HomeMy WebLinkAbout22-5370Phone: (813) 5335 Eighth Street
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BAR-005370-2022
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Issue Date: 01/17/2023
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY
a" a. BEFORE
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PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL :M INSPECTION
_O` . 8 HOUR NOTICE REQUIRED
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PROTECT CARD FROM WEATHER
813.780-0020 City of Zephyrhllis Permit Application Fax-813-780-0021
Building Department
Date Received r %
Owner's Name ss Owner Phone Number
Owner's Address_ P Owner Phone Number
Fee Simple Titleholder Name ... _— - ._ Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � . � OT#
SUBDIVISION t� � PARCEL ID# �
I al LAIN PRORN PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR � ADDIALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CO TRU 'C EP OCK ED FRAw STEEL
DESCRIPTION OF WORK
BUILDING SIZE ! SO FOOTAGE HEIGHT
{BUILDING $ g VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ J AMP SERVICE PROGRESS ENERGY W,R.E,C.
PLUMBING $`
____
MECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION T
GAS ROOFING = SPECIALTY = OTHER��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER
" : }
SIGNATURE ...,,. ROMP ANC r sil
Address License # E� i
ELECTRICIAN COMPANYY
SIGNATURE REGISTERED Y! N �FEE.U.�ENY! N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED ;;;; �IE...E�NE N
Address License # _
MECHANICAL COMPANY
SIGNATURE REGisTERED ;;;�EECURREN Address License #
OTHER COMPANY YN cSIGNATURE E:===
PERED RN _
RESIDENTIAL Attach (2) Plot Planar; .(2}.sets of BuudiN Phrus;,t,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 & 1 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, Stomlwater Plans w! Silt Pence 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,
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Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7600)
'", #4gor{i (ituz l4 ie eorhrt�ctot} taw �*trroae�r-t�i �+t4c+mEry jiwthe.erwrery�n r§d lie srmne�r,e wit�i m:r}1ed'�Siev §worn r�wne4 �vlr��+6zir�g sarn�
OVER THE COUNTER PERMITTING (copy of contract required) �
Remots if shingles Sewers Service Upgrades A/C Fences (PlotlSurveylFootage)
Driveways -Not over Counter if on public roadways._needs ROW
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813-780.0020 City of Zephyrhills Permit Application Fax•813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS! The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive
than Countyregulations, 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 Divislon-Licensing Section at 727.847= 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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 property licensed and is
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPACT/UTILITIESIMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that "transportation Impact Fees and Recourse Recovery Fees may apply to the construction of now buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-O7 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 oeeupanoy"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 Wetter/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LA (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,
CONTRACTOWWOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with
air applicable taws regulating construction, zoning and land development. Application is hereby made to obtaln 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/WastewaterTreatment,
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
- Army Corps of Engineers -Seawalls, mocks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic 'Tanks.
- US Environmental Protection Agency-A%bersbes ahatement,
- 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 W" unless expressly permitted.
R 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 adjacentproperties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit appltcatiort, for tots tens than, citee 11
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 pennit 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 pemtit 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 COMMENCEMENT AWAY RESULT IN YOUR
PAYING:TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
FLORIDA JURAT IRS, 117,03)
OWNER OR AGENT T�b
TRALTO
Subscribed and sworn to {or affirmed) berate me this cde. and swam ,r tpr aft Kmed) before me this
yWho Ware personally known to me or has/have produced islare pe serially known to me or has/have produced
as identification. as identification.
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Notary Public p _Notary Public
Gamm%%Qr+N4, C's:msrsts*MMe,
Rama of Notary typed, printed or stamped Name o Notary typed, printed or sta �ped
SUMMER CoRNEILL
a Y COMMISSIONCOMMISSION# CC 96669
EXPIRES: march 9, 2024
rri ` Bonded lbru Notary Public Und 'ter¢
MASON HOMESI INC
CG C062538
rnasonhome��hotmailxom
7272151465
Zepherhills Permitting
Re: CONTRACTOR'S AUTHORIZATION LETTER
1, KAREN MASON, LICENCE HOLDER FOR MASONHOMES, INC, AUTHORIZE JOEL G
OJEDA TO PICK UP APPROVED PERMITS FOR E.
Kar n Mason
President MHI
STATE OF FLORIDA
COUNTY OF PINNELLAS
The foregoing instrument was acknowledged before me by means of
physical presence this f3'�"" day 12023 by
Karen Mason
AMMM JOHN MAZ
Notv Public S�o�c
W" PUWCStato of FWO
Sifnatu e of N try Public State of Florida My Cmu Ex*s May, 06, 2026
NO, KH 261629
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Print name of Notary
Produced Florida Driver's Licence