HomeMy WebLinkAbout21-3249City of Zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003249-2021
Issue Date: 11/23/2021
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.
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTI'MCT-OR SIGNATU:�� PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780,0CM City of Zephyrhift Permit Application
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ar's Name '
Owner Phone Number
Ownees Addross
Owner Phone Number
Fee Simple T'it@eholdor Name
Fet Simple TM*hmIl#r Address
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SUBOMSION
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WORK PROPOSED
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TYPE OF CONSTRUCTION
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de§ress License
ELECTRICIAN COMPANY
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AddressSIGNATURE COMANY
PLUVOER
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MECHANICAL
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�9rn.rr4tprrt tin (°�} rkiry Ts �R�r suLar�4 dsf� R+�iu retz €rr�s+ts, Cc�n~xikeactiarn Plens, rr;tva�k�r Pt�ris iu{ #1E Fence ina�all,
aanrtay Rztcrtrt, dv nta. T i x Fenr t fc c s ak tS slip gas trier
AA �d Imic en Wrath p� f rsclays after
garb su � � L to Gsrsty P � � t sit of dr y Fv �_ Fi�p=W Permit f0f iTOW nstructon_
St,n !k , ac s es &f, -,nm psta a&f subm t crate R uirea cusye Constnxton Plant' tormcater Plans vaf Sift Fence installed,
"idery, i%sets at S ; du;mPstRr, fits tt ,K permit for Rip craw iner's All ct� �?rrierrts! ^ ,.s¢re rrlen4s must meet cornailance
�1� PERMIT Aii$�,h (} �$f� Rf Er�4rF:tp Pdt"Si;�,
—*PROPERTY SURDEY r urr fpr all N�W Construct=.
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0VW81' 6 CORiMCM sign back a9 ap pi rst,o, rn
N over $2600, a Ife Of as n" art B,, d, (AIC ug r s o$7 S)
%4 e"'t 01' ne 00ncret 0 0 Of ftlftr W Asiis'#Y et' ji0, r 6Ydit r! v,,0ii d to RtStrzarone "Vith "etarr ed wt r from owner autforvin %ame
R0,006 if sh natal Svvmm SOrvicr UP9tadec A/C Fete^ (Pj0Vt+unrr ytF tit@)
€v ciot m10c Counter d on atmi e ruauvmys neecs Rheir
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NOTICE OF DMD RESTRJCTIONS: The undersigned understands that this pem-itt may be subject to "deed' resbictions"
applicable deed ,restActions-
UNUCENSE0 CONTRACTORS AND CONTRACTOR RESPONSIBUT11M it the owner has hired a contractor or
contractors to undertake work, they rmy be required to be licensed in accordance with state and local regulations, if the
contractor is not licensed as required by low, both the owner and contractor MY be 6W fOr & misdemeanor viol8tiOn
under state law, It the ovmer or Intended oontrador are umeltain as to crW licensing requiriamerft may apply for the
intended work, they are advised to contact ft Pasco County BLAIding inspection Division —Licensing Section at 727-847-
8009, Furth rMore, If the owner has filmd a contractor or contractors. he is advised to have the contractods) sign
portions of the !contractor 510OW'of this aPPItcation for whcb they will be responsible, if you, as the owner sign as the
contractor, that may tic an indication that he is not property ficerrsed and is not entitled to pennilifing privileges in Pasco
county.
I RANSFUM TAMON IWWAQ I1U I IU t tab IMPAU I ANU Kt:bUUK;;t Kto,iUvtKT rgtz: i no ungeriiignea unceswri0ii,
that Transportaflon Impact Fees and Recourse Recovery Fees may apply to the coratruction of new buritifts, change of
use in existing bufloings, or expansion of existing buildings, as specified in Pasco County OrWriance number 89-07 and
W-07, as amedided- The undersigned also understands, that such fees, as may be due, vAll De identified at the time of
pomiliffing, It is further understood that Transportation mpact Fees and Resounef Recovery Fees muot be paid Prior to
receiving a 'ceAfficate of occutrancy' or final power release. It the project does not involve a certificate of occulranirli Or
final powern0ease, the fees must be paid prior to permit issuance. Furthitmnare, 11 Pasco County AVer/SeWer Impact
fees are due, they must be paid prior to pamift issuance in accomance with applicable Pasco County ordinances,
CONSTRUCTI(asl LIEN LAW (Chapter M, Florida Statutes, as amendad)-, if valuation of work is $2,500M or more, I
certify that 1, the applicant, have been provided with a copy of the 'Fienda Construction Lien Law —Homeowners
Protection Guide' prepared by the Ronda Department of Agriculture and Consumer Affairs, It the applicant is someone
I
nth r then the '%remor", ! cc-114, that 1 have obloinod a oopy of th-b above davc-Ibcd doou=r, w1d Prorniso In good faith to
deliver it to the owner" prior to commencement.
CONTRACTORIinfo TORSI AFFIDAVIT: t certify that all the inrmobor in this application is accurate and that all work
will be done in , compliance with ali applicable laws regulating ormstruction, zoning and land development, Application is
hereby made W obtain a permit to do work and installation as indiosted, i certify that no mrk or installation has
commenced plior to issuance of a permit and that all work will be perfornied to robot standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations In the Judedictiom i also
certify that I unklerstand that the regulations of other government agencies may apply to the intended work, and that it Is
my responsibility to identify at actions I must take to be in compliance Such agencies Ociude but are not limited W
- Department of Environmental Protection -Cypress trayheadir, Welland Areas and Enwronmentally Serieffive
1 ahrig ichiter. asUnnoter Treatment
- Soutrvoirid Florida Water klanagem—ont District-We0s, Cypress Bayhoads, Wetand Ateas, Altering
witercoumes.
- Army Corps of Engineers -Seawalls, Docks, Navigable Mtenceys,
- Department of Health & Rehabilitative Seryice s/Environmentai Health Urift-Welts, Wastewater Treatment,
SeptlQ Tanks.
- US Environmental Protection Agency -Asbestos abatement,
- Federal Aviation Authority- Runways,
I understand that the following restrictions apply to the use of fill'
Us* of M Is not allowed In Flood Zone 'V' unless expressly perrrittled,
It the fill material Is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
%!rr,-cn=t1n; vV!'-'Me' "vi!! Le Tvtmtt+rd 2t ti!re ref i. —4 Ny a —r4a .!.e" I
liorinsod by the Slats of Florida.
If the fill material is to be used in Flood Zone 'A" in connection voth a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wail.
If Oil material is to be used in any area, I certify that use of such fill will not adversely affact adja0ent
properties. If use of fill is found to adversely affect adjacent Properties, the owner may be cited for violating
the conditions of the building pertrift issued under the attached permit atiptitedlen, for lots less than one (1)
acre whion are elevated t)y 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 affidairitt VIDr to commencing construction, I understand that a separate permit ivay be mquired for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or Bather installations not speefficafly included in the application. A
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set aside MY Wiffelons of the technical comes. nor al W1 imonce of a perrM prevent the uMing Oftlial from thortair
requiring a correction of errom in plans, construction or virtialteriss of any codes. Every per 't d shall lawArree irwalid
unless the work authorized by such permit is commenced voftn six rronths of permit Issuance, or if work authorized by
the pertrift is suspended or abandoned for a penod of six (6) morithe after the time the work is comnmneed, An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will dentonstrate
Justifiable cause for the extension If work ceases for ninety (90) consecutive days, the job is considered abandoned,
WARNING TO OWNM YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING WAGE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
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Me 01 rRwrave prpwcea vvno vare, ors UTy,?qqAm, w or nesmave pmovicea as 4vitftaton
AMANDA ACKERSON
tiiy 10MtAl_q$I0N III GC K5496
'-MRM February 232,0,24
'Ac Qndcpsfilers
Trru Notary PU,
"—AMANWACKERSON
My COMMISSION # GG 925496
EXPIRES: February 23, 2024
Bonded Thru Notary Public Underwriters
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