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Home My WebLink About22-5309BGR-005309-2022 Issue Date: 12/14/2022 REINSPECTION FEES: I With respect to Reinspection fees will comply with Florida Statute 553.801 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. I 1 0 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 : I I I I I 1 11 1 11 1 1 1 1 1 I ill Ill I I 111 ill 11 ill Fill Ill I I illillilill:lllllll Ill 111� 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. CONTRACTOR SIGNATURE 1,12,119 11-1�24%ti��'ll�*6�4'4�4,fi9ufl[Turagl��t��t,,-Wt�,',,&,-,',��,�ll,,,,, "'WPE' POFFICE 011 F1 ITHOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Fax-013-700-0021 Building Department Date Received Owner's Name >Atfo Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder PROPOSED USE PE OF CONSTRUCTION CTION DESCRIPTION OF WORK BUILDING SIZE UILDING =ELECTRICAL PLUMBING MECHANICAL GAS Owner Phone Number Owner Phone Number Owner Phone Number NEW CCNSTR ADDIALT SIGN DEMOLISH INSTALL REPAIR SFR COMM OTHER BLOCK FRAME STEEL tf -< L , SO FOOTAGE= HEIGHT $ �Q t) VALUATION OF TOTAL CONSTRUCTION r AMP SERVICE PROGRESS ENERGY W,R,E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED ;;;=FEE =CURREo 1 N Address License ELECTRICIE:=== AN COMPANY SIGNATURE REGISTERED ;;;;; �FEERREN Y/ N Address License ## E I j PLUM13ER COMPANY SIGNATURE REGISTERED Y f N FEE �CURREN Y/ N Address License f# MECHANICALE::== COMPANY SIGNATURE REGISTERED ;;/ N FEE CURREN Address License ## OTHER � � . COMPANY 4y/;;�FEECURRENN SIGNATURE REGISTERED �Y/N�� Addresst t F License # t: 111111111...1111 ,11IIi111I1lIl�,1111I 11I1I11111111111111111R111M11 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Farms; R-O-W Permit for new construction, Minimum ton (10) working days after submittal date, Required onsite, Construction Flans, Stormwater Edens w/ Silt Fence installed, Sanitary Facilities 5 I dumpster; Site Work Permit for subdivisionsflarge projects COMMERCIAL Attach (2) complete sets of Build`ng flan,,, plus a Life Safety Page: (f ) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (f 0) working days after submittal date, Required onsite, Construction Flans, Stormwater flans w/ 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 Flans. ""PROPERTY SURVEY requiredfor all NEW 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 $T 00) 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 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 comoiance 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 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 AND RESOURCE RECOVERY FEES: The undersigned understands that Trans ortation Irn act Fees and Recourse Recove Fee ma a I ♦ • 1:11VICLINNITY1 U413 TI FLORIDA JURAT (F,S. 117,03) OWNER OR AGENT mwind savor o (or affirmed) before me this Ze by Who is/are persona known to me or has/have produced as identification. otary Public com is !on No. Name of Notary typed, printed or stamped IfIned) before me Iris me or has/have produced — as Identification. Notary Public isslo N Name of Notary typed, printed or stamped have read and fully understand and agree to the provisions of this instrument. 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: OWNER'S SIGNATURE DATEAfd ADDRESS PHONE WITNESS PERMIT I/Masterfonns/0w.nemAffidavit/NovO7 POINTS PERMITName LOT IMPROVEMENT EMERALD POINTS BOARD OF DIRECTORS APPROVED B�a�� DATE:/J /.�.i a PROPERTY EVALUATION COMMITTEE APPROVED BY: DATE: I / a/ aa� EXPIRATION DATE: INSPECTION BY: DATE: FINAL INSPECTION BY: DATE: PLEASE RETURN TO LOT IMPROVEMENT COMMITTEE Procedure (Please refer y, the "Rules and Regulations") Permit N �1 A-/-4 All lot Improvement:;' be submitted no later than Wednesdayb 1:0 to be processed on the following committee meeting day. I.All requests are be pointe office or Chairman of •Improvement committeeCommittee. The Chairman or weeklyclarify improvements and will present it to the Lot improvement Committee for their review on a ♦ . ; +r. r a * ii t X Fs . Directors • ' their approval♦ Board will meet once a week for the lot improvement applications. review 4.There will be NO one day approvals or last minute approvals. Requestmay take 7 to 14 days for consider the request in a thorough manner. adhered6.The committee will follow up on requests to determine that the request as presented and approved is being • 7.Any 2ormit will be ACCEPTED FOR APPROVAL between October 15 ind Walch 31 jJ *' r ♦ +gm — TWIN **.37' y recommend to the Board for their approval. &Any changes made on previously approved project must be resubmitted before beginning the changeppov 9.111: is recommended that property owners of major improvements or now construction projects request an appointment lot improvement committee to review may arise. 0 All aplalications submitted must have locations As the owner of Lot # I understandBoard Directors will enter... to follow the external progress of the c♦ ♦ .improvement or as ♦ f on the Lot Improvement Request. 0fi ner" Signature _ ate 1t All lot improvement requests must be submitted no later than Wednesday by 2:00 to be processed o the following committee meeting day. All permits must be posted visible to the street. Date Recd- jam/ L IMPROVEMENT 2-� it N / ' L" To: EPPOA Lot Improvement Committee & Board of Directors ii From Lot /A r L o-T I j $I-Vj\jP, Phone nnmber where you can be reached. � �� ` (rj "' �4- p � <e pp ••fig ��,a��s�a �g :aw Rsm^"' ' r Tait C)iser ° a bitxsila4ai1rA �'"wn^ds» d.6a b 361 Permit No Sfi Setback TYPICAL 36$ 6 gLO With MAX Concrete 26' x 631 '• ') 5ft 5etbacu 5ft Setback 6, 20 It Setbick ftoinlimide of Curb to building 15 fft Setback'to coach. Bags 4 of'5 PermitNo. t ,property Identification No. 0-0 THE k t� UNDMIGNED hereby give informs you that the improvement will be made to cortale real property, and in accortionce with Section 713,13 ofthe Florida Standes, the foilowing information is provided in this O F N I'Description of * (Vj das st,) � ` d pJ _ " �J Sys L Z S s �4 e} Sheet Address: 2.0eneral description of i yInnents: Owner Info c) Interest in property .information l , a) Name and b) Amount of Bond: Telephone address:a) Name and Phone 7. Identity ofperson within the State ofFlorida designated owner upoo;Wbomdocuments �.. be served: a) Name and address: iTelephoneNo.: ! kfn addition to himself, owner designates the following person to rocWive a copy of the Lien�, . �Noti" as Wprovided in a) Name sod address: -Telephone 9.Exphtion date of Notice of Commencement (the expiration ' iso year from the date7fW�rdirxgunless . —dift-t date 6 t # x s e ! ! M f 1 n` JACQUELINE ES C�I Om � IU Ki 1 I E*kW Decemlw 12,21M 0 State Of Florida, County This is to certify that the foregoing is a true and correct copy of the document x � a on Me or of public record in this office. rr r X my hand and official seal this day of Nikki Alv r z u i q., Clerk & Comptroller pe cou0ty, yDeputyirk