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Home My WebLink About21-3107it of Zephyrhill s 5335 Eighth Street Zephyrhills, FL 33542 BGR-003107-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/28/2021 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. • "Ia .................• •.......... "I• a r- . Ll W" 233EMEMZ= accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. X CONTRACTOR SIGNATURE PE IT OFFICEf f 0 WOUT-AR.RRMEM-MR-REC.M. tg-- KUT 813-780-0020 City of ZephyrhillS Permit Application Fax-813-780-0021 Building Department ali�rii!•�`�lri•i�r�ilr � �al��a•rwf�� • • •UTITM ME � ri: •rr. PROPOSED NEW CONSTRR ADD/ALT REPAIRWORK INSTALL PROPOSED USE SFR Comm TYPE OF CONSTRUCTION BLOCK FRAME DESCRIPTION OF WORK SIGN DEMOLISH OTHER STEEL BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U, ' GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y % N FEE CURREN Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y ! N FEE CURREN Y / N Address License # PLUMBER f COMPANY - -ct, SIGNATURE REGISTERED Y(/ FEE CURREN/ Y I N Address ' ? �� fAr `�> �-AN sN) wafd �V%icense # t t} MECHANICAL COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y t N Address License OTHER COMPANY „t3NATURE REGISTERED Y / N FEE CURREN . Address License # L�� II II lull Illlt llt�IItII1 lE 1I1�1 11111I 111I1ElI II II 1112111111111 litillit1111I1i fill ? RF_Qinr- "nAi Affa,4, I'M PW Plane ON cafe of R,difiinn Piano- (iN oaf of Mmam%i 9Z rm F?- \Al R®rmif fnr nave r nafn irfinn 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 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 IMPACT/UTILITIES IMPACT AND U CE 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 I,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"owners prior to commencement. 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 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 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,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(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 OWNER: YOUR FAILURE TO EC NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING IC FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, SULT FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swam to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me is by by Who is/are personally known to me or has/have produced Who is/are p ,grjfly, iwjito me or has/have produced /7 as identification, as identification. / ,i f Notary Public ;$a e� . LAUREN PFLEIDERER ry Public Cnmmi_qcinn Nn rn ¢ _ Commission#HH 013394 ",.. 9dy Comm,Expires Jun 22,2024 50% remainder upon completion Acceptance of propo The above prices and specifications are satisfactory and are hereby accepted You are authorized to do the work sp above :7�e above (Authorized Signature) Date: Proposal Submitted by (ARS/Rescue Rooter) Date: This proposal is subject to change if not accepted within 30 days American Residential Services of Florida, Inc. 3340 SCHERER DR SATE. A ST. PETERSBURG, FL 33716 Tel 727-497-4967 Tel 727-497-4974 TAMPAPERMIT�-C4 CONTRACTOR AUTHORIZED FORM MA01W11.9; QUALIFIERS NAME: BUSINESS NAME: I AUTHORIZE THE FOLLOWING INDIVIDUALS TO SIGN FOR AND OBDAIN PERMITS ON MY BEHALF ** THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIO'JS** First Name: Last Name: Lori Smith Brittany Zachman Charles Wohlever Kevin Kubacki Signature of qualifier: State of — County of P�j', LAUREN PFLEIDERER WNotary Public - State of Florida e', Commission #HH013389 my Comm. Expires Jun 22, 2024 I 21 12:48 PAS Rept 2374 6 : t01 LDS. U. iT, 0 Nikki Alvaro 1 , Esq., Pasco County Clerk& Comptroller PeariftNumber Paml ID Number E. NOTICEOF COMMENCEMENT State of Flo dounty of Mslao--O ty Of 7LIP11V r h i I I THE UNDERSIGNE0 hereby l;ives notice that improvements will be made to certain real property, and in acmrdance Oth Section 713,13 of the Florida Statutes, the following fnformation is provided in this NOTICE v, MENCEMENT o: 3.Owner Information or Lessee to tton I the L � c for the unprovernenc e) Marne and addres bj Name and address of fee simple titleholder (4 different 4.0ontractor Info don Owner fisted e) Name and address: ARS Resoue Rooter 13340 N Scherer Dr #A, St Peurnburg, FL 33716 b) Telephone tom.; 727-58&4200 Fax No- (optional) ,Su (if apptt ble> a mpy of the payment bond Is at# ed) a) Name and ad s: _ . b Telephone No,: . c) Amount of Bond: w A Lender a)Nwnearidaddres& NIA b) Telephone ND., T, Persons within the State of Florida design ed by Owner upon whom notices or other documents may be served as provided by Section 713,13 (1) (a) 7., Flonda Statutes: a) Name and address, NIA b) Telephone No.: _ Fax o,: (optional) S. a) in additionto hi 9f or herself, Owner designates _ of to a copy of the Uenor's Notice as provided in Section 713,13 (1) ()a bride Statutes. bj Phone Number of Person or entity designated by Owner, t Expiration deie of notice of cornmemarnerit (tire expiration date may not be before the COMP10410n of 0onstruction and final payment to the contr for but will 1 year trorrr the , of recording unlessa different date is s I ): A � w i