HomeMy WebLinkAbout23-6651 (2)Issue Date: 07/26/2023
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 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.
��� I I! I! I I I I! I I! I I I: III I I! I! I I I I! III III I I III I I
==01mmomr= I=IZi
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
d
CONTRA IRSIGNATURE FEfAIT OFFICE[)
I/
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
jI
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received ! Phone Contact for Permitting
Owner's Name C) Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
LOT #
SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN
DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
Zc
m le & ;4
BUILDING SIZE
-rT-T-"
SO FOOTAGE
=
HEIGHT
=BUILDING
T-rlrlrlrlrl"
I N I I I T-17T-T-T-T-T-
VALUATION OF TOTAL CONSTRUCTION
[]]tELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING r== t< �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y / N ------FEE _CURREt,Y / N
Address License # F
ELECTRICIAN COMPANY 1 4, O/ -L) e: Z 6,7, � I
SIGNATURE t REGISTERED Y/ N FEE CURREN Address U License# PLUMBER COMPANY SIGNATURE jjj REGISTERED FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE
Address License# F
OTHER COMPANY
SIGNATURE REGISTERED LLLN_j FEE CURREN
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 & 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, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 clumpster. 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,
1 11 It 4
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 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 IMPACT/UTILITIES IMPACT AND RESOURCE 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 $2,500.00 or more, I
certify that I, 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: 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 NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)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
PASC
COUNTY R-ORIDA
MWEIM
In order to ensure emergency response to your home or business, the County is notifying you of
your newly established address.
If an address is assigned to a structure, and after construction the structure does not face the road
to which the address was assigned; or the site plan changes at a later date and structures no
longer references the original addressing plan; the address(es) may be subject to change.
Traffic Control (City)
6509 21" Street
Zephyrhills, FL 33542
If you have any questions, please contact our office at (727) 815-7154.
M=
PASCIII
COUNTY FLORIDA
POSTING OF NUMBERS
Your address has been changed toenhance 9-1-1emergency response. Ithas been deemed necessary and inthe best
interest of the health, safety and welfare of you and your neighbors.
Instructions onhow tofollow the Pasco County Land Development Cmde9D1.9
m Numbers must be easily legible from the street, with figures not less than three (3) inches high for
residences, and not less than five (5) inches high for nonresidential development.
w Numbers must beinocolor contrasting tothe building background.
• Where there is a free-standing mailbox serving the building or house, easily legible numbers shall be affixed
tnthe mailbox.
• Take care of anything that blocks your numbers (such as trees and shrubbery)
* Numbers shall bedisplayed onthe front entrance ofeach principal building and, for aprincipal building
which is occupied by more than one (1) business or family dwelling unit, on each separate front entrance.
• Please make sure you do not leave the old number up as well as the new number; this would be viewed as
dual posting by code enforcement.
m Address numbers should bemade ofdurable and water-resistant material
m Remember to check your address numbers regularly for obstruction or damage
* It is imperative that the new address be used and displayed as soon as possible, but no later than thirty (30)
days from effective date of this notice.
Your local postal service will forward mail to your old address for up to 12 months after receipt of this notification. if you
do not wish a delay in postal service, you may want to notify mail correspondence of the change.
CODE ENFORCEMENT
The Code Enforcement Division has the authority to enforce the address change. They will visibly field check the address
numbers to make sure they are posted. Fines could be may be issued for non-compliance.
NOTIFICATION OF OTHER AGENCIES
VVenotify the Post Office and 911.You will need tonotify any utility companies, Supervisor ofElections, Insurance
Company and financial institution deemed necessary. Although the Post Office isnotified, you may wish tualert people
you normally receive mail from, sothere isnodelay inyour mail. Please retain this document for your records. |twill serve
as an official notice of the address change by our office the authorized agency responsible for the change.
POST OFFICE BOX CUSTOMERS
Customers using post office boxes will continue using their assigned post office box number. The new address will beused
for location purposes pply such as emergency response, UPS delivery, etc.
RENTAL PROPERTY
IF YOU OWN THIS PROPERTY AND HAVE RENTERS, it will be your responsibility to notify your tenants of the
change of address and make sure the newly assigned address has been affixed to the building or a separate
structure as previously described.
IF YOU ARE A TENANT ON THIS PROPERTY, this document is for notification purposes only
ADDITIONAL INFORMATION
|fyou feel this address has been incorrectly assigned toyourpnnperty\youdnnothaveaotructure|ocatedonthis
property or you have more structures than listed (which will require additional addresses), please contact the Geographic
Information Addressing Office.
(727) 815-7154 � West Pasco Government Center 1 8731 Citizens Drive, Suite 3511 New Port Richey, FL 34654