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Home My WebLink About21-3037City of Zephyrhills 5335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 0 1.11111111164'' 1 "1 BAR-003037-2021 Issue Date: 11/30/2021 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. nrzm��= MIMUN=MEM��W 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 PEfAIT OFFICIEC) ILI R*Uai rff$T-1 K-TIT-2 0 813-780-0020 City of ZepOyrhills P ermit Application Fax-813-780-0021 I Building Department Date Received g Phone Contact for Permitting Owner's Name Owner Phone Number Owner's Address &I —Da OrO...r Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT SUBDIVISION f PARCEL ID#�qQ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 41 NEW CONSTRF--] ADD/ALT SIGN DEMOLISH El INSTALL REPAIR PROPOSED OSE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK F DESCRIPTION OF WORK ma t pp BUILDING SIZE tI SQ FOOTAGE HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. , — 1� 1 " , =PLUMBING =MECHANICAL =GAS ROOFING = FINISHED FLOOR ELEVATIONS E== VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FLOOD ZONE AREA =YES NO BUILDER COMPANY YIaa N /N FFC�RREN N SIGNATURE Np T_ �M Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED y �NIEE �01.EllY / N� Address License # PLUMBER COMPANY E SIGNATURE E=== REGISTERED ;;;;: �F.EMIRRE�N Address License# MECHANICAL COMPANY E;;� SIGNATURE REGISTERED ., LrRRENY l N�� Address License # OTHER COMPANY ----------------- EY= J SIGNATURE REGISTERED YK= FEE I N REN Y/N CURR 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 & I 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 It 0) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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. (A/C 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 AIC Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways -needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-8 13-780-0021 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 —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'SIOWNER'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 1 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, 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 "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 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, after, 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ITPi YOUR LENDER OR �TORNEY BEFORE R`� C?INO YOUR NOT(CE OF Ci3MMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT_ Subscribed and sworn to (at, affirmed) before me this --b Who is/are personally known to me or has/have produced as identification. Public Commission Name of Notary typed, printed or stamped CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/ personal_ k Mi to me or has/have produced V�U �M n�g as identification. --Notary Public Commission No. — 1 !7-1 % Name of Notary -Typed, printed or stamped m LEGEND: wF X_^ * #w #' y r W A/C AIR C"rOfM M cew r,M WAM M#'t #, iw ip" p�PWi i.# E..'k�. ...X"' �riY.MC w r PW sw 3/0 Or BOUNDARY &SURVEY DESCRIPTION: (AS FURNISHED) LOT 64, OAKS PASCO AS RECORDED IN PLAT BOOK 8D, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDI DISTANCESI. ALL DIRECTIONS AND NOTED • IlUILDING ITS SHOWN HEREON ARE *. RE \[O To RECONSTAWT!BOUNDARY LMM =47 II IJA * k qAM) 12-0-20 R$ i p aB4 T T: s to ,#5R rom R FAR MAT £ 45 30 03 INSTR#2021255923OR BK10494 PG1329 Pagel-fi S/H 11/30/2021 01:01 PM Ropt: 2383936 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller I 012-0 �QQQW�-� State of Florida - 2-U 21 - County of THVVW)RSIGNED hereby gives notice than improvements will be made to certain teat property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 0. 0 * a 0 * . - ffmn�� . # 4 0 0 16 ' 110101111111, �-' Tl--,ILW-JW-T'�-quiLlo:'QL--'S2F?4Lr4.Tr.—A[W-41m,-,�qw4rwm�,L1 3. Owner Information or Lessee informatioliNf the Lessee contracted for the Improvement: PLOorvx4x i4Ak 4'61:, -6 t,)cA I or" a. Name and address: b. Name and address of fee simple titleholder (if different than Owner listed c. Interest in prope 4. Contractor Information a. Name and address: LiLeglyle ReIno b. Telephone No.:(813) 448-3711 Fax No,: (optionaO (813) 449:3Z!Q 5. Surety (if applicable, a copy of the payment bond is attached) a, Na-ff e and a,;Wress: b. ; Telephone NO,:_ c. Amount of Bond: 6. Lender a. Name and address: b. Telephone No.: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13 (1) (a) 7,, Florida Statutes: a. Name and address: b. Telephone No.: Fax No.: (optional) A a. in addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes, b. Phone Number of Person or entity designated by Owner: 9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified):_ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA71ON OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB Sin BEFORE THE FIRST INSPECTION. IF YOU INTEND To OBTAIN FINANCING, CONSULT WITH YOUR LENDER 09 AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Yi-,d,-r �aiw-*f *f ;Ferjy;-y, I iecl,?ra t%at I %2vz re-;�i tlrt fvr.-,r,*4AX A*tice *,f c*?;.x.v.eAce)me0 i%j! tlx-2ttke ft*.'s st-?teil tkereiA 2r,- trve to the best of my knowledge and belief. :;1rint Name an Provide ligna<tory's 'ritle/Office) (Authorized Officer/Director/Partner/Manager) 4 The foregoing instrument Was acknowledoed before me this 10 day < ype of authority, e.g. officer, trustee, attorney In fact) _ (t F0 as (Name of Person) (type of authority.e.q. officer, trustee, attorney in fact) for (name of party on b N I otary Public State of Flontle Randall D Lewis Personally Known _ Produced �lb lMy Commisson GG 192181 022 Type of ID Notary Signatu '-A Print name. STATE L "I ,, COUNTY OF PAS110" THIS IS TO C + RTIFY THAT THE FOREGOING IS A TRC E AND CORRECT COPY OF THE DOCUMENT ON FILE OR t-CJB?LIC RECORD IN THIS OFFICE VV' S CV'lY HANID AND OFFICIAL SEAL THIS DAY OF 2f'I N14KI A VARE SOWL S, ERK & COMPTROLLER � �� €T 1 P By DEPUTY CLERK vr,. >r