HomeMy WebLinkAbout22-5346MIE�IM�!
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 12/08/2022
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 relinspection.
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,
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accor61nce with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
.... ... .......
CONTRACTOR SIGNATURE
FIE IT OFFICE
THOUT APPROVED INSPECTION
813-780-0020 City of Zephyrtiffls Pe"nit Application Fax-813-780-0021
slaidirg, DEPI'lioent
Date Received
Phone Contact for Pemink
14,
Owner's Nam in—=w
Owrwr KVM phom ber
Owner Phone Nwibw Owner's Addrote;
Fee Sirapkr Titleholder Narne L—AN-*-
Fee Simple Titleholder Address
JOB ADDRESS 16)to 7 IA 2,65,
LOT #
r SUBDIVISIO g@PARCELID#[0
(ORTANED FROM PROPERTY
TAX 'nGE?
WORK PROPOSED NEW COR ADDIALT SIGN
DEMOLISH
INSTALL REPAIR
[]
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
F
GH BUILDING SIZE SQFOGTAGE
HEIT _j ---------- j
XXXtkjV<_kt*,
WILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS
ENERGY W.R,E.C.
=PLUMBING
=MECHANICAL =S-= VAWAPON OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [:::]YES NO
BUILDER COMPANY E
SIGNATURE ;Y s;IE 11MIN
Address License
ELECTRICIAN COMPANY
SIGNATURE
Address Lk ense #E::=::::=
PLUMBER CONIPANY
SIGNATURE UIPSTERED L T__YL—IN. i —J. �, 'L.— =YI N _j _j
Address L_j License
MECHANICAL COMPANY
SIGNATURE —LN —FE-1—CURFI-EY��
Address License
Z'�
OTHER COMPANY
SIGNATURE foG"AURM-1 YIN FEE CURREN Y/N
Address 5 I("j Ucense
RESIDENTIAL Attach (2) Plot Plans; (2) sots of Sufldinq Flan s, (1) so of Energy Famis; R-O-W P"'mit for riew conetruclik'Ar.
Minimum ten (10) working days after submittal dale. Mquired onsite, Cons `.fin Plans. Stormwater Plans wl Silt Fence installed,
Sanitary Facflkk-,s & I dumpAer, Site Work Pmrul tcw st prgecks
COMMERCIAL Attach (2) contplete sets, of BtAlding Plans phis a Lite. Safety PEW., (1) set of Energy Foons. R-O-W Permit for new construction,
Minimum ten (10) worldrig digs aflersubnattal date, Require drvi,4te, Consmxficti Mans, Stonnorrae.T Plans wt Silt Fence Installed,
Sanhary Facilities !& I dumpsssSite. Work Perrial for all wm picItsclai, AD corania:ial requkrairents rnus.n meet compliance
SIGN PERMIT Attach (2) sets of Engineeted Moos,
...PROPERTY SURVEY required CK all NEW
Directiome
Fill out anAcation coivplotely.
own", & Contractor -,jqn hack of applicalknt, ;x*,w; ed
it over $25M, a Notice of Contmencement is m4tairease (AIC upgrade-, ever $75M)
1. Agent (forthe contractor) or Power mAtUrrney notarized DWat=3 owner authorizing same
OVER THE COUWER PERMITTING (copy of canwaa retruked)
Retools it shingles Sewers Service Upgrades AIC Fence's (PkwSsavey/Foolage
)
Driveways -Not over Counter if on public rrh%Naiys.,needs ROW
813-I80-€ 020 City of Zeiphynnills Permit Application Fax-813-780-002e
Building Depannient
NOTICE of DEED RESTRICTIONS: The undersigned undersstnds that tars permit may be subject to'deed° restrictions" which may be more restrictive
than County regulations, The undersigned assurnes responsibility for compliance whit ;any apap ificaable debt( restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If ta, isarter has taiaed a contractor or contractors tors to undertake work, they
may be required to be, licensed in accordarx:e with state and local regulatkins, It the contractor is not ficen ed as required by lase, both the owner and
contractor maybe cited for a nasdemeartairviokation, tintlerstatelaw, ;t the *t to inhandedcontractorare, uncertain as to o0a t licensing requirements
may apply for the intended they are advisedto contact this Pa i Ciernint B€aad urq Inspec inn r`svis e t # tcc nslr Section at 727-847- 80C19.
Furthermore, if the. owner has hired a contractor or cerdractors, the is adveied to have the cm*acte»'(s) sigh hardens of the "contractor Block" of this
application for which they will he responsible, It yott as IN, 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 Couttiy
TRANSPORTATION PACTIt9TILITI T AND RESOURCE RECOVERYFEES: the undersigned understands
that Transportation Impact: Fees and Receamse Recovery Fees r vat apply to the construction of rent buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Orifireince ruing d d -07 an 0-07, as amended, the undersigned also understands, that
`t such fees, as may be d€re; will be ni ifir d at the tf i of _ frog, it is turther understood their Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a "certificate of occupancy' upanc y' or final power release, It the protect does trot Involve, a certificate of occupancy or final
power release, the teas must be paid prig to permit fis rvrirce. Furtheirriore, at P is Couray WateriSemm Impact fere; are due, they thrust be paid prior
to permit issuance in accordance toth applicable Pasco C outry ord`sn mes,
CONSTRUCTION UEN LAW (Chapter 713, FloridaStatutes, as at dd: ffvdluafionof%wkisS2,50o00 or netre, i certify thatt i, the applicant,
have been provided waath a coolly of the "Fdnrida Ctx . . i Lien C: t onriet er's Pr terascars guide' prepared by the Florida Department of
agriculture and Consumer airs, It the applicant is mmeone other than the 'ceniW, I certify than t have obtained a copy of the above described
document and promise in fiscal faith to deiauc r it to the aeinet" prior to cornmence ent,
C4}!! TRACTOR'WOWNER'S AFFIDAVIT: I cavity dratall the information in this application is accurate anal that all work will be done in compliance with
all applicable laws regulating construction, zoning acrid land devel Brat, rpdic-men is iaareby made to obtain a permit to do work and installation as
indicated. d certify that no work or installation has c ritrte aced prior to lestiance of a roanit And that all work wadi be performed to meet standards of all
laws regulating construction, County arid City codes, etning tegulatitx , an itind dt vepnieaat regritatmos in thejurisdiction, I also certify that I
understand that the, rea ulat€orn of otfh<er overra [rent agencies may apply to the int led work, and that it is my responsibility to friendly what actions I
must take to be in compliance, Such agencies include W are not fiffifted1m
Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands, ltyater astewater Treatment,
Southwest Florida dater Management District -Wells, Cypress ITayheads, 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 [Its rise of WI:
Use of fill is not allowed in Flood Zone "V' unless expressly permitted,
If the fill material is to be used in Flood Zane '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 rased 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 lints less than one (1)
acre which are elevated by fill, an engineered drainage plant is required,
If I am the AGENT FOR THE OWNER, i promise in good faith to reform the some of the pe"aftiant conditions set forth in this affidavit, pricer to
commencing construction, I understand float a separate [hit may be required it for c k ctu al vairk, phinaring, signs, wells, pcaols, air conditioning, gas, or
other installations not specifiaailfy included in the app6caat on, A jecr?ft i scoot stsaafi be constaied to be, a f dense io proceed faith the work and not as
authority to violate, cancel, ::filter, or set aside any provisions ni the technical codes, norshall issuance of as pe [nit prevent the Building Official from
thereafter requiring a correction of errors in plan-,;, construction or violations of any codes, Eve, cast issued shall becomp invalid unless the work
authorized by such germ's[ is connnericed within ss Months s of peonit isssrar e, or it Were authorized ized by ate pee n ak is suspended or abandoned for a
period of six (6) months after the time the work is c astssrem d, An extension. may be nximsted, has wing. from, the Building Official for a perfect not to
exceed ninety (90) days and will demonstrate ju.,fifi ab€ex clause for the exten%tt", ff work cen%e-s for merely (90) consecutive (Jays, trio job is considered
abandoned.
WARNING TO OWNER- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO MOOR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OWNER OR AGENT
Subscribed and sietirn to for inn.) berive me this
by
Who istare personally known to are or h asitca to pioviuced
as identifica irk- s.
olary Public.,
Commission No.
,
Warne of Notary typed, pt said # csr st<anap a3
t °j
City of Zephyrhills
.,,
*' m M1
ROOFING INSPECTION AFFIDAVIT
Permit o.
I, licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer — Architect— Building Inspector_
License No, !�O--M
Can or aboutff-1— did personally inspect the:
Check: Roof leek Nailing in L� Flashing and Drip edge
z�
Check which was used: 30# felt— Peel and Stick_ tither {List)
At the following
address: .......
3 FS, 3 5A ?
C`�f
Mitigation • -« on e 44 Florida
Signature: L
STATE OF FLORIDA
COUNTY OF PA,SCO
Swear to and subscribed before this day
BY:
Notar• R lic Late of Florida
W � a Q ARITE KING
a *_ Y COMMISSION # HH 270190
EXPIRES: Junn 1, 2026