HomeMy WebLinkAbout15-16015 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (813)780-0020 160
' FENCE PERMIT !
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16015 Address: 4811 TIMBER WAY
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):27 Block: Section:
Square Feet: Subdivision: COURT SQUARE
Est. Value: Parcel Number: 15-26-21-0200-00000-0270
Improv. Cost: 200.00 OWNER INFORMATION
Date Issued: 2/13/2015 Name: GARCIA DEBORAH L
Total Fees: 40.00 Address: 4811 TIMBERWAY
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/13/2015 Phone: (813)788-7903
Work Desc: INSTALL WOOD FENCE 100 ' X 6 '
CONTRACTOR S APPLICATION 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 t) 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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` C -C-�T - PERMIT OFFI
PER IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8�a-�sa-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date ReCelved --� � Phone Gontact for Permitting -
Owner's Name C_,.. Owner Phone Number — (
Owner's Address ! L Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVtS10N � � PARCEL ID#
(OBTAINBD FROM PROPERTY TAX NpTICE)
W4RK PROROSED e NEW CONSTR 8 AdC}IA�T � SIGN Q Q DEMOIISN
INSTALL REPAIR
PROP4SED USE Q SFF2 Q COMM �� QTNEE2
TYPE OP CON$TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTtON QF WORK i l..' � CJ�
BUILDING SIZE �_� SQ FOOTAGE�___� HEIGHT ���
QBUtCDING $ `'� �� VALUAT(ON OF TOTAL CONSTRUCTtQN
ac
QELECTRICA� ��� AMP SERVICE 0 PFt4GRESS ENERGY Q W.F2.E.C.
OPLUMBtNG $ f
�� � a�s
�NIEGHANICAL $ VALUATION C1F IvIECHANICA�INSTAI�tAT10N �`�
QGAS Q ROQFiNG Q SPECIA�TY 0 OTNER
FINISHED FLOOR ELEVATIONS �� FLpOD ZONE AREA QYES NO
BUtLDER � �� COMPANY �C�.�' ! (_..-- ��!
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Address License# �1l}� /Q�[)��_�{�� �
ELECTRICiAN. COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License# �- ��
PLUMBER � COtNPANY
SIGNATUI2E r REGISTERED Y/ N FEE CURRE� Y/N
,,,...„_.,,,......,,_.,,.....,
Address License# �� �
MECHAFiICAL COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
RESIDENTIAL At#ach{2}P1ot Ptans;(2}sets of Building Plans;{1}set of Energy Forms;R-O-W Permit for new constrc�ct3on,
Minimum ten(10).working days after submittal date. Required onsite,Cons#ruction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions!large projecTs -
COMMERCtAL Aftach{3)camptete sefs of Bu'ttding Ptans plus a l.ife Safety Page;{1}set of Energy Forms.R-fl-W Permit for new construction.
Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitaty Faoilities&1 dumpster.Site Work Permit for aii new projects.Aii commerciat requirements must meet compiiance
StGM PERMtT Attach(2)sets of Engineered Ptans.
""PROPERTY SURVEY required far all NEW constniction.
Directions:
Fill out application completely. - - � . . , _
Owner&Contractar s3gn back of applicatio»,notarized ,. � � �� ° ,
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ; � �
'" Agent{for the contractor)or Power af Attomey(for the owner)would be someone with notar4zed letter from owner authorizing s"a.me � '�`.''l'
OVER THE COUNTER PERMiTTiNG (Frant of Application Only) � '`"' " •- - -- -
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs F20W
fVOTiCE 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 compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTOFZS AND CONTRAC'TOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake 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. Furthermore, 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 permitting privileges in Pasco
County.
'fRANSPOftTATION IMPAC7/UTILITIES IMPAC'T AND RESOUitCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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 Transportation 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. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION�LIEN LA11V(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—Homeowner'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'SIOWNER'S AFFID�►VIT: 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 Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
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 permitted.
- 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 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 which are elevated by fill, an engineered drainage plan is required.
If I am the�►GENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth 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 work 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 Buildirig 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 permit 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 OWPIER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT �11AAY RESULT IN YOUIZ
PAYING_IlN10EFOR_IIVleRO_V_EIIAENT�-T�XQUR-PR�PE6�Tll.-lF-VOdJ IM-T-END TO OB�'A!N FIId�,NCIN(9, ��N�L9L�'-—`�
WITH YOUR LENDER Oit�►N ATTORN Y BEFORE RECORDING YOUR NOTICE OF COVVIMENCEIIAENT. ,
FLORIDA JURAT(F.S. 1 03)
OWNEi2 OR AGENT CONTRACTOR
Subscribed and swom to(or affir d)b e me thls Subscribed and swom to(or affirmed)before me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as IdenGficat' as identification.
• �' ��-. � L E.BACON
s�'y1�y&,�;: mmission#FF 137073
�" - � i June 018 Nota Public
• a:� F�"��,.s_,.�J ary Public �' -
z,•.,��F F.,°.•`� Bonded m ra
�sslo Commfssion No.
Name of Notary typed,printed or stamped Name of Notary typed,pnnted or stamped
,�
• ' DISCLQSURE 82'A'L'EMENT .EOR t3'WNER
CITY OF ZEPFi'3'RFi=LLS 'B"CTII.D3�TG DEP.�R�2�Nfi
S r �. � 1,+ {� \��have read anc3 fuSly understand and
agree •to th provisians of �thY.s in trument.
.The undessi.�ned .states arid affirms tha� he ar she is desi.rous of oonstructiag,
rezsova�.i.ng, adding ta os xeroofing his ar h , awn damicile, that he or she
actual3,y occupies, or wi22 occupy by __r��?�� said domicile, and same is zaot for
•rent, lease or sa1e. That he or she sha11 comply wi-th the following condi-�ions:
1. That the owner a�nd_he or she a,l.one sha'l.l act as ~the builder for all phases of
constsuctson. .
Z. That the owner wi'11 comply with a1�: pravisians o� �the City af Zephyrhills
ordinances and dodes pertis�eat to the buildisig.
3. That in �trse enent. va=a.aus phases o� aonstruction are subcontraated, he wi11.
2SSg:�ge ox�1.y �prop�rly 1.icensed subcontsactors and will personal�y supervise
such wo�k. �
4. That in the event the Bui,lding �Inspector sha11 .rez+,;.re �correc'k�.ons to be made,
the owz�es wi.11 assnme fulZ respons�bility ta insure •�.hey are atade, �and• upon.
caaspletion vrill ca.I3 for a rei.ns-pec�.oa be£ore psoceedzng �rith� the bui.Zding.
5. That the owrxer sha11 asswtte fus.1 responsibility for the aonst�ucti.on as.�d wi�.l
nct axpeat_ supgsv�isi+an flf his work from, the City .af Zephyshills Building
Dep�.r�esit. �
5. �t ps�.or �o fixYa.Z inspeation any adciitional fees, �.ncluding reiaspect.ion
fees, must be paid in full. A written r�qu+est from th,is office sha11
constitute an of�icia�. not.ice �to pay additiatial �ees..
7. fi�-�.t the owner sha1l compl.y with a2Z City, State anci ��des-a1 laws in regard ta
soc�.a1 �ecuri.ty, work,man's cnmgensatiori, Lien laws, etc. , where applicable.
B. That the owner sha11 co�pZy with a1Z the safe.ty cades issued .by the Elorida
Industr,ial Cammission. '
9. State 1aw re�,;res caxlstx�satiaz� to be done by licensed contractors. You have
app�.ie'ti far a pe�mit �ctnder an exe�ption ta t�at law. fihe exemption allaws
you, as the ownes of your property, to act as yaur own caatractor wit�a certaia
restria�i.ons even, though you do not have a 1.icesis�. .You �must .prav�.de direct
onsite supe�visi,oti o� the const'suc'Gi.oa yourself. You may buiZd or imp�ove a
one-fami.ly or two-family sesidence or a fa.rm. ou�bvilding. You may alsa build
� or improve a commescial btxild�.�ng, provided your costs da not exceed $25,000.
, The building or zesidence�mus� be �or yavr awn use os occupancy. .2t may not
b� built or subs�tially �saproved fcr sale or lease. It' you s�3:1 or lease a
building you have bua.lt o� substan�.ally isaproved yoursel� wi�hia 1 year a�'ter
the aonstsiiction is aomplete, the ltsw will preswne.that you �ruilt ot
substazi�iaZ2y i�psoveci if for sale or Iease, which zs a vio2ation af thi.s
P�Cemptiran. You may nat hire ar�. unlicezy.sed persan to act a"s your cantsactor or
to sup�+svise people worki.ng oz� yous bui.ldiag'. =t is youz respons�bili�ty to
make sure that people P�ployed by you bave licex7.ses re?,;s�ed by s�a.te law arid
by coun�ty or mvis3,cipal 1ic�s9.zig ordinaxices. Yau may not delegate the
respozis�.bili.ty for supervisiag work to a licensed caritractor who is not.
1ic�nsed to per�a� the wark bc.ing dnn�. Assy person vrorking an yaur building
wha is not liaens�d mus� work uncles yaus dix�ct supex.visitan arsd must be
P�pl.oyed by you, which means that you must d.educt E.S.C.A.. and withholding t=Y
and provide workers' compeusation for th�at empZayee, a13 as p�escribed by law.
Your canstrsxction must comply with a1I appl.icable laws, ar3inaaces, building
codes, axzd zaniag r »--
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OWi�ER'S S 2 Gl�?ATUFtE � �� _.�...- DATE �'^
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