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PERMIT EXPIRES \iMONTHS WITHOUT APPROVED2N«¥«TIO
CALL FOR INSPECTId-lH (}R NOTICE REUI ?#
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
9 a V IN It a 9 a Phone Contact fo1pormittin
+ M L/VJ , L L 's OwneesName O...rPh... Number
Owner% Address 0 14c 9x— Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS 4916 8th Street ZEPHYRHILLS, FL 33542 =1 LOT #
SUBDIVIISION PARCEL to# 114 26 21 0010 00600 0091
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER E_
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Build new 2 story duplex
BUILDING SIZE 130'x91'.45" SQ FOOTAGE [j:jjj:] HEIGHT
EFL]BUILDING $
'A UATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$
=PLUMBING
=MECHANICAL 1$
=GAS ROOFING
FINISHED FLOOR ELEVATIONS 1001-01,
AMP SERVICE PROGRESS {ENERGY W,R.E.C.
—:5
,4
VALUATION OF MECHANICAL INSTALLATION $
SPECIALTY = OTHER dPf
FLOOD ZONE AREA DYES NO J,
BUILDER
f%g,�
COMPANY
J Bryant Construction INC.
SIGNATURE
REGISTERED L_Z LN _J FEE CURREN L Y
Address
6017 Pier PI Dr. La eland Fl. 33813 License # CBC1256889
D
11"I tk"A'
ELECTRICIAN
IV,,/
COMPANY
FORE ELECTRIC & ENERGY, LLCM
SIGNATURE
REGISTERED FEE CURREN Y/N
Address
[&w-Ede field Place, Lakeland License # I ECO001 005
A
PLUMBER
COMPANY
Plumb Crazy Plumbing, Inc
SIGNATURE
REGISTERED L_Y_LN _J FEE CURREN L_X±N_j
Address
15108 17th St, Zepl7yrhills, FL 33542 License# FGFC 1425602
MECHANICAL
COMPANY
Johnson's Indoor Air,LLC
SIGNATURE
REGISTERED L _LLN _J FEE CURREN
Address
[R6BOX932, Polk/City FL. 33868 License# [CAC1:818789
OTHER
COMPANY
SIGNATURE
l
REGISTERED .CURREN
Address
I License #
a a 209,1211 911449's 984419#8 144194 1111 as Is I I a 9 1 wit *#WIN I tv W*4911rfet
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sto"water Plans w/ Sift Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL
Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set 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/ Sift Fence Installed,
Sanitary Facilities & I dumpster. Site Work Pennit 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.
64 111 % 1104 111ro S WO 40ft %Ab 04 6, 16400 a 4 0 O's Womw
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized lefter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Retools if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways. needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-7W0021
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 (icensing roquireneents
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- WOO,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'cortiradbor Slock* of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an Indicartion that he is not proporly lidersod 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 construction of now buildings, change of use in e**V 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 Resouroe Recovery
Fees must be paid prior to receiving a 'rerfiftcate of occupancy or final power release. it the project does not Involve a: earfificarto of oppupency oriloarl
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 codify 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 cerfify 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
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, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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 of 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 M 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 witting, from the Building Official fora 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.
Who is/are personally known to me or has/have produced
a as identification.
L �otary Public
Commission No.—
T)au,a
are of Notary typed, printed or stem
X, expires
Dawn Rfl Simpkins
A Commission Zzz:
jIA 164734 \,
OF
Who istanb personally known to me or has/havd produced
identification.
Notary Public
Commission No. .. LILL
1) 0— S I
Name of Notary typed, printed or stam8ly, 4
\\\\\0
Y P
Expires
10114/2025
(P Dawn M Simpkins
My Commission
HH 164734
0
OF
4
1 , shall be a minlinurn of art above the road elevationand an engineered site plarl,
2, Lots shall be graded to comply with R401,3 of the FRC
3, onipaction test required if 24"or niore. of fill dirt is brought in at any one place,
4, Tic in survey rquired before pouring concrete,
5, Drivewaysreqrare a R,O,W, use Iwrmn, All 4 sides of driveway thru the sidewalk all have,
expansion material,
6, All setbacks shall be nret,
7, All property markers shall be uncovered and niark, ed at finic of first inspection,
8, All MIA, requirements shall be met,
9, No electric, phirribing, mechanical, or ftarning shall be (x)vered without an inspection and
apptoval first,
10, AA Garages shall corriply with section R302.6 ofthe FRC, (FIre Sep&rsifion),
I 1. Appliances shall not be install ed in a location where subject to niecharrical damage unles,,,s
protected by approved barriers, M303.4 ofthe FRC
12, NVater heaters shall cornply with section P607,3 of the FBl C,
13, Foundation supports for A/C units shall be raised al least Y above finished jp-ade, M 1 3083. 1
14, Retttrn air in all bedroorns,F',B,C, M1620A
15, Smoke detectors Lire to be installed in accordance with R31 ,1 of F,B,('-
16, All glazing requirements are to be in, accordance with R308A ofthe F.,B,C,
17, All rneans of egress are to be hi ac(,ordance with R311 of One RB,C,
11 8, "Green gyjisum board" sball not be used as a backer .11), showers of tubs, R702*2 FRC,
19, Combination-t e AFCI breakers at requireA at all locations
YP reclurring an AFCI( breaker.
20, Caet)on monoxide alart'ns will be required in new constructiori that k1ses fossil-bUT'ning heating
or appliances or an attached garage 'I"hey shall be installeti in accordance with the FRC,
2 1, All PlUmbing, n.wehanicaL., and riletrical shall hr. septa re ftoni unit to merit, This includes all
undergrotaid plumbing and electric,
22, All 2016 N,E (", Codes will be enfoTce,&
I P
23, Tamper- Resistant Receplacles in accordance with 406,11 of the 2016 MLC
24, In accordance with the and Development Code, lots sball be sodded before, final at jea,"'t 10
feet around the structure,
25. R403,5,3Hot water to insulation
Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the
following -
Piping &/. inch (191 rnm) and larger in norninal diameter,
Piping serving more, than one dwelling unit,
Piping located outside the conditioned space,
Piping from the water heater to a distribution manitold
Piping located undef a floor slab
Buried in piping,
Supply and return piping in recirculation systems other than demand recirculation systems
25.. Blower door test shall be provided before, C.O.
I
F.F.E.-Finished Floor Elevation
Florida Building Code Oh Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
CITY OF UILDIAG
ZEPHYRHILLS EPARTMENT
"NOTICE" t)s
OF ADDITION OR CORRECTION
no NoTl. RFmovF
ADD *, �
DATE PERMIT
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job
will be accepted.
V/445 C01 t/oCt Atp�h
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
Alan - I inaiLoLoy, AVENTGUMVINIZINUM
AFTER CORRECTIONS ARE MADE CALL
780-0020 FO RE-1 ECTION
INSPECTOR