HomeMy WebLinkAbout22-4376Zephyrhills, FL t
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Issue Date: 07/13/2022
11111!1 1 Jill III Ill! lill Jill III III
SpecificationsComplete Plans, ,fir Application. A' +1 . be d in
Codesith City accordance wil
+ Ordinances. NO OCCUPANCY>
NO OCCUPANCY BEFORE C.O.
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CO RACTOR SIGNATURE PE IT OFFICE
EXPIRESIN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION INOTICE REQUIRED
8,13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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-_ 2-3— Z-Z- I Phone Contact for
Owner Phone Number
Fee Simple Titleholder erne E::: Owner Phone Number
Fee Simple Titleholder Address
"_' 6— # JOB ADDRESS Ise
zeLOT,
SUBDIVISION E::=== PARCEL ID# ow 1 (47 00 n
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL L_J REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
,I-rlrlr T"T_r1T1T11r_"
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R,E.C.
=PLUMBING
0
=MECHANICAL VALUATION OF MECHANICAL® INSTALLATION
=GAS ROOFING SPECIALTY OTHER
= FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
BUILDER COMPANIYIKe-
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED ;=FEECURREN
Address License #E=====
COMPANY I
PLUMEGISTERED YINYINFEE—GURREN
SIGNATURE BER R
Address License #E==:===
MECHANIC AL COMPANY ;Y/;N; �FEE CU�RREN
SIGNATURE REGISTERED
Address License
OTHER COMPANY q
SIGNATURE REGISTERED =Y/ N=—FEE CURREN
Address License #E=:=_==
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for now construction,
Minimum ten (10) working days after submittal date, Required onsfe, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 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. (IC upgrades over $7500)
- Agent (for the contractor) or P(rwer 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 AiC Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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 T CTOR 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 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 8907 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'S/OWNER'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"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 "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 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.
WARNING TO E : YOUR FAILURE TO CO NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR ROP R , IF YOU INTEND TO OBTAIN TAI FINANCING, CONSULT
WITH YOUR LENDER O AN ATTORNEY BEFORE RECORDING YOUR CE OF COM NC ENT
FLORIDA JURAT(F 1 d
OWNER OR Ate ` . CONTRACTO
Subscribed and swo or E3med efo this . , Subscribed antf ou"srs to befor met
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Who is/are parson Hy known to me or has/have produced Who is/are persona y known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. — Commission No.
Name of Notary typed,printed or stamped Name of Notary ty ed,printed or stamped
1) All property markers shall be fully exposed at time of inspection. (RED TAG IF NOT
2) All sheds shall be installed and anchored per manufactures specifications, (RED TAG IF
NOT ANCHORED PER PLAN)
3) All set -backs shall be met,
4) Shall not be installed in easements,
5) Shall be set in the rear or side yards,
6) Only 2 accessory buildings per parcel,
7) Sheds shall not be rented or inhabited,
8) Must meet and follow all conditions of ordinance:780-01
9) No accessory building shall be larger than 300 sq ft without site -plan approval
10) Not to exceed 16" in height at peak,
1) No other work shall be perrnitted (framing, plumbing, electrical and mechanical) unless
otherwise specified,
12) Accessory buildings in residential zones that exceed 150 sq ft shall be constructed of
masonry, wood frame, aluminum or vinyl Aluminum and vinyl shall be residential grade
and be consistent with existing architecture of the principle building and adjacent
properties,
13) Fence shall not encroach neighbor's private property or right of way,,
14) Fence shalt' be no taller, than 6 feet in the rear and sides of home. 4 feet from the front
15) Good side of fence shall face out,
February 12, 221
Mr. Thomas Campbell
Tallahassee, Florida rP .
Clear ter, Campbell,
Pursuant nt to the requirements the Department of Business & Professional Regulation, the above
referenced documents is have been reviewed for r iia it ;
approved modular building manufacturer.
These documents were r6vlewed for only what is to be constructed in the factory. Any work
performed at the site, such as the foundation, is under the authority and Jurisdiction of the local
Building Official.
signed and sealed set of plans are maintained inn on file °th Top Line Engineering, LLC,
If you require my assistance in any way, please do not hesitate to contact me.
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Bt9lding Type
Residential Lawn Storage
shed
Hanufoctvrer
Robin Bw1wers, Inc,
Lyons, GtL
Agency
top Line Engineering, LLC
Agency Plan Number
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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 IAE said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions: