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City of Zephyrhilis -,'M- Eft N -E )ZA.1211 9P t~LV 5335 Eighth Street Zephyrhills, FL 33542 BAR-000721-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 09/29/2020 01- Permit Type: Add/Alter (Residential) p ro ti6iAddr'e`s;�;'`pi e4;lty-Number.-mb6F----;N 24 26 21 0110 00000 1450 3175 Lytton Hall Drive a ion Pe rmit InfoM ion— ; �a 46"ia.ion Name: JOSEPH SEABERT Permit Type:Add/Alter(Residential) Contractor: HOMEOWNER Class of Work:Add/Alter Residential Address: 3175 Lytton Hall Dr Building Valuation:$1,800.00 ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 Phone: Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$1,800.00 Total Fees:$73.50 Amount Paid:$73.50 Date Paid:9/29/2020 1:17:35PM 4W rip !9n:,-1 3 CONCRETE PATIO 10 X 21 A pp!�ation-jfii,' F Building Plan Review Fee $24.50 Building Permit Fee $49.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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 PE IT OFFICEE) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City Of ZephyrhiiiS Permit Application Fax 813-780-0021 ?, Building Department Date Received ID 2.0 Phone Contact for Permitting - Owner's Name -J-0s•e h 'f Owner Phone Number, Owner's Address l 1. f- i ' Owner Phone Number. . Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 1 LOT# SUBDIVISION ty� PARCEL) (OBTAINED:FROM•PROPERI TAX,NOTICE)' WORKPROPOSED -NEW.CONSTR :ADD/ALT �� SIGN 0 DEMOLISH R . INSTALL 8 REPAIR PROPOSED USE SFR 0 CO,MM ` OTHER . TYPE,OF CONSTRUCTION Q BLOCK Q FRAME 0'' STEEL 0 DESCRIPTION OF WORK " cohort,* /114,7-(01 BUILDING:siZE �� ZT r .SQ FOOTAGE �f HEIGHT =BUILDING .. VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE: Q PROGRESS-ENERGY Q_. - 'W:R.E.C.: , QPLUMBlNG =MECHANICAL ($ VALUATION OF-MECHANICAL INSTALLATION I =GAS 0 ROOFING 0. SPECIALTY 0 OTHER . f sz> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y.ES- NO BUILDER Z^ COMPANY SIGNATURE REGISTERED "Y%'N ' FEE CURRE� L12Li Address r7 7 " ' License#::.I - . ELECTRICIAN !::COMPANY SIGNATURE REGISTERED': Y/ N FEE CURREN < .Y/.N:- Address License#, .. PLUMBER COMPANY SIGNATURE REGISTERED f. Y V N, FEE CURRW Address License# MECHANICAL COMPANY SIGNATURE . REGISTERED Y/.N FEE CURREN "Y/N Address.. " 'License#']_ OTHER. COMPANY'. ' SIGNATURE REGISTERED" Y/'N `FEE CURREh' l Address. `License#.. .. RESIDENTIAL Attach(2)'Plot Plarts;(2)'sets of•Building,Plans;.(1)set.oi Eiiergy:Eorms;R=O=W,`Pemiit.focneuv construction; ; Minimum ten(10)working days after submittal date. Required onsite,•Construction Plans,Stomtwater Plans.w/Silt F66.6e=instailed;. 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"Fdrms..R-O-W:Permit for new construction.:-'- Minimum ten(10)working days'after submittal"date: Required onslte,.Construction Pians;:Stbr In* waterPlans'.wi SIIt Fen cb,installed;: Sanitary Facilities&'.1:-dumpster.Site;Work,Permit foralhnew,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.. (NO-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-Nat over Counter if on public roadways-needs ROW i NOTICE OFDEED 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 RESPONSI61LITIES: - if-the*owner-�has�chiee l a-:contractor=or contractors-to undertake work, they maybe-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.intende&contractor.are uncertain as to what-licensing requirements may apply,for. the . intended work, they are advised to contact the Pasco CountyBuilding-Inspection Division--Licensing Section at 727-847- 8009. Furthermore_if the owner has,ahired�a-Lcontractor 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:lmpact 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,,iffPosco County.Water/Sewer Impact fee&are.due,_they.must be paid-prior to permit:issuance in accordancewith applicable Pasco County ordinances..: CONSTRUCTION"LIEN-LAW(Chapter 713, Florida.Statutes,as-,amended): If valuation of work is$2,5.00.00.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.Consumer Affairs. if the applicant is someone other tharrthe"owner". I t ertify-that-I have obtained a copy,of-the above described document and-promise'in good'faith'to deliver it to the"owner":prior commencement.. CONTRACTOR'S/OWNER'S,'AFFIDAVIT:'.I,certify,that all the-information-in.this application-is accurate and that-ail-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 wbrk,4ndsin6taIfatIon°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'Citycodes,-zoning regulations, and 1and!Aevelopment regulations in the jurisdiction., I talso: certifythat"1 understand that the regulations of other:government agencies may apply to the intended work, and than 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/Wastewateffreatment. a Southwest Florida Water 1Vlanagemenf District-Wells, Cypress Bayheads, Wetland Areas;. Altering Watercourses. Army Corps of Engineers-Seawalls;Docks,:Navigable Waterways. Department of Health & Rehabilitative Services/Environmental- Health-:-UnitlWells, Wastewater Treatment, Septic Tanks. , - US;Environmental:P.rotection.Agency!Asbestos;abatement.. Federal Aviation Authority�Runways:, I understand that the-following restrictions apply tathe use of fill:-. Use of fill is not allowed in1Flood.Zone"V"dnless: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 enginser licensed by the State of'Florida. If-the fili..material is:to:be used .in Flood Zone T"X:in-connection with a permitted building using stem..•wall . construction,1 certify;thatfill will be,:used only tafill,the:area�within the stem wall. if fill material is.to be used in any, area, l certify-that use�of-'sach 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 faith1d,informethe.owner-of the permitting,conditions set forth.in this affldavit.prior to commencing construction. I understand*that-a separate permit may'be-required-forelectrical work, plumbing;:-signs,:wells;pools,,-.air.con di' titining,,,gas, or other-installations-.not.specifically. included in the:appiicatlon. :A permit issued shall be construed to be a license;to proceed with the work and hot as authority to violate, cancel; alter, or set aside anyprovisions-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 4 the permit-is suspended-or abandoned#or-a-period-of•s.ix(6y 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 forthe'extension. if:work-ceases*for:ninety(90}'consecutive days,the job is considered abandoned. WARMING TO-.OWNER: YOUR FAILURE TO':RECORD.A NOTICE-OF COMMENCEMENT.MAY RESULT:IN YOUR PAYING TWICE-FOR�IMPROVEMENTS�TO,YO.UR PROPERTY.;:IF!YOU::INTEND.TO OBTA'IN"FINANCING;.CO_NSULT --Wi'!'H'YOUR L-ENDER,OR AN; TTO EY FORE RECORDING.YOUR:N TICE.OF-C MMENCEMENT. FLORIDA:JURAT(F.S:117.0 -- — - `_�_ _ ' OWNER ORAGENT% � CONTRACTOR ' ~ S scribed and:i o ffi ed): pre: e,this, S,u scnbe_d:ari d (or affirin ybef e m this h /are personal y known t me or has/have produced Who Is/are'pe o y'known tome or has/have produced .►�r�tc`o2aS� as identification. �rr1�+- as identification. 4u�A 46) _ Notary Public{ , Notary,Public C I )- m 'sio No Cam sion N Name of Notary typed,printed or stamped Name of Notary typed,:printed or stamped DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT 1� have read and fully understand and agree to the provisions of his instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile,that he or she actually occupies,or will occupy by —said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner wiffl comply with all provisions of the City of Zephyrhilis ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding!with the building. 5. That the owner shall assume full responsibility for the construction and will not .expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this!office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws In regard to social security, workman's compensation, lien laws,etc.,where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as.your own Contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one family or two-family residence or a farm outbuilding. You. may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease,which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision'and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your donstructlq must comply with all applicable laws, ordinances, building codes,and Wzoning re ation OWNERS SIGNATURE DATE ADDRESS /-7j/Y� -17,;f, W4-11 225, �,e PHONE -72-7 WITNESS PERMIT I/Masterforms/OwnersAffidavittNov07 'r[.a`�( �;3,triy,,.7'�^Y 1y�'.i; 4y,,g:�+,i•T"a'�y ..•-,: „y, r -d; `.��• '. a },5,•-,' • ,-� .,.. C`�t'{'«:��,''-rv' :YX`d��':�"S"yv' •4'�f,�•,�:k�:';t'v�1�'43:�t .1" h �:\. ::�,'�.�;;r*'�tt�i;'"itY ,.�1 .vSi �+}'t.h-� 'ci'yJ'';�'-±`+ '7,v'M1, "�Sltt'�rW,Y--n';. L{:.� :ISJ��••,'T,+y,t •id;:... -.x*•�', .-:'�'_�y" -i-N`.t •kL 'Y' "'�`.al. a, ��'J r „�,`�R'7'•-w ,7F`: i )i�•?r",�ti`.•'�� '.yam gv..��� -n•�•, '^,f^ti,.' ..b"4 •��-'`� .iEr'L+r,^..'�•�� � r�ynv,.t�•z 4. 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