HomeMy WebLinkAbout16-17466 I CITY OF ZEPHYRHILLS
� 5335-8TH STREEr ���.
. �sis��so-oo20 1746.
� FENCE PERMIT /
PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 17466 Address: 5943 19TH ST/38924 NORTH 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: 11-26-21-0010-04400-0030
� Improv. Cost: 7,986.40 OWNER INFORMATION
Date Issued: 6/13/2016 Name: LONGSTREET PATRICK& LAURA
Total Fees: 50.00 Address: 5943 19TH ST
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-3873
Date Paid: 6/13/2016 Phone: 813-299-3717
Work Desc: INSTALLATION 272 X 6 PRIVACY WHITE VINYL FENCE
CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC (407)832-8085 FENCE 50.00
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� Ins ections Re uired
FINAL
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 pertormed in accordance with City Codes and Ordinances
_ � �
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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Building Department
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D�F�e*�d =���(�j� �_����� Phone Cont�act�fo�r Permittin `�13 2.6'�' -- �'R"''1 !05
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Owner's Nan�e �f�i72�i�k t-�On�STr?,�,7' Owner Phone Number $�� `Z`�`� "'3� �7
Own��'s Adt�ress����{�_ / �f� �f � Owner Phone Number � �
— .—_..
Fee�Imp1e 1'itlehoBder Name C� ���� Owner Phane Numher � �
Fee laimple i'itlehoQder t�ddress �__,_� �.. r_...�
JQB�QDRESS rS�Y 3 ��rk sT ZePh�.Yh t t l s F'l� 3 3 S��. �-� �.oT# �3-5 �.�
SUBIDIVISIQN C�'t� 9�2�P�eRY�►�'1�5� PARC�l.ID# ��'�+�2-f_QOtO-O`f�'YPO— Q�.3Q ___,�
{OBTAINED Ft20M PROPERTY TAX NOTtCEj
WORM:PROF�OSE[D e NEW CUNSTR IW� ADD/AI,T � SIGN � C! DEMOLlSN
INSTAI_� REPAIR
PROI�OSEb USE [� SFR � COMM � OTHER �_ _�,�
TYP�OF CONSTRfJCT1�N Q SLOCIti. f� FRAM� � STEE� �� C �^�
QESCIRiPT10�N OF 1NORK ,,.�NSrAj� �L.�`Z.� a,�.��4�'��-Sca� ���5� F�te {,�3 i T�'1. 3�,A'TG 5 .�
BUIL[DING SIZE f� � :SQ FOOTAGE�� F{ElGHT �� (
�TIF��
[_�BUILDING $ ..7��; y�� VAE.UATiQN 01=TOTAL CONSTRUGTIdN
[�EL.IcCTRICAL � � AMI�SERVICE Q F'ROGRESS ENERGY Q W.R.Ec.C.
L_�PLIJMBING $ �f I '"`���
� � �''" . ���
- ���
�_�MEGHANrCAL $ . VAL.UATION Of'MECHANICAL INSTALL{�TION �-�,��
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[_�GAS Q ROOFING [� SPECIALTY �� OTHER , � �
FINISFiEt3 FLOOR E�EVATIONS (��� FLpOp ZUNE AREA DY'ES NO � �
L ���t�
i-tithFSi-li-tt�ttttttt tttttti�i-tt�ttttttiii ttFfHi�i
�UILIDER � ANY �--�w-2S t"�Ot►12. GEN�E?fZS t—{.� ��
SIGNA,TIJRE �„'T __�.�7Xdp�/ G J� REGISTERED '—'Yi9N FEE CURRE� Y I N
,�1�ldress r�'o Ba� 78l�93 r�lzf�t�la F�. 32E�,�„� (.Icense# C.C�ClSDB�i"? .�
ELEGl'RICtAIU � COMWANY ^�
SIC,NAi'URE REGtSTEREb Y/ N FEE CURRE� Y I N
1a+ddress �_ �� Llcsnse# � ��
PLUA!!l3ER COMPANY �
S1fii1�,ATURE � REGISTERED Y I N FEE CURRE� Y/N
�
A«�dress �� � Zlcensa# � �,
MECf���NICAI_ Ct?MPANY ^�
SIGN,ATURE � REGISTEREp Y J N F[E CURRE� Y/N
-�-- �
l�+idress �_ � �lcense# � ��
OTHEiF� COMPAfVY � �
S1GN�4TURE REGlS7EftE0 Y/ N FEE CUftRE� � Y I N
/1sid�ess �� � Gfcense# � �
iii+Htttti�tt�iiitii -Hiii-Fi-Hi�ht1-ttf+++fi-f+ ii-IthFFHi+FHfH+ 9
RESI!)IENTIAI. Aktach(2)Plok Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permlt for new construction,
Mlnlmum ten(90}working days<affer submlftal date. Requ3red anslte,Cansfruction Plans,Starmwater Plans w/Silt Fence tnstafled,
Sanitary Facilities&1 dumpster;Site Wark Permit for subdivisfans/large projects '
COMMERClA1. At_tach(3),complete_sets of-Bttilding-P-lans-plus-a-L-1€eSatet}r-Paga;(1)�set-of-Energy-Forms.-FZ=O=W"Petmii-fo��new c.�3nsttuctlbn.
Min3mum ten{10}working days�fter submitfat dafe. Required onsite,Construction Plans,Stormwater Ptans w/Siit Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permft for all now projects.All commercfal requirements must meet compliance
StGN P�ERN!!1' Attach(2)sets of EngEneered Plans.
*`"*PFtOPERTY BURVEY requirod for all NEW construction.
�IZLITII3]� � g�9
pirect;taarts:
�i(t ouf applicatian comp(etely.
C7�aner 8 Contractor sign back of appl(cation,natarized
IU�over$2540,a Nottce of Cammencement Es regulred. {AtC upgrades over�7500)
*' �c�ent(fov the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER.'!'NP C{�UNTf:R P�:RMtTTING {Front of Appllca#ion Only}
Reroofs�if shingles Sewers Service Upgrades NC Fences(PIoUSurvey/Foatage)
C�rivewa��s-Not over Gounter if on public raadways..naeds ROW
Nt)TICE O� DEED REST621CTIONS: The undersigned understands that this permit rnay be subjecE'to"d�ed" restric:tions"
which m3y be more restric;tive than County regulations. The undersigned assurnes responsibility for complian�e with��ny
appiic:able deed restrictions, �
UNLI�C�WSED CONTRA(�TORS AN� CONTRACTOR RESPONSIBiLITIES: If the owner has hired a ccmtractor or
contr�ctc�rs to undertake work, they may be required to be licensed in accordance with state and local rec�ulations. If the
contr��ctUr is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor v(olation
under• state law. if the owner or intend�d contractor are uncertain as to what licen�ing requirements may apply f'or the
intencied work, they are acivised to contacQ the Pasco County Building Inspection Division—Licensing Sec;tion at 727-847-
8009. Furthermore, if the owner ha� 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
contractor, that may be an indication th��t he is not properly.lic�nsed anci is not entitled to permitting privileg�;s in q'ascv
County.
TFtAPJSF'ORTATION IMP�4CTIUTILITIE� IMPACT.AND RESOl1RCE REC�VERY FEES: The.undersigned under:�tands
that T'ransportation Impact Fees and Recourse Recovery Fees may apply to thE: construction of new buildings, change of
use in existing buildings, vr expansion of existing buildings, as specified in Pa;�co County Ordinance number 89-07 and
90-07', as amended. The undersigned also understands, that such feeso as m�y be due, will be identified at the t9me of
permutting. It is further understood that Transportation Impact Fees and Resource Recovery Fees mus1; be paid prior to
receiving a "certificate of occupancy" or final power release. If the project doe:� not involve a certificate of occupancy or
final power release, the fE�es must be paid prior to permit issuance. Furthermure, if Pasco County Water/Sewer Impact
fees;are due, they must bE: paid prior to permit issuance in accordance with applicable Pasco County ordin�nc�s.
CUN�STItUCTION LIEN LAW�(Chapter 713, Fiorida Statutes, as amended): Yf valuation of work is $2,;iQ0.00 or more, I
certif?� ti�at I, the applicant, have been provided with a copy of the "Florida Construction Lien Law•--Hc�meowner's
Protection Guide" prepared by the Floric�a Department of Agriculture and Consumer Affairs. If the applicant is sorneone
other th��n the"owner", I certify that I have obtained a copy of the above ciescribed document and promise in c�ood faith to
delive;r it to the"owner"prior to commonc;ement.
Ct�N'TFt�►CTOR'SIOWNER'S AFF9DAV�T: 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
herek�y made to obtain �i permit to da work and installation as indicated. I certify that no work or fnstallation has
comrnenced prior to issuance of a perrnit and that all work will be performed to meet standards of all laws regulating
consl:ruction, County and City codes, zoning regulations, and land development r�:gulations in the jurisdicfion. I also
certify that I understand that the regulations of other government agenci�s may apply to the intended work, and that it is
my re;sponsibility to identify what actions I must take to be in compliance. Such�gencies include but are nc�t lirnited to:
- Department of Environmental Protection-Cypress �ayheads, 1Neti�nd Areas and Environmentally Sensitive
Lands, WaferNVastewater Treatment.
- SouthwesE Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department uf Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic,Tanks. - `
- US Environmental Protection Agency-Asbestos abatement. � , , .
- Federal Aviation Authority-Runways.
I understarid 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 flll mai:erial is to be used in Flovd Zone "A", it is understood that a drainage plan addressing a
"compensating volum�" 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 certify 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 affE:ct acijacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the condition:> of the building permit issued under the attached permit :�pplication, for Iots less than cme (1)
acre whlch are elevated by fill, an engineered drainago plan is required.
If I ain the AGENT FOR 1�HE OWNER, I promise in good faith to inform the owner of the permitting condition� set iorth in
this ��fficlavit prior to commencing construction. I understand that a separate permif may be required for• electrical work,
plumbing, signs, wells, pools, a.ir conditioning, gas, or other installations not 5pecifically included in the application. A
pf;rrr�it issued shall be construed to be �� 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 Buildirig Officia!from thereafter
r�quiring a correct(on vf errors in plans, construction or violations of any codes. Every permit issued shall bee;ome invalid
unle:�s th� work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the aerrnit is suspended c►r abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in wriQing, from the Building Official for a period not to exseed ninety (90) days and will demonstrate
justifiable cause for the e�ctension. If work ceases for ninety(90) consecutive days, the`job is considered abandone�.
VIdAFtNING TO OWNER: YOUR FAIL4JI�E TO RECORD A NOYICE OF COMMENCEMENT MAY RE?:�ULT IN YOUR
F�AYINC� TWICE FOR IMIPROVEMENYS YO YOUR PROPERTY. IF YOU INT[=ND TO OBTAIN FINANC�NG, COWSULT
WITQi YOUR LENDER Off�AN ATT�RNE:Y BEFORE RECORI)ING YOIJR NOTICE OF COMMENCEM{�UVT.
FI.ORIDA JURAT(F.S. 117.03)
OWNIER bR AGENT CONTRACTOR —
Subsc;ribed and sworn to(or afflrmed)before me lhis Subscribed and bworn to(or affirmed)before me th(s
by y —'
Who(s/are personally known to me or has/have produced Who°fs/are personally known to m��or has/have produced
as identiflcation, as Identi8cation.
Notary Public _Notary Public
Commissfon No. Commission No. —
Namei of Notary typed,printed or stamped Name of Notary typed,prfnted or stamped
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, Let's Build Something Tdgether'
PSE Drawing Worksh et - Fencing
(Complete and Fax t � Installer)
Customer: 1 a?'rtL1C Loh �'re Store: ����
Phone(home):$)3-Z9 9 - �71� Phone (cell): Phone (other}:
�nsta��Address: �9�l3 /9 �� sf• �fh,�Y`j►115� FL .'�3��z
Directions: `
1. Walk the fence line after discussing property boundaries with the customer—indicate any obstructions as
you measure
2. Imagine what the fence looks like from a "6ird's eye"view
3. Sketch the fence with these details:
• Mark where the fence abuts,attaches to or is built around any structure or obstacle
• Mark where gates will be located as well as gate type (drive or walk gate)
• Mark best access route from material drop-off point o construction area
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G`tn'� `_`t��, IIIIIIII�IIIIfI�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III�II DSpt01007534 ITeC0.00 00
�` �`�r: , , 2016090460 08/09%2016 J. R. , Dpty Clerk
. PAULq 5.0'NEIL,Ph D PqSCO CLERK $ COMPTROLLER
06/09/2016 3:00 m 1 of 1
PemdtNum6er - OR BK C���� PG 169�
P�io ro�,� - -.2 -o
NOTIC@ Of �O.M'�NIE'N � E�111�'�NT ' -
State of-�Jorida , • - �"� � � �"�'�"
Caunty at���. � �
THE 11NDE�8�31Q�D�t�eby OIVes�ct�e that improvements�vill be made to�certein real property,and ln�ac�deu�ce witl�S�ion 713.�3of Ihe
Florlda�S�tes,tlre foUowln9 iriforr�atlon is provlded in this NOTICE OF CO(NMENC�MENT.
1.De�aiptlon d property{le�al defscrlptloe� G►`�v uF' ZeP1+aY1,;��s Pa, Pg sy c.ers a-s��►�o��yy o R>�9 a 1 �� 1 s�3
a)street(!ob)address: 5�9`}3 l9� S� 2ePhaYh�'�!S F� 3 3 55��
2Gane►al d�iptlon af improventerite: •
��w 1/'9
3,pwr��nfomtamnrt or l.easee IMomta9on H the t.aseee contrectedfor the Improvamen�
a)Name snd eddres� ��Ri/t Go /a sTkePT—59 y 3 /`l� 5 i�..��QYhi 1/S �'L. �3 3 S'f Z. —
b)Name and addresa of fee.sl�npte titleholder�(N different than Owner ils�ed above) — �
c)1r�terest Irt properly: D�„�n�e,R
Co tractor MFortnation
Name and address: L O w e 5 �o n�� ,��r�c.�,�.�� �c� �3 0 7� 7 8�f S 4 3 C!/�I�q,ri��r f L
b)Telaphone•No.: 7 3�i 3— ��ra Fax Ala.:�(optlonaF} 3����
S.Suroty(H appHc�ile,a copy of the paymen n s . ed) .
a)Name and�eddr+ess: wt�a � .
. b)telepiwne�No.: , '
c}M�mt ot8ond: S• ` _
8.Lenddr
a)Nffine and addre�s; n)(A '
b)Telephone�No.: ' ' . � •
7;P�oru w}tkh►°the.S�te of Florida deaignated by Owner upon om noUcea�or other documents m�y tie served aR provlded by S�tlon
� 713.13(1)(a)7.,Floiida Statutes; � •
a)Name and addr�esa: N IA �
b)telephone No.: _ __ . ._ _ _ ___ Fax No.;(op8onal)
8.�.ln ad�idon to himaeH or herseH�Ownar destgnat�s N l A of �
to recelve a copy of the Uenor's Notice as provlded in Se�i�n 71�3.13(1}(b),Florlda Statutea.
b)Rhone Number oi Person or entfiy designated by Owner.
� 9.Expir�tlon dnbe of eotka�commenc�ment(the exp(ratlon dete mey not be hefore the completlon of consaucHon and 6nal payment b the
cor�ractor but w91 be 1 ar frcuii the ate�of rec�rd(n .urt ess'a d�ferent date•Is ecffled: 20.
W:�. N3:..�'. � ` AMY PA � NT8 _. � � '�"PFI� N .�:' HE�XPIttkT10N F=t� �NOT�NG��OF CC � � �`
CON�lD�I�b��dt'AI4Y�lLNi`�UND�ft CFIi�R�'E�713;�1�t1 I,S�CTI�N.713:13,F�OIt1�►�k�ST�1�UT�S}tNC�.�iifl�.. ����6G�g•.
� PA'fliN0lWkCEf6R'1�lt�fiVEl�IENT_S T6 YOUR PROaER'fY,:k�NOfICE OF�O�kENGCM�NT b�CJ$1'`�,E&EGp�'I�t�I�:�E���H
I�ISPE�TION: IFYOV I�ITfN�t0 OStA1N��II�FAlV�C1�1G,CONSULT YOUR LENDEIt bf�Ai�t AtT�01�NEY�FBRE C�Elf(C��Oli�(OR
h�Ct1RDING 1�b1iF�l�OTI���OF CQMMENEQMBNT�
� Under penaHjF of�e�J"u'ry,I dedere��a�f have read the foregoUg eotice of commencement and tliat the facts��i iherein are hue to the'tiesf�f itry�
knawledge �bellef.
��ie ri2,G l� � c..lGST?G.�E�
(S�nehnerof�wi�er a l.ecsee;oi Owr�s or Lessse's Wufh�tzed�!0 � m) (Adnt Neme and Prnvtd�°��" .
' Theforggoinginsbument was adinowledged before me this' /gT� deyof� /nRy � . , ��p «
by Q�+-rRt c.k LoNa s�n.u.T as ow�.�.e�t (bRe.of eutho�tY��al�,trt�ee.� �„'U .
. for . � � •
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� (Name of Peraon) (h�Pe�Bu�hailY....e'.p.o!floer,taalee,idlortley Irt facQ '
fnr . (neme o1 party n �f of w m Instrumer�t i�ves�eai�d).
Rersona�iyw,owrr ❑ � Produced�lD ,, . . .
Type;ofilD , __�1..- /.L Notary Signature - . . ,
� • - printname ,�,� • • �
� „ UWREHCE I"d0 i` . ' -� . ,, �- - , �
:°`��n MY COMMIS610N aRF�103051 . '--� .
'E�IAES:MAR 17.2018R. - , � !�O�� I�'S�-, ..�.
�^� Banded ihrouph ist Sate lnsurance • - -- ' �. _ .. . ��. . � • . . -
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��'AT�Q� FLQF�IDA,C�U�lTY OF PASCO ��. .,��: .. ��� '
THIS IS TG CcRTIFY THAT 7HE FOf2EG01NG IS A a� "' '�l '
T�UE AND CORRECT COPY OF THE DOCUMENT �} � !n G��,e��''' �� �`
ON FILE OR�F PUBLIC RECORD IN THIS OFFICE �•�.. � ,�
WITN �; Y HAND AN FFICIAL SEAL THIS � � ;a� -� .
___[��h�DAY OF 2 �� $� 18�y �
P A U L A S.O' E I L,C L K&C O M P T R O L L E R ' �.
> ��'��OF����
BY , �y'`J DEPUTY CLERK