HomeMy WebLinkAbout15-16185 CITY OF ZEPHYRHILLS
5335-8TH STREET
�: � (813)780-0020 16185
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16185 Address: 38801 5TH AVE
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: 11-26-21-0010-14700-0070
Improv. Cos#: 50.00 OWNER INFORMATION
Date Issued: 4/17/2015 Name: HOLMES THOMAS M SR & LEONETTE
Total Fees: 45.00 Address: 37908 TLC LN
Amount Paid: 45.00 DADE CITY FL 33525-1896
Date Paid: 4/17/2015 Phone: (813)782-0920
Work Desc: INSTALL VINYL FENCE 120 ' X 4 '
' CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 45.00
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� Ins ectio s 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 g�llowing 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 f) 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 �e 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.
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All work shall be performed 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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s1s-7sa•ooao Ci#y of Zephyrhilfs Pecmit Applica#ian �ax-s�s-7saoo2�
Building Department
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Date Recatved Phane Contact for Rermitting –
Owner's Name � � ' Owner Phone Number �` ��,'� 7i�,�� 4 '
Owner`s Address t/ Owner Phone Number �;�� ��� �V� �
Fee Simple Titlehatder Name �� ^ � Owner Phone Numbe� � �
Fse Slmple tftleholder Address
JOB ADDRESS �� � } '�% iI "� • r" � I.OT# � `"� �J
SUBDIVISION ����� PARCEL ID#
(O6TAINED FROM PROPERTY TAX NOTiCE)
WORK PROPOSED e NEW CoNSTR 8 AdD/ALT � S1Gh1 [� Q DEMOI.ISH
INSTALL REPAIR
PRQPQSED USE Q SFR [� GOMM [� OTHER
TYPE QF CONSTRUGTIQN Q BLOCK Q FRAME 0 STEEI. Q
DESCRIPTIdN OF WORK � ""–"'"" �, !�/ " x 1l N ! '"" I�� ) r G"�.:i � �ZV �t� ( �
BtiiLDING SIZE � i� SQ FOOTAGE C� HEIGHT C��
Q8UlLDiNG $ j p � a t7 VALUATION OF TOTAL CONSTRUCTION
QEl.EGTRiCAL �> � AMP SERVICE Q FROGRESS ENERGY Q W.R.E.C.
QPLUMBlNG ��� j
[��J
OMEGNANICA� $ VALUATlON OF MECHANICAI INSTA�CATl4N �,'6��
[�GAS Q ROOFING Q SPECfA�TY � OTHER
FIfVISHED Fl.QOR E�EVATIQNS (��—� FLOOD ZONE AREA QYES NO
L
BU!l.DER J��/ COMPMIY a�..2 t`)/t 2�� � �o I n`! e S �
SIGNATURE �...��t��� (�fT�✓�° REGiSTERED Y t N FEE CURREt� Y/N
Address License# � ��
E�EGTRfC1AN COMPANY
SIGNATURE aecisTEaEa Y! N �E cuRREn Y J N
Address Ltcense# �i '�
P1.UMBER COMPANY
SIGNATURE FtEGlSTEi2ED Y! N �CuR�� Y!N
Address
License# ^�1
MECNANICAI. COMPANY
SIGNATURE _, _� Rs�aSTEae� Y J N FEE CURREi� Y!N
Address License# � ��
OTHER COMPANY
SIGNATURE REGlS7ERED Y! N FEE GURREt� Y/N
Address License# � i�
RESIDENTIAL Attach{2)Plot Plans;(2}sets of Building Plans;(1}set of Energy Forms;R-O-W Permit far new construc#ian,
Minimum ken(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sfit Fence installed,
Sanitary Faciiitles&1 dumps#er,Site Work Permit far subdivisionsAarge projects - - -�
COl�#!!t�lERClAL Attach(3}complete sets of Butlding F'fans plus a Life Safety Page;('!)set o#Energy Forms.R-O-W Permit far new construction.
Mf�imum ten(10)working days after submittal date, Requlred onsite,ConsUvcUon Plans,Stormwater Plans w!Si{i Fence lnstalied,
Sanitary FaciliNes&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIfaN PERMii' Attach{2}sets of Engineered PEans.
""'PROPERIY SURVEY requir�td for all NEW consttuction,
Dlsectfans: , - � �
FiU aut applicatian complekely. , l
Qwner&Contractor sign back of application,notadzed ' � �- ` ` �
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1#ovar�2500,a Notice af Commencement is required. (AIC.upgrades;over S'f500) '�� _ ��`�;`
'* Agent(far the contractor)or Power of Attomey(for ttie awner)woutd be sorrieone with notarized letter ftom owner authorizing same �� ��
dVER THE COUNTER PERMITTING -(Front af Apptication Onty} ' '� ` � -
Reroofs if shtngles Sewers . Service Upgrades A!C_ � Fences{PbttSurveytFaatage} ,
Drivsways-Not over Counter if an pub{ic roadways..needs R01N ' , �
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NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands that this.p�cmit.may be subJect to"deed"restrlct(ons°
which may be more restrictive than County regulatlons. �The undersigned assumes responsfbility for compllance with any
applicable deed restricttons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owrner 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 violatton
under state law. If the owner or intended°contractor are uncertaln as to what Ilcensing.requirements may apply�or the
intended work, they are advised to contact the Pasco County Butlding Inspectton Division—Ltcensing Sectlon at 727-847-
8009. Fu�thermore, If the owner has hired a cont�actor 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 entftled fo permitting privileges in Pasco
County.
TRANSPORYATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde�stands
that Transpo�tation Impact Fees and Recourse Recove.ry Fees may apply to the construction of new buildings, change of
use in existing bulidings, or:expansion,of exlsting bulldings, as specifled 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 °certiflcate of occupancy" or Mal power release. :If the;project does not tnvolve 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.
CONST�tUCT10N LIEN LAW(Chapter 713� Florlda Statutes,as amended): If valuation of work is$2,500.00 or more, I
c��tify�t�iat,_I,'�:the applicant, have-been provided with a�`�aoRj/ of the �"Florida Construction Lien Law—Homeowner's
Profection Guide" prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the applicant is someone
other ihan the"owner", I certify that I have obtained a copy of the above described document and promise tn;good faith.to
deliver it to the°owner"prior to commencement:
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the Information in-this applicatlon 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 indtcated. I certifjr that no work or tnstallatton has
commenced prior to issuance of a perm(t and that.all work will be pertormed 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 u�derstand that the regulatPons 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:
- Depart'menti of Environmental P�otection-Cypress. Bayheads, Wetland Areas and Environmentaily Sensitive
Lands, WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative ServtceslEnvironmental Health Unit Welis, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the following;restrictions apply to the use of flll:�
- Use of fll 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 pian addressing a
°compensating volume" will be submitted at time of permitting which is prepared by a professional engfneer
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�wlll:be used only.to.fill the area within the stem wall.
- If ffll material is to be used in any area, I certify that .use. of such fiil will not adversely affect adjacent
properties. If use of flll Is found to adversely affect ad)acent properties,,the owner may be cited for violat(ng
the conditions of the building.permit issued under the attached permit application, for lots less than one (1)
acre which are elevated�by illl,an engineered drainage plan is requtred. .
If I am the AGENT FOR THE OWIdER, I,promise in good faith to Inform the owner of the permitting condittons set forth in
this affidavtt prior to commencing construction. I understand that a separate permit may be required for elecMcal work,
plumbfng, signs, wells, pools, air condttion(ng, gas, or other installatlons not specificaily included in the application. A
permit issued shall be construed to be a Iicense to p�oceed 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 Bulidirig 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�withln six months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a period of six(6) montF�s after the time the work Is commenced. An extension
may be requested, in writing, from the Building.Officfal for a period.not to exceed ninety(90) days a�d will demonstrate
justifiable cause for.the extensior�. If work ceases:for ninety(90)consecutive days,..th�)ob�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO.RECORD A NOTIGE OF COMMENCEMEMT MAY RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR PROPERTY. IF°YOU-IN�END�'TO OBTAIN�FIPtANCING;�CONSULT
WITH YOUR LENDER OR AN A�TORNEY$EFORE�RECOR�DING YOUR`NOTICE'OF COMMENCEMENT:
FLORIDA JURAT(F.S.1.17 3) �
OWNER OR AOENT T ���'° CONTRACTOR �t�P��2 P'�`�-�m2�
Subscribed and swom to(or aflirmed)before me this Subscribed anctswom to(or aRirmed)`before me'tFiis
by �by ��
Who is/are personally known to.me or haslhave produced Who Is/are personally known to me or-has/have produced
as Identlflcatlon. as IdentlficaUon.
Notary Publlc Notary Public
Co I lon No. Co Issl No.
,����,,,, =��s1�fya�, JOEL E.BACON �
,,,,ti�:Y rva;., JOEL E.BACON .'�• �,
me of fa " f�P ame of Notary ty : e pr � ne 29,2018
;� :;; xpires June 29, �; '°�
'��F„p��°:�� Bondad Thru Troy Fain Inswanca 800-385•)O1B ,�pd„�;°.�`��` Bo�ded Thm Troy Fein Inswance 800385d019
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' ' � DISCLOSiJRE STATII�N'P FOR Oi�1NSR
CITY OF ZEPHYRHILLS BUILDING DBPARTMENT
I, �� /� � �, c� j�"�����(have read and fully understand and
agree to the provisioas of this instrumeat.
The uadersigaed states and affirms that he or she is desirous of constructiag,
reaovatiag, ad ' to or reroofiag his or her own domicile, that he or she
actual y occupies, or will occupy by said domicile, aad same is not for
ient, lease or sale. That he or she shall comply with the following coaditions:
l. That the owaer aad he or she alone shall act as the builder for all phases of
coastruction.
2. That the owner will comply with all provisioas of the City of Zephyrhills
ordinaaces and codes pertiaeat to the building.
3. That in the eveat various phases of coastructioa are subcoatracted, he will
engage only properly liceased subcontractors aud will persoaally supervise
such work.
4. That ia the eveat the Buildiag Iaspector shall require correctioas to be made,
the owaer will assume full respoasibility to iasure they are made, aad upoa
completioa will call for a reinspection before proceediag with the building.
5. That the owaer shall assume full responsibility for the construction aad will
aot expect supervisioa of his work from the City of Zephyrhills Building
Departmeat.
6. That prior to final inspection aay additioaal fees, includiag reiaspection
fees, must be paid in full. A written request from this office shall
constitute aa official notice to pay additional fees.
7. That the owner shall comply with all City, State aad Federal laws ia regard to
' social security, workman's compensation, lien laws, etc. , where applicable.
' 8. That the owaer shall comply with all the safety codes issued by the Florida
Iadustrial Commission.
I� 9. State law requires coastruction to be doae by licensed contractors. You have
applied for a permit uader an exemptioa to that law. The exemptioa allows
you, as the owaer of your property, to act as your own coatractor with certain
restrictions evea though you do not have a licease. You must provide direct
onsite supervision of the constructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may aleo build
or improve a commercial buildiag, provided your costs do aot exceed $75,000.
The building or resideace must be for your owa use or occupancy. It may aot
be built or substantially improved for sale or lease. If you sell or lease a
buildiag you have built or substantially improved yourself withia 1 year after
the coastructioa is complete, the law will preaume that you built or
substaatially improved if for sale or lease, which is a violation of this
exemption. You may aot hire an unliceased persoa to act as your coatractor or
to supervise people working on your buildiag. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or muaicipal licensiag ordinaaces. You may aot delegate the
respoasibility for supervising work to a licensed contractor who is aot
liceased to perform the work beiag doae. Any persoa working on your building
who is aot liceased must work under your direct aupervisioa aad must be
employed by you, which means that you must deduct F.I.C.A. aad withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordiaaaces, buildiag
codes, aud zoaing regulatioas.
OWNER'S SIGNATURE � fTat�iYVLOq DATE �" � �-- l 5
ADDRSSS 3Ff$O� �"L /+vF
PHONE �/ - 7S - 7S►S�
WITNFdSS PERMIT # I6��S
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SUf'.4�EY.NOTES ° . o
~ CONC��E DRIVE CROSSING PROPERTY - -
BOUI4DARY ON EASTERLY SIDE OF LOT I LOT 8 LOT 7 � ' - I�
' BLOCK 147 � k�qC 147 _ .
CONCRETE WALK CROSSlNG PROPERTY I I
BOUNDARY ON SOUTHERLY SIDE OF LOT I •. 2_7' _ -
O e ='� SHED �
7HERE ARE FENCES NEAR 7HE ;. � -
BOUNDARY OF THE PROPERTY o CONCRETE•- -
_ oRivE -- �
A7= 89'30'S8" (C) 23.2' ." �f _ - � � -
A2= 90'29'02" (C) � �%.' . .
•a
� ' � ' a•� � . - ~
N � �p. •7 a.5. • . . W � -
LOT 9 0 � 4.9' _ '. .O N I o
B L O C K 1 4 7 �i p q.. � � �j' - . o -
- � � I .� • - ^l � .
°0 BUILDING •
15.0' #388�1 � �' _ � •'
� fO - -
'-'� � `' ��.i � - - -
,�
, � �� � - � _-
� " � � ��� I- -
t�
=�j 14•7' 10.5' 11_7' 14.9' �� �. -.
�– b ho '�r � _ . ._ _
FOUND 1° I ►'� 8.2 � �a ' - -
IRON PIPE � N �-`.., N ��i � - -
0.4' wES-r '� '� .'= .
w
A2 "
• ':�:�. ��• .is x�:ti. A!( _ 30.00' -YT-30.00_—
. ._ . . .. . _ _ - .: �saoo' . .. : �: - : �
, FOUND ,I - • " �
CONCRETE 4°x4� C.M. _ � FOUND
WALK W/ X–CUT�_ : 4°x4° C.M.
" _ - W/ X–CUT
b - ' - ' - - . .
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_ " - _ � . - - - . . - - . � -
5th AVENUE
— — � 90.0' R/W �
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� .,�j��;:�'�•�` �` 6250 N.MILffARYTRAlL,SUITE 102
1S�ajj� �,�lttats WESTPALMBEACH,FL33407
PHONE (561)640-4800
FACSIMILE (561)640-0576
����� STATEWIDE PHONE (800)226-4807
CLYDEO.MdVEAi.PROFESSIONAL SllRVEYORAND MAPPERI{28�i STATEWIDE FACSIMILE (B00)T41-0575