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Home My WebLink About12-13556,13557 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 13557 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:13557 Issued: 10/29/2012 Address: 39311 RICHLAND RD Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 321,906.00 Total Fees: 1,458.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: /�FS��j-�� Date Paid: IG� Z� � Parcel Number: 24-25-21-0010-12300-0010 Name: RTD CONSTRUCTION INC Name: CITY OF ZEPHYRHILLS Addr: 5344 9TH ST Address: 5335 8TH ST ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL. 33542 Phone: (813)783-9119 Lic: Phone: 813-780-0006 Work Desc: NEW BLDG W/IMPROVEMENTS FOR WELL11& 12 TREATMENT PLANT/ PO#17979 1, 7 . . 5. �� -._.-.._____ _ __ �� --- `�� . � / - � 1 `� ,�� vsz�- oL�� C FOOTER BOND DUC S INSULATED SEWER MISC ROUGH ELECTRIC LIN L MIS MISC 1ST ROUGH PLUMB PRE ETER ULATION WALL MISC. DUCTS INSTALLED WAT MISC DRIVEWAY PRE-SLAB SHEATHI MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION PEES: 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 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. "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." Complete Plans, Specifications and Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. CONT CTORS IGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 39311 RICHLAND RD-WATER TREATMENT PLANT 11812-BP#13557 SQ. FEET PRICE MAIN OR LIVING: - OTHER AREA UNDER ROOF: - OTHER: - $ _ VALUATION $ 321,906.00 FEE SHEET $ 1,151.00 ADDRESS DRIVEWAY BUILDING: $ 1,174.02 ELECTRICAL: $ 258.98 PLUMBING: �(j�A� MECHANICAL: N�A-- SUB-TOTAL $ 1,433.00 $ - TOTAL ; 1,433.00 SEWER: WATER: IRRIGATION: TOTAL: WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 25.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: a zs.00 PUBLIC SAFETY IMPACT FEES POLICE FiRE 5% TOTAL: SU B-TOTAL $ 1,458.00 PARK IMPACT FEES SIF'S: 100.0% 1.0% TOTAL: TIF'S: 99% 1% TOTAL: $ 1,458.00 ZEPHYRHCLLS FlRE DEPARTN[ENT 6907 Dairy Road, Zephyrhilis, FL 33542 FIRE SERVICE USER FEES Occupancy No.: �� ,[ - � � Plan No.: Contractor: -S l�'u�� Business Name• C �� Billing Address: Business Address: Business Phone No.: Billing Phone No.: /�3 — 3 � Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N!C Annual N/C Sprinkler $50 1st Alarm N/C Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection �250 Hoods $50 4th Alartn $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business dosed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�ar,k a50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers a100 � Per Riser $50 Hydrostatic Test $fi5 per system Fire Works $500 FIRE PUMP Acceptance Test $45 Pe�syscem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM HoodJDuct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 qnnuai Wet $50 OTHER Waste Tire Storage $50 nnnuai Dry $50 Fire WalUSmoke Wall $15 perwan Generator<KW $100 CO2 $50 LP Gas S25 Pe��ank Generator>30 KW 150 Other $50 Natural Gas $25 persystem BiaHazard Waste a1OO Mnual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 nr�wai LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance � (Per Tank) $50 B Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspeCtiOn DBL (Per System) (other than annuat) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Ac $50 FALSE ALARM PLANS TOTAL��'�}i�� INSPECTION TOTAL� � PERMIT TOTAL� TOTAL�� GRANO TOTAL �. Comments: Date: � � � , �' Inspector: ;� Alh � V Pasco County Parcel: 24-25-21-0010-12300-0010 001 Page 1 of 1 uata Current as Of: Weekly Archive - Saturday, October 20, 2012 Parcel ID 24-25-21-0010-12300-0010 (Card: 001 of 001) Classifcation 82 - Forests, Parks, etc. Mailing Address Property Value CTTY OF ZEPHYRHILLS qg ��d $0 5335 8TH ST �nd $43,624 ZEPHYRHILLS FL 33542-4312 Building �p Physical Address Extra Features �p 39311 RICHLAND RD ZEPHYRHILLS FL 33540 lust Value ;43,624 LeQdl DeSCriutiOn (First 4 Lines) Assessed (Non-School Amendment 1) $43,624 ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 Taxable Value #p THE EAST 276.35 FT OF TRACT 123 &PORTION OF VACATED Land Detaii (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �1 0100 SFR OARl 0.50 AC $27,180.00 1.00 $13,590 �� 0100 SFR OARl 1.50 AC $27,180.00 0.70 $28,539 � 0100 SFR OARi 0.11 AC $27,180.00 0.50 $1,495 Additional Land Information Acres 2.11 Tax Area 11MF FEMA Code -- Residential Code iNEZ.Ul Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value � � � No Extra Features Sales History Previous Owner BISTON CLYDE A Month/Year Book/Page Type �ode Conditfon Amount 05/2008 7832 / 1242 Warranty Vacant $95,000 Deed http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=25&rng=21&sbb=0010&... 10/24/2012 v�M�I�CM�CREED ENGINEERS SURVEYORS PLANNERS October 10, 2012 04584-0010 Mr. Kalvin Switzer Plans Examiner City of Zephyrhills 5335 8�h Street Zephyrhills, Florida 33542-4312 Re: Production Wells No. 11 and No. 12 Well Site Improvements and New Building Dear Mr. Switzer: In response to your Building Plan Review Comments dated September 28, 2012, I have performed a review of the plans submitted to you on September 11, 2012 and certify that the structural "S" series drawings meet the "Design' loads and load combinations required by the 2010 Florida Building Code (FBC). Included in these loads and load combinations are the "Wind" load requirements, that were revised from the previous 2007 Florida Building Code. Please note that the current "Sl" drawing "Design Loads" indicate the 2007 FBC wind loads and the drawing would have to be revised to provide the 2010 FBC wind loads. In addition a "Lightweight Roof Sign" shall be placed at each property by the contractor, RTD Construction Inc. Should you require any further information for clarification, please do not hesitate to contact me. 0 1 II1I Sincerely, ```,�� E . ��,�� $ y 1 � � McKIM &CREED, INC. = '� �' � "Y = �o * � : � STATE t� � ,' O t�:' William F. Band, P.E. �A'��p��ORIOa.NG�,��' 3802 Ehrlich Rd,Ste 306 Structural En uzeer- #67838 �/ �NAL �' !!� Tampa, Fio��aa s362a g f��l/1II I 1�� Cc: David Henderson-City of Zephyrhills �o•`o-(Z/ 813.549.3740 Alex Zettel-RTD Construction Inc. Fax 813.549.3744 File www.mckimcreed com r . C��.I,L �'��"�. �� - � � Occupancy No.: , ZEPHYRHILLS FIRE RESCUE 6907 DAlRY RD.ZEPHYRHILLS, FL.3354 WORK(813)-780-0041 FAX: (813)780-0044 '� Business. b�� "� L(7r 1�� Em.Contact: I Address: S7J3'� �> 5T• Emergency contact phone#: � TeiNo: � � " �`� `�� Other Information: ; The fire safety inspection has been compieted utilizing the Florida Fire Prevention Code and any � applicable NFPA code and/or standard.Should you have any questions, you may contact the Fire Marshal at the telephone number above. Y/N/NA Y/N/NA/Date 1.Address,front/rear{"6"inch minimum) 13. Emergency Lights 2. Knox Box(keys inside,labeled) 14.Fire Extinguishers � 3. Lightweight Truss Sign 15. Electrical(other) ' 4.Fire Lane Access(marked-unobstructed) 16.Storage Issues � 5. Hydrants Accessible 17.Mech/Elect Rms Labeled � 6. FDC Accessible 18.Hood Cleaned/Tagged �' 7. Private Hydrant(painted/tagged/test) 19.Fire Aiarm/Tagged ' 8. Exit Doors Open Freely 20.Hood Suppression/Tagged �� 9. Egress Unobstructed 21. Fire Sprinkler/Tagged 10.Extension Cords/Multi-ptug Adapter 22.Suppression(other) j 11.GFI's by Water Source 23.Occupancy Load sign posted � 12.Exit Lights 24.Other ; Violation comments shall be noted base on the corresponding number above. Place date of last inspection for�re protection items in space provided above. � � ( � �" t�1 "' 6� r2�.�fi Iz� ' I b� �' �� ' 1-��n�'�-� r��s V1fi J�.�tit�i�T �Lflr�j ~,- in�Ji N " ,� ,z.�y ! 3 � �-- � ' ''T �i �/l�+�l'�� ! � � ��v1 n5 �U��t�' �. � s � � Z,�. � � ...�.'`� ^�C�� 1 ^ � Ti��v c Sk�i.�'l. �� U i�- i��ti�1� ut��w� � �'� �'� t ti��.,� �2..�� t�;� 7 �� ' � No Violations � i Your�re safety inspection determined there were some viofations. ' The Fire Marshal will 6e contacting you to advise of the tirr�e frame in which the violations noted � sha1J be corrected. A re-inspection will then be conducted after that time frame. Failure to ; correct in time frame given may result in fees being assessed. i Reinspect Dat : , Repo�t Completed By:V�� G� � ��5 Date: � ,� ��Z... '� Accompanied By: Time. j i Inspection Acknowledged By: Date• � i - - - -- - - --- I 39311 RICHLAND RD-WATER TREATMENT PLANT 11812-BP#13557 SQ. FEET PRICE MAIN OR LIVING: - OTHER AREA UNDER ROOF: - OTHER: - $ - VALUATION $ 321,906.00 FEE SHEET $ 1,151.00 ADDRESS DRIVEWAY BUILDING: $ 1,174.02 ELECTRICAL: $ 258.98 PLUMBING: $ 172.65 MECHANICAL: $ 120.86 SUB-TOTAL $ 1,726.51 $ - TOTAL E 1,T26.51 SEWER: WATER: IRRIGATION: TOTAL: WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 25.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: S 25.00 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% TOTAL: SUB-TOTAL $ 1,751.51 PARK IMPACT FEES SIF'S: 100.0% 1.0% TOTAL: TIF'S: 99% 1% TOTAL: $ 1,751.51 �-- - __� l , ! V V � C � ��P � .� � City of Zephyrhills � f�-�f r� BUILDING PLAN REVIEW COMMENTS ��7 �,��•�� ( �� c'�` �-% �' �,� Contractor/Homeowner: _ � � ,� ��'� �C. /�� Date Received: - 1 _ � 2 C��_� °�'L�� I��'� � 3 n Site: , Gc�1 rC Permit Type: ll��.��Si �2. r�P✓C1Z/�,�-i�� ,(�',t`�j�� , � Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ � '�Ji � , 1 � � -� -� � -, i ., � .,� �, �� , -� t' ��'�, � i r ��. !'� t �C, � ��.� 3 �. b��' c� �-�� _ .�t��,� ,� �. '�'L�( G'� L � � n�) Ct.. i IL 4/ � i" l�/�'C,J� ! ��• �'( ~C.; � �� L� t'ca� � s ` � �"�T�� ' ,� �> > � �- �� lr �('� � ., � J � � >'f � ,, �;° � <' 1 �' � i�� 1�� , . t� C�'f J� �- � CC�,��' d t �,Vi � % �� / �,'�� L''i�'�' �' _ � �� ' �'Vl t�� 1 G ; � ; �t �. �-: This comment sheet shall �e kept with the permit and/or plans. �� °/ °' � �� l- Kalvi � wit — ans Examiner Date Contractor and%or Homeowner (Required when comments aze present) Jac ueline Bo es � To: alexzettel@rtdconstruction.com � � Subject: need info for building permit ciry of zephyrhill Attachments: richland.pdf Hey Alex, � � �� /` c � It's me! Hey I need again; Noc for both properties - you would have to take to Dade city for recording I have them(noc's) filled out. See attach for where to go to have the noc recorded in Dade City. - RTD contractor license for Dannie need pasco btr and state license- fax over 813- 780-0021. - Need a electrician - Need a plumber - Need a mechanical After we know who your subs would be we would fax over the application (you) submitted and get their signatures. - I attached fee sheets for cost of permits. I will not be back in the office until Monday 29th . You may contact my co worker Bobbie if you have any additional questions .813-780-0020 After I receive info abovP ^�- �ill be ready for pick up. "- P��-��i c�� ; �� c� J ( �� \ � -� � ,�^ ( , � . 1 �_ � ---. -� �� v � , �1��1 . � � �� \ �" S�.` � �� I �=�� r � , �� `��- ��-� � � AC# 617 7 5 2 0 STATE OF FLORIDA DSPAR��BI�SI�DOSTRY LICEl�SIIiG ��IRD TION �� SEQ�L1Z06Z800703 05 Z8 ZOlZ 11821Z141 C00057Z78 Th� VNDSACROUl�1D DTILITY & BECaiV,?IQ�T Mimed b�lOw IS CBRTIFISD Oad�r the provi�ioas of Chaptsr +�8� FS;, �cpiration datss ]1IIG 31, a014 J�RD11'i DA1111I$ s71RL RTD C0�'STRQCTIOIQ INC 10326 NBMSO�LB RD D11Da CITY FL 3 3 5 Z 5 ��RT 1CSN LA�80N SBCRSTIIRY DISPLAY AS REQUIREO BY LAW AC# 617 7 4 61 STATE OF FLORIDA DBP1�iR COR�?BTRDCTIO�T II�IDIISTRYRLICgN�S�iG HO�7IRDGOL7►TION sE�L1Z06Z800644 06 Z$ ZOlZ 118Z1Z141 CC�C060736 The OS�iBRAL CONTR�ICTOR IQamad belaa IS CBRTIFIBD Dad�r tb� provisiona of Clispter 48� l8.. 8acpiration date: �iDG 31, 2014 . JORD1►N D11�TIE E�RL RTD CO�STRQCTION. INC 53l4 9T8. 8TR=$T ZBP8YR9ILL8 FL 33542 ��8�� 1Cffid L7►iP80N DISPLAY AS REQUIRED BY LAW $$CRLTARY Jacqueline Boges From: Alex Zettel [AlexZettel@RtdConstruction.com] Sent: Thursday, October 25, 2012 2:41 PM To: Jacqueline Boges Subject: RE: need info for building permit city of zephyrhills Attachments: 2012 Licenses.pdf; ZHllls BTR.pdf Jackie, Thanks for your input and efforts. Electrician Sub: Martin Electric, Inc. P O Box 437 • Dade City, Florida 33523 LIC#EC13001383 PH (352)521-3319 Fax(352) 521-0297 There is not plumbing on this job,there is not an AC unit on this job. Please see attached the RTD licenses,and BTR requested. I taught we discussed that the City will waive the permit fees due to the fact that this is a City project. Please let me know when you come back MON. Thanks, Alex From: Jacqueline Boges [mailto:jbogesCa�ci zephvrhills fl us] Sent: Wednesday, October 24, 2012 3:40 PM To: Alex Zettel Subject: need info for building permit city of zephyrhills Hey Alex, It's me! Hey I need again; Noc for both properties—you would have to take to Dade city for recording I have them(noc's)filled out. See attach for where to go to have the noc recorded in Dade City. - RTD contractor license for Dannie need pasco btr and state license-fax over 813-780-0021. - Need a electrician - Need a plumber - Need a mechanical After we know who your subs would be we would fax over the application (you) submitted and get their signatures. - I attached fee sheets for cost of permits. i I will not be back in the office until Monday 29th . You may contact my co worker Bobbie if you have any additional questions .813-780-0020 After I receive info above permit will be ready for pick up. Have a great week end Jackie Boges (ext 3513) What Greater love can a man give...... 2 813-780-0020 City of Zephyrhills Permit Application��"r� Fax-813-780-0021 , , Building Department / Date Received —�(�-��Z phone Contact for Permittin �7 — J �/ Owner's Name �f �j� �1.. Owner Phone Number Owner's Address �1 J�' �/, �g ��3� Owner Phone Number Fee Simpte Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3�31� �� • L— �f 2, '3 LOT# �� SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSEO � NEW CONSTR 8 ADD/ALT O SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION �I BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��C1S'TI/1I� btJ�� ,/ M�' /NLCV�/�� R l� �CI�L�ING, � BUILDING SI2E SQ FOOTAGE C� HEIGHT QBUILDING $ 3Z1� G�� 'd0 VALUATION OF TOTAL CONSTRUCTION -�V QELECTRICAL � AMP SERVICE � PROGRESS ENERGY � W.R.E C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY �'� 40�f'Y�� Q(Z^'�I �'►�r�-� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addre ' 25��'`� EL CTRI�IAN COMPANY /' j� � �L SIGN�4TUJ2E REGISTERED Y/ N FEE CURRE� Y/N �'NC��GICI� � - � Address � ? License# ,J�� n o0 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 I N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Requi�ed onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities 8 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)worlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence fnstalled, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(�sets of Engineered Plans. ""'PROPERTY SURVEY required for all NEW construction. Tr,-��ii�„�„��„„��. li 1 1 LJ 1 a I 1J.111 Directions. Fill out application compfetely. Owner 8 Contractor slgn back of application,notarized if over;2500,a Notice of Commencement is required. (A/C upgrades over S7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/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 contracto� 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 IMPACTIUTILITIES 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, Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, 1 certify that I, the appiicant, 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 othe�ihan 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 info�mation in this applica�tion 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 pertormed 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 Watervvays. - 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 fitl 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 owne� 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 O�cial 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 70 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 COMMENCEM T. a FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRAC7'�R �� ST��'b N � �'�I Subscribed and sworn to(or affirmed)before me this Subscribed and swom to or affirm before m this by �-/u �Z— by�� Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced as identlfication. �,c�¢.nti4--. as identification. Notary Public " � Notary Public ;.`- ITNSSIOfI Commission No. Co is ` �res DeCember 12,2014 eonaeen,NT�oyF�e,nre�a�ce eoaaes-�n�s Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped , CITY OF ZEPHYRHILLS • 5335-8TN STREET ' (sis)�so-oo20 13556 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:13556 Issued: 10/29/2012 Address: 39923 RICHLAND RD Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 321,906.00 Total Fees: 1,458.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 1,458.00 Date Paid: 10/29/2012 Parcel Number: 24-25-21-0000-00200-0030 Name: RTD CONSTRUCTION INC Name: CITY OF ZEPHYRHILLS Addr: 5344 9TH ST Address: 5335 8TH ST ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL. 33542 Phone: (813)783-9119 Lic: Phone: 813-780-0006 Work Desc: NEW BLDG W/IMPROVEMENTS FOR WELL 11 & 12 TREATMENT PLANT/ PO#17979 �17 . . 5. �� G � , ( J �i� .� 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-S�AB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 properly 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. "Warning to owner: Your failure to re�cord 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." Complete Plans, Specifications and Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � C NT ORS SIG ATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 39923 RICHLAND RD-WATER TREATMENT PLANT 11�12-BP#13556 SQ. FEET PRICE MAIN OR LIVING: OTHER AREA UNDER ROOF: OTHER: _ $ _ VALUATION $ 321,906.00 FEE SHEET $ 1,151.00 ADDRESS DRIVEWAY BUILDING: $ 1,174.02 ELECTRICAL: $ 25g,gg PLUMBING: MECHANICAL: SUB-TOTAL $ 1,433.00 $ - TOTAL S 1,433.00 SEWER: WATER: IRRIGATION: TOTAL: WATER METER: IRRIGATION METER $ _ FIRE DEPARTMENT FEES PLANS TOTAL: $ 25.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: S 25.00 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% TOTAL: SUB-TOTAL $ 1,458.00 PARK IMPACT FEES SIF'S: 100.0% 1.0% TOTAL: TIF'S: 99% 1% TOTAL: $ 1,458.00 ZEPHYRHILLS FfRE DEPARTf�IEF�T 6907 Dairy Road, Zephyrhilis, FL 33542 FIRE SERVICE USER FEES Occupancy No.: �� ,.,� � � Pian No.: Contractor. � S �- �� Business Name: � � �G f �% Billing Address: Business Address: �, Business Phone No.: Billing Phone No.: — , � — ' Business Fax No : Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N!C ulti-Family/Commercial .O6 sf 1st Re-inspection N/C Standpipes $50 2nd Alartn N/C ! (Minimum Charge$25.00 2nd Re-inspection a100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBl 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tenks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser E50 Hydrostatic Test $65 per system Fire Wo►ks $500 FIRE PUMP Acceptance Test $45 per system Camp Fire �25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly a50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection a25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 nnnuai Wet $50 OTHER Waste Tire Storage $50 nnooai �rY $50 Fire walUSmoke wa�l $15 Pe�Wau Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas S25 persystem Bio-Hazard Waste $100 Mnual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'orgreater $15 pertent Torch PoUApplied S50 OTHER Fire Pump �45 Haz.Materials $100 Mnual LP Installation per tank a50 Fire Suppression $30 Fuel Tank Installation S50 System Acceptance (Per Tank) $50 B E�aust Hood/Duct $30 �Naturel Gas Installation a50 Re-inspeCtion DBL (Per System) (other than annual) ❑ SP�Y B�� $50 � Inspection scheduled DBL and cancelled less than e 24 hours Construction Insp. N/C Emergency VehiGe A� a50 FALSE ALARM PLANS TOTAL�, ` INSPECTION TOTAL� PERMIT TOTAL� TOTAL�_� GRAND TOTAL - Comments: Date: � �/ �- Inspector� l� nm Pasco County Parcel: 24-25-21-0000-00200-0030 001 Page 1 of 1 Data Current as of: Weekly Archive - Saturday, September 08, 2012 Parcel ID 24-25-21-0000-00200-0030 (Card: 001 of 001) Classification 82 - Forests, Parks, etc. Mailing Address Property Value CITY OF ZEPHYRHILLS Ag Land �p 5335 8TH ST ��d $25,569 ZEPHYRHILLS FL 33542-4312 Building �p Physical Address Extra Features gp 39923 RICHLAND RD ZEPHYRHILLS FL 33540 )ust Value �25,569 L@aal DeSCI'IDtlOtl (First 4 Lines) Assessed (Non-School Amendment 1) $24,185 THE SOUTH 243.00 Ff OF EAST 200.00 Ff OF W1/2 OF E1/2 OF Taxable Value *p SE1/4 OF SE1/4 OF SEC 34 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. LESS &EXC SOUTH 25.00 Ff Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value 1 0110 SFR RURAL OOAC 0.50 AC $27,375.00 1.00 $13,688 � 0110 SFR RURAL OOAC 0.62 AC $27,375.00 0.70 $11,881 Additional Land Information Acres 1.12 Tax Area 11MF FEMA Code �Residential Code 1NEZ.U3 Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value No Extra Features Sales History Previous Owner STIMPSON KIRK W&JEANNE M Month/Year Book/Page Type �ode Condition Amount 07/2008 7878/0364 Warranty � Vacant $45,000 Deed http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=25&rng=21&sbb=0C�00&b... 9/10/2012 PURCHASE ORDER No. 00017979 City �f �ephyrhills VENDOR: SHIP TO: BILL TO: RTD Construction Inc City Hall City of L.ephyrhills 5344 9th Street 5335 8th St 5335 8th.St. Zephyrhills,FL 33542- Zephyrhills,FL 33542- Zephyrhills,FL 33542 VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIRED DELIVERY DATE RTD Cons ( ) - 0 08/17/2012 SHIPPING INSTRUCTIONS (none) ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT 1 0.00 Construction of Wells 11 and 041-3300-533-6302 321,906.0000 321,906.00 12 Water Treatment Plants,Bid No. 11-12-06 to RTD Construction 2 0.00 Construction of Wells 11 and 041-3300-533-6304 321,906.0000 321,906.00 12 Water Treatment Plants, Bid No. 11-12-06 to RTD Construction IMPORTANT: OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE This order is given upon the representation and guaranty of the manufacturer or seller that no breach of any State or Faderal Law or Regulation has occurred in connection with the manufacturing,processing,branding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any legally constituted State or Federal authority,the buyer shall be entitled to rescind the order and retwn the unused merchandise and shall also be held hazmless by the manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor. Page:2 Purchase Order No. 00017979 ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT SUB7'OTAL: 643,812.00 TAX: 0.00 SHIPPING: 0.00 TOTAL: 643,812.00 TAXABLE. No CONFIRMING: No I� I�-��`�ry'~'w'�. AUTHORIZED SIGNATURE SPECIAL INSTRUCTIONS: IMPORTANT: OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE This order is given upon the representation and guaranty of the manufacturer or seller that no breach of any State or Federal Law or Regulation has occurred in connection with the manufacturing,processing,branding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any legally constituted State or Federal authority,the buyer shall be entitled to rescind the order and retum the unused merchandise and shall also be held harmless by the manufacturer or seller against any penalty incurred and/or the cost of defense of any procceding designed to penalize the buyer therefor. � � � a .�, � v E � S � ,^ C V J � � � M � ' .� •o � � L � � � ^ �� i C. L L � w = a � � � y `R' H •' � � � �l � �� .-N�y. ��-y-i r�y-� ��y ��y ��y ��y `V `TJ `O `� `q "0 "CJ .ri Q �--� � .--i a •� 3333333 v�i ..�'+ �� >. T T T A U U U U U U U � � � � � � � � �1 a a a a a a a C $ 8 $ $ 8 $ g g g g � o � o � oo � � � d' � a o� a r � ri c�i �i oo � 00 � � d U c� E � � � 888888g 8 °0 8 8 p �cc �cc00000 00 0 £ o. o� ^� � v ° N N pp` � � � �.+ .a � '� N O N y O '�' � ° U � j � Q � � � o �6 � �i a "'� A .o � � el a � � �� c :° �, wwww >, `� a; W = �� b = ° A _ � �e �, � y � rC�, T ,.`�. � C � G. cD� " x N Ll. ^ o " w :bFF�- aa � [i +� � a� r a� d � � a� �p � � c'amcac'a33A � `� a � O ¢ � O M N � � o a a � N o � � , o 0 N T [` N (�j 4.' � W v g g � � � $ og � � A w ( ' � � ^ � � �" F ffA d � ^ p"� .�. N �j �,i` M N c+'1 cn t+1 M M �,�` �,i` y C I.r V% L� 'U F-. .-. M N N Vl V1 .-. id ^d �/�� 1.. � C W � � O O (r� � � IY� LL� � � O \V� � � tQ R t' �' i'�. �h Q N '��" V � N N 7 � K O O N N ra �•J ~, � a d ., gBSS000 -, -, w a C� Q , .. , ,. c i � �1 l.'' , _ , �� _ � ��S City of Zephyrhills �— BUILDING PLAN REVIEW COMM Contractor/Homeowner: �T� ��I�vv�t'�-C.C�h�dYl �.�t �-- Date Received: �—1 ��l Z Site: 3�f� 'C�C� 'G�.� GC� �f��,` � �c/�,�r� �e �r��.-`�� b��°`n� Permit Type: VI�P. � Approved w/no comments:❑ Approved w/the below cor�ments:� Denied w/the below comments: ❑ �� , ' � � �� '��t � � 1 ;� _� � e�� Jc' �� ; � � - � , � � r � � Q�� >> -?, � �� t" .� �C �y j,'a' �J /f / �� J �✓�r f� �A ' .� �{ L�' �C�..'`�+� � t�G' ti� �� e� ✓ � t l - �' �t� 2 �' C �- 1� r'��. ,-- � ��' � �'� �C, tc r'�r � � � r �J r`f��L-1s-�F�-� ` J � r l(�r' ��',� �'f�f✓' This comment sheet shall be kept with the permit and/or plans. /J_/� .�° `' �'J/7/ `�� '." �° il � � Kalvin S itzer—Plans � aminer Date Contractor and/or Homeowner �9� (Required when comments aze present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department � � 3�� _�«, � Date Received �— 1�'"( Z Phone Contact for Permittin �( � �! _ �(J I y Owner's Name Owner Phone Number Owner's Address �'7�2' � 3 Owner Phone Number C —� Fee 5imple Titleholder Name Owner Phone Number C Fee Simple Titleholder Address JOB ADDRESS 3-�'7 Z 3 �G4(��.rJ , � 33 S D LOT# � r SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION d BLOCK Q FRAME � STEEL Q � DESCRIPTION OF WORK �C1S�31Jrr W Ej,,l_ S�1'E' /M�fZp►/0'VJ��' � ��L��, � N6TlJ {�/�L.d/A]6 , BUILDING SIZE SQ FOOTAGE� HEIGHT ] QBUILDING $�2 � � QO(p r° VALUATION OF TOTAL CONSTRUCTION , J �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY �'�r""� S��°—^��r � '� , SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N ' `�i �ZS, � � / . ELECTRICIAN COMPANY �f/�% �CC�i'YL. L SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � (!(t Fi.F s s�-n , C9i3 �g c-�-�c�21 Address License# PLUMBER �� I COMPANY SIGNATURE � .Sk.�,�- REGISTERED Y/ N FEE CURRE� Y/N Address License# C MECHANICAL (�'�/f`,�,,p COMPANY SIGNATURE � '�" REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# C OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Fo►ms;R-O-W Permit for new constniction, 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 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. Dtrections: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) � " Agent(for the contractor)or Power of Attomey(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(PlodSurvey/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 Iicensed 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 Counry. TRANSPORTATION IMPACTIUTILITIES 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 T13, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, fhe applicant, have been provided with a copy of the "Florida Construction Lieh 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'SIOWNER'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 o� 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 Watervvays. - Department of Health 8� 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 flll will not adversely affect adjacent properties. tf 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, p�umbing, signs, wells, pools, air conditioning, gas, or other installations not speci�cally 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, CONSUL7 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 and s n to(o ed)b by n1-(D�l"2-- by � Who is/are personally known to me or has/have produced Who is/are perso Ily kno to me or has/have produ ed as IdentlficaHon. L� C C'-�'�S-<-- as identification. Notary Public I � Notary Public Commission No. Commi�sio No. •O ��~�'••. �AC I :*: :r mrtussion#EE 040520 �' - E 'res December 1 Name of Notary typed,printed or stamped Name of Notary ec�491°S��^�e��-�o+9 CITY OF / / / / BUILDINQ ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION � � (,��''� � • � - • ADDRE55 A E PERMIT�, Z � �-Pr� �. j `'�a THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before tha job will be accepted. � � �.;► It is unlawFul�or any Carpenter,Contractor,Buiider,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part ot the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 78�-0 0 FOR RE-INSPECTION the installation. OFFICE HOURS 7 30AM-4.30 PM MON-FRI INSPECTOR � CITY OF / / � � BUILDINt1 ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION - � � • • - • ADDRE DATE PERMIT,�, �z ° � ! �� i� �� THIS JOB HAS NOT BEEN COMPLETED. The foliowing additions or corrections shall be made before the job will be accepted. l �t is un�awfu�tor any carpenter,contractor,eui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other materiai,until the proper inspector has had ample time to approve 780-0020 FOR RE-IN$�EC. �ON the installation. � / OFFICE HOURS 7.30 AM-5 PM MON.-FRI INSPECTOR � � � .'., �" � c� � rn � � o N � N M � � � O � N I N ''"' � �y � �—+ U .� N .. (11 � z Q �. � Q .� o � Q o � � � � � � a O � � Q � O H � � w � w A t� � � � � a � � � � w O � � � U � � � � H � � � � O o � � � ax w � � � ° � � N � � o o ; w � U o � � � O � f�' � ° .� � 0 �' � f� � � o � O H w � ,� � c� U U ° � � � A � a c� N c� � N � Z � � N � � � � Q � � U A � � .. W A � ►� GO � � C7 � � a w � � � �1 W O � GQ � A Q a W W a z � a. � a x �q ��.... � �""� µ.� q�'. 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