HomeMy WebLinkAbout15-16459 CITY OF ZEPHYRHILLS
5335�-STH STREET
(sts)�so-oo20 1 459
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16459 Address: 5603 11TH ST HISTORIC
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10300-0030
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 8/11/2015 Name: ARMSTRONG SAMMY JR
Total Fees: 55.00 Address: 5603 11TH ST -HISTORIC
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/11/2015 Phone: (813)469-9353
Work Desc: INSTALL 75' X 6' PRIVACY &237' X 4' BLACK CHAIN LINK- SEE HB NOTES
CONTRACTOR S APPLICATION FEES
FENCE OUTLET OF TAMPA INC (407)851-6660 FENCE 55.00
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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 followi�g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correctior�s 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 manag�ment, 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
ONTRACTOR PERMIT OFFI
PERMIT E S IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A�►PPLOCAYOON FOR e4 HISTORIC DISTR��T
6iCERTIF�CATE OF /�PPROPR9ATEIVESS99
. �
• ey sta�•Application#.�� � �'� Corrtribu ing: es/No ,Date Submifted:
--� _ (Applicant,Please provid�formation befween the double Irnes)
� �p Property Address or Location. ��Qf)� ���� �� �1����1_��� �S �"C. `,�� �
Owner's Name: �} I Phone: �S ��' Df�
. I� _ „ �}.�
Applicant's Name&Company(if different): ��P.�QU1 f�C Qd(YD.S C (�°_a
ApplicanYs Mailing Address:
App. Contact Info: Phone: � �-��/ F x: • -Email:� �r I _f'T�Y f C i�°��
t'al `� Commercial Pubiic or Other
Type of Property: Residen i
PROPOSED RESTOI�ATION/RENOVA'FIONS/REPAIRS/RELOCATION/ETG:
Exterior Walls Signage -
Exterior poors • I Lighting -
Windows I . New Main Buiiding or Addition to Existing Building
Porches New Accessory Bidg.(garage;carport,shed)
Awnings or Canopies New deck,ramp,patio,etc.
��Fencing Building,Demolition or Relocation
Exterior Painting&Color Changes General Repairs(describe below)
Roofing I Other(describe below)
Detailed d scription of ropose ork: (a c othe sheets if ecessary)
I � � Cl1� ��
The Historic P�eservation Board requires that the fotl Iwing information MUST be included with an application prior to the
application being accepted by staff:
• Detailed Plans,including a site lan and elevation(sl:
• Color and material samples;
� Manufacturer's sales literature;
• Photoaraohs:and
• Any other suadortina docum�entation to sho that the proposed work is consistent with the adopted Department
of Interior Standar s.
�/ / ! ��4 al1!� Q�f t7�1n/�/I CrT�-P
ATUR F TH NER•and/or I AP LICA T �
A licant do NOT write BELOW this line
ACTION TAKEN: Date: I � I
❑By Staff: Approved Denied Reason for Deniai:
�L/I By HPB: Approved " . Approved with I odifications noted below*and/or on attached sheets
Denied I
*HPB Condition(s)of Approval: ��� U ►� �
- � �ra I 5 `� �(.+Ir'hClO)c) C(?�.
Si ned: Date: � /� i J
9
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2815106874
' Rept:1695649 Ree: 10.00
� DS: 0.00 IT: 0,00
� ^ KeyNo. PsrmitNo. � 0710?I201°3 E. M. , Dpty Clerk
NOTICE OF COMMENCEMENT =
j THE tlNDERSitiNED herefzv ghres notice that im�pmvement w�11 be made '_.
i to csrtain rea! properiy,anc1�in accardance with Chapter 713,Florida St'te E
5talutes,fhe following infartnatlan ia prorrided In this Notice o} 4 ,
� CommencemenL• .....�...«......»�..............».......thia�paeeteemvear«reooraer»_„»..p........N.,�.«.„»......»..»
1. D ctip on pi P per�y: P r No.
���- [o-'��� ��7�E���9'?,CYC�.- (�' 'ir7 '
{ 8ei de ptlon ot the propetty and aUeet eddresa N aveitabta)
2. General Description af Improvement �hS�� �UL Q
i i
3. Owner tnformat�on: N mg n� �„
Address._
interest in rope !�� ' i , ta e ip : ��
Name ot Fee 8impie M e o er o er n awner: i
Address i � te A
�4. Contractor. Name � ^� �
Address: ��l ¢n, � r Ti�hn 0. e � F
Phone Na. ax o. i
5. Surety: Name • I `3 3 6 l g
Address • i �tyr t$
AtYtOURt 8 Oti : OnB' O. i � p, �
8. Lender. Name �
Address � � �ts A
Phone Na. au o. i •
7. Persans within the 5tate of Florida designated by Owner upo�whom nodces or other documents may be served as pmvided by SecBon
713.13{1)(a)(7},FlOhdO Sistutes:
Name Address City State
Phone o. Fax No._i
8, tn additfon to himself or hersalf,t}wner designates � ot
to receive a copy of the lienors Not3ce as provide m ecUOi� . , o a tetu es.
Phone No.ot person or entity designated by owner. I
I
8. Expiratio�-date-of-Motice•ot Corrarraencement{!he eupiration date•Es-l-yesrfrnm the date o!recarding uniess a ditferent date is specified.}
j WARNING TQ OVYNEFt'ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPtRATiON Of 7HE NpTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
3 PAYMENTS UNO£R CHAPTEit TS3,PART'1,SEG 743.13,F1.ORSQA STATUTES.AND CAN i2£SULT iN YOLtR PAYIl�3G'iWiCE FOR IMPROYEMEMTS TO YOUR PROpER7Y.
� A NOTIGE O Ct3MNlENCEMENT fi1UST BE REC pED�1tND POSTED ON'TFIE J08 SItE 8EFORE tHE PtRSt iNSPECTtON. IF YOU INTENO TQ 08TAIN FINANCING,
� CONSULT TN YOUR LEND R BEfORE COMMENCIN(i WORK OR RECORpING YOUR NOTICE OF COMMENCEMEN7.
. x �,�v^
� ature a er or wner s onze cer ire or artrse anager �gnatn s i ce
"'Signaturn Requfned by same befaw 6y'X'mark'"'� '
STATE OF ���1��-'/!ld � COUNTY OF � �,/� ,
The foregoing instrument was acknowledged belore me Rhis�day pf ��r ,2p �� by ��M�� �' �"'��j,G'��4'�
as tpr � ' a+ne o ersonT' '
' ype at a ' e .,oncs, stee itomey in taet) (Na 'e o perty on beheK of who inatrument wae�exewted
Mn��„ �+�w�rr _�
' ;�'�'�''� ROBEATfi�ltiKfON
+gnature ry Ptint,Type or m o FEEi8d37
• PI ES:Maroh 28,2019
Peraonail Known OR Produced Idendflcetlon M �il�� �ded'mNNaleiyWiblicundenv�itters -
n�
Type af 4 entNiptton fsro�uced: "':..�...,...��.,, .
Verifica6on Orsuent to Secdon .525,Florida Statu , der penall es of pery'ury,1 declare that I have read the faregoing and that the facts stated in it are
We to Ihe b 'st of my knowle and beli .
X
ig a re o a ra erson gn ng' ove
PAU�R S 0'NEI�,Ph D PASCO C�ERK & COMATROLLER
07/�R7/�201�i��am P� 24��
STATE d� FLQ�1DA+,�C04lNT�C}F PASCO • -
xoc-�cs.wr�t7irrm� THkS 1���CdRRECT COPY OF TUHE DOCUMEN ��'� 1AO-�/��41�
9!!4/0'l�sg 1"RUE A
� ON FILE OR�F PUBLIC RECOf�D IN THIS�FF� • . �
N� ��S . Y HAI�D AND t}FF4C�{AL SEA�THl t :
pAY OF . cr1 E � e'�r"S
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BY --�"j~ — '� � .—1$$7` ¢`�@.
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---�- ---- STqTE�F�"�
e�a-�SO-ao�o City af Zephyr ills Permit Application Fax-813-780-0021
� ' Buil ing De�rartment
Date Recefvad ' '�" � Phane�Contact for RerrttltEin 6(� $�� - �f q
Owner's Name � Y G Owner Phone Number g13 , G q.- ��s3
Owner's Address l (� t�' SF, Owner Phone Number � �
Fee Simple Tltleholdar.Name � � Owner Phane Number �� �
I
Fee Blmple Tl+kleholder Address
JOB ADDRESS CJ �1 ��.-�' �''� LOT# �J �I S
SUBOiViSION PARCEL ID# l 1 ^a�- �I- bD I�- a y pu~- �U30
(OBTAINED FRdM PROPERTY TAX NOTICE�
WORK PROPOSED EW CBNSTR ADDlA T � SIGN Q [� DEMOI.ISH
INSTALL 8 REPAI
P[tOPOSED USE Q SFR � COMM [� QTHER
TYPE OF CONSTRUC710N [� BLOCK Q FRAM C� STEEI. Q
DE3CRIPTION OF WORK ��,1) d� UC. �,,. ��' � �1 r �,; � L t(,�f �, q�( e .K � �� t f
BUILDING S1ZE �� � SQ FOOTAGE HEIGHT C t '�1�'I
'---'-���iN�" � � VALUATION OF TOTAC CONSTRUCTION
b �
QE�.ECTRlGA� �� AMP SERV CE Q PRCIGRESS Et�IERGY � W.R.E.C.
QPtUMBING �>� � G ,�1 �'��
QMECHANICAL �� VAWATIO QF MECHANICAI.INSTALLATION
QGAS Q RQQFING Q SPECI�I.TY � OTHEF2
FINISHED FLQOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
BUI�DER { �� _ COMPAFIY �.k
SIGNATURE � q �w� . RE�ISTERED Y/ N FEE CURRE� Y/N
Address �(1� 1t�n � License# � �
E�ECTRICIAN C�MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address ( � License# �� �
PLUNIBER CC�MRAMf
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � ,
, �
MECifANICAL C�MPAFtY
SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address Ucense# � �
4THER �(��ypp�}(
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address � I Lic�nse# �i �
i
RESIDENTIAI: Attach(2}Plof Pians;.{2)sets.of:Bultding"Plans;(1)set�of Energy�Forms;R-0-W Permlt Eor new constructton,
Minimum�ten(•10),working;days:after.subrriittal date. R�qulred onslte,Canstruc8on Plans,Stortnwater Plans w/Silt Fence instalied,
Sanitary Eacilitles&.1 dumpste_r,Site Worlc�Fermit for subdlvisionsAarge proJects
COMlIAERCIAL Attach{3}camgle#e sefs of Bail�icig P1aris plus a�ife S� fety Page;{1}set o#Energy Forms.RA-W Petmit for new conshuction.
Minimum ten(10)working days after submittal date. R quired onsite,Canstructlon Plans,Stormwater Plans w/511t Fenae installed,
Sanitary Facilitles&1 dumpster.Site Wor1c Parmit for II new proJects.All commercial requlrements must mest compNance
SIGN PER14lIT Attach{2}se#s afEngtneered Plans., �
"""PROPERTY SURVEY required for ail NEW construcUon.
DErectlons: `
Fill out applicaUon completely.
Ctwner&Contractor sign back of applfcaUon,notarized
if aver 52,+00,a Natice of Commencement Is requiced. {A!C upgr�des aver�750dj
" Agent(for the contractor)or Power of Attamey(for the owner)wauld 6e someone with notarized letter from owner authorizing same
dVER THE COUNTER FERMIi'TING {Front of ApplicaHan Only)
Reroofs if shingles Sewers Service Upgrades AIC Fences(Plat/Survey/Footage)
Drlvewayas-Not aver Counter if on public rosdways..need's RdW
NOT9C@ O�DEED RESTRICTIONS: The undersigned under.�tands�that this.p�rmit.may be:subject to„"ae�a"restrictions"
which may be°more�restcictide�th�n County regulations. The undersigned�assumes responsi6iltty for compltance viritfi any
applicable deed restrlctions.
UNLICEIVSED CONTRACTORS AND CONTItACTOFt RESPONSIBILITIES: If the owner ha� hired a contractor or
contractors to undertake work, they may be required;to be.:licensed In accordance.with state.and•local regulatlons. If the
contractor is not Ilcensed as requlred�by law, both the owner and contractvr�may be-cited for a�misdemeanor violation
under state law. If the owner or intended�contractor are uncertaln as to w►hat IlcensBng.requirements may apply`•for�Qhe
intended work, they are advised to contact the Pasco County�ullding Inspection Divlston--Licenstng Section at 727-847-
8003. Fu�thermore, if the owner has hired a contractor oF contractors, he is advised to have th� contractor(s) sagn
portfo�s of the "contractor Block" of thls application for which they wfll be responsible. If you� as.the otiiner'sign�as the
contractor, that rnay be an indication that he is not.properly licensed and i� not entitled'to permitting prEvileg�s In Pasco
County. ;
TttANSPORTATION 9MPACTIUTILITIES IMPACT'AP1D RE�OIDRCE ItECOVERV F@E�: The undersigned understands
Qhat�'ransportation Impact Fees and Recourse Recove.ry.Fees may apply,to the construction of new buildings,:change of �
use in existing buildings, or'..ezpansion of�existing'�busldings, as speclfied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also undersfands, that such fees,:as�may be�due„vuiil.�be id�ntifled at the`time of
permitting. It is further understood fhaQ Tra�sportation Impact Fees and�Resource Reco�ery�Fees must be pafd prior to �
receiving a "ce�Eificate of occupancy" or flnal power release. :If�he project does not (nvolve a certificate of occupancy or '
final power release, the fees must be paid prior to permit issuanc�. Futthermore,��if Pasco.County WaQer/Sewer Impact
fees are due, they�must be.pald prior to permit-issuance-in accordance writh applicable.Pasc�County ordinances,
CONSTRUCTION LIEN Lr4W(Cha�pter 713, �lor#da Statutes,�a amended): Bf v�luation of work is$2,500.00.or more, I
cerQify that I, the applicant, =h�ve-been provided -writh a copy of th� "Florida ConstructPon Lien_Law—Homeowner's
Protection Guide" prepared by the Florlda Depa�tmenC of Agriculture and Consumer Affairs. If the applEcant is someone
other than the�own��", I certify that I have.obtained a copy,of Qh�:above..described docu'rnent°and promise in,good faith to
deliver it to the"owne�"prior to�commenceFnent:
CANTfiACYOR'SIAWNER'S AFFIDAVIT: I certify.tFiat all Qhe Inf.orrv�ation (�thls application is accurate and that all work
witl�be done in complfance with all appUcable laws regulating construction, zqning and:land'development. Application is
hereby made to obtain .a permit to do work and Installatlon as 9ndicafed. `I certify that no work .or Installatton h�s
comrr�enced prior to issuance of a permit and that.all work will b� perFormed to meet standards of all laws regulating-
construction, County and City codes, zonfng regula�(ons, and land developme�t regealaftons-in the jurisdlcqion. ( also
certify that I understand that the regulations of other government agencies m�y apply�Qo the intended work, and that iQ is
my responsibility to identify.what.actions I must take to be�in:.conlpliance. �uch agencles include but are.not limited to:
- Deparkment of Er�vironmental Protection-Cypress Bayheads, INetland Areas and Environmentally Sensitive
Lands,Watee/Wastewater Treatment.
- Southwest Florida Water 6Vlanagement District-VVells, Cypress. Bay.heads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seav+rails, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Enyironmental Nealth Unit-Mleils, Wastewater Treatment,
Septic Tanks. ,
- US Environrtnentai ProtecQfon Agency-Asbestos abatement.
- Federal Aviation Aulhority=Runways.
I underst�nd that the folOowring.restrictlons apply to Qhe use of flll:�
- Use of fill ls not allowed 9n Flood Zone"V"unless expressly permitted.
- If the fill rn�terial fs to be used. in Flood Zone "A", ft_ is undersQood that a drainage plan addressing a
°compensating volume" will be submitted at time of permifting which is prepared by a professional engineer
Iic�nsed by�he St�te of Florlda.
- If ihe fill mat�rial .Es-4o be used in Flood Zone °A" in�connection�with.a-permitted building using stem wa01
construction., I certify that fll�.�ndll:be used only to.flll the area withln the stem•vvall.
- If ffli material is to be u�ed in any area, I certify that use. of such fill will not adversely affect adjacenQ
propertfes. if use of flll is found to adversely.�ffect adJacent properties,.the owner may be cited for viofating
the condi#ions of the building:p�rmit issu�d under the attached permit application, for lots less than one (1)
acre which are elev�,ted by ilil, an englneered drainage pian is requtred. ,
If! arn the AGE(dT�OR THE OWIdER, i,�promise in good faith to inform th�ov�rner of-the p�rmitt(ng conditions set forth in
this a�davit prtor to commencing construction. I understand that a:separate permlt may be requlred for electrical work,
plumbing, signs, wells, pools; air conditioning, .gas, or other installatfons not specffically included in the application. .A
pemnit issued shall be construed to be a Iicense to proceed writh the inrork and o�ot as.authortty to,violate, cancel, alter, ar
set aside�ny provis(ons of the technical cod�s; nor shall issuance�of a permit prevent the�ulldirig Official from thereaf4er
requiring a correction nf errors In pians, construction or violatlons of any codes. Every permit Issued shall becorne invalid
unless the work authorized.by such permit�is.commenced�within si� months of permit isstaance, or if work authorized by
the permit is suspended or.abandoned for a:period of six(6)months.after the tlme the�nrork ts cornmenced. An extension
may be requested, Pn writing, from the Building,O�ici�l for a perlod not to exceed ninety�(90) days and wili demonstrate
justifiabl�cause for_i�e�ext��sion�.- ii-work c�as�s f�r�nineQy�(90)consecutive day.s,.tFi�job is aonsidered abandoned:--- -- - �
WARPIING TO OWNER: YOUR F�l,SLURE�TO,REC.ORD A.RIOTIGE OF CAMNIENCEMENT NIAY RESULT IN YOUR
PAYIN(;TY�ICE FOR IMPROVEINENTS TO YA411�{PROPERTY. IF�Y0IJ�INT�D'TO�O�TI�IN•�FIPIANCING,�CONSULT
WITH YOUIt LENDER:OR AN ATTORNEY�BEFOR��RECOR�De9VG vOUF3�NOTOCE°OF CONIMENCEf1�EtdT:
FLORIDA JURAT(F.S:1.17.03) ,
OWNER OR�GEy\T l 1/il��1 �lv,.�. CONTRI�CTOR
Subscribed a dsv6om to(o�ed)b fore m�this Subscribed and swom to(or afflrmed)�before me this
by �by
Wlio Islare personally known to me or has/have produced Who Is/are p.ersonally ke�owm to me oe has/have�produced
as Identlwcatlon. es Idendficatfon.
� Notary Public Notary Public
Commisslon No. Commisslon No.
Name ot Motary typed,printed ar stamped Name of Molary typed,p�infed or stamped
,
SURVEY OF• (dESCR(P770N AS FURNISNED) I
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�� �'p .. /R ftR 5j8" CERi7RED TO:
.•w �•a. 0.46' M SAMMY ARMSTRONG;
°�` :'�':` 0.22' E hdELfWlE YATES:
PROSPEC'f MORTGAG� LLC;
GUtFATLANJ7G TffLE&1U'PRRtSAL, INC.;
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