HomeMy WebLinkAbout22-5034 (2)City of Zephyrhills
011
5335 Eighth Street
M, Mk`w
1101 ....... . ......
11.1,01
Zephyrhills, FL 33542
BAR-005034-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 10/27/2022
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your pay ng tw ce r
I., . . 0 # 0 0 - - . - - - -- .
IM171 =—M. t7t j frefj fj—*Ic trt roy
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C,O.
NO OCCUPANCY BEFORE C.O.
ppjjff
CONTRACTOR SIGNATURE
OFFICEn
V
THOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date RaceNOR Phone ContrintforPermillfin
Ownees Name MOORE, REJOIN AND CAMPOS, NATHALY Owner Phone Number 716-486-6114
�-q53
Owner's Address
BFO�ADPOPTE Owner one Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
7053 SRORD POIN E OR,LOT #
JOB ADDRESS
SUBDIVISION
E ::Z=EPHY:RL:AK=E,9
PARCEL 10#[35�-2521
15�0�11,500-0110=
at$TAiNED FROM PROPERTY TAX NOTME)
WORK PROPOSED NEW CoNsTR ADDiALT SIGN DEMOLISH
El INSTALL REPAIR
PROPOSED USE SPQR COMM OTHER
TYPE OF CONSTRUCTION BLOCK E:J FRAME S1 EEL
DESCRIPTION Of WORK
SID FOOTAGE BUILDING SIZE =25' 0 ;- =0 HEIGHT Ea-
MSUILDING
20,672------- VALUATION OF TOTAL CONSTRUCTION
L ------J
=PLUMBING
=MECHANICAL
= G AS ROOFING
FINISHED FLOOR ELEVATIONS [::=
AMP SERVICE PROGRESS ENERGY W,R E,C,
{�
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER All COMPANY
T%€ACTING EfVICES-ING-
SIGNATURE REGiSTERED
Address P5704 W =SLIGHAVE, TA�,NIPA, Ft 33634
cRc 328W
License #
COMPANY
ELECTRICIAN REGISTERED
SIGNATURE Li
Address tense #
PLUMBER COMPANY --E7= --- WEcmsr. =N
SIGNATURE RMSTIRED
Address License III
IRIECHANICAL mRm�COMPANY
SIGNATURE REGISTERED a
Address License #E=-----=
OTHER N SIGNATURE E--= CREa MISPT EAR EY YIN 7, Tz uRRi =1 --� L7
Address License#
RESIDENTIAL Attach (2) Plot Plans, (2) sets of Burial rig P [a ns, (1) ,at of Energy Forms, R-O-W Permit for new constructio n,
Minimum ten (10) working days after submittal date. Required onsite, Con air notion Plans, Stormaeder Plans w/ Silt Fence installed,
Sanitary Facilities & 1 d u rn pste; i Site Work Perm it for s u Indiosions/farge projects
COMMERCIAL Attach (2) complete. sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms R-OcV Permit for new construction -
Minimum ten (10) working days after submittal date Required anode. Construction Plans, Stormwater Plans W Silt Fence installed,
Sanitary Facilities & 1 durripster Site Work Permit for all new projects All commercial requirements must meet oomphance
SIGN PERMIT Attach (2) sets of Engineered Plans.
—*PROPERTY SURVEY required for all NEW construction,
Direction%:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notise ofCornmencement is requiretL (AIC upgrades over $7500)
— Agent (for the risen actor) or Power of Attorney (for the oveter) mould be sorneoneoath notarized letter from cnmer authicrizing same
OVER THE COUNTER PERMUTING 'copy of contract requawl)
Re.mfs;f shingles sewers Service? Upgrades NC Fences (PMVSur,*y!Frwtag,)
Driveways-Not over. Counter if on putdic roadways needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax_Rl3-78yrM2I
Buddsat Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may biasubject to'drierf'restrictions" which maybe more restrictive
than County regulations The undersigned assumes resporisliality, for compliance With any applicable deed oistriclivi
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISILITIESi If the owner has area a cont, actor or contractors to undertake war k, they
may be required to be licensed in accordance vain state and beat regulations, It 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 forthe intended work, they are advised to contact the Pasco C-Awnty Building Inspection [tivision--1reensing Socron at 7217-847- 8009
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Bionic of this
apthicaticin forvAnch they Wit be responsible. If you, as the owner sign as the contractor: that may be an indication that tie is not property 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
suim fees, as may be due, will be identified at the nine 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 Pal 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 (Chatateur 713, Florida Statutes, as arturaded), If valuation of work is $2,500 00 or more,, I certify that 1, the applicant,
have been provided oath a copy of the "Florida Construction Lien Lavo,—Hormevoiner's Protection Guide' prepared by the Florida Department of
Agriculture and Consurner Affairs If the applicant is someone other than the'ovaim", 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'SIOWNER'S AFFIDAVIT I county that all the information in thin application is accurate and that all mark will be done in compliance with
all applicable tares regulating construction, zoning and land development- App4cabon is hereby made to obtain a perm nt to do work and installation as
indicated. I certify that no vacia of installation has commenced prior to issuance of a permit and that all work Wit be performed to meet. standards of all
laws regulating constructirm, 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 aryterourris may apply to the intended isorly and that it fs my responsibility to identify what actions I
must take to be in Ganpliance. Such agencies include but are riot limited to,
- Department of Environmental Protection -Cypress Bayheads, Weiland Areas and Environmentally Sensitive
Lands, WaterNilastewater Treatment.
- Southwest Florida Water Management District -Wells, Cypress yheads, 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 "K in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stemwall.
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 &te 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 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 pernot routed shall be construed to be a license to proceed with the work and not as
authority to, violate, cancel, after, or set aside any provisions of the technicalt codes, nor shall Issuance of a raimmit prevent the Building Officual from
thereafter requiring a correction (comers in plans, construction or violations of any codes. Fwry permit rrmed shall become invalal unless the work
authorized by such permit is commenced within six months of permit Issuance, or if work authorized by the Perind is suspended or abandoned for a
period of six (6) months after the nine 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 vork ceases for ninety (90) consecutive days, the job is considered
abandoned
I
r hasielave produced Who isfars, personally known To me or haqhave produced
identiftcatnor, as identification,
__�Sottvy public —Notary Public
Commission No_BB_L1_(95_Q___ Cornmrssron No. —:Aka\
a
Ana McThenia
*ig* Notary Public, State of Florida
Commission No. HH 87650
My Commission Expites: 02/01/25
[K=
low- Ana McThenia
*jW* Notary Public, State of Florida
Commission No. HH 87650
My Commission Expires: 02/01/25
[K=
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 11, BLOCK 15, ZEPHYR LAKES SUBDIVISION PHASE 20
AS RECORDED IN PLAT BOOK 82, PAGE(S) 62-64, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT
w 7,719
Sa M
LIVING AREA
- I.M
SO. FT.
GARAGE
w 430
SO. FT.
ENTRY
LANAI
- III
SOm FT.
m as
% FT.
PATIO
m 0
S(X FT.
DRIVEWAY
w 440
SQ. M
A/C PAD
- 12
ft FT.
z
WAUMAY
m 28
SQ. Ft.
IMPERIAOUS
- 37X
SOO
- 2342
w 4A77
50. FT.
M FT,
OFF LOT CALCULATIM4
X
RIGHT OF WAY
w 1080
SQ FT.
DRIVE APRON
- 152
M FT,
0
PUBLIC S/W
- 40d
SQ. FT,
t o
Soo
ft SM
SQ. FT.
P
TOTALS
M
L
CL
>
DravMY
- 592
SQ. FT.
:E
SOEWALX
a 436
M M
LIJ
Soo
5.377
SQ. FT.
_5 <
,1)0
o
1
-� I
ofn
2: -1:
3z ul
0
ca
o z
(') r<o
A*y
x.
NOTES:
1. PROPOSED a"ATIONS SHO%W HEREON ARE
SAM 00 THE APPROVED 040NWWG PLMS
PWARED BY HAMILTON ENGNEMNO
SURVEYM INC.
2. ELEVATIONS ARE BASED ON NAYD 190
DATUM.
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