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Home My WebLink About21-2596City of Zelphyrihills 5335 Eighth Street Zephyrhills, FL 33542 BGR-002696-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 08/02/2021 0- 0 10-1m= 1�1=11=10611119511111!111 iilillill'i IMPRIMIS 1!11 1 AMM700 re'ri accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE JN PEJAIT Ol TWOUT APPROVED INSPECTION A 813-78020 City of Zephyrhills Permit Application Faxm813®780a0021 Building Department �S�l�eiuiuur 1Mri�IM � 11M �d � ownerphone Number -- Owner Phone" Number Owner Phone Number 111 19 not } 6UILDING $ �r VALUATION OF TOTALCONSTRUCTION ELECTRICAL <- iv1F$;, F�UiC PROGRESS N Y, .R, . < v,... MECHANI AL $ VALUATION OF MECHANICAL INSTALLATION'` GAS ROOFING SPECIALTY OTHER,,. FINISHED FLOOR ELEVATIONS FLOOD ZON AREA =YES NO r, t i i COMPANY REGISTERED Y P N FEE URREh Y I, N"• ., . i u��k�1MIMwYfMIMIiMIfiiWM �II�MiM�1i�l { a + Minimum ten i 1. i'.. ♦w.' `1I\:,"FI Sanitary Facilities & I dumpster; Site Work Permit for di projects . COMMERCIAL Attach (2) complete sets% of Building %Plans plus a LifsZafety page; (1) set of Energy %Forms. R-O-W Permit for new constructiom teriP »Installed umpsterSite Work Permit '..♦projects.;ll +� at compliance SIGN PERMIT Attach ai s :♦ Fill out application oompletely. Owner i Contractor sign back of,application, notarized if Over $2500, a Notice of Commencement is required. (AIC upgrades over $75 0) ant (for the ntraotor} or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THECOUNTER PERMITTING (dopy,ofcontract,required) Rer fs if shingles Sewers Ser'ic, Upgrades Ali 'Fences (Plots u eylFnntage) Driveways -Not over Counter If on public; roadways..needs ROW 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 T` l B iLITi If the owner has hired a contractor or contractors to undertake work, th'ey'my be required be licensed in accordance With state and,local regulations., If the contractor is,not'licensed as required by law, both the owner and contractor ivray'be cited for a misdemeanor violation under state,law. If the,owner or;intended contractor are uncertain as to what licensing requirements may applyrfor the . intended work,they are advised to contact the Pasco County Building InspectionDivision—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!UTILITIES IMPACT Y FEES: The undersigned understands that-Transportation Impact Fees:end 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 under, igned,,also.°understands, th t`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 thetproject does not Involve a.certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyWater/Sewer Impact fees are due,they,must be paidprior to permit issuance in accordance with applicable asco County ordinances O . , C ST UCTI 'LIEN.LAW(Chapter 713, Florida Statutes, as:amended):)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 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"owner"prior to commencement, C T T ..' /O. ° Fi . , 1T:...I,,,certify,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 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 ProtectionCypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterIWasteater Treatment. m Southwest Florida r Water Management DistrictWells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ® Army Corps of Engineers eawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit•Wells, Wastewater Treatment, Septic Tanks. US Environm`ental'Protection a Agency-Asbestos abatement. > Federal'Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use offill'lsnot allowed,in Flood Zone"\1"unless expressly peritted. If the fill material'is& to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating voluihe" will'be submitted at time of permitting which is prepared by.a professional engineer licensed by the State'of Florida. m- If the-fill material'is for be used in.Flood Zone "A"'in connection with a permitted building using stem'wall,= construction,'l certifythatfill 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 rill will not adversely affect adjacent properties. °lf,use,of;All 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-whictr,.are elevated,by fill,an engineered drainage plan is required. If i am theAGENT'FOR'.THE. , I promise 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,-aid conditionings gas, or other installations not.specifi ily included in the application. ,A permit issued shall be construedtto be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions'of the Wchnical 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'permittissued=shall become invalid unless thework authorized,by rich,permit is commenced within six months of permit issuance, or if 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, fro:- the Building,Official for asperiod,not to exceed ninety(90) days and will demonstrate justifiable cause farthe extension: If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING.TOWNER:' YOUI:' IL TO RECORD NOTICE . F C T Y RESULT 1 'YOUR PAYINGTWICE' . "I , . TO d I YOU Y T T OBTAIN FINANCING, C LT IT = .. ; , z°x � , °.BEP0E. , PROPERTY. RECORDING Yp ; NOTICE COMMENOEMENT. FLORIDA JU T°`(F.�.197 3} r _ OWNER OR AGENT Subscribed and to(or affirmed)beforö me this subscribed and sworn tO(or raffi )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 denhficaUon., Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped INSTR#2021162156OR 8K1 0406 PG 884 page 1 of 1 08/02/2021 11:44 AM Ropt: 2333950 Rec: 10.00 IDS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Fla R] nvnnn�� IN -1 wwm� -age OV City CO**CwftTSw#M*No.: �a?—S93(h SWW. ----- — — Arnowd of BoW: s Tekn%one No.: 6. Lentler Nam Address CRY So" Ler4eft Teloptxme No., 7. penwo wift ft StMe of Flwft desbnaied by Ms owner upon whom noftes or odw documoft may be serwA n pmvklod by Soobon ?13.13(1 XaX4 FWrWS SWAftx--- None Address COY State TeIelphone Mwiw of Dwouded Pown: In addlOon to t*nw#, ft owro4Ed9$VO!*w Of lo rwellve a copy of the UenWs Nofte as pvAded in Sec4on 7113.113(1!Xb� FWft ftUm. Telephone Number of Penion or EntWi DeMonded by Owrw Exorelon do* of Nafte of Convnencemerd (twe a xpilregon date may not be belbve Ilhe cornOebon of and &W pft"wt W Me conkaW, but wS be one yew ftm too delle of r000rdng unlew a dfto d0v Is OPKOKII� — = [WWWWWR *" I 10 1 CAP . IM IM ' 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. € J. 4,r, i ness my hand � d official seal this day of 2 I 4 � < (Nikki Alvarez -Bowles, q., Clerk & Comptroller " � � Pasco County,,, rida °'° By--- Deputy Clerk City of Zephyrhills 5335 81h St Ze,*,hvr,1,iIIs F licensed under Chapter 468, Florida Statutes as a(n): Contractores V-'Engineer— Architect— Building Inspector_ License No. —L -LO-L -L- 111- On or about did personally inspect the: Check: Roof Deck Nailing —"Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Stick tether (List) S A/ `-//- At the following address: I -- Rased upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit M nual (Based on Section 553.844, Florida Statutes). 4 Signature: 77, STATE OF FLORIDA INGRID ROSARIO COUNTY OF PASCO My COMMISSION # GG 987406 fore this day EXPIRES; May 12,2024 Sworn t )and s bscrib 4�W, Bonded Thru Nok" Public Underwitefs BY: N ry ublic State of Florida