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Home My WebLink About22-5386A Issue Date: 01/06/2023 ITT F 11111111ilimi-EK1,1T 111�1111I 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. 41 1I�ii / A& ONTRACTOR NATURE E IT OFFICE P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ;Ili 813-780-0020 City of Zephyrhills Permit Application Building Department -- --- ------ Date Received Phone Contact for itting Owner's Name Owner Phone Number Owners Address 2q,b Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION PARCEL ID # I C9 C21 C)b I < (OBTAINED FROM PROPEPTY TAX WORK PROPOSED NEW CIINITR ADDIALT SIGN INSTALL REPAIR PROPOSED USE ES?p SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL E: "IMS, RX . .. .......... . ..... ............ ... .. .... ...... =BUILDING E�3 ELECTRICAL qJ ''51UA) =PLUMBING =MECHANICAL =(GAS ROOFING FINISHED FLOOR ELEVATIONS VALUATION OF TOTAL CONSTRUCTION AMP SERVICE PROGRESS ENE 114.4 !!� VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE = REGISTERED tail I 1. IM111 12#900165ISM mom= LOT # = W.R.E.C. Address Its License# PLUMBER COMPANY E SIGNATURE =REGISTERED ;;;��FEE�CURREN Address License # MECHANICAL COMPANY E SIGNATURE E:=== REGISTERED ;;;N�FEE �CURREN Address License OTHER COMPANY SIGNATURE E:=== REGISTERED ;; FEE CU�RREN Address License # 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 w/ 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 wl Silt Fence installed, Sanitary Facilities & I 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) 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) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadwaye-needs ROW 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 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 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 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 Fusco CountyBuilding Inspection Division —Licensing Section at 727-947- 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 Fusco county. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCEV . 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 I, the applicant, have been provided with a copy of the "Florida construction Lien Law --Homeowner's Protection wide" 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 goad faith to deliver into the "owner" prior to commencement. CONTRACTOR'S/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 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 I ayheads, Wetland Areas and Environmentally Sensitive )-ands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayhead , Wetland Areas, ,filtering 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 W" 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 stern wall construction, I certify that fill will be used only to fill the area within the stem gall. If fill material is to be used in any area, l 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 wilding 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. OWNER OR A ENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known, to me or has/have produced as identification. Commission No. Dame oTVo—ta—ry—ty—p-e—d,—p—rin—te—d—or—s—ta—m—p—ecT— Who is/are personally known #o ruts or has/have produced as identification. Notary A' My Comm Won exp. 312712026 x3 his'Pre (or m by Clerk at the circUk cri"'k w,h, PUM11 T:tx Folio \o,j Vhv under"E'n'"I htr'by DAkv that hojwovvfoviva vi it) be made to motia m1proproy, And in avVINODU ,with "vi,tht a 713. LA of 14 efordis suo"Im the refln.ing hiftwinsfion Is Inhoitled i" %he NO I WE OF CONIMENCENIFN I. 3b. Okener's ultomm 41 site - a&` -I,:. Fee Simple Title holder {of odicr then ownerl i Ud c 5, Surely Name: of I-Amd: Adjmw 6Lender Nam: Contact: Mdre,w Phone: 7, Posen ikahm the by ouncrupoin whom noucca orimlicy divumems rna) be svir,,cd au prolided by SLThoo -, I ", I Ylba)7, Florida sntmtoS. Name: Addroms Phone Number A. in addition w homqclf, Owner designates the following penant 14) rvevivc aeopy of the Lienor', Notice as Itrovidied in Section 7t3,13t I )(bj, Florida Statutes. Name: Addrew Phone Number 9, Fxpiraucni date ofNotice ofCommen",netrit (cxpiwfion date if, one (1) year fwm date ofrecording unlc�s a diffierant date is qPvcifili,q), A'ARNINr TO Mi SM A.10'PAVNIPOS MARK SY THE OWNER AFMA THE KXPIftATU)q OF THENOTIrE OF COMIMENCEMENT,%ft' PAVtNO'FRI('F FOR IMPROVEMENTS To MOU PROPPRTV, A 110)"Cr. OF yvclqT RC FF.('()Rf)rf) AV) tio, mo ON (VF JOB %rrE OFFORP1 HE FIRST MNPEMON, SEFORF ( OMMENCANC WORK OR RECORDINC I(MV)TICT Of COMMENCulkim, 1.1 , W, �Aolhmltdl "It STNFE OF FLORIDA (:OLAT) OFMILUSHOROUGH 'ft going itimnumni tvas ickih).-kdj;v InAmv, me dti� hy, for llc,,omdf} kno"n-01 1, producod Identificalion Jyrof 'Canion "NMSCJ� FxphsNm#4w2,2024 tiagre tarp ! e, 1, alelp, OFF UfId,r N"Aties orp'nuty, I declare that in it "a ffue to the K8101,mv