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HomeMy WebLinkAbout21-2637-F— i y o . pII h —yr IT fff § 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-002637-2021 Issue Date: 08/13/2021 11111111111 11111111111 11111111111ir rj - - - - - - - - - - - - - - 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. -C 0 NT RAC T 6-RS I E PErIT OFFICE' 1 V -7 EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 613-780-0020 City of Zephymills Permit Application Fax-813-780-0021 Building Department Date Received iPhone Contact for Permittin 13 269 _ 9965 �3 Owners Name ALFRED MACDONALD Owner Phone Number 18�13486�-6593 Owners Address 15146 20TH ST Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 15146 20TH ST ZEPHYRHILLS, FL 33542 LOT SUBDIVISION [PTNECREST SUB I PARCELID#J 12-26-21-0010-00100-00AQ_____J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR ADDIALT t. SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK JINSTALL 168LF OF 6FT VINYL PRIVACY FENCE W/ (2) GATES BUILDING SIZE SQFGOTAGE= HEIGHT 8003.13 VALUATION OF TOTAL CONSTRUCTION =LLECTRICA1. AMP SERVICE PROGRESS ENERGY W,R.ErC =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVAT!ONS FLOOD ZONE AREA [YES NO BUILDERCOMPANY b C'-( AJ eEti'»,rttL SIGNATURE R..IsTERE. L_I.L N_J PEE CURREN Address 75 i A NA License $ ELECTRICIAN Y F_ SIGNATURE REGISTERED _IL N__J FEE CURREN =N Address License x I PLUMBER COMPANY ---FEE CURREN SIGNATURE REGISTERED YIN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED L_Y_L_N J FEE CURREN Address I License # OTHER COMPANY F_ SIGNATURE REGISTERED LI.LN J PEECURREN Address License ilt RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms: R-O-W Permil for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwaler Plans w/ Silt Fence installed, Sanitary Facilities & I clumpsler; 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, FLO-W Permit for new construction. Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed. Sanitary Facilities & I dumpster. Site Work Permit for all new projecis 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 6 Contractor sign back of application, notarized lfovor$2500, a Notice ofCommencementis required, (A/C upgrade* over $7S00) Agent (for the contractor) or Power of Attorney (for the owner) would be someone oath notarized letter from owner al.AhOri.Zinq same OVER THE COUNTER PERMITTING (copy of contract required) Reroof5 if shingles Sewers Service Upgrades AiC Fences (Plot)Survey/Footage) 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 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 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 property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement, CONTRACTOR'SIOWNER'S AFFIDAVIT; 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 Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Watef/Wastowater Treatment. Southwest Florida Water Management District -Wells, Cypress Erayheads, Welland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Service s/Enviro n mental 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 "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 `K 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 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 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, alter, 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 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, 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 (W) 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, IF YOU INTEND TO OBTAIN FINANCING, CONSULT OWN RO AGENT 1e r me �hs t by V1j 0 1 "a f rast ve produced identification T tart' biir Corrim15sion No EXPIRES: September 17,2021 9orttledThrul,10ta Public Undem(i,t0r$ CONTRACTOR Sutmcrjoed and sworn to for affirmed) before me ImS Vp.1O,S1are personaily known to me or hatilhave Produced as identification Commission Name of Notary IYPOCI, printed Of stamped Pubic MM CUSTOMER NAME �Alfred Macdonald STREET ADDRESS LZ,ephyrhills Florida 33542 smxu Famacdonaid427@gmail.com This is only a quote for the merchandise and services printed below. This becomes of a Lowe's receipt, upon ment, the entire agreement, including the specifically completed pages of this document, the Terms and Conditions included with this document and any other addenda and chments hereto, shall be referred to herein as this "Contract." PLEASE READ THIS ENTIRE DOCUMENT, INCLUDING THE "NOTICES," "TERMS AND CONDITIONS," AND "ADDENDUM" CONTAINED WITHIN THIS CONTRACT ON THE FOLLOWING PAGES BEFORE SIGNING. INSTALLATION STREET ADDRESS CITY STATE ZIP MATERIALS AND WORKTO BE PERFORMED (LE, ITEM NUMBERS, COLORS, DIMENSIONS, CONSIDERATIONS)� Lowe's will install 168 LF of 6'white vinyl privacy fence and 2 5walk gates. Lowe's will remove/haul away existing fence. Lowe's ��Htpull_ CONTRACT TOTAL (INCLUDING TAX) 8,003-13 Work is to commence upon reasonable availability of Contractor and/or any special order or customer made Good(s) which is anticipated to be 09/06/21 [fill in date]. Estimated completion date is 01/06/22_ [fill in date]. mx2/2r/2mm Page 1m1s Job: 21-0115 NAC5-0-NALO) Field Date: 7/2/21 (AM/MD) Client Ref: Revision N/A !L5L41e, r = 30, BOUNDARY SURVEY LEGAL DESCRIPTION (OR Book 9327, �10 0) _p� Lot 4, Block 1, PINECREST SUB014'ISION, according to the map or plat thereof, as recorded in Plat Book 5, Page 55, W U- of the Public Records of Pasco County, Florida. CS U1J 22 < 0 Z END 1/2'IR LBt1U- 0 Y2 v-, ns ri LOT I 0-- BLOCK I -S END NO 10 S 61*1g„ W(F) 142,501(p) fi'VOOD WE (TYPI END 3A' IP . ... .... No fl) 4--sfiitm ON PROPERTY L 2 17-1 SHE (it z I > Z C: ii tit 45146 na r: SCREENED ONE STORY PORCH > CONC MASONRY WALK RESIDENCE > > LOT 4 M X BLOCK I CONIC Z 'T CONCRETE CONIC > > DRIVEWAY X C CONC, SHED WALK GATE CHAN LW FENCE (TYPI END 3/ 4' IP S 89'51'10' WIN 5 142MV) Roof OVERHANGS FND 1/2-In NO to PROPERTY LINE Ol't RLS 2673 0J'N NOT PLATTED PARCEL fl), 122621000028000000 O,R, BOOK 9269 PAGE 2125 1. Underground utility installations, underground improvements, foundations and/or other underground structures were not located by this survey, 2. Additions or deletions to this survey by anyone other than the signing party or parties is prohibited without the written consent of the signing party or parties. 3, The property shown hereon is subject to all easements, restrictions and reservations which may be shown or noted on the record plat and within the public records of The county the subject property is located, This survey only depicts survey related information such as easements and setbacks that are shown on a record plat or have been furnished to the Surveyor. 4. Building ties and dimensions for improvements should not be used to reconstruct boundary lines, 0 :; Iron Pipe & Cap (1P) FND =found 0 = Iron Rod & Cap OR) 10 = Identification G = Nail & Disk IN&D) TYP z Typical [] z Concrete Monument (CM) ON/OFF 7 Onsite/Off site OR = Off itial Record —�-) = Guy Wire PB = Plat Book 0 = Power Pole Pg = Page - OE - = Overhead Utilities CONL = Concrete LB = Licensed Business LS = Licensed Surveyor