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Home My WebLink About14-15696 CITY OF Z PHYRHILLS 5335-81�H STREET .�'' ' ;. - _ (sis)� o-oozo , 15696 BUILDIN PERMIT ' PERMIT INFORMATION LOCATI.ON INFORMATION � �Permit Number: 15696 Address: 4626 KRUSEN FIELD RD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: SITE WORK Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0080-00000-0010 Improv. Cost: ��_OWNER�INF,ORMATION " _' '' -��`�^.�:= Date Issued: 9/30/2014 Name: CITY OF ZEPHYRHILLS Total Fees: 30.00 Address: 4626 KRUSEN FIELD RD Amount Paid: 30.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/30/2014 Phone: Work Desc: SITE FOR SKATE PARK- FEE WAIV D CONTRACTOR S APPLICATION FEES � PARKING LOT STRIPING S RVICE CONTRACTOR CERTIFICAT 30.00 � �� , P� � ��'� �, 5� , ' Ins ections Re uired - � . `'r` =`� �4FOOTER 2ND ROUG PLUMB M SC INSULATION CEILING R } � FOOTER BOND DUCTS INSULATED S WER MISC. ROUGH ELECTRIC LINTEL M SC MISC. 1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC. DUCTS INSTALLED WATER M SC DRIVEWAY PRE-SLAB SHEATHING M SC. MISC. CONSTRUCTION POLE FRAME M SC. MISC. REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following re sons: 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 jo site fl 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 ay 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 o commencement may result in your paying twice for improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your n tice of commencement." Complete Plans, S ifications Must Accompany Appli tion. All work shall be pertormed in accordance with Codes and Ordinances. O OCCUPANCY BEFO C.O. C OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD ROM WEATHER 813-780-0020 City of Zeph rhills Permit Application Fax-813-780-0021 Bu Iding Department I �ate¢tec�.ive�9 Phone Conta�t for Permitting __ r Ovvner's Mame C.-�� /'/��GL� Ovdner Phone tdumber Ol� �J� Ovvner's Address 7 a � O�nmer 6'hone Mumber Fee Simple Tftleholder Name G� �� •p l�� Owner Phone Idumber Eee Simpie Titleholder Address ��% �J J .DO�ADDRIESS ��;►�-��l j�[�iY � � LOT# SID�DIbISIOM PARC L ID# (OBTAINED FROM PROPERTY TAX idOTICE) HNOFd�PROPO�ED e NEW CONSTR e ADD/ LT � SIGfV Q � DEMOLISH INSTALL REPA R �ROPO§E�USE Q SFR Q COM � OTHER 7VPE OF COidSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q D�SCRIPTIOtd OE W06t6C S �,�1 IBIDILDI1dG SIZE SQ FOOTAGE HEIGHT OBUILDING $ VALUATIO OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERV�CE PROGRESS ENERGY W.R.E.C. 0 � 0 OPLUMBING $ �MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATIOfV QGAS Q ROOFING Q SPECI LTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA �YES NO 19UI��ER � CO PA�dV ��LD(CJ�✓G /�"T �T,P/�/A�� EC.'i blCc SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/I�I �4ddress �•��G �0�$ -�!�'��1 �G 33�SG License# �LECTEiICIAtd CO PARlY SIGi�a4TURE REG STERED Y/ IV FEE CURRE� Y/N Address License# PLUAflBER CO PAfdY SIGEd�►TURE REG STERED Y/ N FEE CURRE� Y/N Glddress I License# MIECHAMICAL COI�IP�1RlY SIG�ATURE REGI$TERED Y/ M FEE CURRE� Y/fV i Address License# O'fHIEEt � CO PAIdY SIGfVATURE REGI TERED Y/ M FEE CURRE� Y/N S4ddress License# � RESIDETdT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, Minimum ten(10)woticing days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities�1 dumpster;Site Work Permit for su divisions/large projects COVIHRSIERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Sa�ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Re4uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facillties&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance SIGfd PERIIAIT Attach(2)sets of Engineered Plans. °•`"PROPERTY SURVEY required for all fJEW construct on. �r.r.�ror��r��e�re��P�TI — !L.!1 Directiqns:,� � % " � Fill;out application completely. Owngr 8 Contractorsign�kack of application,notarized ,,If Qver$2500,:a Motice of Commencement(s required. (A/G upgra e5 over$7500) •• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same OVER THE COUNTER PERAlIITFIfdG (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW IV�'TIC�Oi� Df�ED 92E�T�IC�ICIP➢�: The undersigned underskands that this permit may be subject to"deed" restrictiuns"• --. wrhich rnay be more restrictive than County regulations. The undersigned assumes resportsibility far compliance uvith any applicable de�d restrictions., � ' . ' • �. �• • � � ; . , ll�i.1��N�EIp COP1'I'(��1�Y�R� �Pl�l COGd'��sC'�'�R ��1�1�IL�T9��: !f the owner has hirsd a contractor or contractors to undePtake work, #hey may be requir�d to be licensed in accardance with sfate and local.fe�ulatians. tf the contractor is not licensed as required by law, both the awner and contracfor may be cited for a misdemeanor viola#ion under state law. lf fhe owner or intended cantrac#ar are uncertairt as'#a,rrvhaf.licensing r.equirements may apply for #he intended wrork, they are advised to contact the Pasco County Building Inspection IJivision—Licensing Sec#ion at 727-847- 8009. FurEhermore, if the owner has hired a contractor or contractars, Ft6 IS r'�tjV1S�(� t4 have fhe contrac#or(s} sign portions of the "contractor Block" of this applicatian for which they uvill be responsibie. 'If you, as #he ovvner sign as the contractor, that may be an indicaEion that he is not properly licensed and is-not entitled to permitting.privileges in Pasco County. � , .. . , , . . ` i 1C�N5i�OR1'A'TIONi 9fiAP,�C�lIJ"�'iLIYI�� 9f�f��►C'�/�N� �tE�OU�C� it��'V�RY��5: T'he undersigned understands that Transpartation lmpact Fees and F�ecaurse FZecovery �ees may apply to the construction af n�w btaiidings, 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 unders#ands, that such fees, as may be due, wilE be identified at the time of permitting. It is further uncferstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of accupancy" or final povuer release. !f the project does not involve a certificate of occupancy or finai power reiease, the fees must be paid prior fo perm't# issuance, Furthermare, if F'asco Caunty Wa#erlSevtrer lmpac# fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. C�PIS'T�.t1CTItJN �.�IE� !�.#�1fii(Gha��r?'13, 1�I�Pid��t�@u��, �� m��d�d}: Ef valuation of work is$2,500.OQ or more, 4 certify khat I, the applicant, have been pravided with a copy of the "Florida Coristruction �Lien Law—Homeowner's Protection Guide° prepared by the Florida Departmen# of Agriculture and Consumer Affairs. If the applicant is sameone other than the"owner", i certify that i have obtained a capy of the above described document and promise in good fai#h to deliver it to the"owner"priar to cammencement. C43�#1`��GTC)R'S/O{�f�i�l�'� �►IF�1@?�Y1T: 1 certify that all fhe informat#on in fhis application is accurate and that all wark will be done in compliance with all applicabte laws regulating construction, zoning and land development. Applicatian is hereby made to abtain a permit to do v�rork ar�d ins�allation as inc#Rcated. 1 certify that no work or instailation has cammenced prior to issuance of a permit and that all uvork will b� performed to meek standards of all laws regulating construckion, Counly and City codes, zoning regulations, and land development regulations in the jurisdicfion. I also certify that 1 understand that the regulatians of ofher government agenci�s may apply #a the intended rrvork, and fhat it is my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Deparfiment af Enuiranmental 1'rotection-Gypress �ayheads, Wetland 1�reas and Envirar�mentally Sensifive , Lands, VVaterNVas#ewater Treatment. i - South�nrest Flarida 1tVafer Management District-WeBs, Cypress �ayheads, Wefland Area�, Altering Watercourses. - Army Carps of Engineers-Seawalls, Docks, Navigable Watenrvays. - Deparfinent o� Heaith & Rehabilitafiue Services/iEnVironmentai Health Unit-1�/ells, 1tVastewater Treatment, Septic l'anks. � - US Enviranmentai Profection Agency-Asbestos abatem�nt. �` - Federal Aviation Authority-[Runways. t understand that the�ollov�ring restrictions apply ta the use af fill: � - Use of fill is no#allowed in Fiood Zon�"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "N", it is understaod that a drainage plan addressing a � "compensating volume" will be submifted at time of peemitting �nrhich is prepared by a professiona! engineer licensed by the Sta#e of Florida. - If fhe fill rnateriaC is ta be used 'm Flood Zone °A" in connection �nr'sth a permitted building using stem vtirall construction, I certify that fill will be used only to fill the area wikhin the stem wall. - If fil! rnaterial is to be used in any area, I certify that use of such fil! �nrill not adversely affect adjacent properti�s. If use vf frl( 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 uvhich are elevated by fill, an engineered drainage pla�t is required. If I am fhe A�IENT FOR TF91E O1�iP�0�R, I pramise in good faith to inform the owner of the permitting conditions set forth in fhis affidavit priar to cammencing construction. I understand that a separate permit may be required far etectrical vuork, plumbing, signs, wells, pools, air conditioning, gas, or ather installations nof specifically included in the application. A permit issued shal! be construed to be a licsnse to proceed vuith the work and nat as authori#y to.violate, cancel, alter, or set aside any provisions of the technical cades, nar shaA issuance of a permif prevent fhe �uilding Officia!from thereafter requiring a correction of errors in plans, cons#ruction or viola4ions of any cades. �very permit issued shall become invalid unless Ehe uvark authorized by such permit is cammenced �nrithin six months of permit issuance, ar if work aufhorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may b� requested, in writing, frprrt the �uilding O�ciai for a period not to �xceed ninety (90) days and vrrill demonstrate justifiable cause for the extension. if work ceases for nine#y(90)consecutive days, the jab is considered abandoned. �fiAFPR9i�� TCI 01��1(ER: 1��19� ��I�.U�� T� G��C��2D �t ;�OTIC� O� �Oii��fi Pt'T �AY ��t9LT �R� YCi�I� �'d�YIR9C "f�fiPlC� �iC9R Ifi��'�O!!l��fi��9�'S 7�D YOU�t I�fRO�'ER1fY. Y�YOU �PIY Y O 611W fFIGV,�I�IC�PI(�, C�P➢SU�.� �titl�Ff Yf}UR GE�t�I�R Q(R�f��1,'1��R�IE��f�IF��.� �21��?�2�IFd�'Y'tp�� '6C � Oi�Q��N��i�E�IY_ FLORIDA JURAT(F.S.117.03) 01iit�tEFt OR AG�NT ��jl4�F2�GT0 —�,,� 5ubscribed and swom to(ar affirmed)before me this Subs j an s ir before me this •�/.��✓Zd�� by __<_�� bY �� G�._��G�� Who istare personally known ta me or haslhave produced Who 3state rsonally 1G� wn fo me ttr hasfftav�'"� ar.� ��,�7�T as IdenkificaBon. � as-+de�f * �IYCOMIUIS910NfFF03816q ` `s� ,� �XPIR��:AU�ust i3,2417 E' �'oF�sa BondtdTA�i9udgdNot�ySeri� PJotary Public Notary Public Commisslon No. Commission No. / ��,,�_� �fr��.� 1�i� ��C�' Name of Notary typed,printed or stamped IVame of Notary typed,printed or stamped