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HomeMy WebLinkAbout19-21354 CITY OF ZEPHYRHILLS 5335-8TH STREET =. (813)780-0020 21354 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21354 Address: 5430 16TH ST Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 11-26-21-0010-14700-0170 Improv. Cost: 8,500.00 OWNER INFORMATION Date Issued: 6/10/2019 Name: INGRAHAM JOAN Total Fees: 85.00 Address: 5430 16TH ST Amount Paid: 85.00 ZEPHYRHILLS, FL. 33540-3041 Date Paid: 6/10/2019 Phone: (813)469-7980 Work Desc: CONSTRUCT GARAGE 24 X 26 SQ FT W/ELECTRIC-AMOUNT LEFT FROM BP#17777 CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 85.00 HOMEOWNER ELECTRICAL FEE 0.00 o /4 �!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 renspection,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. c:. --GoreRK&OR SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \13-780 -0020 City of Zephyrhills Permit Application Fax 813-780-0021 Building Department j ved Phone Contact for Permitting ..L....... — F,i/e Name O ry(, Owner Phone Number Owner's Address 6T Owner Phone Number 7�f�fjly�J,l/� FL Owner Phone Number JOB ADDRESS 4J / LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL DESCRIPTION OF WORK a6oIN BUILDING SIZE ;Z SQ FOOTAGE= HEIGHT BUILDING $ ¢ �� O O I VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ 0 AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. =PLUMBING $ ( � - 2 1 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY '(D74(—e SIGNATURE "� "� `�"� �`� REGISTERED Y/ N_J FEE CURREN Y/N Address License# ELECTRICIAN COMPAN 4"/ Du��J�r SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# t OTHER COMPANY 11 SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F 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 required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone,#ith notarized letter-from owner authorizing same OVER THE COUNTER PERMITTING . :,(copyof,contract i6quired) Reroofs if shingles •.Sewers •Service;llpgradesA/C `;;Fences(Plot/Survey%Footage).:; - Driveways-Not ovgr Counter;if-on public.roadways:meeds:ROW 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 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 W" 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. 117.03) OWNER OR AGEU CONTRACTOR — ub�®i��ands r t Dffirmed)bef a me this Sy�bspri��and by orn t or aff ed)before a this ,IAZ6 /O� Who is/are ersona nown tc me or has/have produced Who is/are perso6all nown me or has/have produced as identification. as identification. &, Notary o Notary Public Public C iss' No. LINE64GSS L Co ssio o. •�'�'� _• ;; caramlaa Name of Notary typed, aer�mGgr1�202Z Name of Notary e �§,, ;.'; ommission#GG 276457 6M Thru PrcyFein insuienya "` Expires December 12,2022 QOi1>386.7019 :�jF P" 80r"Tluu Tray Fain Insurance w,%&7o19 CITY OF, / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRE D T PERMIT f S4 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. i wc "q ,g- ZJ d 5;d,'el,4 I�(f rJI Pei 6C iZ 41( ShaY 6e It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR ��� CITY OF ZEPHYRHILLS f 5335-8TH STREET (813)780-0020 e"17777 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17777 Address: 5430 16TH ST Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 11-26-21-0010-14700-0170 Improv. Cost: 6,300.00 OWNER INFORMATION Date Issued: 9/28/2016 Name: INGRAHAM JOAN Total Fees: 157.50 Address: 5430 16TH ST Amoi int Paid: 157.50 ZEPHYRHILLS FL 33540-3041 De to Paid: 9/28/2016 Phone: 813-469-7980 Wok Desc: CONSTRUCT GARAGE 24 X 26 CONTRACTORS APPLICATION FEES HOME WNER BUILDING FEE 97.50 HOME WNER ELECTRICAL FEE 60.00 1 I" 2 FRAME Inspections Required SHEATHII IG FINAL REINS 31ECrION FEES: (c)Wlth respect to ReinspedUon fees will comply with Florida Statute 553.80(2)(c)the local I overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever Is greater,for each such subsequent reinspection. NOTI : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b 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. "Wai-ning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comp ete 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. CONTRACTOR SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . � IIIilllllllllllllllli1181111lIIIIIIIIIIIIIIIIIIIIIINIIIIII ' 2016148804 Rcpt:1802257 Rec: 10.00 r DS: 0.00 IT: 0.00 09/20/2016 E. M. , Dpty Clerk )YO,iZCE OF COMMENCEMENT PAULA S O'NEIL,Ph D PASCO CLERK S COMPTROLLER 08/20/2016 43 , of I 2128 OR BK i� FG Pemdt No. Property IftfificationNo. J•�'.�lw -- ,2/— /)�O — 7 Q Q Q( 7 TM UNDI$tSIGNED hereby give iofarms you that the improvement will be made to certain real property,and in accordaaee with Section 713.13 of the Florida Statutes,the following information Is provided to this NOTICE OF COMMENCEMENT. 101Mescriptionofproperty(legal docrlptlonr) M tI—VW-r &eU Z(as/jt Z( r3T a)Street Address 9 2.(f6eml desmiption ofimprovements: Owaerhdosmtttian _..� a)Name and address: b)lime and address of bee simple titleholder(if other than owners) O e)Interest in'property 4.Contractorinformation -� a)Name and address:S tG to "(�(•( J zux FL 37 b)Telaphona No.: b) 5smoty Iafottneuon a)Name ead'addrew: i b)Amount ofBond c)Telephone No.: Fax No.(Opt) 6.fender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other doemnprts maybe served:- a)Name and address- b)Telephone No.: Far No.(Opt.) i g.In addition to hhascK owner designates the following person to recoive s gopy ofthe Lienoes Notice as provided in Section i 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt) 91Srpwtion date ofNotice of Commencement(the @Virt#on date ht one ybar from the date of recordlag rudnss a diSeteat detoris GJ • WARNING TO OWNER: ANY PAYMENTS MUDL BY THE OWNER AFTER THE M(PIRATION OF TEM NOTICE COMMENCEMENT ARE CONSIDERED IIVIPROPER PAYMENtS UNIbER CHAPTER 713,PART 4 SECITON 713.13 FLORWA STATUTES,AND CAN RESULT IN YOUR PA'11'II4G TWICE FOR IMPROVEMENTS TO YOUR PROPER A NOTICE OF COMM 4pZMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TH8 F71LST � � � ONO � IU6 INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFO a Q COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ^a . STATZOFSUOMA / // A COUMYOFF [�1 ASCO A( 40 7 �► a! 51 olOvou orgxna'a aired Dffioc/D6eaw/PaMa/M®eger �� 0 D�PtmtNeme rnW�� WLLI Thgoilrg ig9<rumantwes acimowledged befom me this� dey of 20�by O S J U _JJ 0 Qrt �J+tAtwhA+e+ es (type of authority,e.g oi6eer,husteq ettomry 5 F- J in fact)for (name ofparty ou behalfof om lnsu=eat exec a O O— O., C7p=W Personally Known_OR Produced Idendficatioq_ Notary Signature 0 O LU Z J D 1}- W u. It U U Type of1dmti6cationProduced Name(print) a`-�1KG// a KJ Z OO � �>-WLL H a Veriffeadon pursuant to Section 92M5,Florida Suduics.Under penalties of perjury,I declare that I have read the foregoing and that V S V(3 0 W the thcts stated in it are true to the best of my lmowledge and belle£ Q t— �J t»-Ump tLV FORM&NOCASOW SWmuue aNaeaal Yemen SWft Above Q a Er�Q }O W - WOO= az ; "''•,£ JACQUEME BOGES �OU tY } O Commission#FF 150422 O H z O pj pd Expires December 12,2018 LU cn¢ w g '�.1 ;n ' sma,aTnn,r�araoniaaeeee.eoo-aasrota f— W M Z O a Co. i I s1 780-OOM City of Zephyrhilis Permit Application Fax-813.780-W21 a Building Deparbnent Date Receive d -2-o-f Phone Contact for PermUtin — Owners Na a Owner Phone Number ne Ownees.Add vuss Owner Phone Number Fee Simple holder Name Owner Phone Number J Fee Simple 7 tleholdar Address JOB ADDRO S LOT# SUBOMSION PARCEL ID# (OBTAINED FROM PROPERTYTAX NOnCq WORK PROF IOSED - INSTALL CONSTR ADD/ALT SIGN 0 = DEMOLISH = INSTALL V REPAIR PROPOSED LISE ® SFR [] COMM 0 OTHER' TYPE-'OFCONSTIkUCTION iL—'J BLOCK Q FRAME STEEL Q DESCRIPTIC WOF WORK sK / BUILDING'SIZE SO FOOTAGE HEIGHT I —J =BUILDING IS O M VALUATIOMOF'TOTAL CONSTRUCTION o W =E CTRICAL$0 $ Q�,O AMP SERVICE = PROGRESS ENERGY///��� Q W.R.E.C. =PL MBINO $ /', r t ( 7 = CHANICAL $ VALUATION OF MECHANICAL INSTALLATION- /p�V =G S ROOFING 0 SPECIALTY = OTHER K(fr—f 7 T FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER '•r)COMPANY C.. SIGNATURE E REGISTERED Y!N FEE CURREN Y!N AddrewrLicenses ELEC.TRICI 1V�1 l!C COMPANY 191we, �- SIGNATURE I REGIsrErtED Y/N FEE CURREn I Y/N Ucense# PLUMBER.,. COMPANY SIGNATURE RED, I Y/N FEE CUIUM Y/N Addmss Ucense# MECHAkiCP COMPANY SIGNATURE REGISTERED I YIN FEECURREn I Y/N Ad&dsi License# 07HER" 'F COMPANY •SIGNATURE REGISTERED I YIN FEE CURREA LILN Add►es.•. License# `REBID.- •- i4ttaci�(2�PIotElarisi.'-Iij safe$f$irlld0ig Plsns (1)set of EtrergyF'orms;R O W Per(nO.for nev/.eonstructlon, Arilmum t n'.00)WcjMhMdaye after.submlttel.date. RegdIred'brisite.Constnietion Plans,Stonmwater Plans w/SIR Fence Installed, r "tary FpcIN k&!4,.dumpster SIte;Wgrk Permit1or•.subdivlsidns4arge•proJebts COMMERC I Attaeh12)-oo6plete eats&BuknAg Plana plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. MWmum ten(10)working days after submMW date. Required onsite,Construction Plana.Stormwater Plans w/SIIt.Fance•Installed, Sanitary Facilities&1 dumpster.Site Wortk Permltfotall new projects.Ali commercial requirements must meet compliance -SIGN PERmiT Attadi(2jiWtsof-Engineered Pians:.• ""PROPERTY St1RVEY requlr.ad for ati.NEW.construction. '=Directlorrs:. .. . Ril'outa 2plicadoncompletely. Owner -Contractor sign back of application,notadzed ! If over 00,a Notice of Commencement is required. (AIC upgrades over$7500) Aggerit( rthe•contiactor),orPower'of Attorney(for'the-owner)would-be someone with notarized letter from owner authorizing same 'OVER,THE COUNTER PERMITTING. .(copy of contract-required) Ratoofs If shi les Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) - t Dd. of over Counter H on p1360c ioedj3vQs.'rieeds;RUW NOTICE OF DEED RESTRICTIONS: The undersigned underatands.that.thig.permit may be-subject tn'deed"restrictiort's r' which maybe:more:restNctive•than:County:reguiatioris::Tlie iinderstgried>assumes'fe$ponsttitl lyfcrici�mp"11'ni `with any`"' applicable•deed restrictions. __.;:•:-_�;; UNUCENS,Ep:CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: f file owiaer hes hire#=a contractor.or contractors to undertake work,they may be requl, d.to be!lioensed in accordance with state aad iocat,regulationsc•<i€flier-? contractor Is not•Ilpensed-as,requb d by'Iaie, both the owner -.—K y"tie-•citedRfora•riilsdemeeanor violation under state law. If the owner or Intended contractor are Oncertain as to what licensing,requirements maysapptyfor tile.: Intended-work,they areadvised to cordaat'�fie Fja'sco Courity Builalhp Inspectlo i`Division--"Canting Section At 727.U7- 8009. Furthermore,-if the owner has hired'a ddntractor or contractors, he is advised to,have the con s;sf n portions of the"contractor Bock"of•this application for which they.will..be-responsible,-If.•you,as,tlie'ijvirfier'sI` as the" contractor,that may be an Indication that he is not properly licensed and'fs not'eritltjetl to permitting privileges In t?aca County. _ , TRANSPORTATION.IMPACTIUTILITIES IMPACT AND-RESOURCE RECOVERY-FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees mayappiy to the con-trunnion of.new buildings,Cliarige o'f r' '; use In existing buildings,or expansion.of-aftling buildings,as specified In Pasco County Ordinance number 89-07 and- 90-07,as amended. The undersigned also understands;9W such.fees,as-may�be due,will'be'Identified aLttils:;imhof"." permitting.'it Is further understood that Transportation Impact Fees••and I�esourcooRecbvery Fees must be pail prior to receiving a"certificate of occupancy"or final.power release. If the project-does not involve a cerlificate of occupameytor:'.. final power release,the fees-must be paid prior to permit.Issuance. Furthermom,ifiPasco Comity Wa we ter/Ser lopact,�.. fees are due,.they must be paid prior3o•peank issuance In accordance Wlth•applk�ble.Pasce.County ordlnances. CONSTRUCTION-LIEN LAW(Chapter713;Florida Statutes,as amended): if valuation of work is$2,M,.00,gr•morg,l... certify that I, the applicant, have been provided-with-a copy.of tfie 'Florida.Construction..•Llen..l.a m Homeowner's-µ Protection Guide"prepared by the'Flodda Department of Agriculture and Consumer Affairs. If the applicant.'N someone other than the'owner",I certify that I have obtained a copy-of the above descrftied-bocumentand•pRmise in,gpiz"Oti to• , deliver ft to•the°owner"priorlo commencement CONTRACTOR'SIOWNER'S AFFIDAVIT;;.l.certify that.ali the information in this application Is accurate and'that all work will"be done in compliance with all applicable laws regulating construction,zoning and Iand deveiopmenL Application.is hereby made to obtain a permit:to'do work and installation as Indicated. I certify that no amark or.1-ristalllatl6m-has commenced prior to issuance of a pemiit 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 irf'the Jurisdiction: I-also certify that•1 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 Iimltedto: 'Deparbneht-of Environmental Protection-Cypress Bayheads,Wetland Areas and Ehvironmentally Sensitive Lands,'WaterMfastawater Treatment -Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health &'Rehabllftative Services/Environmental.Health Unit Wells;•Wastewater Treatment; SepiftTanks. - US Environmental Protection Agency-Asbestos abatement Federal.Avtation Authodty-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 bythe-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 maybe cited for violating the cmndittons of tile,building permitJssued 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'edristrubflon. I understand"t a separate permit may be required for electrical work,. plumbing,signs,wells, pools, air conditioning, ges,.or other if&IIations not specifically included in the application. A permit Issued shall be construed to be a Iloen'se to proceecr-Wth the work-and-not as authorityto,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'permltissued 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).rhortths.after the time the work lebommenced. An extension may be requested,in writing,from the Buildirig'Official for a.period-not to•-exceed•ninety(00)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.RECgQ.RD A•NOTICE-OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE.FOR,IMPROVEMENTS.TO YOUii.PROPERTY..IF Y00ANTEND°T0 0BTAiN!FINANCING,CONSULT _WfTH YOUR•LENDER OR AN ATTORNEY BEFORE•RECORDING YGUR•NOTICE OF-COMMENT EMENT FLORiDAJURAT(F.S.117.03)-- - -- -- -- - — ---- — — - — -- -- OWNERORAOENT J� CONTRACTOR bslxib and swo % atAnne before me Sum beD and swum to( rmad �re fhfby as AA � i Whor lalare pgTsonel y�lmown to me or fras/have produced " Who��(are I' Iqfown to me or has/have produced F'•G�D2 iA&s CP.WE es id8nN8mtion, L tJ/.a nl firs LekE+il� as IdentlBcatlon. Notary PubBc UI Notary Public isNo n No Name N Name of N L99 OWAOGES Commission#FF 150422.. ` ,.? Commission#FF 150422 Expbees December 12,2018 i Expires December 12 2018 "�`` BonGelrbuTm7fiafomaioF003A7019 BaKWnwhgFJnln�nelOD�17TGU �,_ fi S�ETCH OF SURVEY TYPE,1OFSURVEY.•BOUNDARY ' LOT ' 3t1 Q' 19 a> SLOCK'14r Y LOT 19' + 140.00' (A) ay S8956'46"E 139.65' (M.) N j FD: BL 'KWr �r4E rIz•LR �► 10. 1/2 i.R. -i ax - 9 - 10.11 LOT LOT /p fop O IG ;Qtj p F 1 AY99'�' QED �l u c: BLQCK`14T' co LOT cn LjT 17 4 BLOCK°14T 9 s'N.-N-k.^ _,,9.5x BLOCK'14T' . Fa 112'LR. �59V I.9'N]; 209N �f M WEST(ASSUMED) 14a w (M) AUE'Y 2° 112'1 R- 0 'For LR. B.R. 140.00' P. (DIRT) 19' LOT LOT LOT LOT LOT LOT 13 12 11 BLOCKY4T BLOCK'14T BL X'14P' BLOCK'147' BLACK'147, BLOCK1147 jaw . lY t Legal Description: Lots 17 and 18, Block 147, TOWN OF ZRPHYRHILLS, according to the -plat thereof, recorded in Plat Book 1, Page ._ 54, of the Public Records of Pasco ' 3a o is 30 County, Florida. 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I If THISSW&-YORK SNOWARWIMBABTOTFEA=RAOYOF E THEABOVE NFORMATIML R E SUGOESTWMTAFLAODZONEOEIFJNENA710N EEVERlFWFROMMCOUNSYINNMIGHTHESLWECr PROPERTY LIES. i7V H7MFLWROAAA(SYRS7RATNEOODE&417.RS2(?XVFLOCAMVOF Fit6FdomoRRf iff-•Qr-WAYOF&mw ongRymNTFIQ ayREwRop IT 7HISSURIeZYSIMTCHISC0PYRIGWEDMTERW.® ISRE=tEA.Tmsw091GiTR7M1AR1STBEFUova5 EDTDT1Es(MVEYORANDANPPEN SHIC 1 OF 1 9eouqu 11, Township 26 South, Range 2t But SURVEYA4'SCfRTM4770N Drawn By.0.8. Survey Number: 15-0709 1 nffUA®ERS/liI6:DREGM7EAWSVRVE lfi9E8rM79PyTMT?WV CLWWk tisFWFARE0 4 LMERAfrDAECTSUFMWWVAMTNATM7?EMrOFAfYIOYOHSeW OIff01g1A TOVAM 3 1 EMMAnWAMACCEAMPRU MAMNOFAEARM .1 &VWNME?WCW. 2 ! LASMATEOFRELD DD- (vEY 5-26-2015 1a�ciiFkR� 1 i OD- OM &mL4TIpEDAM 6-3-2015 N0. REUSIONS BY DATE I ' ` F FOR J 7192 11IM BMWBERRY RUN FROM 407—M-8181 PATRlgCK IRELANQ, PA7fBes6rAe/Land d MBpperNa ti1S37,Slmboffbda(9 ' 11MM GARDEN, n 34787 407—SM—MGB AOrYAwH7nA?UrrNES/mniwAw77E04i MR4ITEOs(IOFAPLOR6HL Clf1iTWWAM OF AVINaMMM LB7788 TAa 1-MG-041-UMS RRWMAAVMPPMAM MANAUIMN=TMGEO aVICSKaAC1TUREANDBFClR0WW4L i i i I� I I I I I `I I I I Ii I I I I I i o I li i4 i City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ContractSr/Homeowner: Date R 'ved: Site: c.S7— Permit T ype: e Approve w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ 4 411 0/ 1044 3kW �v O_e'll This con. eat sheet shall be kept with the permit and/or plans. 46 r Kalvin ans Examiner Date Contleci6i andlor Homeo er (Required when comments are present)