HomeMy WebLinkAbout15-16286 i,, CITY OF ZEPHYRHILLS ,
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FENCE PERMIT �
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16286 Address: 5348 TANGERINE DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0040-00400-0100
Improv. Cost: 3,017.37 OWNER INFORMATION
Date Issued: 5/19/2015 Name: SYLVAIN CARLO
Total Fees: 45.00 Address: 5348 TANGERINE DR
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/19/2015 Phone: 813-780-7068
Work Desc: INSTALLATION 160 X 6 VINYL FENCE
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 45.00
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Ins ections Re uired
FINA -
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 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 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
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CON CT PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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�Repf.:1684154 Ree: 10.00 �
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05/20/2015 T. S. , Dp1,y Clerk
PRULA S 0'NEIL,Ph D PpSCO CLERK & COMPTROLLER
NOTICEOFCOMMENCEMENT 050R BK i91g�m PG 2���
Pemiit No.
PrapertyIdentificationNo._�Z��P.�2-�`������ ��d�
THE iJNDERSIGNED hereby give informs you that the improvement will be mede to certaia real pmperty,and'm accordance with
Section 713.13 of the Florida Stahrtes,the following informaHon is provided in this NOT'ICE OF COMMENCEMENT.
1.Description of property(legal�r es�cr tio : G11� . Z (�n���� �S ��C�^�- �
a)Sh�eetAddress: J � �!/� � � ���.Y(!p '��i.
2.Qeneral description of improveme ts: ��7
c�s� ,� � v c a�, �
� 3.Owner Informa6on �-• --
a)Name and addtess: � �
b)Name and addtess of fee simple titleholder(' ther than owner) enY�. �(j
c)Interest in property
4.Contractar Infoimation .
a)Name and addmss•. �W i
b)Telephone No.: Fax No.(Op�) �
5.5urety Informatiott I
a)Name and address:
b)Amount of Bond; ,
c)Telephone No.: Fax No.(Opt.) �
6.Lender
a)Neme and address•
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No,: Fax No.(Opt.)
8.In addition to himsel�owner designates tfie following person to receiye a copy ofthe I.ienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: i Fax No.(Qpt.)
9.Facpication date ofNotice of Commencement(the expiration date is one year frbm the date of recording imless a diffeient date is
speciSed):
WARNIIYG TO OWNER: ANY PAYMENTS NtADE BY THE OWNER AbTER THE�XPII2ATYON OF THE T+tOTICE OF
' COMMENCEMENT ARE CONSIDExiED IMPROPER PAYMENTS UNDER CHApTER 713,PART I,SECI'ION 713.13,
FLORIDA STATUTES;AND CAN RLSULT IN YOUR PAYIIVG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTYCE OF COMNiENCEMENT MUST BE YtECURDED AND POSTED ON THE JOB S1TE BEFORE THE FIItST
INSPECTION. IF YOU INTEND TO OBTAW FINANCQ�IG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCIlYG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA ,/ ��� �"�/�/�1N
COUN7'Y OF PASCO X t ��
Si f Owner or tt�s Auth ed cedD' a a/Mapagu
, � ��,�"�"�►_��'�"��i�.'
Print N�me
The o going instrument was acla►owledged before me this,��day of � 20��by�_�
t�'► as (type of authority,e.g.offic�er,bvstec,ettomey
ia fa )for (name of party on behalf of whom mstrument was executed).
Pe�sonalIy Known_OR Produced IdentiScation� Notazy Signature ' d�
I r c .7� /�
Type of Identificarion Produced �-L-���NeitS�+CQJ`�Name(priat) �'�I,l[�� � n�- C��1 �I e�
Verificarion pursuant to Section 92.525,Florida Stawtes.Under penalties of perjury,I declaza that I have read the foregoing Bnd that
the facts stated in it are true W the best of my lrnowledge and belie£
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Signazwe ofNehua!Petsoa 3igning Above
FORMSMOC,md7➢P7
am
�x:.^"'• JACQUELINE BOGES
�i�ti' Y�`�:
• :�; ':.: Commission#FF 150422
• z�a��, �a: Expires December 12,2018
��q�PR�°:`��` Bonded ThN Tmy Fein Insufanee 800�3857019
�,s,at,-�,��u c:,ity ot tephyrhilis Permit Application Fax 813-78Q-0021
Building Department
te Recetved p ne Contact for Permittin —
n
vner's Name .---� Owner Phone Numbar �' � � �
0
rner's Address � Owner Phone Number
' s Simpte Titlehotder Name Owner Phane Numbe: � �
s Simpla Tittefioider Address
�B AQDRESS LOT# �
IBDIVISION �` � PARCEL ID#
(OBTAINED FROM PROPERTY TAX N0710E) .
�RK PROPOSED � NEw co�srR 8 AOQ/ALT � SIGN [� �] DEMOI.ISN
INSTAI.i. REPAiR
;OPOSED USE �] SFR Q COMM [� OTHER
PE OF CONSTRUCTiON BLOCK Q FRAME � STEEi. Q
;SCRIPTION OF WORK yY � J� /'`
�itDiNG S12E �_,____„_� SQ POOTAGE NEIGHT ���
�����»r" ' �' ��r�,p��� VALUATION OF TOTAL CONSTRUCTION
' QELECTRlCAL (;6� AMP SERV4GE [� PROfi�RE3S ENERGY {� W.R.E.C.
� L
�PLUMBING (S6�
i �
[�MECHANICAL ($-- —� VALUATION QF MECHANICAL INS7ALLATION
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QGAS Q ROOFtNG [� SPECIALTf � OTHER
�I 14SHED FI.00R ELEVATIONS ��� FLOOD ZONE AREA QYES NO
i
ILDER f�j )� L,,�- COMPANY �����
iNA1'URE � L r/ �7��r '/ f R��ts7�t�a 1 N FEE CURRE� Y/N
� Address License# � �
�i
"CTEtICIAN CQNlPANY
i �NATURE REGISTERED Y/ N FEE CURREh Y/M1)
Address Ucense# � ---�
1M9ER COMPANY
�NATURE REGIStERED Y/ N PEE GUF2RER Y/N
Address L.icettse# �r �
CHANICAL COMPANY
NATt7RE REGISTERED Y/ N FEE GURREI+ Y/N
Address —�+�r L.icense# � ��
iER � COMPANY
($ATU12E REGISTERED Y/ N FEE CURRE� Y/N
Address Licenss# �� ���
iIDENTlAL Attach(2)Plot Plans,{2}sets of Buildfng Plans;(1)set of Energy Fortns;R-C?-W Permit for new construc8on,
Mfnimum ten{10)warking days after submittai date. Requlred onsite,Construction Pians,Stormwater Ptans w/Slit Fence installed,
Sanftary Fac0lUes&1 dumpster;Site Work Perrnit for subdivisionstlarge projects
AMERCIA!» Attach(3)comptete sets of Suitdtng P1ans pius a life Safety Page;(1)set of Energy Forms.R-O-W permit for new construcUan.
Mlnfmum ten{1d}warktng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for ali new projects.All commercial requtrerrrents must meet camplfance
N PERMIT Attach(2)sets of Engineered Ptans.
""PROPERTY SURVEY required far ail NEVtI cansttucNon. •
ctions:
Filf out appifcation compteteiy.
Owner&Cantractor sign back of applicatian,natarized
tf over�2500,a Notice of Commencement Is required. (A/C upgrades over�750aa
Agent(for the contractor)or Power of Aktomey(tor the owner)would 6e someone with notarized letter from awner�authoriztng same. �, . ,, , . . ,_
;R THE COUNTER PERMI'tTtNG ;. (Front.af,Appticatian Anly)�� . � , ' � � ''�' ' � '
�afs if shingtes Sewers Senrice Upgrades!NC�� ,.Fences(P1oUSuivey/Foatage) �� ,' . � ''' ' ' �• �
� x � , . .,
, ; ;c�,�,,., -, . .�,�-.r:��r , , ; .__ - •'_ .
Drtveways-Not over Counter if on pubtic roadways..need§BOW? , � � _ . ....,�, ,_ __. ,�,� , � . ; _ °
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` CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GN1NG DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION 1NFORMATION
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FRO�TT FROPERTY LIhTE
- - - STREET - - - - - - - - - - -
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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R X
0 I lp EXISTING 10'
10' � T 10' 140'
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PROAOS�
�, , 2Q-SINGLEFAAI➢I.Y! �'DUPIEIC
FRONT PROPERTY LINE YROHT PxOPEKfY LIHE
- -- SfREEI' - - - - - - - - - - - - -- STREET -- - - - - - - - - -
DISCLOSIIRE STATEMENT FOR OWNSR
CITY OF ZEPHYRHILLS BIIILDING DEPARTMENT
I. ��1'C \O �...\�i�\�Y1 have read and fully uaderstand and
agree to the pro isioas of this iastrument.
� The undersigned states and affirms that he or she is desirous of constructing,
reaovatiag, addiag to or reroofiag his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, aad same is aot for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the ov,mer aad he or she aloae shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinaaces and codes pertinent to the buildiag.
3. That ia the event various phases of coastructioa are subcontracted, he will
engage oaly properly licensed subcontractors aad will personally supervise
such work.
4. That ia the eveat the Buildiag Iaspector shall require correctiona to be made,
the owner will assume full respoasibility to insure they are made, aad upon
completion will call for a reiaspection before proceeding with the buildiag.
5. That the owaer ahall assume full respoasibility for the construction and will
aot expect supervisioa of his work from the City of Zephyrhills Building
Departmeat.
6. That prior to final inspection any additional fees, iacludiag reinspection
fees, must be paid ia full. A writtea request from this office shall
coastitute an official aotice to pay additioaal fees.
7. That the owner shall comply with all City, State and Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires constructioa to be doae by licensed contractors. You have
applied for a permit uader aa exemptioa to that law. The exemptioa allows
you, as the owaer of your property, to act as your owa contractor with certain
restrictions evea though you do aot have a licease. You must provide direct
onsite supervision of the constructioa yourself. You may build or improve a
one-family or two-family resideace or a farm outbuildiag. You may also build
or improve a commercial building, provided your costs do aot exceed $75,000.
The building or residence must be for your owa use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
buildiag you have built or substantially improved yourself withia 1 year after
the coastruction is complete, the law will presume that you built or
, substaatially improved if for sale or lease, which is a violatioa of this
exemption. You may aot hire aa ualiceased persoa to act as your coatractor or
to supervise people workiag on your buildiag. It is your respoasibility to
make sure that people employed by you have liceases required by state law aad
by couaty or municipal licensing ordiaaaces. You may aot delegate the
responsibility for supervisiag work to a liceased contractor who is aot
liceased to perform the work beiag doae. Any person working on your buildiag
who is aot licensed must work under your direct supervision and must be
employed by you, which meaas that you must deduct F.I.C.A. aad withholding tax
and provide workers' compensation for that emplayee, all as prescribed by law. ,
Your construction must comply with all applicable laws, ordiaances, building
codes, aad zoning regulations.
�WNER'S SIGNATURE G� " �� / " DATE �J� � [� � ��,�
ADDRESS , °v� o
PHONE
WITNESS PERMIT # ��ZD�
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