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Home My WebLink About22-3510City of Zephyrhills NO 5335 Eighth Street Zephyrhills, FIL 33542 BAR-00351 Phone: (813) 780-0020 Issue Date: 01/ Fax: (813) 780-0021 REINSPECTION 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. !111 11MIN P! llilll!!:!l 111 11 1 1111 y�ggpiippii!Pfi piiii��I�g 1111ing 111�11l��pI Complete Plans, Spodd 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. CONTRACTOR SIGNATURE A T OFFICE IT OUT APPROVED INSPECTION I+ 813-780-0020 City of Zephyrhilis Permit Application Pax-813-7 O021 Building Department {f €late Reces . 4 Phone Contact for Permitting { l l 1 vner's Name 1 3' I �z v Owner Phone Numb rk O er's Address '" Oviner Phone Number d Fee Simple Titleholder mama a w r' Fr4Owner Phone Number Fee Simple Titleholder Address c r'„ f . /Yi n JOB ADDAl r,,. LOT# SUBDIVISION s {w. � � � � r � , ,' . �''s d."'S ,... a.i �.. fi-�r•'�R{�ir".L tt A..f{ �., '4 S.✓t,n',«., d {. (OBTAINED FROM PROPERTY TAX NO WE) WORK PROPOSED NEWCONSTR c'A�66D1A � SIGN � [� DEMOLISH INSTALL PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK E0 FRAME STEEL l DESCRIPTION OF WORK L " BUILDING SIZE ? # �� s,�a�= SQ FOOTAGE s HEIGHT Z= K" UILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R,E.C. PLUMBING ISTLALLATiON MECHANIC=AL $ VALUATION OF MECHANICAL � GAS ROOFING [::] SPECIALTY = OTHER FINISHED FLMR ELEVATIONS � FLOOD ZONE AREA =YES NO _ 1 � BU ILDER f' COMPANY SIGNATURE #M. , � REGISTERED YIN FEE C. Y t N r t €% ° a: Address - "',•sus "7 t � ° ��'" T� �,"^` k� , License # .r{ URE PANT SIGNATURE REcrsTstzEa Y f N FEE C13f?REN Y I N Address License #r PLUMBER � � COMPANY SIGNATURE REGISTERED Y t N reE CURREN Y i N_ Address License # MECHANICAL COMPANY SIGNATURE _ REGYSTERED Y t N sF, c.Rra..N Y I N Address E=�� = License# i OTHER COMPANY E�—�^ � � 1 SIGNATURE REGISTERED Y 1 N FEE C.RREN Y I N Address License # ��T#� I€II�t.Bt{I$�� I€��l�� Ell Eat$#�Ii•II �id�E$� �i RESIDENTIAL A (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms: R-O-W Permit for new construction, Minimum ten (10) working clays after submittal date. Required onsite, Construction Plans, St ter Plans wt Silt Fence installed. Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsiiarge projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; 0) set of Energy Forms, R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required ornate, Construction Plans, Stomswater Plans wf Silt Fence installed; Sanitary Facilities & I dumpster. Site Work Permit for all new projects. AN commercial requirements must meat 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 $ 500) m Agent (for the contractor) or Pourer of Attorney (feu the owner) would be someane with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contractrequired) Retools if shingles sewers Senoce Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public r ays..needs NOW 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" wfach may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIM If the owner ties 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 onmerand contractor may be cited for a misdemeanor violation under state taw. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they am advised to contact the Pasco County Building Inspection Division --Licensing Section at 727-847- 8009- Furthememr, if the owner has hired a contractor to contractors, he is advised to have the contractor(s) sign portions of the 'contractor Block' of this application for which they vQ1 be lespernsible_ If you, as the owner sign as the contracter, that may be an Indication that he is not property ficensed 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 811-07 and 9G-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 'cerebrate 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 pen rot 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 Lawn is Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, If the applurant is someone other than the 'awner, I county that I have obtained a copy of the above described document and prornise in good faith to deliver it to the 'ovarer' prior to commencement. CON TRACTOR'SIOWNER'S AFFIDAVIT-, I certify that all the information in this application is accurate and that all we* will be done in compliance with all applicable taws 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 war*, 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 yheads, Wittland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment, - Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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 Authonty-Run ways, I understand that the Movang 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 "K in connection with a permitted building using stem wall construction, I certify that fill vvill 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 ermis in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such penult is commenced vattan 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 hodifiabite cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. !$� ulwww FLORIDA JURAT (F.8, 117-03) OWNERORAGENT_4� CONTRACTORP_Q Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirured) before me this by by Who istare p!Jkn7;r to me or has/have produced me islare at krr�! to me or hasihave produced as identification, as identification, Notary Public Notary Public Cr Commission No.. Commission No.. /,kCAP oil C) Neaten t tyrial,punted orstamped N of Notary printed or stamped CARLOS MALDONADO Commission # GG 346275 Expires June 18, 2023 Bonded Thin Troy Fain Insurance 800-385-7019 MCARLOS MALDONADO Commission # GG 346275 Expires June 18, 2023 Bonded Thut Troy Fain frxrhvrxi�0W6&7019 I, PW7-- (" /1 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: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within I year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers, compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations® OWMRIS SIGNATURE DATE ADDREss -7-6o ,4i_i PHONE WITNESS PERMIT # Screen Included Half Actual Width (inches) 35.5 Series Name 150 Series Solar Heat Gain Coefficient (SHGC) 0.20 Tilting Project Type New construction Glass Insulation Dual -pane ENERGY STAR Certified Northern Zone U ValueO.29 Tilt Mechanism Flush Lowe's Exclusive Sound Transmission Control (STQ Rated Screen Frame Type Roll -form Color/Finish Family Black Florida Product Approved Rough Opening Width (inches) 36 Screen Type Fiberglass mesh Meets Egress Requirement Actual Height (inches) 47.5 Exterior Color/Finish Black Ventilation Latches N/A Interior Color/Finish White JChannel Integrated 0 Mulling N/A ENERGY STAR Certified Southern Zone Glazing Type Double pane Grid Type Between the glass Design Pressure (DP)Rating 50 Number ofLocks 2 Wood Jamb Extension None Grid Included Grid Pattern 1H xZV Hurricane Approved Hardm/apeCo|or/Finish White Obscure Glass Common Size (VVxH) 36'inx48-in Frame Profile Brick mould ENERGY STAR Certified North/Central Zone Meets C4Forced Entry Requirements Lock Type Cam Miami Dade Approved Frame Material Vinyl Nail Fin Integrated Grid Profile Contoured Pointab|e ENERGY STAR Certified Sooth/Centra|Zome Glass Strength Single strength I Argon Gas Insulated Warranty 10-year limited Jamb Depth (inches) 125 EMOMMEMMM Texas Department of Insurance Approved Grid Width 5/8-in UNSPSC30171600 SPECIFICATIONS Weight (lbs.) 85.52 Interior Color/Finish Primed Common Width (inches) 72 Jamb Depth (inches) 4.563 Exterior Color/Finish Primed Locking System Included Wood Species Pine Actual Height (inches) 78.6875 Weatherstripping Included Glass Style Blinds between the glass Glass Insulation Low-E Actual Width (Inches) 71.5 ENERGY STAR Certified South/Central Zone Material Fiberglass Screen Included Lockset Bore Handing Left-hand outswing UNSPSC30171500 Pet Door Included Actual Depth (inches) 4.563 Warranty Limited lifetime Collection Name N/A Glass Strength Tempered III Jamb Depth Measurement 4-9/16-in Rough Opening Height (inches) 79.1875 Color/Finish Family Off-white • Handle Finish N/A (no handle) Lowe's Exclusive Configuration Prehung double door EVE1GY STAR Certified Southern Zone Core Type Insulating core Common Size (W x H) 72-in x 80-in Door Type French Handle(s) included Rough Opening Width (Inches) 72 Hardware Finish N/A (no handle) 0 i s txj I,Ry4�°,. �a d P-4 Q ma's c") r- " m