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CONTRACTOR SIGNATURE PEfAIT OFFICEC)
PERMIT
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r:.. . MONTHS APPROVED
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813-780-0020
Fax 813-780-0021
Phone Contact for Per
Date Received mitting 1c,813
Agates so, 4 =7"3
Owner's Name LL A'V i L(_ Owner Phone Number
Owner's Address 1 )x3 Arf,-,krA All 6/11 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS 13,q1S_-Q#s3VeM774920 8th Street ZEPHYRHILLS, FL 33542 LOT # 10
SUBDIVISION PARCELID# 14 26 21 0010 006000101
(OBTAINED FROM PROPERTY TAX CE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION ETL] BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK Build new 2 story duplex
BUILDING SIZE30'X91'.45°°SQ FOOTAGE 4,793 HEIGHT
EL]BUILDING
r__ a r�a VALUATION OF TOTAL CONSTRUCTION
ELECTRI CAL oo AMP SERVICE PROGR SS ENE
P
Y
=PLUMBING $ wo
=MECHANICAL L �0' VALUATION OF MECHANICAL INSdAL T11 ON
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS 1001-01, FLOOD ZONE AREA =YES NO
cl�l
FORE ELECTRIC & ENERGY, LLC
MOUNI FEE CURREN 0"T
License# 1EC0001005 ----------- 7
License I I CFC 1425602
Johnson's Indoor Air,LLC
YIN FEE CURREN L��
OTHER COMPANY
SIGNATURE REGISTERED
Address License #
*441lia's tsillit #*4111-44*11114*411, 14 & 944111 of 9#9 4,99 at 19 ass 9 9
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, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 wl Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, Ali commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
60, 49-10 Q
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
if over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (ropy of contract required)
Reroofs 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-813-780-0021
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 'ccriBlock" 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 property 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 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 at permitting. It is further understood that Transportation Impact Fees Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power relesse. 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 WatedSewer 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 cerfify OVA 1, the applicant,
have been provided with a copy of the "Florida Construction Lion 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 car* 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 sit 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 mew, 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 we*, and that It is my responsibility to Idairitify 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, Weiland 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 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 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, after, 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 reases, for ninety (90) consecutive days, the job Is considered
abandoned.
OWNER OR AGENT
before me this d and swom to (or
' L
by Mk
Who is/am 2trsonally known to qX or has/have produced
as identification,
(S YyM_J_. Notary Public
Commission No.
NanraF ofN-othry typed, printed or stamped
ly Prid/ f
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Expires
1011412025
Z Dawn m Simpkins
7��7 My Commission
)I, HH 164734
subscribed and a to{{or ifin ofe �rm,�eth "7d)
wr - �, 1% 1 �,by 1g t Who We h.% . produced ,���9)6�,baslha produced
as identification.
AYYNotary Public
SJ
Commission No.
Name of Notary typed, printed or a
y P
Expir
025
Z O's
Dawn M
CP DSimpkins Z
My COMMIssion
HH 164734
TOWNHOME PROJECT
NEW CONSTRUCTION
LOT 10 — 811, Street
Bryant Construction
Michael Mann
Michael Mann and his associate Jason Bryant with Bryant Construction
have agreed to the following conditions for townhome construction located
at 8 th Street:
1. Trellis/Pergola will frame the garage door, painted in same color as
body of house.
2. Install electric for 2 lights on pergola
3. Front porch will be a minimum of 5' in length and 5' in depth
4. Sliding doors on side will have a porch roof with poles for support and
concrete pad.
5. Shutters on windows
6. A/C units will be screened from view with landscaping.
7. 2 — 3" caliber street trees will be planted
8. Yard will be sodded
9. 6'sidewalk provided on 8 th Street
COUNTYPAS C
III
VFaN AIWA-"'S. HIBRANTPLACES.
October 1, 2021
ASSIGNMENTNEW ADDRESS TI
PROPERTY OWNER INFORMATION
P• A ♦ s w 4 • Y J
your newly established address.
If an address is assigned to a structure, and after construction the structure does not face the road
to which the address was assigned; or, the site plan changes at a later date and structures no
longer references the original addressing plan; the address(es) may be subject to change.
4918 to Street L -' 1
4920 8th Street
e h r ills, FL 33542
If you have any questions, please contact our office at (727) 815-7154.
IS Addressing
GIS ADD` •`
Government
Wa 1