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Home My WebLink About21-3028rAMM30nmin • BGR-003028-2021 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 adon 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 addonal permit required from other governmental entities such as water management, state agencies or federal agencies. TWUMMUT M-. ME-3701z= 111I I I IIIII 1�l I I; I1!II p, 11 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. W XfU1F!FEZ PEIMIT OFFICEt) S - 1--l'PPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION -1, 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Foe Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS __AAfKCA1 6kVd_V �I � I e C_ LOT # F-71 SUBDIVISION Cv- 0, -eFA;� s PARCEL ID# I -CAa0-C)ob00'-0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED M NEW CONSTR'W� ADD/ALT INSTALL REPAIR PROPOSED USE SFR Comm TYPE OF CONSTRUCTION BLOCK FRAME DESCRIPTION OF WORK = SIGN = DEMOLISH APOC, FL - /1 <—in . _mt-po BUILDING SIZE SO FOOTAGE HEIGHT CX`�E Ic lux x`xx WA�VXVVX EkxxxWXx x UILDING 1$ Of, 0 (DO, VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY = W.R.E.C, A OTHER r- STEEL . =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIOIIIS FLOOD ZONE AREA =YES NO BUILDER COMPANY C 6 n_-) J ?, I C SIGNATURE REGISTERED Y J FEE CURREN YIN r AddressPCAJ License # ELECTRICIAN COMPANY SIGNATURE REGISTERED L_yj N _J FEE CURREN L_Xj N_J Address License # PLUMBER COMPANY E��; -1 SIGNATURE REGISTERED FEE CURREN [_.y _LN_j Address License # MECHANICAL COMPANY SIGNATURE REGISTERED L_Y_LN _J FEE CURREN Address License #F_ OTHER COMPANY FEECURRENJLYI�_ SIGNATURE REGISTERED Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionstlarge projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sift Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW constriction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Rerool's if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways,.needs ROW 36 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 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 —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 ropy 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 limitedto! Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WatenWastewater 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 "Wunless expressly permitted. - If the fill material is to be used in Flood Zone "N', 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 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 (90) consecutive days, the job is considered abandoned. 6 N* Z0, i S1 PON N OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Who is/are personally known to me or has/have produced as identification. Commission Name of Notary typed, printed or stamped ,r has/have produced —as identification. TIL40 Note bjic 4I$S1Q"V* Ob VA rQ W L 1 "4," �P SWO-1 -nped ZO ZQ 4GG 974942 tw,-, This space for use by Clerk at the Circuit Court only. 01j"M Permit Number, --Sl 0 Tax Folio No. �� The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following Information is provided In the NOTICE OF COMMENCEMENT, 1, Legal Description of property (street addfess required): 2. General description of improvements: 3a. Owner Name: Owner Address: 3b. Owner's interest in site: 4-4w Z> r Y-N V/ t, -r 3e. Fee Simple Title holder (of other than owner) Address: ..... . . . ... ... 4 Contractor Nanic Address: Phone: 5. Surety Name: Amount of bond: Address: Phone: 6, Lender Name: Contact: Address: Phone; 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7, Florida Statutes. Name: Address: Phone Number: 8. In addition to himself, Owner designates the following person to receive a copy of the Licnor's Notice as provided in Section 713,13(l)(b), Florida Statutcs. Name: Address: — Phone Number; 9, Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF CONMWCFMNT ARE CONSIDERED Ev[PROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 71113, FLORIDA STATUTM AND CAN RESULT IN YOUR PAYING TWICE FORDWROVEMENTS TO YOUR PROPERTY. A NOTICE 9,7 <6M(MENCEMENT MUST RERECORDED AND POSTED ON TIM JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAJJNFJNANCING, CONSULT WITH YOUR LENDER ORAI ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y0j,1R NQV0,W-( M)0fflNCT?,1ENT. of Owner or Lessee, or Owner's or Lessee's Authorized Signatory's Title/Office STATE OF FLORIDA COUNTY OF HILLS)ROROUGH The f6yegoi n instrum t was acknowledge before me this day cfAD5;=77��-9�—K-- 20_!�;[ by 4*7 for Personally Known OR Produced Identification Type of Identification Produced P Under penalties cR 22M and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above (A..py.f..Dy bwdmabe W.-.bda ft ft..fwmai wofddsN.Um -fC-WM-0W=) Updawd 29NOV2012 I 5335 8'h -- . ..... am licensed under Chapter 468, Florida Statutes as a(n): �2' Per architect— Contractor_ Engineer_ Architect — Building inspector — License No. C CC On or about j-Q��a �f did personally inspect the: Check: Roof Deck Nailing D in Flashing and r)ri ed Check which was used: 30# felt— Peel and Stick Other (List) At the following address: z used upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit aanual (Based on Section 553,844, Florida Statutes), Signature: STATE OF FLORIDA 22��W