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Home My WebLink About22-5300 (2)4 5335 Eigh�h Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 FBAR-005300-2022 Issue Date: 12/09/2022 —9F] M3M=1,ZZ-1E= 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. I CONTRACTOR SIGNATURE PE IT OFFICE T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED INSTR#2022257641 OR BK PG 5 Page 1 of 1 12/09/2022 08:36 AM Rcpt: 2531214 Rec: 10.00 IDS: 0,00 IT: 0,00 Nikki Alvarez-Sowl€s, Esq., Pasco County Clerk & Comptroller ai l', «x ..01 a Nrw ar, . a : , « i. t« . r • �,. 0.Y t YF«:««. d. AT �i .ta 1Ni«i h ,ire },.«N t vaR t'+;+' « «' IRia .�': }. :i. i. .4 3�i ..• il+i YYt'Yi. l.<�i.t�t as i.,« «« a )i 4 Rl' k Va+. k1 .it "«i i. 'E kt'i' « � W i •wY a! f 'ue.3 «Xi+" 4i' et i' x 2 u � t' d iFi .' M � ` x4 ' t i SY Ml wi ♦,. Y ! J 1 >Y ! � Y�' �� d 3k r �g iKt gi g �r 14 2'22 @k \ �< r cti M Cr 0 C?. 0 to 0 0 0 E p p } 0 Q� tt5 cll pi; 0,°.. g� fil Qi. w VS, �-+ 0 CL M It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE A CALL cover or cause to be covered, any part of the work with flooring, lath, earth RE -INSPECTION or other material, until the proper inspector has had ample time to approve 780-0020 FOR the Installation. OFFICE HOURS 8:00 AM - 4:30 CAM MON.-FRI. INSPECTOR 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received I I I I Q'- Owner's Name L 45 ) ),- Owner's AddressF b7 41 i� Fee Simple Titleholder Name Foe Simple Titleholder Address fie- rv-�66 Owner Phone Number Ow (�c ner Phone Number Owner Phone Number WORK PROPOSED NEW CONSTR ADD/ALT E INSTALL REPAIR PROPOSED USE SFR Comm TYPE OF CONSTRUCTION BLOCK FRAME DESCRIPTION OF WORK I C- e,0, (k'a to V BUILDING SO FOOTAGE BUILDING Eizz]E] =ELECTRICAL $ lo o' to =PLUMBING =MECHANICAL =OAS ROOFING FINISHED FLOOR ELEVATIONS DEMOLISH OTHER STEEL 71 I VALUATION OF TOTAL CONSTRUCTION 7T/ AMP SERVICE PROGRESS ENERGY W,R,E.C. y-� VALUATION OF MECHANICAL INSTALLATION +4 SPECIALTY OTHER FLOOD ZONE AREA =YES NO , CKZt/&u_ BUILDER COMPANY E N10IGNATURE REGISTERED ��FEE CURREN Address i License #E===== ELECTRICIAN COMPANY SIGNATURE REGISTERED Y N FEE CURREt\ Y/N CCC Address License #E:=:=== PLUMBER COMPANY �' E;Z'f " N�, Ez=� SIGNATURE REGISTERED N FEE CURREN Y/N Address License #== r---------------------------------------------------------- I MECHANICAL COMPANY SIGNATURE REGISTERED L7=.N_�FEE Address License OTHER COMPANY �FEE CUR�R SIGNATURE REGISTERED Et\ Address License #E::�� 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 dumpater. 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. (AIC 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) Driveways -Not over `Counter if'on public roadways..needs ROW 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 liIlill!!Illl!!! M! 119!12111!11510!�� OWNER OR AGENT Subscribed and sworn MMIM 1111 MY Name of Notary aft )before ryem' p �-" toarms er'�a's�tve du = as identification. Z Notary Public 276467 Expires Deember 12, 2022 liondod ft Tmy F* Inows SM7019 1, provisions of this instrument. have read and fully understand and agree to the 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: SHOWN 11142M I/Masterfomis/OwnersAffidavit/NovO7