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HomeMy WebLinkAbout18-20391 CITY OF ZEPHYRHILLS 5335-8TH STREET -_ (813)780-0020 20391 BUILDING PERMIT .PERMIT INFORMATION,: LOCATION.INFORMATION Permit Number: 20391 Address: 5931 GALL BLVD Permit Type: COMMERCIAL ... ..` ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0020-00000-0050 Improv. Cost: 93,750.00 OWNER INFORMATION Date Issued: 10/31/2018 Name: ZEPHYR II LLC Total Fees: 765.00 Address: 14524 N ROME AVE Amount Paid: 765.00 TAMPA, FL. 33613-2029 Date Paid: 10/31/2018 Phone: Work Desc: DOLLAR GENERAL SHELL ONLY*******"*****-TENANT SPACE NO MEP CONTRACTORS APPLICATION FEES VARI CONSTRUCTION LLC BUILDING FEE 765.00 Ins ections Required FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING 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. 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTARACTOR SIGNATURE PERMIT OFFICgR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER p.fCttSIBB 662 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: f D— Site: 15-9-5 l � 6 C. (� Permit Type: Dv C la,, Approved w/no comments:❑ Approved w/the below comments: L Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. vin wi zer Tlans Examiner Date Contractor and/or Homeowner (Required when comments are present) ck) City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: �� Site: -G G� Permit Type: 1� Approved Who comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ 7T1- This comment sheet shall be kept with the permit and/or plans. Gew - qr Safety Officer Date Contractor and/or Homeowner (Required when comments are present) '813-78U-UU20 city OT Lepnyrnms vermit Hppitcazion raxro�r�ou-wc i Building Department Date Received Phone Contact for Permitting - I I a 1 0 ff 0 v a a a a n I... I I I I I I I.F—r-117 Inv a a cal Is a a I I Nil- Owner's Name Zzobvr L L� Owner Phone Number 613 -531-0(0307 Owner's Address -7// 'vl[iy.� O 1j E' * Owner Phone Number Fee Simple Titleholder Name I-s-sne- Owner Phone Number Fee Simple Titleholder.Address I 7 w&C JOB ADDRESS -!3 LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ElEW CONSALL � REPAIRT j/�� SIGN Q Q DEMOLISH PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION �_ LBLOCK Q FRAME Q// STEEL Q ,1 DESCRIPTION OF WORK �`p9iy �� GIC ��/td1.r lc,,o , -S U UA y BUILDING SIZE I 1371 -1 sf.. SO FOOTAGE HEIGHT I ;z 'h+' BUILDING 1' (731 VALUATION OF TOTAL CONSTRUCTION QV� =ELECTRICAL $ MP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V3 =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LILN Address License# MECHANICAL ` COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr, Y/N• Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address License# 11111111.11111111111111111111111111111111111111111111111111111111111 RESIDENTIAL 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 COMMERCIAL 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. ****PROPERTY SURVEY required for all NEW construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is-require& (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 (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 ,.--NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may 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 IMPACT/UTILITIES 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 90-07, 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 I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's 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 land 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 I 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, Water/Wastewater Treatment. - Southwest Florida 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY—BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.0 /YV OWNER OR AGENT I CONTRACTOR S bscribed a d sworn to or affirmed)before Tne this ©— Subscribed and sworn to(or affirmed)before me this Sr -. a0 t A-4 J 6rs by Who ar personally known tome has/have produced Who is/are personally known to me or has/have produced as identification. as identification. y Notary Public Notary Public Commission No. (� lJ I o�31 3 Commission No. Name o of ed,K*4p#mslRW@*l0ridQ Name of Notary typed,printed or stamped Marcia A Comelison My Commission GG 123473 Expires 09/11/2021 ,queline Boges om: Mark Ayer<ayermark@gmail.com> ,ent: Monday, September 24, 2018 2:44 PM fo: Todd Vandeberg Cc: Jacqueline Boges; Bill Burgess; Gail Hamilton; Craig Cornelison; Ibmanske@lbmanske.com Subject: Re: Zephyr Plaza Todd I have given a green light on all of the front site improvements so those should take place here by year end. We just need to address perimeter parking as Sunrise opens as we discussed. Thanks again for keeping this moving. Mark Sent from my iPhone On Sep 24, 2018,at 2:33 PM,Todd Vandeberg<tandeberg@ci.zephvrhills.fl.us>wrote: Bill, To follow-up our meeting today. Planning/CRA are ok with interior renovations proposed for the two new locations in Zephyr Plaza and it would not be necessary from our end to perform/sign a commercial check. I spoke with Mark Ayer and he said to get these to the appropriate individuals, signed and return would be time consuming. If Building is ok with review of the plans I will inform Craig's office to resubmit the interior plans to the Building Dept. Mark,On a side note we do need to know the timing/schedule of the remainder of the site improvements(ie perimeter buffer and parking lot enhancements, etc.) Thanks, Zephyrhills 2 ' <image001.jpg> Dodd H. `Vande Berg Director of Planning Planning Department City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Phone: 813.780.0006 Fax: 813.780.0005 vandebere@ci.zephyrhills.fl.us 1 I 4 COMcheck Software Version 4.0.8.1 Envelope Compliance Certificate Project Information Energy Code: 2017 Florida Building Code, Energy Conservation Project Title: Dollar General Shell Location: Zephyrhills, Florida Climate Zone: 2a Project Type: New Construction Vertical Glazing/Wall Area: 4% Construction Site: Owner/Agent: Designer/Contractor: Mark Ayer Lee Manske Zephyr LLC L.B. Manske Architecture&Design, 7162 Reading Road Inc. Cincinnati,OH . 2422 N. Rutgers Court ayermark@gmail.com Wichita, KS 67205 316-749-5873 Additional Efficiency Package(s) Ibma,nske@lbmanske.com .High efficiency HVAC.Systems that do not meet the performance requirement Will be identified in the mechanical requirements checklist report. Building ding Area Floor Area 1-total net area(Retail) :Nonresidential 13754 Envelope Assemblies Assembly Gross Area Cavity Cont. Proposed Budget U- or R-Value R-Value U-Factor Factori.) Perimeter Floor f:Slab-On-Grade:Unheated,[Bldg.Use I -total net area](c) 345 -- -- 0.730 0.730 Roof 1:Attic Roof with Steel Joists,[Bldg.Use I-total net area] 13754 38.0 0.0 0.035 0.027 EAU Exterior Wall 3:Concrete Block:6',Solid Grouted,Medium Density, 1448 0.0 5.7 0.111 0.151 Furring:Wood,[Bldg.Use'l -totafriet area] Window 1:Metal Frame with Thermal Break:Fixed,Pert.Specs.: 40 0.500 0.500 Product IQ WA,SHGC 0.25,[31dg.Use I-total net area](b) Window 2:Metal Frame with Thermal.Break:Flked,Pbrf.Specs.: 40 0.500 0.500 Product ID WA,SHGC;0.25,[Bldg.Use 1 -total net areal(b) Window 3:Metal Frame with Thermal Break-.Fixed,Perf.Specs.: 47 ... 0.500 0.500 Product ID N/A,SHGC 0,25,[Bldg.Use I -total net area](b) Window-4:Metal Frame with Thermal Break:Fixed,Perf.Specs.: 47 0.500 0.606 Product ID N/A,SHGC 0.25,[Bldg.Use I -total net area](b) Door 8:Glass(>50%glazing):Metal Frame,Entrance Door,Perf. 47 0.600 0.830 Specs.-Product ID N/A.,SHGC 0.2.5,[Bldg.Use I -total net area](b) Exterior Wall 1:Concrete Block:8",Solid Grouted,Medium Density, 2432 0.0 5.7 011 0.151 Furring:Wood,[Bldg.Use 1 -total net area] Door 1:Insulated Metal,Swinging,[Bldg.Use I -total net area] 21 — -- 0.350 0.610 Door 2s Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 0.350 0.610 Door 3:,Insulated Metal,Swinging,[Bldg.Use I-total net area] 21 0.360 0.610 Project Title: Dollar General Shell Report date: 09/20/18 Data filename: D:XDropbox ll\Dropbox\LBM2018-ZH—Dollar-FL-Zephyrhills-WF\Dollar General Shell.cck Page I of 10 F Assembly Gross Area Cavity Cont. Proposed Budget U- or R-Value R-Value U-Factor Factor(a) Perimeter Door 4:Insulated Metal,Swinging,[Bldg.Use I -total net area] 21 --- 0.350 0.610 WEST Exterior Wall 2:Concrete Block:8",Solid Grouted,Medium Density, 1472 0.0 5.7 0.111 0.151 Furring:Wood,[Bldg.Use I -total net area] Door 5:Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 --- --- 0.350 0.610 Door 6:Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 0.350 0.610 Door 7:Insulated Metal,Swinging,[Bldg.Use I -total net area] 42 --- ... 0.350 0.610 (a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements. (b)Fenestration product performance must be certified in accordance with NFFIC and requires supporting documentation. (c)Slab-On-Grade proposed and budget U-factors shown in table are F-factors. 'Envelope PASSES-,De§jgn •' batter than code Envelope Compliance Statement Compliance Statement: The proposed envelope design represented In this document is consistent with the building plans, specifications,and other calculations submitted with this permit application.The proposed envelope systems have been designed to meet the 2017 Florida Building Code, Energy Consery,affon requirements i COMcheck Version 4.0.8.1 and to comply with any applicable mandatory requirements listed in the Ins i ecklis lee, d M-'t'45ke— 1-kC.4;1-e,-i- �7;? 7 Name Title SlVfature Date Project Title: Dollar General Shell Report date: 09/20/18 Data filename: D:\Dropbox 111Dropbox\LBM2018-ZH—Dollar-FL-Zephyrhills-WF\Dollar General Shell.cck Page 2'of 10 f LB I AlAmKE AR)C t-fmTeCTwp.0 I DC—Isfc N 2422 N.Rutgers Court L. B. MANSKE ARCHITECTURE&DESIGN,INC. Wichita,KS 67205 Office:316.749.5873 Mobile:316.841.3174 Transmittal Date: September 20,2018 Job Number: 17036 Project Name: Zephyr Plaza, Gall Blvd.,Zephyrhills, FL To: Mr. Bill Burgess City of Zephyrhills Building Department 5335 8`Street Zephyrhills, FL 33542 (813) 780-0020 We are sending these by 0 U.S.Mail ❑.FedEx ® Hand Delivered by ERV ❑Other: We are sending you ®Attached Under separate cover the following items: Shop Drawings ®Prints/Plans Samples Specifications ❑ Change Orders ®Other: Copies Date No. Pgs. Description 2 sets 9/18/18 11 Plans for Dollar General (shell only) 1 9/20/18 2 Building Permit Application for Dollar General 2 sets 8/1/18 3 Plans for Buddy's new location (shell only) 1 9/20/18 2 Building Permit Application for Buddy's These are transmitted as checked below: ® For your use ❑ Approved as submitted ❑ Resubmit Copies for approval ❑As requested Approved as noted ❑ Submit ❑ Copies for distribution Remarks: These plans are being submitted for review. If you have any questions,please don't hesitate to call. Thanks. Copy to: file Signed ee B. Manske,AIA, NCARB CITY OF ZEPHYRHILLS, FLORIDA 5335 8TH STREET TEMPORARY CERTIFICATE OCCUPANCY NAME: Vari Construction DATE: January 9, 2019 ADDRESS 5931 Gall Blvd PARCEL I.D. 10-26-21-0020-00000-0090 SUBDIVISION : City of Zephyrhills TYPE OF BUILDING : Dollar General PERMIT'(s) 20483 20393 20391 REMARKS : Stocking shelves 30 days Inspection : 1/9/19 BILL BURGESS BUILDING OFFICIAL/ JB City of Ze�hyrhillS Uniform Notice of a Low-Voltage Alarm System Project Owner's/CustomerName Dal her (:e gruel #20579 Address_ 5919 Gall Blvd City Zephyrhills StF_]`_zip 33542 Phone E-mail Contractor Stephens Electric LLc Lic.#F.Cl 100659 Address 12270 US HWY 301N city Parrish St FL zip 34219 Phone 941-9R1-3999 DateProjectComplete Scope of Work / I on �( Signature: IU Owner or tenant or c or or authorized representative Notice is hereby given that a low-voltage alarm system project has been completed at the address specified above.I certify that all of the foregoing information is true and accurate. 1011/13 section 553.793 FS 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 Buiding Department Date Received ` Phone contactfor Permittingg — 'T T_T T T.T i""T" - T'Y'T.7 Owners Name"' ,r Owner Phone Number ('� Owners Address ( On rd Owner Phone Number Fee Simple Titleholder Name, Owner phone Number Fee Simple Titleholder Address 11 JOB ADDRESS LOT# " SUBDIVISION. PARCEL tD# (OBTAWEO FROM PROPERrYTAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT = SIGN = = DEMOLISH e - ' INSTALL REPAIR PROPOSED USE 0 SFR _ 'COMM OTHER TYPE OF CONSTRUCTION" "= BLOCK _: FRAME STEEL = DESCRIPTION OF WORK• r Q 'e BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION JZIELECTRICAL $ jj . NJ AMP SERVICE- Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING S =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 'Q SPECIALTY= OTHER FINISHED FLOOR ELEVATIONS. FLOOD ZONEAREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN 'Y/N ` Address License# ELECTRICIAN COMPANY tCeItL Q.�. SIGNATURE REGISTERED N I V FEE CURREr, I Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I YIN FEE CURREI, YIN Address License# " MECHANICAL;, COMPANY SIGNATURE REGISTERED I YIN FEE CURREr. Y/N Address License# OTHER COMPANY. SIGNATURE• REGISTERED I Y/N FEE CURREN Address License# 11 ('i11.1lirhJeL.1If=1tfl,r.f IIII ilvill.111,46ifli.t111 fill 11111.11111Itflli1 'RESIDENTIAL,' Attach 12X Plot Plans;(2fsets of Building Plans;(1)set of Energy Forms;R70-W Permit for new construction, , Minimum ten(10)vroddng days after submittal date. Required,onshe,Construction Plans,Storrnwater Plans w/Slit Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsffarge projects " COMMERCIAL 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 onsile,Construction Plans,Stormwaler Plans w/Silt Fence Installed, Sanitary'Facilities&1 durnpstdr.bite Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for a0 NEW construction. Drrectfons: FRI out application completely. _ Owner&Contractor sign back of application,notarized ` If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would hue someone with notarized letter from owner authorizing same bVER THE COUNTER PERMITTING (copy of contract required) Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) Drlveways=No[over Counter if on public roadways..needs ROW 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 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 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 iMPACT/UTILITIES 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.Ordfnance number 89-07 and 90-07,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—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and ConsumerAffairs. 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 land 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 I 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,Water/Wastewater Treatment. Southwest Florida 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 Agericy-Asbestos abatement. , Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of till: - 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 fKviolating 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,orother.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 permitprevent the Building Official from thereafter requiring a correction of errors in plans,construction&-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 fora 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 TWICkFOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER!)R AN ATTORNEY BEFORE RECORDING YOUR N TIC `OF COMMENCEMENT. FLORIDA JURAT(F.S.117M) OWNER OR AGENT CONTRACTO Subscribed and swom to(or affirmed)before ale this ubsw y swoin efii ad)b m this' by by Who israre personalty known to me er hasthave produced Who rsrare personalty known th ma or a av rodu asiden6fication. �'IV_ �1. M'r•n _-as idehtificaliort Notary Public rn t _ "00 t, Zvi ISSIOM#FF993957 Commission No. ommission No. 'Al.� --- {�(RES Mej/18,2020 4 idalloinryServico.com. Name of Notary typed,printed or stamped Name of Notary type ,pnnted or stamped t •