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Home My WebLink About21-3235City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGC-003235-2021 Issue Date: accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1 ' ��.. rl 51 Pl IT OFFICEfj Jr kdm[q1j1ffT1:j:j "*T 410JHIM:2*4&9�� Min* :2 0 A, Him, 813-780-0020 City Of Zephyrhills Permit Application Fax-813-750-0021 Building Department r Fee Simple Titleholder Address JOB ADDRESS o SUBDIVISION E::::::—�� WORK PROPOSED NEW CONSTR 9 INSTALL PROPOSED USE SFR TYPE OF CONSTRUCTION BLOCK DESCRIPTION OF WORK 1� - _ BUILDING ELECTRICAL $ PLUMBING $ MECHANICAL $ 1 CD C) , 0 5-1 (OBTAINED FROM PROPERTYNOTICE) ADD/ALT SIGN DEMOLISH CommREPAIR OTHER FRAME SQ FOOTAGE HEIGHT VALUATION OF TOTAL CONSTRUCTION AMP SERVICE PROC Sa .. . ti CAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ( W.R.E.C. PiO -FWM OR k w: i • . ! v . . w Directions: Fill out application completely. Owner & Contractor sign back of application, notarized upgrades over $7500� If over $2500, a Notice of Commencement is required, (A/C *! 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) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) rnjj0teLIf on public roadways -needs ROW NOI10E OF 0EED RESTRCTION ; 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 a pkahc deed restrictions. UNUCNSED CONTRACTORST CTRESPONSIBILITIES: 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 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&ilding InspectionL 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. TRANSPORTATIONP C I/U' ITIES IMPACT AND RESOURCE RECOWRY FEES: The undersigned understands that Tr ansportatron Impact.Fees and ReRecourse 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 €39-07 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 es our.e RecRecovery 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 a paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in a ordance with applicable Pasco County ordinances. CONSTRUCTIONCONSTRUCTONUENLAW{ a ter 713, Flori a t tutes, as a en d e )a if valuation of work is$2,500.00 or-more, I certify that I, the ppheant, have been provided with a copy of the "Florida Construction Lien rt H me wner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the pplicart Is someone other than the"owner", I certify that l have obtained a copy of the above described document and promise in goad faith to deliver it to the"owner" prior to commencement. CONTRACTORS/OWNERS I. i ,I `VIT: I certify that all.the information in this applications 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 'eji 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 for Department of Environmental Protection-Cypress ayheads, VVe land Areas and.Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Manageri Management itrict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Wate ays. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority- unways. I understand that the following r°estriotions pply to the use of fill. Use of fill,is not allowed in Flood Zone"\"unless expressly permitted. If the fill material is to be.used in Flood Zone " " it is understood that a drainage plan addressing a "compensating volume"wili,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 beused in Flood Zone "A" in connection with a permitted building using stern 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, 1 promise in good faith to inform the owner of the permitting conditions zest Earth in this affidavit prior to commencing construction. I unders. mud that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air nditioning, gas, or other installations'not specifically included in he application, A permmit 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 technicaleQdes, nor shall issuance of a permit prevent the 8ui1din5 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 i1w nk authorized y the permit is suspended or abandoned fora period of six(6)months after the time the work is commence , An extension may be.requested, in writing, from the uilding Cfficial for a period not to exceed ninety(90) days and will demonstrate justifiable ause for the extension. Ii work ceases for ninety(90)consecutive days,the jab is considered abandoned., WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF CCMMENC MENT MAY:RESULT iN YOUR PAYING iCE FOR IMPROVEMENTS ro YOUR . i 'OU INTEND TO O8Ai FINANCING, LT TH YOUR LENDER ING YOUR TIC T. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swronu to(or affirmed))before me this subscribed and sworn to(or affirmed)before me this by by Who istare personally known to me or has/have produced Who istare personally known to me or has/have produced as identifi lion. as identification. 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