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Home My WebLink About21-3176City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 w BGR-003176-2021 Issue Date: 11/12/2021 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. 11��Ili!iliiir;jjilll ':II11111111� I!: 11111�1,li!!Iliiiijlii�rll I I � 1, � 1111111111 i]L'rAus accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PEf"IT OFFICEf) ki 0 a I 111MOM 190M IT, *171 A ME, 11 AHME I: ffil.-L 813-7ti0-0020 City of Zephyrhills Permit Application Fax-013-750®0a21 Building Department Date Received Phone Contact for Permittin Owners Name a JJ1XiLJ Owner Phone Number Owners Address IIIIII itDIiiII Owner Phone.'Number Fee Simple Titleholder Name LIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ Owner Phone Number Fee Simple'Titleholder Address JOB ADDRESS ° � LOT SUBDIVISION a PARCEL D# (ODTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW,.CONSTR EJ ADD/ALT SIGN J EJ DEMO ISH INSTALL U REPAIR PROPOSED USE SFR J COMM OTHER TYPE OF CONSTRUCTION BLOCK J FRAME STEEL J ;t DESCRIPTION OF WORK t d� SUILDIN SIZE S� ��TAGE HEIGHT �� EJULDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE PROGRESS ENERGY J WA E.C. PLUMBING i!IIIIIIIIIIIII:III1 MECHANICAL VALUATION OF MECHANICAL INSTALLATION 1 GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD BONE AREA EJYES NO BUILDER COMPANY SIGNATURE REGISTERED V l N FEE Ct3Ri En N. Address License## ELECTRICIAN COMPANY SIGNATURE _REGISTERED Y 1 N �ECR K , `'�Y/ Address. License# EII1II1J PLUMBER COMMY SIGNATURE REQI TERED YIN ; 'FEE,CURREh ; ''. Y l Nt. Address [ IIII1II IIIIJ License MECHANICAL COMPANY SIGNATURE REGISTERED ' Y/,>N FEE°CURRE(. YiN:.. Address License# E11111111111111111] OTHER' ,� �— COMPANY W SIGNATURE REGISTEREDE��FEE Y l N Address License#f_ LI1335I11J a 1 1 1 ,1 ,1 1 a a i .Ii x I a.i~J ,R 1 a ' ,1°.r ! 1,f l !;1 1= 1 a 1 1 i;a 1„t 1=1 w, !;Ira .1 i 1 a r 1 1 a 1: °1 1 w r a:r 1=a 1. RESIDENTIAL Attach=(2)�Plilt`Plans;(2) is of Building lens,(1)set of Energy Forms ft W Permit for new construction, Minimum ten(10)workIng days afar subnIfsl dote. Required onsit ,CohstlatbtiPs Plans Storrow ter Plans w/Silt Fence Installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsllarge 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 On ite,Construction PIansStormwater Plans WI Silt Fence Installed, Sanitary Facilities&1 durnpster.Site Work Permit for all new projects.All commercial requirements must meet conlpliance SIGN PERMIT Attach(2)se`to of:Engineered Plans. .***PROPER .SURVEY required for all NEW construction. Directions: Fill out appli tion completely. Owner&Contractor sign back of application,notarized if over$2500,a Notice of Commencement Is required. (ANC 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 PER I NG (copy of contract required) Re roofs If shingles Sewers Service Upgrades A/C` Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE T •ICTI : 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 T.T RESPONSIBILITIES: If the owner has hired a contractor or I CONTRACTOR contractors to undertake work, they may=beb required,,to be licensed,in accordance with state and iocalareguiations 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 s,,,r yy„a piy4for the intended work, they are'advised'to contact the Pasco County Building Inspection Division-Licensing Section at 727847 8009 Furthermore, if the owner has 4hired.,a;contractor or contractors,, he is advised to.,have,-the cohtractor((s) 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 Paspq 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„gf anew buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-Q7, as amended. The l undersigned-also understands, that such fees, as may be due;:-will,be identi ed 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"Paago County Water/Sewer Impact fees are,due,:they must.be:;paid prior to permit issuance in accordance With applicable Pasco i ou ty ordinances. CONSTRUCTION LIENLAW W have(Chapter pro Florida Fidedwith Statutes,as copy of ended if valuation of work is$2, . more, I certify that I, the app the "Florida dConstruction Lien La 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 thatl have obtained a copy of the above,described document and•promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTORSf FBI IT: I certi: ghat all the c u„rate and that all wick. will be done in compliance with all applicable laws regulating nstruction, zoning and land&develepment. Application is hereby made to obtain a permit to do work and installation as idicited, 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. 1 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 Wetland. cies include but are Areas endEnvironment allylimited Sensitive Department of Environmental Protection-Cypress Bayheads, Lands, ater astewater:Treatment* ® Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering WatercourseS, - Army Corps of Engineers-Seawalls,,Docks, Navigable Waterways. - Department of Health & Rehabilitative Service /Environmental,Health Unit-Wells, Wastewater :Treatment,: Septic Tanks. - us,Environmental�Protectior � gertcy-Asbest s4abate entn - Federal Aviation Authority Runways. I understand that the following,restrictions apply to the use of fill: - Use of fill is not allowed=in lood.Zone V"unless expressly permitted., - If the fill material is to be used in Flood Zone "A", it Is understood that a,drainage plan aaddressing 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 1s44to bev used.in,.Flood:Zone "A" in connection with a permitted building using stem wall construction",1,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-0,pwnerr may be cited for violating the conditions of the building permit issued under.the attached permit application, for lots less than one (1) acre-whichk.are¢elevated bYY ll,anengineered drainage plan is required. if I am the AGENT FOR OWNER, I promise in good faith to inform srthe owner of permitting ing°conditions-set forth in this affidavit prior to commencing construction. li understand that installations srate ot,s spet may cifically ibe ncludd,id for electrical in the application.work, plumbing, signs, wells;-pools, air conditioning, gas, o her A permit issued shall be construed to be a license to proceed with the.work and not as authority to violate, cancel, alter,fter ,or set aside any provisions of the technibei codesl,nor shall 'issuance permitcode prevent Every errnitiis ue shall become invlding Official from alid requiring a correction of errors in ions of nplans, construction or any unless the work suspended abya such eforia.is eriod o six(6)tn within ont s after the'ti e the permit work s*commenced: An extension the permit is suspended`or abandoned may be,requested, in writing, from,.the Building.Official for a period not to exceed ninety ( Q)days and will demonstrate F, justifiable cause for the extension. If work ceases for ninety(90)consecutive_days,the job is considered abandoned. WARNING 1O OWNER YOUR FAILURE IJR P PERT TI ICE Y ttgNT OF COMMENCEMENT T ' TA FINANCING CONS LT ,. MAY RESULT IN YOUR YI ICE FOR IMPROVEMENTS T F4oi2t�P,JUE2A°r'( :�.117.03} " `badand s rri t r a for �teih Subsotibed�ndsvebrnao.(or'� ed}Ybdfoe�r��#his' by by 1lVho islar on y to r e0rha �v doped. Mho is onaity known to rye or hasthave produced as identification. as identification, Notary Public Notary Public commission No. commission No, ed, anted or stamped Name of Notary typed,printed or stat' ped name of,Votary typ p s MIC L REV LL �� _ Y ComMISSit�N 1 920 EXPIRES;Feaary 12,2022 `% " �'` onded Th¢u Notary Public undarvaritem PF VLU