HomeMy WebLinkAbout21-3180City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003180-2021
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.
I r4-T-TffT-TjW1r1 ITT-17-T, 71T-1%
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.
CONTRACTOR SIGNATURE
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Fill out Ofplia,rOp �,c? npletely.
owner d6ntr5i6t6rsign4back of applicatlon,.notarixpd ..
If'over $2500, a' Notice of Ca0 mOrIcOmsnt is required. (A/C upgrades over $1500)
Agent (for the contractor) or Power of Attorney (fbrlhe °o er) mould beisent ne wlth.notarizedxietier,from o�tner: authorizing Janie
OVER THE COUNTEWPERMITTING- (copy,of contract required) ,.
Reroofs if shingles Sewers Service (�,pgr�a�� � ' C , Tdnces' (Fibt/Survey7Footage)
Driveways -blot over Counter if on public roadways -needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'
which may be more restrictive than County re olatibhs° The undersigned assumes responsibility for"compliance with am31Y ..
appiioable, ee a tri t .nay
UN LI. 'CONTRACTORS lAND RESPONSIBILITIES` .. P If the owner has hired'd-contractor or
.CONTRACTOR
contracfs
s to undertake.,;ork,m y rnaykbece ire to be licensed in ac., .r «nee=with scat and !® Ire ulationsma Alt a
contractor is not licensed as required by law, both the owner and contractor may be cited for,a mñms orrmedrtbr violation
under,Mate la If the o ner or>inte d d oohtr ctor4 re uncertainwaa o what ii ensin ,requirements... a ,a lY or the°•:
intended work they are dvisedto contact the Pasco County,, wilding !rise lion ivisio Li siri fiction at 727847
�� contractors,.... s,,advis d, to have th e ohtr tdr{ 'sign'
X009 urthe�ntore, f�the owner had hireda contractor o� he i
portions of the,,°cdntractor-Block0,f.°this appli tlon for, which they,,will�F . responsible-If f you- as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to pert itting tj 1. I s it1=Ps co
County. The undersignedunderstap" .
T T TI, I t CT1 TILiTI IMPACT
that°Trahsportationwim act:Fees- nd"R ogrse7I coV e s aye pply" o coCounty!Ordinance number q7 e
f
use in existing buildings, or expansion of existing buildings, as sp cif�e In �.
and
90807, as amended. T.ha tinder agi d;al o e landsi thatsudh'fdbs, as may'be.due wily a�ider ti od'at the time'of°
permitting. It is,further un o stood thattir.anspq[tation Impact Fees and Resource Recovery Fees,must be paid prior to
receiving a 0certif sate of occupancy or final poor'release.: If the,:prQjct dbesi not1liv, I$ a certicate of o ` opah y¢or�
final xpower,releases.the fees must;be.,paid prier to,permit issuance. #Furtherm0re® IfPè Co yWater/Sewer Impact
d,: r'or,to per iit.i ante in.a rdanee& ith a pticable Pasco C linty ordinances
fees,, re',du ®th y, ust;be paiy & 5 . r Cnare,$I
CONSTRUCTION,: ,I teri'1 3, t tote ,asamended)' "I valuation of ivo i ,. n,
certify than I, the a p ll nt,"h e" eh'Provided-'with" a copy- of`the tFlorlda ��onstructien rti m La o eo hens
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the lappli nt,is o ?pone=°
other than the'0owner,`I dartlfythat-I-haveobtained a copy ofthd boveScribi' 'db& radtr►d•proiise.irmsaod faith to
deliver It to the"owner prior to.cp mencemeht
�, f f. i 'm``n m ,lecerti ,that,all,,he inf rtrmatidp lr>pt i a lfd tiorm s, m mr fn's, Ymat i
will be done In compliance with all applicable,Is Ya r guiatin construction e zoning°andland'ddevelapmant° ,im tJ i, is
hereby made to obtain a permit to do work nand i It work n°ll be ded. li certify that no work or to rrreet st rttl rd f ail laws etlgu has
a ng,
commenced prior$to.:issuance of a permit and that.,4alperformed,
coast construction, Coudty and alt code , toning regulations, and lend' vdfi p e.nt regulations in the jurisdiction. i l also.
certify that I understand that the regulations of other government agencies
may agencies ncltidi ut�are notd 9lia d that
a it is
my responsibility to identify what actions I mustbe take tocompliance. Such
aas an :m: n inon mall ensitive
Department of Environmental rotection-Cypress ayheads,
Lands,WaterMa5teWater1eatmeflt. � yea s® Wetland Arias, Altering
Southwest Florida Water Management District® ells, Cypress
ater urses,
Army Corps of EngineerS.Seawall$,.Docks, Navigable Waterways.
Department of Health
Rehabilitative ervioosl d vlrbn. , al 3Heb lth°' n'it�.,bll` Wastewater:Traatirmen .
Septic Tanks.
t15 i vironi,'ontal rotectien �ncy�AsbestosiabstemYmente
Federal AviatiOn4Authori �:unways
I urmderstandUse f l hot,all fed m Iood R�o,h the unuless� lss expressly permitted..
If the fill material is to,ba used in Flood Zone 0A01 it is u . reai ed byma f essibnenrr�eer °
.co a safih Mvol e�,'Will b&submitted miffed attune of perrnittin w p
licensed by the State of Florida.
® If the,fill aterial:i t ,,be used it loud,Zone " r�in connection with a permitted building using stem wall'
,constructloicertlfYthat fill will beusedbnlYto fill theF yea ithin4he..stertm all
If fill material is to be m , imt any area, i certify that use of such fill will notamdav® l affedt it for vido'I firm adjacent
properties:_1f use' f ll-is found to adversely affect adjacent.propo °iesL w y."
the conditions of the building permit issued minder the attach; d permit application, for lots less than one (1)
acre whi b are lov to by ill,an aCm9i'peered dramna9bpjn is required.
IfIam the: . Th =` . T
I promise in"good faith tori or �ttt�.ouher.oft p ,; mi?9°candit��neetforth in , ,
this affidavit prior to commencingconstruction. I understand that a'm oil t o� not ecarate it may ll ncl dbe e r ,the:eluired'for ectrical t Ireton
plum bing,-&ign$,Lwells,•rpoois1 ir,�conditionin o as,.or..other
permit issued shall.be pnstrued to be a license to proceed w tt the or and not as,reveal uth Building Official from her aft r',,.
set aside ny.provi'sionss&of. techni cs code trtar shall,issuance offa permit•
requiring o'correction"of' rrors'in•plans,construction
within ions, x Cf fhs of eery dewit ibssuairm or if ortalLk aed�thoe invalid
ri
s.uth is co
bY
the permit is suspended,or dbandoned`fora ,.period of'failx(6)months, per b hot t exceedninety ) m and will demonstrate.
R �
may be;request : , in bWrltin ��from # ail in , c,....
justifiable, use:fot.tl a extension° :If irk ceases forinlnet ( 0)con ecutive,.day ,the job is considered abandoned.
WARNING'-TQ'OWNER" YOUR Y'OUR ILUE TO RECORD A NOTICE OECO! MEN .: TJN YOUR '
IT u §
Sub bb''bd sworn'to r' b fo t .eths'
�ubs��tb end�sw�o�e.ta�(br� '$az��f�G�t��, .
aY Wh®i area kn� t�r�+s�r�h�sih���prvd� dry
who Warm personally known to m5 ear has/ha��pr du d as.idr ntlfi ti im;
idencaOfl.
' NdtatlliC
Notary Public
rnrnissiofl No. commission,No.
N�m�®f Notary typ
�d,prsnt �r farnp rName 9f.Nola�l P,� 1pnted or. t P;
68° mlGiL SELL
aye Y COMMISSION#GG 184920
a ° eke EXPIRES:February 12,2022
9P a m r Bonded Thru Notary Public Unde e