The URL can be used to link to this page

Home My WebLink About22-3697 (2)City of :'hi Eighthyrihills 5339 Zephyrhills, FL 33542 • 780-0021 F� ONTRACTOR SIGNATURE PERMI z L Issue Gate: 03/04/2022 PE IT OFFICE CTION 813.780-0020 City of Zephyrhills Permit Application Fax-813-780-6021 Building Department Date Received J��24;5�2�022 Phone Contact For Permitting ( 727 418 786 5d 1 t f t: f I i Owner's Name '. .�6. ....8 2.i., _ .._L ...3. .. WALGREENS CO Y. Y Y C'T.'T-'f"T Owner Phone Number `"=.`"X_'a` 5 OIL01E� Owner's AddressPOBOX _� j Owner Phone Number Fee Simple Titleholder Name ...._._. Owner Phone Number Fee Simple Titleholder Address � �6429 JOB ADDRESS GALL (3LVD ZL f HYRi 11LL, FL 33542 � LOT # SUBDIVISION T .m ---� PARCEL ID#L 03 2(i-21-0020-00000-0030 (OnTA1NEn'FROM ROROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTII F_� ADD/ALT SIGN DEMOLISH REPAIR INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK [�� FRAME STEEL DESCRIPTION OF WORK INSTALL A CELL COMMUNICAI OR 10 1 r IF LXIS TING FIRE ALARM SYSTEM. BUILDING SIZE _ SO FOOtAGE L_._ +EIGHT BUILDING $ 2000 VALUATION OF TOTAL CONSTRUCTION �ELEClRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C, PLUMBING S t =MECHANICAL S VALUATION OF MECHANICAL_ INSTALLATION E GAS ROOFING SPECIALTY 1= OTHER d FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER SIGNATURE COMPANY REcsrsnaeer! Y(N—'Fe-.ecuRRah Y.'N �. A Address L Tm. J License # ELECTRICIAN SIGNATURE COMPANY 1 Rccisrcar_Q �_ Y I N....T nEe cuRrarN Y i Address ..._._..�._... �.,..... License, I_--- __ PLUMBER COMPANY SIGNATURE ' RE IirRl ,, YaN r r__C,_tR<N i Address �._ ._ _� License # _. MECHANICAL COMPANY SIGNATURE ._ Pt'USTERED Y r N �re:ecuRReN _. Y I N Address License # OTHER �.� COMPANY AFA PROI EC FIVE SYSTEM _ SIGNATURE _ erc,sreRetT =Y i N rEe cuRlaLN Y 1 N� Address 11108 CHALLENGER AVE ODESSA, FL, 33556 � License # EF20o01032 RESIDENTIAL Attach (2)13lot Plans; (2) sets of Building Plans; (1) set of Energy FoRT1S; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stom'iwater Plans wl Silt Fence installed, Sanitary Facilities & 1 dumpstor, Site Work Permit for subd+visionsllarge protects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Salary Page: (1) set of Energy Forms. R-O-W Perntit for new construction. Minimum ten (10) working drays after submittal date Roquirod onsite, Construction Plans, Slormwaler Plans w/ Silt Fame installed, Sanitary Facilities & 1 durripster. Site Work Pemlit for all new projecls. All commercial rectuiroments must meet compliance SIGN PERMIT iMtach (2) sets of Engineered Plans. *—PROPERTY SURVEY required for ail NEW construction_ - �-3r -^ r-' .^b. fi•K§ - 4-rS:- , rr, s. ^rbi-1-1--111-le-l�-," «l- a-+G .' 1-l- R, IVIV IV,....y4_1.1„1e...g. V, Directions: Fill out application completely. Owner & Contractor sign back of application, notarized It over $2500, a Notice of Commencement is required. (A,'C upgrades over $75601 " Agent (for the contractor) or Power of Attomey (for the owner) wo rfd be sane orw with n >tanzed letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract re(uired) Retools if shingles Sowers Service Upgrades A/C Fences (PIOVSUIvey/FoOla(e) Driveways -Not over Counter It on public roadways..i Beds ROW 813-780-0020 City of Zephyr -hills Permit Application Fax-813-780-0021 Building Depanalont 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 assurnes 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 requited to be IlCbaS0d in accordance with slate, and local nig , Ila I ons If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation Under stale 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 Pacer) 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 license(] 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 [Trust be paid prior to receiving a "cortificato of occupancy" or final power release. If the project earls not involve a certificate of occupancy or final power release, the fees must ho paid prior to peril issuance. Furthermore, if Pasco County Water/Sower 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 variation of work is $2,50D.00 or more, I certify that 1, the applicant, have been provided with a copy of the"Florida Construction [.ran Law—l-lorneowner's Protection Guide" prepared by the Florida Department of Agnculture and Consumer Affairs. If the applicant is sorneolle 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be rich(,,, 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 C0hStrUCfl0a, Chanty and City check, 7,0111110 regulations, and land development regulations in the jurisdiction. I also sentry that I understand trial the regulations of other government agencies may apply to the intend(,,(] work, and trial it is my responsibility to identify what actions I Mast talks 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 Bayheads, Welland Areas, Altering WatercoursaS, Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environi-nental 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 corn pe risati ng 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 hounit may be required for electrical work, numbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A pormit issued shelf 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 are technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, constriction or violations of any codes. Every pral 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 remit 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, frorn the Butding Official for a period not to exceed ninety (90) days and will derionstarle jLal cause for the extension If work ceases for ninety (90) consecutive (Jays, 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 FLORIDA JURAT h: S. 117 03) OWNER OR AGENT_ Subscribed and sworn to (or attuned) hotel(, are this Who is/are personally known to nno or has/have produced as dentificaticiii, Public Commission No. commission sworn air (or ajrfrT6c).botgrhr the ovoi to me or has/have produced as Identification. Public Names ofNiT0q —stainpcd Narno of Notary typed, Commission # Ill 119696 Expires August 20,2025 Bonded rind Budget Notary $nrifico$