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Home My WebLink About21-3089WKW95119311110 City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 BGR-003089-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/25/2021 Class of Work: HVAC Changeout Building Valuation: $1.00 Electrical Valuation: $1.00 Mechanical Valuation: $4,250.00 Plumbing Valuation: $1 00 Total Valuation: $4,253.00 Total Fees: $61 25 Amount Paid: $61.25 Date Paid: 10/25/2021 1:47:31PM iiiii" i��illillilli�illillillill��illillillillilli��illillillillilill�llilillilll�llillillill�llillillill�llillillill�illI =X=n, =I- fit=. F", 0 111 1�111 lill 111 11!1111111 11 ; lI!!1JII11I Jill 0 . . 0 i R rg-TITETITIMMITTINT-1 IT-TIM 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. SIGNATURE PE IT OFFICE Fox-813-780-0021 ETHER =ELECTRICAL AMP SERVICE PROGRESS ENERGY =PLUMBING $ MECHANICAL $ V LUA`f QN OF MECHANICAL INSTALLATION GAS � ROOFING 0 SPECIALTY OTHER FINISHER FLOOR ELEVATIONS � FLOOD ZONE AREA k- )YES NO BUILDER COMPANY SIGNATU RE r=--=— RE 'tM ace Y�N—�--F.R—C.R�RI�Wt N OEMOwnees Address INSTALL I1+tSTALL PROPOSED USE TYPE OF CONSTRUCTION BLOCK 0 FRAME [= STEEL P4' wrior Phone Number =EUtLRING VALUATION OF TOTAL CONSiRLWTICNV WIRIEICI 16 OEM Address License # ELECTRICIANCOMPANY SIGNATURE ft U T R U f t N �FiiW—W�1�1.Y 1 GV AddTess License PLUMBER COMPANY SIGNATURE --- -_ Ft t3rr TfaRF<C3 _.. Y t N-..- rsEF cuRRrat Y f NN 0 COMPANY RRUIFs' FRU) License n, Y ,N EMEGURREN .... License If mm� Y f N FFE CU€2REN .... Y (N .._ _.. License # Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Farree% R-C-�W Pe"It for new construction, Minimum ten (10) working days after submittal date, Required onsite, ConstnagiQ0 Funs, Stormwillor Plans wl Silt Fence installed, Sanitary Fw;illtios & 1 dumpster; Site Work, Permit for subdivisitinallarg projects Attach (2) complete sets of Uni ding Plans plus a Life Safety Page; (1) seat of Energy Perms. R-O W Penxrit for new coUstruction, Minimum ten (10) working days after submetaal state, Required onsite, Construction Plans, St unvmter Plans wf Silt Fence installed, Sanitary Facilities & 1 dumpatee, Site Work Permit ftar all new protects . Alt connaerc tel requirements must meet campltanee Attach (2) sets of Engineered Puns, —*PROPERTY SURVEY required for all NEW con uclon, 3I€ractl�ns: Fill out application ccanapletely, Owner S Contractor sign back of application, notarized If over$2500, a Notice of Commencement Is required, hate r+Ia�omos, over T50Q) Agent (for the contractor) car Power of Attorney (fear the owner) would be someone with notarized fetter front owner aauthortring some OVER THE COUNTER PERMITTING gcopy of ctmtraef required) Reveals, if shingles Sewers Service Upgrades A /C Fend (F kttlSu vssytF opt pe) driveways -Nat ovazr Calmer if on public roadways -needs ROW 813-780-0020 City of Zephtyrtlills Permit Application Fax-813780.00aa Braiding Department NOTICE OF DEED RESTRICTJONS. The undersigned understands that this permit may be subject to'deed' rostrlctions" which may be more rio add wn than County regulations, The undersigned assumes responsibility for compliance wrath any applicable dash restrictions, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and [mat regulations, If the Contractor is not licensers as required by law, both the owner and contractor may be cited for a misdemeanor violation under state lawn, It the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Itullding Inspection Division —Licensing Section at 727 47- 0009. Furthermore, if the owner has hired a Contractor or carreactors, he Is advised to hove the contratctcs(s) sign portions of the "Copt or Block'of this application for which they will be responsible, It year, as the owner sign as the contactor, that may be an indication that he is not property licensed and Is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILrTI S IMPACT AND RESOURCE RECOVERY FEES: The undersigned Undearstood$ that Transportation Impact Fees and Recourse Recovery Fees may apply to Ito construction of now 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 peratrittl tg. It is further understood that Traaa irodation Import Face and Resource Recovery Fees must be paid prior to receiving a'certiticaate of occupancy" car final power release, if the project does not Involve a certificate of occupancy or final power release, file fees must be paid prior to permit issuance. Furthermore, If Pasco County WstertSet r Impact tees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Mill es, as amended): It valuation of work is $2,500,00 or more, I certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Hor awwraer`s protection Guide, prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "fawner", I certify that I have obtained a copy of the above described document and promise in good faith to defiver it to the *owner phor to commencement CONTR ACTOR"SJOWNERIS AFFIDAVIT,, I certify that all the fnformatierrl in this application Is accurate and than all work wilt be done in compliance with all applicable laws regulating construction, zoning and land development, Application Is hOmby made to Obtain a permit to do work and Installation as indicated, ! codify that no work or installation has commenced prior to issuencia Of a pannut and that all 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 codify that I understand that the regulations of other government agenda, may apply to the intended work, and that it is my responsibility to identify what actions t 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 flayheads, Weiland Areas, Altering Watercourses, Army Corps of Engineers -Seawalls, Docks, Navigable Waterways, Department of Health & Rehabliftative S arviceaslEnvironmental Health Unit -Wells, Wastewater Treatment, Septic Tanks, U5 Environmental Protection Agency-Astaestos abatement, Federal Aviation Authority -Runways. I understand that the following restrictions apply to the rise of filt - Use of fill is not allowed in Flood Zone "Vft unless expressly permitted. - If the fill material is to be used in Flood Zane '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 Zane "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 stern wall, - If fill material is to be used in any area, f certify that use of such fill will not adversely affect adjacent properties. If use of ffI is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the huilding permit issued under the attached permit application, for kits less, than one (1) acre: which are elevated by fill an engineered drainage plan is required. If I am the. AGENT FOR THE OWNER, f 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 wank, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the €application. A permit issued site# he cribetrusd 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 erhars in plans, construction or vital iam of stay codes, Every permit issued shah become Invalid unless the work authorized by such permit Is commenned within six months of permit issuance, Or if work au£hor ZOd by ifte permit Is suspended or abandoned for as period of sort (F) months after the time the work is commenced. An extension may be requested, In writing, from the Building official for a period not to exoeed ninety (94) days and will demonstrate lcstifrabte cause for the extension, if work ceases for ninety (90) consecutive days, the job is considered abandoned. n -. l � . �, � a �£, i ,i. � = �'. is .,.. _ it 'A' OWNER OR AGENT CONTrfACTO �� Subscribed and swoon to (or affirmed) before me thix s by {*r bP Who vslare personally known to me or has/have prraducad W peonally knCaMr to ere of as identification, s Public Commission Raffia Of f�t"#c Y ty pf $pWaP d .F..�,�� .�_ Em