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Home My WebLink About22-5224P17T V*7 IT, Im 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 'X-079" '00 k, Mom, BGR-005224-2022 Issue Data: 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. accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. *Z6 1A CONTRACTOR SIGNATURE PE IT OFFICEU PERMIT EXPIRES IN 6 MONTHS MTW,=,AR-W9RQ-- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT C1RD FROM WEATHER G,P,Q uosiads0TVS : IoNma miDy ao.; pe-4deoov @�uG aEawojsno ismoqsno ao j peqdeooy I POAOadd-i -aeAoosTa/xww uo %v -vsTA 'Pavo,79,48um no %C qej eouerueAU00 Pavo 4TPwl3 -4q9P GTXP 90 UOT400TTOD Oq4 UT psaanouT a4soo Atm puv '48629-4ux TTV A 04 sesabu ,IOVXO'4snO OtU * TTnj uT pT-ed s-c eoueT-eq TT-4un MON3A W,mv ;o A416doad qq4 UTumsa TTTA STVT204vm TTY TTn3 uT pTvd TT 4un 204JU SAW Z AIGAG Pu'e '31-70A 30 UOT40T(imoO ae4gv SARP Z UTTA PTvd 40u ;T GOUeTvq sq4 o4 peTTddv eq TTTA 00*5U 90 099 04VT V -NzOm 90 uOT4OTdmOO uodn 9-rqeAvd emooeq TTTA 8062uqD TvuOT4TPPv Aule tPTA BuOTv 40vxWOO sTq4 30 00ueT-eq eta -POPP-e Oq 09TV TTTA =OmO-49P94senbea svA 4vq4 4ova4uoo sTi"n uT PezeAOO 4OU N20A vx4x8 Auv 203 seb2vqO TwuOT4TPPV p&qsrrqe.7— A-C-7— &4"; 4,r ao pebzvqo eq TTTA aoqeT 209 squsw4snlpv puv qoG sTxn uo peon TvTaOlvm ZOJ 8lU8W48nCPV °pe=ojasd X20A eq4 Pule 4TTnq BUTDuO,; 90 eble-400; T-en40V exp uo pesvq eq TTT14 bu-rTTTq Tvu-r,; eql -azimauo SI 7VIXIMN 3Hl XONO IdRKOlsn:) SHI X9 aa'IRDNNVD Si to am ammaamME-bloa ST Pu,&,a.Ovzr-AuOO WOD'OOHV2O'dNIM'JVHONO9 LZ9E-OZ9-CT8 M2lVd 1102eV NI eOL' :uoTqv=oguj qor 'MZ/6T/OT T abud 96LTT # zsxaoiq woo - OOqleA@qOuqv=v woo - moue ous, 4eb - MM X99 C998-6LL-888 9Z80-CL6-ET8 96LL-6LL-ET8 MCC lePTIOTJ '8TTTqzrAMCT8Z IS IST OV89 somad MAMY -ImOD uOan s0uleTvla 00'OOL: uo V 1; -r-48Tc 00'689 t :-4uewx-ed umoa 00'68zs t :4unomv 40va4uoo peubTs tr4Tm qTsodep %sT v seaTftbex aoxaa w�mv I Rp"rXT.T.r-14n. vlarvix, go AqTUTDTA 04UTPeMMT qq4 UT byp 04 ROMM mov buxqoejTp Aq peanvo 96*=P Auv aOX X4TTTqeTT TTV evmssv TTTA aswOlsrlD sail °94*eCqo ao GeUTT peTanq PO'4xvmtm 19tr4O Auv ZO '89UTT TOT Tasks PDXZVMM a07 A4TTTqTsuodsea ou seurnsev MoNsa mov *PGXXLM Pulg PeTeOOT se'c4TTT,4n D-cTqnd pumab=epun BuTweq 209 AlTTTqTGuOds92 etM Omn8sw TTTA HORM MOV •psAsAxns A4aedoad exr4 eAleq zrewo4sno eq4 -4vtP PePus'=00ea 8-c IT PG-4vOOT eq -40uu'e0 suTd A4,Tsdoad ;3: -Avezrnowe :rTOtC4 eG-4uw=vn6 AeA Aulg UT 20 seuTT A4zsdOad buT=ODUOO A4TTTC1fGuOdsea Auv seumsev sotreqsmnoaTo ou aepun zoNm o0v 94T=ed PszTdbOx -Auv uTv4qO TTTA XONNa MiDV -asmo4sno 044 tPTA 489a TTvqs GuO-r-4vTn69z PTvs q4TA BuTATdmOO a09 A4TTTqTsuodsea sq4 4nq 8uOT4vTrtbsa buTuOz TwOOT 04 8v aMO48M etP OQTAP'e TTexT9 RONRa WOV °POO 10 840V ao NOTTVPuVA 'esnqV '4u8PTOOV lesnaTH luoTqeaeqTv 'eOu8bTTbON :aOJ POUBTGOP PSBVM*p XOJ ebgTeAOO sus-4xe '40u OP 8GT:ltr9a'vA 'GzsumO TvuTbxaO 04 MT409TT 209 slOnPOxd se-4uvavrib sawn-4ov,;nuvx •kaxvA uOT49Tdmoo -480d 70,7 A4uvxzlvk zOqv7 OsS -2eumO T-euTb-cao etT4 04 uOT'4vTTv48uT 90 dTqsumrXaOA UO 8408JOP w0ag sema eCl. 0-1, eOU8Z GAOa.e Oe22UVaVnB 02, 86e3ft qL-Xgj- VgaV- ,RINV�NVM 'dOgVq SWIlSJIq a5unanN-T -jaK�La3 q mN SIEEONOO S#09 /M a E LES Isod q-1v HEVMG'dVH GHIVOO UEGMOd SSE aNIVIS SEIVS 3lqVM 100Z 9 T X,DVAI'dd EAOO'dS 'R E09NO1 OAd NVI 9 aT9T - :804ON O�9EE PPTJOTA 'GTTTT4JAqdaz N'I '13AO-10 'IIVS 689L nVSHO;D VNINV '9 HSOf :UoTqvu=oguj XOM046no LT,OVU,LNOO/rlvs0dOucl xl "I I, aauaA atuav <6> INSTR# 2022242147 OR BK10722 PG2487 Page 1 of 1 11/15/2022 09:06 AM Ropt: 2523346 Rec: 10,00 IDS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller W-" 10 $11A 'TJ-W DIIIIIIIIIIIIIIIIIELOE—Ul—lu N �=114jortwKw1w —.7- MELANIA ROSANOVA-CICEK Notary Public, State of Florida; Commission#'HH21383 My comm. expires July 20, 2024 The rOM9ftjV inMrowaym ackwabMed WOM so bw toft bed 12 -1 "iM W 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitti, Owners Name v 141.7tiC7owwtA Owner Phone N tuber Owner's Address f �� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS '611 LOT SUBDIVISION PARCEL ID# -35-- 2- Ji- (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRE] INSTALL ADD/ALT REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL XESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT T-rvlrlrv-r"rlry rT-T-r1r1-rT-r1rT11- =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E,C. =PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2-z- =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS = FLOOD ZONE AREA =YES NO BUILDER COMPANY E C< SIGNATURE REGISTERED ;4Y1 �NFEECURREN �Y/N Address License # ELECTRICIAN COMPANY E SIGNATURE REGISTERED ;;;;FEE CuRREN Address License #E:==== PLUMBER COMPANY E;;- SIGNATURE REGISTERED ; FEE �CURRE�NY / N�� Address License # MECHANICAL COMPANY E SIGNATURE REGISTERED ;;;�FEE C�URREII Address License # OTHER COMPANY E SIGNATURE REGISTERED ;;; FEE �CURRENY ! N� Address E========= License # IIIIliffilifil11111 11111111111111 1 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 & 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 submittai date. Required onsite, Construction Plans, Stormwater Plans w/ Sift 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 $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 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 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 IMPACTIUTILITIES IMPACT AND 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'SAFFIDAVIT: 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 R: YOUR IL E TO EC A NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR . IF YOU INTE TO T I FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGYO F COMMENCEMENT. FLORIDA JURAT(F.S. 117.03} F OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and wo t (or a armed)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