HomeMy WebLinkAbout15-16381' %�` CITY OF ZEPHYRHILLS
t 5335-STH STREET
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' FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16381 Address: 39668 MEADOWOOD LOOP
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
� Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0300
Improv. Cost: 100.00 OWNER INFORMATION
Date Issued: 6/19/2015 Name: ROBERTS NATHANIEL & DEBORAH S
Total Fees: 40.00 Address: 39668 MEADOWOOD LOOP
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-6715
Date Paid: 6/19/2015 ho e: (813)997-1074
Work Desc: INSTALL WOOD FENCE 24 X 6 c� - zs:(�-
CONTRACTOR S APPLICATI FEES
HOMEOWNER FENCE 40.00
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Ins ections Re uired
FINAL
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 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.
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 pertormed in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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m F1„�780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 j
� Building Departrnent �
Date Recelved , �� l l� phone.Coetact for PsrmlttM
Owner's Name C7t„�t.(i�- � C Owner Phcne Number ��`- [t t'—(��
Owner's Address - d(. �l � + Owner Phone Number �'�. �
Fee 5lmple Titleholder Name Owner Phone Number �— —�
Fee 8lmple 1'Itleholder Address
JOB ADDRESS L�U ��' �sv O ,�f�-! � 3� LOY# C��
SUBDtViStON ���' ���' P/1RCEL 1D#
(OBTAINED FROM PROPERTYTAX NOTICE)
WQRK PROPOSED NEw COiVSTR ADDIAI.T � SIGN C] Q DEMOLISH
INSTAL� 8 REPAIR
PROPQSED•tJSE Q SFR Q [� OTHER -
TYPE OF CONSTRUCTION Q BLOCK (� FRAME � STEEI, Q -
DESCRIPTION OF WORK �NS'�'4�\ t�71'�`Qd F'G'�,�11C£,
BUILDING SIZE �� � SQ FOOTAGE Z�r HEIGHT C � f �
QBU1l.DING. � ,/f��� VALUATiON OF T07AL CONSTRUCTION
U4J�
QE��CTRICAl. � � AMP SERVICE Q PROGRESS ENEFtGY [� W.t2.E.C.
QPL.UNiBING L_. � �`
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QMECHANICAL $ VALUATtON OF MECHANICAC INS'TALLATtOhI .�C �
J�►
QGAB [� i400FING � s�eciatrr [� aT��R
FIfVISHED FLOOR ELEVATIQNS r�� FLOOD ZONE AREA QYES NO
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su��o�� d�,�l� COMPANY �l� � e
SIGNATIiRE REGI3TERED Y/ N FEE CURRE� Y/
Address License# � �
E�ECTRICIAld - CQMPANY
SIGNATURB REGISTEREp Y/ N FEE CURRE� Y/N
Address License# � �
PCUMBER � COMPANY
SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N
Address License# � ��
MEGHANICAL CGIMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
OTliER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - License# � �
RESIDENTIAi. Attach(2)Plot Pla�s;(2}sets af Building`Plans;(4}set of Energy Fa�rns;R-O-W Perinit far new construction, .
Minimum.ten(.10)worlcing,days after submittal date. Required ansite,Construcbon Plans;Stormwater Plans w/Silt Fence installed,
Sanitary FaclliUes 81;dumpster,Site Worlc:Permit fo�subdivisionSAarge projects �
C4MME32CtAl. Attach{3)complete sets of 8u11c11ng Plans plus a L1fe Safety Page;{1)set af Enecgy Fotms.R-O-W Permit for new construc�an.
Minimum ten(1Q)worlcing days after submittal date. Required onsite,Gonstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.&ite Work Perm(t tor all new proJects.All commercia!requtrements must meet compUance
SIGN PERMFT Attacti{2)sets of Engineered Ptans.; .
"""PROPERTY SURVEY required for all NEW construction.
Dlrec�tlans: ' i =
Ffli out applicaUan completely. ', �
Owner&Contrackor sign back of appllcaUon,notarized . _ , -_ . , ` -s '
_ ��� %�:_;�w-
tf ovar$2508,a Notice af Commencernarrt is required. (A/C upgrades over S7s00) ' ` , , ��; ;
'• Agent(for ttie c:ontractor)or Power of Attomey(for the owner)would be someane with nota�ized letter from_ownerauUiorizing same . � y ' '�
DVER THE COUNTER PERMiTTING (Front of Applicatlon Oniy} ` f� � �- " !. a, �{� '�. ',
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) ; ` .. _ .-« ri - • h ` r`' '�
Driveways-Not over Counter if on publia roadways..needs ROW
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NOTiCE OF DEED RESTRlCTIONS: Ths underslgned under.�tands�:th�t#his.�ermlt.may bersub�eat to_°deed"_restrlctlons° , .�,.
`, which may be:mare�restrictive th�n Countyr regulat(ons. �Tfie-ur�dersigned`assumies�responsitiiiityi for compfiance witii ariy
; applicable deed restrictions. - . , • �� � ` �'
UNl.ICENSED CONTRACTCIRS AND CCtNTRACTOR RESPONSIBlLITtE�: �tf tlie awner has fiir�d a con#ractor or
contractors to undertake work, they may be.requ'Ired�:to.�be;licensed In.accardanae.with state.and�local regulatians. If�the � �
contractoc is not Ifcensed as requlred='by law� both the owner and contractor-may 6s�-clfed-for a�misdemeanar vtolation
under state iaw. If the awner or intended can$ractor are uncertatn as fo what (icensing.requfirements may appiy�or`the �
intended work, they are advised to cantact�the Pasco Cotinty Bullding Inspection Dlvlsion-Licensing Section at 727-847-
8009. Furthe�more, If #he owner fias h#ted a contracfor oT cantraotots. he {s adv#sed ta have the con#ractor(s).,sfgn
portions of the "contractor Block° of this appllcatlon for whtch they will be.responslble. If yau,-as.#he owner s(�n as�the � - �
contractor, that r►ray ba an lndicatlon that=Fie ts not.prop'erly licensed and !s�riot entttled�to pertrtlttiitg privileges !n Pasco
County.
TRANSPORTATION,IMFAC7JUTILITIES�MMPACT�AN6�RESOU�tGE RECOVERY FEES:��The underslgned understands
that Trar�spartation Impact Fees and.Reco.urse Recave.ry.Fees enay::apply�#o ttre construc#tan of new bulldings,.chaR�e af �
use in exisking buildings, or.expansion>of�existin�'�buildings, as specified in Pascv Caunty Or`dinance number 89-07 and
80-07, as amended. The undersigned aiso.understands, that�such fees,-as:may be:due,;will:�be tdentif�ed at the�fime of `
permitting. It is further understood that Transportatlon impact Fees and Ftesource Reaove"ry�Fees must be pald priar to
receiving a "certl�cate of oecupancy" or flnal power�-release. :!f�the projeat;does.not Ir�volve.a-.certiflcate af occupancy,.-or
final pawet release; the.fees mu�#be paid pricr ta perrnit issuanice. F�trEhermare;�if Pasc�r County°tNaterlSewer impact �
fees are due, they.musk.be-pald pclor to permit-Issuance�in accardance with appllaable Pasco'County ordinances.
GQNSTRUCTIQN L1Efd I.AW{Ch�pter 715�FIOt'1d8 Sli�ttlt�S�„as arpended):��f v�tuatbn o�wock is$2.50Q.00 or more�1-
ceMifiy that I, the applicant, have-been provided wtth- a copy� of �Ne° Flor��a'°'Constrlii:tlon� Lien.Law—Homeowne�s
Protectlott Guide° prepared by the Florlda Depa�tment�of Agriaulture ar�d Consumer Affairs, If the appiicant Is someane
ather#han#he°awne�", i certifjr that I tfaite..obtalnedYa cc�py;of the.abo��described docur�ent�and promise in,good faith to
deliver ft to the?owne�'�p�io�to>commencement. ' •
CONTRACTOR'S!1"�}WNER'S AF�IDAVlT: 1,ce�tify ti�a#all the,lnforrnation In;this applicatlon is accurate and that aN work
will�be done in compliance wi#h all applicable laws regulating aonstruction, zoning and•land development. Appilcatian is
hereby made to obtaln .a permit.to do wark .and instatlation as indtcefed:� °I certity that no work:or Instaliatian has
commenced prior #o 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 dsvelopment regulations�ln the Jurfsdlcttan. ! also
certify that 1 understand that the regulatlons of other gavemment agenctes m�y�apply�to the intended work, and that it is
my responsibility to'iden#ify,�what acttons I must take.to be�in.compliance. 5:uch agencles include but are nat Ilmited to:
- Department of,Erautronmental Proteatton-Cypress.'Baytieads� Vttefland Areas and EnvtroninentalCy Sensitive
L.ands,WaterlWastewater Treatment. •
- Southwest Fiorida Water Management ::Distrlct-WeAs; Cypress Bayheads� Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineersweawalls, Docks, Navigatile Waterways.
- Depa�#ment of Health & Reh�bilitative SenifceslErnitonmentat Hea�lth llhtt Wel1s, Wastevrtater Treatmenf, �
8eptic Tanks.
- US Environmental Protectlon Agency-Asbestos aba#ement.
- Federa#Aviation AuthorityRunways. -
I understand that the follawing:restrictlons apply to the use of flll.�
- Use of ffEl is not atlowed in Flaad Zone"V"unless expressly perrnitted.
- If the fill materfal ts to �be used._in �Flood Zone "A", it Is understood that a drainage plan addressing a
"compensating volume"wifl be submltted at time of perm3tting which Is prepared by a professfonat engfneer
licensed by#he State of�'lorida.
- If the fill ma#erial is to be used In Flood Zbne 'A" (n�conneclion�wlth.a�permitted build#ng using stem wal!
; constructio�, l certify#ha#fill:wllt-be used only.to.f�ll the area within the�stem�wafi.
' - If fill material Is ta be used in any area, I cerkify t#�a# .use. of such flll will nat adversely affect adjacent
properties. If use o#f�ll is f�nnd to adverse#y.�ffecE adjacent�prope�tle5,.the awner may be cifed far uiaCating
the conditions of the building:perm(t issued under the.at�ached permit application, for lots less than one (1)
acre whlch are eleuated by#!!l,an englneered drafnage plan is required.
' If t am fhe AGENT FOR THE OV1fNER, 1;prarnise In goad faifh to infibrm the-owner af the permltting condi#lons set forth tn
', thls a�davtt�prior to commencing constructton. i"undersfanil thet a�separate permit may be requtred for electrlcal work,
i plumbingt signs, wells, poals; atr condltionit�g,.gas, ar othec Enstall�itlons nat.spec�icalty inc#us3ed-in the application. .A
i permit Issued shail be construed to be a'Ilcense to proceed wlkh thie work and nat as:authority to.violate,cancel, alter, or
' set aside any provis(ons of the.techc�ical codes; nor shali issuance�of a.permtt.prevent the Buildlrig U#�Icia!from thereafter
requiring a carrection.t�f errars in.plans,aonstivction or vlolatlons of any codes. Every permtt Issued shall become invalid
unless the work authorized.by such permit:•is-commenced•withln sGc months of permit lssuance� or If wo�k authorized by
#he permft Is suspended or.abandoned for a:period of�s�C{8)mor�t�is.after ti�s.#1me the-wotk is commen�ed. An extensian
may be requested, In writing, fram the Buflding,Offlcial far a perlod not•to exceed ninety (90) days and will demonstrate
—Juskifiable_cause-ior.the extensior�._#i work-ce�s��.:for nir��Ry-490}con�e��tiv�day.s;..t�ie�ab is conslder+e�a�a�tdoned�_.__ ---- -._--
WARNING 1"0 OWNER: YOUR.FAILURE TO.,REC.ORD_A-NOTIGE OF•COMMENCEMENT.MAY RESULT !N YOUR
PAYING'i11VICE Ft"�!R IMPROVEMENTS T�i Y�.Ui��PRLIPERTYe l��YBU��IId��Et�D�`TQ CyBTA1N��FiNANCiNG,�GONSULT
WITH YOUR ENDERiOR AN ATTORNEI�'$�FORE�RE�OR�ING YOUR�I�OTI�E�`OF'COIIA ENCEII�E 'T�
FLORIDA J!lRAT tF.S.1. 7. j `
4WNER OR At3ENT � ��"Fr'� , CONTRACTOR
Subscribed and swom to(or afllrmed)befare me thls Subscrtbed and'swom to{or a#�rmed)�betore me'Uits
' Who Is/are persanally knovm to.me or has/haye produced Who Is/ace personallyknown ta me or has/have produced •
as Identlflcatlon. as idenBBcatton.
I ��� •. � ubtta Mofary Pubtic
.,yg ,��, �;-.,� .
Commiss n �; �tf '= �ammission#FF 137073 Cammisslon-No.
,.'�;"��r�ne'zg;N�S
�P,,;,F,'�`.h.` Badfed Ttuu hay Fain Insurance BW.385.70�g
Name al Notary typed,printed ar stampe Name ot Notary typad,pdnted or stamped
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