HomeMy WebLinkAbout16-17085 -'� CITY OF ZEPHYRHILLS
6 � 5335-8TH STREET
(sis)�so-oozo 17085-
FENCE PERMIT -'`
l�•
PERMIT INFORMATION - - LOCATION INFORMATION %'
Permit Number: 17085 Address: 5727 6TH ST
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: 11-26-21-0010-02800-0040
Improv. Cost: 600.00 OWNER INFORMATION
Date Issued: 2/25/2016 Name: SAJAN, SUBA
Total Fees: 40.00 Address: 1804 E WHEELER RD
Amount Paid: 40.00 SEFFNER FL 33584
Date Paid: 2/25/2016 Phone: (813)523-6492
Work Desc: INSTALLATION 6 X 75 PVC FENCE ONLY�ON SIDE OF BUILDING
CONTRACTOR S APPLICATION FEES
OWNER FENCE 40.00
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- - Ins ections Re uired
FINA
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
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
^ ;�� e��-�so-ooao City of Zephyrhills Permit Application Fax 813-7aaoo7�
Buiiding Department _
Date Recelved Phone-Contaet for Parmittin -
Ownar"s Name �1 {� Q ik bQ �-�- Owaer Pho»e Number � �""��^tD �.
Owner's Address '�1��J �E'-�-1,�c.1� (��C`- Owner Phone Number f�� 3 "��� " (��2�
Fee Simple Tltleholder Name � —� Owner Phone Number � �
Fee Simple Titleholder Address � ��- �'1 �` !� '~-� �3� �"
JOB ADDRESS �� oS �h N'l . r �I S , ,~� �J� -! G�- LOT# C__�
SUBDIVISION � � PARCEL ID#
(Q87AlkEQ PROM PROPERTY TAX NQTICE)
WORK PROPOSED �NEW CONSTR ADDJALT � SIGN 'Q Q DEMOLISH
e INSTALL 8 REPAIR
PROP03ED:USE , Q SFR Q CCiMM � OTHER 11 G�
7YPE QF CONSTRUC710N , Q BI,OCK � �] FRAME [�] S7EEL Q
«
DESCRIPTION OF WORK �Q �•�.r' �a� 'G 2(�.Ce C� '�C��2.. k.l
BUILDING SIZE � � S4 FOOTAGE C�, HEIGHT ���
QBUILDtNG �$--- Q 4``�'�..:", ,•�'���
�j_ /�/� a � VALUATION OF TOTAL CONSTRUC710N
��.L� �J
� QELECTRiCAL �� AMP SERVICE Q PRQGRESS ENERGY [� W.R.E,C.
QPLUMBlNG ��
QMECHANIGA� ��_ VAl.UATION OF MECHAt�ICAI.thlSTALLATlON
QGAS Q ROQFING Q SPECIA�'TY �� OTHER
FINISHED FLOOR EL�VATIONS ��� FLC70D ZQNE AREA �]YES NO
( _..-"`,
, BUILpEit ' COMpANY
'' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N .
'� Address Cfcense# C� �
ELECTRICIAN ., COMPANY
� SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N
Address � License# r� —�
i PLUMBER - COMRANY
' SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N
iI
' Address .License# � �
MECMRNIGAL COMPANY
SIGNATURE REGISTERED � Y/ N FEE CURRE� ' Y/N '
Addres$ License# � �
OTNER COMPANY � �,�
SIGNATURE REGISTERED Y/ N. „ FEE CURRE� . : Y L N
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Address ' L'icense# � ��
RESlDEIVTIAi: Att�ch{2)Pldf P}ans;(2}sets of�Building`P1ans;(9}se#af Energy�Forms;R-0-W Pemiit for new.congtruction,.
, Minimum;ten,(1,0),rnrorking days after.subriilttal`date. Required onsife,Constiuctibn Plana;�Stormwater`Plans w/Silt Fence tnstailed, _
San!!ary Eacllitlesc&-1,dumpster.,Site WotkrP.,ermit for subil(vislotisttarge proJeots � , ,
COMMERCI�U. Attach{3}c�mpfete sets'of Builclirig`Plans plus a L'ife Safety Page;('!)set of Energy Forms.RA-W Permit for new canstrucUon.
Minimum ten(10)working days after submittal date. Requlred onsite,ConsUucdon Plans,Stormwater Plans w/Sfit Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all neinr'projecEs.Aii commerciaLrequirements must meet comp[fance
81GN PERM17' Attach{2}`s`ets of Erigineered�Ptans._� �, _
•••*PROPERTY SURVEY requlred for all NEW canstructlon.
Dtractions:
Fill out appiicadon completely.
Owner&Contractor slgn back of appticatlon,natarfzed
if over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
'" Agent(for ttie contrac4or)or Power of Attomey(for the owner)would be someone with notarized tetter from owner autho�izing s�me
OVER THE COtiNTER PERM11TfNG (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveway�-Not over Counter if on public roadways..needs ROW
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NOTIG�OE DEED RESTRiCTiONS. The underslgned ander�tands.�tttat-#hls:�.p�mtlt.mayrybe,sub�ect ta,'°deed"res.U,lctlons" -
which may��be�zmore'�r.est�ic'tive�.�tha�Gaunty�regulatrons:�The�und"e'r"signed�assumes'°respdinsitilltty�for"aompllance in►itF►"�any
applicable deerl.restrictions. . ' ., � �
UNIiGENSED.=CONTRACTORS AND CONTRACTOR RESPONSIBILITIES':" �{f the-awner-has- hired �a contractor or
cantractors to undertake work, they may.be.;.r.equired:�to:,be;�licensed In accordance.wlth state.and•local regulations. �If khe �
contractor,:is.�nattiltcens'ed as°cequir�ei!'�by larnt, both the owner a»dwcont�actoTxzriay be�ctted-#or-a=mis�emesnar vlolatian
under state law. If the owner nr Intended�contracta�,area;uncertaln aa to wh�t Iicensing.requirements;mayp�apply:;�or��the � �
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intended work,they�re advised to cotttact the Pasco County Buliding"Inspec#lon L?lvis3on-Lic�eansing Section at 727-847-
8005. Furthermare, if the`awner #�as`"�tiiTed a contractiiT o�'contractors, he is acivised to.have the, contractar(s), slgn ;
partfons of�the "contractor Block" of thls appllcatlon for wh(ch #hey wlll be r.esponslble: ,If you,..as:khe owne�`sign�as tfie � (
con#raatar, tFiat may.Eie Van indFca##an fhat he�is nat.properly licensed and�is not'entitled to per�nitt#ng pritiriieges in Pasca ;
County. . �, . , ., .. - � € �
TRANSPQRTATIONYIMPAGT/U'�ILITlES�I�MPAC'CA�fD-RESOURCE RECC?VERY�FEES:The�underslgned understands
that Trensportafion Impact Feas and.Recourse Recove.ry.Fees may;appiy:#o�the construction af new,buiidings,:change�af � � e
use in existing buildings;LLor-;expansi�n��of-,existing=bulldings� as specffied.in'Pasco County Ordinance number 89-07 and {
90-Olt as amended.,.,The,undersigned also;understands, fhat�such tees;-,as��may�`�e�-due;;wltl;�be identi�ed at the��time�Rof`= �
permitting. I# Is fu`rther understood that Transportation Impact Fees and�Resource Recavery�`�ees:must be paid prior to �
rece�ving a°csr.E�cate..of_occupancy'°or final�power--releass: :�'�Ehe proJect:.does:not Invotveza:cert�icate of occupancy�o�- . . `
final power�release,,the.fees must be pald p�ior ta permi# Issuance. Ft�rther`more;�-ff Pasco County�Water/Sewer:Impaat
fees are due,they,.must_be�pald..pNor.ta permit�lssu�nce-in accardance wltfi appllcable Pasco�-County ardlnances.
CONSTRUCTION L;lENRI:AW(Cliapter T13� Elarlds Sta#utes,as amendedj: if valuadon of work is$2,5q0A0ilar more; I �
certify that I, the ,applicant,•_have�been. pravided with a cvpy of #he'"Flocida-Construotion Lien L'av�Homeawner's �
Protection Gtaide" prepared by#he Flo�#da Department of Agrtculture and Cons�mer Afitalrs� if the applicant Is someone '
ather than the"owner", I certify that I have.:o�tained'�a-copy.of the:abave:�iescrlbed tlocument-and.promise�ln,good faith,to
deliver 4t to._the"owne�'•prio�to�commencement; � " � � ,
Ct3NTRACTCiR'S/OWNER'S AFFIDAVIT: {.cectify.that alt the,iniformation in-this application is accurate and that all wark �
wili�be done in compliance with all applicable laws regulating construction� zontng and:land developri�ent. Appifcation Is
hereby made to obtatn :a permit #o do. wcrl�.,.and installatlon as Indtcated:;, '1 cer�lfj+ that no wark�:or tnstaECa#ion has
commenced�prlor ta fssuance of'a pe�mif and that.all work wfll be performed ta meet standards af all laws regulaxing� �
aons#ructlan, County at�d Gity aodes, zonMg regula#ions, and iand devetopment tegula#ions�in the JurisdEctEon. i sl'so ;
certify that 1 unders#and that the regutatlons of other government agencies may�apply�to the intended work, and that it is `
my respansibility to identlfy.what.�cttons!must take to be,in:.cottlplia�ce. S,uch agenales�include but-are.not ilmited ta.
- Dapa�tmert# af E�vironmental Protection=Cypress.Bayheads, Wetland Areas and Environmentally Sensitive �
Lands, WatedWas#ewater Trea#ment. � i
- Southwest Ftorida Water Management .aistr�ct-Viletts, Cypress. 8ayheads; Wefland Areas, Altering ;
Watercaurses. t,
- Army Carps of Engtneers-Seawalts,Docks, Navigabfe Waterways, �,
- Department of H�al#h�'8 Retiabilitative ServiceslEnvironmental Neat#h Unit Well.s� Wastewater�Treatment, � ��
Septtc Tanks. � _ '
- US Ernironmental Prot�tion Agency-Asb�stos abatement, �
- Federal Aviation:Authority;Runways. _ '
1 understand that the following,rest�ictions apply to#he use of flN;�
- Use of fill is not alloweci in Flood 2one"V"unless expressty permltted.
- If the fill material� is to be used:.in �Flood Zane. "A", it. Is understoa�d that.=a dralnage plan addresstng a
"compensating volume°will be submltted at time of peFmiftEng wF�lch is prepared by a professional engineer
iice�sed=by,�the��State�of�F�orida.
- !f #he flll materla#_ts�:to be u�ed In Flood Zone °A° it��connection=uvlth.a�ermttted bulid€ng using stem wali �
� canstruc#ion, I certify that fiii�:wlll�b.e used only.to#111 the area within the stem�wall.
- If fill material Is to���tie�used !n any area� � certify that .use. of;suctf�"ftll will not adversely affect adjacent �
properties. If use af fill is found to adversely.�ffect adJacent�praperties,.the owner may be cited for viaiating ;
the conditions of the`6uildlrig�;permit issued•under the.ak�ached permit.application� for�lats less than one (1� E;
acr�whEch are elevated�by.#�IE;art engEneerec!dralnage plan Is requlred.
If I am the AGENT FOR THE OIMNER; I;�promise in good faith#a inform the�owneraf-the.permitting-candftions set forth In ;�
this a�davik prior ta commencing constr�ction. 1 understand that a=s�parate permlt may be requtred for etectrlca# work, £;
plumbing, signs, wetls,,poots, aIr canditioning,.ga,s, aT`ofher- instaltations nol.spec�ically inctuded in.the applicafion. .A �,
permft Issued shalf be constcued to be�a�iicense,to.proceed wlth tf�e wark and not as-authority to.violate, cancel; alter, ar �
set aside any pravlsfons of the technic�l cod#s;�nor shalt issuance�of a.permit.pceverxt#he Bulldtrig O#flclal from thereafter �?
requfring a correction af errars In plans, cons#ruction or vlalat(ons of any-codes... Every p�etmtt issued shall become invalid �`
unless the wark autltiarized by such permit.�4s-commenced�w[thin sf�c�nonths of�permlt issuancer or it wark autha�#zed by �`�
the permit is suspendad or.abandoned for a.petiodof six{8)rnanfFis:after the time fhs�wo�`k•is cammenced..An extensbn �r
may be requested, tn writing, from the Building,Official for a period::not�to exceed`ninety�(90) �ays a�d wlll�demonstrate �;
fust�iable cause for the extensio�: If work ceases:for ninety{90)consecutive day.st.the jab��s cons�dered aba�►doned.~ `�
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WARNlNG TO OWNfR: YOUR.EAIL.URE-TO�REG.ORE?,A:�Mt?TIGE O��GfJMM�N�EME�T�.NtAY�RESUlT IN YQUR ;:
PAYiNG TWICE.FOR iMPROVEMENTS:TO YO.UR=.PROPERTY. :IF YO.U-INTEND�'TQ�OBTAIN��FINtA(�CING;�CONSUl.7
;.
�u�T : .. �J�� � D ,O�-� �_ :. � N - FOR ��6� ��'9�� �::7.. "il�'. ; C . - r, . . � : � .._---- - — __ —_
FI.C7RIDA JURA�`{F.S.117.03} - �
DWPIER OR AOENT GQNTRACTOR,
5ubsc{fbad and swam to(ar��irmed)beior�me thts Subscxlb�d and'svvam-ta(at afBrtned)�bef�re me ftii�
by <by - �
Nho Is/are personally knawn to.me or has/have produced Who.ls/are personallyknown•ko me�or haslhave�produced
as IdenUfl�Bon. as tdenilfica0on,
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Notery Pub11c Notary Publlc
:ammisston No. �� ' ' Comm�sion No.
Vame af IVot�ry typed�Arinted or stamped Name of!dolary typed,pttn#ed ar stamped
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. Pasco County, Florida
Section 11,Township 26, Range 21, 0.6 miles NNW of Zephyrhills
Prepared by the Office of Mike Welis,Pasco County Property Appraiser.
Map Created on 8r31/2012 at 10:45:22 AM.
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