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Home My WebLink About22-5367City of Zephyrhilis 5335 Eighth Street Zephyrhills, FL 33542 BGR-005367-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/13/2022 Will 11IN111111111111 !111!11 111 1 23IZ3�� 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. --UL 11 014 PE IT OFFICE fERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department i Sixth Avenue LLC MA MUM so=iM Fee Simple Titleholder Name ( I Owner Phone Number Fee Simple Titleholder Address SUBDIVISION PARCEL ID#1 12-26-21-00213-00500-0000 JOSTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEWCONSTRF--1 ADO/ALT SIGN DEMOLISH 11 INSTALL Ej REPAIR PROPOSED USE [X] SFR COMM OTHER TYPE OF CONSTRUCTION = BLOCK FRAME STEEL 11IMMOM. IN MEE= 7mm =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING U =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING [D SPECIALTY = OTHER Ilk FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER Johnson's Excavation & Services, Inc. SIGNATURE REGISTERED Y/ N FEE CORREN YIN Address 1706 E. T a 11 Plant City, Fl 335566 License III ELECTICAANY E SIGNATURERIN REGISTCOMPERED ;;N FEE �.URIIEIIY 1 N� Address ====== License #==== PLUMBER COMPANY E SIGNATURE E:=== REGISTERED FEEYIN Address License #E:==== MECHANICAL COMPANY E SIGNATURE REGISTERED ;;;; FEE CUF�IR�1Y / N�� Address License #E===:= OTHER COMPANY SIGNATURE ;; REGISTERED �FE. C.RaElY l N�� 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 wl 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 wt 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 Plans. ****PROPERTY SURVEY required for all NEW construction. Fill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a Notice ofCommoncemont is required. (A/C upgrades over $7600) 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) Retools if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/Footage) Dflveways-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 compliance 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 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 IMPACTIUTILiTIES IMPACT AND RESOURCE RECOVERY 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$2,500.00 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. CONTRACTORS/OWNER'S AFFIDAVIT: 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,Water/Wastewater 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 RECORD A NOTICE OF CO MENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU 1tTE D TO OBTAI FINANCING,CONSULT WITH YOUR LEND ANA BEFORE RECORDING YO OTiCE OM E NT. FLORIDA JURAT(F.S. .0) d }7 OWNER OE gent CONTRACTOR Subs rIt sN r (or afrirme ) ore t uis Sub cri d an n to(or aNir ed)be r@ o is b Donathan A:Joh n an A.Johnso €' Who islar rsona ly known m or has/eve produced who is/are rsonally known me or has produced as identcation. as identification. (tea 'Votary Public , ,'l .t:' 'Notary Public Commission No. Commission No. Na of Type ,prim I M Name of Notaty,#y ei: rime e � w IYCOfdMIIONH10153 � � PATRIIAC.VARNM " EXPIRES,March 16,2025 p ty COMMISSION H 105153 3w f a°� I3ndetl Tlttu t�otsry Pukll�IJ tars �� ® EXPIRES:March 1 ,2025 � ,t°"p sanded°(bras Notary Public Undesrrit . 00 0 .00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Panel No, Parcel ID No NOTICE OF COMMENCIMENT Stain of Ficu €cia Caunty of Pn.gctt TItG uNDGRSi6Ni D hereby gives notice that Improvement WN be made to certain real property, and In accordance wilir Chapiar M, Florida Statutes, the tollawing information In provided in this Notice of commencement: 1. Description ofProperly Parcel tdentrAeoilonW. 12-26,21•00211,00500•01) Street Address: W14561hAvenue, faphyrhllk,Pl. 3355-10 2. General Description of Improvement Clereiolltlon end legal disppsui . �itc I a 3, Owner Information or Lessee Information If the Lessee contntcled for Iha Improvement: Suds Avenue LU: chi Duff Plieips, A Kroh Rusniess 917 Name eat It whin tan 4f„,4 2 f chlca 6o ABkires5 rims Clty 5 oS tntorast rn Properly: C)cvner Name of Fea Simple Tillahoklen tlf dllforanl kom CNmnNfsiod arbove} Address CNy Sia4a 4, Contraclar. Jehneunla 6"asnvslma maSaiWrorl.. Name rrooa, u�ynaane Plant City FL Address CfIY StatC ConlrectotaTalephemoNo.• 813-752-7097 8, Surety: Ndmo Address MY State Amount of bond: S Telephone No.: a. Lander. Name Address City Store Lenders Telephone No,: 7_ Persons within the State of Florida designated by the owner upon wham nonoos or outer documents may no seruad as provIdM by Section 713.13(9)(a)(7), FroddaStatuter, Name Address City $Into Telephone Number of Designated Person: 3. In addition to himself, tho owner designates Of — to receive a copy of the Lionors Notion as provided to Sargon 713,13(#)(1)), Florida Stntrnes. Telephone Nomhar or Person or FoRy Doslgnaled by Owner: g, fxpirailon date of Notice of Commencement (the oWrallon date may not be before the comphdron or construction and final pgnraml to the contractor, but VAN be one year from the dale of recording unless a diilerent dote Is speclffad} Under penalty of foolery, r dachwa that 1 have rod f er forormarr of my knrrivtodga and holier. Signatory's TiitdOffloo Tho forogoing instrument was admModged before me this day of $ 2t by "2 rss k {type nlaitdrCrlly, e.g„ ntNrsar, tnrateC, atlarnoy in fact) tar {name of party ohaif ofwhm» rostrum as :Urledj; Pamnnnity Knavn(,{�g Prorhmnd IdantlNcallon � Notary Stgnatura Type of tdaniiNaol3on Prodaaod Name ¢l'dnt} �, � . SUSAN 1- KOWltL � ; . 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Johnson, President of Johnson's Excavation & Services, Inc. do hereby designate the following individual (s) as having the authority to sign and submit applications and related documents for the purpose of obtaining any permits under my State Contractor's License, reference #CBC059540 for Johnson's Excavation & Services, Inc. I further acknowledge and accept as a licensed contractor, my responsibility and liability for each project pennitted under the authority designated on this form, and that my failure to assume and fulfill said duty may be grounds for the initiation of disciplinary action against my contractor's license. DESIGNATED SIGNERS: 1. Scan Givens 2. Robert Beach to and subscribed before me this —2 day of December 2021 (X ) Is ( ) Is not personally known to me.