HomeMy WebLinkAbout15-16087 CITY OF ZEPHYRHILLS � �
�� �r�+ 5335-8TH STREET
(sis)�so-oo20 160
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16087 Address: 5547 12TH 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: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 11-26-21-0010-11700-0015
Improv. Cost: �� . OWNER INFORMATION
Date Issued: 3/13/2015 Name: PARKER JEROME & LAI CHING
Total Fees: 45.00 Address: 5334 17TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/13/2015 Phone: 352-567-7992
Work Desc: INSTALL WOOD 106 X 6 FT FENCE
CONTRACTOR S ° APPLICATION FEES
OWNER FENCE 45.00
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Ins ections Re uired
FI AL �
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 fl 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
o�3-,a�-���� Gity afi Zephyrhills Permit Application Fax-813-784-Od21
Buitdi�g Department
L
Date Reaeived one Contact for Permittin -
Owner's Flame � .� t3wner Phane Number
Owner's Address Owner Phcne Number � �
Fee Simple Titiehotder Name �— � Owner Phone Number �� �
Fee Simple Titieholder Address
3G1B ABDRESS LOT# �
SUBDIVISION C� � PARCE�Id#
(OB7A4NED FROM PROPERTY TAX NOTtCE)
WORK PROPOSED e NEw GONSTR 8 ADDlALT C� SlGN Q Q DEMO�ISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OYHER
TYPE OF CONS7RUCTION Q BLOCK Q FRAME Q STEEL Q
( /'
DESCR1PT18N OF WORK Q°� L�
BUILt}ING SI2E C�� SQ FOQTAGE HEIGFfT ���
�BUILDING $ -7r1� �� VA�UATION OF TOTAL CONSTF2UCTION
lJ
QELECTRICAL ($ — � AMP BERVICE Q PROGRESS ENERGY Q W.R.E.C.
�_
QPLUMBING � �
QMECHANICAL �� VALUATION OF MECHANICAL INSTALIATION
QGAS Q ROOFING Q SPECIAI.TY �� OTHER
=1NISHEd FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
3UILDER GOMPANY
�MGNATURE ` f2EGISTERED Y/ N FEE CURRE� Y/N
Addxess License# �—`�
SLECTRICIAN COMPANY
iIGNATURE REGISTERED Y/ (� FEE CURRE� Y/N
Address Llcense# �^ ^�
�L.UMBER � GOMPANY
iIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# �i����
�ECHANICAL GOMPANY
i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ` Licensa# �— �
1THER GOMPANY
�IGNATURE REGISTEFtED Y I N FEE CURRE� Y/N
Address �� �Icense# �— ��
;EStDENTiAL Aftach(2}Plo#P�ans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W PeRnit for new constnaction,
Mlnimum ten(14}wotking days after submittal date. Requlred onsite,Construction Pians,Stormwa#er Pians w/Silt Fence instatied, M^ _�
Sanikary Facllities&1 dumpster,Sile Wortc Permit fo�subdivislonsAarge.p[o�ectF_ . -- ----- ----- -� � ,, �-
OMME_RCIAI.._ _Attach-{3).c,4►rpplete sets•af Buitding�ian"s pius a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. �
� Minimum ten{10)warking days after submittal date. Required onsite,Consttuction Plans,Stortnwater Plans w!Sllt Fence installed,
San(kary Facllitles 8�1 dumpster.Site Work Permit for at!new projects.AA commerciai requirements must meet-comptlance�
IGN PERMIT Attach(2)sets of Engineered Plans. ' �
***`PROPERTY SURVEY requirec!for alt NEW construction. .
I�eatlons:
Filt ouf apptication compieteiy.
Chnmer&Gantracfor sfgn back of applicatlon,notarized
If over S250Q,a Notice of Commencement Is required, (AIC upgradss over$7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from°ov+mer authorizing same ,
VER THE COUNTBR PERMITI7NG (Front of Application Only� " � . ' ;
eroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurveylFoatage)
Drtveways-Not aver Counter if a�public roadways..needs ROW
Ar� ' �
NOTICE OF DEED RESTRICTIONS: The undersigned under�tands that this,p�rmlt�.may.be.subJect to"deed"restrictions"
which may be:more restrict(ve=than County regulations. �TFie undersigned assumes responsibility for compl(ance with any
applicable deed restrictions. �
UNLICENSED CONTRACTORS Ia1ND 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•locai regulations. If the
contractor is not licensed as requiced-by law, both the owne� and contractor may-be cited for a misdemeanor violation
under state law. If the owner or intended contractvr are uncertain as to what Iicensing.requirements may appiy�or the �
intended work, they are advised to contact the Pasco County Building Inspect(on 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
cont�actor, that�may be-an indication that he is not.properly licensed and is not entftled to permitting privileges in Pasco �
County.
TRANSPORTATION IMPACTIIJTILITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry Fees may apply to the construction of new buildings, change of
use in existing buildings, or.expansion,of existing'6uildings, as specified in Pascq County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, thait such fees, as:may_be.due,:wili be (dentlfied at the time of
permitting. It is iurther understood that T�ansportation Impact Fees and Resou�ce Recovery Fees must be paid prior to
receiving a °certificate of occupancy" or final powec release. :If the project;daes not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Ft�rthermore; if Pasco County IlVater/Sewer Impact
fees are due, they must be-pald prior to permit Issuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTIOPI LIEN LAW(Chapter 713� Florlda Statutes, as amended):�If valuatfon of work is$2,500.00 or more, I
certify that I, the appYicant, hav�-been �rovided with a copy of the "Fiorida Construction Lien Law—Homeowner's
Protection Guide" prepare� by th� Florida.Departrtrent of Agric.ulture and ConsumerAffairs. If the appllcant is someone
other than the"ovbner"; I certify that I tiave.obtaine� a copy of the above.described_docurr�ent and promise in:good faith to
delive�it to the°owner"prior to�commencement.
CONTRACTOR'SIOWNER'3 A�FIDAVIT: I certify that all the Information in this appllcation is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and land deeelopment. Application is
hereby made to obtain .a permit to do work and installation as Indicated.. l certffy that no work or installation has
commenced prior to issuance of a permit and that_.all work will be pertormed to meet standards of all' laws �egulating
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 agencles include but are not limited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Se�sitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management District Welis, .Cypress. Bay.heads; VVetland Areas, Altering
Watercourses.
- Army Corps of Engineers�Seawails, Docks, Navigable Waterinrays.
- Department of�Health� 8� Rehabilitative Services/Environmenfal Health Unit Wells� Wastewater Treatment,
Septic Tanks.'� _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. -
I understand that the following.restrictions apply to the use of flll:�
- 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 ts understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting which is prepared by a professiona) engineer
Ilcensed by the State of Florida. -
- If the fili material is to be used in Flood Zone "A" in�connection with.a permitted building using stem wall
construction., I certiry that fill�:will:b,e used only.to.fill the area wlthPn the stem wall.
- If fill material is to be used in� any area, I �certlfy that use of such fill will not adversely affect adjacent
properties. If use of flil is found to adversely:affect adJaeent 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 flil, an engtneered drafnage plan is required.. .
If I am the�1GENT FOR THE OWNER, I,.promtse in good faith to Inform the�owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a-separate permit may be required for electrical work,
plumbing, signs, wells, pools, afr conditioning, .gas, or other instaliations not specifically included in the application. �A
permit issued shall be construed to be a Iicense to proceed with the work and not as authority to.violate, cancel, alter, or
set aside any provisions of the techn(cal codes; nor shall Issuance of a permlt prevent the Butldirig O�ficial from thereafter
requiring a correction nf errors in.plans, construction or vlolat(ons of any codes. Every permit issued shall become invalid
unless the wrork authorized by such permit.�is.commenced:withln six months of permit Issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months afte�the time the�work�is commenced. An extension
may be requested, in writing; f�om the Building,Officfal for a period not to exceeil ninety(90) days and will demonstrake
justifiable cause for�the extension. If work ceases for ninety(90)consecutive days,.th�job�is conside�ed aba�doned.
WARNING �TO OWNER: YOUR.FAILURE.TO:RECORD A.NOTICE OF CAMWIENCEMENT MAY RESUlT IN YOUR
PAYING TWICE:FOR IMPROVEMENTS TO 1fOUR•PROPERTY. IF YOU�INTEND'TO OBTAIN�FINANCING,�C.ONSULT
- 9ii�'IYNI �R-�EW E O -aH�:'t4�°!�� � �E3E:E�EGS� �D C�Yc]U OTIC�'OF COM � E C ENT. _ -
FLORIDA JURAT(F.S. 17.Q3) _ �
OWPIER OR AGENT � CONTRACTOR
Subscribed an (or aHirmed)before me thts Subscribed and'swom to(or affirmed)before me ttiis
�by
Who 1 re p onall own to.me or_has/have produced, Who Is/are personally known M�me orhaslhave produced. •
�
as Identlflcatlon. as tdentlficatlon.
I �
'�- ublic . Notary Public
,o`.'Y'^i;�., JACQUELIN BbGES
C Isslon �? •P= n F� N 15n� Commission No.
-;�; ;r; �xpires December 12,2018
� "F�°�' o ded Thru a aln I�uren A A�3 - 1
Name of Nola , Name of Notary typed,printed or stamped