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Home My WebLink About24-7708Complete 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. C ALTO iSIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 545k.11111111111 813-780-0020 City of Zephyrhills Permit Application Fax-8 13-780-0021 Building Department Date Received March 5, 2024 Phone Contact for Permittini �( 813 1 710 -- lqiR 111194941i J ,is fail wal"ll Owner's Name Jean Rosson Owner Phone Number (8 13) 8 6 2 - 5 13 67 Owner's Address 6103 18th Street Zephyrhills FL33542 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �6103 18th Street Zephyrhills FL 33542 LOT# 40 SUBDIVISION PARK HILL PARCEL ID#1 02-26-21-0180-00000-0400 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR F__] ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER I SOLAR TYPE OF CONSTRUCTION BLOCK a FRAME STEEL DESCRIPTION OF WORK PV SOLAR SYSTEM INSTALLATION BUILDING SIZE SQ FOOTAGE HEIGHT AVIVIV, Ell, ICIC11VIC x t x =BUILDING 19 6 6 2 t VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W. R. E. C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED L_Z LN L FEE CURREN N Address License # ELECTRICIAN COMPANY SIGNATURE 4 REGISTERED Address License #T T� PLUMBER COMPANY SIGNATURE REGISTERED Ly / N FEE CURREN L_y LN Address License # MECHANICAL COMPANY I SIGNATURE REGISTERED L_ILN 7,CIRREN Address License OTHER COMPANY = SIGNATURE REGISTERED / N FEE CURREN L_y 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 clumpster, 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 813-780-0020 City of Zephyrhills Permit Application Fax-61:3-M-VUZI 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 regulatio(ts, 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 bet 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 property licensed and is not entitled to permitting privileges in Pasco 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 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 LItN 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. 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'SIOWNERIS 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, t 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, WaterAlVastewater Treatment, - Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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 cif fill is not allowed in Flood Zone At" unless expressly permitted. "a - 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 liceR!Sed 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 filt 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 t 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 specificalty, included in the application. A permit issued shall be construed to be a license to proceed with the we* 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 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 OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIG t FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT A OR 'we CT 7R FLORIDA JUPAT (F', OWNER OR A EN CONTRACTOR Subscribed and �vio ed le e t h is Subscribed and sworn to off riled} before me this - rm by Marie 's d 'na Mende by Christopher Verner ni Who 'sl. par"' Me or hzWhia e produced t re Ito as , or s/ha e produced Who islare 22a22!!!L� to me or has/have produced identification. as identification. Notary Public Notary Public Commission No.-- Commission No. SARAH M. BOBOWSKI 1454 XN� ,-s, � `',,,Notary Public -state of Florida Commission # HH 482432 "xz v 4F My Commission Expires January 18, 2028 (0)TITAN S O L A R P 0 W E R F L o R I D A PERMITTING AUTHORIZATION FORM I, Jean Rosson �� + �M' r r � r«�r � yr •� r r r-+r � ♦r r i • • � a � �r +�i � �r � a ar• a ♦ O. ! . 011 q I W r-r ar HOMEOWNER SIGNATURE The foregoing instrument was al znole fore zne by m ns of C'physical presence or ❑online notarization this day of by who is personally known to me or has produced as identification. (Seal) MARIELIZA MEDINA MENDEZ Notary Public - State of Florida Commission # NN 240224 My Comm, Expires Mar 14, 2026 Signature of Notary c Narne typed or printed TO 1 Zephyrhills City (FL) From: VelezEdward He's... Re: 6 W. Letter visi Memorandum 6103 18thStreet MW Titan Solar Power 525 W. Baseline i~ d, ��++�?�"J �3�ac�: €"it9�c?��,at7t�'�' { om 10 A 5