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Home My WebLink About20-256 m City Of Zephyrhilis PERMIT NUMBER - �„ 5335 Eighth Street Zephyrhills, FL 33542 BGR-000266-2020 Phone: (813)780-0020 !` Fax: (813)780-0021 Issue Date: 06/19/2020 Permit Type: Building General (Residential) Property Number Street Address 12 26 21 0280 00000 0300 39411 Lincoln Avenue Owner Information Permit Information Contractor Information Name: LIONEL&DIANE HOWTON Permit Type:Building General(Residential) Contractor: HOMEOWNER Class of Work:Reroof Address: 39411 Lincoln Ave Total Valuation:$5,000.00 ZEPHYRHILL,FL 33542 Total Fees:$97.50 Phone: (813)312-6241 Amount Paid:$97.50 Date Paid:6/19/2020 1:24:31PM Project Description V REROOF METAL Application Fees Building Plan Review Fee $32.50 Building Permit Fee $65.00 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 OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER FLORIDA OaRAPMENT OF Business & Professional Regulation NIS Home I Log In I User Registration I Hot Topics I' Submit Surcharge I Stats B Facts I Publications I Contact Us I BCIS Site Map I Links I Search I F 'da • ~n• * Product Approval USER:Public User Product Approval Menu>Product or Aoplication Search>Application List>Application Detail ° FL# FL7271-R4 Application Type Revision Code Version 2017 Application Status Approved Comments Archived ❑ ALL WOR��'K6HALL COMPLY WITH PREVAILIN'L Product Manufacturer UNION CORRU13�(- & IDA BUILDIN13 CODE, Address/Phone/Email 701 S.KINGST{VATIU._.A L�G7RIC ®DEu, 1 1 FAYETTEVILLE,A4 9WE CITY OF ZEPHYRHILLS rblak 813ioricb A^�AA,KF-%O rblake@unionco AN A, Authorized Signature Randy Blake_ rblake@unioncorrUgating.com JUN Technical Representative REVIEW DATE CITY OF ZEpHYRH1L ;; Address/Phone/Email PLAN .Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Metal Roofing Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ❑ Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Bala Sockalingam the Evaluation.Report Florida License PE-62240 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contract Expiration Date 09/07/2027 Validated By Yoosef Lavi,P.E. © Validation Checklist-Hardcopy Received Certificate of Independence FL7271 R4 COI CertificateIndeoendence,pd Referenced Standard and Year(of Standard) Standard Year ASTM E1592 2005 FM 4470 2012 TAS 125 2003 UL 1897 2012 UL 580 2006 Equivalence of Product Standards Certified By Sections from the Code e. o• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting rrTrff .............. ........................... .................................... Owner's Name 4 71 Owner Phone Number Owner's Address 44 f, 22 V k Owner Phone Number Fee Simple Titleholder Name F Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 55 ai j ryr c o/Vi 41- LOT# SUBDIVISION E i s o ill ij"CA PARCEL ID# -proT 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK,PROPOSED NEW CONITRR ADD/ALT Uz� SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE EV SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL DESCRIPTION OF WORK fle,,VfpcG"Wi f tV41T1 -.141CITfir Afrl��11_ ; I BUILDING SIZE SQ FOOTAGE HEIGHT 'M' ........ ..........------------ EnBUILDING VALUATION OF TOTAL CONSTRU 6000. 070 VALU CTI1 LELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E. =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY 0 OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8` oN .% BUILDER COMPANY SIGNATURE eov 'REGISTERED Y/ N % URREN ; Address License4f , ELECTRICIAN COMPANY SIGNATURk REGISTERED Y[W LYLN J L F Address icense PLUMBER COMPANY SIGNATURE REGISTERED Y N• J" FEE CURREN L_)2-N J Address MECHANICAL COMPANY SIGNATURE REGISTERED Y,-/ N FEE'cuRREN Address License#. OTHER COMPANY SIGNATURE REGISTERED Y/ N_- FEE CURREN N Address License# RESIDENTIAL Attach Plot Plans;(2),set&of-Building Plans;(1),set,of.Ener'gy Forms;R-O-W,-Permlt for new construction Minimum ten(10)working,days"Aftersubmittal date. Riiqu.ired onsite.Construction Plans,Stormwater Plans w/Silt Fence installed. Sanitary Facilities&I dumpster,Site Work Permit for subdivisionstiarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,Safet,y 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&I dumpsIer.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *`PROPERTY<SURVEY req uired for all NEW construction. 'Direction111111111111444-1gas Iraq all 14-pp Iffills—PP14:1444;.........giBiffrila....... - -----------r--------------------- --- .............. a: Fill out application completely. Owner&Contractor sign,bac'k of application,notarized If over$2500,a Notice of Commencement is required. (AIC 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) j - ' -Upg\R�er Sewers oofs if shingles SerVic r er !ad6s-A/C Fences(PlottSurvey/Footage Drlveways=Not over Counter if on public rdadwOys:needs ROW NOTICE"OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which maybe more restrictive than n 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 applyfor 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 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 than the"owner";'I certify°that>I'-have obtaihdd'a copy of the above__described document and promise in good faith to deliver it to the"owner".prior to commencement.,._.: . CONTRACTOR'S10WNER'S;AFFIDAVIT:,::I:cer IN,',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::iristallati6h 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:code's; zoning regulations, and land`'development regulations in the jurisdiction. I also certify that l-understand.fFrat 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. I Southwest Florida. Water Management District-Vllells, 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-thie 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 constructionl•certifythat 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 propertiose.-If use. fill,is.found to adversely affect adjacent properties, the owner maybe cited for violating the conditions of-the:building permit issued under the attached permit application, for lots less than one (1). . acre:wfiichaare:elevated by fill, an engineered drainage plan is required. . If I am,;the;AG.ENT<FO,R`THEOIRIINER, I promise in good faith to,inform the owner of the permitting conditions.set forth in this affidavit:pHor:to:.com'mencing.construction. I understand that a separate permit may be required for electrical work, plumt,!ng ksigns;=wells;:pools;'-air'conditioning, gas, or other installations;not"specifically included in the application. A permit`iseu`edahall:..tie construed`to be a license to•proceed with4he."work and not as authority to violate, cancel, alter,:or set aside"any:provisions".pf the:techriical:codes, nor shall-issuance,:of:�:a permit prevent the Building Official from.thereafter: requiring;a=correction'of-er"roes:in-plans', construction or violations.of any'codes: 'Every,permit issued shall become invalid unless tl a vwork-.authorized�by.;sudh.�permit is commenced within six- onths of permit issuance, or if work authorized�by the perm it�is'suspended''-or abandoned#or a-period of six(6) months ,m afterahe time the work is commenced. An extension may besequested, in writing,::•frorri the,Building Official for a,period:not to exceed ninety (90) days and will demonstrate justifiable cause-forthe,'extension[,.�'If°w&k ceases for ninety(90),co isecutive days,the job is considered abandoned. WARNING TO,OWNER:-,,YOUR--,FAILURE-TO RECORD A NOTICE-OF-COMMENCEMENT MAY RESULT'IN YOUR PAYING'TWICE'-FO'R-`IMPROVEMENTS,TO YOUR'PROPERTY:' IF YOU INTEND"TO`OBTAIN FINANCING; CONSULT WITH YOUR�LEND-ER OR-'AW-ATTORNEY BEFORtRECORDfNG,Y-OUR,N.OTIGE:;OF COMMENCEMENT_._ FLORIDA JURAT(F:S.117.03)' - OWNER OR AGENT '�J CONTRACTORS ONTRACTOR Mub cribed nd swo n to 1(or affirmed)�}efore rye this Sybs¢rrbed anii sworn (or affirmed)b fore me t Is -Z ZPby - `l'Yi/' frf�+:v ?, J e54 (D—!(�?.�2a by LprrD f�IC� rJ• r„ 1 bz� Who Were personally known to me or has/ha, produced Whos/are 0.ersonally pwn to me or hasthave produced �Aff5(,ic2,t.8e, as identification. �f�`— r 5 cee-%SA- as identification. o � Notary Public Notary Public Com ssi n�OZ— Commiss'o o. c C} Name of Nota tyR iP( t m1s G 27u45 Name of Notary typed,p te¢ m9R8QUELINE 90GES *:Com mbei 12.2022 .as "„• :.`• Commission#GG 276457 m, Q � edyFainlnsurar8�r+�*�'°r" ... Expires December 12,2e)22 rn ce Bonded Thru Troy Fain Insurance 800-385-7019 DISCLOSURE STATEMENT FOR OWNER CITY OFZEPHYRH|LLS—BUILDING DEPARTMENT ' J" � �� |. have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that haorshe is oonmtnuobng. renovating, adding bomr nanom�nghis or her own domicile, that heur she autuaUyp��piea. or will occupy bv said domicile, and oomm is not for rent, lease or sale. That he or she shall comply with thefnUmming conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City mf ZephyrNUn ordinances and codes pmdinenttothe building. J. That in the event various phases of construction are mubcontraotmd, he will mnQaQm 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 madm, and upon completion will oa|| for a mainmpaotion before proceeding with the building. 5. That the mvvnar shall assume full responsibility for the construction and will not expect supervision of his work from the City ofZaphyrhiUs Building Department. 0. That prior blfinal inspection any additional fees, including nainmpectionfeaa. 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, vvorhman'a compensation, lien laws, eto.. where applicable. 8. That the owner shall comply with all the oedetv codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. Yo6 have applied for permit under an exemption to that law. The exemption sUoxvo you, as the owner of your property, to act as your own contractor with certain restrictions even though-you do not have m |ioensa. You must provide direct onaibo supervision of the construction yourself. You may build or improve a one-family ortwo-family residence or a hann outbuilding. You may also build or improve o monnnmanuia| bui|ding, 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 bm act on your contractor orbo supervise people working on your building. It is your responsibility to make auno that people employed by you have licenses required by state law and bv 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 construction must comply with all applicable |oxwa' ordinances, building codes, and zoning regulations. � OWNER'S SIGNATUREDATE ADDRESS PHONE WITNESS PERMIT ' INSTR#2020094416 OR BK 10118 PG 3050 Page 1 of 1 06/16/2020 10:10 AM Rcpt:2171725 Rec:10.00 IDS:0.00 IT:0.00 Nikki Alvarez.Sowles,Esq.,Pasco County Clerk&Comptroller NQUCE OF.COt�Il4IEN ViE T P=WtINo. Pmpetty.Tdeotl5c�tionNo:.(�Z-2�-Zl- b2.+�o.••��J(�Q•:©30�) . 't'M UMOSli NiM hatt,5r ove:i&=.yon'tlmt the tmprovemeziwffl.be made w.Catotn-seal Propaty..end in ecmdance with Seetion#M3ofthdl+WCIA'ftafaimthe:fd11owingdnfotmetloaisprevidedinibisNO° ift...OFi)Oli4l��8iCEiNIEN'1". 1.Desi7iptiontfpropetty(kg n:) Se.C�rOn �•2� � � —;p nj Sireei Aridness 1 ,r w 447 a 2.Glasezai'deaarijHioa ofimg;arvementa:: 3.F).cVn�:(idot�Zatfgn- � a}Naaab as ailikge, .•o e c/ / .k/i � `t��/ C.i'+� u r,Pow • .ti};r�emetiadeoiESaes�reactal►ol3�rCdotheraia�aiowger2 - - .�4:CbnfreCtgIofoitij�op. c b}T hoineNo: VOL NO.(Opt) ,S:Stristyan'foiahiitioh. - . e)Telephoriei+jq:: PaxNo.(Opt:) 6:T:endor. . a).Name and WOO:_ . PhoneNis�. 9..rdenttC+off ecsoq. `tlie Sttitie ofFWiula deaigtiatetl by urvnei.uP"vvlyoaR tibtlee9§x'otiset dom�ea4'asay ba enrnd a�:#7ame and eddsesss #i);Tilephoae No,: PaitNo.(Opts). . $lnaddt6toato mtse ;owaiu& . _dietlilf "nioieoe. :acgpj+bfttiel e►f6t'sNatteeas:prm+idediri:Swfibn 'li�:T3(t�fr}:2*foi3tla-�ishms: - . a�Name,=ds&hw-. 6�jTelvbo4allo s 4.F�cpiraHon:date ofbTbtice of etiee`riiea't:(the ezplstitiod detie'.ia oneyr�r fenm the dete ofrecordhig taiiesa a diffd'mi date is spoci5eit}p WA[tNLNG.TO:OWpt}#R; Al!tY P/4Y1+1 N NX.4ft gY THE OWNSRA�!R TM RVOATION.OF�NOTiCE'OF G`g1VIIV►$NC$h Ti'A 1VSTt1 D TM ROpERYA1(1V1$I�1S�T jC19EAPM— 713.PAgT ,56(TiOIX 713.13� k�LORID:A 6TAT0'fE3;.A�1.Crlt!f ULT 1td'itO11I;PA�f�TWI+�'B Ft�R l7VlF'ItOVEMF.Nt`S T,O'YO1�'PROPE�R.3'Y. no'rcc O►c�omatrs�ric�ixir rm ial loxn$nnu polu ONxo>3 srrE BEFORE T> FIRST INSP$.C?1'fON. �YDU:DVTF,I�D_TO"OBT11IP1;]RIPIAt�T�1G�CON'SULT7lOUXt LENDER OR Al!t i1TT10RNEY BER¢RE t:OMMEIVCING WORK OR�GOItDIi�1G YOuR f+iOxTG1�OF Ct}1Vltliltl+iC��M�I: : i4TA2ti 0t+F4dtiIDA ./„� 4`'Ot1YV3'Ybl�lASLO 7' • $Iputgme:4ft)waafx Au�atud0�ffia-i1Dl�atc.iAra+aldtnsa� . Nome n� 2A 17fe - eat nclasosvledged.beforc me.th3s dpy dr . Q ttq ft4ofaudwrity.ag&officer,b may ks Snet}1Or :. (name 6fpsfiy on. ehalf of. 1ne -was ea . PtssoniliyKnowh,�,Q&P�in�iiotdldedsi�ceilot�Q;,� No�esy818pann'e - . .. Type of :U U.wy 4104N®mo �tesiticedon.p�ttspaat W Sgt�jori;92S:25,Florida Statut>:s.[)Wrier peneltias of peijiuy,I dea�nie that�I have read tho Sose$dtng sad that the Scts-staitdta Bois ittt##b the tieat ofpiy Ioxowi:dga add Wet .... . sl�phe'ot'N�ntPaw++B�s FOM=WiCi�.. JACOUEMSMS 34 s' ,. c Exptrss Uaeember•i2,2022 �..:.,., eoaaeamm�r�FaL►u, soo-3esrofs • ° State Of Florida,County Of Pasco This is to certify that the foregoing is a � ° true and correct copy of the document '..'. on file or of public record in this office. ..6 �. Witne gmy hand and official seal this day of n 2 r Cgoa 0 ., * ii4.� Nikki Alvar les,Esq.,Clerk&Comptroller Pasc t�rida By , Deputy Clerk D City of ZephyrhillsPERMiT'NUMBER 5335 Eighth Street =a , y ti, Zephyrhills, FL 33542 BGR-000290-2020 Phone: (813)780-0020 ;• y'. Fax: (813)780-0021 Issue Date: 06/25/2020 �;, Permit Type: Building General (Residential) Property Number. Street.Address 11 26 210010 03100 0010 5651 6Th St ' Owner Information`: Permit Information.`,;',=' Cont�acfo�Information ;" - ` Name: JASON WAGNER Permit Type:Building General(Residential) Contractor: ROGERS ELECTRIC Class of Work:Electric Service Replacement/ Address: 5651 6Th St Building Valuation: ZEPHYRHILLS,FL 33542 Electrical Valuation:$1,485.00 Phone: (813)355-3790 Mechanical Valuation: Plumbing Valuation: Total Valuation:$1,485.00 ^� Total Fees:$47.42 Amount Paid:$47.42 Date Paid:6/25/2020 8:25:23AM cfD61 option x - g SERVICE UPGRADE Application;Fees "N Electrical Permit Fee $47.42 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. L-*rn CONTRACTOR SIGNATURE PE IT OFFICE PE MIT 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 LLL&4AJJAJ"....... ......... Owner's Name 'TA-s s ov A, . Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address .J!OB ADDRESS LOT# SUBDIVISION PARCEL ID# 26—2(—61410—6 116 dr-10,7 e d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL DESCRIPTION OF WORK F_uF(A Awl- 15 v 0 0A tb—1 r(I A BUILDING SIZE SO FOOTAGE= HEIGHT 7 r__71BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION': =GAS Q ROOFING F-1, SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES- WO-;, 9 6 i i I i i a i i i 2 i 6 i i 1 v 1 1 l 2 1 2 2 1 i i i i i I i 6 i fil 1 o I'I lZIA 1,1 ji 1+1 01-H-14 di l 6 1 6 i i l BUILDER COMPANY SIGNATURE I . REGISTERED ��7117'11"FEEtCURREN ,..Y/��N Address License*177 wo . ffELECTRICIAN COMPANY yI y-OAt t SIGNATURE REGISTERED Y/ N. , FEE CURREN LILN_J Address lJkq : rif 4xkf r4-V-4 se�# Fa aa,i zw-i PLUMBER COMPANY -SIGNATURE REGISTERED Y/ R FEE CURREN Y/N Address LidenseJ MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N-,' FEE CURREN Ly _L N_J Address License#,F_ OTHER COMPANY #IGNATURE _REGISTERED Y/-N_7 FEE CURREN Address License# F- 11,14;1 4 11 1 1 11111111+11.!H!1,!111 H H'H!111,*1.11 1 H 1 H a 1,2 111 1§'A it a 1 1 a i RESIDENTIAL Attach(2)Plot Plans;(2),set&of�Building Plans;(1)set.of.Energy Forms;R-00,Fermit for new construction, Minimum ten(10)working days after'submittal date. Required'onsit6,,Coristrucfion"Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans 016S 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&I dumpster.Site Work Perm i it for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans; ****PROPERTY SURVEY required for.atl,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 with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroots If shingles Sewers Service Upgrades A/C Fences'(PlottSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW NOTICE'OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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 contractorsto undertake work;they may be required.to be licensed in accordance witli stale and local regulations. If the contractor is not licensed as required by law, both the owner and contractor maybe cited for a misdemealiq 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 specked in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also.unde 1.rstands, 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 Vroject 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, ahave:been,'.pr6vided 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 l ihaVe.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:.certifji 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':Cii--- .es;'zoning regulations, and:Iihd`development regulations in the jurisdiction. I also certify that l understan&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 tti be in,compliance: Such 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 FHealth'Unlit 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 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,J,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::.�:lf use:'of;fi)I 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). .acne whidh;,ars:elevated,by fill, an engineered drainage plan is required. If l air:the<_AGENT�FTHE`OWNER, I promise in good faith to inform the;owner of the permitting conditions set forth'in this affidavit;::prior:to-;coil , ncingrconstruction. I understand that a separate permit may be required for electrical work,. plumt%ing y signs;:wel..S;:pools;_=air'conditioning, gas, or other'installations;not specifically included in the application. A permit issue s.shall,lie`construed_'t'o.be a license to•proceed with,the.work and not as authority to violate, cancel, alter, or set aside any.'provisions.of"tl e`technical..co'des, nor s'half issuance>of a,permit prevent the Building Official from.thereafter requiring;:a,correction-.of derors=in plans,-construction or violations,of-any codes.'Every permit issued shall become invalid unless t�.'Work-authoLiie'd by,:such-:permit is commenced within six_months of.permit issuance, or if work authorized2by the permit`i5 suspended.:or abandoned`for a period of six;(6) months aft-eral e'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 causefor:the extension:'Ifwork 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`TWICErFOR`�iMPROVEMENTS TO YOUR:`PROP.-ERTY, PYOU-INTEND"TO'OBTAIN FINANCING;CONSULT WITH YOURLENDER O'R AKATTORNEY'BEFORE RECORDING`:YOUR'N TICE:'OF-COMMENCEMENT. FLORMA.JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed'and sw 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. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of-Notary typed,printed or stamped