HomeMy WebLinkAbout22-37056335 Eighth Street
ELCMISC-003705-2022
Issue Clete: 03/04/2022
accordance with City Codes and Ordinance N OCCUPANCY BEFORE C.O.
O OCCUPANCY
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SIGNATURE
813-780-0020
Fax-813-780-0021
V
Date Received Phone Contact for Permittingti
I a I a # a 1 1 4
Owner's Name Owner Phone Number
Owner's Address l —S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
City of Zephyrhills Permit Application
Building Department
JOB ADDRESS -2 2 -2- 1 UUVI, d LOT #
1) 00 SUBDIVISION E==== PARCEL ID#1 '�6 2 1 " ) 1, t". UN
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
11
NEW CONSTR ADD/ALT
INSTALL REPAIR
SIGN
DEMOLISH
PROPOSED USE
EIK SFR 000MM
0
OTHER
TYPE OF CONSTRUCTION
BLOCK FRAME
STEEL
ive, Lu"N
et
DESCRIPTION OF WORK
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BUILDING SIZE
SQFOOTAGE
=
HEIGHT
=BUILDING
VALUATION OF
TOTAL CONSTRUCTION
=ELECTRICAL
$ 11
AMP SERVICE
PROGRESS ENERGY W. R. E. C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA =YES NO
BUILDER
COMPANY
SIGNATURE
REGISTERED N FEE CURREN YIN
Address
License #
ELECTRICIAN
COMPANY
CW
(4 '�E
E4Y �F;
SIGNATURE
4e
REGISTERED I FFE.URRE Y1
7!N
Address
I , - 1, q� License #
VvLc CT
PLUMBER
COMPANY
SIGNATURE
REGISTERED TEE CURREN EYE
Address
License #
MECHANICAL
COMPANY
E
;=1EECURREN
SIGNATURE
REGISTERED =Y I =N
Address
License #
OTHER
COMPANY
SIGNATURE
REGISTERED YIN FEE CUR�REN���
Address
F_ License# E:
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 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 & I 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.
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC 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 (Plot/Survey/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 —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'SJOWNER'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, WaterANastewater 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 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 "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 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
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,
FLORI DA JURAT (F.S. 11
OWNER OR AGENT ') ___ CONTRACTOR
scribed and sA hiffi,, is Subscribed and sworr
SIL n ne t�jis
71- b;
Wh i /are personally known to me or has/have produced Who is/a e personally
as identification.
Notary Public
Con Ssio j No
Name of Notary typed, printed or stamped
V_
. . . . . . . . . . . . . . . .
INSTR# 2Q22041 22 OR BK 1 PG Page 1 of 1
02117120?2 09:49 AM Ropt: 2418443 Roo: 10,00 DS: 0,00 IT: 0.00
Nikki AlvarezSowles, Esq., Pasco County Clerk & Comptroller
THt 'Ns YRUmENTPRF-PAR 0HyY lar1Ca Argote
Nc"i14t&: AjeA ' kC'YCN my
Address: 7 srAioiNTGTW.a
1MNiERPARK, t68E7a2
r !1 4 �11111 1a+
i 4. X. RY+ 1, * ♦� ♦: � y}
a. MMPAIMFIRMLATION
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR
Nameandaddress: Poston Sandra
Interest inpmpeny: _Qwr
ner
Poo Simple Title Holder (if athor than owner lisiod.abovs) Name'
4. CONTRAC'i'OR: Name. ATLANTIC KEY ENERGY LLC
Address; 7000 STAPOiNT CI' STE A WINTER PARK FL 32702
S. SURETY (If appilcable, a Copy of this payment bond is adachotl}m
Phone Number: 407±88-0273
Amount of Board:
& LENDER. Name: Phone NuMban
7. Parsons within the State of Florida Designated by owner upon whom notice at other documents may ba sorved as provided by Section
Florida Statute&
Name: Phone Number.
S. in addition, owner designates of
to recelve a oopy of the Llenoeo Notice, as provided In Section 713.13(1)Ib), Florida Statutes. Phono number.
9. Expiration Tate of Notice of Commencement (`the expiration is 1 year from date of recording unless a different date Is specified)
YUARMiNC> i0. (9WN1=R,• ANY PAYMENTS MADE 0Y THE OWNER AFTER THE EKPfRATION OF THE NOTICE OF COMMENCEMENT ;ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71% PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTER ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDS To OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
(SigA010M d ar! IPMr rretkvr Leneaa'a (PrIM Name arxd Psolitle nvWry'a I
AtahM$e(I [ CN1GiCfiP&11Cfl
FLORIDA Pasco
The foregoing instrument was acknowledged adore me by moans of Wj physical prosence or[ 1 online notarization, this _t„6, day of
-EEB2o22, by. Sandra Boston
(name of parson acknowledging}, who is LY] personalty known to ma, or
has produced as Identifioat➢on.
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DATE. 02/17/2022
SHEET NAME
ELECTRICAL LINE
& CAL.
SHEET SIZE
ANSI -B
11" X 17"
SHEET NUMBER
PV-2
LABEL LOCATION:
P0WT�OF4NT9R9QNNEQTtON OR AT MAIN
SERVICE DISCONNECT 04M
ADHESIVE FASTENED SIGNS:
• ANSI 0 .4.2419PRODUCT SAFETY SIGNS AND LABELS,
PROVIDES GUIDELINES FOR SUITABLE FONT SIZES, -WORDS,
COLORS, SYMBOLS, AND LOCATION REQUIREMENTS FOR LABELS.
NEC 11 11(SI(1)
• THE LABEL $HALL BE OF SUFFICIENT DURABILITY TO WITHSTAND
THE ENVIRONMENT INVOLVED, NEC114.21(8)(3)
ADHESIVE FASTENED SIGNS MAY BE ACCEPTABLE IF PROPERLY
ADHERED. VINYL SIGNS $HALL BE WEATHER RESISTANT,
SOLAR MODULE SPECIFICATIONS
MANUFACTURER/ MODEL
Q,P DUO RIND L-GlO+ 40OW
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INVERTER SPECIFICATIONS
MANUFACTURER / MODEL
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CURRENT
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CURRENT
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AMBIENT TEMPERATURE SPECS �
RECORD LOW TEMP
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CONDUIT HEIGHT
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CONDUCTOR TEMPERATURE RATE 5511C
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DOCUMENT.
ROOF,1 THIS PLAN OFFERS THREE INSTALLATION METHODS.
b, SHEATHING METHOM SEE DRAINING(s)
c. STANDING SEAM METAL c zP OF i
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STANDOFFSPRODUCT CONTROL APPROVE6(PcA) POLYURETHANE ROOF SEALANT,
PERMITTEDAS NEEDED FOR ROOF
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ALLEN GEZELMAN
Stale c1 Flodda, Professional °
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1 Linz, FL 33649
I PH 113-901,1166 I
Allen@GezelmanPE.comI
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