HomeMy WebLinkAbout21-3030W9771M'607�1-
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003030-2021
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 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.
ACCOMFURT AP�11
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
1A
6/60NTRACTOR SIGNATURE PE IT OFFICEt)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
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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 CONTRACTORi I ITI . If the owner has hired a contractor or
contractors to undertake e work,,they may krequired to be licensed,in accordance with state andalocal,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 ap lyyfor,the,,
intended work, they are advised to contact the Pasco County Building Inspection ivisionicnirig Section at 72747-
8009. Furthermore, if the owner has`=hired°a f contractor or contractors,,.,he is,advised to have the contractor(s)sign
portions of the "contractor Block" of this°application..for which they will Fbe< esponsible If yours the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to perrnittingg pgvllegesrin Pspc
County.
TRANSPORTATION I CT!UTILITI IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and RacourseRecoVery Fees may apply to,the construction.pf.,rtew,°buildings, change of
use in existing buildings, or expansion of existing buildings, as,specified in Pasco County Ordinance number 69»07 and
90-07, as amended, fhe undersigOedwal o undarstands, that such fees, as}r may be due wiHbeidentified 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 powere release. If the project does,,hot"invplye 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 mustbe.,paid'prior:to,permit issuance in accordance with applicable Pasco County ordinances
CONSTRUCTION LIFN'LA. Chapter 713, Florida Statutes,as amended): if valuation.°of work is$2,500.00 or.more
certify that I, the applicant, have been provided a copy of the "Florida Construction Lien haw Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs if the applicant is, omeene,
other than the"owner", I certify that•I have obtained a copy of the above described' cdbm ntwand�.; romise»in.good faith to
deliver it to the"owner"prior to commencement. li` tloIs;a. urte and that lork.,t
C N . ACT ' t A A. R' I�' , °,.vl,certify hat all�,ithe,inforrmation-ln t is,ep �r
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 Installtl6n 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 standarda 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 toathe 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 lirn:ited.to:
® Department of Environmental Protection-Cypress Bayheads, Wetland Areas and nvifonrnentaily Sensitive
Lands,Water/Wastewater Treatment Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cypress Bayheads,
Watercourses.
- Army Corps of Engineers-Seawalls,Docks, Navigable.W ate ays.
- Department of Health & Rehabilitative Services/Environmental ,Health„Unit ' eiis Wastewater Treatment,
Septic Tanks.
- US Environmental Protection AgencyAsbestos abatement
Federal Aviation Authority unways.
I understand that the following.restrtctions 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 3submitted at time,of permitting which.wis...prepared.by.a.professional engineer
licensed by the State of Florida.
If the fill material•is to be,,usedanwFlood Zone "A" in econnection 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 riot adversely'affect adjacent
properties, if use of'fill found to adversely affect adjacent%properties,,the,ewner.%,may.be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre whichare.elevated y fill,,an,ongine red drainage plan is,required.
If I am the T' . , I promise in goodfaith 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'note 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: «Everyermit issued,hail become invalid
unless the work authorized by such ipermit: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 aftertl e time the workisco menced: An extension
may be requested,;in writing, from,the Building.Officil for a'period not to exceed ninety(90) days and will demonstrate
justifiable,cause for these tensiorr, If work ceases for ninety(90)'consecutive wdays,the job is considered abandoned.
WARNING O,OWNER: YOUR FAILURE TO RECORD A NOTICE OF,COMMENCEMENT MAY,RE ULTAN YOUR :
PAYING 1 FOR IMPROVEMENTS 10 YOUR PROPERTY, IF Y !1 INTEH0O OBTAIN FINANCING,CONSULT
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FLORIDA Ju gF. :1 7.03 o
OWNER elan t�
CONTRACTOR____—_-------
Subscribedand"sworn.ta(or affimiedf before`Me',this' Subscribed and sworn to or ff₹i }befoP,e=ma this
by -e,._.� .by
Who i ovally known to me or has/have produced Who is/are personally known to me grha ave,ProdUoed,
as identlficatlon, as identification.
Notary Public ______________ __Not5ryPublic
commission No. Commission No.
Name of Notary typed,panted or stamped Name of Notary typd,printed or stamped
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DEPARTIVIEN!
I, 7� , t) A -v rA k n h asm have read and fully understand and agree to the
provisions bfthis i'nst'rurh-6n-t,' --
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his •: her own domicile, that he or she actually occupies, • will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the �o—llowing
conditions:
OWNER'S SIGNATUR DATE
ADDRESS
PHONE
WITNESS PERMIT
I/Masterfonns/OwnersAffidavit/NovO7
1 Oth AVENUE
60' R/W (ASPHALT)
............ . ... . ........
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NO LD.4'x4"
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U.1 RESIDENCE
00 #38404 CD _`l E, 6
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(60.00') 12.8' 13.8'
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LOT 4 BLOCK 88 LESS THE E. 1/2 OF THE NO I.D.
N. 1/2 THEREOF (NOT INCLUDED)
--I — — — — — — — — — — — — — — — — — — — — —
(130.00')
11 /P
I SURVEY NOTES I N,
CONCRETE DRIVE CROSSING THE NORTH SIDE OF LOT.
—THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY AND CROSS THE SOUTH LOT LINE.
PAGE 2 OF 2 PAGES
_k 1 0 11 C B OUNDAR YT SURVEY LB #7893
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N.. 2883 SURVEYORS CER TIFICA TE TARGET
I I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY
) SUR LLC
IS A TRUEAND CORRECT REPRESENTA TION OFA VEYINa
SURVEY PREPARED UNDER MY DIRECTION,
sr F STATE OF NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
0 R I D SIGNATUREANDAUTHENTICA TED ELECTRONIC SEAL SERVING ALL FLORIDA COUNTIES
Z SURVS 1( OR RAISED EMBOSSED SEAL AND SIGNATURE
Digitally signed by 6250 N. MILITARY TRAIL, SUITE 102
C lyd e 0. Clyde O. McNeal WEST PALM BEACH, FL 33407
DN.
CN = Clyde O. PHONE (561) 640-4800
,
McNeal McNealDate: 2C = US 614.12.23 FACSIMILE (561) 640-0576
(SIGNED) 17:0756 -05*00" STATEWIDE PHONE (800) 2264807
CL YDE 0, McNEAL, PROFESSIONAL SURVEYOR AND MAPPER #2883 STATEWIDE FACSIMILE (800) 741-0576
The East 112 of Lots 1, 2, and 3, and the East 112 of the North 112 of Lot 4, Block 88, CITY OF ZEPHYRHILLS, according to the Plat thereof, as recorded in Plat Book 1, Page
54, of the Public Records of PASCO County, Florida,
Community Number- 120235 Panel: 0005 Suffix: C Flood Zone: C Field Work: 1211912014
Certified To:
DIANE DOWDEN; SUNSTATE TITLEAGENCY, INC.; FIRST AMERICAN TITLE INSURANCE COMPANYHAMILTON GROUP FUNDING, INC.
Property Address:
38404 10THAVENUE
ZEPHYRILLS, FL 33542
Survey Number.- 219472
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LB #7893
TARGET
5URVEYfiVQ,,LLC
SERVING ALL FLAR111, GOIELITIES
6250 N. MILITARY TRAIL, SUITE 102
WEST PALM BEACH, FL 33407
PHONE (561)640-4800
FACSIMILE (561)640-0576
STATEWIDE PHONE (800) 226-4807
STATEWIDE FACSIMILE (800)741-0576