HomeMy WebLinkAbout21-32815335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021 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.
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.
!I I I I I I I i I I! I I I Ili I I! Ili I i' i Ill I 1111�i= I
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
SIGNATURE
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PEfIT OFFICIEU
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City of Zephyrttilts Permit Application
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ownses Name
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ownees Address
Fee Simple Titleholdor Name
Fee Sissple TKIefFoRvir Addren
400 ADDRESS
SUBOWISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRI,
DESCRIPTION Of V
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1 ten (10) m6any; days after sw� R-0-W i�errrwt ter new constractiop,
e) Her mans, tc) sent 01, 1:1011ong Mane, I set cu tne"gY i
, rriftl date, Rea onsite, 6"t"Strnoto"" PF"'s, StOr"ROMW Plane 4 8dt Fence inslatlea,
dkimPs'nt" S`Pe WOrk POrmit fear subdiAslonsila-v, projects
Z) complete sets Of Buitding Rafts Plus a Lfe Safety Page, (1) $et of Energy Formll R-0-Viy'Parmit for new conStructkin
I ten (10) workni; days after submirtaf data Re"{11"d On'ete, COnstAknW," Ptans, Stonrwater Fryaris v Sift Fence Instated,
Faoffibes & I dw"nPster, $,,by Work Permit f0f an new propftls All ooiwnsrdam l leQuireenei must meat co , mptaftint
!} eats of Engineered Frans
PITY SURvEy reqair r f0i, all N,&V construc r.
I neck of appNcai,,oij, rM" , ftl
of Comme"altmeat is required. (AJC upormllw, over $TWO)
') OF POMF UAllorney 11or!np, yttenfr) "Od It? SOM40"O Vkh NDtarved letter from Owlef duffloriging sonle
XTrii"O (001or 0 00PIPM3 Mourned)
)m $Orwe 'Jp9mov's Avc Fenaes (PiritpStio/qViFor, ,tags)
MWOW49-Nol over hunter if on puDin, jqattways' neem R,,A,
NOTICE OF DEED RESTRICTIONSThe undersigned understands that this Permit rosy be itutlect to Nd d' restrictions'
V'Y9i4i is moy a ttauv is tc.:�et €A,.trVAsi i35d&Yt ddig i% tl.i1SR6#YJ6 d8T. is a�,. to+ev aicr+drysA nt ca'.'ue`vs ie+A�g+ax+ec+aeav'+'F P :r.€= w.0 agrcA aw: : as any
applicable deed restrictions,
VNLICENSEO CONTRACTORS AND CONTRAcToR RESPONSIBJUTIES: If the owner has hired a contractor or
contractors to utidertake we*, they nray be required tit be licensed rt in accordance with state and local regulations, If the
controctor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law, If the owner or intended oontrsctor are uncertain as to what ficansing requirements may applyfor the
intended work, they are advised to contact the Pasco County Building Inspection Ditrision icensing Section at 727-647-
8009, Furthennore, if the owner has triad a contractor or contractors, tie is advised to have the contracto0sj sign
portions of the "contraotor I3lcook` of this application for which they will be responsible, it you, as the currier sign as the
contractor, that tray be an indication 'that he is not property licensed and is not entitled to perrnittitag privileges in Pasco
County.
i NANSPU tot l N I FA(; ! fu t IU I I l t# r AMU KtbUUK6t KtWVr.KT t' : ineurvowneouncermnas
that 'Transpaasta on impact Fees and Recourse Recovery Fees may a pig to the construction of new bu tdings, change of
use in existing buildings, or expansion of existing bultdings, as spKilled in Pastor Ordinance mli r 7 and
7, as amerrIfed, The undersigned also understands, that such fees, ali rMY be due, Vail 4e Irlentifilrd at the timc Of
permitting, it is further understood that Transportatkin Impact Fees and Resource Recovery Fees must be paid prier to
receiving a "ceftificate of occupancy' or final power release,if the project does not Involve a certificate of occupancy or
final power re se, the rose, must be paid prior to permit issuance. Furttwrnore, if Pasco CountY Water/Seefer Impact
fees are due, they must be pain prior to m-fit issuance in accordance vAth applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended),. if vatuat€on of work is S2,M0,00 or more, 1
certify that 1, the spolicant, have been provided with a copy of the "Florida ConstructlDn Lien Law -Homeowner's
Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
t r r .t 'o. € M t; that t ha c obtainad a .00ppr, ;fah: abo c dccchbod docu rat and p"omi in good faith to
deriver it to the"owner" prior to cornmencernent.
O T A TO `StO R'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be dame in zoomplianoe with all applicable tows 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 rneet standards of all laws regulating
construction, QDurity and City codes, zoning regulations, and land development regulations In the juriedictton. 1 also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that A Is
my rerrponsibiiIy to ideritity wtsat actions i must tame to be in co Nance. Such agencies In nude but are not limited ter;
part nt of rive l Protecpon-Cypreas
5ayheads, Vespand Areas and Environrnentally Senaftive
I Rrids Wate"Wastewiter T, t , nt
- Soiathwes4 Florida Watar Monageroarit District-Vildils, Cypress aytr ads, Wittland Amas, Altering
Watercourses,
- Arnoy Coms of ngi , er 9ts sodas, Navigable Watermys,
- Department of Healthy & Rehabilitative a ices/Environmenta, Health UrutmVlfots, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement,
- Federal Aviation Authonty-Runways,
I understand that the filowing restrictions apply to the use of fill
Use of fill is not allowed In Rood Zone''' unless expressly permiltod.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
s x<ikt ha hwvipt:.3 me # e, n€ r^n»s seRa4Feren roe mr Tea rt 4'kar nrAar +sa +nr+�k aann[eres.w.r
Iicarsod by the Static of Ffordo,
if the fill material is to be used in Fiord Zone 'A" in connection with a permitted building using stern wall
construction, 1 certify that fill will be used only to fill the area within the sterns wall.
If 40 material is to be used in any area, I certify that use of such felt will not adversely affect adjacent
properties, if use of fill is found to adversely affitict adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached perTnft application, for teats less than one (1)
acre which are elevated by till, an engineered drainage plan is requirerl,
it i am the AGENT FOR THE OWNER, € prorritse, In grand fault to inform the owner of the perfttfing conditions t forth in
this affidevit prior to commencing oonstruction, i understand that a swarate Fe It tray be required for eledrical work,
plumbing, signs, wells, pools, air conditioning, Sias, or rather Irmtallations not specifically included in the applicalfion, A
}dl11St i�i8?.{tSV 4?+d A36i. tip w4A4mii Mi�4 lW Mw m 44eib}teR'G tA.b �n•�•vua att?ta+ n umi+ .. ,.rest sar � )
set safe any proviWns of the tethnic3l codes, nor shall issuance of a permit prewft the, Buftna{Oftal hm Plareafter
requiring a correction of errors in pIa . , conelruction or ftlatiors of any codes, eery permit Issued shall become invalid
unless the siork "horized by such permit is commenced wiftn six nionths of perridt Issuance, or if work authorized by
the porrnit Is suspended or sbardoned for a pound of six (S) rrionths after the time the work is corrinvnead, An exterision
may be re sited, in writing, from the Building Official for a period not to exceed ninety ( 3) days and will dentonstrate
justifiable cause for the extension, if work ceases for ninety (g ) consecutive days, the job is considered abandoned,
WARNING TO OWNER: YOUR FAtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING WAGE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN IN , CONSULT
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