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Home My WebLink About21-3027City of Zephyrhills 5335 Eighth Street . . . ............... Zephyrhills, FL 33542 BGR-003027- 1 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/14/2021 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. I MRTAU= filgirey"117FM �! A 6 , . I I . I E�I= 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. CONTRACTOR SIGNATURE P ITHOUT APPROVED INSPECTION a UT 111:14- 813-:f t#r 00 tsty of Zephyrhdis Permit Applicaton Ownees Name ` Owner Phone Number O"oes Address' Owner Phone Number Faa SIMP10 T11100104F Na a r < f, m—lm Fee Simp e TRIabi ddir Address 405 ADORE" WORK PROPOSED NW ^^;�CORSTR E ^a, SALT ;CFO � DEMOL1 h NNSTAi..s. *Yc'.PAM ED USF SFR b va w ,. TTleE OF CONSTRUCItION BLOCK FRAME STFEt. w � OVISCRIPTION Of WORK a c a# # FOOT NEio BUILDING tiAL rr«A «ION OF TOTAL CONSTRUCTION GLCC,.TRltwAL € AMP aSERVCE PRWR SS ENERGY W.R.E.C.. VA LSAT,,",)N )F -k E'EC CAL iN",-P#wL,ATr ON FINISHED FLOOR ELFVA.'iK-Wh F,U,Di. Zl,)NEAREA =YES iro .. 6 At `ft# Jr RE FST`ERE i Y 1 N FFE (oJRRFN LIcense # SIONAT RE COMPANY RwisrERED YIN FEF eURRFN Y t N Adorns I SIONATUIRN COMPANY i kN4XWwo-vifvr. +vaw hu@+.�{ 'p� Address Address COMPANYStOkATURE Address OTHER SIGNATURE COMPANY ;tEi: ssYFREa� `f< 1 N FECOUR.REN, Y I N Address LIg e a ��!###��aae�r�rrs�a��#;tr��rs�rta��rc��r�t��s�t�t�it��TTTiTtTttFs #t3 #VT Attacn (2) Holman, , VI sets at eiullcling €'tens (t } ser ai triergy l-arrus, n � w Hanna eor now canitr�€t, hh €tt Ltn Ern ; ^g} ar ing days o f su rYttal date. F�sapu«rc orreite, Constrictor; Plans, SUr`Ma tar Plans W it Fenee €nstalled, Sanitary Facilities & t d tmpsfe?• SJtet Work parm, for subdimsennst rge god COMMERCIAL A#[anh (2) corrio ri, sets of Ruifsdeng Plans plus a Life Safety page, (t) $0,, oilzriergy Fat' R-O-Vta Permit for new c nsinactian. Minmitim Pen (10) warklrg days after submittal datetee rara� Qnsrta, f mscn eta€ F�� , u�tara �a @ �Safza u� S i€ � Fns 1i , Sanilavy Facilities & f aurnglyrou d Worts rPe=mft rtvr O navu rota s, Ail oorr r�'njo€ requirvImen€e must meet tttoan,c I N P IT Ati{au#t (2) sets Df Engineered Pans .... n e ""PR OPERTY SURVEY required for ONEW conseucttn°r d c ver 6 gq, r r rrs�r#e €� ct d, (AfC Upgrades over $750 ) m" AxgWit (laf the Gcsn@PeU t?t'}+ i Powet of Ark a#`nee pr zing yl.m er) "Uld be 5t)rreono .soul° notan;�,sa joite flee e1MIer anthornint7, some OVER THE COUNTgR pFjRgdTTnNQ (ccPy of contract onuire) Ramats I sh=a fifes, 4e; mm Service UPgmdes AIC Fen,,es p °r` iu v€y/Fratsta ) Orivewa Not cave, counter 0 an public roar vvzays newts Row a 11 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permn may be Subject to "deed' restlictiOnly' applicable deem restrictions. t UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: it the owner I'M hired a cOntrac 0r or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state taw, If the owner or intended oontractor, are umedain as to whSt licensing requirements may apply for the Intended work, they are advised to contact the pas oo County Building Inspection Division-1-1censing Section at 727-847- 8009, Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractors) sign portions of the 'contractor NOW of this application for whch they wilt be responsible. If You, a* the owner sign as the orintractor, that May be an mclication that he is not properly licensed and is not erifitied to permitting privileges in Pasco county, �*bUciolli;t: K�MVVM MZ*1� I �10 UnqemgneQ untairmands 1 RAN SPQR tAl ION IMFA(; 11U I tU I Sib lMt$AQ I ANU K that Transportation Impaot Fees and Recourse Recovery Fees may apply to the construction of new buildings, change Of use in existing, buildings, or expansion of exeing buildings, as specified in Pasco County CTMnance number W07 and 90-07, as arrielided, The undersigned also understands, that such fees, as may be due, will Do identified at the time Of permitting, It is further under too that Trarritportegon Impact Fees and Resource Recovery Fees nwet be paid PrIOT to receiving a cerittleate of occupancy' or final power release, If the projoet does not involve a cortiftesee of occupy nici Or final power red se, the fees must be paid prior to permit Issuance, Furtherniore, if Pasco County Vitater/Sewer Impact fees are due, thpy must be paid prior to dernlit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amend I}= 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 Guloo' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone -thor than the "olvn.-r", ! acrtiF, that 1 havc obtaincd n copy of the OoOVC dcccribcd dOou mcnt at promiso in good faith to deliver it to tile 'Owner" prior to commencement, CONTRACTOWSIOWNER'S AFFIDAVIT I certify that all the Information in this application is accurate and that all work will be done in compliance with ail aPplic0ble laws regulating construction, zoning and land development, Application is hereby made to obtain a permit to do work and installation as indicated, i certify Oat no work or installation has commenced prior to Issuance of a permit and that It work will be treftrrried to rneet standards of all to regulating construction, Cbunty and City cmies, zoning regulations, and land development regulations in the iudedlotion, I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my reopormbility to identify at actions I must take to be in compliance, Such agencies include but are not limited to, Departritenj or environmentat protection-Cypreas 5eyheads, VVevand Areas and Environnentally senettive I AndA V%onpriWastawRter Treatment Southwest Florida Water Monagernont Drstiet-Weits, Cypress Bayhoads, Welland Areas, Aftering watercourses, ArMy Corps of Engirreers-Sear va Ns, Docks, Navigable Watervays, Deoertment of Heafth & Rehabilitative Servioes/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks, US Environmenta! Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways, I understand that the following restrictions apply to the use of fitt Us* of fill is not allowed In Flood Zone `V' unless expressly permitted. It the fill material Is to he used in Flood Zone "A', it Is understood that a drainage plan addressing a e rmi ii. neean-4 hy ? rwrfe�F,!M1 s,renirrcnaar lioonocd by the Statc of Flondq. If the fill material is to be used in Rood Zone 'A" in connection vAth a permitted building using stem mil construction, I certify that fill will be used only to Ell the area within the stem wait, If Oil material is to be used in any area, I certify that use of such fill wilt not adversely affect adjacent properties. if use of fill is found to adversely aftid 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 try fill, an engineereo orainage plan is required. It I am the AGIINT FOR THE OWNIER, I pmrnise in good faith to Inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction, t underigand that a separate peffnit may be NNulred for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other in Ricans not specifically included in the applioation. A 41" M- "; 'V�- , - -- - I — 1, - — - - � � — - I-- , �— tolk .. — — 0 --- — V, —". set astlie any provision e of the technir3l code$, not Shelf dlatjanCe Of 9 peMd prevent the, BujWffV Official from thereder requiring a correction of errors in plans, construction or violations of any codes. Every permit lowed shelf become invalid unless the work authorized by such permit is commenced Wthin six moryths of permit issuance, or if work authorized by the permit Is suspended or ahandoned for a period of six (6) rmnths after the time the work is comrmneed, An extension may be requeelted, In writing, from the Building Official for a period not to exceed ninety (90) days and will deridonstrate 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 TWIEEE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT Sub' ribs ko I ii Yviacrt fe , N, MY COMMISSION # GG 925496 EXPIRES: February 23, 2024 , Wftif Bonded Thrij Notary Public Undetwriters .. ......... . am