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Home My WebLink About11-11578 CITY OF ZEPHYRHILLS 5335 - 8TH STREET �si3��so-oozo 11578 ' BUILDING PERMIT Permit Number: 11578 Address: 39209 7TH AVE Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: YINGLING ADDITION Est. Value: Parcel Number: 12-26-21-002A-01300-0020 Improv. Cost: 6,260.00 Date Issued: 3/15/2011 Name: OBERHOLTZER, WILLIAM Total Fees: 105.00 Address: 39209 7TH AVE Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/15/2011 Phone: (813)505-0645 Work Desc: INSTALLATION 12 X 24 SHED 1 5. ��V �� . �� << 1 ✓ �� SHEATNING FINAL_ (�� REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 � 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 rding y r notice o mmencement." . .. , /, O TRA TOR SIGNAT PERMIT OFFI R PERMIT EXPIRES I 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � �� r- �` � � � � Date Received: � _ � — � � Site: J� � ZO 9 ��' � Permit Type: �� c Z 4 �� d Approved w/no comments: ❑ Approved w/the below comments: � Denied w/the below comments: ❑ C�� s�� This comment she shall be kept with the permit and/or plans . � � -- 2 - f t lvin er — Plans Examiner ate Contractor and/or Homeowner (Required when comments are present) m:MyFax - Carl Casten Tc�:INSU.FtANCE (18137800021) 14:23 03I14f11GMT-05 Pg 02-02 ��R�ti CERTlFICATE �F LIABILITY INSURANCE �;a z""" o i�' �'� (931)296 FAK: (9311296 TNIS (�RTiFICA7� Ig 18gUED AS A MATTER OF INFOltMW710N 9orch-3tribling-YFebb, Ina_ OHLY AHD CORFlRS NO R14KTS UPON iFE CERiIFlCATE N4LDEFi. iHIS CfRTIFICA7E bQEB HOT AMEHD, EXTEND OR 132 East Main St,rset AtTEft 7lITe ObViRAL3F AFFOROEO BY Tllf POLIGES BEL01N. D O 8ox 5d9 wavarly 1`N 371$5 INEURER9A�f4RDIHflCOV��iAG� hlR1Ci ° �� 0 u:�ugenwbMners In auranc o Co. 32700 C�nsalidated industriea Llc ir;su�enaAUto Own�ra Insurancs 1$989 760 Was�brook Rd �,,�� - Hicko ir+sunr�Q . _. LY KY 92051 IYSU�tflE: 7MF ppupE50F iN511w�r�c� iiSrFO [tr:�p�,�vre�yEeEEN I55uE0 TO THE INSUREDNA�D ABOYE F'OR T71g pq�a�Y PERIOD INDICAIID. PiOtH171 REOUIREMENT. 7FRi1 pR ��1716�t OF pNy Cq1i1Rl.CT pR OTHER DOqJMEP(F Vllm RE$PE�T TU WFlCH T}� CERikFiCA7E INAY 8E ISSUED OR MAY PERTAI THE INSiIRA1dCE I.�FORDEp 8Y iHE ppLICIES DESCRIBED FEREfN IS SUB,ECT TO ALl '�iif� TEF�1$, EXC,LUSlONS hND (�Np�iqsS � SUCa{ ppU�� MfSR D iYir O� NSINt1WGE AOUC1fEiFE011VE POLFCY EkM� - . roucrnuree�e o��e aa�e u�rr� � ocu�r,� s i x MVIERCII! 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Fxcsaaama�u ixen.irv RFNCf ! 60CUR [� C141A41LL'DE - o��n e� s RFT FN il - 6 $ �R�� aH0 riC STATI� �F: R IJf►�i�MA�ElORIF'fJrilhYRE7�CU7iVE CL�NCMFKGOElVT S 1�ODO�O� oFF:e�n,��ae�uo�o� QgOb0629 zn�soii � � zoiz aoo 000 uyee,a:orba,ru�r I I El p16FA6G_ U WpIpVEE S i, o�sme � ��'' 1 ODO, OOD DlSLRfTIDNOF OPFR117q1i5LOCA770N�msr� e:F][GWl10�16ADDEDBYt]�O�RSEl�[ili�lCYLLrIlOYI�JIOffS CERT�ICA7E HOLflER CANCELF.A710N 6y0t�D AIiY OF 7F� A60YE DGiOfppiO P4UCIi� o!i CAIYCELtED B�OA! T?� CITY OF ZEPt�IYRHiLLS �� TM � �� 5335 8 TN 8Tit8YT 3D a►ra mvr� Nonee m ire mtmcwre no�oeR Nu�m ro n�e t�r, eur z8ex�xrrn.Ze, �. 33542 — FA�URC �p �O f6 9fIJlLL 9oOSE NOOBUOA'110�t Oa W�IfY OF AMY IUND W'ON TIE � , a rtaAGOiRSORReMilCtfAyMl� AUTIIOf�FDRfPREi�1 iAT1YE Davis B. Aa7CC2�� IiI aeoiio �3 (saotro8l '" oncarto CoftPOi�AnoN tssa PfTF`c�ated with pdfFactory trial version www.odtfactorv.com �--- �� i iiiiii iiiii uiii iiiii �iiii ii�ii �iiii iiiii iiiii iiiu iiii ii�i 2011037264 ' ' Rcpt:1355557 Rec: 10.00 D5: 0.00 IT: 0.00 03/10/11 C. Cook, Dpty Clerk PAULR S 0'NEIL Ph D Pq5C0 CLERK & COMPTROLLER 03/10/il 01_llp� P of 1 OR BK �5� 3 �� NOTICE OF COMMENCEMENT Permit No _ _ Property Identification No f �`^ O�� '�4 ��'��/ \ � � � � � �� THE IJNDERSIGNED hereby gives not�ce that improvements wil] be made to certam real properiy, and m accordance wrth Sect�on 713 li of the Florida Statutes, the following mformation is provided m this NOTICE OF COMMENCEMENT � �l �� `' r � i i � / o � �1c� 1�SS 1 Description of property (legal description :) � �� L �� 6 J��L�" 9 a) Street Address � � / 2 General description of improvements �lV S �t' L.�- I � � G 3 Owner Information /� a) Name and address• \,� % � ( � /� l�'1 �� Yf � �-- ��'� b) Name and address of fee simple titleholder (if other than owner) c) Interest m properiy �ontractor Information /�( S��' / f' F-' a) Name and address ��V�'t'Lt�� b) Telephone No — 7�'�'�' ___ �s� Fax No (Opt.) 5 Surety Information a) Name and address• _ b) Amount of Bond. _ c) Telephone No Fax No (Opt.) 6 Lender a) Name and address Phone No 7 Identity of person withm the State of Florida designated by owner upon whom notices ar other documents may be served a) Name and address. b) Telephone No. Fax No (Opt.) 8 In additiun to himself, owner designates the following person to receive a cupy of the Lienor's Notice as provided in Section 713 13(1) (b), Florida Statutes a) Name and address. _ b) Telephone No FaY No (Opt.) 9 Expiration date of Not�ce of Commencement (the expiration date is one year from the date of recording unless a different date �s Specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA � COUNTY OF PASCO �� Signa e of Owner or Owner's Authorized Officer/Directur/Pa er/Manager � � � L C � s 7 Prmt Name The foregoing instrument was acknowledged before me this � day of ��,r► , 20�, by as (type of au thority, e g. officer, trustee, attorney in fact) for ��„L,►.� ��4ST�Q/� (name of party on behalf of whom instrument was executed) Personally Known � OR Produced Identificahon Notary Signature —__ e-._ �S� _'�-"'�''�' �_- --- Type of Idenhficat�on Produced '— __ Name (print) _�� .��5 � � Verification pursuant to Section 92 525, Florida Statutes Under penalties of perjury, I declare that I have read the foregorng arid that �. the facts stated m it are true to the best of my knowledge and belief. , _. Signature ofNatural Person S�gmng Above ' ' FORMSlNOC,rvsd2007 „� ' , _;��;: JUNE C BLED3QE � ' � ' •"c MY COMMISStON # Dpg�p� " � ' � '�� , , � � ' EXPIRES August 17, 2013 ('W7139E-0153 FlontlaNOtaryService,com Pasco Couniy Parcel: 12-26-21-002A-01300-0020 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, February 19, 2011 Parcel ID 12 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value OBERHOLTZER WILLIAM Ag Land �p 39209 7TH AVE Land $15,536 ZEPHYRHILLS FL 33542-5805 Building $36,037 Physical Address Extra Features $2,651 39209 7TH AVE ZEPHYRHILLS FL 33542-5805 Market Value $54,224 Assessed (Save Our Homes) $54,224 Le4al Description (First a Lines) Homestead 196.031 -$25,000 YINGL.ING'S ADDITION TO Non-School Additional Homestead Exemption -$4,224 ZEPHYRHILLS PB 2 PG 16 SOUTH Non-School Taxable Value $25,000 160 FT GF TRACT 13 LESS EAST School District Taxable Value $29,224 109 FT THEREOF Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �� 0100 SFR OOR3 7,500.00 SF $1.94 1.00 $14,550 � 0100 SFR OOR3 2,900.00 SF $0.34 1.00 $986 Additional Land Information Acres 0.24 Tax Area 30ZH FEMA Code � Residential Code ZHLGLP2 Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1964 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Built-Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 None Fuel Electric Heat Radiant Electric A/C Window Unit Baths 1.0 Line Description Sq. Feet —� Repl. Cost New 1 BAS 936 �— $44,675 � 2 FEP 288 $9,641 � 3 UOP 42 $286 Extra Features (Card: 001 of 001) Line Description Year Units � Value ��---- DWSWC 1974 177 $153 L� � � UDU-M 1974 1 $40 t� s� A G3 1974 1 $90 I 4 UDU-M 1993 1 $1,460 5 CLFENCE 2000 1,840 $908 Sales History Previous Owner ELLIS SYLVESTER C Year Month Book/Page Type � Amount 2008 05 �845/0638 � �0 2007 04 7482 / 1125 WD $130,000 2005 07 6524 / 1462 WD � $130,000 htt p://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21 &sbb=002A&... 2/25/2011 r� � AUG-05-2�OS 11:21A� FRO�-REDI-BILT tt 2T0 623 6054 T-526 P 002/002 F-509 VISTA MARiCETENG PORTABE.E SHEDS �` '_ 3169 Hwy 301 South Zephyrhli[5, FL 33540 T °—.T�� PH:813-788-5459 Fax:888-485-8 ' .-- --il SALESMArI C A R L-. C A S� E� DATE: �� TR�TED O �� ORQER PA[N7�p � �°'"" ON LQl' NEW tdiecX adef. u noCd�+W Irnantory to ropW�'7 ON LOT llSED � tr� ��r. �r needrw ��r �� v�`'�°� }Zppf CAlor Side Calor SIZE Trim Color BARiQ X LOFTED SARN X J / SIDE UTILITY X ��,� Y �f� �(� ��0�� UTlLITY x [NVENTORY # ° COTTAGE SH�D x COST OPTION �ESCRlPT�ON GARAG� x SIDE BARN x � ---- � X 3 �,�.� r O�r�� CABIN J� x� — O L.. �� "`�. PUR CHASER NAME � � l � � �� j � �� , MAILINGADPR£SS �i �� ✓ T i r �� iC G� � � � ►� P e � MOME AF10NE � � � � �� d` � � �� WORK PNONE: � � � OTHER: � � �'' $ �� gFnrr ra ^`"°' � CASH SALE P 1 SALES PRICE S 7 SAI.E$ PRIGE i �^�-�, e � S P 2 OPTIDN CQST iDescribe A6ovey 5 2 oPTION CO3T { oesenee Abo� ),� ��/ � 3 TdTAL PRETAX COST (LIN�c 7 r UNE 2} S 3 TOTAI� CO`.iT { LINE 1+ LJNE 2) a � 4a STATE SILLES TAX 6°L 4 p011uNPAYMENT AN�OlINT �,� 4b COUNTY $RI.�S 7AX k 5 NET DOWNPAY�RENT { UNE 4! L1PlE H� ) C 4c TOTAL SALES TAX %(LtNE 4a+UNE 4bl °� fi AMOUN7 TQ R70 (!.lNE 3- LiAO 5 3 � • � S TOTAL SALES TAX (LINE 3 X LINIE 4t) S 7 MbNTF1LY PnYMF•NT ( LINE B J 21•6 ) 6 TOTAL COST YYfTH TAXiL�NE 3+L1NE 4c} S 8a 3TATE SALES TAX � SqLES TAX � 7 AMOUNT RECEIVED $ 8b CdUNYY � gc TQTAL SALES TAX % —� ��► r 9 TpTAI. SAL�S TAX (l.W� � X LWE 8c) � DRAW ING 'I O TOTAL PAYNlENT NNE 7+ LINE 9} �� t1 SECURRY DEP'OSR ( S�� S�� 1 SZ�O 1 12 TOTAL RECEIVEO MethOd �� O � " pOORS FACING , DIRECYION$ Weatl�er Ki�+g and lts tqcata ere � reapona�le tor permirs, se�hack:. rest�cno�. covenants or enBwmg. P�eese camr�et vour bd xaea cepenn�ent x uamoownor.� As ;odatlon. u ta up to ux3 ra,rnarnnr m dedda w�atrwr ero�+nG conmW na ere :vitahlo (O( dellve�Y- 'UWlefhar ldnp is nal [n:Da1'+IDb fa YefQ o[ tlKvewflY tlatM�HOe- Frne ddiwry entl levolln6 iilUutlea �.IdO: aAtlidonal I�pa M�iY ir1W r r.lswrtwa W the cu l. tho cu- o roaQ @sdeoueo AMve. ona niN owep� w.onv.w pro.na�a v.�.�... . �' . • .i.��..�r We.....�� Gust�mer Signatu�e• % ' ,� t � - ------ ----. --- GI� 0£ _ZSPHYRJHILLS BUII,llING .DSPl►RT?lgFiT OWNER _l�' % l� � /� 1� 0�� C� 1� JQB LOCATSON � L " ` � U� � PARCEL I . D . " � � °�`� �� °� �P -` oZL �C� o�.�, d �� , � c�O�� S�i�W �L �%IS'T'ItJG Sc .ER()PQS6ll S'T'RUC'�'URE;S GIVING .DIHSNSIONS Sc SETBACKS . � S , / 5 ��!� ��i � '�� .�-t� --- �� UTILITY SUII,DINGS MUST SHOW SIZE & �� , �'OUNDATION INFOR- MATI�N. FRONT PROPER'FY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONT..NG 60' 2• SETBACKS FOR R3 Z�NING 60' - 10' ' P g 10' � R g O I 10' P S 10' � �' 1 0' 1 ' 0 � ExTSTING 10 r S I _ �. p � E N � G PROPOSED 20' 20`SGL FAM 30'DUPLEX �'�K'�' PROPEHZ'Ty LINS FROI+IT PROPSRTY LINS Sheds Plan Review Comments 1) ��II property markers shall be fully exposed at time of inspection. 2) All sheds shall be installed and anchored per manufactures specificatioris. 3) ��II set-backs shall be met. 90 sq ft or less is 5' set-back. Greater than 90 sq ft the set- k�ack is 10' 4) Unly 2 accessory buildings per parcel. 5) Sheds shall not be rented or inhabited. 6) Must meet and follow all conditions of ordinance:780-01 7) Not to exceed 16' in height at peak. 8) No other work shall be permitted (framing, plumbing, electrical and mechanical) unless otherwise specified. i W N � \ D� � - s \ �� rnD� 9 �� : n @ _ � (117� N ��O ��11 �� D �� F J P � A •. �� ti t � f rn o ~ � � r ��4�� r�~ u' lOH N s �' � �,� �-�, m � � °� � �� y ��m � y � � � A �r�r s � r�r � z snoos to:assl a,y „ � m rn Z � �� O D A? 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CARDUJELL, P�. HIGKORY, KY 4�051 �•• • • . W�D SanN eOr,X@e ao,w NMMW IM69 RarltlMr f601 I� r �� 7c � O� D P41. (0l7)133-4245 FAX (2l0) 623-6054 _-- , etns-� i uHrt n� I�.mtW�ur �c �� b v $� •iF:t �: -: . 1N�eO.�ro� �mi tuaaiwmoDlaaaseOD � COVER 5F{ '^ � �------- EET �o^2a-0'`j.�-;'� F� �+� � r� ��- y,,�� fl STATE OF FI,ORlDA . DEPARTMENT OF COMMUNlTY AFFAIRS "Dedicafed to making F/orida a better place to ca/l home" CHARt1E CRiST Govemor THOMA$ G. pELF1AM SlCtCtary Ro�er V(itchell March 2�, 2ppg Consolidated Industri�s, LLC 760 Westbrook Road Hickory, Ky.42451 RE: Manufacturer Certificatiun, !D MFT-345 Expiration Date: Marcl� 18, ?O1 I Dcaz 1�Ir. ti(itchelf: �t �s my pleasure to inform you that Consolidated Industries LLC located at ?60 Westbrook Road. Hickorv K. 4205 [ has been approved under the Manufactured Buildings Program, as provided for under Chapter 553. Pan 1, Florida Statutes, to martufacture Siora e Sheds for installation in Florida. Design and production of the buildinss must �e approved for compliance with the current Florida Building Code by your selectec! Third Parry Agency before construction begins. Your Third Partv Agency is a contractor for the Department and has statutory authority and responsibilities that must be V met to maintain approved status. You may expect and demand qua)itv plans revie�v and inspections. Each Code change w;ll make your plans obsolete untit they have been reviewed, appc,�ved and indicated [on the c�over page of the plans) for compliance with the Code by your Third Pacty Agency for plans review. �iease eesure that your plans are in compliance and are o�� embarrassing work stoppages in the permitting process. All site- elated�nstallation ssu s are the local authority having jurisdiction. The Department's contractor will make unannouneed monitoring visit,s at least once each year. You must grant complete access co your manafactuting fa��ty and recor to remain in compliance wich the rules und regulations of this program. Please visit our website at wwW.floridabuildin . �� lanufactured Buitdings Program. A co �O �e vaivab[e information on the Florida �� py of this letter must uccompany applicatians for local building Sincerely, . � ' ' ,��_ 1.. ( /'t i,.`=': HQichaet D. Ashworth Manufactured Buildings Program Manager � NDt. Danny Kennemur Pr��ent P ane 8A8466 SUVCOM 8V8466 Faz �AHASSEE, FL 3Z399-2104 Website www dca states�� 191.0781 COMY�y p�p� P � �-+88 ."356�S1lNCOAA 2:S•?�55 �EAS � Cp�i1CAL STATE CONCERN FfELO OfFlCE 1fOUSING AND COMMtT11iY OEYELOP�UENT Fm 854s!&7]04ISUNCOM778.�509 Fa� �5.��8- u�� P'Wnw �5p. 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G : f�, c � .� .� ,,,,,,,, .,.; �_ ;z ,� ~ rn� � �m �� ' ' � ((�/�� ` f p� T z A t � m_y_A �, �� tr �{'i `r � � // , ,\ 3 '�� $ �� ,',t;;� \ ' ,, ,`. , �� '� �� o ` "��. / . � � � "' � .� � �,, <� (1 ' � s �v a m ��,'-. •' � � � �' ' �� m �. � z` X D : �ao � � r C� T� p D 7p � T s rn t' ^' < ! $ F m m e � $ D � � m E S � {' � � r � N � � � � r � �' �1 so m T � I� . o � - � � i °� � � � �ov o °� � � � _ ��— . � � � � � � ' '"� �' m � " ' b "� O � m 'J � � �= � , : . i - � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �Z �_ Phone Contact for Permitting (✓ �� ° 7 T 7 Owner's Name �� 1 1 l( �� UL�� Owner Phone Number U(��'��` Owner's Address �(� � 1 � L�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� U � • LOT # C� SUBDIVISION PARCEL ID# !°� `�� -� `-�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PR�POSED USE 0 SFR Q COMM �J OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 DESCRIPTION OF WORK S I�� BUILDING SIZE � X SQ FOOTAGE � V O HEIGHT IO --� � �BUILDING $� 6� � VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. OPLUMBING $ , �� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATtON �?' t �� ` �� ,� (�`�") � OGAS Q ROOFING Q SPECIALTY � OTHER 2 j p IJ� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �� ,� � BUILDER COMPANY �d��OLI/,I�� Nv,3[ �'/�s SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N 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 (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 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 (Front of Application Only) 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 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 (Chapte� 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" prio� 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 tv be in compliance. 5uch 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. 1 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 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 COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO ✓ Subscribed and sworn to (or affirmed) before me this Subscribed an wor i m b ore by by Who Islare personally known to me or has/have produced Who is/are percnnallv knovvntu me or has/have produced as identiflcation. as identification. Notary Public � Notary Public f �, ,�,,,,,�, Commission No. Commission No `.; :. � Commission # EE 040520 � Name of Notary typed, printed or stamped Name of Notary ty oe�ieanp�wa,mwr«,o.eoa�m�o