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Home My WebLink About22-4403City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 p 111111 1 11111:1111 Im IIII Illy 11 111111111!1111�l,� SL-004403 Issue Date Z2— Complete Plans, Specifications add 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 PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOIIII CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2022148338ORBK10647 PG Page 1 of 1 07/07/2022 09:03 AM Rcpt: 2476737 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowle , Esq., Pasco County Clerk & Comptroller Permit O Identification W 1® 0 1 -- 0 000 THE UNDEMIGNM hereby give inform you that ft hVrovtmeWin o in this NOTICE OF OOSOWCKUM. lllii 6 i1.1 . u AP M f PU� Name i.t W&M &.simpletitleholder ! 4.Con i r 1 Information j rod b)Tal v.s me `u. vo. (Opt) 5suretywormatiork 4) Nam and e b) Amount of Bood: r 1 i No.: Fox !. ,p t... I!:' a) Nam and Wrest - Phone No. i'i j!'r '!i + o the Sitatoof! t.: y{-W 1'le ♦# fA andi! i m i .Ao t Fax Y ! -IT I A + t in act tor (WM of"Ay on behalf of $]&naturemalC. vif" U Verification P tan 92,325, Florida sftuft& Under penalties ofpqjury, I'declare that I have read the foregoing 04 that the &cts stated in it am true to the best of my knowledge and belief Stat.Of Florida,County Of Pasco This Is to certify that the foregoing is o true and correct copy of the document on file or of public record in this office, tit ess my hand a offic { earl this "> e ikki Alv re - o s, s E,, -rk cat Comptroll r ssco Co Fiends By Deputy Clerk 813-780-0020 City of Zephyrhills Permit Application Building Department lfflmfflffla�� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address - 3V2 - O)CI 2- 1 JOB ADDRESS �s _1�1y) �JT ce �Je LOT # SUBDIVISION PARCEL ID#L/2.4-2.401 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH INSTALL IREEP—Alir PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK �cr-Z�71(e BUILDING SIZE $0 FOOTAGE [= HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY PE AOY7,ce ot"L)^_ W" REGISTERED L Sir -NATURE RED Address License #E::==== ELECTRICIAN COMPANY E SIGNATURE REGISTERED ;;;;FUE C�URREN Address License #E:�� PLUMBER COMPANY �F U�RREN SIGNATURE REGISTERED FEE C Address License #E:�� MECHANICAL COMPANY SIGNATURE REGISTERED Address License #E===== OTHER COMPANY E;� FEE CU�RREI SIGNATURE REGISTERED r---------------------------- ----- I Address License # 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 wl Silt Fence installed, Sanitary Facilities & I dumpster. 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. (A/Cupgrades 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 and sv'o (or afi rreaed) beforp me this by /77b sonal own o me or has/have produced US I , as identification. RM MMMMM DISCLOS1JR STATENT FO OWNER CITY O? Z P ... ILLS BLYIWING DE?ATNT have read and fully understand and agree to the provisions of this instr nt. 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 Zephyrbills 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 Zephyrbills 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..fantily 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 orsubstantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 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. ny person working on your building who is not licensed must work under your direct supervision d must be employed by you, which means that you must deduct .i. .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 re rations. OWNBR'SDATE 1 $ ADDRESS t�W 1 2 fit ., *.. WITNESS ?IT LOT IRECORD SURVEY (FINAU HIDDEN RIVER PHASE ONE 8 PASCO COUNTY, FLORIDA. LEGEND: PREPARED FOR & CERTIFIED TO: E®00,00 = EXISTING GRADE CALATLANTIC TITLE, INC. NORTH AMERICAN TITLE INSURANCE CO. 18" PINE EAGLE HOME MORTGAGE, LLC ARISAI RAMOS MEDINA 34" OAK ERIC RAUL MELENDEZ FLORES SEC° 24 , TWP. 26 S, RNG.21 E. NORTH BOUNDARY OF SUBJECT PLAT BEING S 89'40'43" E THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH, ALSO SUBJECT TO SETBACKS, EASEMENTS AND RESTRICTIONS OF RECORD, UNDERGROUND FOOTER, STEM WALL, AND II UNDERGROUND UTILITIES ARE NOT LOCATED OR SHOWN. DO NOT SCALE THIS PRINT, DIMENSIONS AND NOTES TAKE PREFERENCE. CERTAIN DATA SHOWN HEREON BASED ON ENGINEERING PLANS PROVIDED BY CLIENT. PURPOSE OF SURVEY: TO OBTAIN HORIZONTAL AND/OR VERTICAL DIMENSIONAL DATA TO SHOW CONSTRUCTION IMPROVEMENTS. = 10' DRAINAGE/UTILITY EASEMENT *° 5' DRAINAGE EASEMENT THE EMERALD POINTE TRACT "H" RV RESORT PHASE THREE LANDSCAPE & (PLAT BOOK 38, PAGES 7-11) BtlFER EASEMENT HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) SIR �93" Y WITH � A i ii4 i�f CT PREVAILING It�A . t C CODE x� I IQ LOT 21 in rOF ZEPHYR INHILLS g 0 I A ` o C/S A/C LOT 22�' x�so t LOT 20 ONE STORY REVISKIOATs I ILltllOo e> MASONRY ca : OF _ M RESIDENCE L MNEFR cm 10.0` ' 0.0' ENTRY IjV ua G{aNC L NC WALK s RIV 5` GONGS fNA�k�i..r BOUNDARY 11 DAWSON CHASE DRIVE HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) (9D'R/W) III LOT 21, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE ONE B", AS RECORDED IN PLAT BOOK 076, PAGES 077 THROUGH 082, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. ■ BASE FLOOD. ELEVATION, (C) CALCULATED 9ACK'OF CURB, G/S=.CONCRETE SLAB, GHQ 4as.1� WALK . . PRM(P)