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Home My WebLink About21-3066n U—pn—yrWiTfs- 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 g , a-1 BGR-003066-2021 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. 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 M' M�n PEtIlTbEFICE0 R �'.Td 9,0011"Iffim 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department -7A, V 4 3 3 � Ph yno Contact for Pormittl i�r 1�11 I "'JI .01, x '04*11 Or 10 1 011, up Owner Phone Nukilber Owner's Address L_ I Owner Phone Number Fee Simple Titleholder Name Owner Phone Number E=:== Fee Simple Titleholder Address JOB ADDRESS �� EIT, H =- =YTE)4=f_�A E� S =�(=7L -3-m(A =Q LOT # SUBDIVISION PARCEL IDS (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRE] ADD/ALT INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK ()--f �ac �_q_y_) _P__ BUILDING SIZE SQFOOTAGE= HEIGHT W44444"4444444- 4444444-�� =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C, EZ5PLUMBING =00co =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =OAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA H+H4+H+H+H+H+H+H444 0*144111 =YES NO BUILDER COMPANY. E ;;Y ;/NFEE �CURREI� �Y �N= SIGNATURE REGISTERED / Address License #E==-= ELECTRICIAN COMPANY E ;;;�FEECURRE�Y SIGNATURE REGISTERED / N�� Address License #E===== PLUMBER I �c "o-t COMPANY i��F�EECURREI�� SIGNATURE 'i REGISTERED Address -_ It -I+h ED -1t License # KaE�� MECHANICAL COMPANY E ;;N�FEE �CURRE� SIGNATURE REGISTERED Z= I RESIDENTIAL AttacK(2�PlOtPlans� (2) iisti�6U B611ftPlans; (1) set of Eneroyfoirra*, ROI Permit for new construction, MinimumAen (MlyprldrI"ay"fle(s6witiall dI Required o Sanitary Facilities & 1 dumpster, Site Work,Permit for subdivigiona/large projects COMMERCIAL Attach 1 9 1 Plans plus a Life Safety Page; (1) aai� 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 Installell 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. 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 (Front of Application Only) Reroofs If shingles Sewers Service Upgrades A/C Fences (PlottSurvey/Footage) Driveways -Not overbountar_lf on',public" midi" ay's"..Wob 'ROW NOTiCE F DEED RESTRICTIONS: The undersigned understands that this pp it ,..may be subject to deed restrictions" which may be,more restrictive then County regulations. 'The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS T 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 SSection at 72764T- 8009, Furthermore, If the owner has hired a contractor or cons ctors, he is advised to have the contractor(s) sign portions of the "contractor Biock" of this application for which they will be responsible. If you, as the owner i ` 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 RESOURCEFEES: The undersigned understands that Transportation Impact Fees and ecourse Recovery.Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion ofof'exltirig buildings, as specified in Pasco CountyOrdinance number 8907 and 9007, as amended. The undersigned also understands, that such fees s may be due,.will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource RecoveryFees 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 ti 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 t tut a as amended): If valuation of work is$Z500,00 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 copy of the above described-documentand promise In good faith to deliver it to the"owner".prior to commencement, CONTRACTORSIOWNERS 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.,- 1 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 begirt.complIance, Such agencies include but are not limited to: Department of Environmental ProtectionCypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment, ® Southwest Florida Water Management District- ells, Cypress M Bayheads, Wetland Areas, Altering Watercourses, Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Uhit- ells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. ® Federal Aviation _uthori un ys. 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 ich is prepared by a professional engineer licensed by the State of Florida: If the fill material is to be used in Flood Zone " " in'connection with a permitted building using stem wail construction, I certify that flit 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 , 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(0)months after the time the work is commenced. An extension may be requested, In writing, from the uilding,Official for a porlod<not to exceed ninety( ) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNINGTO OWNER: YOUR FAILURE_T ,REcORD A NOTICEF COMMENCEMENT MAY,RESULT IN YOUR PAYING ICE FOR IMPROVEMENTS TO TY IF.YOU I,T ND"T 'OBTAIN,:FI • ' Ct . CONSULT FLORIDA JU T'(RS.117.03 OWNER OR AGENT Subscribed and sworn to(or affirmed)before me this Subscribed and'sworn to(or affirmed)'before me this by by Who la/are personally known to me or he eve produced o are personally Jmown a or has/have produced ss identification. I as id tiff Lion. _________________________________Notary Public No ry Public Commission No._ Commission No. �J r Name of Notary typed,printed or stamped Name of Notary typed, ,,a' •.. CARLOS MALDONADO Commission#GG 346275 Expires June 16,2023 ' as °P' BmWed Thru Troy Pain to r�ne�6 •2E 7@99