HomeMy WebLinkAbout21-31865335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
IM11,1111111,111.11 ��� M11111111111,
BGR-003186-2021
Issue Date: 11/12/2021
RE1,11SPECTIOR 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.
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.
MIKTRACTOR SIGNATURE PE IT OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�(::t,Cc
w -7t aaa2a City Of ephyrhillS Permit Application a 813•780a0021
Building Department &�
Cate Received
Rhone Contact for FernitiCiv n
rl
Ownershiame . Oevner'Rhone;�Nuar .
: g
Owner°a; ddress - _ e Ls O n Phone,, Nur or. .
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Fee Simple Titleholder Name Owner. Phonw,Nurnbelr
Fee Simple TitleholdoiAddress
JOB ADDRESSOT1# E==:
SUBDIVISION • 4 woo ELi t� 2t00
(OSTAI Eb FROM PROPERTY TAX NOTICE)
WORK PROPOSED ; EW,CQNSTR AQQ/ALT, SIGN 'DEMOLISH INSTALLR REPAIR
PROPOSED USE SFR COMM, OTHER
TYPE OF" ST'Rt1CTION BLOCK.,-t,FRAME STEEL
DESCRIPTION OF WORK �
ttBUILDING SIZE SO FOOTAC3E tiE1GFiT ,
t11LC71ht $' EVALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMID SERVICE PROGRESS ENERGY WA E.C.
PLUMBING $;
ME HANICAL VALUATION OF MECHANICAL INSTALLATION �O ��� �c � Ce ,
C AS ROOFING SPECIALTY OTHER
FINISHED FLOOR'ELEitATii3NS�FLOODZONE AREA =YES NO. i.
BUILDER COMPANY..
SIGNATURE REGISTERED Y /' N FEE CURREN, Y / N>
Address License # -
ELECTRICIAN,; COMPANY
SIGNATURE REGISTERED ;;;;�FEC Ct REK"
Address License
LUMBER CbMEANY
SIGNATURE 46is*CA6 Y /. N F1EbE,CURREh
Address 'License #
MECFi ;PAL COMPANY
SIGNATURE REGISTERED Y4,,N.. FEE'G' REN Y /zN
,
Address License, #
OTHER � � � COMPANY
SIGNATURE REGISTERED �°�,N FEE CURRER Y /`N
Addressca` r % License # c
L.�=C_��
1A,U"A>,,t.111 1.'C4,,A1,11,4>4,11111"1 V111"11J,U11 r.;Ma 1 1 1 1111"I'l t4lIIA 111,vii 1 �11
RESIDENTIAL Aitaci�� )gip f�la�s �2) i is of Suildir►g 6�( ns> (1} spt of�Ene�y Forro�, � �W errrtlt for � netru� on
Minimum ten (10) working clays efi'er su6ni`i i date.' Rbquie' ed slt� r �ro� +�tti�� I���; �rmwater ie�,�
Sanitary Facilities & 1 durnpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (2),complete,Aats of Building Mans plus a LrfsiSafetyiPogei� (1) set of Energy Forms. R O-W Permit for new construction.
Minimum ten (10),working"days�after�,tu6mi l,datO,., RPguilr 9on$lte, Construction: Flarto,�.Sto . , ter�Plans,w/,Siit�Foh `Instslled;
Sanitary Facilities, 1 dumpster. Site Work Permit}for all new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2)°aeTe��ofEnolOOoed Flans. -
—'PROPERTY, $b tVtYzrequlred for all, NEW construction.
Directions:
Fill out application completely.
Owner 06ntra6tOr,algnoack-of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7 00)
Agent (for thecontractor) 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)
Rer fs if shingles Sewers Service UIpgrsdes A/C F66oes (FlotlSurvey/Footage)
Driveways -Not over Counter if on publlo 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 regulations. The undersigned assumes responsibility for compliance with any: .,
applicable deed restrictions.
UNLICENSED CONTRACTORS LAND CONTRACTORI I ITi : if the owner has hired a contractor or
contractors to undertake:works they may,bereq ired'tu be licensed in accordance with x.state,and�loc lregulations. 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 xintended contractor,are uncertain as.to what licensing,,requirements.Jrr ayap ly fbr the
intended work, they are"advised'to contact the Pasco County Building Inspection Division Cicensi'ng Section at 727-847
8009. Furthermore, if the owner has y hired,a'contractor or contractors, he is,advised .to ,have_the, contractor(S) sign
portions of,the="contractor locck".of this application for which they will be i 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,,p jvilege b Pasco
County.
TRANSPORTATION I IU'TILITI IMPACT AND RESOURCERECOVERY FEES: The undersigned understands,
that Transportation Impact Fees and Re ptrr cry; eoov ry Fees may apply to the~construction cif~new buildings, change of
use in existing buildings, or expansion of existing buildings as specified in Pasco County Ordinance number 89-07 and
90-07,.as amended. The undersigppdn isp 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, ifP s o County Water/Sewer Impact
fees are dues they,must,,be.,paid prior_to permit issuance in accordancewith applicable Pasco County ordinances.
CONSTRUCTION LIENLAW(Chapter 713 Florida Statutes,as amended): if valuation of or is$25Q0,000rm0rej,I
certify that 1, the applicant, have been-provided-with a copy of the Florida-Construction' Lien LawmHomeOWnerS
Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs. If the,applicant.is someone,~
other than the"owner I certify thati have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRa F l ` FI I certify at all the information,in..this application is accurate and at altwor ,.t
will be done in compliance with all applicable.laws regulating constructiofl zoning°arid land development. Application is
hereby made to obtain a permit to do work.:and ihstallatib t 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. Suchetlandnci s Areas,and include but are not Environmemoir iit Sensitive
Department of Environmental Protection-Cypress ayheads,
WLands, ater astewater.{Treatmentd ,= Bayheads, wetland Areas, Altering
Southwest Florida Water Management District- ells, Cypress
atercourses.
Army Corps of EngineerS-SeaWallS Docks, Navigable Waterways. Wastewater Treatment,
® Department of Health Rehabilitative Services/Environmental_Health Unit-Wells,
Septic Tanks.
® US Environmental lydtection' er~cysestosaatement
Federal Aviation Authority-Runwa
I understand that the followingrestrictions apply to the wuse of fill:
Use of fill nisinot allowed in Flood Zone 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 engineer °
licensed by the State of Florida.
If the fill materialnisu3to berused.,in-Flood-.Zone "Xyin"connection with a permitted building using steal-wall'
construction Ixcertifyuthat 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 offill-is found to adversely affect adjacent properties'the owner may; cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are ielevated'b °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. lunderstandother installations ot
llr.te permit w ecifically'included in the application.be .ed for electrical r
plumbing; signs, wells, pools, air-conditioning, gas,
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
requiring a correction of errors inerrnit dssugd, halabecome invalid
° � construction
permit s commenced lwithin sixamonthsny eof permit issuance, or If work authorized�by
unlessahe.°work author! by such
the be eis esspenn:w or abandonedt e uildi r a period of iicial,for perimonod nos t to exceedr the time tninetyr(90)days and will demonstrate,=,
may be requested, in writing, from ,h 9
justifiable cause.for the-extension. If work ceases for ninety(90)consecutive.days,the job is considered abandoned.
SIC _ F, "T. Yu,, U-I YOUR
,WARNING TOOWNER: �Y FI TO
PAYING T TWICEIMPROVEMENTS ` :R IF`Y }i OBTAIN I
I°T Yi IEN AN=A ORS .# R RECRIN' YIf �I1 tJ N ENTa•
OWN QRAGENF oN cTo�'
SubscNbed'�nd sworn to or affirmed)before rr a this Subscribed and sworn to®offaffirmed before me this
by ou a aa b
UVho islare pe onaisy kno to a or ha eve pt du who!star ersonaliy known me orhas/baVe prgduced-
as identifcation. as identification.
Nctery, uiid
Notary Public
Commission No.
Commission No.
ed, rinted or stamped Name of otary Pe ,ponied.or gr ad l
Name of Notary tyP p
NMI
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