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Home My WebLink About22-3620 (2)5335 Eighth Street III IIIIIIIIIIIII pir III! III � Issue Date: 2022 02/15/ p°ir' �IRI f�' IVIwr CONTRACTOR SIGNATURE P5 IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 RREQUIRED PROTECTA. + R 813-7e0-0020 City of Zophyrhills Permit Application Fax-813-7e0-0021 Building Department Date Received Phone Coelectfar PennlEtir ,954.557,6879 Owner's Name F e h F O % LP Owner Phone Number 54.55 . Owner'sAddrers 4OQ Clematis St 291,WIPB,R 401 Owner Phone Number Fee Simple Titleholder Nape Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS I Q i #?IE� V Ctt ' 5i1 fi t(ii t J4 i LOT# SUBDIVISION PARCEL to# (OSTAINED FROM PROPERTY TAX NOTWE) WORK PROPOSED [ NEW CONSTR ADD INSTALREPALT SIGN DEMOLISH (] L PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION EX] BLOCK E:) FRAME STEEL DESCRIPTION OF WORK AM 1�� # a BUILDING SIZE $0 FOOTAGE HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ J,QQ AMP SERVICE PROGRESS ENERGY W,R,E C. 'p � PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS [ ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS _.,.. FLOOD ZONE AREA YES NO BUILDERE:=- COMPANY SIGNATURE PEGPSTEREC Y t.N . aE cunR rY 1 t- Address License # ELECTRICIAN ' COMPANY l tr gY1 SIGNATURE t REutstenscE cuRRery Y �1� Address e ! AIR License# �- PLUMBER � COMPANY SIGNATURE REGISTEReo Y t N r cU.." Y 1 N Address License # MECHANICAL COMPANY YNPEEcuP SIGNATURE E:=:= PECIaTERED Y } N Address License # OTHERE=== COMPANY SIGNATURE REgISTEP"', �Fsp lllell � Y } N Address License#..-..- _-._.» RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plansr (1) set of Energy Farms; R-O-W Permit for new construction, Minimum tan (10) working days after submittal date. Required credo, Construction Plans, Stormwater Plans wr Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for suudivislonsrlsrge 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 (fir) working days after submittal date required onalte, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities ck I dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT > Attach (2) sets of Engineered Pions. *—PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a Notice of Commencement is required. (A/C upgrades over $ 600) Agent (for the contractor} or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COULTER PERMITTING (copy of contract required) Reroofs If shingles Sewers Service Upgrader A}C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways. needs ROW 813-780.0020 City of; ephyrhiilis Permit Application Fax-e13-780.0021 Building Department NOTICE OF DEED RES`fRICTION& 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. It 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"347- 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the eontractorls) sigh portions of the "contractor Block" of this application for which they wilt 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 I PA ' IUTIL,ITI S 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 Ordinancenumber 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 Tees and Resource Recovery Fees must be paid prior to receiving a "cerfrticate,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 WeartS twer° 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 $4500,00 or more, 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 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 "ow n0e, prior to Commencement. C iNTRACTOR'Sf NER'S AFFIDAVIT: I Cattily that all the information in this application is accurate and that all work will be done in compliance with all applicable tows 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 than 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 Sayheads, Wetland ,Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District -Wells, Cypress I3ayheads, Wetland Areas, Altering' Watercourses, Army Corps of Engineers -Seawalls, Docks, Navigable Waterways, Department of Health & Rehabilitative ServiceslEnvironmental 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 "lt' 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 oniyto till the area within the stets wail. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties, it use of fill is found to adversely affect adjacent properties,' the owner may be cited for violating the conditions of the building permit issued Lander 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 Constructio€ . I understand that a separate permit may be required for electrical work, plumbing; signs, welts, 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 inviolate, cancel, alter, or set aside any provisions of the technical codes, nor shalt 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 AIN FINANCING, CONSULT FLORIDA JURAT (F,S. 7.03) OWNER OR AGENT � � � CONTRACT 4�tt 55r�ped and swprr t�,(r rid b fo ethis Su c ` d antf to or e' be ue e this tI� by JeTT VV, e$i0 y a Who is/are personally known to oP haslhave produced he is/are rieLrsoirally known a me or has/have produced as identification. as identification, d :10 } - S Notary Public _ Notary Public Commission No. GG 932233 CommissioriNo, Elizabeth Nasuti Name o Notary typed, printed or stal»ped Name o Nota y typed, panted or stamped ��t9tII I I II dPrBA ELIZABETH NASUTIt, I , Q a IMY COMMISSIONCOMMISSION# t"aC 432233 � n EXPIRES; February 23, 2L02 si oo t; Fondead Thru floury Public Unde, 'tee #GS 963022 ., "Ved fir 'da�r (C, 81 'AT Ca �� aBllll6ttt��`