HomeMy WebLinkAbout21-3410City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGC-003410-2021
Issue Date: 04/08/2022
ATM77"Itf wlTolffrollroTm, rT-Twroym ! i I I I I I I ! I � ! I ! ! I I I I I ! I I I I I ! I ! am
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
I I
IA )Q�(*Vto-cl
T TRACTORSI PEJAIT 6�F�
mcT PERMITEX ES-4N-6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
mm�
WR # 44397215
Windward Building Group
Thank you for contacting Duke Energy Florida, LLC for a letter of no conflict regarding your pool
construction.
NO CONFLICT: Duke Energy Florida, LLC has reviewed our existing facilities at the above
referenced address and has found no apparent conflict at the proposed pool location. According
to the drawing(s) you have provided Duke Energy Florida, LLC has no objection to the
proposed construction.
mmm
Ryan Flaherty
Project Coordinator
Duke Energy Florida, LLC: 4121 Saint Lawreme Dr, New Port Richey, F1, 34653 1
AUTHORIZED AGEN
AFFIDAVIT
hereby grant Marithorizcairt'% i to
(Contractor) (Autho i, ed Agent)
to pact in my € ehalf with the CMrty of > ephyrhill� Building Division ,, h le conducting activrfies related
to obtaining pe tnits. These MactivitieS pf'ClfiC.Caily �,a qninkj gal doQui-nents r egt.wrin
signature of "contractor`,
i A to be considered icfc rt ct ana��
( aathori €ed Agent)
therefore the signature of said agents binding and causes me to
connected to or associated with the signature as they may rel,.ate t
j rlieu tl" e City of r ephyd
and agree to held the City of z ephyrhil s� Building D;vi i ra l:r. r,arlc;t r
responsibility, claims at, other actions risin fron'i or related to
above agent's signature for permit -related activities. 1 fUrther Linde
responsibility to Ip ra nt and, terminate any ; UCh raUthorization and to
receives tim--'ty notice of a 0%jc h grant or termination,
.._ _ �
�. SIgtiatiti`t'r of Cor'It€'r}c;tE7rm,�v."_�n
State Certification or Registration lNWriber
County C nific atiot-i Nurr'iber ifapplicable)
t of iray 'bLJ lil# sS
rv;wr.ame ,fl responw..ii,?liiti(-: ;.
my contracting tit` g business,
l`'s Saf,
from! .arly and all
Wisirn's =.,3ccel,)tancc of the
,xt and that it is my sole
rt'wmUre, that the Division
°"r'[.EASE NO'rr . Bain 'SIGN lRE MUST BE Pli `IARIZE0"
Notary for Contractor's acctor Signature:
Notary ary rar Ag,r at's,
State ire 4 �i. .i., t)i.i s4Ae' Y}�' t
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on in€al of rhi affidavit should be #(ept in tl lt. p :i st..; shin
of lho ai ov(,l d' ioo A ulho3 ..: t1�St ; I tm,n
,e only trcr produc ed to th �$�t�. ify rat Z €� phyrhil6ti. whe signing
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sign 4'a l.�$i-"-:rmit applic,t,j con A,e li{�:apared to jxoCJi.E o this o id,,.,ivit, it will €�e i.{}picid l?l .F�,C.; t_� in Fhb": { apfn c-,f)i itaii, pormit
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rAdt sz�[#`r frtmdr Fa,Yr rzitt' <aa ttda>t€H€tf.=a td aljatwlt�q rtnw icftpasrt` 011 it1 atppy Irrt- or td'n'aidt 01ii, 1, °tt�ta f>°ar d't€�ditz?$ r;j' of f�[ziatxaa<`dr:r, t�i rz�tafac?;, d.,"
fiArr^at.t tr«lter;#fi�a=r�.
Notary public State of Florida
!Sri Colleen Richard
@19 arlr a770i
F
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
fBuilding Department
Date Received F Phone Contact for permittin
Owner's Name Lennar Homes LLC Owner Phone Number 813-574-5722
Owner's Address 1 4600 W Cypress St Suite 300 Tampa FL Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS659� Bar S Bar Trail ZephVrhills, FL 33541 LOT #
SUBDIVISION L PARCEL 113#[_6T26 210000 00300 0000
JOBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITII Ed ADDIALT SIGN DEMOLISH INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK POOI
BUILDING SIZE I I SO FOOTAGE 5,455HEIGHT
=BUILDING $ 540,356
J VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=PLUMBING
=MECHANICAL
AMP SERVICE PROGRE ENERGY W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION k
= GAS ROOFING 0 SPECIALTY = OTHER
E
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V
BUILDER COMPANY Windward Building Group
SIGNATURE REGISTERED Y/N FEE CURREN
Address 650 2nd Ave S. St Petersburg, FL 33701 License #
'_� ECTRICIAN COMPANY
NATURE REGISTERED L_11 N _J FEE CURREN
Address License#
LUMBER COMPANY =
SIGNATURE REGISTERED L_ILN _J FEE CURREN N
Address License # I
MECHANICAL COMPANY SIGNATURE REGISTERED FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L11N J
Address License #
RESIDENTIAL Attach (2) Plot Plans: (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Pennit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after Submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage)
Driveways -Not over Counter if on public roadways.,needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject 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 to undertake work, they
may be required to be licensed in accordance with state and local regulations. If the contractor 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 contractor are uncertain as to what licensing requirements
may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this
application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees 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, 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 Lien Law —Homeowners 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 promise in good faith to deliver it to the "owner' poor to commencement,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate 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 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 meet standards of all
laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I
understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Fayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V' unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
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 stem wall.
If fill 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 found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 to
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, after, 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, or if work 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 writing, from the Building Official for 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
17LORIDA JURAT (F.S. 117,03)
OWNER OR AGENT CONTRACTOR
Subscribed and swum to (or affirmed) before me this Subyribq and swom to (qoirmed) before me this J'J Ole C( Via: v-
b
�hois/are personally known to me or has/have produced Who is/ari(p orsonally known to me or has/have produced
as identification. as identification,
Notary Public "I
Commission No. Commission No.
'T, NoT3Ty-PVbttC citater UT
Katherine Eghinis
Name of Notary typed, printed or stamped Name of Notary ty cl,tdM HM
"IL IH m
167177
EXP. 8/19/2025
City of Zephyrhilis
Water and Sewer Impact Fee Calculatiol
Impact Fees
Within City Limits Outside City Limits
Water Facilities Capacity Fee $ 1,010M $ 1,262.50
Wastewater Facilities Capacity Fee $ 2,090.00 $ 2,612.50
• 3,100.00 $ 3,875.00
NOTE:
If the pool house is on the same meter it is also included in the fee calculation.
80rr r City of rApplication« «r
DepartmentBuilding
Date Received Phone Contact for Permiltin
r �rr+r ar it rrs+r►r►wrh wr�>w. wt{�r w,awrwr it a. wrrrr r;.
i
Milt! w
98 Bar S
Bar Trail Zephyrhills, FL 33541
_► « r 04 2i6 n tl li 00300 0000
« i
r r + «•
• i
ELECTRICAL 5 = AMP SERVICE PROGRESS ENERGY = W.R.E.C.
PLUMBING $ =
MECHANICAL L��=
VALUATION OF MECHANICAL INSTALLATION
GAS X ROOFING ® SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
BUILDER COMPANY
,.� Windward Building Group
,� :-�~� �
SIGNATURE r REGISTERED YIN FEE CURREN Y 1 N
Address 650 2nd Ave S, St Petersburg, FL 33701 License# CBC1251&37
�
ELECTRICIAN i COMPANY Heart of Florida Electric,
SIGNATURE (! REGISTERED, Y t N Fee cuRRaN Y F N
Address PO Bax 12$ Aubumdata. FL 33$23 License # ECi3im5$79
PLUM13ER �� COMPANY
REGs> p Jackson n NPlumbi
SIGNATURE
Address PO Box 2660 Land O Lakes, FL 34639 License # CFC1426886
MECHANICAL COMPANY
SIGNATURE REGISTERED Y t N EE ouRREN Y I N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED YIN FEECURREN YON
Address License #
[[tti[tttttttttit[tttttit[tttttt[lit[tttttttt[ttt[it[[ttt[ttt[ti[tttl
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O•W Perm for now construction,
Minimum ton (10) working days after submittal data. Required onsita, Construction Plans, Stormwatar Plans wt Sill Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonstargo projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Faros, R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date.. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence instated,
Sanitary Facilities & 1 dumpster. Vito Work Permit for all now projects. At commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
*—PROPERTY SURVEY required for all NEW construction,
Olracl]ons:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $750G)
"® Agent (for the contractor) or power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING; (copy of contract raquirerd)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PfotlSurveffoologe)
Driveways -Not over Counter if on public roadways. needs ROW
e+3-780-0020 City of Zephyrhills Permit Application Fax P8t'x- 8yr0 2I
Building Department
NOTICE OF DEED RESTRICTIONS, The undersigned understands that this permit n)ay be subject to'deed" restrictions° watch may or, more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable dead restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in accordance with state and local regulations. It the contractor is not Licensed as required by law, berth the owner and
contractor €nay be cited for a misdemeanor violation under state low_ If the owner or intended contractor are uncertain as to what licensing requirements
inuy apply for the tntendod work, they are advised to contact the Pasco County Building Inspection thyri iorr--Licensing Section at 727-847- 8009,
Furthermore, if the owner has hired a contra urs or contractors, no is adviser( to have it)(, cont€actor($) star) portions ofthe `contractor Block' of this
application for which they will he responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is
not entitled to permitting privikagea In Pasco County,
TRANSPORTATION I PACTIiITILITI S IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Feces may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County ordinance number 69-07 and 90-07, as amendedthe undersigned also understands, trial
such fees, as may be due, will be identified at the time of permitting. If is further understood that Transportation nr Impact Fees and Resource Recovery
Fetes most be paid prior to receiving e "certificate of occupancy's or final power release. If the project does not involve a certificate of occupancy or final
power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impala fees are die, they must be paid prior
to permit issuance in accordance with opplarible Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 75 g, Florida Statutes, as turnaround) If valuation) of work is $2,500,00 or more, I certify trial I, the applicant,
have boon provided with a copy of the ,Florida Construction Lien Lov,-Homeowners, 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 mon)iso in good faith to deliver it to the *owner' prior to commencement.
CONTRACTOR'StOWNEaR,S AFFIDAVIT; i mefify that all the information in this application is ;ac curaor and that all work wilt be dons in complumeo 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. I certify that no work or installation has commenccad prior to [asu incaa of a perarrit and that all work will be portrrmod to nie it standards of at!
bass regulating construction, County and City codes, zoning regulations, and land development regulations in the juarisdiction. I also certify that I
understand that the regulations of tither government agencies may apply to the intended work, and that it is cry responsibility to idenchr what actions I
must take to be in compliance. Such )agencies include but are not (indicate:
Department of Environmental Protection -Cypress Bayheads, Welfland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment,
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative ServicestEnvironlrtental Health Unit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the ruse of foil:
Use of fill is not allowed in Flood .Zone °VV' unless expressly permitted.
if the fill material is to be used In Flood .Zone 'A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material Is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, t certify that till will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such till will not adversely affect adjacent
properties. if use of till is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I art) the AGENT FOR THE OWNER I promise in good faith to inform the owner of the froca rtroft conditions set forth in thus affidavit prior to
commencing construction. I understood that a separate pour it may be reacted for electrical work, plumPkng, signs, wells pools, air conditioning, gas, or
other installations not specifically Included in the application. A permit issued shall be c onstnied to be a license to proceed with the work and not as
authority to violates, cancel, otter, or set aside any provisions of the technical codes, not shall issuance of a porrrit prevent the Building Official from
thereafter requiring a correction of errors in plans, construction or violations of eny codas. Every permit issued shall became invalid unless the work
authorized by such permit is commanded within six months of penultissuance, or if work authorized by the permit is suspended or abandoned for a
period of six (6j months after the time too work is commenced. An extension may be requested, in writing, from the Building Official for a period not to
exceed ninety (90) days and anit domonspete peAifiabie cause for the: extension It work causer; for ninety (90) consecutive days, the tots 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 OBTAIN FINANCING, CONSULT
OWNER OR AGENT CONTRACTOR
Subscnbe d and sworn to (or affirmed) before ire this Sppscuthay anti swonr 6a'(sa£ i Taft 1 me ibis Yh7'�,6 it �
__ --by----,-, `,- toy.:., r ', . ¢•R f�* € ,tar...(
Vltho tseire personally known to me or hasftve produced Who Isla.�'porsona,ly know 'ra id a .6 or novel, s pr)ac}ucan
s identification. �_es idenu a lion,
.._,..___...�._..........._.__.._...�..._ . „Notary Public P . _ ' ,- � ye' � �' .�., `�Notary Public
Carnmissi n No _ Commission No
Name of Notary typed, printer! or stdrnpe:! tVjia;)c a, Notary typed. »nice( or sternped
Notary public State of Florida
toll Colleen Richardson
My Commission
IlliHH
Exp177601
12 1//2025