HomeMy WebLinkAbout23-5850 (2)ty of Zephyrhills
17'
77",
BNC-005850-2023
Issue Date: 04/12/2023
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.
I !J!I 1111111111 1!111! !! 11 11, 11711,17 111
!11,11111 Jill III 111 1111111 lipil I III 111 11 Jill 1
Fie periv=4107M
accordance wi h City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
. ......... . .. .
ONTRACTORSIGNATURE IRE IT OFFICE
PERMIT EXPIRES 1N 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 Cite O ZepIj;t x'C'mit Application Fax-813-780m0021
.,araFnq Department
Cate Received Pite. n C rrta+ t for Permitting r,!
Owner's Ramie � ( � � 4 t� � �Owner Phone Plumber
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone number
Fee Simple Titleholder Address
JOB ADDRESS a LOT #L.
bSDIVISION j PARCEL I # !
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CON5TII AD DIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
PE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK =QFOO�TAGE
BUIL ING SIZE HEIGHT
BUILDING ( VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ . AMP SERVICE PROGRESS ENERGY W,R.,C,
PLUMBING
4
.MECHANICAL VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS [::=
FLOOD ZONE AREA =YES NO
BUILDER , � � COMPANY
SIGNATURE ��� r � � ��,� REGISTERED agW:KFEEiCiRREn Y f N
Address License
ELECTRICIAN SI
Ey�*,-,
OPIATE#R m ..._ _W.._ . a CD Y 1 iN FEE CURREn
Address License #
PLUMBER COMPANY
;;;��FEE
SIGNATURE REGISTEREDcuRREn V f N
Address License #
MECHANICALE=== COMPANY
SIGNATURE REGISTERED ;;;;; �EEERREN Y f N
Address License #I
OTHERE=== COMPANY
SIGNATURE REGISTERED �rEEURREn
Address License #
111l11I1II1111III Rill 11111l11Ill III IIoff loll 1111I111111Ill Ill IIIIfI
RESIDENTIAL Attach (2) Plat 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 wt Silt Fence installed,
Sanitary Facilities & 1 durnpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Mans 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 wf 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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (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
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PloVSurveyfFootage)
Driveways -Not over Counter if on public roadways.,needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-7 0-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrict"Ne
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 wilding Inspection Division —Licensing Section at 727-847- 8009.
Furtherr-iore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor dock" of this
appK;et'on for which they will be responsible. If you; as the owner r:ign as the contractor, that may be an indication that he is not properly licensed end ii
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Tram portation 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 provir ed 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: 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, 1/Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
- Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Array 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 alloyed 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 stem wall
construction, I certify that fill will be used only to fill the area within the steps wall.
If fill material is to be used in any area, 1 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 wilding 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.
,-iuoscrro _ I -sworn To en) DeTore me inns
by
Who —is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No.
Game b> N-otary typed, printed or stamped
CONTRACTOR
.s r °
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.
Name of Notary typed, printed or stamped
Notary Public
Contractor/Homeowner:
Date Received
Site:
Permit Type:
Approved w/no, comments: 0
JAN
ULX)s
j';LV
61)
MO
hLL—I--
t4 YV
MMENTS
C3 C."
A
Approved w/the below comments: rg- Denied w/the below comments: El
M
C17
'fj'j I-P
M
This comment sheet shall be kept with the pen -nit and/or plans.
n
AAq
B I urggess ans Examiner Date
M
M
Contractor and/or Homeowner
(Required when comments are present)