HomeMy WebLinkAbout21-3251City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
"as,
BGR-003251-2021
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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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.
CONT E 1A PEOFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
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City of Zephyriniffs Permit Application Fax-6!3-7W-0D21
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DESCRIPTION OF WORK
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SUILDER
SIGNATURE
COMPANY
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License #
ELECTRICIAN
SIGNATUPE
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Address
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SIGNATURE COMPANY
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i . $Atfii ch (.d3 Hotmans, i«') t5 G€ t?UiiCttn plans, set of tnorgy r-onns; K''A'-W F'ormit for newcvfiSCr "Qu,
hSsw np t (G) tkng dams r suo, l dafia Roquired cns#s, ConstrucNinfolens, ftrMW01Fr Plans wt Sul Pence installed,
Sandy rengities rs t qurujasre7 Site i. Permit for subIli isionsflatge projeots
COMMERCIAL A tach (%) complete sets of Building Finns plus a Ve Safety Pugs, (9 ) set of Energy FormsR-O-VV Permit for new tonstnction,
Sri{. ,I€trn ten (10) warkng Sys a#tar sUbm mat date Regg ored onsite, C�onstructcni Plans, storrnymuff pIgnis v sit Fence ua (§sd,
SanRRpr Factlittms S f dorm ter. fists Work Permit fir all newpmlecls. All com? r sin r u e orris gust moms of r plenear
S6 BIT Attach (2) sets of EngineeredPans.
PROPERTY SURVEY roquir # fsc all NEW ;Ro stpjeatl^n.
Fill Our appimmt"i-c" ,
(N-Or& Contotidoi#gn LaackaratglE..tir, tta
R ra r , 0 e Of C*rprA*0ceMQInt tS Mqulmd, (NC upgracks ever T r6)
Agent N1 r Sna eant'ac. ar) Of Pow U'..ar enrey (Trt:`Top Owner) waudd bF start A01"i Alith Mtaroutd utter From iwr3er auth(,uZingOVEsame
R THR COUNTER pptMI (copy Of contract'00wred)
RQm0f% if sh,ngles Ravvers Servi, a UNIedes NC Fences ((1!OlSurveyiFopla )
Wivees -Not Over Counter 0 on pudtr: rc#ci ys._ memos lqC) t+
NOME OF DEED RESTRICTIONS: The undersigried ursterstands that this Permlit R18Y be sit jet "deed' re ctions'
saei�ia ftte�� iru Broilers rs;�iaitsitu i>iaesr srvxii,tp s�53e.+c�s+stsa, �ei�. uara�'wasa�s}+xa+,'+ r"ae'ti�eaaaa�ss:crgrvrc""tasir ,*�. ;<ri-iii,{a„casr..az :oew„ aaaiy,
appficiable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR i i NI IUMES: if the owner teas hired a contractor or
contractors to undertake work, they rmy be required to be licensed In accordance with slate and lard regulations, If the
contractor is not licensed as required by law, bona ft owner and contractor may be cited fora ruistlemeanor violation
under state law if the owner or intended contractor are unceiteirt as to what licensing requiroments may apply for the
intended work, they are advised to contact the Pasco County Building inspection Division —Licensing Section at 7 74 7A
8009, Furthermore, if the owner ties hired a ocintractor or contractors, he is advised to have the contractor(s) sign
portions of the 'contractor Bloc4c" of this aPlAicatkin for which they will be responsible, if you, as the owner sign as
the
contractor, that nary be an indication that he is not property licensed and is not entitled to permitting privileges, in Pasco
County,
1 HANSPUR I At IUN I frAC I IU I ILI I t €tart AU I ANU KtbUUKA:t M oUVMT P : i no writtemgneg uncersmMill
that Transportation impact Fees and Recourse Recovery Fees may apply to the MrstruldiOn Of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 7 and
i, as annerided, The undersig, also understands, that such fees, as may be due, will toe identified at the time of
permitting, It is further understood that Transportation impact Fees and Resod Recovery Fees moist be paid prior to
receiving a " cet
iiicate of occupancy' or final power release. if the project dries not involve a certificate Of ocoupa Y or
finial power release, the es must be paid prior to permit Muame. Futiirrrcre, 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 4, the applicant, have been provided with a copy of the 'Florida Construction Lien La Homeowner's
Protection Cui ' prepared by the Florida Department of Agriculture and Consumer Affairs, if the applicant is someone
^th cr thy,": the wrio ! crt, p that l h c ob incd a -,opg of Inc above. daccr bcd doo ricrit and prorr°siso In good fdltli t6
deliver it to the � ner°' prior to commencement .
C TRACTOWS1C ER'S AFFIDAVIT i certify that all the Information in this application is accurate and that all work
will be done in complianoe with all applicable laws regulating ooristruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as Indicated ! 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
nstrdetfon, Qounty and City codes, zoning regulations, and land devetoprriont regulations in the urlsd€ction, i also
certify that f understand that the regulations of other government agencies may apply to the intended work, and that it is
y meponsittifity to identify what actions I must take to toe in compliance, Such agencies ktctude but are: not limited to.
- Department of Environmental Pmtecoon-Cypres3 Sayneeds, Wettand Areas and Environmentally Sensitive
i aunq Wntpr/WaMewater Treatment
ent
- outne of Florida dater Management District-Weots, Cypross yhaadds, Worland Areas, Altering
` Watercourses,
ArMy Corps of Engineers -Seawalls, Docks, Navigable Waterways,
Department of Health a Rehabilitative Servi'cestEnvronmental tieatt Emit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement,
Federal Aviation Authority -Runways,
l understand thild 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 he used in Flood Zone "A" it Is understood that a drainage plan addressing a
%oM;=:2t;n; .t c"L .,rr!tte,at time F ,e"i4in; whic,F, it, , y a ",� ��ire"a�i saah�iwaacr
lioonacd by the Stoic of plohft,
If the Fill material is to be used in Rood Zane "A" in connection with a permipwi building using stein wall
construction, i certify that fill will be used only to fill the area within the stern wall,
If ill material is to be used in any area, f certify that use of such fill will not adversely affect adjacent
properties, if use of fill is found to adversely affact adjacent properties, the Owner may be cited for violating
the conditions of the building pearrrtit Issulto under the attached permit application, for lots less than one (i)
acre which are elevated try fill, an engineered drainage plan is required.
If i am the AQF.NT FOR T"E OWNEM, 6 pron-Ase in good faith to inform the owner of the p . thing oonditions set forth in
this affidavit prior to commencing construction, i understand that a Warate perrivit may be required for efectricat work,
plumbing, signs, wells, pools, air conditioning, gas, or rather installations not sp ' Lally i. ed in the application, A
t.
set 1 n t til "of the f c nic l Buda , for if issuance f R Prevent theuilti ill tho r
requiring a cortischon of ermle in plans, construction or violations of any codes. Every peffnit led shah became intialid
unless the work authorized by such permit is commenced within six rnonths of permit issuance, or it work authorized by
the porrmit is suspended or abandoned for a period of six ;Sl morithe after the time the w rk is crams n emd, An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety ( )Flays and will derrionsitmis
justifiable cause for the extension, if work cesses 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 CIE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
in ipg
Bub . ibi ar; or asitrm€ad? before me tPis 1 cd ,and " bef r is
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AmANDA ACKERSOJ'254
wave ., AMANDA ACKERSON
lY COMMISSION # GG 9lY COMMISSION #G 925496
EXPIff�ES: February 23, �` EXPfRES; February 23,2424
PuD#isUnoy.. Bonded Thni Notary Public UnderiNriters
�eonded Thru Pl otsue' ___. to .n