abl�`cause for:�the ex#enslon. If wor.k ceas�.far nlnety��90}ccnaecutive:day.s�_the jab�ls�consldered abandone�. WARNlNG TO QWNER; YOUt�..�Ail.URE:�TQa_R�CQttQ:A�-I�,O�T�G�:QF.�GOMM�MCEME�T�,�IYFRESU[:T IN��°YOUR � PAYING TWI.CE.FCtR,IMPR01'IEMENT��T��Y�EiUR�:PRORER�TY:•���I�-:YOUaiN�'�E�ID:Tf�r�18TA1N�Ftt�11A1�E1N6;;CON�Ul.7 - -1MITH E. �O. O. FO. i, ;Id� `� p r � " . FkORIQA JtlRA��(F�S:�:117� }., r .. .. ,. _- ,..,; ,..;, .__- ,s-�.�::.,_._ _--- _, - ---—-- -- -- -___.__�.�_ _. ' � 4WNER OR AO�NT� : ''.�� CbM'RAGTA 8ubscrtbed a�swo��– d�4efore th4s Subscribed'atid' � {ot flf ed'b .. e'th1� by Y� .,.by... . D.l� Wrio Isfare pe�sanally knovvn to,me.or:haalha�e,produced Who.Is/are;p.ersnnelly.�Cnawn:to;.m.e.�or.FieaThav,e:prodiiced•�•� ' aa t�e'titlfli:aUp».' as Ed6rit�tcBBOn. tdotary Pubttc � � Notary Pubilc, Commisslon No:` Commisalon�Na ' I Name of Notary typed.Rdnted or atamped Nams of Noiary typad,prtnt�d ar atamoed --- r+�■ �u��„ ���"• pEgRp ELAINE RUFFELL ,�,;a+:;�q;�,DEBRA ELAINE RUFFEL '�`•'�.''�.= 45343 �� � . �ammisslon iF GG 045343 =� :CommfssSan#GG 0 _,. ;: "'' '�=Expires November 7,2424 :�°� w�;Expires November T,2420 ":"�°c 3g5-T019 �P'' gpndedTluuTroyFainlnsu�ance80a30�r7019 " � �%:Fdr.���` BOndedThNTNyfainlAsurdnceBDU� I��$t�ik� •,��,��., ` _________ _ _ � • o�.�� : , r i �>"�.,'�.s -==�.Y r;t.(.. ""i."9"�' t'�7... ;q. t�� i ...��`.`? _ ..';.z`� ; City o£Zephyrhills � BUILDING PL1�N REVTEW Ct�l��N1ENTS Contractor/Homeowner: �C�jj�f(f/,��i ����.�r ��J%ll..,�f/ � i Date Rece'�ed: / — /� --/� Site: �3�'��/ �� �/� � ' i(`..� 02�_ Permit Type: /i�"i'�1�C� ��C/�,a,TC—, c�f��. ( a Approved /na comments:❑ Appraved wlthe below comments: I�! I�enied w/the be7ow comments: ❑ � , , , � � � � � r. � E � �� � I! ( � I � i f ' � �I This comment sheet shall be kept with the pe�mit and/or plans. � I' � I /'-��,� � , Kalv' wit' ' Ians Examiner Date on actor and/or Hameowner � (Requixed when cornments aze present} i