HomeMy WebLinkAbout15-16049 CITY OF ZEPHYRHILLS
,. ' � 5335-8TH STREET
(sis��so-oo20 16
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16049 Address: 5353 23RD ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00600-0190
Improv. Cost: 780.00 OWNER INFORMATION
Date Issued: 2/27/2015 �4� Name: ANTON JESSICA FAYE
Total Fees: �4ti�:00�� 7 _ �, Address: 5353 23RD ST
� Amount Paid: 40:00 � ZEPHYRHILLS FL 33542-4648
Date Paid: 2/27/2015 Phone:
Work Desc: INSTALLATION WOOD FENCE 147 X 6
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE `���� .
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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 performed in accordance with City Codes and Ordinances
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-!au-��1� City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Recetved � �'� �� phone Contact for Permitting � 02�� _ ��-So�
)wner's Name �SS��� �� ,�'� Owner Phone Number '�70"Sa,�a
)wner's Address � 5 3 �Y� UT . /X � �` S���,3�f� Owner Phone Number
�ee Simpie Titleholder Name Owner Phone Number
°ee Simple Titleholder Address
IOB ADDRESS ��J S3 a 3 Y/ , 2�a�'l �wrr�l s (. , 3 3 Sy a- LOT# �
iUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
NORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL e REPAIR
� �ROPOSED USE Q SFR Q COMM. 0 OTHER
IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
)ESCRIPTION OF WORK �U�T"
I 3UILDING S12E SQ FOOTAGE t 1'F{ HEIGHT ��
QBUILDING $ H Cjfl VALUATION OF TOTAL CONSTRUCTION
t b�/
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
I QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
°INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
3UILDER COMPANY N�Y'►�Q�,tJVLQ,�
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
eLECTRICIAN COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
'LUMBER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
Address License#' -
�ECHANICAL COMPANY
�IGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1THER COMPANY
�IGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
;ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster;Site Work Pertnit for subdivisions/large projects
;OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Mintmum ten(10)working days after submittal date. Required onsfte,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciNties&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
�IGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constniction. ,
�irections:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 32500,a Notice of Commencament is required. (A/C upgrades over a7500)
' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
iVER THE COUNTER PERMITTING:.,.- _>:(Front,of Application Only)
:eroofs if shingles Sewers = Service Upgrades;A/C; Fences(Plot/Survey/Footage)
;i , ;:: r��:�•��: � ' , '• �: . . - ,. :... . �� ;- ' ,�
Driveways-Not over Counter if on publio'roadways::needs ROW � - ' � � �.
- . , . .. . , � . � , r,
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 (nspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have tfie contractor(s) sign
portions of the "contractor Block" of this appllcation 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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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
finai power release, the fees must be paid prio� 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 LAW(Chapter 713, Florida Statute�, 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 Agricuiture 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'SJOWNER'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 perm_it and that-all work wili be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
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/INastewater 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 AGENT FOR THE OWIdER, I,promise in good_faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construcfion. 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, th�job is considered abandoned.
WARNING TO OWNER: YOUR F�►ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
_PAYING_TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU� �C�" -�OfVififiEPiC�f�f1ERIY: -- - -- - - -
FLORIDA JURAT(F.S.1 .0
OWNER OR AGENT CONTRACTOR �'
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- � Notary Public {A�I� �� Notary Public
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• DISCLOSURE STATEMENT .FOR OWI�R
C2TY OF ZEPFiYRHII�LS "HUII.DING DEPARTMENT
_� ''� have read and fu11y understand and
agree •to the provisions of �this instrument.
.The undersigned .states and affirms that he or she is desirous of constructing,
resiovating, adding to or seroofing his or her own domicile, that he or she
actually occupies, or wi11 occupy by said domicile, �and same is not for
•rent, lease or sa1e. That he or she shall comply with the following ccnditions:
1. That the ovraer aad.he or she alone sha:ll act as the builder for a11 phases of
construction. -
2. That the owner will comply with a11 provisions of �the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in t�e event vasious phases of construction are subcontracted, he will
eTlgage only •prop�rly licensed subcontractors and will personal�y supervise
such work.
4. �hat in the event the Building Inspector shall rec�,;re correct�.ons to be made,
the ownes will assume full responsibility to insure •they are made, and upon
completion wi11 ca11 for a re�nrnectian before proceeding with the building.
5. That the ownes shall asst�e fu11 responsibility for the constzzict�.on and will
not expect_ supervision of his work from the City of Zephyrhills Building
Department. •
6. Z'hat prior to final inspection any additional fees, including reinspection
fees, must be paid in ful1. A written request from ttus office sha11
� constitute an official notice to pay additioaal fees..
7. That the own� sha11 comply with a11 City, State and Fedes-a1 laws in reg'dSd to
social seeutity, workman's compensation, lien laws, etc. , where applicable.
B. That the owner sha11 comply with a11 tlze safe.ty codes issued by the Florida
Industsial Coffimission.
9. State law re�,;rBS construction to be done by lic�sed contractors. You have
applieii for a permit under an ex�mptioa to that law. The exemption allows
you, as the owner of yovr propeSty, to act as yout own contractor with cert=;n
restrictions even though you do not have a licesise. You must .provide direct
onsite supe=vision of the construction yovrself. You may build or improve a
one-fam.ily or two-family resideace or a farm outbuildi.ng. You may also build
- or improve a commescial building, pronided your costs do not exceed $25,000.
, The building or residence must be for your own use or occupancy. St may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have bvilt or substarit3.a11y i�proved yovrs�lf within 1 year aftES
the constructioa is complete, the law wi11 pres�e •that you huilt or
substantially i�proved •if for sale or lease, which is a violat�.on of this
eXemption. You may not hire an unlicensed person to act as yovr ooatsactor or
to supexvise people working on your building. 2t is your responsibility to
make sure that people e�ployed by you have licenses rec�,;red by state law and
by county or municipal liceasing ordiaances. You may not delegate the
responsibility for supexvising work to a licensed contractor who is not.
licensed to perform the wor7c being dnne. Any person working on your building
who is not licensed must work uncier your direct supervision and must be
P�ployad by you, which means that you must deduct F.2.C.A. aad withholcling tax
and provide work s' mpp� tioa for that e�ployee, a11 as prescribed by law.
Yout const-ructio mu t omp with a11 appliaable laws, ordis3ances, building
codes, and zonin re tio
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OWNER'S S2Gt�TL7F{E DATE � �'� (S
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PHONE - D'S '�
W2TNE5S PEF�L22T #
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" CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner: �� �l�
Job Location/Address: _ �3 5�'3 o��j�� c�-� . Z�l,��4r(,�,�j�S , .�( . ?j�j�'��
Pazcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GNING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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FROhTT PROPERT s� LIrTE
— — — STREET — — — — — — — — — — —
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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60'
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60'
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ia
P E
R X
P S lp� F.�STING 10'
10' 0 T 10' 140'
S I 1��
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D (3
PROPOS�
�p �l'•SA1(�EFM�.Y! �'DUPIFX
FROAIT PROPIItTY L1NE FRONT PH4PER7'Y LINE
- -- 51REE7' - - - - - - - - - - - - -- SfREEl' -- - - - - - - - - -
1