HomeMy WebLinkAbout13-14621 CITY OF ZEPHYRHILLS
, , 5335-8TH STREET
�sis)�so-oo20 14621
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14621 Address: 38130 PRETTY POND RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07100-0000
Improv. Cost:
Date Issued: 10/09/2013 Name: LOAN FUNDING SOLUTIONS II LLC
Total Fees: 55.00 Address: 4600 WELLS FARGO CNTR 90S 7TH ST
Amount Paid: 55.00 MINNEAPOLIS, IVIN 55402-3903
Date Paid: 10/09/2013 Phone: (612)851-3026
Work Desc: FPM-FIRE SPRINKLER QUARTERLY-THE COMMONS AT PRETTY POND
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT 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."
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PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a��-�ao-oozo City of Zephyrhills Permit Application Fax-2313-780-0021
Building DepaAment
• Dffie Received Phone Contact far Permitting +a' �� ( —
Owner's Name l..Q �•t� �v�V�' d� � �ner Phone Number
Owner's Address S• � �� `� "� Owner Phone Number ��
1�Titleholder Name Owner Phone Number ��
� Fee Simple Titleholder Address �
M',/1,/��/�!� �� C�
�(1��,�,y U1�� JOB ADDRESS �C r LOT#
s 2 /��' �('' �GUO
y� � ��O SUBDIVISION PARCEL IDp���� �I�W �O �G�L O v
r � (OB7AINED FROM PROPER7Y TAX NOTICE)
WORK PROPOSED B NEw CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER �
TYPE OF CONSTRUCTiON Q BLOCK Q FRAME Q STEEL Q �--�
DESCRIPTION OF WORK C � � � �V` 1� �r \1 �J1'�-C ,G Yt
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BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUAT�ON OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � (J��v 1
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� C�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
qd��s License# ��
ELECTRICIAN COM PANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ��
PLUM BER COM PANY �
SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N
Address License# ��
M ECHANICAL COM PANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# ��
OTHER �OMPANY ��er �� ��C ti V�
SIGNATURE � h� � cEGISTERED Y N FEE CURREN Y/N
Address � � � �'� . License# � �� ��J 1�� � / �
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 i 1 1 1 � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 A 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Pl�s;(1)set of Energy Fortns;R-0-W Pertnit for new construclion,
Minimum ten(10)working days aRer submittal dale. Required onsite,Construction Plans,Stormwater Plans w/S�ft F ence installed,
Sanitary Facilities&1 dumpster;Site Wak Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stamwater Plans w/Silt F=ence installed,
Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sels of Engineered Plans.
""PROPERTY SURVEY required fa all NEW construction.
Diredions:•
Fill out application completely
Owner 8 Contrada sign back of application,notarized
If over$2500,a Notice of CanmencemeM is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter hom owner authwizing 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 complaance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undeRake 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 Furthertnore, 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 pertnitting privileges in Pasco
County
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildi�ngs,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 TranspoRation 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. FuRhermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County orclinances.
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-�-lomeowner'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 /�reas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastew,3ter Treatrnent,
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 pertnitted.
- 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 affed 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 foRh 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 woric 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 pertnit 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 A ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT . .117.03)
OWNER OR AG T ` CONTRACTOR
Subscribed and swo to or affi ed ef ine this�•/� Subsaibed and sworn to(or affirmed)before me this
�, .ht`..c• by
Who is/are persona known to me or has/have produced Who is/are personally known lo me or haslhave produced
as identification. as identification
�� � _Notary Pubhc
Co iss fya"""" APWLOBERLE _ Commission No.
'��' ••;;: MY CAMMISSION#DD 961110
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Name of '��a� Q publiCUnde�writers Name of Notary typed,printed or stamped
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