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813-78MD20 City of Zephyrhills Permit Application Fa"13-78D-DD21
Building Department
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Date Received
Phone Contact for Permitting
Owner's Name /"(�f! 6i-�{/ Owner Phone Number
Owner's Address A Z V A_ vt, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
�( �
JOB ADDRESS 412 ., ( -,L✓/I r ry `' S+� LOT# I--«—�
SUBDIVISION / O PARCEL ID# OY—Ve —Z f`�7r/ 'r001W—001�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
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PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
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DESCRIPTION OF WORK ��' i7 �' /. /
Lee
BUILDING SIZE 3Q FOOTAGE HEIGHT
=BUILDING $ / VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ /
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 t
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=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDERF7
COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N
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Address License#
ELECTRICIAN F ! COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREIN I Y/N
Address License It
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N
Address License#
OTHER COMPANY ,
SIGNATURE REGISTERED Y FEE C RREIN I Y/N
e
Address License# / /
IIIIrI111111111111111I1 ( 111 ,IIIIIIIIIIIIIIII1111111;11111111;11111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build 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/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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.
""PROPERTY SURVEY required for all NEW construction.
Direct] ITS:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
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Agent(for the contractor)or Power cf Attomey(for the owner)would be someone with notarized letter from owner authorizing some
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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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 undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
9D-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION,LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and band development. Application is
hereby made to obtain a permit to do work and installation as indicated.- I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions 1 must take to be In compliance. Such agencies,include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment-
SouthwestFlorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an 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 conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools,air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 BTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD NG YOUR N _F!COMMENCEME T.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this subscribed and or a ed)before me this
by by
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
31116 ELOIAN DRIVE, Date: i t Contract#: 0 Q Q 6 7
WESLEY CHAPEL, FL 335445 �i�
Tel. (813)907-9877 Hm: �3 13 7"02 77
Fax. (813)994-7$27 4 r, k/11'3%2• —"C'z Fax: i
Email:service@bigdog€ence.com Email:�, j4/ it =d:'n1 J -ilk Ski .1.C(ir!'1
WwwNgdogfence.corn No/Cut#:
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PRa OSAUCO TRACT
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Mailing Add:�ci rl.� � IA�� t-' 10�� A01 City ' n�/r�1 i�5 State Zip s
Job Site Add: SQL City State Zip
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Cross St: Lot it o Block Property Owner. Yes !No
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Permit Fee.. .... . _ ........ .. .$ Mmrth year 3dplffit a SMISZipCme
3%Credit Card Process Fee... ..... .$ El
Total Price...................S 3�21 EXAI U- One I
50%Down Payment. .. .. .. .... . ..S' Cln
Credit Card
Financed Price...... ...........S _ rrzed Si to
Balance Due on Completion.,.... ..$ La �'T Date
ante goad for 30 days.This Propasad shalt become a binding contrail Alp
upon acceptance.See Reverse Side For Contract Terms.
Seiler:B' D n ertt: _.• .. _ _ ;' a
611
RECORD SURVEY (FINAL) S£C, 05 Tvvp RING—ji—E.
LOT 8, BLOCK 2
StLVERADO RANCH SUBOMSIO.-M PHASES 2. 3 & 4 NORTI4 2WROMY UP W%O=CS-26-2:-MKC-N=MOIl rl
PASCO COUNTY, FLORIDA. DIM Ej.Tay IS VJMCT TO AJ.Y FACTS THAT
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UlAr4G AREA: 100-29'
GARAGE.AREA, 99.7V
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LOT 8, BIWA 2, hijp OR PLAT ENTITLED "SVERADO RANCH %IORTH AMERICAN Vr--RTICA!-
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:3COK 73, PAGES 59 THROUGH 66, OF THE PUBLIC RECORDS
OF PASCO COURrf, FLORIDA. I
AFFp3jjN--fFLOOD HAZARD ZO,Nn 'x- cOmmUNITY PANEL N;O. 120230 0455 D EFFEC111VE DAM. 09/30/1992
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NOTICE OF APPkOVAl.
March 13,2018
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MHL Florida LLC
103 Foulk Rd.Suite 900
Wilmington DE 19803
RE:36124 Stable Wilk Ave
Dear MHL Florida LLC
Congratulations!The request for an architectural change,as described below,,has been approved.
Fence
The ARB to install a fence is APPROVED subject to the condition that the fence is not erected less than 15
feet back from the front corners of the home.
Please ensure the$25.00 fee is remitted within 7 days of the date of this notice.Feel free to utilize the
online services offered to you through your communities'portal for payment.
The HOA reserves the right to make a final inspection upon completion of the approved changes to ensure
compliance.Please be advised that any modifications of the original request will require an additional form
to be submitted.
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Please remember to adhere to all local building codes and setback requirements.If a building permit is
necessary,it is the responsibility of the applicant to obtain.
The HOA approval is based solely on the aesthetics of the proposed change. This approval should not be
construed as a certification of the structural integrity of any construction. Be aware that it is the
responsibility of the applicant to contact the appropriate utility companies prior to digging.
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Sincerely,
John Atwell
Community Manager
On behalf of Silverado Ranch North Homeowners Association, Inc.
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