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Home My WebLink About21-3167City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 Mil"1111,11 a::ffl= BGR-003167-2021 Issue Date: 11/09/2021 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) local government shall impose a fee of four times the amount of the fee imposed for the initial inspectiogAdr 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. 41 � IWFTMIM� VVIIII'l I I 7XIMT-1 �77 - accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. PE f1IT OFFIC; U 240 6L 04 A a so, It K City of Uphythills e tq,9� a licensed r Chapter ,FloridaStatutes ny o tr t r Engineer— Architect— Building inspector- License No. On or about1 °' id Personaltv Inspect t Check which felt— Peet and Stick Other (fit) STATE PUBLIC CO OF OfI 3,76 to subsc d be rhisjfjay u} a, NOWY Public State of Flor* 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received It I I Phone Contact for Permittin Ownees Name Doreen Rivera Owner Phone Number 201-407-2811 Owner's Address 6504 HUNTINGTON DR ZEPHYRHILLS, Owner Phone Number FL 33542 Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6504 HUNTINGTON DR ZEPHYRHILLS, Fl, 33542 LOT # SUBDIVISION PARCELID# 03-26-21-0120-00000-1020 (OBTAINER FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Tear off and re -roof asphalt shingles BUILDING SIZE I SO FOOTAGE HEIGHT =BUILDING —12—,95-0-00----] VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL =MECHANICAL =GAS ROOFING = AMP SERVICE PROGRESS ENERGY W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS T FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED L_y N j FEE CURREN L IN Address F_ License # ELECTRICIAN [=:== COMPANY SIGNATURE REGISTERED LYLN_j FEE CURREN L_ILN J Address E_ License # E PLUMBER COMPANY SIGNATURE REGISTERED L_ILN _J FEE CURREN YIN Address E License MECHANICAL COMPANY SIGNATURE RE.ISTFRE. Address License # Gr nA-ay Roofing of Florida OTHER COMP SIGNATURE REGIS D YIN FEE CURREN YIN Address 12546 N John Young Pkwy Kissimmee, Fl, I License 4 CCC 133 1395 a RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans, (1) set of Ene ormon s; N Minimum ten (10) working days after submittal date. Required on ite, nce installed, ,.a Barge 'rotec Sanitary Facilities & I dumpster, Site Work Permit for subdivision Aarge projec 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 (IQ) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans w/ Silt Fence installed. Sanitary Facilities & I dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans, SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required, (AJC 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 (copy 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 contractors) 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 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 expansion of existing buildings, as specified in Peace 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 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 'owrer' prior to commencement. CONTRACTOR'SIOWNER'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, WaterAA/astewater Treatment, Southwest Florida —IITTanagennent 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 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, FLORIDA JURAT (F.S. T7 OWNER OR AGENT - to m, affir med) , .for, Subscribed and swff to (or a 4 Wrivach before e this by oreen ivera Who is/are perso, ally known to me or hasihave produced as identification, t b? b (0 F, ( Notary Public Commission No. Name of Notary typed, printed or stamped f ec in 9 a L Cassidy A �R, t� ')TARY PUBLIC C 'FATE OF FLORIDA JES Coi),,m# GG162376 EEXPI res, 11/21/202 -1, MIORMN , 0 Subscribed and Commission No, -EMENT MAY RESULT IN YOUR OBTAIN FINANCING, CONSULT roll;� re me this s/have produced a identification, Notary Public Name of Notary typed, printed or stamped gma L. Cassidy NOTARY PUBLIC ATE OF FLORIDA Crnm# GG! 62 376 E i ,;S 1 21 INSTR#2021222572OR SK FAG 407 pag. 1 -f 1 10/2012021 06:15 AM Rcpt: 2366377 Rec: 10,00 DS: O7 00 IT: 0.00 j. � . 0-1020 Florida & Pricer Nme of Fee CRY _.m 2546 AdAmess City s T - 7- -3 5 Nams Address Ckv Arnaft , T Address CRY Sbie T 7. -V The otng Insbunot was dayof 1 ° 'Di i r LA x s POWER OF ATTORNEY Date: I hereby name and appoint lk Lt'� Of r7l to be my lawful attorney In fact to act for me and apply to the 0,0 6 Building Department fora e permit For work to be performed at a location described as: P Section -Township Range - Lot Block Subdivis4on V0" L 4 C2 1 - U, Ll 35 (4 11 (Owner of Property and Address) and to sign my name and do all things necessary to this appointment. Ty_peor_print Naxne 09egijVir or -CCeiritii;ffi—ieda—(Con tractor and Con tractor'sLicense-Nu r6ber Silaturf of Register or Certified Contractor P ? The foregoing instrument was acknowledged before me this day of �0C r of 20 By is personally known tqAie/who produced As identification and who did not take oath. MMUIUMMM Orange County, Florida =I Ana Lucia Alves twNotary Public State of Florida Comm# GG984056 Expires 5/4/2024