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Home My WebLink About22-5358A 5335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-00535 Issue Date: 12/ 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. 111 1111191 1 1 1 !1 10 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. 411 fr.. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION E::=== 'PARCEL (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW C-ONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE Sty FOOTAGE HEIGHT -r"rrr =BUILDING t1:3 0 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL PEI AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =(GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED �CURREII1° f N�� Address License ELECTRICIAN COMPANY SIGNATURIE E::== REGISTERED �CURREII ° d N�� Address License #E===::= PLUMBER COMPANY E SIGNATURE REGISTERED ;N �FEECURREt,�° / IV�� Address License #E:==- r--------- I -------------------------------- I MECHANICAL COMPANY [;�; FEE CUR�R0�� SIGNATURE REGISTERED Address License # EOTHER COMPANY SIGNATURE REGISTERED �Y / N��FEECURR�EN, Y �/N /T-- License #E2E�� Address RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ton (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I dumpster, Site Work Perm, it 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 now construction. Minimum ton (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wt'Silt Fence installed, Sanitary Facilities 4 dumoster. -Site y(lorR permit for all ,low projects, All comwerclal requirements must meet compliance 9t G N P E PRI'NIT Attach (2) sets of Engineered Plans, .... iQPERTY SURVEY required for all NEW construction. Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a Notice of Commencement Is r:�qulred, (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 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 CONT AT SI B ILITI ES: 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 IMPACT/UTILITIES IMPACT U RECOVERY Y 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$2,600.00 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'S AFFIDAVIT:VIT: 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,WaterlWastewater 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 OWNER: YOUR FAILURE TO TIC OF COMMENCEMENT MAY RESULT IN YOUR PAYING IE FOR IMPROVEMENTS TO YOUR R . IF YOU INTEND TO T I FINANCING,CONSULT WITH YOUR LENDER Y BEFORE, EC RDI YOUR O ICE OF COMMENCEMENT. FLORIDA JU T(F.S. 117.03} NER O AGENT �.. CON RACTO G �.o Subscribed and sworn to(or a rmed)before me this Subscribed and sworn to(or affirmed)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 INSTR#2022258672 OR BK10735PG3906 Page 1 of 1 12/09/2022 01:55 PM Rcpt: 2531561 Rec: 10,00 DS: 0,00 IT: 0,00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Permit No. Parm4 10 No NOTICE OF COMENCEMENT State of U co at y Of 7 ti—la— THE UNDERSIGNED hereby q` .notes thad improvement will be....... to coated real Property, and In accordance with Chapter 713, Florida Statutes, the following information is provided to this Notice of commencement I Description of Property: Pineal Identification Na Street Address: 2. General Description of 1 Owoor if ftLess.0 torivided for the waphivement '"al"ad L A�Idi. city I. — "a" I latest in Propedr. Name of Fee Simple Titleholder: (If different train Owner listed abom) Address StateCity 4, Contradon re" 0 ry City State - 412- 5. Surety: Name Address city state Amount otSood: Telephone Noa a. Levidw, ai Nam city State Address CL mn Lender's Tolapheax� No.: _ 0 T Persons within the State of Flodda des4trialled by this owner upan ishm notices or Was documents may be served as provided by -a Section 713.130)(0n, FUO E r— (n Q) Nam 0 tL0 Address City State Telephone Number of Desatrated Person: o -C 0 0 t- LJ Q Q3 8, In addition to himseN, the Ownerdegifingles Of 1c, 0 N. e—�-10 mewea ottina s &x In Section 793.13(l)(b). Florida Statutes. 0 0 Telephone Nurnber of Person or Enfily Desitinatem by Ownie: 00 iz E 0- 9, FVrallondaW of Wim of Cornmennamlet(the expindim dilkiplay rot const od final payment to the 0 0 a 0 contractor, but will be one year from the data of recording wless a different do's spocifiatr}- 0 0 -0 > 0 WARNING TOOVVWR ANY PAYMENTS MADE BY THE OWNER AFTER THE CWMT11O7N�tOFNOfICE OF COMMENCEMENT 3'C� 0 0 FL( ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER'713, PARTf, 17m , FLORIVA,STATUTES; AND CAN 40 F RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.CE OF COMMENCEMENT MUST BE to V 4) W RECORDED AND POSTED ON THE JOB SITE BEFORli-THE FIRST INSKCTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT -C' :) WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINGWORK OR RECORINNG YOUR NOTICE OF COMMENCEMENT, f— 0 z 'T M� Under penalty at Perjury, I declare that I have mad the foregoing Conn at and that the facts stated therei retruetothe best of my knowledife and belielf, E "s title to ")a" STATE OF FLORIDA COUNTY OF PASCO ;f0—W.1 Lessee, "orOwWsortoksft's uthorizird ofOww KEVIN LACHANCE My COMMISSION 4 14H 128118 FXPMES: may 10, 2025 The f as (type of authority, e.g., officer, trustee, attorney in tact) for (tawty betwofwhomt!s!��: axe ad Personalty Known 0 P_R P denthicatim'a Nolsw Iva" Type of Idenfifniftion Produ.-Tzz� wpdata/bcstnoticecommencmenLpc053048 City of Zephyrhills 5335 gen t Zephyrhills FL 33542 (813) 7 0-0020 Rq 2 %licGl Contractor �Engineer—Architect— Building Insp ctor License No. n or about Ldid personally inspect the: Check: Roof deck Nalling Dry in Flashing and Grip edge Check which was used; 30# felt Peel and Stick father (List) Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). Signature. STATE OF FLORIDA COUNTY OF PASCO Sworn to and subscri ,d befor;t�ls day RY: , Notary Public State of Florida NOTARY PUBLIC STATE f)F P[.CpAID Y GO IS ION EXPIRES JUN, 20, 2025