HomeMy WebLinkAbout20-995 E
City Of Zephyrhilis 11100 , 11P15RRMfT NUMBER'
t ,~ :• ',gip, .-- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000995-2020
Phone: (813)780-0020
Issue Date: 10/30/2020
:. Fax: (813)780-0021
Permit Type: Building General (Residential)
1?ropeft N umber _ Stree#Address :; k4F _
1126 21 0010 08800 0110 1 38415 9Th Avenue
�,'.. :• � z COntractrin#o�mafi n �.s Ownerinformatton ` .,; Permrt,lnformatton
Name: LG&MLM LLC Permit Type:Building General(Residential) Contractor: CARLYLE ELECTRIC
Class of Work:Electric Service Replacement/
Address: 38415 9Th Ave Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:$250.00
Phone: (813)763-1122 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$250.00
Total Fees:$45.00
Amount Paid:$45.00 I
Date Paid:10/30/2020 8:42:16AM
�:. 11 § - .
Project Description10
s : ; 3 x :x
REPAIR WATER HEATER-CAA}
Appl�cationFees .. .
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.
CONTR CTO AT E PEP 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 9 9S Fax-813-780-0021
Building Department Tr�V 1759
E•,
Date Received Phone Contact for Permitting
Owner's Name I Owner Phone Number
Owner's Address . Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# "..
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK 16
BUILDING SIZE SQ FOOTAGE HEIGHT /
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN , Y/N
Address License#
ELECTRICIAN � /�/ COMPANY v
SIGNATURE REGISTERED Y/ FEE CURREN Y/N /
Address License# at� f
PLUMBER COMPANY
SIGNATURE - REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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 dumpder;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 with notarized letter from owner authorizing same
OVER THE COUNTER,PERMITTING"F _ (copy of contract required)
Reroofs if shingles X Sewers ,,,,0Se celU�i rades;ALC I Fences Plot/Surve /Foots e
Driveways-Nof over Counte�yi)'on putilic"roadways. eed ROW
'• nAlr fJ..
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 fora-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
e 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 FEE i S:. 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 obtained a copy of the above described document and promise'in good faith to
deliver.it to the 0owner"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 incompliance 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,WaterMastewater Treatment.
Southwest Florida Water Management District-Wells, "Cypress Bayheads, Weiland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls-, Docks, Navigable Waterways.,
Department of Health & Rehabilitative Services/Eiivironmental 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 2engineer
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'affedt,adjacent properties, the-owner may-be cited for violating
the conditions of the buildiiig permit--'issued''uhder:'the attached permit application, for lots less than one (1)
acre which are elevated�by fill,anengineered:drainagq plan-is-required.
If I am the AGENT FOR THE OWNER, I prom lse'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, after, 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 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. IFYOU.'INTENb,TO-OBTAIN FINANCING, CONSULT
WITH-YOUR LENDER.-OR AN ATTORNEY.BEFORE RECORDING:YOUR.NOTICE 00 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGEN.T_- - — CONTRACTORZa,.�
---Subscribed and swam to(or affirmed)before me this Subscribed and sworn 19,ror affir(necf)before is
by by
Who is/are Tpersonally known to me or has/have produced Who Is/are pqsonally known to me or has/have produced
as identification. ffiL ---asld&q_ffication.
Commission No. Notary Public Commission No.
Notary Public
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
CARLOSMALOONADO
Commisslon#GG 346276
Expires June 18,2023
Bonded Thru Troy Fain Insurance 800485-7019