HomeMy WebLinkAbout15-16578 'i
CITY OF ZEPHYRHILLS
5335-8TH STREET
, ' �sis��so-oo20 1 578
FENCE PERMIT y
�. PERMIT INFORMATION ' �- ' � - - LOCATION INFORMATION - ' -
Permit Number: 16578 Address: 5438 18TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14500-0201
Improv. Cost: 1,420.00 �+ = OWNER INFORMATION
Date Issued: 9/10/2015 Name: LINN, EILENE M
Total Fees: 40.00 Address: 5438 18TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/10/2015 Phone: (813)788-9109
Work Desc: INSTALL CHAIN LINK FENCE 87 'X 4 '
� -CONTRACTOR S ' � - I - _ APPLICATION FEES . - �
LOWE'S HOME CENTERS INC (407)832-8085 FENCE 40.00
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' � � ' - Ins ections��Re uired, ,- - -
FINAL -- �
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
ir�provements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR IIVSPECTION - 8 FiOUR NOTICE REQUIRED
PFtOTECT CARD FROM WEATHER
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u�io-�au-uuzu c;iry or�epnymnis r;ermit Hppncation rax-a io-iau-uu�i
Buflding Department
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Date�tecelved plyone Contact tor Permittin � 13 Z.� -- G' �5
Owner's Name F t �eNC.. �.1�N Owner Phone Number ��3 ° �s$'�1 C'`l
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Owne�'s Address �y�� ��j,�i ST 'i��{% l�i 1/��5i12 Owner Phone Number
Fee Simple Titleholder Name ___�__J� � Owner Phone Number
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Fee S(mple Titleholder Address
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JOB ADDRESS �(� j� �� S T LOT# �
SUBDIVI310N O� �2. �+.2. i 1��, PARCEL ID# �-26-21-O C7 �� - 1 Y 5 O C> -'C`��C7 Q
(OBTAINED FROM PROPERTY TAX N0TI6E)
WORK.PROPOSED NEW IC�NS7R ADD/ALT I 51GN
B INSTIALL Ej REPAIR i 0 0 DEMOLISW
PROPOSED.USE Q SFR �� COMM Q OTHER
TYPE OF CONSTRUCTION Q BLO_ K �] FRAME ��� STEEL Q
DESCRIPTION OF WORK �-�S Irt� �7 j O'� � �/�i 5�i �+��N L+�N� FeNC2 �v,`�+ l 'y' 6 r�7t
BUILDING SIZE SQ FOOI'A(3E� HEIGHT
QBUILDINO $ � �� ��� VALUATION OF TIOTAL CONSTRUCTION
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QELECTRICAL �i AMP i ERVICE Q PROGRESS ENERGY Q W.R.E.C.
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OPLUMBINO $ I � ,l�
! �/ `b
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION b'
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QGAS Q ROOFING �] SPECIALTY Q OTHER
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FINISHED FLOOR ELEVATIONS �I FLOOD ZONE AREA QYES NO
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BUILDER ' 1n„` r� COMPAfVY l.oi�-8S l-�cM�, CgNT�l�3' - L-C.
SIGNATURE � r I I<rt REGISTE�ED Y/ N FEE CURRE� /Y
Address O Q� K � � �� �=�A���y 3�-��� Llcense# �..�oG ( J� ��l ��
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ELECTRICIAN COMPANY
SIGNATURE •I REGISTERED Y/ N FEE CURREA Y/N
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Address � � Llcense#
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PLUMBER COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N
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Address � I I i License#
MECHANICAL,
COMPAPIY
SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N
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Address I � � Ucense# � ,
OTHER COMPANY
SIGNATURE f2EGISTERED Y/ N FEE CURRE� Y/N
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- Address I � Llcense# �
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RESIDENTIAL Attach(2)Plot Plans;(2�setsl of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon,
Minlmum ten(10)workir�g da s after submittal date. Required onsite,ConsVucUon Plans,Stormwater Plans w/Silt Fence installed,
___- ___Sanftary_:FaclllUes 8 1�dumps er,Site_INork Fermit for subdivlslons/large_proJects—______ ____
COMMERCIAI Attach(3)wmplete set�of B ilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permft for new construction.
Minimum ten(10)workir g da s after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sllt Fence installed,
Sanitary Facilities 8 1 d�mps�er.Site Work Permft for all new proJects,All commercial requirements must meet compllance
SIGN PERMIT Attach(2)sets of EnginE�ered Plans.
"'"PROPERTY SURV�Y re uired for all NEW construcdon.
Directtons: �,
FIII out application completely. �� � .
Ovmer&Contractor sign back of appliS.ation,notarized� i � '
Ii over SZ500,a Notice of Commenc4iment is requlred:'. '�AIC upgrades over 57500) - ---° -�; � , � .� �
•• Agent(for the contractor)or Power of{��ttomiey`(for-the awner)would be someone with notarized letter-from owner.authorizing same�. ;7,�.
OVER THE COUNTER�PERMI7TING " (Frontpf.Application Only) ' - - , � '
Reroofs If shln les Sewers'� ' � „Servi ce l7 rades•A/C. Fences PIoUSurve /Footage) ' � "` ` � ,
9 � � , , 9 � � y '' u.. . , �' _ �
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Driveways-Not over'Counte�ff_on.pub ic�ro dways.•.neods�RO.W t�' =�°�°�- --- •�•- .,-�. ,,..� ..__ w: '_ _
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NQTIGE�OF QEED R�STRIGTlONS: The undersi ned understands that this ermlt m� b � sub ect to" ee "r "
J p Y � J d d estrictians
which may be more restrictive khan County regulations: Ttie underslgned�assumes ce pan.ibiUty for complianee wiffi any
applicable deed restr(ctions. •
UNL.ICENSED-CONTRACTORS AND CONTRACTOR RESPQNSIBIUTIE�: If #he ow er has hlred a contractor ar
contracfors fo undertake work, #hey may be required to be licensed In accardarice wlt sfa e and�iocal regufations. If fhe
contrac#or is not licensed as requ#red by taw, both t�ie owner and contractol� may be cite� for a misdemeanor vfolation
under state law. If the owner or intended contra�ckor are uncertaln as to wha# Ifcensi g r�iqulremen#s may apply for the
intended wQCk, #hey are advised to contact the Pasco County Buliding Inspection Divisi n�Llcensing Section at 727-847-
8009. Furthermore, if the awner has hiretl a contractor or contractors, h� is advi od o have the confractor(s) sign
port(ons of the uconfractor Block" af th(s applicatian for which fhey wiil ba re�pansible If , au, as the owner sign as fhe
con#raator, that may be an indfcation that he is nof properiy licensed and is not entitl d to permitting priviiages iri Pasco
County. _ ,
TRAKSPt�RTATI4N IMPACTtUTiL!'CtE5 IMPACT AND RESQURCE RECO�/ERY FE S: The undersignsd understands
that Transportation lmpact Fees and Recourse Recavery Fees may,agply to the canst ucti n of new buildings, change of
use in existing buildings, or expanslon of existjng buildings, as specified in F�asco Co n#y Ordinance number 89-07 and'`
90-07, as amended. The undersigned alsa�undersfands, thaf such fees, as may be ue, �w(II be Idenfified af fhe time of
permifting. it Is furfher understood that Transpo�tation lmpacf Fees and Resource R cov�ry Fees must be paid=p�ior to
receiving�a Ncertificate of aocupancy° or fina( pawer release. If the pro)ect does not i volve a cerfjficate of occupancy oc
final power release, the fees must be pafd prior;to perr»ft�issuance. Furthermore, If asc�o County WaterlSewer lmpact
fees are due,they must be pald prior to permlt fssuance!n accordance wlth a�pl(cable asc�o County ordinanees:
CONSTRUCTlQN LIEN LAW{Chapter 7'43; Florlda Statu�es, as amendedp: !f valu tion of wark is$2,500.00 or more, I
certify that !, the applicant, have been provfded with a copy of the °Florida Con tru�tion Lien Law=Flomeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affair�s, if fhe applicant is someone
ather than fhe"owner", 1 cerkify fhat I have obtained a copy of#he abave described da um�nt and promise in gaod faifh to
de(iver it ta the"owner"prior to cammencement. '
C�NTRACTt3R'3/�WNER'S AF�IDAVIT: i certify that aE#the Informatlon In this appi catic�t� is accttrate and that aN work
will'be done ln cQmpliance with al! applicable (aws regulaking constructlon, zqning an la�d davelopment. Applicattan Is
hereby made to obtaln a permit to do wark and installatfon as �indlcated. 1 certi th t na work or instailation has
commenced priar to fssuance af a permit and fhat ail work will bo perFormed to m ef standards of all laws regutattng
construcEion, Caunfy and Cify aodes, zoning regulations, and (and deveiopment re ulat ons in the jurisdiction. i also
certify #haf I unders#and that fhe regulations;of otFier governmenf agencies may apply�o t�e infended work, arid`fhaf�it is
my responsibilify to identify wh�t actions 1 must take to be 3n campfiance. Such agencf s i ciude bu#are nat limited ta:
- Deparkme'nt of�Environmen#ai Prote�tiar�-Cypress Bayheads, V1(etfand A eas ar►d Envlronmentally 3ensitive
l.ands, WaterlWastewater Treakment,
- Southwest Florida Water Management District-Wells, Cypress Ba hea� s, Wetland Areas, Alter(ng
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterway�. I
- Depa�tmenf of Heaith & Rehabiii#afive ServlaesJEnvlmnmental Health nit Weiis, Wastewater Treatment,
8eptic Tanks. �
- US Envlronmental Protectian Agency-Asbestas abatement. �
- Federal=Aviatlon Authority-Runways. j
I understand that the following restrictions apply to the use af flll:� �
- Use of fill is not aliowed in Fiaod Zane°V°unless expressiy permitted.
- ff the fill materiai is ta be used in Flood Zane "A", it is understood � at a drainage pian addressEng a
"compensating volume° will be subm3tted at tlme of perm�tting whfch �s prep�red by a professiana! engineer
licensed by the State of Florida.,
- If th� fill materlal is #v be used in F(aod Zone "A" In cannectian wlth a perrriitted building using stem-wall
constructlon, I certEfy that flll wil! be used only to fiil the area within the ste w�ll.
- If fiU material Is to be used fn any area, I cert(fy fhat use of suah fiil wil�� nof adverseiy affec# adjacent
properfies. (f use of�Il is found to adversely affect��adjacent properties, t�e awner may be ci#ed far violating
the conditions of the tauilding permit issued under the rattaahed permft a p!lc�tion, far lots less than one<{1)
acre which are elevated by filf, an englneered drainage plan is requtred. �
1€! arrt the AGENT FOR THE�WNER, ! promise !n good falth to Inform the owner of he �ermitting.conditfons set forth (n
this affidavit prlor to commencing constructlon. I understand that a separate permit ay�be required for electrical work,
plumbing, sfgns, wells, pools, air conditioning, gas, or ofher Insfallations not specifi ally included in the application. A
permit issued shall be construed to be a I(cense to proceed with the wark and nat as aut ori#y ta vioiafe, cancel, alfer, or
set aside any pravisions af the #echnical codes, nor shall issuance ot'a permit preven the Bttiidirig Offlcial from thereafter
requiring a correction of errors in plans, cansfruc#ion or vlolatlans of any codes. Eve perrr�it issued�shal) become lnvalle!
unless�the work authorized by such permit is commenced within six rnonth� of perm t issuance, or Ef work authorized by
the permit is suspended.or abandoned for a period of six(8) months after thQ time th wo�k ls cammenced. An extenslon
may be requested, in writing, from the Building Official for a perlod not to exceed nit�aty�(90} days:and will demonstrafe
Justifiable cause for the extens(on. if work ceases for ninefy(90}consecutiv�days, th job�is considered abandaned. �
WARNlNG Tt3 �WNER: YC7UR FA1�.URE TO RECORD A NQTICE QF GOMME GEI�lENT MAY RESUl.T !N YOUR
PAYING TWICE FaR iMPRC}VEMENTS TO YC1UR pRQPERTY. 9F YOU INTEND T 013TAlN`FlNANCING, CONSULT
W!T X�IJR�LE DER � R AN ATTQRNEY BEFORE R�CORDINt�YOUR�i TfCE F(�iOMMENCEMENT.
FLORIDA;IURATr(F.S. 117 ) ,, � — h-
tiWNEE2 012 AGEN�' 4 0 �' �` � � CQNTRACTO I � `"'�'"��
Subscrlbed an bswo to(or afflrmed)before me thi Subscribed and� or affirme )be�ore me fhls .
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Wha Istare personaily known to me or haslhava praduced Who 4§lare-p'srsonally known to me 6r ha�lhave produced
as identlflca8an. `s fdenUfi�tfon.
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Nofary Pub(ic Notary Publ�e
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Comm! g•�,�,. . JOEL E.BACON Commisslon o
-., '•;= Commission#FF i3707 .�:�:�••Y�:�., E;BACph}
;s: �o�: EX itBS,1t1tf8 2g,2018 =•: ►� C mmission
hlame of No r}l' "�;'prll�t�!¢p�9N§4� ' 'tfi','�"�701° Name of Notary rype. ;, ' � �S@,une 29,2018
. •,a�„'a�`� 8 ded TNu Tro F'
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`�4y�''"�`E'T'E IZE:Q�:INSTA[:LED�SALES:CONT'Ri�C;T� - : :' : .
IN;iThL4ED S�I.CS SPECI�LI T � NUMBER" . GU5TQMER � J �
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11��r r �'Z,Z O � ��{ Z r 6� { (=�(2,-,2. L,a n Y'1
irSTOR�N(,�7�� � STREE2T�pE�S' ���` �5 ,C� •'� STREE7ADDR�7� ���� ��
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� GI'fY�r• STATE ZIP I'• Cl STA"f� ZIP
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( FEI.EF'h3t�NE y TELEPHONE �t�� f��� a/pCa �
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�OA��—�}�.�� „ IQWE'S C4hl7RAGTQft 1.3GENSE UMBEA•• �' cASH ' C Ro � � cr�A oe
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Ml�, [)—;3tete 6icense Nwnber;All UlhEir Statea—L we's Employee Number,
`• AL,t;'f,Ft„MA,N1D,NV#45=SSU unttmited,i'N N16068, nty.
�('h(s f;;a coritrtict beiween L'owe's(as,d�tined In the erms and"GonditionsJ•("Ldwe's"},asid!he�bave-nameci C:ustomer for th�installatEon of.goads at the
C�ustnme�r's residen8al premista's(tha"Prnmises")at he following Installation address: '
SYREf:TADDREvS CfTY STATE 21P
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��'drtir�nr�d Sp�cificatJon:�: Th�: E:nvlromm �tal Pratection Agency (EPA} has reques4ei� that Ma��is �
c�v�ri�'s n�atifyr Installation�cus#amers ths�t a lead based paint hazard imay exist ln dwellinga>bullt �Tax
riar t��'!S�`18.. �ep pa�tpftl�t EP,4�47-K»89 01 �For detalls. ( Labor
"Tax
ta(i�JC..S i�..l�r? 1hS�'S11 ��Lr � �t Chq�.. �iYiK P.►> � . Tatal �1 �Z.J
�"� � ( "Where applioable labor ts`taxable;
� checit iocat tex restrietions
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a>ric�ls tc�commence apon r�iasonable avpilatsiitt of Cantractor which is anti lipated to be {nl1 tll �r. �x.% �1�:.,�C [fili fn datej,
>tlmatecl com�aletton date!s�^-'�fh}� v ����� �l�� [fll[tn date]. �
C)TICE-7'0 CU�rOMEl3 ��
i items listed in this cantract ar7d specifiaatian sheet( }are to be installed under coriditions agreed upon at time of purchase end at the price appearing on this
ai�traat tarm. Ttiis assumes sound eXtsfing subs2PUCt res,�uperstruGture and points�of attaahments. Extra tabor or rr�aierlai incldent to installation nQCess(ta#ed
�dc�fective sub,tructuros,supErstructure,points of a achment,or the moving of fixtw•es or applfances to be billed at extra cost to customer.
f�Y�lCPT 4:1�t�'i'NIS CONT{�AGT UNTIL Gfl P�.�TE Ai�Q YOU HAVE READ TFlE TERMS AND GOND17'lONS CONTAiNEf�ON THE
E:VI:Fi�iE3 51d)�: UF THlS �ONTR��C7 BY IGNlNG BELOW, YOU�ARE ACKNOWL�DClNG TNAT YOU HAVE R�AD, UlVDER-
1',4NJC�}�IVCJ.�{�R�E'Y'O'f'ME TERMS AND (.1NDITlONS S�7 FQRTH ON 7HE REVERS� ;>IDE OF THIS CONTRAC7 YOU ARE
�ti(1`ti'd.E:Cp'�'CD,t�GOF�Y QF THtS�pNTR�AC AT THE TiME OF SIGNA7UR�.
I'�'NC55 UUR HANq(S)ANp S�AL(S)BELOW 7H1 ��;�bAY C1F '���/� S'? _, ����µ
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Plensa shovr eh�folJowing tsn t� residantial sice glan:
i. North Am►w
2. P�npaity Ilne ditnanslor�a,.
3. Name,to�ntion ofeX1&lin$stYOe nnd altywaya ac�acent to tize praAerty, .
4. i.QCBtIOIt,nJ�","�9q.ft).and hev(ght of all dxl�ting and propoaod stnioturos,and fences.
5, Locntlon nntl dimansio��a�bf axi in$and proposod dr�vevrcys.
G. IfttiSting am1 pcopasacl l�ulitling s sbRClcs. .
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