HomeMy WebLinkAbout16-17010 -4 CITY OF ZEPHYRHILLS
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(813)780-0020 170'��
FENCE PERMIT
PEE3MIT INFORMATIQN LOCATION 1NFORMATION
Permit Number: 17010 Address: 5123 9TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Worlc: FENCE1�lEW Township: Range: Baok:
Propased Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHILLS
Est.Value: Parcet Number: 11-26-21-0010-19300-0110
Improv. Cost: 75.00 OWNER lNFQRMATIQN
Date Issued: 210312016 Name: KENNEDY, ROGER& NANCY
Total Fees: 40.00 Address: 38601 FERM CIRCLE
Amount Paid: 40.00 ZEPHYRHILLS, FL 33542
Date Paid: 2/03/2016 Phone: (813 783-1268
Work Desc: INSTALL DEGORATlVE WQQD FENGE 60 'X 4'
CONTRACTOR S APPLICATION FEES
HQMEOWNER FENCE 40.00
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Ins ectians Re uired
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REINSPECTION FEES:(c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
Ioca!gavernment shatl impose a fee of four times the amounfi of the fee impased for the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTiCE: In addition to the requirements af this permit,there may be additional restrictions applicable ta this property that
may be found in the public recards of this county, and there may be additional permits required from other governmental
entities such as water management, sfiate 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 awtter: Your failure to recard a natice of commencement may result in your paying iwice for
impravements ta your property. If you intend to abtain financing,consult wifih yaur lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accampany Application.
All work shall be performed in accordance with Ci Codes and Ordinanees
r" CTO PERMIT OFFI
- PERMIT EXPIRES IN 6 MONTHS 1NITHUUT APPR4VED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM WEATHER
I s+�-�ao-oozo City of Zephyrhilis Permit ApplicaGon Fax-813-780-0021
y' Bullding Department
✓
Date Reeefved Phone Contact for Permittin
Owner's Name � P Owner Phone Number ���'Ja l✓�
Owner's Address O / ��/� Owner Phone Number /J"�cJ c�'�/ 7
Fee Simple TiUeholder Name Owner Phone Number
Fee Slmple Tltleholder Address
JOB ADDRESS ��� ��J L� / ''✓r�`� LOT# �
SUBDIVlSION PARCEL ID#
(OBTAINED FROM PROPEfiIY TA7C NOTICE)
WORK PROPOSED e NEW CONS7tt e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q CQMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �� G �/l� � �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUIL�ING S ���OO VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� O�
� QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY G G�
SIGNATURE REGISTERED Y/ N FeE cuRrtEn Y/N
Address License# �
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURREA Y/N
Address Lfcense#
OTHER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense# �
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, RESIDENTIAL Attech(2)Plot Plans;(2)sets of Bullding Plans;(1)sat of Energy Fortns;R-O-W Permit for new consWction,
Minimum ten(10)working days afler submittal date. Requ'ved onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pettnit far suhdivisions/large proJects
COMMERCIAL Attech(2)complele sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. �
Minimum ten(10)working days after submittal date. Requlred onsite,ConsWctlon Plans,Slortnwater Plans w/Silt Fence installed,
Sanilary Facilitfes 8 1 dumpster.Site Work Pertnit tor all new projects.All commercial requiremenls must meet wmpliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'•PROPERTY SURVEY required for all NEW conshucUon.
Directlons:•
Fill out application complelely.
Ovmer&Contractor sign back of applicadon,notarized
If over 52500,a Notice of Cammencement Is requlred. (AIC upgrades over 57500)
" Agent(tar the contractor)or Power of Attomey(tor the owner)would be someone with nofarized letter from owner authorizing same
OVER THE COUNTER PERMITTiNG (capy of contract requtred)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..�eecls ROW
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� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restnctions"
whlch may be mora restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED COPITRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner 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 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"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 properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 occupanc�'or final power release. If the project does not involve a certificate of occupancy or
flnal power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer 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,I
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 appiicant is someone
other than the"owne�',I certify that I have obtained a copy of the above dascribed document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'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 pr'ror to issuartce of a permit and that all work will be performed to meet standards of elI laws regufating
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, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protection!{qency-Asbestos abatement.
- Federai 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 tie used in Flood Zone `A", it is understood that a drainage plan addressing a
"compensating volume"wili 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 wali
construction,I certify that fill wili be used only to fiil the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fiil 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 permit 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 inform 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 permit is commenced within six months of pertnit issuance,or if work autharized 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 wiil 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR N E OF COMMENCEMENT.
FLORIDA JURAT(F.S.717
OWNER OR AGEN CONTRACTOR
Subscxibed a o to(or affirm re me this Subscribed and swom to(or a ed) efore me this
by by
Who isJare personally known to me ar has/liave produced Who islare personall know o me or haslhave produced
as idenQficatlon. as identificalion.
� � Nntary PubAc Notary Public
Co Cam ssi n N
II/� ,��Y.'�
.••'ti�+�'Y�.,, JOEL E.BACON ,••i^•r;••., JOEL E.BACON
*?a� cvp�, �ndD�F 937073 Ne of Nota �,e '�1�? ion
;�� Expires June 29,2018 =�= �o: Expires June 29,2018
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. Clieut: AIANCY dc ROGER KEI3NEDY . 6161 Gall Blvd. -
l'Park order number: 13118—ZH Zephyrhflle, Florida 33641 4t P�.�CO ��
Date �f 5urvey; FEHRUARY 9, 20a1 Phane: (813) 7B2-8717 �N v� Fl� g�� . , ,
, Fsa: (819) 7B2—b428 �� � Ho �6
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��('a''' ��,c1�'� '�°� , COUNIRY WIRE HOME LOANS INC,
STEWART TITLE C0.
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