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Home My WebLink About23-687711 26 21 0010 17900 0060 gill illl!iiiiIIiiii Fill 11111i Iiiii! III I Name: THOMAS & GAIL FISHER Address: 5247 17Th St ZEPHYRHILLS, FL 33542 offfilalifflam BAR-.00ii 6877-2023 Issue Date: 09/28/2023 5247 17Th Street Building Valuation: $2,000.00 Electrical Valuation: $1.00 Mechanical Valuation: $1.00 Plumbing Valuation: $1.00 Total Valuation: $2,003.00 Total Fees: $75.00 Amount Paid: $75,00 Date Paid: 9/28/2023 8:19:55AM 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. 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. CONTRACTOR SIGNATURE PE flT OFFICI 0 :Jul* ON Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number AVOIN 2ts ".1Q2414 PROPOSED USE 1k1WA0AVk4"1JFfff$1'W`1• NEW CONSTR ADD/ALT INSTALL REPAIR SFR Comm BLOCK E:] FRAME I'ESCRIPTION OF WORK — SIGN DEMOLISH BUILDING SIZE SO FOOTAGE HEIGHT E5BUILDING 0_0 _0 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1P AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING 1 =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED =/N FEE CURREN Address License# ELECTRICIAN COMPANY FEECURREN =/N SIGNATURE REGISTERED Y/ N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE CURREN Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED L �/N FEE CURREN Address License# OTHER COMPANY kAf SIGNATURE E IG TUR REGISTERED Y N FEE'CURREN YIN Address License # L 1f111 111111111 111111 111111 111 1111f_1�1_11111 111111 111111 1 11111 111 111111 111111111 livill If 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 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 roadways,.needs ROW 013-780-0020 City OƒZephVrhiU3 Permit Application Fux-018-780-0021 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 | i 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 isnot licensed mnrequired bylaw, 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 1ocontact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furth*nnnne, if the owner has hired a contractor or cnntmctors, he in advised to have the contractor(s) oiSo 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 oupermitting privileges inPasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of now bui|dinge, change of use in existing bwi|dinWu, or expansion of existing bui|dingm, on specified in Pasco County Ordinance numherOg'0T and 98O7. as amended. The undersigned also understonds, 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 bepaid prior 1ureceiving "certificate of occupancy" or final power release. If the project does not involve acertificate ofoccupancy nrfinal power release, the fees must be paid prior to permit issuance. Furthmnnuna. if Pasco CnuntyVVcner/8aver Impact fees are dua, 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. |f the applicant issomeone other than the ^owner'.|certify that \ have obtained ucopy ufthe 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 badone incompliance with all applicable |u*a regulating construction, zoning and land development. Application is hereby made 0oobtain apermit todowork and installation as indicated. |u*nify that nowork orinstallation has commenced prior ooissuance o(apermit and that all work will baperformed iomeet standards ofall laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that understand that the regulations ofother government agencies may apply tothe intended work, and that i1|omyresponsibility toidentify what actions | must take tuhoincompliance. Such agencies include but are not limited to: - Department OfEnvironmental Protection -Cypress Bayheadg, Wetland Areas and Environmentally 8eDsidxg Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayheadn, Wetland Areas, Altering Watercourses. - Army Corps mfEDQineers-Segwa|\s'Docks, Navigable Waterways. - Department of Health & Rehabilitative Semices/Environmental Health UDit-VVeUs, Wastewater Treatment Septic Tanks. - UGEnvironmental Protection Agency -Asbestos abatement. - Federal Aviation Authority- Runvvays. | understand that the following restrictions apply to the use of fill: - Use Offill isnot allowed iDFlood Zone ~V~unless expressly permitted. - If the fill material in to he used in Flood Zone "A", it is understood that a drainage plan addressing o "compensating volume" will be submitted at time of permitting which is prepared by 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 vvaU construction, | certify that fill will be used only tVfill the area within the stem wall. - If fill material is to be Used in any area, | 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 |8Ss than one (1) acre which are elevated byfill, aDengineered drainage plan |Srequired. KIomthe 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. \understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included inthe application. A permit issued shall be construed to be a license to proceed with the work and not as authority to vio|ako, oance|, aKer, or aa^ aside any provisions of the technical uod*n, nor ohu|| issuance of u permit prevent the Building Official from thereafter requiring a correction of errors in p}ens, 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 issuspended orabandoned for a period o[six (0) months after the time the work is commenced. An extension may he requasted, in wri\ing, from the Building Official for mperiod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension.|fwork ceases for ninety (90)consecutive days, the job iaconsidered abandoned. and sworn W , lar=lly known to me or has/have produced —as identification. Notary Public commis on No. Name of N ar yJ printed or stamnd have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the TO—Ilowing conditions: WITNESS PERMIT I/Masterfomis/OwnmAffidavit/NovO7