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Home My WebLink About22-5223City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-005223-2022 Issue Date: 11/15/2022 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, 11 Riffli ! R I I Wiff Fl Jill � ; I I I A , It * a III � 0 0 1 0 1 . 0 4 0 0 . . . sps"MiliM. accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE VIT OFFICE[) -WERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Rmy� 01�xffn�� 10 Foe Simple Titleholder Name=::�� Fee Simple Titleholder Address E = LOT # PARCELID# (OBTAINED FROM PROPERTY TAX NOTICE) Owner Phone Nor L70 & �-301 V �—Lt 'Y �S1� Owner Phone Number Owner Phone Number WORK PROPOSED 11 NEW CONSTR INSTALL ADD/ALT REPAIR SIGN DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION SFR BLOCK COMM FRAME OTHER STEEL DESCRIPTION OF WORK BUILDING SIZE Pe L- P/ I CAM 4y Jt-,L SO FOOTAGE HEIGHT =BUILDING rq�� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL =PLUMBING =MECHANICAL =GAS srjpm••. 11 AMP SERVICE PROGRESSENERGY = W.R,E.C, ROOFING [—] E= 1721111[111� SPECIALTY = OTHER FLOOD ZONE AREA =YES KE — - --------- - ----------- BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License # ELECTRICIAN COMPANY E SIGNATURE REGISTERED ;;; FEE �CURRENY / h:�� Address License # PLUMBER COMPANY E SIGNATURE REGISTERED ;;FEF CURREN Address License #E==:== MECHANICAL COMPANY E SIGNATURE REGISTERED ;;; �FEE CUR�REN Address License # E==== OTHER COMPANY E SIGNATURE REGISTERED ;;;FEE CURREN Address License # E==== 111111 1 1 111111 111111 11111111111 111111 1111 Nell I I I I I I I I 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 wl Slit Fence installed, Sanitary Facilities & I dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Saf--ty 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/ Sift 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 NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, 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 owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) 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 TACT S AND CONTRACTOR RE I iLITI : 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/UTILITIES IMPACT AND S U CE 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'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 begin 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 OWNER: YOUR FAILURE TO C NOTICE F COMMENCEMENT Y RESULT IN YOUR PAYING IC E FOR IMPROVEMENTS TO YOUR PE . IF YOU I N OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU N F MMENCEMENT. FLORIDA,)URAT(F.S. 11?.03) o NER oR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sw o(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally 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 typed,printed or stamped INSTR#2022242146OR BK10722 PG2486 Page 1 of 1 11115/2022 09:06 AM Rcpt: 2523346 Rea 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller , NOTICE OF COMMENCEMENT 0, sms. 01 13 0 • • ne'"t ,#+Vs mtce "I-- imp --m- wfif te Matl2 4 tan MW V-0p withIe. af�-- � ac=da 4mij,al>n phnsgs ;2.4- 5 4 00 In P&*5q v;jvvj_ •Ai 00,r,F bnft 7ma°:r. C, Lessee *nfC"+aN-'n i tA- Lessee con"ded for V" 1frOM'.SM, -e- Nary* 7-3 smz-�- Tltwhl r , I'Stej at° ,e:. 1, 71 5-TI k7IR 1 t7 q 6 State S,7, -iq--Iers 7e,.-ahme 'k, In ad*tCn tc hrresel-f, MA Cmne I de5jra-85 TcI—e Cf- -n-1 le a C-1 11:�e Lvno 4a ce as r,-oaed !.-, se--tr - 71113,,-,',, bl Pmrida S`,ZW, -e;ctrone of Pas n or Eritrty Desipaw— -,,y oww exY:c nor rate Of No&:e Cf O-MMQs nwnt (1,ha e)orat,-. date may "-< te :e,6te e CCmaV-n- of aftd 1�n-a! Davr* cont-al-a, N"w!l te :-e -a, fmm, Z*,e daR 4r;,Ss a &Re-cf! date -- 70- D'AlNeR A.W. PAYMENTS MADE BY -,HE 0W.1,C-R k---ER 7i-E DC=RA CIF 'HE NO -RC=- OF rC"S4Fdti ;city,.- --wCF-R5D IMPROPER PAYMFNIT$ u.%'CER 713 PART 1, S5CMON ' 712,13 ORClk STATUTES ;,'C- CAN R=S,-� iN YOUR Tw PAYING CE FOR 7M0R0\SMEN75 TO PROPERTY A N,-�-DCE �DF COMMENCEMENT MI-C-7 z= TH-CRRST INSPEC70N IFY01.1INTEPC T0OB-,ANJR,1wk1r_WG, I :,-eg,:w1g r*tne of 'omrmn ern and t fa.:U sta-,_I�j thel-M a,- 11rvx r4 rt z=I-zl r my Ia-m-09e. a'd ze:lif FLOR;;:A ,NTI OF PASCC� 0 r OAr e --see's A vttczc-� mtnment was ac:]� A4edged Wore me _�o �m 040EK nstrz,-, -s.aav Know-. 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