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Home My WebLink About17-18381 �, ,: CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 �$ _ BUILDING PERMIT PERMIT INFORMATION • � LOCATION INFORMATION Permit Number: 18381 Address: 39607 AMETHYST WAY Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0020-00000-0550 Improv. Cost: 3,258.00 OWNER INFORMATION Date Issued: 4/20/2017 Name: VALLANCE GARY Total Fees: 82.50 Address: 117 BELLEFONTE DR Amount Paid: 82.50 ASHLAND KY 41101-2109 Date Paid: 4/20/2017 Phone: 606-922-7095 Work Desc: INSTALLATION 10 X 14 SHED CONTRACTOR S APPLICATION FEES HOMEOWNER BUILDING FEE 82.50 � // 1 G Ins ections Re uired � FRAME � SHEATHING 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. l� ' � � C� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �^�T� . -:�_.___.___.._. ..� _��__..._._� � - , � y . " , " " ,',. . ` . , - � !J! ✓ � X � . . ' � . � _ _ . . . . T Y, �� . � � � - ^ � � �F , ` _- �� " - � . ~ . .. � • ` `• • " ~ ' ' , "• � . ' ' ' -' . - , 'I ' . ' ', i . � . . � . . . �, 'u ' _ ' , , , ' _ • , ' ' ' �I . . . _ ." , , - �� Na�me � �� . � � . - Lot# �r' � � .� � . . _ _ . � - . . � .. . � ; . , . , _ _ _ . ., - , � � ; � - _ �� . .� . � LUT�IMPRtJYEMENT , - � � . . � . - . � � � .- � �PERIVIIT # �7= d�"/ - _." - - - - _ � � . . � . - . � � : � , � EIVIERALD POIN"TE Bt�:ARD O�F :DIR.E�TORS ` � � � . . � . � ,; � _ � , .- _ . . ,. , : , �- . _ ,- . . � ' � - i , - AF�P'RC}VE�D B'Y:� � e - �� DATE: .� �� j- . - � , , � �, - - - - , � . - . ; � , : .- . - _ , , _ . a . . � , PRQPERTY E'YALUATIUN .COMMITTEE�� . _ - _ - . ' . �r , APPRt�VED BY: .� : . a;�� . � � `�. DATE: - �=- � ,�--f � . � �� , . . . . ��T- � � � , ' , . - , , - � - - " , , ( EXPIRATION DATE: ,3 -=�_J� _ . . - - � , ' .: : � � , . .. � : �� . . � � � ° � I-NS�PECTI�N BY: , � � � . � _ :DATE: - _ _ � . . ;, . � _ . , � . , _ . . - . , . . . . - . _ � FINAL INSPECTItJN BY: ' � �_ . �_ DATE: � _ � i; - . � - . � _ : � � � ;I - � � � � - � � � � ; - � - � . � , . - __ - - - � ,- ; j� �, � � , PLEASE RETURN TtJ LUT IMPRQVEMENT C!C�MMITTEE" � . � . �t , � - . , � ... . , � . . - � . � � I: _ , . . , . . � . r. , - � . . . -� -- , - , . _ . , - OF_I..ot.[mprcn�ement-i.doc_3 il2�/2414 . , . v — � � ' ' . ' � � ' , .. � _ � � " , _ _ ti � .� _ , : - - � - , , w ` '., ' , . ��._� . - , � � - ._._____-__�_ ---------�~-�-'_`"' - .,�._....�..._--�----=.. . ��__._.___.. _ �..�,._,-�,.\._-�� . I . . . � _ � , . ;- ,, Procedure for Lot lmprovement Requests i�" (Please refer to the "Rules and Regula#ions"} Permit No f 7' / DS"'l � Ail lot improvement requests must be submitted no later than Wednesday by 2;OQ to be processed on the fallowing committee meeting day. I.All requests are to be submitted in the Emerald pointe office or Chairman of the Lot impravement �i Committee. The Chairman or committee member will review the request, visit the site if necessary � #o clarify improvements and will present it to the Lot I mprovement Committee far their review on a weekty basis. 2.Any request which Is NQT�lled out properiy,wil!be returned to the applicant without an actian being taken. 3.After the Cammittee has recornmended approval or denial of the request, it will be presented to the Board of Directors for their appraval or deniaE Board wiil meet ance a week for the iot improvement applicatians. 4.There will be NO one day approvals ar last minute approvals. Request may take 7 to 14 days for , � appropriate review and consideration, ( if necessary)thus giving the Committee and Board member�time to review and consider the request in a tharough manner. 5,7he origina!request will be dated and signed as approved or denied,and after being copied the original wil! go into to the members file and the copy returned ta the Lot owner by the Board of Director(iaison or the _ Chairman of the committee. 6.The comrryittee will follow up on requests#o determine that the request as presented and approved is being adhered#o. '7.Any permit will be ACCEPTED FOR.APPROVAL between October 15 and March 31 of each year, however, each awner must understand and know there must be enaugh members of the Committee to review and recommend ta the Board for their approval. 8.Any changes made on a previously approved project must be resubmit#ed before beginning the changes.Amended permit will be issued at the time of approval. 9.tt is recommended#hat property owners af rrmajar improvements ar new canstruction projects reguest an appain#ment with the bt improvement committee ta review plans and answer any qaestions that may arise. - 10.All aaqlications submitted must have locations of their citv/well water shutoffs. As#he owner of�at# .:�'� , I understand the Lot tmprovement Commit#ee and/or the Board af Direetors will enter the property to fol}ow the e�ernal progress of the construciion or improvement as submitted on the Lot Impravement Request. " r ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF Zl3PIiYRH=LLS, PASCd Ct�VNTY, OR STATE OF FLORIDA CURRENT ' BUILDING CODES.AIl permits must be posted visible to the street. ��1��r� .��/ Owner's Signature Date Page 1 of 4 . : i iiiiii iiiii iiiii iii�i iiiii iiiii iiiii iiiii iiiii�iiii iiii iiii � � 2017059702 Rcpf.:1856601 Rec: 10.00 , DS: 0.00 IT: 0.00 ' 04/20/2017 K. D. K. , Dpty Clerk PAULR S 0'NEIL,Ph D Pq5C0 CLERK B COMPTROLLER 04 R0BK01��m PG 956 NOTICE OF COMMENCEMENT • _. ___ Permit No. ��1d��No._��':�1��1��?/ ooad��od� 0 55D THE.UND�RSIGNED hereby give informs yw thet the improvemeat wil]be made to eenain real PmpertX end'm aecordence with Section 713.13 of tLe Flotlde Stemtes,the fol[owing infomietion is proy7ded�tfiiy NpTTCE OF COMT�NCEMENT, 1.Descriptioa ofproperty(lega!descrlpNon:J �yj� $�� 8�saa�enaa�g: 3 o e � 3✓�S�b 2.Q x� ' of' 'ij/�s- � 3.Owner Infopnation /� // s)Name�d address: (� /�-' _ �L�� b)Neme end addtess offee simple titleholder(ifother tt�ea owner) O � c)Intarest m propeity D D 4.Eonhactbr Iafatmatit>a a)Neme�d add�rss:,_�A,/O C!O�C� b)TelepLone No.: Fex No.(Opt). S.SluerylnformetIon e)Neme snd'eddcrsss b)Amo�t of Bond: c)Telephone NA.: ' Eez No.(Opt) 6.I.ender � e)Nema�td edd�ess: � Phone No. • 7.Identity af petson wid�in the State of Florida¢esignated by owner upop wLom noticey a�oU1er documenfs mey 6e served: a)Name end addiess: ' , b)Telephone No.: ' Fex No.(Opt,) 8.In eddition to himself,owner designates tti�followirig persoa to receiye a copy bf the,Lieanr's Notice es provided in Sec�tion. 713.13(Ixb�Florida Smbmes: a)Neme end add�esy; • b)Telephone No.: �• .. .Fax No.(Opt•) 9.ExpireHoa dete ofNotice ofCommencemept(the aapaation date is one y?sr&oiq the da�e ofmcording umless a difteiaat deto ta spocified): � WA.RNING't'U OWNEiL ANY PAI'1VIENTS FIiAD$BY THE OVYNRR AFPER THE�IRATTON OF THE NOTYCE OF COMMENCEM�SNT ARB COPISIDgRED IMP�ROPER PAYb1Ei�T5 UNDER CHAPTER 713,PALtT I,SBC170N 713.I3, FI;ORIDA STATUTES;AND CAIV RESULT IIV YOUR PAYII�TG TWICE FOR IM�ROV$NII:N'IS TO YOUit#'ROPERT1t. A NOTICE OF COI►I]YiENCEMSNT MUST BE RECORD$D AND POSTID ON THE JOB SYTE BF.F�OR$THE F1RST INSPECTION. II±YOU IlVTEND TO OBTAI(d1 FIIVANCIIQG,CbNSULT YOUk LENDER OR AN ATfQRNEY BEFORE ' COMMF.NCIIVG VYOAK OR RFfCORDINC�YODR NOTICE OF C`0 CEMEN7: STKIE OF FLURIDA COUMY OA PASCO � • S7 m Own a A orfad OSicc/DGeetodPufic/Mfmnga � f�/��4yt.p� Prirst N�te , e fo:e oing i trum nt wes cknowledged 6ofore me this e1 �ay of �� l 2tl l� by . �� (rype of author�ry e.g officer,(rusteq aVomay ��) 'r (neme ofpeRy on behalf af whom Soslr�eat wav axe Pe►sonally Known_OR Produced Identi5catiod s� Not�y Signef�e �- - Typ�ofIdeatificatioaProdueed QiP�' ��-C/�.7�ame(print) ��/C/"C C�� T�C/1..� Verification pursuant to Section 92525,Floride Stawtrs.Under penetCes of perjury,I declare that I Lave tead the foiegau�g and that the facts stated in R�e hue to tLe best of my lmowledge end belieL , - s;�orr��nw ra.oa s��nnoro FOwiSre70Cm�W • �.�y ,��r:;y�,;DEBRA ELAINE RUFFELL • _�; �Commission#GG 045343 '�^: ';=ExplresNovember7,2020 {:,c�ij;d'•? BondedTNuTroyfeinlnsuran�e800�3857019 , �� . � -- ----- ------�- - - - - , L -- i , ��g��ap STATE OF FL4E21DA,COUNl'�OF PA�CQ � �� THIS IS TO CERTIFYTHATTHE FQREGpING ISA �� ' ° `++�` RUE AND CORRECT COPY OF TM� RO�UM�NT � ' ��;:"- ,��'� N FILE OR OF PUBI.IC RECORD IN THIS OFFIGE �'`:�='�f��:,tr .' IT ESS MY HAND D OFFICIAL S�AL 1'HI� � °1 �o,�t'11e 7 . u �� '�' :'o',; � DAY OF , 2�� c' �� AULA S O'NEI , CL RK& COVUIP'fROLI��F� � e " , �-�� `=--' f� � � 18��~� BY DEPUTY CL�RK ��`��0�.�-��` ' ' �:�o �`�� ,��. . f, '"� - f �.;:,. �4 q4' ..�'rl� �yf t . s !}. ti„M..'-u.., a,.rr.. City of�ephyrhills � BUILDING PLAN REVIEW C4NLtVfENTS ' � ContractorlHomeowner: ��{_�1�� ._.. Date Received: � - /� . ��- - ' Site: � �' ,f� �/Y1 '', Permit Type: 1L��—. 1�pproved w/na coznments:❑ Approved wlth�below comments: I3enied wlthe below comments: ❑ s , - � _. � his cornment sheet s a11 be kept with the permit and/or plans. j � ' � l��/ alvin Sw' —Plans Exaxniner Date �ontractor and/ar Homeowner (I�equired when comments are present) . a � 3 F ij ( __�_�� '"" J __ —� DI�aCY�OSiTRE S�'l4TE�'P FOR OWNER CIfiY OF Z2�FIi'YRHILLS BIIILDZ2tiT� DEPART'�T I. /'� /'/" � have read arld fully undesstaud aad agr�e to th provisioa�a af t s instrument. � _ The unc�exsigaed states and affirms tha� he or she is desi,rous of caastxuctiag, r�aavating, addiag ta or reroofing his or her awa domicile, that he or she a.ctually ocaugies, ar wi7.l oceupy by �aid domia33e, aad same is aot for , reat, lea�se or sale. That he or she shall compZg with th� fol�owiag conditions: 1. That the owner and h� or she aloae shall act as the builder for all phases o� caastruction. � 2. That the owa.er wilZ aamply �rith all pravisiaas of the �ity af 2ephyrhills , ordiaaaces �ad cades gertineat to the bni2diag. , � 3. That in the eveat various phases of coastruction �re sixbcontraated, he will engage oal.y properly liceased subcoatractars aad will p�rsaaally eupervise such wotk. 4. That in the event the Sui2diag Iaspector shall require correatioaa �o be made, � �he owner will aasume full respansibi2i�y to insure they are =nade, aad upcn complet3on w311 aall �or a reinspecti.an b��oxe praceediag wi�h the bui.ld3ag. 5. That the owa+er sha11 aseume full respaasibilitg for the coastruction aad wi11 aot e:xpect superviaion of his vaork lEram the City of Zephyrhille Suildiag Departmeat. � 6. That pri.or to iEival inspection aay ada'titioual fees, iaeiudiag reiaspectiaa fees, must be p�id in fu11. A writ�eu request tram this office sh�ll � coastitute an of�icial not:Lce to pay addita.onal .feee. 9. That �he owaer shall com,ply with �11 City, State aad Fed�eral laws a.x� regard to sacial security, workman's campensa�iaan, Iien laws, etc. , sahere applicable. 8. That the owaer s2aall comply with all th� safety cades issued by the Flarida Iandust�rial Commissioa, 9. Sta�e law regui.ses aonstsuctioa ta be doae by:l3sc�ns�d cantractars. You h�ve appli�d �or a permit uader aa exempta.oa to that l�w. The exemp�ioa allows you, a�s the avaaer of youz propexty, to aat as your awa coatractar with certaia restrictioxas ev�n thaugh you do aat have a Zicenee. Yau must provide dir�ct oasite snpervision af the con�tructioa yaurse2f. You may build ar improve a one-faznily or two-familg rssidenae oz a tarm outbuilding. Yau �tay a2sa build or impsove a commercial build3ag, provided your costs do aot �xeeed $T5,OOQ. The buildiag or reside�nce must be for your owu use or occupaaay. Tt m�y ao� b� bui2t or substantially improved for sale or lease. If you sell or lease a builciiag you have built ar substaatirally ia�praved yours�If withia 1 ye�,r after the coastruction 3s comg�.et�, th+� ].aw will presume tha� you bui2� or substassti.ally improved if far sale or lea�se, whicb is a violatioa of this escemptioa. You may aot hir� an ualiceased persaa to act as yaur caatraator or � ', �ca supervise peaple workiag oa your buildiagr. It 3s your responsibility to make sure that p�aple employed by yau hav�e licenaes required by state Iaw aad �I by coianty ar muaicigmZ Zieeasiag azdinaaces. You may aat de3eg�t� the � responsibilsty for superva.siag rrork to � licensed coatractar who is aot liceased ta per�orm the work beitig done. Any persaa workiag oa your bv,31d3ag who is not liceused must work under yous diacect supervisian aad must be � —---_._. ein_,Play+ed_by._You� i,h�ch m�,aas that_3rou-must-deduct-F.�.-C��:-aad-withho3-diag�-tax�------ ---- ; aad pravide workers' compensation £or that employee, alI as pr�$cribed by law. ' Your constructiaa must comp with all appl3cable 2aws, ardiaanc�s, building � codes, aad zo�ning regulat ns. OW13ER'S SIGN�UFt,Ery �� ,, E ADDRE3S t a� 1 PHONS V�lIT2a8SS �,} PSRI�IT # I . I . . ��-.�s-r r:� �;� , .,.` :''r��l ��/%��G �'>� r�S//f�;� �tPt��°/' �r � � /� % '�` ///, . . . �.__ �l" �to`.�f.•� / i r � �•� �I �.r �� • f � J � � ----m-y � �/�%%�i� �� y � f �j . � � �L J �`�� li/.�f `�, ��f, /� �°'1 �,��.� .��! �fp4% ; .�' �''� j �� ; •,•j � I � /�'i - � � � � /� //�= y��/ ;,- :,., � � l.��/ ��! //� lV .V I � � . , � / �� ?J 5 �"1 /�11�C.��;� ,\�. ,�/�./ � �tI -�(�///� - �r� •j , � !l. /� / !� ,G'� / r �� ,pl�`/1�(�� S'��,,.J ��.� �J V \ 1 �7`/� �i�� C! l�%� � �)� � /a �, ,. " �� ;� � �.�:' �f�-dt� �'jL �� € --��i��"� C'�i� -" �/!� � ��'-- `��c� �1�� . ` -I � � ��vi�v� ��►�-� � ��:.�'�',�•'� :; �� :�„� " CIT�'OF ZEPHYRH��LS � PB�PaN �XR►Mi�9ER �� u�- �� -��. � � '��j � - � �-�r� ' ��.wo�K =�%y L` ��'S' 'j1 �`�fJ/ �/�j' � �R�VAILING CODE �MPLY VN�Ti� � � � � FLORIDA BUILD S NATIONAL ELECTRIC CODE,q�p � � l CITY OF ZEPHYRHf—— . ' - f�/L�� .�� /�-��—�- -� /� - --------------�LS ORDdN,4N��9-----— ---- --- -� - --- -- - -- - - ------ �--- --- ---- -- �� `�//�-r''/��'� . � � �� - 3 � .� , �, 9Go7 �y;��._:.._ � � � �� • II �� Infornurtion (_, . . �'I .To Buzld�n � Engineerfng•Consu/ting•T�sfing � November 10, 2016 � Mr. Jim Richmond Florida Department of Business and Professional R gulation Manufactured Building Program 1940 North Monroe Street ', Suite 90A Tallahassee, Florida 32399-0772 RE: �� Smithbilt Industries, Inc. � Plan Approval fori::Streamline SBS-S-180 REV 1 �_:.,��--- ..�.� Dear Mr. Richmond, Pursuant to the requirements of the Florida Dep rtment of Business and Professional Regulations, the above referenced documents have been reviewed for compliance with: 2014 FBC, 5th Edition, with 2016 supplements 4 2011 NEC 2Q14 Florida Fire Prevention Code, with 2016 s pplements These plans comply with Florida Product Approva Rule 61 G20-3.006 (FAC) A signed and sealed set of plans are maintained n file in the Third Party Agency office of PSI. All mandatory comments have been satisfied and p�ans are approved for construction by a modular building manufacturer. that is currently ap roved by the Department of Business and Professional Regulations. If you have any questions or require my assistanc in any way, please do not tiesitate to contact me. I Respectfully s bmitted, ��' � -. William E. Neary, I Department Manager Modular Facilities Division j I Copy: Melissa Smith, missysmith904Ca)amail.com Professional Service Industries,Inc.•1748 33ro Street•Orlando,FL 2839•Phone 407/304-5560•Fax 407/304-5561 FL Engineering Busines 3684 s��-7eaoo2o City of Zephyrhills Permit Application Fan-$13-780-0021 N � . � Building Department Date Received phone Gontact for Permitting.'� -- �wner's Name �i4� Owner Phone Plumber - .'��-'"7��$� (�Owner's Address p"YY��""�, C Owner'Phone Number �� Fee Simpie Titlehoider Name Owner Phone Number �— � Fee Simple Titleholder Address �'JOB ADDRE$S o/'/ O A LO7# �i� suB��vis�at� �aixc��.��# (OBTAINED FROM PROPERTY TAX NOTICE) � WORK PRQPOSED e .. NEW CONSTR 8 ADD1Al.T �� SIGN Q Q DEMOLlSH INSTALL REPAIR, PROP..QSED'USE - � SFR Q CQMM � 4THER _ TYPE"OF COPISTRUCTION Q BLOCK • Q FRAME [�. Sl'EE� Q. II DESCRIPTIpN�OF WORK � � S'/i4J� � D I � ' Bt311:111t3G SlZE � r p '�i j t� � SQ FOOTAGE�„� HEIGHT • `� QBUtI.D[NG � � ,�asg i 6�I VALUATlON�OFTOTALCONSTRUCTION P � :QEi:ECTRICA! � � AMP SEftV10E Q PF20GRESS ENERGY Q W.f2.�.C. QPL.t1NIBING r> � f{' �D�.• L QMECHANtCAL �i � VAIUATIQN OF MECNAIVICAL INSTALLATt4lV . , �1��i�� r �l�� QGAS Q R04FENG Q SPECIAG'fY � 4THER �L� �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��/ ! - � — .8J1��- --- - - - - - - � ; �O�ti�ARiY.�-� �C1� "- -- -- -- - - - ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address -License# �— � ELECTRlG1AN ., CC}MPANY �. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. , Aiidress - License# � � PCUMBER.,., �CO�![PAl�IY . SIGNATURE REC�ISTERED Y•/ N,� , FEE CURRE� Y/N Address License# � � '.MECHAFi1CAt; ' COMPANY '' SIGNATURE'' � � REGIS7ERED , Y/ N FEE CURRE� Y/N '' ' Add'r"ess�� License.# �� I ;s;, , ., , ;.OTHE,j,t'•�'`'.�,- `� ' � ` � COMPANY - - „�`'SIGNATUREa,;c-� •^ - � REGISTERED Y/ N FEE CURREK , Y/N Aaa��ess�. � - . . . .,. . tice�se# �� Gy�' N RESIDEN7IAl.�:,x '"Attacfi="2;Ptof=Rlans;`'�2`"sefs-of`Buifir3iiitl t?Eans; 1•'set afEner F�*j ��;� .: �' . . � ;.,. ,.. •.� _ ,(.,) { }� g� ( } gy' orms;R=Q=t1V Perriiit,fur new,canstructiori; _ .,:•,��`'R.;;�-��,.•.-.,.Minimum�..tert(�10)o_w,orking�days;afte�.su6riiittal�iiaCe.'Required�onsite;Con`str`uctionPlans;°Sto[mu'vaterPlansw/SiltFenceinstaUed, � .'' � '�,h.,S�nitary Factlities�&1 dumpster:Site Waek Permit fac.subdivisionsflarge:projeats'-- ` � - - - --, �;`,.COMMERCtAI. Attach�°(2}complete sets af'Baililing�Ptans�pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new constructian. ,;�4;=°_ ,� Minimum fen(10)working days after submittal date. Required onsite,Construc#ion Plans,Stormwater Plans w/Silt Fence insta,lled, '8anitary Facitities�1 iiumpster,Site,tNork�Permit'fo��a1F-new.projects.Afl corrii»ercial requirements must meet compliance '�iSIGN�RER�IIT "Ai#acti(2):sets:of;Epgineered�Ftans;��.:�;�:� : � - • �. .� ,�, '' .. , � � """PROPERTY�SURVE �ke uired for;al4NEW canstruction. - ' � '; ' ' � ' , Y.. Q.. �;;+�` - - - � �„Diiectioris: �: - . ,. ��- Eill-out:applica6oncompletely. " �i3wner'&�t�ontractor sign back of appllcatian,notarized I�f over$2500,a Notice.of:Commencement is required. (A/C upgrades ov�r$7500) _ . '*'' Agent.(for'tlie cantractor.)ror°Power'of:Attomey(for'#1ie owner)would tie sameone wittt notarized tetter hom owner authorizing same ''OVER:T.HE�COUNTER._P,.,ERMITTING.�. ., .(copy-of contract�required) rt" �` �F..;-. . � ;��Re�oofs-if stiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) !i y Driveways-Not over Counter if on public roadways..needs ROW. � "rt �`�'�'�""�� '" �' ._..,......, ,.��.,....� ��,• _.�t. . t�J7;.:li;l�al.,��1ait� , � � �hi.:�.`�,.)7`<fr'�F2Gii:.iflC;.�` _ +•tfSa, ...R. �4 ..YbC<��::...��' • • . ' . ^�'l: , r... �. . . � � ~ . , .. � d � . .. ' .. �: ..L r. ._.�. _......4e.. _..e....� ...w -._�.,......, ,..r�.. .t ." —_ ,...x., ..e...wa.....,. .��..n��>...�i.+.mv;,' TM:*�.^^....�.�`_.:i�'-.W'..3w'�:a.*s3 , y.. -, � , , - . .� �s NOTlCE OF DEED RESTRfCTiONS: The undersigned:unde,cstands:that>this,permit mayrbe,subject to;"deedA,restrictionys°;:A��,;;� r:�._•::..�.,::. � �- � , which;may;be�moce<restrietive.�than.Caurtty'r.egulations.�yThesundersigned�as�surries'�esponsibal�ty�for compiiance=inn#h:any } applicable deed restrictions. _ � ; ; � ;. , - -_;,�.� - _., =��=_�_':�•`=�.ti•'�'� :.� UNLIC�NS'ED. CONTRACTORS AND CONTRACTOR RESPON$IB�L-171ES: �If-tfie�-owner'-�=�has•�ti'ired�=��a��contractar or '�'� contractors to undertake work;�they may_be_reguired:to be;(icensed.in,accordance with.s�ate:and;Iocai�regulations::<<If~tlie�?��;'� 1. � - - �;=�F. contractar is not..ticensed�as required:`liy'law, botii-the owner`'and'`confracta�-may,rybe��eife`��ifo��;a��misderri�anor violatio'n° , �`�' under state law. �If the owner or intendecl,:co,,n#ractoc are �ncertain as,#o what iicensing requirements:::may�=appiy�`:for:;fhe;�3;��;., :.U..'tii M1"1Y"c,.i. :f..^l.� -�. iQ intended work,they:are-advised to oontact'tlie Pasco Courity Buiiding lnspecfion`D'ivisiorr=i:icensing Sectian at`727-847- 800�. Furthermare, if the owner has tiired'`a��contracCar or cantracto�s, he'is advised�tq::have the, contcactor(s),.,sign�:}��,,;;;:. n n ._.� c.,-.•�._...�,:r::.;��3._.:.,,,,,_..i;,��.,.,<� a portions of the contractor Black _of this application for which they-will.be�responsible:-:�If.you,,as.tFie`oi�nersign as�.the =. �_� cantractoc, that itiay be an indication�that�he�is not prope�ly licensed�and;is no#';enfitled�to perm it#ingbprivileges.,in;.Fasco}�t,..;;:_y; COtlttt}t.1 ., a ` � . �-° } � � - ' . . '` - - °` . x�; TRANSPORTQTION�IMPAGTLUTIL#TIES-IMPACT AND RESOURCE RECO{�ERY FEES: The'untiersigned understands:,-.,, �,; '_ Y_�-'.. .t�.�: i.. that Transportation Impa�t Fees and Recourse Recavery Fe,es.'may�apply to,the construction.of,_new builtlings;.ct�aiige�o,f°=`�;<;::;;:a'; use in existing buildings, or:expansion;of';ezisting buildings, as specified in Pasco County Qrdinance nurrtber 89�07:and ��.t�• 90-07, as amended. The•undersigned also:understands,�that such.fees,�as:rnay��b,e.due, will�be;icientified`.at��tt�ie�.tim'e�'of�:��'�' permifting. -1t is further understood tFiaf'Transportation Impact-Fees�and Resource`FR'e'covery Fees must be paid:prior_to �:, receiving a "certificate-of occupancy"�-or:finat,,power release. If the.project does nofiinvoive�;a:certificate of occupancy;o'r..=��:��?-r. fina! power release,<<.#he�.fees-must be,:paid priar ta perrriit issuance. :FurtFiecmore,:if:Pasca�Gounty Wa#erlSewer,�lmpacf�wa.,�- ; fees are due,t6ey must.be paid prior�to permit'issuance in�accordance with'applicattie,Pasco.Co�rtty acdinances. „ CONSTRUCTION�LIEIV�LAVN(Chapter 713;Flor�da�Statutes,as ame�tded): !f val.u.'ation of w�r:k is$2,500.QO..or:more;4l:{,��. ; certify fhat 'I, the applicant, have been--provided with°a�copy of 'the' "Florida�'Construction_��ien :Law .—:Homeawner's� Protection Guide"�prepared'6y tfie �'lorida Department of Agricu�ture and Cansumer.Affairs. If�the applieant�is som�qne,,R r ather than�he"awner�, 1<eertifjr tFhat.l.have d6tained a copy of the above desc�i6ed"document and promi�e�in.gpo.d"�faith�.to.,; " deliver-it,ta the,°owner�:p�ior�to:commencement: ' � �� CONTRACTOR'S%OWNER'S APFtDAV.IT:-��l;certify that all�the inforrnation in this applicaEaon'i$accurate and tFiat ail�work will be done in compliance with all applicable laws regulating canstruction, zoning�and fand�development. Application;is _ hereby made to �obtain,.,a per.mi#,.to .do;;work-and installation.as �indicated. l��certify that no work or�installa�'iona has � cammenced prior- to issuance of a pe�mit and�#hat all work will be performed to-meet,standards of all laws regulating construction, County and Cify cades, zoning cegulations, and land development regulations-iri` the jurisdiction. F°also certify tttat 1 understand #hat#he regulafians af other gaverr�ment agencies may apply to the intended work, and that it is ' my responsibility to identify what actians I mus#take to be in compliance. Such.agencies incltade;but are nvt.limitedvto: - ,D'epartment of Environmental. Pratection-Cypress Bajttieads, Wetlan@ Aceas and EnvironmentaHy Sensitive � Lands,WaterMlastewater Treatment. � � - Southwesf Flarida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering Vt/atercourses. , - Army Corps of Engineers-Seawalls, Docks; Navigabie Waterways. - Departmen# of Health 8� Rehabilitative Services/Environmental Nea(th.Unit-Wells, Wastewater_Treatment, Septic°Tanks. . - US Environmental Pratection Agency-Asbestos abatement. -t , , ,� . � , � - Federal-Aviation�Autharity-Runways. ' � � � 1 understand that<the following:restrictions apply fa the use of fill: - Use af fill is not attawed in Fload Zone"V`unless expressly permitted. - If the fil! material is ta be used in Fload Zane "A", it is unders#aod that a drainage pian addressing a "compensating volume" wi!! be submitted at time of permitting which is prepared by a professiona! engineer � licensed by the State of Florida. - if the fill material is to be used in Flood Zane "A" in cannection with a permitted building using stem wa!! construction, I certify that fiil�witt be used only to fill the area within the.stem wall. - If fill-material is to .be used in any area,, t certify #hat use of such�fili will not adversely a�Fec# adjacent properties. !f use of�11 is faund to adversely affect adjacent properties, the owner may be cited for violating. #he conditions af_the building permit issued under-the attached permit application, for (ots less-#han ane {1) ' acre which are elevated by fill,an engineered drainage plan is requi�ed. � If I am the AGENT FC1R THE CIWNER;':I pramise in good faith to inform the owner of.the permitting conditians set forth in this affidavit prior to cammencing.corisfruction. 1 understand that a separate permit may be required for electrical work, pfumbing, signs, wetls, poots, air.condifioning, .gas, or otFier installa#ians not specifically included in the appiicatibn. A. permit issued shall°be construed�to��be a license�to proceed'wifh #he work and not as authority-to vioiate;.cancel, al#er, or set aside any provisions of ttie'#echnica!codest nar shall issuance of a permit prevent#he Buifding Official from ther.eafter requiring a correction of errors in plans,�construction or violations af-any codes. Every permit issued slia!! became 9nvalid unless the wark authorized by such permit is commenced.within'six months of permit issuance;or ff work authorized by the permit is suspended.or abandaned�for a period;of six(6}�manths.after the#ime the work i�commenced. An extension may be requested, in'writing, from #he Buiiding Officia! for a period,nat to eXceed ninety(90) days and wil( demonstrate , justi�able cause for the extensian. ,!f work ceases far�inety{90}consecutive days,the job is considered abandoned. WARNtNG`TO OWNER: YOUR FAILURE TO REC.O,RD,,A NOTICE OF COMMENCEMENT-MAY RESULT IN YOUR� PAYtNG TWtCE'FC3R tMPRt3VEMENTS,,TO YCi.UR:PROPERTY.. IF YOU.>.INTEN -T0-06TAIN�FINANCING,CON�aULT ' WlTH YDUR`LENDER� L ,A,N:'ATt'OR � -- F�i2�RE�t�R�?�TlG-YOUR NU �=OP�C��91�1�i CEtiifEi�T." FLORIDA JURAT(F.S.117. } � � � OWNER OR AGENT Y.�^��-�"CONTRACTOR � L�%�'`'�---..� Subscribed and swom' {or a befare me thls Subscribed and sworn to fH ed} re�me tfj is - .5�//.3//7 bY� L�_ .�5��l,�/� - by_ f .C� Who islare ersona({y kna to me or haslhave produced � � o�is/are ersonal�y known me or�Produc� ' ,/,2��;P�. as Identificatian. - �a�t L.� as fden�fication. �t�.��, -�I�.�1>, �Notary Publlc * Notary P.ubllc C mmissfori{Vo. �� .�'� � Commission No. ��L`�t,�"��,� � . �;�',P.,�- .��l�t.t� Gc�L��j ,��,3 � .�1� � ��, , ��-----_ Name of Notary typed,printed or stamped (Vame of Notary typed,printed ar stamped ... �.Y...... �: .. . .. � •• "''• t?FBRA�fA1NEF'tUrrc�� «r�-�'•s 4.-u�..•.......:.ti.... •- � `' � •r•��^t�n'1 GG 045343 "�'��'=Commission#GG 045343 �4' ' . . .. .. �. 7�� • • M1 .. .�i'i:'4�Cunj�{hnr�_��!}f} v ,•...::: -.F,7�}1`-! .. �'?:. . ,, �. � •r��}19 „�w�„*,�,�,r...rwa-.a+mt:.a.•�.«...ex:s.«_.n