HomeMy WebLinkAbout21-3282w S
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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BGR-003282-2021
Issue Date: 11/30/2021
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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t I Fle hTRY'A' =r-T1rjTrWa1Trj- - I i 707M =1611MM
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRA SIGNATURE PE r IT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
City of Zephyftlls Permit Appilicaton F-613.780 zr
a "%ftq E t:arfr nt
Owner's Name r Center phcme Number
ETAddress� Owner Phone Nualber
fee Simple TfUeholdds Na 4? of , hme Aeumbm
Fee SliMte TRIsba #ddres pf
JQO ADDRESS
SUBDRASION
PAIWEL 100
WORK PROPOSED
NEW COMOR
NSTAL
rsDDAL
,PA,,
SIGN
EMQL1$H
PROP03ED USE
SFFi
far,#
nTr. xT
TYPt OF CONSTRUCTION
BLOCK
rRAWE
STEEL
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6CRIPTION OF WORK
BUILDING & 6
E::=3QISMilas
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SEFNICE PR # ESE ENERGY R.E.C,
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VAL aA ,r-tN OF k4ECHA iCAL �NSTAL4 AT ",Ri
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=GAS "x,iCXD-QPFC'.sa ' Sri ! f
FtN,,af LED rLx`tCiR ELEVATIONS NS, S F "#"Y e ZONE AREA, '{E„S
i T U R ST D G y 1 N FEE MiR REN Y r N
SIGNATURE COMPANY
REGSTEREJ
IN FEE MIRRFIN Y 1 Rt
Address x »w
Lmense
PLUMVIRR
SIGNATURE
a a
Addms
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Address
License #
OTHSIGNATURE
COMPANY
YIN
Addms .�
Lire #
#i1 1lA�EiF i&ff€A(A#FfFRttl d#@�Filf66#I#fill Fi#ifi9 ftttflttlltF
i RtiL3Crk (.c'j i�t f r-`t9tt , ia:,} sele 05 t u aing mans, (i r set or thergy t"OiY'RS; M4,1»Vi f'^'ertTGt i{}r now C@j",s$raa2r�.R,
morium ten t ;S) 0001`109 daps stir su n ! date Raecttirsd onsTe, Conetr4frEor, Purrs, SVErnwaviar PtOTas O Slit Fence instafted,
OOMMERCSsn y Faetir 4 dcsmP tea` S; Eieak Pernstt for Subdl\4&0,n iarge Pr ajec
i # AteI ti (2) coma seta of Bu4Mr Pt8ns slue a LTe aafety Page, (1 ) set of Energy Forms R-0-fAf Permit ftar new cortstfrjcrmrt-
Vnimiarn, ten (10, workimg clays air submittal date Required acme, t?anstauction Plans, Stoml%ra PtansV Slli Fencir Installed,
nka€y FwiRfes & i c mpster- Ste Wo* Perrift for Mr new Pr;°Fsc . All snmr rctav requji, smen% must meet mo,,a ,
SIGN POWs T ItVaeh � j setts o E+rgnewvj R&IS-
` -PR iPRRTY SURVEY re u tred for all Est rsi vc nn
CO ,a, r a. pll'A'kc 10 . is
C'Wrl r a& I-Ont a - ftn tack of aibpftanvr,, r-atanrao
N over $2540, a Not e aaf comnwrcemeet is €egvjra#, (AID unrades over $7500)
"« Agent (for ;he Portrnattrr) ar ra t g' Attrim@.g ("Or It4e o6 ,00 would I* 561'reone with notarlarfd letter from corner t#uthoria ing e..arraa
OVER THE COUNTER MMITT# "copy of contract required)
Ramok if shingles 9ammrs service upgrados k1c Fences (P',oV8,u yVjF ont8t;@)
O"VewaWN0 over Countof 0 on ruwrUu ros sways neexs5 C?L
NOTICE OF DEED RESTRICTIONS: The undersigned understands that thtil Writ maybe, sutnject to 'deed' restrictiorW
ioa Jt moy 6; haute. a :.aaa a..cam itswf 4sva. ly ;s gias zss,ua+a, 7i, xaa son isxrot: sxsca' a+eax. seas'+ E'saovere a,sea,'aerag vex +..e's`a kt.«xessa �w "we b. r wa`rg.
app§ ble deed: restrictions.
UNLICENSED CONTRACTORS ANDONT 0. TO IBIU71E : It the owner has hired a rontractor or
contractors to undertake v rtc, they may be required to be licensed in accordance with state and I regulations If the
contractor is not fjoensed as required by law, both the owner and contractor may be cited for a misdameanifir vioEeflon
under state lave; if the owner or intended oontmotor are uncertain as to what fipensing requOtMentit Wily apply for the
intended work, they are advised to contact the Pasco County Building inspection Division -Licensing Section at 7 7-847-
BC09, FurtherMore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the fcontrapl ar BloroEt° of this application fear which they will be respons[We. it yrau, as the owner sign as t
he
contractor, that ;may be an indication that he s not property licensed and is not entitted to PermitbrM Privileges in Paaoe
County,
t RANSPOR I T ION Ir PAC I tt3 I fU I l IM I ANU KtbUU i4t• IMIMUMI T P` . its �MCMigneowwrMnas
that Transportabon impact Fees and Recourse Recovery Fees may apply to tine tOnSIMORin elf new buftnits, change of
use in existsexisttrV buildings, or expansion of existing buildings, as specified in Pasco Countir Ordinance number 89607 and
9D-07, as anvrtdpj, The undersigned also understands, winds, that such fees, as may be due, will tie identlfied at the t€tire of
permitting, It is further understood that Transportation impact Fees and Resource Recovery Fees €must be paid prior to
receiving e "certificate of occupancy" or final power releases. It the project does not involve a cerfificate of occupancy or
final power rekose, the feels rnntat be paid prior to perrraif issuance, Further re. if Pasco Cavinty Water(Sewor impact
fees are d they must be paid prior or permit issuancein accordance h applicable Pasco Countyordinances,
CONSTRUCTION
T c` ION LIEN L (Chapter 713, Florida Statutes, as arms d#, If valuation of work is $2,5M,00 or rp0M, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowners
Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, if the applicant is someone
other then 1 rt t, that € hnvc ob ai=d a copyof the a.bovc ;! wcr d docurilcnt, and prorn.iso In good faith to
deliver it to the lowner" prior to commencement,
O T A T WS/ E ' AFFIDAVIT I certify that all the informaabor5 in this application is accurate and that ail work
will be done in compliance with all applicable laws regulating construction, zoning and land development, Application is
hereby made to obtain a pen -nit to do worts and installation as indicated, I certify that no work or installation has
commenced pillar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
c nsirtlotion, C unty and City codes, waning regulations, and land development regulation in the ludsdiotion, I also
certty that I understand that the regulations of other goverriment agencies may apply to the intended work, and that it is
my m8ponsibil,4, to identify what actions i must take to be in compliance, c d Include but are not limited to:
Department of Environmenial Protection -Cypress 5ayheeda, Wetland Amas and €ron ntally Senaftive
,%d . WotprMastewaterTreatment
Southymer Florida Water Management District -gilts, yprsi 8ayheads, Wetland Areas, Attering
Walercourses.
Artily Corps of Engineers -sea Its, Docks, Navigable to ys,
part nt of He ith & Rehobil€tatwve Serv' s/Enviro nmentsl Hearth Unit -Wells, Wasievveter Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement,
Federal Aviation Authority-Rummays,
understand that the f0lkvNing reStriCtiOngapply tO the stars Of f t1:
Use of fill is not allowed in Flood Zone 'V" unless expressly permitted,
If the fill rrrateria, is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
tom. T tnMq bted mt tirne €aS nearmittil— ..rhe,h i, ^ .ism of 1— rs —nfaaar$+1^M.t earr lrreax>r
Iloonocd by ',he vtatc of Florndz,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stern wall
construction, I certify that fill will be used only to fd[ the area within the stern wall,
- If Oil material is to be used in any area, i certify that use of such till veil€ not adversely affect adjooent
properties. If use of fill is found to adversely affect adjacent t properties, the owner, y be cited for violating
the conditions of the building permit issueo under the aneclied permit application, for lots less than o ('I )
aCM Which are elevated by fill, an engineered craainage plan is regvi tad.
If I ate the AMINT FOR THE OWNER, I pronvite in good faith to Inform the ter of the perrmitting =iditions set forth in
this affidavit prior to commencing c ,fir t€ € undersUnd that a separate peffnft may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speofficstly i larded in the application. A
t}�4f tilt k#&FIS.;CF�a i@i N%}i tA� ,.e4ieib&, frk�«iA tat bFt& 0.t a,MLndB�g:: A4+ tkh A,rvso-�'.�r.4 d$. bGn xc� � h y >w
set aside any provislons at the technic3l codes, r tr shall isetonce of a pe" prevent f BuNrlig VFW
from r
requiring a correction of errors in pt ns, construction or violations of any d Every per it ftsued shall become lretafid
sinless the work authorized by such permit is commenced within six rmrvths of permit issuance, or if work authorized by
the pernfit's suspended or abandoned for a pentad of sbe (6) months after the firne the wank is cornrywntred, An extension
may be reque0ted, in writing, frern the Building Official for a period not to exceed ninety () chars and will demonstrate
justifiable cause for the extension. If work ceases for ninety () consecutive days, the job is considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE iF COMMENCEMENT MAY RESULT IN YOUR
PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
rHISIDaW p"w?'iW't74it,eu ° i11710 Wars .pe .an r K7VV`1€ W pie tat : nave p"�M0 1
I _ -- as i aR+eicatle"�.
my commiSSION # GC 925496
EXPIRES, Febn.iery 23, 2024
Bonded Thru Notary public Underwriters
__ AKANDA ACKERSOiN
My COMMISSION # GG 925496
EXPIRES: February 23, 2024
E3onded I hru Notary Put�lic 01derwriters
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