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HomeMy WebLinkAbout20-22439 813-780-0020 City of Zephyrhills Permit'Application Fax-813-780-0021 Building.Department Cate'eceived ma N N" ;Phone,.C,ontact'.tor'Penntttin r ,:-Owner's.N:ame V :Owned'Plion®Number°t.' er's Address Q f Oihrner Pborre Number Vi rh►is I• 3'�? Owher;Phon®:Ni1i»!i®f` ADbitESS; (�3 ,LOT' ;' .'. 1 .. "SUBDIVISION PARCEL ID# ?(OBTAINED'_4(+MfQROPER71FaAX NOTICt)3 ; �-WO IRROPO E t,....' _ -ADWALT',, =SIGN RK• S D NEW:CON T•R" •r=DEMOLISH' >- .:INSTALL. : ©/ :. •��:;,, Y ,.�.,' : ♦`PAIR`' . PROPOSED USE;.: :-SFR:.r:. . . ;:G.OMM; ' ::OTHER:: r"' , > 0- 0.: N TYPEE.OF CdNSYRUGTI — 'O BLOCK" JDESCRIPTION OE.WORIG' J`G L(i'J a: �el SQ/ Q�4 , 1�` ; 1 I = OBUILDING. ZI OTAGE; - LDING - - - . BUI "'" " ' $ VALUATION•;OF`TOTAL!CONST,RUCTION.: 1 . ELEC ; TRICAL..,._ $, AMP'SERVICE DUKE';ENERGY':- mPLUMBING:. $. =MECHANICAL $• VALUATION-OF MECHANICAL 1NSYALtATIOP) =GAS 0 ROOFING_i�� , ,_tSPEC.IA,L,T_Y, Q._- :OTHER _. FINISHED-FLOOR,ELEVATIONS. '''i"° 'DYES NO• BUILDER COMPANY.. - SIGNATURE ` ,,.REGIS EKED: Y'/=N*'� F�ECWRREI�'rvr.r'F Y7I U' Address"' uc:ense:#; a ELEC.T,RI.CIAN COMPANY;. , ,; - 31GNATURE' : GISTii3€o ?.Y`/:N:::'': ::FEE CURREi�: '.''.:Y'/.' _. D ..Address• ' ''ticknse.#,`.: - � ' PLUMBER' ;COM ANY' ` �s: c SIGNATURE `Ri' IsaEo:` Y%.N;', fEE,euRREn"'<; Address: - a dbnse. ' i MECHANICAL. ;; `COMPANY' : SIt3NATUREk: Y ,EGISTERED�.'' '=Y/�.N�-'" '"FEE�CURREk'"'''�•, 77 Adarees:. ....:,..:... .n , - '�:uce,.a-#; -OTHER>•:- COM.PEWY SIGNATURE'.. EC;1ST Y/k N;:.:, FEE,CURREN: ' h, v, R ERED: ;, Address. License l•' k 1 4449,. 4 _M1 ..1+.}Ar.i•K.." ,I� fit:.:"�:�5 4F.,,I .. 'i r..u:....,>.•,'...:: :, .. _:.r.v;•e.;:4:i ..:.:;d .I:: ;..�=�'t,:•A :t::: ...,: ':,F;.:v'... '�.y', _. C •n orhns?R-C�WsRe� o`one �coristiaictio RESIDENTIAL •Attaoh';'� 1?lat-P,lans;,('2�ets�bf�ttlldin ;'j?!da'sy(;1):aatioftE,ergy., �}n:,[if.,I' ,v,V 1a,:�:t.;:�:�:� .�.�.,4'n: ,.i+3.�..:K. - :'4".'�"F' :'rii::i: (_`a,v7J11�.. ry�.,. ^,=5:f1:tu .:.�J'%;Ya'Fe,.,.. bf"4-?:"=r' {.;:e:....�. "F^�;i•'^��: kNllnlftiuni-ten:FtOjtorkiiig;ajrs aftcr`strb°fiittal:dafeR.' ire 'onsite icdoft Plans;'Cdnst/t StEorinth%atef'Pled's yi�r:Silt Fence fnstallsil"" Sanitary•:Facilities:8�:dumpster,Sifa'Wtirk PerrititTor:subdivfsfon3/letgeprojects COMMERCIAL =)'setbf Energy.•Forms;R=O=W Permit:for,newccctttstruction;,_ M(ri(muff'tent'(1.a);woriiing da after tiiiilttai'dete` t eq re�irQ;nsite Construction F!jpRst Ormweter;Plans w.'I fit;FenCe ii­stalled; Sanitary'FaCiltt�es&laiurtlp [ r Sife'' ork�ermil fog all new:projects:Al(commer6Wuequtreinents muift meet com_plfance SIGN PERMIT" Attach(2)�b&Wof,.E PlanS; t;'c,;' '•:.z •-;;_-' . PROPERTY,$,iJSR/EY:'required for alr NEW cbfisfruction. Directions: Fill out application completely. Owner,,&ConfYvctor�tgn;�a;k:of application;notarized -if overS2500;a'.Notiee,of Corrimencament,Is required. :(A/C upgr des.over.S7500) Agent(for-the:contractor)zor.-Power:of?Attorney„�(for:the-owner)would tie"someone.with nottiHzed;lettet from:bvime"uthoii:dhg"same OVER:TyE".COUNTER?PERMITTING.:: ,:.,(copy,oE.codtriBcfirequired) Reroofs if shingles Sewers Service Uoi radds AIC ,'FencesjkbUSuivey/Footage) Driveways=Not over Counter if on.public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The uridei'signed'under6tands that-this permit-may be subject to°deedo rektrictions" which,may_:be::more..r-estrictive-.than:County-regulations. The undersigned.'assumes,,responsibil!Vfor'complian;.e w.itn;Any applicable deed restrictions: - IANUCENSI MCO'NTR%�1CT ORS9aAND CONTRAC70R-Rt=Sp'ONS1131117�IE5°y"elf`thee'oUirner'hat"*`hiret a``cont'r"actor or contractors to undertake work;tl,1ey,tnaygbe,,.rpquirecF to be licensed in:aecordance:with stake.and:.locai�regalatioingi-If-•the :.. ., -••contractor-isw:norlicensed as required by law, both the-owner•=and-,conttactor Mgy-be'Cited�'for"a,misdemeanor violation under state law. if the owner.:or,.intended,.contractor.are uncertain as-to what:iicens rig.requlrements may,apply.forkthe .Intended.work they�re-advised to contact the Pasco*County,Building°Irisp�ection'Divieiai� Licensing Section at•727-847- 8009. Furthermore," if the own_e•-r.has: hired�a=.contractor or contractors,k he is a,.dviS.ed...to, have the contractor(s) sign portions:of'the--°contractor.Block",of-this,.Application-f6r.whIch.,they,.,*#I:be.rgsponsible...;• •if you, as the•owner sign as the contractor; that may be an-indicationthaf he is not properly licensed and is not entitled.-to-permitting privileges in Pasco County- 'TRANSPORTATION IMPACT/UTILItIES•'IMPACT AND:RESOURCE RECOVERY.FEES: The undersignedwunderstands that Transportation•'ImpactFees�andRecourse-Recovery Fees�may-,apply•to-the7construction-;of•new buildings; change of use in ezistmg riuildirigs;'or expansion:ofexistingbuildings, as speclfed-in Basco`County C>rdinance-number-8,9-07 and 90-07., as.amende.d...The..undersignsd-als..o.ui derstands;':thatrs Ad fee..s, as mays bedue;�wilF�be.-:id®ntified'at�tFte'tim'e of permitting. It is fuither<ttndecstotithaiiisportation.Impact,Fees and Resource Recovery Fees must be-paid•prior to fcaef.occupanpzofalwor e:�lffprojdosro°ihvteacart cafe�of�occipah orreceiving-.a, y re a final:power release, the fees-must be paid prior to permit its Alice. '1=urtherrrtorer if PascorCounty Water/Sewer impact ,fees arel:due •they�must:be.•paid�oeibtitozperM)t,:issuance in aceordance.virith.applicai Fe PascogCounty ordinandas;,-• - -' CONSTRl1CTIONiILIEN'LAW(Chapt'e�r:7Z3 ±Florii 'Sta#ales;,.as,ameri#tedj:,,ifrafi�atlora of workfis$2;5DO:OO.or:.�more� certify #hat.i;:#lie applicant;-:have_5eenpioVide :with:a copy=-of titer l~loridaConstriactian-Lien Law—Homeowner s 'Protection Guide" prepared by the-Florldik,:D.6partment of Agriculture,and:Consumer Affairs. :lf-the;applicaribis-someone other-than the"ovuner :ice tify that iaverot tamed a-copyof�fIl'bove�des+ct`beil�docu 6hf"-and<promise'in good faith to deliver it to the"owner"--prior to commen.,,ceient. Yx;; .,..• ,, . :, CONTRACTOR'S/ 1iYN ° �F1D`` :IT�• i!•crtif .ihatiIl,#'tie nor at' ri n th's::a Iiaatioy�,is aCcirateand that alf work .PI 11WA- p at. Y-, ,.P al a z!17 r .iP.'f i �!,^,'r..RP,-s $, will-bA one in compliance with:all Appllcab 116ws regulating construe'tionr zoning°andiarvd.-development::.:.Application is hereby made to 'obtain a permit ti AA& ' I certify-that no work or.installation has commenced prior to issuance of a.permitG.and.that all work wilt-be-}petfdrmed ta►_meet:standards of all le xegufating consttuction,;Zounty andr-City'# zoning;3regulations, ancF lanclr:r evelopment regulations in the"juriii6kudriv... also certify that i understand that the-regulation s of other:government:agenciesam ayapply4o4heiintended work, and:that it is my responsibility.-to identify what actions.-1must take:to*bean compliance. Such agencies include but aremot Imito.dJo: Department of Environmetatai-Rrotection-Cypress Bayheads, Wetiand..Areasrand� Environmentally Sensitive -Lands,WaterMastevv�ier' re ertt.... Southwest Florida Water management Distdof*ells, Cypress_Baytip0s, ;?Wetland Areas, "Altering Watercourses. Army Corps,of Englneecs-Setif ails;:Docks,�Navigable��Waterways: Department of Mealth:610 rehabilitative{:Services/;Ekivironm'ental Health Unii=Wells �Wastawaterv-Tteatretent, Septic Tanks USA€na►ironmental k?roteeti sr /yeney-sAsbestotabatement--- Federaii`Matr"on Authar.`lty=lntGays: I understand•that:the following.restrlctionp�Lqpply to::the use<of¢filt: UsehofJ#11l=`.is.nof�'ellov in' liz,-whe"W-uhles6:�expressly<,permitted.. - -If'the-fill. matdffdI,.ls-•to.be-usedd in Flood Zone "A., it is understood that a drainage plan addressing a compensating_vale f e"vuill tiewsuj tM tted"at�timeFafrpermitt ngt;vrhicl>;�s��prgpAred b.,y::e;profes.sionaf"engineer Iicensed'bY the State cf-Florida. 1f�the fill,:material2is.;to,be'rtfsed ia-R.oed Zgr�e}"A" in connection with a permitted building using st�st i,�ivall:. construction,.l,certify-that fill wi�lrbe-used only-;tQ•#ill ti%e,area vvithift"a e"Ste wWall;.-•::-.::-- if fill material is fo.,.be.used in..any area, i.:certify-that use.of-such.fill:'will not adversely affect.,�adjacent properties:::If.use°cif ill s;fouttdM':to.adversely:offect adjac.•' rlvproporties;�the�.owtlar..may�:be:_�cited for violating the conditlons of the-buildifig-permit-issued..under,.th ,-attached permit application, for lots-less than yorle.(;t:), -acre which-are.elevateg�byrfill;san engineered:tlrai iage plan-is required. if 1 am.theAAG64- FOR-THE Oli11NER,:-I-p'r`b"iM in good faith--to:inform-#he•owner.:of�tha permittii g, onditic�ns set forth in this affidavit.prior to commencing.„construction. I understand-that a separate•permit.maybe required for electri'.cal work, plumbing;.signs,�wells;=:pools,pair•conditioning;Ygas,.,.or other installations-n'ot=specifitaUy includedrin thaxapplication. A permit Issued'shall be.-construed to be a.license to•proceed;.`nrith:the-work.and not-as authority to.vlotate, cancel:ialter;;or.. set aside any prouisions�of the#ecMnical codes nor shalUssuance of-a permit°prevent the;Bu.ilding Of ficial f,om•thereafter requiring a-correction-of errors in plans, construction or violations^of any codes:•Every":permit issued`°st all become invalid unless the.work..authorized-byaucht;permit is commenced.within.six months.of pe_r..tnit ssuar�ce,,or-.if,.wortc'authorizedWby the-permit is suspended'Or-abandon ed°fora"period-of..six(6)months after-thetime thewbirk is i omrnenced`'An""extension may."be-requested In,writing,.#rom.theBuitding_Offidiai foriaperiod not to exceed ninety(90)days and willdemonstrdte"_ justifiable.cause.for;tl e,extensiori: if work:.ceases for ninety4(g0)+consecutiue,.days,'he.job,is:considered:abandoned-. WARNINGTO OWNER:-...YOUR' 'FAILURE,TO-:RECORD.AMNOTICgF tOF COMMENCEMENT.MA-Y,-RESU:LT--Ik';YOUR PAYING TWIiCE= O`r4MPROVOWTS4Ox10.0—K";tOl Ei!iij`Y. 'IFaY`VU:'�NTEh1 TO"O TAINTINgNCING,-CC1NSyLT WITH'YOUR��ENDER:�012'tANkATT'OFlNi�lt�t�l:RFO�IE�I'tECOA'O.1NG;�YtaU12:�N3fitCE':' - 14IlEl�CE14ti.ENT. - ` LORII AeUURAT(FX;1'17'.03 ' OWNER;.OWAGENT•. iGON'400 - Subscribedand sworn to(or afrmed)'b'efofe,me tilts - S bscribetl:andiswomyto"�9"r a rmed)'tiefo"e''m 'thls'" Who is/are personally known to me or has/have produced Whb Isla p rsonalty known4o asJii Iprdduced•" _ as identification. .• ''deinfifbdtldn: - Notary Public .SNotary Publics: - Commission No. Commission No. Name of Notary typed,printed or stamped :Namwof;Note y typed,printed or�stainped', - CARLOSMALDONADO Commission#GG 346275 Expires June 18,2023 •.r:....-bQ� • ''.$;;fR.• Bonded Thnr Troy Fain Insurance 806-385-7819 3