HomeMy WebLinkAbout20-236 a -
r�onion City Of ZephyrhillS PERMIT NUMBER,
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000236-2020
Phone: (813)780-0020
•
Fax: (813)780-0021 Issue Date: 06/15/2020
Permit Type: Building General (Residential)
Property Number Street Address
11 26 21 0010 07200 0110 5732 13Th Street
Owner.Information . Permit Information Contractor Information
Name: RODNEY&BARBARA BUCKLAND Permit Type:Building General(Residential) Contractor: CARLYLE ELECTRIC
Class of Work:Electric Service Replacement/
Address: 5732 13Th St Building Valuation:
ZEPHYRHILL,FL 33542 Electrical Valuation:$1.00
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$1.00
Total Fees:$45.00 // i)—?j'l/
Amount Paid:$45.00 Imo' V
Date Paid:6/15/2020 3:18:39PM
Project Description
UPGRADE ELECTRICAL WIRE WATER HEATER/cc63
Application Fees
Electrical Permit Fee $45.00
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.
CONT R SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
................ .............. ................CCCI;3E3=.................."I
Owner's Name ZL! Owner Phone Number
Owner's Address l/7/Z
W04fier Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS -a LOT#
SUBDIVISION t PARCEL I D#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL
DESCRIPTION OF WORK at&, t& Z BUILDING SIZE SO FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE D = PROGRESS ENERGY = W.R.E.C.
=PLUMBING 1$
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
r- - I V
=GAS Q ROOFING SPECIALTY F-1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO`.,
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N ],,,..-'-,REE,CURREh
L Address icense
ELECTRICIAN COMPANY
SIGNATURit REGISTERED N n, FEE CURREN -LW_N_J
Address License F
PLUMBER COMPANY
::SIGNATURE REGISTERED Y/ N. FEE CURREN LYLN J
Address 71 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y-/ N-, FEE CURREN /N
Address License
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License# F-
H11 I I I I I I I I i I I I f I H I I i it
RESIDENTIAL Attach(2)Plot Plans;(2)sets.of Building Plans;(1)setof.Energy Forms;R-O-'W.Permit for new construction,
Minimum ten(10)'working days after'submittal date. Requ.1'redo' nsite;Construction Plans,Stormwater Plans wif Silt Fence installed,
Sanitary Facilities&I 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)workingApys after,submittal dais. 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.
................................
.lDilrecatton's-:1
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 with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
i
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'maybe 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):I 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 j
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",1 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/O.WNER'S AF,FIDAVIT:-;-I:;certify that all the information in„this application is accurate and that all work
will be done in compliance with al[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 l 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. Suchl:agencies include but are not limited to:
Department of."Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater 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."
(.understand that the#ollowing.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:;;1f 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 w. idkare.elevated.by fill, an engineered drainage plan is required.
If I am,th'e>AG'ENT:FOR TJ1E;OWNER,I promise in good faith to inform the.owner of the permitting conditions set forth in
this affidavit;`prior:to',conlmencing.:construction. I understand that a separate permit may be required for electrical work,
plumbing;':signs;:.wells; .pools;'air conditioning, gas, or other installations notapecifically included in the,application. A
permit issiled'shall be:construed.to be a license to<proceed with,the work and not as authority to violate, cancel, alter, or
set aside`;any°previsions-.&the°technical:codes, nor shall issuance-of,.a permit prevent the Building Official from thereafter
requiring a co'rrection`of errors in plans, construction or violations'of anycodes'. Every permit issued shall become invalid
unless th'e•wo�.kauthorized:,bysuch:permit is commenced within six months of permit issuance, or if work authorized-by
the perniit'is suspended-'or abandoned'for a period of six:(6)months after1he time the work is commenced. An extension
may be.requested, in.writin,g,._.from-the Building Official for a:periodnot to exceed ninety (90) days and will demonstrate
justifiable cause fior the.extension:`f'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-IMPROVFMEN--S7 O'YOUR''PROPER TY.;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 AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by by
Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
,I .
Notary Public Notary Public
a..
Commission No. Commission No.
I .
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped