HomeMy WebLinkAbout16-17066 CITY OF ZEPHYRHILLS
z � 5335-8TH STREET
(sis)�so-oo20 17066
FENCE PERMIT �f�
I PERMIT INFORMATION ` LOCATION INFORMATION�
Permit Number: 17066 Address: 5812 16TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
� Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07400-0150
Improv. Cost: 6,048.00 � OWNER INFORMATION
Date Issued: 2/18/2016 Name: NIETO THOMAS & KAREN
Total Fees: 50.00 Address: 5812 16TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/18/2016 Phone: 813-465-3736
Work Desc: INSTALL PRIVACY VINYL WHITE 207 X 6
CONTRACTOR S � APPLICATION FEES
BIG DOG FENCE INC (813)907-9877 FENCE 50.00
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� � Ins ections Re uired '
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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 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.
� r''` All work shall be performed in accordance with City Codes and Ordinances
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� � TRA ' R 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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2016025781
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02/18/2016 D. B. , Dpty Clerk
NOTICE OF COMMMENCENI�NT
PRULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
Permitl�7o. ' 02/18/2016 12:19 m 1 1167
OR BK ���� PG
Properiy Identificadon Nn.�/-Z[t'Z I-00►0-b 7�' �0 '��s�
_ Tf�UNDERSIGNED hereby give informs you that the improvement wn'II be made to certain real property,and'ui accordance with
Section 713.13 of the Florida Shatutes,the following information is provided in this NOTICE OF COMIVII:�TCEMENT
Ci�y ot $�Ed►Yrki lll P�1 P�S'�Lc�fS !S l!t r r� atoc�-�� or 93►Q PC l�oz
1.Description of property(lega!des��tfo�� ,
- a)Street Address: � e��� �(` � � �
� 2.Cieneral description of improvements: �r� R1Ea,l'(p,t��, 7
3.Owner Information �/� � I c� �; /
a)Name and address: ��'10 M Gl.S �f 1�l�� J��� ��i fr�.1�Y e f''i �.e�jr v rl�I,/l,;TC 33Sy2
b)Name.and address of fee simple tideholder(9f other than owaer)
c)Interest in properiy- -----0 L()�1��'
4.Contractor Infnrmation
a)Name and addiess:J,��C,4�4 l�tr�U.���_ J[IIG P�O►� (�! t..fRd� `�BOe/� �G,�3�S��`
b)Telephone No.: _f'i����_9P'�T Fax No.(Opt—�-��
S.�rety Informarion ,
a)Name and address:
b)Amount of Boud:
c)Telephone No: Fax No.(OpG)
6.Lender
a)Name.and address
Phone No.
7.Identity ofpe�son within the State ofFlorida designated by owner upon whom norices or other docume�s may be served:
a)Nazne and address:
b)Telephone No.: Fax No.(Opt)
8.In addidon to himsel�owner designates the foliowing person to receive a c6py o£the Lienor's Notice as provided in Section
713.13(1)@),Florida Stamtes:
a)Name and address:
b)Telephone No.: f � Fax No.(Opt)
9.Expiration date of Notice of Cammencement(the expiration date is one year from the date of recording unless a diffcreni date is
specified): '
WARiVING TQ OWNER: ANY PAXMEiHTS lYIADE BY TAE OWNER AFTER THE ERPIRATION�F THE NOTICE OF
'- COMMENCEMENT ARE CONSIDERED IMPILOPER PA'S�MEN'TS UNDER CHAPTER 713,PART i,SECfION 713.13,
FLORIDA STATUTES,APID CAN RE$ULT TN'YOUR PAYTIVG TWICE BOR IMPROVEMENTS TO YOUR PROPERTY:
A lYOTICE.OF COMMENCEMENT MITST BE RECORDED AND POSTED ON THE JOB SITL�BEFORE TAE FIRST
INSPECTION. IF YOU Ii�ITEND TO OBTAIN FINALYCING,CONSULT YOTJR LENDER OR AN ATTORNEY BEFORE _
COMNi�NCING WORK OR RECORDING YDIIR PTOTICE OF COIV[MENCEMENT.
srnrE or F[,oamn �' �� fi ,�
COUNTY OP PASCO � V�'�-�J
Signanac oFOwner or Owner's Autho' d OffioedDirectodPartnedManeger
1 NO wl v4-S b� 6�t�'�
PrintNam�
The foregoing inshvment was aclmowledged before me this�;_day of Fr,�p�� 201�,by�-,���e�
— --- -- - — - - as o.�x��'� (type af�uthority,e.g.office,trvstee,attomey
m fact) or•T.r,�,,_,�-�r�� .����] (nazue of paity on behalf of whom inshvmem was exearte�.
Personally Knotivn_ORPraduced Identification� Notary Signature aA..�� �tA /,t,. �n/�',v-p�
Type of Identification Produced a-. c�� Name(print)y,�,�x�-�.+��K-- R�Y t��jC
i��C9-�a`�-3�,�r0
Verification pursuam to Section 92.525,Florida StaWtes.Under peaalties of perjury,I declare that I have read fhe foregoing and that
the fa�ts sfated in it are fite to the best of my lmowiedge and belieE
��""'�� ROQS�EIT AEXAI�ER 9ROADNAX JR.
�,•�a►~r ,,,• �.v'���Q�Fbf�� SigneL�ro ofNetuial Pcrson Signing Abovo
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31116 ELOIAN DRiVE Date: � /� /��� Contract#: _
WESlEY CHAPEL, FL 33545
Te[. (813)907-9877 Hm: Cell:���'����..3���,
?� - Fax. (813)994-7827 Bus: Fax:
Email:service@bigdogfence.cvm Email: -
wvvw.bigdogfence.com No/Cut#: �(a �f�9ff�S
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PROPOSAL/CONTRACI' ' � �` �
Buyer: �dif� f�-' /a��� �
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Job Site Add: City State Zip
Cross St: //�/Y�L Lot# Block Property Owner._Yes _No
Units Mateflals and/or ServlcCS Y"� �'%• ���r�
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a�aasaoozo City of Zephyrhills Permit Application Fax-s��-�eaao2t
y . � Building Departrnerrt
Date Received Phone CoMact for Permittin
owner's Name Di1�CJ N%C� Owner Phone Number � 'y�i ",7�
Owners Address ���� � a d7� �' Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simpla TiUeholder Address
JOBADDRE55 �� e � I7 � �I� C ,7��I LOT# �
SUBDIYISION PARCEL ID# /1- Rl-GD/ "� 7Q��l �
(OBTAINED FROM PROPERTY TW(NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � 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 K .Li� ' � I /� � G.
BUILDINO SIZE SQ FOOTAGE O � HEIGHT �
QBUILDING $ � D VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE �Gis�r�o Y! N �ECUaaEn Y!N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEe CurtREn Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGI5TERED Y!N �e curt�n Y/N
Address Lice�e tF
MECHANICAL COMPANY
SIGNATURE REGIS7ERED Y/N FEE CuaaEn Y/N
Address License#
) ♦
OTHER COMPANY �v/
SIGNATURE rtEGis�Ren /N �e Cu n Y/N
Address C'/'aia:z �j� License#
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RESIDEtdTIAL Attach(2)Pfot Plans;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required ansite,ConsWction Plans,Stortnwater Plans w!Sitt Fence installed,
Sanitary Faalities 8 1 dumpster,Site Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construetion.
Minimum ten(10)woAcing days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerdaf requirements must meet compliance
SIGPI PERMIT Attach(2)sets of Engineeretl Plans.
""PROPERTY SURVEY required for all NEW conshuction.
Directions:•
F01 out applicatlon completely.
Owner&ConUactor sign back of application,notarized
If over Sz500,a Notice of Commencement is requijed (AIC upgrades over s'7500)
" Agent(tor the conVactor)or Power of Attomey(for the owner)wouid be someone with noterized Ietter from owner authorizing same
OVER THE COUNTER PERMITi1NG (copy of conUact required)
Reroofs if shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' ' � T
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS APID CONTRACTOR RESPONSIBIUTIES: 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 reguletions. {f 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 conVactor 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 property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTIUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appiy 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"certficate of occupancy"or final power refease. 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 WaterlSewer 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 1, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
ProtecBon Guide"prepared by the Florida Department of Agriculture and Consumer AfFairs. If the appticant 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.
CONTF2ACTOR'SlOWNER'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 wnsVuction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certity 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 indude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
' - Army Cdrps of Engineers-Seawalls,Docks,Navigabte Watervvays.
- Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Aviation Authority-Rurnnrays.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unfess 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,1 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 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 altached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGEN7 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, wetls, 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,after,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 permit issuance,or if work authorized by
the pertnit 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 w11 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 COMMENCE T MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE -T IN FINANCING,CONSULT_.
WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N C MMENCEMENT. .. "
, FLORIDA JURAT(F.S.177.03) �,���'
OWNER OR AGENT CONTRACTOR
i Subscribed and swom to(or affirmed}before me this Subsyrib��l� sw to(o efore me this
by G C'
Who islare personalfy known to me ar haslhave produced Who is/are p onally own to me or haslhave produced
as identifiption. as fdentification.
Notary Public �ti`� Notary PuWfc
Cammisslon No. Commission
Y1P I��� JACQUELINE BOG
�:Ql�:..�B���
Name of Notary typed,printed or stamped Name of Notary _ }�' $ti
:�. •„ pires December 12,2018
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