The URL can be used to link to this page

Home My WebLink About21-3178City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-003178-2021 Issue Date: 11/12/2021 "4mmTW -- j I accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY .... C.O. CONTRACTOR SIGNATURE II PEJAIT OFFICE() :J:l V k Ali Urr,. iI 11111679TV21-9=00010iff ZWJXWffll,�� 0 0 0 K *0 a 0 Z 0 0 **A 60. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002e Building Department Date Received Phone Contact for Perrnittin Owner'sName, Owner, Phone,Num r ner"Address, Owner Phone'Number" Fee Simple Titleholder Name Owner Phone: hiumber Fee SIM01a`TitleholderAddress.; - JOB ADDRESSSUBDIVISION N!im LC?T " t�eTAINED PkOMP06P'itkTY=T ' ,t4OTiCE) WORK PROPOSE? NEW.COPIST R A QDIALT SIGN DEMOLISH EJ INSTALL REPAIR PROPOSED USE SFR Comm OTHER, TYPE OF ONST°RUCTt N BLOCK ,FRAME STEEL ' DESD9I0I N O . ` ORtt BUILDING SIDE SO FfJfTAE 1iElF1 r" `_ , E FIILDINCx VALUATION OF TOTAL CONSTRUCTION ELECTRICAL, $ AMP SERVICE PROGRESS ENERGY W.R E.C. PLUMRING $ . MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CAS OOFINC3 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N BUILDER COMPANY, SIGNATURE REGISTERED ''YIN, FEFCUIRAEN,Y/NVI Address License ELECTRICIAN, COMPANY SIGNATURE RE RECaiST,ERED Y/' N F ECURREKY/; Address License # PLUMBER "COMPANY SIGNATURE Riolsi&6 ;;;��F�F,�CURRCN Address License MECHANICAL COMP SIt3NATtJRE REGISTERED ,Pi$, FEsCURREI1 Address License , OTHER' COMPANY SIGNATURE a REGISTERED Y /';N FEE CURREN Address, � License # , J!, 1 llA ,l I rA ..ua.I RESIDENTIAL Attach°OititF�tar1s, (2 site of Su(ldipggy rrrros, R� errnit for ne,ansarwlon, MinlrvtunT ten (90) worktnj keys effei' �iibi'�t$ cfa${e:`Re�literl'otisit�i��dtl�lfctie��r�plerre, t'�rrrav�eterl�ierrs ual;SiitFerrih'stelled, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects COMMERCIAL Aiiaoh (2) ., tnplat gets of Building Plans plus a LIf Safety ges(1) set of Energy Forms R-O-W Permit for new constructiom Minimum ten (10}..V�orking�d y after ubrriittdl.t(atp.>Rr qulr" ,dnsit � onstruction Piarts� tp ,. veter:Ple� w/;Silo an "aiTstalled; Sanitary,Facititles .l:dumpstsr.,SIteWork'Permit4orall new projacts. All commercial re quird,mehta,iliust,hl t�comptia'ce,, SIGN PERMIT Attach (2) Plans. - , "*"PROPERTYSUIRV Y)tequired-for all N W.construction. Directions: Fill out application completely. Owner k0or tractor `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 PERI , NO (copy of contract required) Reroofs if shingles Sewers Service U rades 'A/C' "Fan` s (Plot/Survey/Footage) Driveways -{dot over Counter if on public roadways. needs ROW NOTICE T 'ICTTI : The undersigned understands that this permit may be subject to""deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibilityfor compliance with any applicable deed,retrptions ; UNLICENSED °TOR RESPONSIBILITIES': If the owner has hired a contractor or contractors•to undertake.work,they may be reQUired,a`to be licensed in accordance with state uandiocai.regulationsa,,,,,Iflthe contractor nerors not licensed the owner required ntend contractor are uncertain a to what licensing requiremenoth the owner and contractor may be cited'for a tsmisdemeanor violation under.state law. ` �° rnay�pply�for the intended work, they are advised to contact the Pasco County Building inspection ivlsion—Licensing Section at 727-847 8009. Furthermore, if the_owner has hired,a'contractor or contractors, he is advised, to,have ,the 4 dirtractor(s)sign portions of.the="contractor-Block" of this appli tion,for which they will be esponsible 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 RESOURCERECOVERY FEES: The undersigned under tands, that Transportation Impact Fees and RecourseReCOVerY Fees may apply"tb the construction'ofnew buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 9007, as amended. The y,,s nder i d also Funderstands, that such fees, as may be due-will be identifedr at the time of permitting. It is further understood that Transportation ortation impact Fees and Resource Recovery Fees,must be paid prior to receiving a "certificate of occupancy" or final power°release. If the project dbes notinvolve a certificate of occupancy}or final power release, the fees must be paid prior to permit issuance. Furthermore, if'Psco County Water/Sewer impact fees are due,they must.be paid„pronto permit issuance in accordanOewith applicable Pasco County ordinances CONSTRUCTION 11EN'LAW Chapter 713, Florida Statutes,as amended) If valuation of work is$2,500.00 oc= i re, 1 certify that I, the applicant, have been provided-with a copy of the "Florida Construction'Lien La Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. if the¢applicant is o eon � other than the"owner", I certify than!-have obtained a copy of the above«described'do'cumonVandpromise in good faith to deliver it to the"owner"prior to commencement. certifythat allot a=infer retloflmin,thiS application;is accurate and that> Il work,.. will be done in compliance with all applicable laws regulating construction, zoning°and land developrnent. Application is hereby made to obtain a permit to do work and"installationllation work will be es derforned ed.rl certify that no work or to rrrdtstndrd f all lainstallation wsll tgulating commenced prior to issuance of a permit and that,all performed 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 d compliance. Such agences may ies include'but are not limited t to the.inteflded work, and that o: is my responsibility to identify what actions I must take to p Wetland Areas and. nuifonrnentally Sensitive ® Department of Environmental Protection-Cypress BayheadS Lands, star astewater.T°reat ant. Southwest Florida Water Management District-Wells, Cypress BayheadS, Wetland Areas, Altering Watercourses. - Army Corps of ngineerS-SeaWaIIS Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental;Health !t® eIl'5 Wastewater :.1 Treatment, Septic Tanks. ® US Environmental Protection'A ency�Asbestos abatement. Federal Aviation,Authority�Runways. I understand that,the following restrictions apply to the u a of fill: Use of fill is not allowed Inflood n one`"'"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 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 walI construction;I certify:that fill will be used only to fillthe'area within thetistem 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 filhis 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 zare elevated by fill an engineered drainage plan is,required. If I am the A , I promise in good faith to inform the owner of ttb permitting acondition et forth n this affidavit prior to commencing construction. I understand that a separate permit may be required for el . trical work, plumbing,-signs: wells, pools, air conditionings gas, or other installations work and spnot e as i authority,rely to included viotate�canclel, alter,,,or, A permit issued shall be construed to be a license to proceed with the set aside any provisions°eof the technic !,oco ton or alviolat ens of,any codes.-1 issuance of a permit 'Every par It ss 'd~shal ecome invalid event the Building Official from thereafter requiring correction of errors in-pla , unless the,work mauthorized 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 for 6)months aftrthe nett, exceed i ninheewoty (90) days and will demonstrate kis"cOmmenCed' An extension may be requested in. -the Building period justifiable cause for theextension. if work ceases_for°ninety(90)consecutive days.the job is considered abandoned, ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING PAYING TWICE NERa YOUR.FAILURE R,PROPERTY. IF YOU lNTEtDitO OBTAIN 1 N ClN N LT',.r FLORIDAJUR T'(Fs.i17.03j OWN'ER.OR'AG C . � �� bed olio sworht (ors fore a this subsoHb�di�d s�vornYto(orirevtd}"'btt�r 'rv� this ��by who ast personiiy kno tn+3 42r�'hYtttGed who Istare personally known to me or has/hsve produced as Identification. identification. Notary,Publio ... Notary Public commission No. commission No. Name of&Votary typed,printed or stamped Name f Noe a�typed,printed br 5tait od 4avu ,F MICHAEL REVELL &: MY COMMISSION#OO184920 o` EXPIRES:February 12,2022 � � Bonded Tutu Notary Public Unde wri₹e€s