HomeMy WebLinkAbout21-3065Ilrm
VTW
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003065-2021
Issue Date: 10/22/2021
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.
71 it
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.
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City of Zephyrhills
5335 811 St
ZeNhI
"M AM *11 1
0— licensed under Chapter 468, Florida Statutes as a(n):
Contractor��Engineer — Architect Building Inspector_
License No. JffLL1�-20s-
On or abou&Lf �-O did personally inspect the:
Check: Roof Deck Nailing--�[dry in Flashing and Drip edge
Check which was used: 30# felt Peel and Stick Other (List)
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#v Notary Puttlic State of Florida
AP a
Georgens Eleanor Comtois
My commission HH 135145
Expires M7/2025
313«730-0020 City of Zephyrhills Permit AppUcation Fax-
813«730®0021
Building Department t
Date Recived Phone Contact for Permittin
Th
Owners Name I� Owner Phpne,Number
IIETE1
Owners Address,.. r nar�P o e, u—°b r,, ,E
Foe Simple Titleholder,Name Owner.Phono,Number;
Fee Simple Titleholder°Address
JOB ADDRESS LOf;
SUBDIVISION
(Q "AIRED FROM PROPERTY T NOTICE)
WORK PROPOSEf3 . NEW,C0RlSTR 9ADD/ALT SiGN DEMOLISH
INSTAL REPAIR
PROPOSED USE SFR .COMM OTHER
TYPE CIE' CONSTRUCTION.., BLOCK ''=FRAME STEEL
CESCRI TI t P OK.:
SIliLiDl p SIDE SO FtlOT CAE HEIGHT` °"
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
:ELECTRICAL, $ AMP SERVICE EJ PROGRESS ENERGY EJ W. .E.C.
(PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING J SPECIALTY OTHER
FINISHED FLOOR SLEVATI S' �, FLOOD ONE AREA YES NO
BILE OPAIVY
SIGNAT RE EGi . e .Y./, N G /N
Address C License#
ELECTRICIAN; COMPANYSIGNATUREREGISTEREDL :IEcURREY/ ; IIIIIxIJ
.N
Address License#
PLUMBERLIIIIIIIIIIIIIIIIIIIIIIIIIIJ COMP Y
SIGNATURE RE3i "t'EREf� E10EE'.GURREh. Y thh1
Address License#
MECHANICALCOMPANY
SIGNATURE REGISTERED Y�I�Nt E`CURREh . {N
Address License#
OTHER I COMPANY
SIGNATURE REGISTERED Y/r N FEE CURREN Y/'N
Address" License#
® rams ia a , r.. ,a:araw, ij<.a°t.a ' 'z,F a a t a. ar, rre.ra:: ,a rw , r;aarraatr',rSae a s "aa.i;a aar.rww,"aa
RESIDENTIAL Attach( Plot Plans;(2)fi is of SuIlding tans,(1)set of Enemy Forms RO-W Permit for new n truction,
Minimum ten(10)workifl1 days after submlftai`,dste:°'ReqtWé drl it ,; dnstcudti6h Plsris,"Stchri otsr Plahspit~Silt Feti e,Installe ,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life SafetyPage;(1)set of Energy Forms.ROW Permit for new constructionS
Minimum ten(10)working days after submittal date„ReqLIred.o sits,Construction Plans StormwateF!Plans WI Silt,Fence installed,
Sanitary-Facilities&I dumpster.Site Work°Permit lfor all now projects.All commercial requir0ments'must meet"compliance
SIGN PERMIT Attach(2)sat§iof"Engineered'PIans
.**.PROPERf'.SURVEY required for all NEW construction.
Directions;
Fill out,application completely,
Owner&Contractorsign,back of appiication4.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)
Re roofs if shingles Sewers Service Upgrades NC Fences(Plot/Survey/Faotage)
Driveways-Not aver Counter if on public roadways..needs ROW
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 died restrigtionsa
UNLICENSED CONTRACTORS IAND CONTRACTORI BIL I If the owner has hired a contractor or
contractors to undertake work, they may kbeirequired 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 istate law, If the owner or Intendedcontractor are uncertain as,to what licensing,.requirements,..,may,.apply'for'the N
intended work, they are"advised'to contact the Pasco County Building Inspection Divisio Licenehg Section at 727847
8009 Furthermore, if the owner ha `t hired,a''cohtractor or contractors, .he is.;advised..to,have the contractor(s) sign
portions of the "contractor Block",of-this-application,for which they will be esponsible. If your as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting, it g .in
Pasco
County,
TRANSPORTATION IM T/UTI ITI IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands,
that Transportation;Impact:Fees and course~ ecoVery beds may• pplyto theconsruCiOrt ofnew bulidings, change of
use in existing buildings, or expansion of existing buildings as.. pacified in Pasco County Ordinance number 89-07 and
90-07, as amended. The',=undersigned also;to erstands, that such fees, as may be duet will beidentified 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 s notfinolve a certificate of occupancy or
final power release; the xfees,must be,paid prior to permit issuance Furthermore if Pasco County Water/Sewer Impact
fees are due,they must,.be:apai&prlor_to permit issuance an accordance'Wlth applicable Pasco County ordinances.
CONSTRUCTION LIEN[ (Chapter 713 Florida Statutes as amended): if valuation of work is$2,50000 or r ,i}re, I
certify that 1, the applicant, have been-provided with a copy of the "Florida°°Construction Lien Law Ho eowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the§applicant,,i ,, omeon -
other than the"owner", I certify that'l have obtained a copy of the above°described"dbcuri'entiand°promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRA. p /,_ I}` 4 •iT: l certifythat all then ii for stlon in this appiic ticn s aoqu s q nd that ill for„k,.
will be done in compliance with all applicable laws regulating construction, zoning and land Application is
hereby made to obtain a permit to do work and Installation as indicated. I i certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land,development regulations in the jurisdiction. 1 also.
certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Suchagencies Inc uEnvironmentallyde but arnotlimited lton i, ve
- Department of Environmental Protection-Cypress Bayheads Wetland Areas,
Lands,waterIWastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
WatercourSeS,
- Army Corps of Engineers-Seawalls,:Docks, Navigable Waterways.
- Department of Health & RehabilitativeServices/Environmental ,Health"'Uhit-Well$ Wastewater Treatment,..
Septic Tanks.
- USEhvironmentalProtection Agei�cy�Asestosi,abatement«
- Federal Aviation Authority Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill,.is,°not ailoWed-ln'-,Flood Zone V'unless expressly permitted
If the fill material is to be used in Flood Zone,"A", it is understobd that a.drainage plan addressing a
"compensating rvolume"will be submitted at time of permitting,,,which•,,is.°prepared ti,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,°'1 certify that fill will be:used only to fillthe'`area within the stern-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-propertigs the'owner maybecited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevatedµby 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,-,peals air conditioning, gas, or other installations,nonspecifically.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 uance of a permit prevent the Building Official from thereafter
of any co ca Every.permit k sa hali,become invalid
requiring a correction of errors~in plans, constructionor violations
unless the:work:lauthorized by such permit is commenced within six months of permit issuance, or if work authorizedby
the permit is suspended or abandoned for a period'oi f six
6)months
not after
4 exc time
eed ninetythwwor{o} da and will demonstratekIscOmmenced. An extension
may a requested*inwriting, frommthe building i for a o
_ .
justifiable cause,for.theeextension. If work ceases for ninety(90)`consecutive°:days,the job is considered ab ndone
d.
A NOTICE<. C C ,T. !T-I YOUR
WARNINGFAILURE T IF I ti :i i T
I TWICE F IMPROVEMENTS I I,. ;,F ENCE T
WITH ,, LEND I2 OR AN, ,. . lV
FLORIDA'JU T(F, .11 . 3)
co
ubs b� d t ) OfOro�m , is
Subscribed and,sworn owl 611° ��b for en Ethis _� by
by Who arc person•Gv kn t or la sthave prOdUced
Who i onsliy known to as Identification.roduced as Identification.
__ No Public
Notary Public
commission No. Commission No.
cd> minted or stamped Nss of Notary R >pen , or sd
Name of Notary typ p
,;,Y , CARLOSMAtDONADO
Commission#GG 346275
`•awA �; Expires June 18,2023
«b'," ;;'•" Bonded Thru Troy Fain insurance S00385.7019