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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 V � � � � ,g �� ��� �� � � 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. � r''` All work shall be performed in accordance with City Codes and Ordinances f� /� f, � s � � � � TRA ' R PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -� - � i ii�iii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii itei iiii 2016025781 � {tept:1748903 ITeC0,00•00 DS: 0.00 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 � ' � �_ ��'����'R %�.+.�c�s .•r A1�.6d1M!�.fqiq f�b 12.ZD19 �••�����t" ., eo�UronpD Ntdaw Maq�r llun. 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 `� � . � �I I � PROPOSAL/CONTRACI' ' � �` � Buyer: �dif� f�-' /a��� � �` Subdivision: � /� � +_ MaitingAdd: �� �.� � ���o� City �-E�/�4�t% ���1 State.� Zip`'�� Job Site Add: City State Zip Cross St: //�/Y�L Lot# Block Property Owner._Yes _No Units Mateflals and/or ServlcCS Y"� �'%• ���r� - Oi ' �• ��y l� - � �� � . . ..�......�....�,�._-._.....�n,..�_' . �t.Lz �`�; '� � - ��.., �'C `s�t /�.��'L t'�"z� r- i������r��J�' , �'`'--"'p �—fc�((L�� f � /� GLJi.s d` ��,� • � . S � �, n� � 3• ° ��� �L�� :z•J�- t.��C � ��� ���� � , �--��►c��� o —i�` ; � �� . - � � � 7' ���► �� ����D�i � , !—'-�-rJL � `�' 0! iQ bro1 l�`� • —. c'LL���. - �b`' ,�i,wre . , � � - � Visa MC_Amex_Disc _PayPal S S D [ HaWt[e I Price. . . . . . . . . . . . . . . . . . . . . . $�� l����� - . . . . .$ ac�,�r�e�-i�ae au w,�� �,.f��.,/C�r � a .' C'3� Month Year 3�4 Digit Code ��i Permit Fee. . . . . . . . . . . . . . . . . . . .$ /���l.� �� � � -�rd Process Fee. . . . . . . . .$ � ��'c�'S�� _ m TG�7�PI ICC. . . . . . . .(h�.- r. . . .•r•�'�� I li�_ �2tion DatB 50%Down Payment=.-.-... .,. .-. . . . . . . $;�QOD�0� Credtt Card ' �,vT-- " - Authorized sign ! / Financed price. . . . . . . . . . . . . . . . . $� l � . _ � : Balarue Due on CompleNon. . . . .. . .S o�c�/yc�� 5 gna ure: � J �� �"-7" � / / ! � � i a ^ �� Quote good fur 0 days.�l is Propawl shalf emme a bi dlnq contrac Sellers � ���j� �� f upon occeptnnce.See Reverse Side For Controct Terms. Seller:8ie Don Fence.Inc. Agent: / . , . asas.�w.wwowo�w»m�re.e,+m.+�m,nw.r.r.--__ ..._ �..r..w..vm.,...wr.....e,e..+�wye..+n.m'..ax.ww.�.c,�..swsw..�...wy...c.r,a...wa.aw..w,+ac..wur+v.;w.o.w.+onYs....,.,m.ow..awo�t.�..ao+aT...+oa.em.r.vu����.,,.,..w. 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' � � ifi� ��,,�� � �f�,� ,` . ;S � �(��� 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# tllllltlllllllllilllllllllllllllllllllllllllllllltlllllllllllll1111 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 , �'i�'�Pj��°i'� BonckdThruTroyFeinlnsumnca800.385-7019