HomeMy WebLinkAbout22-3444U ffly—o rZ- —ep- Fy7r F iT Fs
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-003444-2022
Issue Date: 01/24/2022
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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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.
X/ At/,
CONTRACTOR SIGNATURE PE IT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1=1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin
Ownees Name Owner Phone Number
Ownees Address Owner Phone Num r
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
W,
SUBDIVISION PARCELID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK z
BUILDING SIZE SO FOOTAGE HEIGHT [!�
t1L`L1L1L1Lsk%kM4LX %&kkk,
BUILDING r�K VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C,
=PLUMBING
MECHANICAL 1$ J�/ VALUATION OF MECHANICAL INSTALLATION 14) ii((41C
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
UILDER
SIGNATURE
Address License #
—ELECTRICIAN 0 COMPANY
(GNAT URE ? IN FEE I.RRIN REGISTERED LIL .. J
Address License #E:===:=
PLUMBER COMPANY E
SIGNATURE REGISTERED ;N '"j FEECURRE����
Address License #
MECHANICAL COMPANY
IGNATURE REGISTERED
Address License #E===:=
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN Y/N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; RaO-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsild, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit 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. (AID 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 PERMI(TrING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot[Survey/Footage)
Driveways -Not over Counter if on public roadways.,needs ROW
,OR, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRIC71ONS: 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 property licensed and is
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPACTIUTILITIES 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 —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 promise in good faith to deliver it to the "owner' prior to commencement,
CONTRACTOR'SIOWNER'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, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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 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 W` 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 "N' 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, alter, 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.
44,
.. . ... .......... ..
Notary Public Notary Public
Commission No Commission
Name of Notary typed, printed or stamped Rameof Notary -typed, printed or stamped
Owl!
I, have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
WITNESS PERMIT #
Single Family Dwelling
Plan Review Comments
1, RRE, shall be a ininin-rurn dot'8" above the road elevation and an engineered site plan.
2, Lots shall be graded to comply \vith R4013 of the I-,,B,("
3. Compaction test required if 24" or more of fill, dirt is brought in at any one place.
4, Tie in survey required before pouting concrete,
5, Diiveways require a R.0,W, rise pen -nit. All 4 sides of driveway thru the sidewalk shall have
expansion material.
6, All setbacks shall be met.
T. All properly markers shall be uncovered and triarked at time of first inspection,
8. All AD.A, requirernents shal"I be met,
9, No electric, plumbing, mechanical, or frarning shall be covered without an inspection and
approval first.
10, All Glarages shall comply with section R302,6 of the F,B,C. (Fire Separation),
I I , Appliances shall not be installed in as location where sut-,ect to niechanical damage unless
protected by approved barriers. M-"3031,4 of the F,B.('
1 121, Water heaters shall cornply with section P6073 of the F,B.C,
13, Foundation suppot-ts for A/C units shall be raised at least 3" above finished grade, M 1308A
14, Retum air in all bedrooms, F,B,(", M 1620A
15, Stnolse detectors are to be installed in accordance kvith R3 13,1 of` the RB.C,
16, All glazing requireirwnts are to be in accordance with R308.4 of the F,B.C,
I T At I uneans of e gress are to be in accordance xvith R311 ofthe F.B,("
18, "Green gyI)eurn board"' shall not be used as a backer in showers or tubs. R'/02,4,2 [,-,B,(',
19, Cornbination-type AM bred ,,Lkers are required at all locations requiring an AFCI type breaker.
20, Carbon.nionoxide alarnis will be required in ne%v construction that uses fossil - burning heatitig
or appliances or ain attached garage, They shall be installed in accordance with the F,B,C,
21 All plumbing, mechanical, and electrical shall be separate trom unit to unit. This inwhides all
undergIround plumbing, and electric,
22, All 016 N,E,C, Codes will be enlbrced,
23, Taniper- Resistant Receptacles in accordance with 406,11 of the 2016 N,E,('
24, In accordance with the I and Developi-nent Code, lots shall be sodded bef'ore final at least 10
fieet around the structure,
25, R403,5311ot water pipe insulation
Insulation for hot water pipe with a MirlifflUrn thermal resistance (R value) of R-3 shall be applied to the
following:
Pipinn ,/. inch (19,1 mal) and larger in nominal diameter,
Piping serving more than one dwelling Unit,
Piping located outside the conditioned space,
Piping from the water heater to a distribution manifold -
Piping located under a floor slab.
BUried in piping,
Supply and return piping in recirculation systems other than dernand recirculation systems,
25. Blower door test shall be provided before C.O.
2& 11 dines.
2, h eirinitbetimefinaL
28. ]�Loj zis . erynis
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6"' Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
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