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Home My WebLink About22-52015335 Eigh Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 W, N 7117 C IMF- BGR-005201-2022 Issue Date: 11/14/2022 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. 6 - ISTYM! 2301�� accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. M T�A&OR SIGNATURE PEfAIT OFFICE() PERM I;rEXPIRES IN�MONTHS WITHOUT APPROVED INSPECTION 810 780-0020 City of Zephyrhills Permit Application Fax-813- 80-0021 Building Department Dale Received(�'�'"....., _._._........._.� a .....�......� Phe ne Contact for Permitting } �� 7 : � Owner's Name ! Owner Phone Number Owner's Address Owner Phone Number j.�.. Fee Simple Titleholder Name d� � {owner Phone Number Fee Simple Titleholder Address � � ........... ..____ .. �_ JOB ADDRESS � � � � LCf'CT#k �. SUBDIVISION � §,a $� �1� PARCEL IDirr IOBTAINED FRC}Po{ Pao PEr2TY TAX NOTICE) WORK PROPOSED F i NEW COl\STR ADDfALT SIGN � �� DEMOLISH INSTALL H REPAIR PROPOSED USE � SF COM€+i OTHER TYPE OF CONSTRUCTION � BLOCK FRAME STEEL DESCRIPTION OF WORK _lq_&s of D kvj, �t�a�� a.r3 BUILDINGSIZE- SO FOOTAGE HEIGHT ( BUILDING � � VALUATION CF TO AL CONSTRUCTION =ELECIRiCAL _ � AMP SERVICE PROGRESS :NERDY ( Vc,R,E,C. =PLOMETING I =MECHANICAL ['" � VALUATION OF MECHANICAL INSTALLATION E i F GAS ROOFING � SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER� � � � COMPANY iTURE a =_ttr YIN Address _._._. .,.._.,.a....� __�___.�...._..... License#.� ..�..._.�.� l.w.....,..,.....�.,...,_.�_ ._... ELECTRICIAN i.CiIt4PANl' L Y f N SIGNATURE s"i_t;e!:; i._f .,,,� ..n......_,.,�_�___,.,....,, Address i _ .•..I License # �.a._. ,..�.. _. PLUMBER COMPANY SIGNATURE � � STEREO �YiN�cri ri:N YIN ,Address F: .�.�..-- j License # F MECHANICAL _ COMPANY SIGNATURE 1. ,......q. _ .._______._...... Rtca<ERLD YtN ��Ecu;, ,- YtN Address Licensete ..._._� OTHER °i COMPANY SIGNATURE Address .. Licenself $s RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans: H) set of Energy Forms; R-O-W Pei off for new constuctlen, iU,rnimurn ten 1,10) working days after submittal date. Required onsfe. Construction Plans, Stoa'ntiv tter Plans utt Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Wv ors 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-UV Permit for ner.r construction Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Ston-noaterPlans wJ Silt Fence, installed, Sanitary Facilities & 1 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 RON construction. Directions: Fill out application, completely. Owner & Contractor sign back of application. notarized If over $2500, a ;notice of Commencement is required. (A/C upgrades over $7500) — Agent (for the contractor) or Power of .Attorney (for the owner) would be someone with notarized letter from onnrer authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Powers Service Upgrades h1O Fences (Plotr`SurveyiFootage) Driveways -Not over Counter if on public roadways._ needs ,ROVvv 813-780-0020 City of Zephyrhills Permit Application Fvsx-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 ',bar) 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 contractors) sign portions of the "contractor Block" of this application €or which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 most be paid prior to permit issuance. Furthermore. I Pasco County'yVaterAteNer Impact fees are due, they mmst be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If violation 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—Horneiveners Protection Guide" prepared by the Florida Department o, Agriculture and Consumer Affairs. If the applicant is someone other than the `owneF, 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 cornmen cement. CONTRACTOR'ShOWNER'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 pennit to do work and installation as indicated, 1 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 1 Understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions 1 must take to be in cornpliance. Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Wateryseasteristater Treatment. Southvvest 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 trial 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 licensed by the State of Florida. If the fill material is to be uses construction, I certify that fill will submitted at time of permitting which is prepared by a professional engineer in Flood Zone "A" in connection with a permitted building using stem wall 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 rise 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, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 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, after, 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 vanfing, It am 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 9O) consecutive days, the job is considered abandoned. , WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT FLORIDA JURAT IF. OWN*EROR AGENT #�'&Kja udkqri and sworn p affirm� f�r one by__ w a yNpo �is/ re to me or has/have produced as identification. Public printed or stomped 9IN101— P1,14410 -C C&,001� t CONTRACTOR Sot �Pibdind aware to affirms clam a this 4� i I p , ,, J l,W, b ismre ,a us w re red allylk wwn"fam- has/have produced INSTR#2022241535OR BK10722 PG428 Page 1 of 1 11 /14/2022 11:48 AM Rcpt: 2522907 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller This space (arose by Clerk of the Circuit Court only. jaQ'IL4-mul Permit Number: Tax Folio No. — The undersigned hereby gives notice that improvements will be made to certain real property, and In accordance with Section 713.13 of the Florida Statutes, the following information is provided In the NOTICE OF COMMENCEMENT. I . Legal Description of property (street 2. General description of improvements:, 3b. Owner's interest in site: 3c. Fee Simple Title holder (of other than owner) Address: 4, Contractor Name: Address: Fi- 33565 Phone: S. Surety Name: r) Amount of bond: Address: Phone: 6. Lender Name: — contact — ----- rtumm T Person within the State of Florida designated by owner upon whom notices or other documents may be served w provided by Section 713.13(l Xa)7, Florida Statutes. Name: Address: — Phone Number: 8, In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713,130 )(b), Florida Statutes. Name: Address: Phone Number. 9. Expiration dale of'Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, 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 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT = OURRgNDERORANA71RNEY BEFORE COMMENCING WORK OR 4C MENTV RECORDING YOUR NOTICE OF COMM[Ef ofo r Owr_,. S i ofo r OwncT—Authorized Officer/Director/Partner/Manager 'a STATE OF FLORIDA COUNTY OF HILLSBOROUGH The forWing instrument was acknowledge before me this day of__O��, ��20—aj, for b?yer;;��Wjynown� T®R�b�eodldcnfif:.. jau,� Type of Identification Produced " 0 �F-- zz c KOEHM PAMRA Expires July 12, 2026 u. at - Notary Public osrt Under attics o 'my, I dec; that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Sip of Natural a igning Above of any th... (A ofany 1nnd)nW.uw be &.uae=hcd sift firne of recordation of dais Notice o(Cornamcement) Updated February 2008 M IM State Of Florida, County f pao This is to certify that the foregoing is a true and correct copy of the document on file or of public record in this office. s ray bend d�Iclalthis day of Nikki Alvarez- wlea, Esq., Clerk Comptroller �;OS Pasco Count ` rida y Deputy Clerk City of Zephyrhills 5335 811 St ZeAghills FL 33542 =L:WjUaMv#M= Permit No.:-Aairv- 005'"1 - 20z,� licensed under Chapter 468, Florida Statutes as a(n): Contractor Engineer— Architect— Building Inspector_ License No. 7 + On or about a,. did personally inspect the: Check: Roof Deck Nailing —i�� Dry in Flashing and Drip edge Check which was used: 30# felt— Peel and Stick V/Other (List) I I . Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). Signature: STATE OF FLORIDA COUNTY OF PASCO Sworn to and subscri day BY: & -NZ PAMELAKOEHLER N6kax,y,,P,ub1ic--St, �fro 41 d a ComfWWw # HH 239842 Vv �l* Expit" J* 12,2026