HomeMy WebLinkAbout21-3163U ITy-5 rZ e—p Fy7r ff il Fs
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
B1
R-003163-2021
Issue Date:
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.
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTFZACTOR SIGNATURE PEfAIT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
a :4-01 J1 ILIA MAHMILIMM,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin
I I I I It It It I
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Owner's Name y —aj A-,L
Owner Phone Number
Owner's Address 5s-9tuo, —oAc*-6v- yzt;o
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS C.
LOT #
SUBDIVISION
PARCEL I D#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITI
ADDIALT SIGN DEMOLISH
El INSTALL
REPAIR
PROPOSED USE SFR
COMM OTHER F—
TYPE OF CONSTRUCTION BLOCK
FRAME STEEL
DESCRIPTION OF WORK j IN 61V -
BUILDING SIZE Sty FOOTAGE
HEIGHT
AIL C, W- k X t X JE E k W- iX 1E X 1E 1E X IX W. X AE E X X t X WE k k X IL IL IL IE C AE WE X X IE k IE t,t'k X X E X JE IE JE AE OE 9E JE X 9. X- JE t X k JE V- 9
;!SBUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 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
COMPAN "
COMPANY
IS
SIGNATURE
REGISTERED
LZLN _j
FEECURRENLY I N----
Address
Ce
t-To
License # ce te
ELECTRICIAN
COMPANY
SIGNATURE
REGISTERED
-1
FEE CURREN
Address
License #
PLUMBER
COMPANY
SIGNATURE
REGISTERED
YIN
FEE CURREN
Address
License#
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
Y f N
FEE CURREN
Address
License #
OTHER
COMPANY
SIGNATURE
REGISTERED
Y/N
FEE CURREN
Address
License #F—
NESIDENTIAL 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 of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 new buildings, change of use in existing buildings, or
s alffendLd- The unclersi�*�,ned alsoanderstands that
such fees, as may be due, will be identified at the time of perrnitting. 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 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,
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.
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OWNER OR AGE I —21--\ CONTRACTOR
4 ZSubscribed and s orn t r rmed) efore elhis Sub cr e an sworn to for affirmed) bef e�me this A;�b�!AJAI,.W
Who is/are personally k ow to me r has/have produce Wh�is/are personally known to me or has/have produced
C2 ln� ani IQ) bs identification. )V C) rV ov _7 I> A,1 r —as identification.
Brantlon Joseph Wen Bwdon Joseph den
Comm.#GG342661 JL %AJ42661
Exphs: June 22,2023
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Commission No. Bonded Thru Aaron Ngdakmission No. ��!�=Mn Notary