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Home My WebLink About21-3104City of ZephyrhiflT 5335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 1 ELCMISC-003104-2021 Issue Date: 10/27/2021 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for [1♦ r . tp 23=99MM Complete ivTaMn—s,!5—peM-f1caTIons abo rMdf=A=MWVy APPIMSYMMIIIII M0—�*-I-- 1, 1 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE , I 105�.Volo 1 4.0 1- 62. F PEfIT OFFICEf) al Rzlio , MR-0, H, I ji IVIN MFA I : 1 :3 0 " 813-780-0020 City of Zephyrhills Permit Application bf * ` Fax-813-780-0021 Building Department 7A/ V Date Received Phone Contact for Permitting I i [XX3[3lZ1Z9--X3E3[3131� a 9 1 it Owner's Name k I , 1 1! !lull Owner Phone Number Jff"L VaIl1111- Owner's Address -�,904,s Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# � �\3O�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONITI ADDIALT SIGN DEMOLISH El INSTALL REPAIR PROPOSED USE SFR Comm OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK 5o�vr4�w BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION "F � U .e�LECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY E SIGNATURE REGISTERED FEE CURREN Address License # ELECTRICIAN COMPANY �1 WYAC QIl Urd [��CURRE�N�� SIGNATURE REGISTERED FEE Address License # PLUMBER E=- COMPANY E �FEECUR�REI�� SIGNATURE REGISTERED Address License #E=:=== MECHANICAL COMPANY E ;;;FEE CURREN SIGNATURE REGISTERED Address License OTHER COMPANY E;;; SIGNATURE REGISTERED Y/N FEE CURREN Address License #E::�� RESIDENTIAL Attach (2) Plot Plans: (2) sets of Building Plans, (1) set of Energy Forms; R-O-W Permit for new construction, 813-780-0020 City QfZephyrhi|ls Permit Application Fa«-813-780-0021 Building Department NOTICE OFDEED 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" ofthis 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 I8APACT/WT|LO0ES!MPACT 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, asmay bedue, will beidentified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must hepaid prior to receiving m"certificate ofoccupancy" orMna|puwerre|eame.|fthepn8ectdoeenotinvn|vemuartifioateofoccupanoyorfinm| 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 topermit issuance inaccordance 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 bythe Florida Department of Agriculture and Consumer Affairs. !fthe applicant issomeone other than the ''owne/'. |pedifythat | have obtained acopy ofthe above described document and promise ingood faith todeliver it tuthe ''mwne/'prior tocommencement, 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 tomeet standards ofall 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 itimmyresponsibility tuidentify what actions | must take tube|ncompliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection -Cypress Beyheada' Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-VVei|s, Cypress Bayhemds, Wetland Areas, Altering Watercourses. - Army Corps ofEngineers-8eavva||s.Docks, Navigable Waterways, - Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||s, Wastewater Treatment, Septic Tanks. - USEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority- Runways. ! understand that the following restrictions apply tothe use wffill: - Use of fill is not allowed in Flood Zone "\y' 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 attime Ufpermitting which is prepared by professional engineer licensed bythe State mfFlorida. - If the 0| material is to be used in Flood Zone "A" in connection with a permitted building using stem vva|| construction, | certify that fill will be used only tVfill the area within the stem wall. - If fill material is to be used in any area. | certify that use of such fill will not adversely affect adjacent properties, If use of fill is found to adversely affect adjacent pn]pert|es, 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 fi||, an engineered drainage plan isrequired. 8|mmthe AGENT FOR THE OWNER, I promise in good faith to interim the owner of the permitting conditions set forth in this affidavit prior to commencing construction. | understand that mseparate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included |nthe 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 coder, 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 ofsix (6)months after the time the work |acommenced. Anextension may be requested, |nwriting, from the Building Official for operiod not 0o exceed ninety (3O) days and will demonstrate justifiable cause for the extension, Ifwork ceases for ninety (00)consecutive days, the job isconsidered abandoned. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who Ts—/arepersonally known to me or has/have produced as identification. CONTRACTOR Subscribed and sworn to (or affirmed) before me this Who is/are personally known tomeorhas/have produced as identification. Notary Public Commission No. Commission No