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Home My WebLink About21-3034BGR-003034-2021 Issue Date: 10/15/2021 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 563.80(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. IIIIIIIII'vill IIIII IIIII!IIII IIIIII III accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE Z41! I 1119 WU 1 N *2 1 iT'E;.Vk IM 1 k 9: worm PEfIT OFFICE U THOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department i Phone Contact for Permittin '_W _ as , _ r. - Owner's Name Owner Phone Number Owner's Address b� m Owner Phone Number Fee Simple Titleholder NameOwner Phone Number Fee Simple Titleholder Address JOB ADDRESS t �{� �� LOT# SUBDIVISION — PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) •• e 11 INSTALL REPAIR PROPOSED USE SFR Comm TYPE OF ♦. BLOCK DESCRIPTION a SIGN = DEMOLISH OTHER STEEL BUILDING SIZE SC! FOOTAGE � HEIGHT BUILDING $ 0 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ T AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING to =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER f, FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY , s SIGNATURE REGISTERED Y N FEE CURREN .� Y J N Address �} License# ELECTRICIAN� COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address License #W�� PLUMBER COMPANY SIGNATURE REGISTERED ;;;�.E�GURREN Address License # MECHANICAL COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y J N 7 Address License # OTHER � COMPANY SIGNATURE REGISTERED Y / N FEE CURREN �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, 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 subdivisions/large 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/ Silt 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 construction. 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) Reroofs if shingles Sewers Service Upgrades A/C Fences (PloVSurvey/Footage) Driveways -Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department N0710E OF DEED RESTRICTIONS; The undersigned understands that this permit maybe subject to 'deed" restrictions" which maybe 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 —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 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, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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 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. A I eXVIAG _171TICE FW"ffAOVFF_ffl1Er%TS TO T,41 I�R rA11ritERTT. IF 'TOW [ATERD TO WEITAIA F111AACIREi, (;Q4151111- I S1,11'': I QJ ::: , FLORIDA jL1_RAT_(_RS. 117.03) OWNER OR AGENT12T.4gL_)C�fc( CONTRACTOIR�C\��k = Subscrib d ds I ( ffirmed) before rue this Sub 'bed and sworn I rairmed rem N lyzlsv�� — Who is/are to me or has/have produced Who is/are p to me or has/have produced identification. MIA as identification. otary Public Notary Public C� Klan No.Aff_ Commission No. Name of Noteffy typed, printed or stamped ame tofNot ry tyEpd, pritntedor s raped RMCHEYENNE LINITHICUM Notary Public - State of Florida Commission # HH 075964 My Comm. Expires Dec 29, 2024 Bonded through National Notary Assn, INSTR#2021218800OR BK10460 PG476 Page I of I 10/13/2021 09:14 AM Ropt: 2364092 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Notice of Conimencement Permit g�aaTax Foh. No 03-26-2 1-0230-00000-0100 Staic of Honda Tho UNOERSIGNIA) hereby gives notice that iniprovQnic,fit wA ill lie niadc to cvrtain rca) firopvrly, and in accordance with Chaptu 7 1-1, Florida Statutes, the follo-wing infortnation is provided in this NOTI(T OF CONINIT-NN-NITNT EILAND PARK TOWNHOMES P8 60 PIS 102 LOT 10, (a) Surat (Job) Addtessa6243 %fame Road ZcphyThills FL,31542 3. Ownct or Lcsrev as owner only lfconuactcd for Imprownicrns) I. (a),Name And Address 2, 3, (c).Namo and Address off" simple tillaholdrii(If other then owner) 4. Comrachir Wormatit)n (a)\anoc and Address , �st� 4 .Inc 2. (b)Phore Numbtr.941-519-5371 Fax No (Op&) 901-701,6254 SuTcty Infrummiou. I . (a)Xwne and :address: 2. (-omnunwt or Bonds: 3. (c)llhone Number. FAN No ((Vt) 6, 1-iinder (a)Nwne and Address: State otFlordda dasignated byowner upon who notices be icrvc4l as piuvided b)°Section 713-13Q)fo7 Honda Staunqs i aE Name and Atfdwvs (b)Phone, Number. VApiration date of notice ot'vommencemealithe. expiration date Is I year from the date of recording unless a different date is WARNING TO OWNER: ANY PAYMENTS MADE BYTHE owNrk Av-rEftpw rxPIRATIONOF THE NOTICE OF COMNIENCFNIEW ARE CONSIDERED IMPROPER PAYMENTS VNDFR CHAPTER 713, PARTI, SECTION 71113, FLORIDA STM-IF-S.AND CAN RESULT IN YOUR 1��%Y-ING TWICF FOR IMPROWNIENTS'fri Yco,'tt PROFFWLV. OF CONUNIENCENEENTINIUST BE RE-�!ORDEV AND POSTED 0.1, TIRE JOB SITE BEFORE THE FIRST INSPFCTION. IF YOU INTEN-1) TO OBTAIN FINANCING, CONSVIX WLYRY0VR LENDUR OR AN ATTORNEY BEFORE CONOWNCINGWORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Verification Pursuant to Section 91.SM Florida statutes. Under penalties of perjury, I declare that I have read the foregoing AM that the facts in it are true to the be -it of my knowledge and belief, Sign more ,,f Ownct ar cssec, or 0,vner's or Lwce'i Audionzed Offi... Di —tor Pawwr Xninngcr Tal",Officaf -.-- rhe foccgmng instrunum,,a, wkno,v1,xIJiA bvft,cv uae dsiiX7 dat of_1 kt—L� r , 24)'XI by' ie��ho is sons Ionic or W, Produced aodjV40 did did not take an *Jrh ------ &— i'j-State of F —Iod it a- N-fin. T}pc, or Stjmji, C'uinin,iiiwwJ Nanic, v(Noutry Pobbc SHERI LYNN BROOM c4rnmiwon # GG S51322 EXPINISMaY20024 ,4 Of Vi:ov sw4w Two %A* NOW so** Document 0: 3F1 8A260-4CD0-4F,95-qF.04-951 A(,99FSFD3 page 1 of 1