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Home My WebLink About08-7941 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7941 Permit Number: 7941 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 6611 ROSEWOOD CT ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: DRIFTWOOD Parcel Number: 02-26-21-021 B-00COO-0020 Book: Section: 1,592.95 6/09/2008 60.00 60.00 6/09/2008 REPLACE NINE WINDOWS Name: STEVENS, HARRIS & NORMA Address: 6611 ROSEWOOD CT ZEPHYRHILLS, FL. 33542 Phone: 813 783-7129 ~(\& \o-lq - F R FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or colT'eCtions not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: 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 co encement." CONTRACTOR SIGNA RE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Site: ~n~\ S~y tJ -If-o 8 (p & / I IIJSR. cJtJod~ C,T . Nt/! e uJVrf2J p,p ~ce Contractor/Homeowner: Date Received: Permit Type: Approved wino comments~ Approved withe below comments: 0 Denied withe below comments: 0 k t with the permit and/or plans. Date Contractor and/or Homeovvner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received I ~ /~jC'~5 Owner'sAddress I ~~I/ KeX5eu)Oc:JJ} t:-r Fee Simple Titleholder Namel Owner's Name Fee Simple Titleholder Address I I $~4J e:- rnJ~(~c\ @ PROPOSED USE ~ TYPE OF CONSTRUCTION D DESCRIPTION OF WORK IC~JU /)0 -- (~j;/l/.Lh(-L/ ifi=~tENE/1/r -- ./f///\/K BUILDING SIZE I sa FOOTAGE I HEIGHT I ..111..111...11...11...111.111.11.........1111...'....11..111...11....1.....111...111..,....11..............111...'..'11..'..11.."'..............11 1$ /~1't. 9s1 . D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D FINISHED FLOOR ELEVATIONS I I JOB ADDRESS LOT # SUBDIVISION I B D D ADD/ALT REPAIR COMM FRAME PARCELlD#1 02--- 2/p - t,,/ -Ol( 6 ../ QOC(;D-OOUJ (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN 0 MOVE D DEMOLISH D D WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK OTHER STEEL I o OTHER I D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY o W.R.E.C VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER SIGNATURE COMPANY REGISTERED 'ikmenu~ I Y I N I FEE CURRENT License # I Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # 11II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) 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 wI 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. 11111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111I11111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) 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 (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/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 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 ~nstallations not specifically in~luded. in the application. A permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y ~o vlol~t:, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r 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 th~ work is commenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty ~90) da~s and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the,Job IS conSidered abandoned. CONTRACTOR Subscribed and swo (or 6 - 0- cJ ttJ by Who is/are personally kno Li ee..... ~ Notary Public Notary Public Name of Notary typed. printed or stamped Quote http://m2osrv.0998.lowes.com/m2o/mediumQuote.jsp?projectId=55... Back to Quote LOWE'S HOME CENTERS, INC. #1854 7921 GALL BOULEY ARD ZEPHYRHILLS, FL 33541 USA (813) 838-9000 Project #: Customer Name: Customer Phone: Customer Address: 235353273 C.l. HODA (813) 356-9868 4546 BIRDSONG BLYD LUTZ, FL 33559 USA Description: Bronze Windows Line Item Frame Size Product Code Description Unit Price Quantity Total Price oo(fr...................................~.........w.....w.........................................ManuJactufer:...BetterBiItS.outh.............................................................................................................................................................................................................................................. fS Size = 53" W x 50 1/2"s.74053iix5<f172.;ipLGn.nn.nn..mnnn..nhn.................."............."hi :Hbivision: Millwork ..:,.",......1 I :Product: Windows :[rype: Single Hungs .iManu~acturer: ~etterBilt South Material: Alummum :Product Line: 3740 l>roduct Configuration: Single Application: Flange for Block Construction <Jlazing Type: 1/2" Insulated Glass Frame Size Width: 53" frame Size Height: 50 1/2" Buck Width: 52" ;!Buck Height: 49 1/2" Glass Width: 50 5/8" Exterior Color: Bronze !Hardware Color: Bronze ~ash Style: Equal Low E Option: Sun 140 Low E Obscure Glass: No rrempered Glass: No Grids: No Screen: Included Screen Color: Bronze Wall Depth: 2" Lead time is 14 Days. [ - ~ $139.37 2 $278.74 100 05/30/200811:51 AM Ql\ote http://m2osrv.0998.lowes.com/m20/mediumQuote.jsp?proj ectId=55 ... ......___............__.__._._.__.____.__................................_______.__."._......__.._____....___....__.........___n........__..........____.....u......_.___.....__..........................___._.__...................___.________._.........____..... l~ .[Appl.ication: Flange for Block Construction plazmg Type: 1/2" Insulated Glass ';Frame Size Width: 37" Frame Size Height: 38" Buck Width: 36" )3uck Height: 37" plass Width: 345/8" Exterior Color: Bronze iHardware Color: Bronze Sash Style: Equal Low E Option: Sun 140 Low E Obscure Glass: No ifempered Glass: No Grids: No Screen: Included :Screen Color: Bronze .Wall Depth: 2" Lead time is 14 Days. :: .D603......................................~............,.,...........M~~f;~~~;:.'ji~tt~a~mrS.;iitlt'.:.:.:.:.:.:.:.:.y~.:,.:.:.:.:.:.:.:.:.".:.:,.:.:.:.".:.:.:.:,.::.".:.:.:.:.:1.~...................................................,.........................~,...,.,.........,...,.~...; . FS Size = 37" W x 50 1/2 "3.74C53'7"';.xs<f'TJi"PLCf'........w.............................................................................................................w.......;: iH Division: Millwork' Product: Windows frype: Single Hungs Manufacturer: BetterBilt South Material: Aluminum Product Line: 3740 ~roduct Configuration: Single Application: Flange for Block Construction Plazing Type: 1/2" Insulated Glass Frame Size Width: 37" Frame Size Height: 50 1/2" Buck Width: 36" tBuck Height: 49 1/2" Glass Width: 345/8" Exterior Color: Bronze iHardware Color: Bronze .Sash Style: Equal [Low E Option: Sun 140 Low E Obscure Glass: No Tempered Glass: No Grids: No Screen: Included Screen Color: Bronze ~all Depth: 2" ff-- ~__c - . . Lead time is 14 Days. o.o6~r......................................................................................................b~~f~~;;~::.'I3'~tt~amrs':;~tlt:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.".:.:.:.:.:."J.............~..!..~Q..:.~.~..................,...!.............N...........~..!.~.Q.;3.~ iPs Size = 37" W x 73" H3740j.7;;~.73~'FLG6iuEL......................; bivision: Millwork Product: Windows Type: Single Hungs Manufacturer: BetterBilt South Material: Aluminum Product Line: 3740 rroduct Configuration: Single Application: Flange for Block Construction Glazing Type: 1/2" Insulated Glass $195.54 4 $782.16 . 200 05/30/200811:51 AM Qtiote i http://m2osrv.0998.lowes.com/m20/mediumQuote.jsp?projectId=55 ... ~ ~ frame Size Width: 37" $'rame Size Height: 73" Buck Width: 36" )3uck Height: 72" Glass Width: 34 5/8" Exterior Color: Bronze Hardware Color: Bronze ~ash Style: Oriel Low E Option: Sun 140 Low E Obscure Glass: No Tempered Glass: No Grids: No Screen: Included iScreen Color: Bronze ~ all Depth: 2" ., [Lead time is 14 Days. _____..._.n.___.............__________ ..-.........................-.........-.....-...........-...".-.-...-...-.-....0..".................-.-.........................-.................-."...-.-.....".-.._-_-...-.-.....-.....................................l!.....'Ou Salesperson: DAVID WOODWARD (S1854DW2) Accepted by: Date: 05/30/2008 i:j::i_~I!.I.~j:~::1 · Project Total: $1,592.95 This Millwork Quote is valid until 5118/2008 on all regularly priced items. For promotional pricing please see the disclaimer noted with each item above. This is an estimate only. This estimate does not include tax or delivery charges. Delivery of all materials contained in this estimate are subject to availability from the manufacturer or supplier. All the above quantities, dimensions, specifications and accessories have been verified and accepted. 3 on 05/30/200811:51 AM 'DISCLOSURE "ST ATEMENTFOR,OWNER CITY OF.ZEPHYRHILLS.:.....,BUILDfNG DEPARTMENT I, ~ 1f',({6 V &t:tMave read ~nd iully understand and.agree to the provisions of thl instrument. . 'The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile,'thathe 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 following conditions: , . '1. That.the owner and he or she alone shall act as the builderfor all phases of construction. ' 2. That the' oWner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in' the event'the Building Inspector shall require corrections to be made, the owner will assume 'fullresponsibiUty to insure they are made" and upon completion will call for a reinspectionbefore proceeding with the, building. , 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, .lien laws, etc., where c:lpplicable. ,8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission.. ' . 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that. law. The exemption allows you, as the owner of your property, to act as YOl:lr own contractor with certain restrictions even though you do not have a license. You must provi.de direct onsitesupervision of the construction yourself. You may build or improve a one-,family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do 'not exceed $75,000. The building or residence 'must.be for your own 'use or occupancy.' It may not be built or SUbstantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your '. contractor or to supervise. people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not.delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that .you must deduct F.I.CA and withholding taxandprovidework~r's compensation for that employee, all as prescribed by law. ' Your construction must comply withal! applicable laws, .ordinances, building codes, and zoningr.egulations. . DATE 0/ '1-/67; . OWNER'S SIGNATURE ADDRESS PHONE, WITNESS PERMIT ,.' 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'JJO " JSd ilLS . cfl'lO NOn"l/lff NOlWl1lIOS3O ~NV .:10 S3W:)vcWO O'tOl ~gL; NOI'T1OJII YW .uMf:) . S3w:)v~ 0'f01 ~ NOmOl'l 1YJ.NOZll:lOH d"'~ ~~~'=(3 N.S 8 NOIJ.::>3S 991..SO# dn::> Nomn" t ~9(/6 L lro''l' ( CITY OF ZEPHYRHILLS 5335 - 8TH STREff (813)780-0020 PLUMBING PERMIT 7989 Permit Num er: 7989 Permit Type: PLUMBING Class of Work: IRRIGATION Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 6/23/2008 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 6/23/2008 Work Desc: PLUMBING FOR IRRIGATION SYSTEM Address: 36049 SHADY BLUFF LP LOT 3 ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Subdivision: SIL VERADO Parcel Number: 04-26-21-0060-00200-0030 Book: Section: Name: Address: WINDWARD HOMES 5439 BEAUMONT CTR BLVD #1050 TAMPA, FL 33634 813885-7744 Phone: ('~~-fe \: lI*-U \t 1 ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL REINSPEcnON FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. TO E IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name """.,..,,~. i'1t!1 ~1le.J'1b Bwd '*'<f~ ~03sl1 Fee Simple Titleholder Name I WORK PROPOSED I ,.. ...... m,,_, .....Q i i :::::::~ ~r:;:/;::':1 ~f~~~'%:~.?I_(XU)_(~~o'~1:-. (OBTAINED FROM PROPERTY TAX NOTICE) D ADDIALT D SIGN D MOVE D D REPAIR D COMM D D FRAME D I rr ((}' J:ti ca"- SQ FOOTAGE I ~ [8j D I ffldt~ I NEW CONSTR INSTALL SFR DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION BLOCK OTHER STEEL I D OTHER I DESCRIPTION OF WORK HEIGHT I BUILDING SIZE D BUILDING 1$ I D ELECTRICAL 1$ 1 0 PLUMBING 1$ 1m. ..- I D MECHANICAL 1$ I D GAS D ROOFING D FINISHED FLOOR ELEVATIONS I I "Ifill III BUILDER SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY /8, '~.E.C. .\ VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES COMPANY REGISTERED YIN FEE CURRENT ~ Address ELECTRICIAN I SIGNATURE , Address I PLUMBER I SIGNATURE Address I MECHANICAL I COMPANY SIGNATURE . REGISTERED .,,~ ! ~ ~I~HN~~URE 1 <- ~-~ ~ ~:~:R~~ Address IPlc?l15 -IIa<;t5 ~11f<;.1JriA~lI.ill l~~ 10 I License # COMPANY REGISTERED YI N FEE CURRENT ~ License # COMPANY REGISTERED Y/N FEE CURRENT ~ License # ~ YI N FEE CURRENT RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R.{)-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans wi Siit Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge projects Attach (3) 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 wi Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT 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 $5000) 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 (Front of Application Only) Reroofs Sewers Service Upgrades AlC 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 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, WaterlWastewater 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 offill 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 OWNER: 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 TORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. FLORIDA JURA (F. 17.03) CONTRACTOR ~scribed an~w u..A 0 ::un by Who is/are De~nn;llly known to gJ~rn.@~~~c J1XJAn -- . ~'" AN I.~,_/ CommiSSion No s.~ ......... 410:/~ CommISSIon No ~ '" ..:~" CUMMISS;..:l/"~ .:: 'T' .. "" \ulV ?, V"" .. 0 :;; Name of Notary typed, pnnted or "~RI>d '~ ~ .. ::;t. ;, Name of Notary typed, printed or stamped .0. ____:..0. _ :-1- '- 0-. = :;-,=~:Z #0/\., ~:: ."":..!...o v$.,~ C/::I._ .- ."<g l1'Oa- .- ;.~..:z..() ~ (2,r :Jf ~ -,~,..~~ -.Vo4'[srJ1hf1J .....~ '#,~.}/C ....l:ItJderwnte~s....t;'\.~ ~>" /,/81.. ....... 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