HomeMy WebLinkAbout15-16680 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 1668
� � FENCE PERMIT �v
" PERMIT INFORMATION � LOCATION INFORMATION
Permit Number:-_16680 Address: 36122 SHADY BLUFF LOT 9
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVERADO
Est. Value: Parcel Number: 04-26-21-0060-00300-0090
Improv. Cost: 4,660.00 OWNER INFORMATION
Date Issued: 10/19/2015 Name: PABON RAYMI i
Total Fees: 50.00 Address: 36122 SHADY BLUFF LOOP
Amount Paid: 50.00 ZEPHYRHILLS FL 33541-2712
Date Paid: 10/19/2015 Phone: (813)507-1410
Work Desc: PRIVACY FENCE 6 X228
� CONTRACTOR S APPLICATION FEES
FENCE OUTLET OF TAMPA INC (407)851-6660 FENCE 50.00
._�
� � J
/ �
�
II — 20 � / s
J�=�
� � Ins ections Re uired �
' F NAL /
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 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
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
�
All work shall be performed in accordance with Ci Codes and Ordinances
� �
CO TRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO ',
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I
PROTECT CARD FROM WEATHER '
813-78D-ti020 City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
Date Received � � � � _ 3 �
� Phone�Contact for Permittin
Owner's Name 0� V�� Glo�.� Owner Phone Number 0 � Sb� �`��D
Owner's Address �'�a . �1C�a D ccil— Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��I a2 S�� u+i— LOT# �
SUBDIVISION SS �2.va �r�10.2 PARCEL ID# U ' � - 2�' �O�oO� �D �- UO 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , B NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK `TV► I d� �� � p�- � t'I '��p ' p�� co��1 (�vl� S'' �,J !�,
t
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �� �wf�e,�-
SIGNATURE ' (w � REGISTERED N FEE CURRE� Y/N
Address �l0` S, �G11(e�oz � . Ltcense# �� 2 �
ELECTRICIAN COMPANY
SIGNATURE -' REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' Ucense#
RESIDENTIAL Attach(2)Plof Plans;(2)sets-of.Building Plans;(1)set of Energy�Fortns;R-O-W Pertnit far new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construc6on P1ans,Stom►water Plans w/Silt Fence installed,
San(tary FacillUes 81,dumpster,.Site Wortc•Rertnit for su6divislonsAarge proJects
COMMERCIAL Attach(3)complete sets of Buildirig'Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction.
Minlmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Work Pertnit for ail new projects.All commercial requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans:,
""PROPERTY SURVEY required for all NEW construcUon. .
Directlons:
Ffll out applicallon completely.
Owner 8 Contractor sign back of appl(caUon,notarized
If over 52500,a Notice of Commencement t�requtred. (AlC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter(f on public roadways..needs ROW
�TICE OF DEED RESTRICTIONS: The undersigned under�tands th�t this,p�rmit.may be.subJect to"deed" restrictions"
hich may be,more r.estNct9ve-than County-regulations. TFie underslgned assumes responsibillty for�compliance with any
�plicable deed restrictlons.
NLICENSED CONTRAC70RS AND CONTRACTOR ItESPAPISI8ILITIES: If the owner has hired a contractor or
mtractors to undertake work, they may.be=required�to be l(censed in accordance.with state.and•local regulations. If the
mtractor is not Ucensed as requlred�by law, both the owner and cont�actor may be clted for a misdemeanor violatlon
ider state law. If the owner or intended=contractor are uncertaln as to what Ifcensing.requirements may apply�for the
tended work, they are advfsed to contact the Pasco County Bulld3ng Inspection Divislon—Ucensing Sectton at 727-647-
)09. Furthermore, if the owner has'hi�ed a contractor o� contractors, he is advised to have the contractor(s), sign I
�rtions of the "contractor Btock" of thls appllcatlon for which they will be responsible. . If.you, as.the owner sign as the
mtractor, that may be an indication that he Is not.properly Iicensed and Is not entitled to permittfng privileges In Pasco
ounty.
RANSPARTA710t�-IMPACTIUTILITIES IMPAC7 ANb-RESOUR�E RECOVERY�FEE�: The undersigned understands
�at Trensportation Impact Fees�nd.Recourse Recove.ry.Fees may,apply to the construction of new buiidings, change of
se in existing buildings, or,expansion.of existirig�buildings, as speclfied.in Pasc� County Ordinance number 89-07 and
�-07, as amended. The undersigned also understands, that�such fees, as�may�be�due; will:be identlfied at the time of
ermittfng. It fs further understood that Tra�sportatlon lmpact Fees and Resource Recovery�Fees must be paid prlor to
:ce�ving a "certificate of occupancy" or flnal power..release. :If the project does not Involve a certificate of occupancy or
nal power release, the fees must be paid prior to permit issuance. Furthermore;�if Pasco County 1Nater/Sewer Impact
�es are due, they�must be�pald prlor to permit-Issuarace�in accordance with applicable Pa§co'County ordinances.
;ONSTRUCTIAId LIEN U4W(Chapter 713� Florlda Statutes�as amended): If valuatlon of work is$2,500.00 or more, I
ertify that I, the applicant, h�ve.been provided wlth. a copy of the "Florida Construction� Lien Law—Homeowner's
rotectivn Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone
ther than the"owner", I certify that I have.obtained a copy of the above.described document°and.promise in,good faith to
eliver it to the°owner"prior to-commencement.
;ONTFaACTOR'S/OWNER'� APFIDAVIT: I certify thaQ all tha Enformation in thls app!(cation is accurate and that all work
�ill'be done in compliance with all appl(cable laws regulating construction, zoning and land development. Application is
ereby made to obtain .a permit Co do work and Installation as ind(Cafed. 'I certify that no work or installatlon has
ommenced prior to issuance of a permlt-and that.all work will be pertormed to meet standards of all laws regulating-
onstructlon, County and City codes, zoning regulatio.ns, and land development regulations°In the jurisdtction. I also
ertify Qhat I understand that the regulations of other government �gencies may�apply�to the intended work, and that it is
iy responsibility to identi6y vvhat.actions I must take to be,in<.corr�pliance. �uch agencies include but are.not Ilmtted to:
- Department of Erlvironmental Protection-Cypress."Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- 5outhwesQ Florida Water Managernent District-Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,�Docks, Navigable Watenrvays.
- Department of Health & Rehabliitative Serv(ces/Envi�onmenfal Health Unit VVell.s, Wastewater�Treatment,
Septic Tanks. � .
- US Environmentai Protectfon Agency-Asbestos abaterroent.
- Federal Avi�tlon Authority-Runways.
understand that the following restrictlons apply to the use of flll:�
- Use of fill is not allowed fn Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in �Flood. Zone "A", It. (s und�rstood that a dr�inage plan addresstng a
°compensating volume" will be submltted at time of p�rmitt(ng which is prepared by a professfonal engineer
Iicensed by the State of Florida.
- If ihe flll materlal fs to be used in Flood Zone °A° in�connection uvith.a permitted building using stem wall
� construction, I certify that fill�:wlll=be used only.to..fill the area withln the�stem•waii.
- If fill material Is 4o be used in any area, I certify that use. of such flll will not adversely affect adJacent
properties. If use of flll Is found to adversely:�ffect adJaeent��properties,.the owner may be clted for violating
4he conditions of the building.permit issued under the attached permit application, for lots less than one (1)
acre which are elevated�by illl,an englneered drainage plan fs required.
'I am the AGENT FOR THE OWNER, I;promise In good faith to I�form the owner of the perrnitting conditions set forth In
iis affidavtt'prior to commencing construction. I understand that a-separate permlt may be requtred for electrical work,
lumbing, signs, wells, pools; air condttioning,.gas, or other inst�9l�tions.not specFfically included in.the application. .A
�ermit issued shall be construed to be a�Itcense to proceed with the work and not as authority to.violate,cancel, alter, or ,
et asfde any provistons of the technical codes; nor shali Issuance�of a.permit.ptevent the Bulldirig Oiflcial from thereafter _
�quiring a correction nf errors in plans, constnrction or vlolations of any codes. Every perm(t Issued shall become invalid
�nless the work authorized.by such permit�ls-commenced withln s�C months of permit issuance, or if work authorized by
ie permit is suspended or.abandoned for a period of six(6)montF�s.after the time the�work Is commenced. An extension
�ay be requested, in writing, from the Building,Officfal for a perlod not to.exceed nlnety�(90) days and will demonstrate
--JS@iffable caus�for.�he-ex4ension:-if work ceases.foP ninety-(9�j co�s.�cuQive d�y.s,.th�job is-considered abar�doned. �. �---
VARNING TO OWNER: YOUR FAILURE�TO.REC.ORD A NOT�GE OF�COMMENCEMEMT MFAY=RESULT IN YOUR
'AYING TWICE FOR IMPROlIEMEIdTS TO YOUR,PROPERTY. IF�YO.U�INTEND�`T��OBTAIN�FIPt�►NC1NG,�CONSULT
VITH YOUR LENDER.OR AN ATTORNEY$fFORE�RECOR��ING:YOUR=NOTIC�°OF�OMMENCEIIP�ENT:
LORIDA JURA�(F.S.1.17.03) _ �
�WNER OR GEN � ' CONTRACT�R
ubsc►Ibed a s m to(or a}fl►me )before me thls Subscrlbed and'swom-to(or afftrmed)�before me'this
by �by
Jho Islare personally known to.me or haslhave prvduced Who Is/are p.ersonally knovm to me or has/have produced
as Identlflcatlon. as Identlficatlon.
Notary Public Notary Publlc
�ommisslon No. Commission.No.
lame o/Notary typed,printed or stamped Name of Nolary lyped,printed or stamped
(
-.- - - . ... .- --_..._ .- - -- - -- -�.. �Rcpt:172i234 Rec: 20.00
.� 111fIII Iffi1 i111111111111I11111111111111N Nl41111111iII INl °�: 0��� �T: �.��
10l19/2015 B. M. , Dp1.y Clerk
, 2015168171 _ � � __ -
� ; �PAULp S 0'NEIL�Ph D Pp5C0 CLERK & C4MPTROLI.ER
Key Nb. . Permit No. � 10 ORg BK 1�.G�Z� PG 3�?�
NOTtCE 8F Ct3MMENCEMENT � .
TtEE UNDSRSiGNfiO herehv gives notice that improvement win be made �
to ceitafn.real property,and'in accbrdance with Chapt�er 713,Flcrida State i
Statutes,the fo]lawing iniarmation Is provided tn this Natice of '
CammencemenG ' � u�.�,.eaH.ar�rnxonaa
c.�..»...,.......».......»....................................»,»..»...................»........................».....»..
, Ltr rrfp�Erlf bn�IF�UOfnOPa�i('�?�0-.ix�9l�
�� �
J! {Legel desulptlon ot the property and atreet address!t ava4labta)
2. General Descxipbon of lmprovement. I�ehce.. ��n3�u.��
3. Oumer Informallon: Name 0/✓ .Z •
Addsess �t!9 L ju � /� � S - ta 0 � P �yr
Interest in�'Prope -
Name of Fee Simpie e o er o er an avmer: �
Addre6s ta e p
4. Contractar..Name � 0' � l Li 1-
Addnass• � i . ' �i t�e p
Phone No. ax o. •
� ddre Name � . — • e
Amount o on : � ' ona� o. � ax o. p
8. Lender. Name
Phonr e No. . . ex o. e p
7. Persons within the StaW of Florida designated by Oumer upon whcm notlaes or other documents+may be senred as prouided by Section
71s.t3(7)te1f7).Fiurtda statuEes:
Name Address •City Stata .
Phone a. � �Fa�c Na.
B. !n addit#on to himseif ar hersetf,OMmer designates of
tn receive e aopy of the Uenota Nattce as provid n ec on . , on a es. -
Phone tYo:oi person ar eritiry designatad by bwner. .
g. ExpireHor�-date-ol-Natice�o!t�cm�encament(the expiraf3on date•is-l-year-frone the dete of recording uNess a diflerent date is speafled:j�
WARNINd TO OWNER:ANY PAYMENTS MNdE BY THE OWNER AFTER THE EXP�RATION QF THE NQTICE OF COMMEMCEMENT ARf CONSIDERED[MPRQPER
PAYMENTS IJND£ ' 713,PART1•SEC 7t3.13,ftORtDA STATUTES AN4 GAN REStlIT iN YOUR.AAYtNti TMCE'FOR iMPROVEMENTS TO YOUR PROPERTY,
A NOTICE OF fiIUST BE�2ECORDED AND P05TED ON TiiE�JO�SITE BEFCIRE 7HE FIRST IN3PEGTION: IF YOU MTSND TO p8TA1N FINANGINO,
SUCT YOUR CEND OFt AN ATTORNEY$EfORE GOMMEAiCWCi WORK OR'RECORdIN{i YOUR NOTtt�OF fiAMhlEAtCFMENT.
�y
x gn � r. .wne►s Au�'i'anze . cer re r a er aneger gne s i ce
"'Stgoa#Frrr Requtred by sam+a 6etaw by'X'iiraric"".
STAtE 4F 1""fG�e�i�/�-' COUNTY OF ,�,1'��' . . ,
The forego3ng instrument was adasowtedged Defae me this_�„day of �G��l�� 24 hy �
� �—�F�r�o�S`��
�r . - fOf �
�(Type e.g.,oNi stes,eGCmey in fed) '(Name of parry on ehe oi who inscvment waa ezecuted)
r•_-�•�•^ H (i�f�Gfl[iSV4ii7iVii
gna e o ry Print.Type or • m•c .
, :Mat!ch28,20i6
Pe �onelly Knaum OR�ProducedldentificaUon L. : , ��?dTh"'N°f�'p�maeUn��
7ype ot IdentNicaBen�'F'ro�uced:�_,,. _.._.���,,,,_
Verification pursuant ta Section 92.525,Fiarida StaWtes:undet penatt3es of periury,l dedare that!have read the foregoing and that the facts stated in ii are
true ta the best e and beUef.
x
erson gn ng ave
�'NOGPt8.WPD(�11/07)
9/24/071tQ , • -
, . . .. ... .. _. .. . . ' . . ..
. .._ ..=a�^ . ....... .._ ....,..« ...�. • . . ... . . . . . .. . . _. .. . -. ..... �..�,,....._....... ... ...... � ._. ,. .. . .. .... ,_
,�°�C°'��
'�� ' � � �°Q� STASE OF FLOFtBDA,��UN`t°��������
dj�, ' � THIS IS TG CEf�TI�Y TMA���E F�R�GOING IS A
' � TRUE ANC+CORRECT COPY OF THE DOCUMENT
.� • InG�,�,e r�r � � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� WITNESS,MY HAND AN IC L SEALTHIS
� � o . ,
� DAY OF �pTRO L
� 1887 .�• PAU L S ' �,
-�,
e�'j•� ��_,;,'' .':���,,�'�' B�, � DEPUTY CLERK
.�y�� �
'�"ti�''6�1�e i,,�,rt`'�'..^'°�,
. , . � -�- i ���a
r
h
MAP OF SURVEY
SiTE ADDRESS:
36122 SHADY SUfFF LQOP
_ � �7��-- G�� �---
���
LO
� I � BLOCK
i0' LANDSCAPE BUfFEftj �
li � � WALI EASEMENT EASEMENT '� � �
�
{ �
� FD 5f8' IR � � "i ^ FD 5J8" IR � � �
�e �asz � �_ - .- - ssa 22 a2°�(p&�) �za.ao'{P&M) NO IDIf I � � a -
� � �
� . � ,o'` � o�,y - y .-.
`� { -^^---� —...,-,.. �°,' �o.r �2.a' .�a W
°z �3 ; z'onk Tree o3o s J a
�� O 40.8� +, 33. ,o� C`� 1oMg 3,'C� ri fY`�
z� a ( s,�` =»= � �w�
a w p � ~ �s.o � _�,._, m _ Q
' Np4 t0 ' � � ��+D
OC1G. U Q'�
>-.�: � LOT 9 GARAGE �m z�I �-� o Z � �
�o x � ' � BLOCK. 3 01 c°>o( fO N a �'U F-
a�o y� � ONE S74RY MASONRY v Z
��� -u � RESfdEFiCE �j36122 ( ^ � N �Z�
�,F w , � F.F. ELat03.82 24 2D.9 C3
e � U ���
xa �n I " ! �' na
T M 4�.8� 58.3. � �.'�� `
� Z J z.�� ^Fj02e G �O�' )p� .ZQ�9� / (.�Q
�
� """" --.-.r► SET PK N&d( N ��s.
`°ry` ,o`�'� �oasl9 £�7863, � 12.7' �m 4
� 5�8' �R i � N88'22'02"W(6 IS OF 6EARiNGS) 121.19'( M) � �
l8 �5392 � � � �n PD 5j8' tR� � = N
� � � NO IQ�i �
I I \ � �
� � �or s � �
BLOCK 3 � �
I F'.FNQ
FD FOUNd
IR IRON Rdd —
PK PARKER KALON L1NE TABLE
NdcD NAiL dc DlSK
LB UCENSED BU5INESS UNE LENGZ}1 BEARiNG
LS LlCENSED SURVEI'OR t1 P&M 46.70' S0137'58"W
W/G - WfTNESS COftNER
PC P01NT OF WRVATURE `�
pi p0�i j OF iNtER5EGT10N CURVE TABLE
M M�asuReo CURVE LENGTH RADftlS RELTA TANGEN7 CHORD BEARtNG
c ca�.cu�a�a
TYP TYPICAL C27 P&M 13.37' 75.00' 1Q'12�45" 6.70' 13.35' S03`28'24"E
R f W RIGHT-OF-WAY
CfL CEN'fEitllNE
E4P EDGE Of FAVEMENT
'n CONC CONCRETE ���������l���i�
t C/S GONC SLAB �`- �+•gN'�R ��
a, Cf�iN GONC WALK ��SEMV,�����v��
AfC AiR CONDITIONER ..39J �A:� '
� PLF PLASTIC 4'EENCE _ 184803 �"
N
'Z F.F. FlNISHEQ F'L40R �
° EL ELEVAliON , : 87'ASEOF
a X 102.5 EXISTiNG ELEVA110N � • •.�..•'��:`
a ---'�^- dRAINAGE fLOW ARROW *i��f'tf+"•"'_°.r�F`�r`
atlRV�`'
� AS--BUILT SURVEY
� SIIRYEYQR'S NOTES: . _. ._ __ , ....<..,,. .. � 1 �r!_hi !'accr�t�t�ne.s,