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Home My WebLink About21-3114City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 m"g BGR-003114-2021 Issue Date: 10/29/2021 REINSPECTION FEES: (c) With respect to Relinspection 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. IN[ F �-.Ft . * accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. V 1A CONTRA TOR SIGNATURE PE IT OFFICE* V PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO1 CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Dm=.m"=p^.""M1" � Date Received Phone Contact for Permitting F? lvoq �q_ :Owner's Name Fr C_ h(a o Owner Phone Number (3 - _J7 Ow Owner's Address Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r°°^=L_ Sd (OBTAINED FROM PROPERTY,TAX NOTICE) WORK PROPOSED 11 NEW CONSTR INSTALL ADD/ALT F__1 REPAIR SIGN MOVE DEMOLISH PROPOSED USE SFR Comm OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL OTHER 3 3 " =410wi- DESCRIPTION OF WORK Jye BUILDING SIZE SQ FOOTAGE HEIGHT EW BUILDING VALUATION OF TOTAL CONSTRUCTION pLuMe|wG ' �—� MECHANICAL VALUATION OF MECMAN|CALINSTALLATION ' F--1 GAS [--1 ROOFING [--1 SPECIALTY F—� OTHER RNBHEoPLODR�LEv^J|�NS� FLOO�ZDmE*n�� --lYs� �—lNo � ,� �_� BUILDER SIGNATURE COMPANY, �pc�ou�nswr ' Address License ELECTRICIAN SIGNATURE COMPANY [:::��FEE Address License COMPANY 00PANY SIGNATURE ncm/STEnso LYI_N_J FEE CURRENT /�_| Address License # MECHANICAL SlGM&rumE COMPANY REGISTERED -�1 N_J FEE CURRENT �-�-�—� Address ux°,mv# OTHER COMPANY tl Lu��__/ SIGNATURE L&��-N_� '==^"""="' License # LIC a5561SAddress | RESIDENTIAL��ouhpqPkdP|ano�(2)�o�ofB��P�ns�<1)m�ofEna�yFoona;R�-YVPennKkxnewcons�ucUun. —Construction ��n�wo�rP�nav��Fnnuo�n�Ue� M�|mmnbm(1V)wu��Qdays a0a submittal date. Required onnKe . Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL, AVuch(3)ne�ofBuilding Plans; (1)n��ofEnergy Forms. R-O4WPermit for new conn8nnUun. Minimum ten (10)working da after submittal date. Required nnsihe.Construction Plans, S(onnwmterPlans *YSilt Fence installed, Sanitary Facilities & 1 dumpst6r. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets ofEngineered Plans. � ~*°PRDPEFTYSURVEY required for all NEW construction. . Fill out application completely. Owner & Contractor sign back ofapplication, notaUzuo /rover *usno.mNotice cvCommencement inrequired. (AJoupgrades over *onoo) °~ Agent (for the contractor) urPower nfAttorney (for theowmer)vmv|dbonnm�one withnotarized|ettarfrnmmwnerauthohzinnsamm 'OVER THE COUNTER PERMITTING (Front of Application Only) Remofs Sewers Service Upgrades 8/C Foncos(P|oUSumey/F"obsgv) neodnROVV Drivewmys4�ntover Cuu�ar�onpubU roadways.. - NOTICE [)FDEED RESTRICTIONS: The undersigned undernhandoUhatMhiapennUmaybeeubiootto"deed". restrictions" which may than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o 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 fora misdemeanor violation under otob» |ovv. 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 727-841- 8009. Furthermore, if the owner has hired e contractor or contractoro, he is advised to have the contractor(s) sign portions of �h� "contractor Block" of this application for which they be responsible. \f you as the owner sign as the po ^ conbackor, that maybe an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the c ' onstruction 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 Watbr/Sewer Impact fees are due, they must be paid prior to permit. issuance in accordance w0th 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 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 "owner" prior to commencement. CONTRACTORSIOWNER'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 jurisd ' iction. 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 Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Aclency-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 W" 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 adve.rSely affect adjacent properties. If use of fill isfound 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, violatei 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, theJob is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL . T WITH YO RNEY BEFORE RECORDING YOUR. NOTICE OF COMMENCEMENT. �k ,hWWh �ls/are ��ersonall own t me r has/have produced Wh is/are personally kn n to me or as/have produced as identification. as identification. Notary Public Notary Public A 04 Name of Notary typed, printed INSTR#2021232915OR BK10472 PG3292 Page 1 of 1 10/29/2021 08:47 AM Rcpt: 2371668 Reci 10,00 DS: U0 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Parcel ID No _W90 'Permit NOTIGE OF COMIMENCEIMEN I Sate ,I-- Jq— County of ir TI IG UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and In acccrdanca with Chapter 713, Florida Statutes, the following information is Provided in this Notice of commeuc,�Iiian z 9() o 11 _6 oc'CQ) - 1. Description of Property: Parcel Identificati- Street Address', 2. General Description of Improvement af Information or, Lessee tuflinuall lilt L ssco R contracted for (he implovement: i c 3 o 4t Name I % i jW IF Interest In Property: _(_8 Nana of Fee Simple -fiticholdet: {If different tram C3wn� 3'sted shove) State 4. Contractor: -1,V h�111 2-W -- Address C a LVV State Contractor's Teleplione No.: B- �-7 5. Surety: Amount of city Talapherin No.: 6. I,Pcden _t:Lj _'' -, _— ---- — Name Lender's Telephone fb.: 7, Persons within the State of Florida designated by the owner upon whom notirps or other d0CUFulintS may be served as provided by Sectio 713 13(1)(a)(7), Florida Statutes! on a Telephone Number of uas}jnatod Person: linen to himself, the awrar designates IT - to relLivc -a copy of the Lier"'s NotiGul as provided in Section 711, T3(1)(b), Ilodda 'Sta lutes. Telephone Number of Person or Enilly Designated by Owner..- n Is a come n me pay Expiration dare of No[Tca of COMolonmem"alt (the expiration date may not a before. Ih I r r I co rid I ment to the specified): I ate is conV6ct.r, butwill be ono year, from the date ofleaording ul'1688 a different MY—, " Z�'_ WARNING TO OWNER: ANY PAYM.FNTS MADE BY THE OWNER Ai�TER THE EXPIRATION OF THE NOTICE OF GOMMFNGEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FI ORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTOYOUR InRcrERTY, A NOTfC� OP cOmmPNcF.MENT MUST BE RECORDED AND POSTED ON THE J09 SITE BEFORE THE FIRST IN,,rEcTJON. IF YOU INTEND TO OBTAIN FINANCING, CONSUL I' WITH YOUR LEN DER OR AN ATTORNEY BEFORE CO.MvEiNCING WORK OR RECORDING YOUR NOTICE OF COMM-NGEMENT. Under penalty of perjury, I dectara that I have read the forctiolng notice of commencement and that ilia Dwls stated iherli7fl are true to file best of my knowledge and buliLf, 8TA' ESPOSITO� 6 g COU I Notary Public -State oFloridaFlorida j�osguieo' Owners( assee`sMlhorizrd Commission # GG 956320 My Commission Expi(08 A�> 'Ifl Fal;truary 09, 2024 'SlgnatoiYb Title/Office, The foregoing instrument was ackno"Iedged before meth '� 7day of 2PI, b1_15-A as (type ofoutherity, e.g., officer, trustee, attomay In fact) for (f1ujlloaf�P*orIb p f whom jn�,trujnont was executed). Personally Known L1 9RProduced !dsntiFjraVrn� Notary Signatura Type of Identification Produced -1048 _pco5