HomeMy WebLinkAbout21-30245335Eighth Street
ZephyrhiUs.FL33542
Phone: (G13)7DU-OU20
Mwillm�
Issue Date: 10113/2021
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.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,',kERMIT EXPIRES IN 6 MONTHS-1
MTHOUT APPROVED INSPECTION
1 0 0 WOM 4� M, M®R
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813-780-0020 City of Zephyrhills Permit Application j Fax-813a80-0021
Building Department
[date Received Rhone Contact for Permitting
Owner's Name 1 Owner Rhone Number
Owner's Address' j' 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
NEW CONSTR
ADD/ALT
E
INSTALL �
REPAIR
PROPOSED USE
SFR
COMM
TYPE OF CONSTRUCTION
BLOCK
FRAME
SIGN DEMOLISH
OTHER
STEEL
BUILDING SIZESO FOOTAGE = HEIGHT E=
BUILDING E= VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING �
MECHANICAL $ § VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
EY;�FEE
SIGNATURE REGISTERED�GURRFN����
Address License #
ELECTRICIANE=:== COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
Address License #
PLUMBER
COMPANY
SIGNATURE
REGISTERED�Y
I N FEE URREN
Address
License #
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
YIN FEE GURREN
Address
r'� 4� -
-W2- License #C
OTHER
COMP
4A
Al i
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,
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 few, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended ntractor 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 727447-
8009.9. 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.
CONSTRUCTION LIEN L (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 t "owner"prior to commencement.
CONTRACTOR'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.
If I am the AGENT FOR THE , I promise in good faith to inform the owner of the permitting conditions set forth In
this affidavit prior to commending 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 des, 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 : YOUR FAILURE TO C NOTICE F COMMENCEMENT Y RESULT IN YOUR
PAYING IC FOR IMPROVEMENTS TO YOUR . IF YOU INTEND TO T FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEF C MEN MENT.
FLORJ A JU T(F. ,117.0 )
Subscribed and sworn to(or armed)before me this subscribed and to ad re me this
�o Y�k 1.n to me or has/have produced
Who Is/are personally known�ma or ha va produced salonpi�adu
as identification, t 4J as identification,
Notary Public Notary Public
Commission No, Commission N
Nance of Notary typed,printed or stamped Name of Notary typed,printed opnnted or ste pad
<'A,Y� .•p CARL0S MALD0NAD0
Commission#GG 346275
Expires June 18,2023
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