HomeMy WebLinkAbout15-16035 CITY OF ZEPHYRHILLS
5335-8TH STREET '
(813}780-0020 16035• .
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16035 Address: 5740 16TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: SING�E FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Va1ue: Parcel Nurn6er: 11-2fi-23-00�0-08104-0210
Improv. Cost: 500.00 OWNER INFORMATION �
Da#e lssued: 2/2312015 Name: PIPES, TODD
Total Fees: 55.00 Address: 5740 16TH ST
Amount Paid: 55.00 ZEPHYRHlLLS, FL 33542
Date Paid: 2/23/2015 Phone: (813)767-0443
Work Desc: REPLACE VINYL FENCE 5 ' X 314
- CONTRACTOR S ' �APPLtCATION FEES
HOMEOWNER FENCE 40.00
FENCE 15.00
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.� - Ins ections Re uired
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one af tFte following reasons; a)vurang address b}condemned wark resulting
from faulty construction c) repairs or corrections not made when inspect+ons called d} work not ready far
inspectian when called e) permit not posted on job site f) plans not at job site g)work not accessible.
NOTICE: In addition ta the requirements of this permit,there may be additional restrictions applicable ta this praperty that
may be found in the public records of this county, and there may be additional permits required from other governmental
entEties such as water management, state agencies ar federal agencies.
The payment of inspection fees shalf be rnade before any further permits wil! be issued to the person awning same .
Compiete Pians, Specifrcations and Fee Must Accampany Application.
All work shall be performed in accordance with Ci Codes and Ordinances
� CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN fi MCINTHS WITHt3UT APPRQVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PRflTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021
Building Qepartment �
Date Received Phone ContactforPermihing — r �
I Owners Name � � \ W Owner Phone Number �!. ""J �� ��
Owners Address �� d 1 T� � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS ��YYI�i ' S ��v�-/ LOT# C�
SUBDIVISION —� PARCEL ID# II�����( p w�� �D�j Il.t�—D��D I
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e NEW CONS7R e ADDIALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ei l..7��S�� � � `� � 1`� L � ��
BUILDING SIZE � SQ FOOTAGE � HEIGHT �(J V
4`-'� �
�BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION �y �i �' ��_
DELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY W.R �
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S
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OPLUMBING $ � _j `1� �� ��{(/
�,-A�,, JC `
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOIJ�//��+'`%� r� � �1 ��
�/ f`�,,vLl �/
f�td�/ �'► j +
QGAS Q ROOFING SPECIALTY 0 OTHER � ����' � - �+'y'
FINISHED FLOOR ELEV tOR5' � FLOOD ZONE AREA QYES NO P cT11Au�� ��`�'��
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I BUILDER � COMPANY l � �� l // O L(I /
SIGNATU REGISTERED Y/ N FEE CURREN Y/N �// (/
Address , License# � •
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ELECTRICIAN COMPANY �� /�
SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N
� �tu�
Address License# � (;/��
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PLUMBER COMPANY p��r
SIGNATURE REGISTERED Y/ N FEECURREN Y!N �%✓`"
Address !icense#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# ��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Conslruclion Plans,Stormwaier Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Woric Pertnit for subdivisionsllarge projects
COMMERCIAL Allach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction.
Minimum ten(70)working days after submitlal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.AII commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••••PROPERTY SURVEY required for all NEW consVuction.
Directions:•
Fill out application completely. ,
Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
II �
NOTICE 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 CONTRACTORS AND CONTRACTOR 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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,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 WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(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'S/OWNER'S AFFIDAVIT 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 Iaws 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,WatedWastewater Treatment.
- Southwest Florida Water Management District-Weils, 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 materiai 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 AGENT 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 eiectrical 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 Building 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 i$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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117. 3) �
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OWNER OR AGENT CONTRACTOR
Subscribed and swom to or ffirm be re me this Subscribed and swom to(or a � ed)be e me this
by by
is! e personally known to me or hasfiave produced Who jslare pe so�ally known Jo�n e or has/have produced
".�' � as iden6fication. F��G� (_J as identifiration.
„Y'p�� a�� Nota Public
.••��.�'e'��., JOEL E.BACON ; �'.�= Commission#FF 137
ission lo,w• y�6. Cammis N . •
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Name of Not "t�f�,�Bd���(��Y Fain lns�vance 800�3H5-7019 Name of Nota ,
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