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Home My WebLink About21-3221City of Zephyrhilis 0 5335 Eighth Street Zephyrhills, FL 33542 BGR-003221-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 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. 3 111, 1 1 11 1 111 1 accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIG (0 PERMIT EXPIR *&"IQ � BUY A 813-780-0020 M Fax-813-780-0021 Date Received Phone Contact for Permitting Owner's Name Owner's Addres Fee Simple Titleholder Address LOT # JOB ADDRESS SUBDIVISION PARCELID# a1A �111111CI (OBTAINED FROM PROPERTY TAX WORK PROPOSED NEW CONSTSF-1 ADDIALT SIGN DEMOLISH El INSTALL REPAIR PROPOSED USE SFR L 1 COMM OTHER TYPE OF CONSTRUCTION t5�4 BLOCK FRAME L STEEL BUILDING SIZE I SO FOOTAGE =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE PROGRESS ENERGY W.R.E.C, =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS t I ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS E= FLOOD ZONE AREA =YES NO BUILDER COMPANY E SIGNATURE REGISTERED ANa1ELE1.R1a1E1 Address 1-24 License # ELECTRICIAN COMPANY E SIGNATURE REGISTERED �FEE CURREN_�� Address License # PLUMBER COMPANY E SIGNATURE REGISTERED ;;;; FEE C.RRE.�� Address License #E===== MECHANICAL COMPANY EQ;= SIGNATURE REGISTERED FEE (=�URREN=�;;;= Address License # OTHER COMPANY E SIGNATURE REGISTERED Y 1 N FEE UIREIIY d Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I dumpster: Site Work Permit for subdivisions/large 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 onsite, Construction Plans, Stormwater Plans wl Sift Fence installed, Sanitary Facilities & 1 clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans, —'PROPERTY 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, (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 PERMITTING (copy of contract required) Retorts if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) lmo� '511l ks 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 IMPACTIUTILITIES 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 Pasco 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 "owner' prior to commencement, CONTRACTOR'S/OWNER'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, Wetland Areas and Environmentally Sensitive Lands, WaterNVastewater 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 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 "K, 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT A, %-- — OWNER OR AGENT (.d CONTRACTOR ...... Sub crib and sworn to mined befo a is Sri Sri 1 d and sworn to or affirmed, before urffthis Y= ave produced We Ii.1 As eer.,nrilly "known to irle or has/have produced as tion as identification. =Z!! L —_---�Nofisrry'Public Notary Public Commission No. EHI.ER GG 207460 I Name -WNotary typed, prim ir�s Jul �' hat a, ry$mlGa INSTR#2021250455OR BK10488 PG391 I pagia 1 -f 1 11 /18/2021 01:58 PIVI Rcpt: 23BD830 Rec: 10.00 IDS: 0.00 IT: 0.00 This space for use by Clerk of the Circuit Court only. 191111 Ey W41 9"M 10 1 plimm" Pen -nit Number: Tax Folio No. - The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT. of property (street address 2. General description of improvements: 3a. 3b. 3r. Address: 4. Contractor Name: A -Deal Roofing, Inc. Address: 4507,51eenv Hollow Lane Plant Qjy- FL 35f!5 S. Surety Name: Amount of bond: I Address: 6. Lender Name: n Contact: Address: Phone: Phone: Phone: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided Section 713.13(i)(a)7 Florida Statutes. Name: 1n -A Address: Phone Number: 2 8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. M to co w E Name: Address: z 0 —'0 06 U) Phone Number: 0 0) two a) 9. Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is 02 specified). c 0 0 0 0 Cr0 C) -0 Uj c U) WARNING TO OWNER- ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA = -q C STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR Q RECORDING YOUR NOTICE OF COMMENCEMENT.c) C: 0 The fo cing instrument 114-11 A I was acknowle4go before me this day of—ortLb6r:�� 20--am— by as for Personally Known OR Produced Identificaqpq Type of Ide0fication Produced e 0 afit�!+ PAMELAKOEHLER COMmIssion#GG207460 �.y Public Expires July 12,2022 �Sipalwura - Notary Public Under penalties of *ury, I declare that I have read the b oing and that the facts stated in it are true to the best of my knowledge and belief. per ature of Na Fcorsan Si " gA ve oing I (Acopy ofany bon must be attached at the tone of recordation of this Noacc of Commencement) Updated February 2008 f Z� -/ 6' - 2- -2— City of Zephyrhills 5335 81h St ,Egr.1W1:1#z !Wmit No.: q — — — — — — licensed under Chapter 468, Florida Statutes as a(n): Contractor—K Engineer— Architect— Building Inspector_ License No. On or about 10 —Z, did personally inspect the: Check: Roof Deck Nailing---Z— Dry in Flashing and Drip edge Check which was used: 30# felt_ Peel and Stick V"'Other (ff ZEM3E= upon that examination I h I a a, uffqac�M# Signature: STATE OF FLORIDA Sworn t, and 4, 2jc& BY: No� u is St orida e suet PAMELAKOEHILER GG 207460 ExS MY 12, 2022 OF WdLJT!v