HomeMy WebLinkAbout21-3279BaFR---'-O--O---3-'2-79'-2021
Issue D. 11/3012021
a 0 . Um F[firMen=91 NIKOMIff .1
Address: 12602 Telecom Dr
TAMPA, FL 33637
Phone: (813) 549-1968
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
11 NOW 1111 "6119
entities such as water management, state agencies or federal agencies.
izz=I=I 11,11 11117 115iiiii III IIIIIII I I�i I I III I
iippiiij�ii
'.:« ism • viiiiiiii 11111111111111111111 111 1 1 IN I IN 11 1
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.
CONTRACTOR S ATtJRE PE 7MIT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephychilts Permit Apoticabon Faxm$13-780�=
ownees Name � ��
>,
�
Owner Phone Number
Ownees Address
Owner Phon4 Numbe,
Fee Simple TtttehoW r Na
0—or . am-! N ».:ft'-
Pee Simple TRIIiholetvrevs
SUROWICIN
WORK PROPOSED
El
W (:ONSI'R t]
NST t
AID-DIT
REPAiR
CN � l�r
:. 3 U3
SFR
CTa. ,
TYPIEOPCONSTRUCTION
BLOCK
FRAME
87EE
096CRIl"TiON Of WORK
UlLtaaN0 806
5EIT S
f i FiT
EUECTRI FG
AL , SERVCE
OGRESS ENFROY W R.E C
Zpa AtSi,
'
/'^^
8 i @..,,.
b
l+Ai.UA
i
?'ii.Y#y
OF PvFCF^f.`#ii.
Nt`aTax{ E.ATlLR-#`v
tGAS,
W?i)e ?NG ZI
'-FP#-1 xA"Y r,,
CyT }Fi
FINi HIED FLOORELEVATION-'
r#_OOUZONE AREA
=YEq
SB Id Y R3
E iS EHE�
Y 1 N PEE CURREN
License #
EE31 47 URE
COMPANY
RE ISTEREM
�...,.W.
Y ! N . EE utlF2REN "p VIN
Address
.�
License #
a
SIGA 9 U
t
1£t"`
staaaa of d
MECHANICAL
SIGNATURE COMPANY
RE tS"-'EREr, Y 1
Address
License
OTHER PCOMY
SIGNATURE REGMTEREG Y 3 N FEE CRRRER v 1 V
�11R&���iEi�ii&#i�Elif�iRrp!#IEE�A#9R8EFEt��tlfil[EElN�E��l�#iR���i
iG 447 A G T t) r rct rang rip Ot a urr Ong r tans; {t sai at G r,u Y rarry s; `U Vera sqr riew Oonsirucunr"
vtrrrFtl n tin (G; t Xk clays ad r s amRttak dam P rOuir t sRs, t u [e Pans,
COMMERCIALnacei,BuraaE � tectufonatOi-daSaba ins Pv*R Par ;rukrdisrcnsli
Btt`rWehFr Plans 4 Strt Fence nstalted,
F a r a e f rp = Ct) r Ot En+trgy cm R -W Permit for now construction
Ntuz=m n Yin ilBi rleirtg dsY after cubmYia+dam Re jai x' nn Ee. Ck nsTnact .eF s, Steam Plans At Sift Fence installed,
SiN PERMIT Attach i(y2) sets of E&ngt leefedCePratst.o. Ya on Parr 4 for atI nR� P aj�Gec AIi Cam lr r a; epWoRMents must MW, cempiRrioe
—PROPERTYSIRVEYrreuiradforaaliW-Ec ,,%tructon.
Gsi �l€sn�r
n r Q*rvraleto' i4in twct" c€ adaEd arm ro anzoo
tf r er susi, a d P crz a +at lee crirecl, (AjC u r a over $1500)
H art { r tt}e cane n r} or FG,t r p° Anorrey a0t t'ts o;a eO Aould bp gomq("np w#t'
'I 'Marmed 1 attar from ^ va r aaxtNiOriaanP same
OVER THE COUNTOR PotwTTING (COPY Of cor1raet ;FaPauinfri)
Repro s if shingles Fee m SQN00 t T,cgrades ' ; F nc t ;e B nr yfF'rx Ter
OrIvewowfulCt rwer counter rt on Fatehc road'Aays neaets ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under° tends ftt this permit MY De 50ject to d restnctlo
vaiaa�-it at+aay a*tw ft�b€>�: c�.�io �..€ta s: i=taa+tetas yap ea�at�sxssira ems, ieev: uo- s+xc:i�e�ieazs;e saub�r� ei�a±�;aa}xveaea°"eiia+y ,+.�a*�i:; }p+.:�d+..aa km}x}}�n x�
applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: it the owner has hired a contractor or
contractor. to undertake work, they rrmy be required to be licensed in accordance with state and karat regulations, If the
contractor is not licensed as required by raw, both the owner and contractor may be cited for a Mfittlernearfor violation
under state law, It the owner or intended oontractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pacw County Building Inspection Division —Licensing Section at 'i 7- y,
8009. Furthernifire, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor 510ck" cat this application for which they will be resprrnoible, if you, as the owner sign as the
contractor, that may be an Indication that he *rant pr9perty licensed and is not entitled to permitting prim„0e9in Pasco
County.
t KANSPOK I At IO I,MVAt; I IU I IU I Its i t At; r U KtbUUK 9T ESeVKT P° ; 1 MOMIgn O urrMi tt 3
that Transportalon impact Fees and Recourse Recovery Fees may apply to the construction o" new buildings, change of
use in existft buildings, or expansion of existing buildings, as specified in Pasco County Ordinarme number y and
-07, as arnerided, The undersigned also undeistands, that such fees, as may be due, will us clenfif€ed at the time of
pernfitfing, it is ftarther understood that Transportation impact Fees and Rasourfalt Recovery Fes must be Palo prior to
removing a cedificate of occupancy" or final power release, If the project stages not involve a certificate of ocouparcy or
fiscal power release, the fees rntst he paid prior to permit issuance. Furtherrnore, if Pasco County WateriSewer impact
fees are due, tray must be paid prior to Permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended), if valuawn of work is $2,M0,00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Flod a Construction Lien Lav hforneowner's
Protection Ouia prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
^th -r- th , th. low ^r I ,1141 that t ha c ,a oincd <. copy Qf th^ oboe'^ ricacribcd 4.oGumcnt aid prorniso in good faith to
deliver It to the "owner' prior to cornmenoeme3nt.
OONT° A TO VO ER'S AFFIDAVM I certify that all the infsormstior in this application is accurate and that all work
will be done in mplianee 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, ted, i oertify that no work or installation has
commenced prior to issuance of a permit and that ail 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 1 untlerstand that the regulations of other government agencies may apply to the intended work, and that it is
slay msponsthiiKy to identify what actions i must take to be in compliance, Such agencies include but are not limited to.
De arnnent of Environmental Prateccssn-Cypress 5eyheads, V enand Areas and Environmentally Sensitive
I sandA vicopruvinstawater Treatment
Southwest Florrria Water Management District-4tf4s, Cypress yt ads, Watland Areas, Mering
Ar fy Corps of Engineers-SeeNvalls, Docks, Navigable Watermys,
Department of Heath 3 Rehabilitative Services/Environmental Health unit-Alells, Wastewater Treat rat,
Septic Tanks.
US Environmental Protection Agenoy-,Asbestos abaatement,
Fe eral Aviation Authority -Runways.
understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly perrnitted.
- If the fill material is to be used in Flood Zone "A" it is understood that a drainage plan addressing a
rr bZ .H, P± .i at tirneof per"tElsa a htnF} is-,?ppree r xr a IvrnFe,��iesxvsal rt>rzn�irssss-ar
l'oon3od by the Stato of Moricta.
If the fill material is to be used in Flood Zones *A" in connection with a permitted building using stern wall
construction, I certify that fill will be used only to fill than area within the steno wall,
If All 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 Round is adversely affect adjacent properties, the owner y be cited for violating
the conditions of the building permit Issued under the ailached permit application, fvr tots less than o 1)
acre which are elevated by fill, an engineered drainage plan to required.
If I am the AGONT FOR THE OWNER, I promise in good taf h to Inform, the o ,. of the permitting coriditions set forth in
this affidavit prior to commencing construction, I understand that a separate permit it _ y be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or rather installations not specifically included in the application. A
paGl14 tSt +v"4. C&GSC2t1 4N }S tdC [
+ �. o.,
set aside any provisione of the technical codes, floe ahMi testance of a pemd prevent the BuilditV Offiellift Imm themalter
requiring a correction of errors in ems, construction or vialations of any codes. Every pernnit ftued shall become irwalid
unless the work authorized by euah permit is commenced wrth>aa six sr nths of permit Issuance, or if work authorized by
the permit is suspended or abandoned for a pericid of six () months after the time the work is (�omnwnced. An extension
may be requested, in writing. from " Building Official liar 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 WAGE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO O T IN FINANCING, CONSULT
sooty 23, 2i}" _ AMA}Nfg fiO S
ON
Public Unaernriters `,` XP ioly I i SION #rt GG, 925496
' 3ond EXPIRES February23, 2024
a== 'ANM8. ed 7 hru Nuts + lt
�,�.,. Notary �u�.r,: tlrauar>Krttees