HomeMy WebLinkAbout21-3311City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
SITE-003311-2021
Issue Date: 12/06/2021
Permit Type: Site Permit
6419 Simons Rd 04 26 21 0000 00200 0000
21112111 ME M'",
Name: SV13 Housing, LLC
Permit Type: Site Permit
Contractor: CYPRESS GULF
Class of Work: Commercial
Address: 2310 West Bristol Ave
Building Valuation: $715,229.00
Tampa, FL 33609
Electrical Valuation: $0.00
eell)
Phone: (443) 622-6651
Mechanical Valuation: $0.00
Plumbing Valuation: $0.00
Total Valuation: $715,229.00
. .....
Total Fees: $3,616.14
... .. . .
...
Amount Paid: $3,616.14
Date Paid: 1216/2021 10:20:48AM
1
=- 11111M10" 1
1M
11MEN
212 M
SITE WORK DORMITORY APT BUILDING
AN"M
121221122
2
OON
Building Permit Fee
$3,616.14
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.
"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 obtain financing, consult with your lender or an attorney
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.
waL4y*-r-
TOR SIGNATURE PEfAIT OFFICEC)
.`IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
A
NEWS
8 City ofZephyrhills Permit Application :-'180'002. I
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RESIDENTIAL AtUrKt 12) Put Plans (2) sets of 6046nq Plane: (1) set of Energy Forms; R,0-iiyf Petruit for new construction,
minimum ten (10) swlkinfii days after submittal data. Requited cirlsile, Construction Paris, Stomieritei Pens wi-S"itt Fence rusalled
&amtary Facilities s I dumpstec Sisi Woo,' Permit for subdimsionsila.0. proiect-
C ,OlyiMERCIAL Minch (2) compiets, eats of Building Plans Plus a Life Safety Pit( je: 0) set 4Eneigy Forms. R-0-WPo,mil for new construotiter,
mininown ter ('0" "Yorking days after Submittal note, Required aiisits. construction starts. S torrmwitef Plans vii Bill Ferics instalied
Sanitary Facilities & I dumirstK Site Work Permit forali new projects. All coordid requirmleres must meet issrrnptia�rce.
SIGN PERMIT Aftac'h (2) seta of Engineered Plans.
—*PR'k')PI1,'RT Y SURVEY required for Pit NEAt
DimtIons:
Fill out V:,olication completely
Omar If contractor sign hack at appliration, lactahzed
if over $2800, a Notice of Cornmencemord: is required, (A/C upgrades cater S7600)
Agent (for file, wivraidnf7 or Power nf Attorney #or the ow-ler) woukdl he someone ,,,ifth notarized loiter from iiwer authorizing same,
OVER THE COUNTER PEP IMITTING (copy at Contract I eauired"
Re., oofs if shingles, Sewat S sersice Upgrades IVC Fouc:e.s (Plok`Surys.y!'-00saqtn
Driveways -Nut over Counter if on public madways-needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may besubject to"deed restrictions'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors toundertake work, they may be requiredhzbolicensed inaccordance with state and local regulations. |fthe
contractor is not licensed as required by |mw, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised ;ocontact the Pasco County Building Inspection Division —Licensing Section mt727'O47-
8DOB, Furthehnore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign
portions of the 'contractor Block" of this application for which they will be responsible.|fyou, omthe owner sign mathe
contractor, that may b*en indication that he is not properly licensed and is not entitled ho permitting privileges in Pasco
County.
TRANSPORTATION |88PACT/UT|L|T|[S'IMPACT AND RESOURCE REOOYERYr[ES: The undomignodundomdandu
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction nfnew buildings, change of
use in existing buildinga, orexpansion ofexisting buildin8u, as apenif led in Pasco County Ordinance number8g-07 and
80-07. as emended. The undersigned also und*m1andu, that such haea, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource ReocmeD/ Fees must be paid prior to
receiving o "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power nalemae, the heae must be paid prior to permit issuance. Furthermore, 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, os amended): |fvaluation ofwork ia$2.5OD.O0ormore, |
certify that |. the app|ioant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and prornise in good faith to
deliver it tpthe ^wwmer'prior tocommencement.
COWTRACT]R'StOWNER'S AFFIDAVIT: | certify that all the information 1nthis application ioaccurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain e permit to do work and installation as indicated. | certify that nowork or installation has
commenced prior to issuance of pann|t and that all work will be performed to meet standards of all laws regulating
oonntmuUon. County and City ooden, zoning regulations, and land development regulations in the jurisdiction. } also
certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
myresponsibility toidentify what actions | must take (obeincompliance, Such agencies include but are not limited to:
- Department ufEnvironmental Protection -Cypress Bmyheadw. Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
- Southwest Florida Water Management District -Wells, Cypress Bayheadm, Wetland Areas, Altering
Watercourses.
' Army Corps ofEng|neers-Geavwa||m.Docks, Navigable Waterways.
- Department ofHealth & Rehabilitative Services/Environmental Health Unit-VVo||m, Wastewater Treatment,
Septic Tanks.
- USEnvironmental Protection Agency -Asbestos abatement.
- Federal Aviation 4uihohty-Runvwayo.
| understand that the following restrictions apply tuthe use offill:
- Use offill isnot allowed inFlood Zone ^\runleuaexpressly permitted.
- If the 0| mobaha| is to be used in Flood Zone 'A", it is understood that a drainage plan addressing m
"oompnnsak|ng volume' will basubmitted attime of permitting which is prepared by professional engineer
licensed bythe State ofFlorida,
' |fthe fill material is to be used in Flood Zone ^A" in connection with a permitted building using stem wall
construction, |certify that fill will beused only tofill the area within the stem wall.
' If fill nnmteha\ is to be used in any area, | certify that use of such fill will not adversely affect adjacent
properties. |fuse oJfill |nfound toadversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit app|icadion, for lots |een than one (1)
acre which are elevated byfill, onengineered drainage plan iurequired.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior 0ocommencing construction. | understand that oseparate permit may ba requiredforelectdoe|*mdk.
p|umbing, siQns, wmUn, poo\a, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall beconstrued to be license toproceed with the work and not as authority hoviolate, conoe|, aker, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, orifwork authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in wvit|ng, from the Building Official for e 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (oi affirmed) before me this
by
Who istare personally known to me or hasthave produced
as identification.
Notary Public
Commission No,
SubsVJhOnti,ed and Z swom o (or liff",Is
Irmed) I fore me this
W)�
by _A3&d
stare P=Q���ie or has/have Produced
as identification.
Notary Public
Commission No.
(kl)A, AA <
Name of Notary typed, printed or stamped Name of Notary typed, printed or -stamped
SHAWN IMS
Notary Public -State of Florida
Commission 0 HH 189633
MY Commission Expires
October 21. 2025
ENGINEER OFRECORD:
SERVICE REQUEST NO.: DATE: JNSPECTOR:
PEOPLE PRESENT:—"L:� Ct-, 1j,
VOMPRESSU NPREG8URE TEST RECLAIMEDPRESSURE TEST
PRESSURE TEST
STARTTESTTIME PSI ^
I
FINISH TEST TIMEJaL.M_Qe,. Psi
CALCULATIONS BASED ONANGkAWVA[:8OO-87SECTION 4`1 L=GD�
Y33,2D0
WHERE L=ALLOWABLE LEAKAGE |NGALG.(PERHOUR)
S=LENGTH OFPIPE TESTED (IN FEET)
D=NOMINAL DIAMETER OFPIPE (IN INCHES)
P=GAUGE AVERAGE TEST PRESSURE (PB0
GALS/HR.X 2 HR =
GALS/HR.ALL[WED
GALS/HR.ALLOWED
GALG�ALLOVVEDLOST
----
TEST RESULTS COMMENTS