HomeMy WebLinkAbout21-3016City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
3
7
BGC-003016-2021
Issue Date: 10/12/2021
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.
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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.
TRACTOR SIGNATURE
PE IT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
B-13-780-0020 City of Zephyrhilis Permit Application
Building Department
F--813-780-0021
M
TYPE . OF CONSTRUCTION
DESCRIIPT=ON OF wow
BUILD1140 SIZE SO FOOTAGE HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION W-RE.C.
=ELECTRICAL AMP SERVICE PROGRESS ENERGY
=f-LUMBING
I'll
113R'ECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=CIA's ROOFING = SPECIALTY = OTHER
FINISHED -LOOR ELEVATIONS [:= FLOOD ZONE AREA =]YES NO
COMPANY
BUILDER SIGNATURE
REGISTERED
Address
COMPANY
ELECTfUCt W SIGNATURE REGISTERED
Addre '5s
COMPANY
PLUMBER SIGNATURE REGISTERED
Addw.,s
COMPANY
MECHANK AL
SIGNATUR E REGISTERED
Address
COMPANY
OTHER REGISTERED
SIGNATURE
YIN
Y1 N FEE CURREt,
License #
License #
YI N FEE CURREN
YIN
License #
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LT-
Y/ N FEE URREN
YIN
License #
Y/ N FEE CURREN
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ioense #
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RE&DENT-AL r new conerrPlnsstormwatawl Sift Fence installed,
Minimum ten (i0) working days after' sutsmittal date.
Sanitary Fao cities & 1 dumpster Ste Work Parmit for suodiv lions larga projects P._jt f� new const=tt—
COMMERCIAL stmmwatar Plans wj Silt Fence installed,
nimurn us
Sanitary Facilities & I dUmPstOr. Site Work Permit for all new projects. Ail Commercial requirements must meet Compliance
SIGN pEM-rjT Attach (2) sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Directions:
Fill ou. application completely.
Owner & Contractor sign back of application, notarized
III over $2600, a Notice of Commencement is required, (A(C upgrades over $7500)
Agent (for ffie contractor) or Paver 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 sAngles Sewers Sarvioe upgrades A/C Fences (PIct/Survey/Foctage)
otjve,%,,aWNot over Counter if on public,rouldways-needs RQ\,y
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 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 —Homeowners
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'S/OWNER'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, Water/Wastewater 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,
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 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. 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 Peter 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 (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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
IiknTu W^I In. e!KI— __ a— . ___1 ____ __ __ - - - -
f-LORIDA JURAT (F.S. 117.03)
OWNER OR AGENT co c
Subscribed and sworn to (or affirmed) ')before Me this
or ra is
by y ffl I b
Who iware personally known to me or has/have produced ho s/ re rsonally n wn to e or h
a 1 v used
as identification. identification.
Notary Public \,_
Commission No. Commission
Name of Notary typed, printed or stamped Name
"r Not" Public State of Ponde
Tammie M Rogers
MY CommmwontG 913245
Expires %� I Si2023
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Bahr's Propane Gas & A/C Inc. Estimate,7331976
4441 Allen Road, Zephyrhills, Florida 33541 United Job 6963039
PROPANE GAS States Estimate Date 9/20/2021
AND A/C INC. (813) 782-5013 Customer PO
ft
Billing Address Job Address
PLANET JUPITER HOOKAH LOUNGE PLANET JUPITER HOOKAH
38438 Sth Avenue 4tvlk- LOUNGE
Zephyrhills, FL 33542,JUSA 38438 5th Avenue
Zephyrhills, FL 33542 USA
Estimate Details Joh
3 ton split system - Copy: Recommend installing a second 3 ton split system with heat if wanted price does not include electric
recommended talking to other company first that installed the existing system put estimate on hold. Permit included.
Task # Description Quantity Your Price Your Total
CSC4 3 Ton 14 Seer Champion Straight Cool Split System: 1.00 $5,300.00 $5,300.00
TC4B3622/AE36BBE21
AHRI: 202305685
* Average annual savings of 2096 on cooling costs
® Single Stage Cooling
® Electric Heater
® Digital Thermostat
® Hurricane Pad/Anchor kit
® Copper/Drain Flush
® Float Switch
* 10 Year Parts Warranty
® 10 Year Compressor Warranty
0101035 REPLACE ALL DUCTS. PRICE PER JOB: 1.00 $1,500.00 $1,500.00
REPLACE ALL DUCTS
is $4
FRIENEr., "981
1111111111[10L-1#
Thank you for choosing Bahr's Propane Gas & A/C Inc.
THIS IS AN ESTIMATE, NOT A CONTRACT FOR SERVICES. The summary above is furnished by Bahr's Propane Gas & A/C Inc. as a good faith
estimate of work to be performed at the location described above and is based on our evaluation and does not include material price increases
or additional labor and materials which may be required should unforeseen problems arise after the work has started. I understand that the final
cost of the work may differ from the estimate, perhaps materially. THIS IS NOT A GUARANTEE OF THE FINAL PRICE OF WORK TO BE PERFORMED.
I agree and authorize the work as summarized on these estimated terms, and I agree to pay the full amount for all work performed.
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