HomeMy WebLinkAbout21-32720
BGR-003272-2021
Issue Date: 11/30/2021
a . If 0 . :11715 * - - WIM43PMin.
Address: 12602 Telecom Dr
TAMPA, FL 33637
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Building Valuation:
Electrical Valuation:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $0.00
Total Fees: $45.00
Amount Paid: $45.00
Date Paid: 12/2/2021 1:17:34PM
INSTALLATION IRRIGATION CONNECT ONLY***************
Irrigation Connect Fee $45.00
- 4-t� 11a/ 1 1
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.
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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
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURPE IT OFFICEV
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTI(Al,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of ZephyrhiftPermit Application ; ax-61 3,780,0021
DaM Received
cane a Contact for Ii
noes Naga f a Owner Pham Pltteva#w
71
0ainves Addtoss Owner Ptme Numbier
Fee Simple Titleholder N ns2x P "?:, y.. " ,
Fee SftaMis Tlideholoffil, Address
JOB E° t
WORK
PROPOSED Ntw (—D 'TR AX-VAL'r SION
'NST REPArR
TYPE OF CONSTRUCTIONLpRAME ti.EEL
F7BOLDINQ VALUATION 01F TOTAL CONSTRUCTION
DESCRIPTION Of WORK Z'
rT UtvtBi
7�-
CxriS .?�.`�-Wflv*': � SPA Ai 7"' 1 rJ?" aFF $
FINSHED PLOOR ELEVATONS R Q00,10clE
4-64444-
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SIGNATURE , COMPANY
Ac#drass
License $d
0LWTR1CJAN
SIGNATURECOMPANY RF.C�ISTEREiS �. �+ F'El CIJRR^A7 Y j w,
.Zlts"Icv1se it
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PLUMBORSIGNATURE COMPANY
Addresst
License
MECHANICAL
SIGNATURE PAN >° t a d
dAddress
OTHER
$110KATURE COMPANY
lir tctfRpo Y` N eT Gurnee# V t Ni
d Gir�nss #
ait���1�lIDN�trt�et���t�t�gt��p�t�t�is€ldt��tid86tltitT��ItftllFf#9�t
"SillaeOl'AL AceaCA Vi Hot mem, lc) seks or outionp rvasns, il; set or trsr y romss ra-u-�=� "emit Mr nev�+ctrrrs uct�rr,
'MInimunt ter, (10" ion ng clays after sin s der, Required ons . Corstrmafoin, Pwns, stamlvAIcr Puns Still fence 1nR Pl ,
an ory aeltit sS t dunpst 81teVoOff( farm;tfor subd3ut kinsfisr cuaects
COMMERCIAL l Attach (2) complete sets of st,,ilding Pans plus e Life Safety Page, (i) set � energy Form R,0 41V Pernlit Fbe new tOnstructlon
tA;n� n ay i@ #its u xaek s cove spar su,m� ! ao lRequlred onsfte, C�nstru n P ns, u�tirm 'r PWIS W'Snt Ferice instal`ed,
SIGN PERMIT tT
Sentaty Facifities aumpster Site rco* Permit for all new axdpec,% Ali orumerclal uiremerrts musR rnset compiffin
Arson (2) sets of EngneemdRans.
""'PROPERTY SURVEY riiej for ail N ,,V ec st a^;icon.
r <W Out p orrar^ ozoppoerai,__.
Owner & Contrscta, fto beck of rvionzed
cav 6it0: a Tt ffi of ease 8 is tttr ad. (AIC upgrades ever S750d3}
<.° ,e't (fQr ;he Of POW of A110 lty M,' MP Oail er) W0V(d be sttm,,?V,,A ci th r5otsrqed letter fronn ovwncr duitlonz=.rep some
OVER THR COUNTER potMI N (c sty of contract r rnil d)
roofs if shingles 9 ~ .rs SO±vice U'Pgrgdes Alt„ Fisk, (PIOV SurvSylt ootet )
3etdesl -NOt over Counter 4 on public food6 f`s ne"s RK"NIIV
V
NOTICE OF DEED RESTRICTIONS: The undersigned undeopiands Mat this perou relay be WNW to ' tl Fes tlo
�-srt si.me ,tr�xr iaxr re@�.�ae^ ar.�tt octaves �a wssa ��if a��az�i�ss sue, »� �sa's�z�otaaeaae' c2a�Rx�eae's",way ipar:s�eaiurxp +.Y=a.aag.E�a ova w;,„
applicable deed,restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake r , they may be required to be licensed in accordance with state and local regulations, if the
contractor is not fireinsed as required d h+y law, both the yawner and contractor may be o#fed for a milsdenfeanor Violatio
under state low, it tFte owner or intended oontmetor are oncertarn as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasoo Courity, Building inspection Division —Licensing Section at 7 7-8 7-
009. Furthermore, if the owner has hired a contractor or contraotors, he is advised to have the contractor(a) sign
portions of the 'contractor 59ock" of this oppiicatiran for wharf they will be responsible, if y€aua, as the owner sign as the
contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County,
T RAN POR [ AT ION IMPAQ 11V t ILI € Ihb MPAU I A li KtbUU 6 VVW t° : : no uncamgnoo uncerMOS
that Transportation impact Fees and recourse Revovory Fees may apply to the construction of now ttuildsngs, change of
use in existkV buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 7 and
90 7, as amended, The uddersigned also understands, that such fees, as may ire due, yell De identfired at the time of
permitting. it is further urkferstood that Transportation impact Fees and Resource Recovery Fees must be paid pricer to
receiving a `certificate of occupancy' or final power release, If the project does not involve a aertificate of occupancy Or
final power relddse, the fuss must be paid prior to permit issuance. Furl! re, if Pasco County Dater/Sewer Impact
fees are due, tftey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LSE (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 LienLaw—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
ogut "hQr, the ow rr or ! --cortilly that I have, b.:ircd ^ M opy of Inc at;o o dcocribcd docurriont and pnimiso In good faith to
deliver it to the "owner" prior to commencement.
went.
ONTRA T ` IO PR'S AFFIDAVIT: I certify that all the informatior In this application is accurate and that ail work
will be drone in compliance with all applicable laws regulating ooristruction, zoning and land devetopmerit, Application Is
hereby rtaade to obtain a permit to do work and installation as indicated I oertify that no work or installation has
commenced d prior to issuance of a permit it and that all work will be perforrned to rneet standards of all lairve regulating
construction, County and City codes, zoning regulations, and land deveiopment regulations in the jurisdiction. I alao
certlty, that I understand that the regulations of other government agencies may apply to the intended work, and that it Is
my r spra . itAlity to identify what actions I must fake to be in mince. Such agencies wade trut are not limited to:
Department of Environmental Protection -Cypress edy . o , tla Areas and Environmentally Sensitive
t inns Waterpetartiewater Treatment
- Southwest Florida Water Management District-Vwuls, Cypress Saytheads, Wetland Areas, Al ring
Arroy Corps of Engi , eeawits, Docks, Navigable Watenw1w
Department of Heath d Rehabilitative ServlcestEnv=ronrnental Health Unttm gilts, Wastewater Treatment,
Septa Tanks,
US Environffental Protection .Agency -Asbestos abatement
Federal Aviation Whartty-Runways.
I understand that the following restrictions apply to the use of fiW
use of fill is not allowed in Flood Zone "V" unless expressly permitted.
It the fill material is to be used in Flood Zone "A" it Is understood that a drainage plan addressing a
»r'pe.r' :,t., ,T F-e TvtrnlAted ,.t time f ex ,fti. e, e kiet€*. icz nrcanse. c+e1-1e k y a n11_fa�a3Ee,rr..t Anieoa,
lio ns d by the Statc of Flo^do.
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 steers wall.
If Oil material is to be used in any area, I certify that use of such fill wiff not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propeales, the owner may be cited her violating
the conditions of the building permit lssued under the attached permit application, for lots less than o (i )
acre which are elevated by fill, an engineered tfralnrage playa is required.
If i am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the pwmitfing conditions t forth in
this affidavit prior to cornmewing construction, I unden0and that a sisuvate peffnift rmy be required for electriost work,,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in than application, A
4t6 k4L ifipW4S4�d Ti: NS l4 U� +.x it+9i14'S.4x 4la >T� 9 x4aCw l�K: b4 }d�A•••-u+w s�etit §n xw sxx avw tih' � ± i 5A,'ze5., ae Wt W 4xW ry tea aewi*'iew urvxna .sewn, o-rtx+,..++, not
set aside any provistone of the technical codes, not shall issuance of a permft prevent the Midirg Oftial from thereafter
requiring a orictedion of errors in plans, construction or violations of any cDdes, Every, permirt ' led small become Invalid
uniess. the work authorized by such permit is commenced `thrin six mums of permit Issuance, or if work authorized by
the permit is s ' pendeed or abandoned for a period of six (6) months after the time the work is comrnenceii, An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (9) days and wdt€ demonstrate
justifiable cause for the extension, if work ceases for ninety (W) 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 013TAIN FINANCING, CONSULT
has/i,ave PrOuceV Who IYSN PeM Y"Kh�'s� r h n� e �r6arUCt3�
as td ltrrtatron.
'IRES; February 23, 2424
Thru Notary Public Ussderwriters
EXPIRES: February 23, 2024
Bonded Thru Notary Public Underwriters
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