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Home My WebLink About22-53321-11"4— �ff �.—�ffflo Issue Date: .......... I IF III Fill I lill 11 11111!11!11!1! 11 111!1111 11111 1 1111111 1 1 1111111 1 11 1 UK101"01111111i IVA 11 "1"," mct�� accordance with City Codes and Ordinances. N OCCUPANC BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT 0 1 jj� ;:IIIIill 813-780 v'3wtl City Of Zephyrhills Permit Application Fax-813-78&0021 Building Department Date Race ad Puerto Contac for Penn€fthig 41LV�EMPENALICE F � Owner's Name Owner Phone Number [11-�88-0030 � 39 8NEWBERR_ C'T'ZEPHYRHILLs FL33542 Owner's Address Owner Phone Number Fee SirnpEaTitleho)r9erNarneiv/A_ _. ._ __.. ___ OwnerP#r Number F&'8 S4ftYptt? Titleholder Address WB RRY CT 25 15928 JOB ADDRESS LiJT # � 1 LD PARCEL 8C# E 2 _-_ _ Li25C7 Ss3iS3tS1CN �DgE::9 (OBTAINED FROM PROE'FR`i'Y TAX NCMFI WORK PROPOSED NEWCONSIR� ADDi.ALT S1GN [ � [�� DEMOLISH F INSTALL REPAIR W .� _.. _._..__._._._...._...... __...... _...._... _ rt O r._........... _ .... .. ... ...... E PROPOSED USE �Fl� ((�f3714i �) 1'�ER . TYPE CtECONSTRUCTION Ni_O(.K (�! r"RA.MT: C enTc�ve e sstln b thtut? lTd sepl ce 1th vv 3k-Ln jetted tub Wlth IwC3 Circuits DESCRIPTION RIPT1aN c � c C tF11 7E it SIDE Gi FC?C?'t'AGr HEIGHT BUILDING $ �� w VALtgATION OF TOTAL CONSTRUCTION f 1 F"C Ric"At. S7(i j fiMP SI "',V(CD PIROGRESS ENERGY RGY � WRE G rF�L IN q pp� z y� . $ e c't FF $ I (J 1HFC;H NiE,, t.. 3 t.. r` 1 VALUATION C F hSFCi Viii i(N,>TALL. irl t (....._..__ GAS ROOFING F-] SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS .._.__._._.; FLOOD ZONE AREA =YES NO BUILDER � j COMPANY L �_ SIGNATURE ? o- ssrFt.Fi7 Y i cureRsN Address License e It ELECTRIC, �R ` � .� � COMPANY 14� A Uks ( 1 E . I S ERsc_ Y / N FEE CURReN N 1 Address 1 f3 South lJS H 27 CL R ONT FL ns�,# [ �Q00__268 l � � E__ I j Ci?I PANY ALL STATE PLUMBING S RVICIm l ._ Address 1,94 nE _MINNEHAHA AV C€ RMONT F_34/11 _ UcNise# CF_C__.0_.5732_3 _____.._....._ MECHANICAL COMPANY _...__._..._.__..._._._._...__.._......_...._._....__._.___.....__._.._....__......._sRS9aNATtR Rersr oT Y N...__..._.E =• s r:ueRsr; Y / N Address License# OTHER f COMPANY SIGNATURE I`N I ,. cu Rn, Y LN_� _ Address License, # RESIDENTIAL Attach 12) Plot Plans (r') sets of Building Platte; (1) set of Energy Forrr s, f -O W t errnit for new construction, Minimurn ten (10) working days after subrnitldl data Required onsite, Construction Plans. Stornrwater Plans wi Sill, Fence installed, Sanitary Facilities A 1 dumpster: Site Work Permit fors( bdivislonsl(argo protects COMMERCIAL Attach (2) complete sets of Building Plans ph -is a Life Safety Page: (1) set of Energy Forms, R-O-W Permit for new construction. Minimum ken ('10) working days after submittal date Required onste, Construction 'Mans, StornTwater Plans w, Silt fence installed. Sanitary Facilities & f di mPster, Site \Ajr df € errant for all new projects. Rif commercial o pu,rements midst meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * PRC4'P'r2'iY SURVe:Y isquiredfor all NEW congfruction, Directions: f It out application completely, Owner 3: Contractor sign back of appl€cation: polarized If over $2600, a Notice of Core uencernent is required. (AIC upgrades over $7500) Agent (for Fire coin actoil or Power of Attorney (for the owner') would he someone :with r ot"t i red iel er from owner auffio izing same OVER THE COUNTER PERMITTING (copy of contract required) Re wofs it shingles Sowers Service Upgrades AX : ences (PhokfSurvey/f ootage) Driveways -Not over Counter if on public roadways..needs RO4a<r 813-780-0020 City of Zephyrhills Permit Application Fax -Sea-780-0021- Building Department NOTICE OF DEED RESTRICTION& The undersigned understands that this permit may be subject to "deed" iestrctions" which may be more restrictive than County regulations. 'T'he undersigned assumes responsibility for compliance with any applicable dead restrictions, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSMIL ITIE& if the owner has hired d contractor or contractors to undertake work; they may he required to he licensed in accordance with state end local o,,gutadons. if the contractor is not licensed as required by law, both the. owner and contractor may be died for a rnisdomeanor violation under state taw, if the owner or intended contractor are uncertain as to whit licensing requirements may apply for tire intended work, they are advised to contact the Pasco County Budding Inspection Division --Licensing Section at 727-847- 8009, Furthermore, if the owner has hired a contractor or contractors, Ste is, advised to have the cone actons) sign portions of the `contractor Back' of dais application for which they will be responsible. If you, as the wrier sign as the contractor, that may be an indication that he is not properly Licensed and is not entitled to pennitting privileges in Pasco County, TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands ,net'I ransportateri 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 On nano e number 89-07 and 90-07, as amended. The undersigned also understands, that such foes, as may be olio, will be lderttlfed at the time ot` permsttin . it is further understood that ;ansportation Impact Fees and Resource Recovery Fees must be, paid prior to receiving as "certificate of o{, upran. y' or final power raises(.,, If the project does not involve a certificate o€ oe cup€ ricy or final power release, the fees must be paid pr or to permit issuance- Furthermore, if Pasco County Wi terlSewer Impact fees are due, they must he paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Ch aptor 713, Florida Statutes, as amended): it valuation of work is $2,500,00 or more, r certify dial I, the applicant, have been provided with a copy of the "I londa Construction Lion Law—h#onteowner s Protection Guide' prepared by the Florida Department of Agriculture and Consumer Attalla. If the ,applicant is someone other than the "owner', i certify that I have obtained a copy of the above described doOumantand promise in good failh to deliver it to the "owner., pilot, ',a commencement. CONTRACTOR'S/OWNER'S AFFf )AVM I certify that all the information in this application is accurate and ',hot all work will be done in compliance with all applicable laws regulating construction, coning and land development. Application is hereby made to shields pennit to do work and install anon as indicated- I ceiiify 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 Mari,, regulating construction, County and City codes, zoning rrattEttatltans, and lend development tegulations in the jurisdiction. I also acertlfy total I understand that the regulations of other government agencies may apply to the intended work, and that it is ntv 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, WaterAVastewater Treatment. Southwest Florida Gutter Managernent District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Envirorfingental 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, Ifthe fill material is to be used in Flood Zane "A" it is understood that a drainage plan addressing a °cornpensafing vrslurne" 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" fit connection with a permitted building using stem wall construction, i certify that fill will be used only to fill the area within the stern wall. It 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 rrray be cited for violating the conditions of the building permit issued under the attached permit application, for tots less than one (i) 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 [tie owner of the pemnfi;ng conditions set forth in this cafiigavit prior to corsmencing construction. I understand that a separate permit array 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 constmed to her a license to ptoceedwith thework and not as authority to violate, canowt after, or set aside any provisions of f is technical codes. nor shall issuance of a permit prevent me Building Official from; thereafter requiring a correction of en -ors in plaits, construction or violations of any coder,. Lavery permit issued shell become invalid unless the: work authorized by such fronit is commenced within six months of percilt issuance, of if wok authorized by the permit is suspended or abandoned for a period of six.(0) months after the tints the work is cornarenced. 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 RECORD} A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE E FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT FLORIDA JURAT (F,S:- 1 3 t, j3) OWNER OR AGENT ^""' Subscribed and swo of y{or affirmed elore ne this by 1� % r F rJ h_-._ 44rha islere ersonalE knwno m ofe or has,`hsve prod cad as idesntification. NotaaryPubik Commission No. Name b Notary typed, punlaii'iar sailed me fee or u Public commission No. ((I Nsnjc of Notary typed, g,•Inlr; ar stamped ya . No tary Pt to a of E'f Yri C'r becxa E Beep erys r s MY C sityl ri orstfa GiG 95,8848 leicas� �r:;�a'r'€h l2aiUr'a b gg: 11 Access to Seat for Easy Transfer -e, and. conifortable providing a saf way for adults to bathe, the watertight door Wings outward 1-n-ovidino niore roorn when entering and exiting the bath, It also allows for irninedrate access to the ON, btatlaer in the event of niedical ernergeticy, plus offs rs the bather full access to the ch.air height seat to tbr trou.ble-free transte.r from to wheelchair, JN BIER ,A,71`1,,-"N M0,['N,' 30520— Large outward opening tub door MUIti-Settings Shower Wand High quality gelcoat with i BWlt -in chair height seat Embossed Backlit Controls fiberglass reinforcement m Bathtub Floor Chromatherapy 30" wide x 52" long x 40" high Built-in Safety Grab Bar Aromatherapy Operating capacity, 75 gallons 15 Directional Water Jets Neck Pillow Color: white or linen RIM . . . . . . . . . . . . .... 28 Multi -Speed, Heated Air Jets In -Line Heater Left hand or right hand door & ........... Legs -Only Massage -Cleaning Sanitary System drain - Self L Foot Jets on Tub Floor - Auto Purge System Hand/Wris' L Jets Extension Kit to Fit into 60" Space Patented Quick Drain, BEST IN -CLASS LIMITED LIFETIME WARRANTY ON BATH PATENTED QUICK DRAIN' DRAINS IN UNDER 2 MINUTES 43 HYDROTHERAPY JETS MORE THAN MOST OTHER WALK-IN BATHS www. U be ration Bath com NR, Liberation 30520D Combination System Prerniuraa gelcoat construction Free stranding metal support frame with free leveling feet Easy access outward opening door systern Cnratoured built-in seat for easy transfer Built-in grab bar and textured tub floor Premium deck mounted tub filler faucet with hand shower Polished chrome cable driven drain assembly Ais filled gat c k pillow Includes exclusive Quick Drain' fast water removal technology Embossed backlit controls 7 arnp whirlpool pump In -line. heater' 15 directional water jets 28 rnulti-speed, heated jets ® I-egs-only massage Automatic purge cycle g Self-cleaning sanitary system Extension kit to fit Into 6 a" space C.hrorn cat:he?rapy Arornatherapy Nominal Dimensions: 30" x 52" x 40" (762 x '1321 x 1016rnrnl) Required Electrical Specifications: The, in -line heeatcr and air p€. rnp require their own dedicated 'S anap circuits, s, Drain and Whirlpool pumps should be run off of a 20 amp circuit. DO NOT BYPASS CONTRO. BOXES FOR INSTALLATION, Compliance Certifications w ,Meets or Exceeds the Following Specifications: ETL - INTERTEK SEMKO IAPM0 - USPC ANSI Z 124.1,2 - for Mastic: E ''ht€ bs ASM A112,19,7 - Whirlpool Appliances * ASMEE A112,19.15 - for Walk -In Iry at albs Q CSA IE-45.5 - Canadian Plumbing Fixtures To Be Specified ® Required, * [-)rain Configuration: i...c.ft (I..) or Right (R) l Colon_ White (W) or Linen (L) Note; The whirlpool heater is designed to maintain water temperature during operation. It will not: heeat cold water to desired bathing ternperature, 52" � Leer (.369111m) (762r31m) $ ' (584mm) _ { l3'?trx m) (787cnrrr)� .34" w. 4ti ` 863rrun) { ((r (1016rr m) GENERAL SPECIFICATIONS FOR LIBERATION 3052 WALK-IN BATHr tl ITT OUTWARD OPENINGDOOR INS A1.. EDSIZE: `x"'.Ox4OlI).(I,'i,2ix762x]016ratrn) WEIGH", w.. WATER _. � r 781 I-Ics, (354 Kg,) OPERA! INGGAL€..aV_ ?5Gal, (284! .) FLOOR LOADING 73 Lbs, Scr. Ft. (356 Kgs,!sq, nQ P R OJ E C IF 0 AR E A) CI BE (FTr.) Notes: TUB 1S SUPPORTED BY THE FRAr1E AND FIVE IN]'EGRA ED ADJUSTABLE FEET, NO ADD1'TlONAL SUPPORT' REQUIRED. REFER TO iNSTALl_.A1 ION IN5TRUCCTIQN5 SUPPLIED WITH TUB Fo r ADDITIONAL INFORMATION, PROVIDE VIDE SUi lt' BI_E REINFORCEMENT TO SUB FLOOR FO' ALL SUPPOR I IMPORTANT: !)rmensio}s of fixtures are nominal, may vary and are subject to change or cancellation, No responsibility is _assumed for; of superseded or voiced leaflet,