HomeMy WebLinkAbout16-17243 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
' (813)780-Q828 17243
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 172�3 Acidress: 6457 ASHVI�LE DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Ciass of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTiAL Lot(s):16 Btock: B Section:
5quare Feet: Subdivision: SlLVER C?AKS VILLAGE
Est.Value: Parcel Number: 03-26-21-0220-OOB00-0160
Improv. Cost: 3,640.00 OWNER INFORMATION
Date Issued: 411512016 Name: RODZIEVUICZ KEVIN
Total Fees: 45.00 Address: 6457 ASHVILLE DR
Amount Paid: 45.Q0 ZEPNYRNILLS, FL. 33542
Date Paid: 4/15/2016 Phone: 732-882-9869
Work Desc: INSTAi.LATIC�N 4' X 170' WHITE V1NYL PICKET FENCE
CONTRACTOR S APPLICATION FEES
BIG DOG FENCE INC (813)907-9877 FENCE 45.00
W � � _
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lns ections Re uired
FI AL �
REINSPECTION FEES:(c)With respect to Reinspectian fees will comply with Flarida Statute 553.80 (2)(c)the
tocai government shall impose a fee of four tirnes the amount of the fee imposed for the initiat inspection or
firsfi reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
rnay be faund in the public records of this caunty, and there may he additional permits required from other gavernmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before anyfurther permits will be issued to the person owning same
"Warning�a owner: Your failure ta recard a notice of commencement rnay r�sutt in your paying twice for
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of comrrtencement."'
Complete Flans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with Ci Codes and Ordinances
CO CTOR PERMIT OFFI
PERMIT EXPIRES IN 5 MCINTHS WITHCIUT APPRQVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM WEATHER
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e�a-�saoo2o City of Zephyrhilis Permit Application Fax-813-760-0021
Building Department
Date Received Phone Cor�tact for Permittin
Owners Name e ��'� Owner Phone Number ��Z—�
Owner's Address '� � Q'�; / /l �Z Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS � J LOT� �
SUBDIVISION IYAr � �� I PARCELID# �� Z ^ �(5Z O^� �O«pO
(OBTIJNED FROM PROPERTY TAX NOTICE�
WORK PROPOSED B NEW CONSfR 8 ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q
DESCRIP770N OF WORK L I �/V�'/ ' V/k �f/�
BUILDING SIZE SQ FOOTAGE � � HEIGHT �
QBUILDING $�� ��� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N �CuwtEn Y/N
Address License#
PLUMBER COMPANY
SIGNATURE aEcis�aEo Y/ N �e cut�n Y/N
Address License#
�
MECHANICAL COMPANY
SIGNATURE r�GISTEREo Y/ N r�e Cuwx�n Y/N
Address License#
OTHER COMPANY P/, � .
SIGNATURE rtEcisTErten Y/ FEE CURREI. Y/N
Address � [ Q � License#
Iltlllllllllllllllllllllll ' IIIIItllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(Z)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projeds
COMMERCIAL Attach(2)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for aIl NEW consfruction.
Directlons:• • • • • • • • • • •
Ffll out appiication completely. •
Owner&ConUactar sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for Uie contractor)or Power of Attomey(far the owner)would be sameone with notarized letter from owner author¢fng same
OVER THE COUNTER PERMITf1NG (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-No[over Counter if on public roadways..needs ROW
. � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"resVictions"
which may be more resfictive than County regula6ons. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a wnUactor 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 Inspection 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"conVactor Biock"of this application for which they wili 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 entided to permitting privileges in Pasco
County.
TRANSPORTATIOtd IMPACT/UTILITIES 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
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.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,1
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 Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement
CONTRACTOR'S/OWNER'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 permit and that all work will be performed 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 understand that the regulations of other govemment 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, WeUand Areas and Environmentally Sensitive
Lands,WatedWastewater 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 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 cerdfy 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 pertnit 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 OWNER,I promise in good faith to infortn the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 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 Building 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 pertnit 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,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEPITS TO YOUR PROPERTY. IF YOU INTE O OB I INANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N CE OF NCEMENT.
FLORIDA JURAT(F.S.117.03) -'
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and s om rme e re me lhis
by _ S•
Who is/are personally Imown ta me or haslhave produced Who is/are ona own to me or has/have produced
as idenUfication. as identification.
Notary Public (�L� *-� *--�v Notary Public
Commission No. Comm n
:i°�r?v..Y,e4c:
: ommission#FF 150422
Name of Notary typed,printed or stamped Name �i ' ,p�r�����ef�2,
�%�FF�F�;;Q`�` Banded Thru Troy Fa:n Inscru�eo CC�385•7019
� . i iiiiii ii�ii iiiii iiiii iiiii siiii iiiii iiiii iiiii iiiii iiii i�ii
• ' 2016058000
_ ' Rcpt:1763546 Rec: 10.00
DS: 0.00 IT: 0.00
04/15/2016 J. R. , Dpt,y Clerk
, PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
. 04/15/2016 10:37am 1 of 1
NOTICE OF COMI��NCEMENT OR BK g352 PG 3428
Permit No.
Property Identification No:�6��uc�z�-D�ZD^O�QO 6-O�(�0
'I'HE ZJNDERSIGNED hereby give informs you that the improvemeirt�tn11 be made to certain real properry,and in accordance with
Secflon 713.13 of the Florida Stahrtes,the following information is provided in flus NOTICE OF COM1�g:NCEMENT.
l.bescription af property(lega[descriptinn:)Jr/vLr�tS 1�IIQ -Pjit1'� Tw o �g s'�PC� oZ9 a/x�8 �.ot r�
a)Street Address:��}�jtyi/T� ur rr[� ,Z[�,�,��_
2.General description of improvemen ������r���������r
3.Owner Information I' /�
a)Name and address:_ /�f vl t� 6C�,'�/[W/C� (i�����t vr��f , �Pfi�,►-ti� ��r ���SS�7i - - —-
- � -6)-Name and address of fee simple ritlehold"er(if otfier tfian ownei) �i
c)Interest in propetty_�[Ml22Y
4.Contractor Information �{ 7" . \
' a)Name and address:�,U�*Cn C2 .'�l�/4 ��o I�✓t HYi1rC /�PJ�ri C� Q� �l .�s'�cs`
b)Telephone No.: �� - �� Fax No.( pt.) -
. ty Informarion
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Idenrity ofperson within the Stata of Florida designated by owner.upon whom norices or other documents may be served:
a)Name and addtess:
b)Telephone No.: Fax No.(Op�)
8.In addidon to himsel�owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(I)(b),Florida Statutes: �
a)Name and address:
b)Telephone No.: t Fax No.(Opt)
9.Expiration date ofNotice of Commencement(the expirariou date is one year from the date of recording unless a diffeient date is
specified),:
WARPTIPIG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIIVG TWICE FOR IMPROVEI�IENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THL�JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU"INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCWG WORK QR RECORDING YOUR NOTICE OF CO NCEMENf.
SCATE OF FI,ORIDA
COUNTY OF PASCO
Si�awm of er or Ownec's�A oriud OflScedDifectodPectnerRvtanager
PrintName
The foregoing inshvment was aclmowledged before me this� day af. 20 1![/�by �-in �a�3�-ec.vi�'
as (type of autfiority,e.g.officer,trustee,attorney
in fact)for (name of party on behalf of w m' ent was ex
Personally TCnown_OR Produced Identification_ Notary Signature�l�{�}���
Type of Identificarion Produced '1'L�� IQame(print) ��1�'�Y �`�"`� � ' "
VerificaHon pucsuant to Section 92.525,Florida Statutes.Under peaalties of perjury,I declare that I have read the foregoing and that
the facts.stated in it are tcue to the best of my knowledge and belief. .
FORMSINO
Kimberly E.Currier SignazureofNeturelPusonSigningAbove
Notary Public
State af Florida
MY COMMISSION#FF,i'''
6cpires:August 24,2��� .
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