HomeMy WebLinkAbout16-17145 CITY OF ZEPHYRHILLS
: , 5335-8TH STREET
- (si3)�so-oo20 17145
FENCE PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 17145 Address: 38826 4TH 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: Parcei Number: 11-26-21-0010-17800-0191
Improv. Cost: 4,050.00 � OWNER INFORMATION,
Date Issued: 3/11/2016 Name: GUESS DANNY& GLORIA
Total Fees: 80.00 Address: PO BOX 2824
Amount Paid: 80.00 ZEPHYRHILLS FL 33539-2824
Date Paid: 3/11/2016 Phone: 727-207-4808
� Work Desc: VINYL FENCE WHITE 224 X 6
CONTRACTOR S - APPLICATION FEES
NEW TAMPA FENCE INC (813)423-2383 FENCE 50.00
CONTRACTOR CERTIFICATE 30.00
� 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 properly 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
s��-�sa-aa2a City of Zephyrhiils Permit Appiication Fax 813-784-0029
B�ilding Department
f �
Date Reaelved Phone Contact for P�rmtttin
Owner's Nams ,�.� Ownsr Phone Number ���` d'd 7' (�� �
Owner's Address l.J e Owner Phone Number
Fee Slmple Titlehotder Name �— � Owner PhoRe Number �—
Fee Simpte TitEefiotder Address
J4B ADDRESS OCp f7'��- 1.QT# [_�
SUBDIVI510N �� � PARCEL ID#
(OBTAINED FROM PRQPERTY TAX NOTICE)
WQRK PROPOSED , � NEW CONSTR 8 ADDJALT � S1GN Q Q DEMOLISH
INSTAL�. i2EPA1R
P320POSEd USE Q SFR Q COMM �,,,� OTHEi2
TYPE OF COPtSTRllCTtON C] B�OGK [� FRAME � STEEL [�
DESCRIPTION OF WOREC W ��-- L� t N �� �"��e �- ��
BUILDING SIZE � �� SQ FOOTAGE HEIGHT ���
OBU�����G � �, �s�� v c� VALUATION OF TOTAL CONSTFtUCTION
QELECTRtCAL �9i _-_-� AMP SERViCE Q PROGRESS ENEI2GY Q W.R.E.C.
L
QPLUMBlNG {$ ..i� / ��� G ���'"
� � �� ��
QMECHRNtCA� $ VAlUATION OF MECHANtCAl INSTALI.ATION
� � �G;�i���
CJGAS Q R4QFING [� SPECIAl.TY � OTNER � b/
FINtSHED FI,OdR E�EVATIQNS FLOOD ZONE AREA QYES NO � � �
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-----�—
BUILDER COMPANY hlGt.rJ �CC '-����
SIGNATURE REGISTERED Y 1 N EE CURRHA Y/N
� c �f�
Address � l Ld O �� � �� C� C:� License# �— �
ELECTRICIAN �� COMPANY
StGNATURE REGISTERED Y/ N FEE CURRET Y/N
Address License# � �
PLUMBER � � COMPANY
SIGNATURE � REGtSTERED Y J N F6E CURRER Y J N
Address License# �— �
MECHANtCAL COMPAIVY
SIGNATURE REGISTERED Y I N FEE GURREt� Y J(d
Address License# �� �
OTHEI2 COMPANY
SIGNATURE REGISTERED Y! N FEE GURREt� Y 1�1
Address ' License# � �
RESIDEMTIAL Attach{2}Plot Plans;(2)sets of Building Pfans;{'!)set of Energy Forms;R•O-W Permit for new canstruction,
Minimum ten(10)woticing days after submtttal date. Requtred ans(te,Gonstruction Plans,Stormwater Plans w!Sllt Fence instaNed,
Sanitary Faci�ides&1 dumpster,Site Wo�lc Permit for subdivisionsAarge projects
GOMMERCtA� AtNach{3)campEste sets of Building Ptans plus a life Safefy Page;(1}set of Energy Forms.R-O-W Permit for new construction.
_ Mtn(mum ten(10)working days after subm(ttal date. Requ�red onsite,Constructlon Plans,Stormwater Plans w!Sitt Fence instalted,
Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.All commercial requi�ements must meet comp8ance
SIGN PERMfT Attach{2}sets of Engineered Plans.
""PROPERTY SURVEY required for al!NEW constrvc8on.
dtrectians:
Fi!!aut application completely.
Owner&Contractor sign back of applicatlon,notari�ed
tf ovar�25d0,a Nottce of Commencement is required. (A/C upgrades over 57500)
'* Agent(for the contractor)or Power of Aktomey(for tfie awner)would be someone with notarized Ietter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Appiication Only) _ , • ry- ��
Reroofs{f shingies Sewers Service.Upgrades AtC' Fertces(FlotlSurveylFootage} , ,
Driveways-Not over Counter ff on public roadways..needs ROW �
� � Y
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permif.may be subJect to"deed"restrictions"
which may be:more restcictive-than County regulatlons. �The undersigned assumes responslbiltty for compliance with any
applicable.deed restrlctions. ,
UNLICENSED CONTRACTORS -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 I(censed as requlred by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing.requirements may apply•for the
intended work, they are advised to contact the Pasco County Building Inspectton Divisfon—Licensing Sectlon at 727-847-
8009. Furthermore, If the owner has hfred a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wfll be responsible. If you, as.the owner sign as the
contractor, that inay be an indicatfon that he is not.properly Iicensed and (s not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportatfon Impact Fees and Recourse Recove.ry.Fees may�apply to the construction of new bufldings, change of
use in existing buildings, or.expansion of ezistin,g`buildings, as speclfied in Pasco County Ordlnance 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 Recov.ery Fees must be paid prior to
�eceiving a °certificate of occupancy" or final power release. .If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fucthermore, if Pasco County Water/Sewer Impact
fees are due, they must be-pald prior to permit Issuance-In accordance with applicable Pasco County ordinances.
' CONSTRUCTION LIEN LAW(Chapter 713� Florlda 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 Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"owner", 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.
CONTRACTOR'S/OWNER'3 AFFIDAVIT: 1 ceMify that all the Information In this appltcatlon 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 obtatn .a permit to do work and installation as indicated. 1 certify that no wrork or (nstallation has
commenced prior to fssuance of a permit and that ali work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatio.ns, and land development regulattons-in the jurisdictlon. ( aiso
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify.what.actions I must take to be.in..corr�pliance. Such agencles include but are.not Iimited to:
- Department of Envirorimental Protection-Cypress.'Bayheads, Wetland Areas and Environmentally Sensitive
' Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
� - Department of Health 8 Rehabilitative ServlceslEnvironmenfal Health Unit-Wells, Wastewater•Treatment,
Septic Tanks. .
' - US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. � -
I understand that the following restrictions apply to the use of flll:�
' - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materfal is to be used In Flood Zone. "A", (t. is understood that a drainage plan addressing a
"compensating volume" will be submitted at#ime of permitting which is prepared by a professional engineer
licensed by the State of Flor(da.
- If the fill material is to be used in Flood Zone "A" in�connectfon wlth.a permitted building using stem wall
construction, I ce�tify that fill:will::be used only.to flll the area with(n the stem�waii.
- If fili material is to be used in any area, I certify that use. of such flll wil) not adversely affect adjacent
propertfes. If use of flll is fonnd to adversely:�ffect ad)acent properties, the owner may be cited for viofating
I the conditions of the building.permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll, an engineered dralnage 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 fn
this affidavit�prior to commencing construction. i understand that a-separate permlt may be requtred for electrical work,
plumbing, signs, wells, pools, afr condltioning, .gas, or other installations not,specifically included-in the application. .A
permit issued shall be construed to be a Iicense to p�oceed with the work and not as authority to,violate,cancel, alter, or
set aside any provisfons of the technical codes; nor shall issuance of a permit prevent the Bulldirig Official from thereafter
requiring a correction nf 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 permit is suspended or.abandoned for a.period of six(8)montF�s after the time_the�work�is commenced. An extension
may be requested, tn writing, from the Building.Official for a perlod not to exceed nlnety(90) days and will demonstrate
justifiable cause for.the extension. If work ceases:for ninety(90)consecutive days,..th�job is considered aba�doned.
WARNING TO OWNER: YOUR FAILURE�TO.RECORD A NOTIGE OF COMMENCEMENT MAY=RESULT IN YOUR
PAYING 7WICE,FOR�IMPROVEMENTS TO YOUR=PR�OPERTY.�IF YO.U�INTEND'TO�OBTAIN�FINFANCING,�CONSULT
WITH YOUR LENDER OR AN-ATTORNEY BEFORE��RECOR�DING YOUR`�NOTICE`OF COMMENCEMENT�
FL-ORIDAJURAT(F.S.-11T- 3)-- --- ---- - - --- - -- � - --- -- --- - �-- - -_�
OWNER OR At3EN��G-�9 �_-l�—z CONTRACTOR_ ,
Subscrlbed and swom to or affirmed be r�.me this Subscrib d and'swo or e b me'ttils
�-.�o-r�o by ��c�ii ��.'��r���l 3-I a��6 .by �c�t��'.g�ji` �:�J
Who i pe�s on�ally known to.me or-has(p ve produced Who is/ e pet�pnelly knovyn•to me or has e produced
�� ((�I.i�I�S(,����s IdentlBcatlon. �Lr uJhu1�✓3�Gi�ce� as IdentlftcaUon.
�'�'P Notary Public �� Nofary Public
Commis lo Commissio o.
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DESCRIPTION; M�io� �
4-th AVENUE THE NORTH 1/2 OF THE EAST 1/2 OF LOT R'cxr o�w�
60' RICHT OF WAY (P) 19'ASPkALT PAVEI,IEM BEARIN6 tTd!
18 AND THE EAST 1/2 OF LOTS 19, 20, 21
„ ee e ot ment AND 22, BLOCK 178, CIIY OF ZEPHYRHILLS S�
-, � � (FORMERLY TOWN OF ZEPHYRHILS) AS PER �
� __ __. __ o _, _ _, __ �_ _. a�ertiead.�inea._ _. _ ._ _ _ _ .;9; P�AT THEREOF RECORDED IN PLAT BOOK 1, �s' o
= m �; PAGE 54 PUBLIC RECORDS OF PASCO
� �N89'S6'as"E _ _ ___ _ _�30.0'(r) ��o.ao'(F> N89 56'00"E 70.0'{0) 70.07'(F) gg_34� 4"E, COUNTY, FLORIDA.
60'P 740�(P) 20.0 • ��——
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LB.107/ .I v F7P 3/4' � � D�NOy � LOT 22 � � NW Comer PLS =
I' NE Comer I, , NO ID No. �- �° " � I �°t ' Bi°�k »s Prepared for and Certified to: �B =
Block 179 M FlP 1/2' i o 1 0.1 0� �Wol�� � �I SCIR =
� � � FlRfi�20.62'W. rn� D A N N Y G U E S S FCIR =
2'•4' ` KEYSTONE TITLE AGENCY, INC. FIR =
� 0.02'S.. O.i3Y1. ^ M !I Flp =
� _ __ _ _ _ _ 140_�P� ^ _ _ _ N �Yei�_ _ o FIDELITY NATIONAL TITLE INSURANCE COMPANY FCM -
I o corrcrete \/ ��e�e o �� NATIONSTAR MORTGAGE, LLC. �F _
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►� � � ,a.�� ,s.as� � m
�n 0� LOT 21 � a/�c =
�/C ONE STORY MASONRY 8 � Property Address: � -
� R ES ID ENC E No.388 26 x i 38826 4th AVENUE � _
II ' �-- - - - - - - - - - - - — - - - - - -19 - - z `�- = - - �
� i �4 0,�P� „ ; ZEPHIRHILLS, FLORIDA 33542 �c
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� � �o TkE REI�WNDER OF L075 ' �
"� NOT INCLUDED (.O T Z O Concrote � � NOTES:
�� � '`%f � �1 1. Ce r ti fying Surveyor accep ts no resE
� a , eosement restrictions or other mctter.
.0 � i — — — — — — — — — — —— — — — — — — �'� Q � i — — surveyed other than those recited �
+�-�o� 14� r ° � �� instruments of records fumished b t
.�-i �� B L O C K Z78 N pl 29 Underground encroachmente, if an�
a �Q �� 3. Unless it bears the signature ond
I roi �7 � � LOT 19 v � �+� � Florida Licensad Land Surveyor and M
j� �� � plat or map is for informatinnal purp
I / � � u') '' il 4. Occupation other than shown, not
_ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ M ,� According to the Federai Insurance Admi
� t ao' ) o � a � ; �� �}, �,,' � �'; Boundary Mop, Community No. 120235,
� � LOT 18 � r ` ,�` �,'1 l; r(�,� -,`effective date of 12/17/91, the subject
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I� o n�No. N89'56�4���W 70.0��0� 70.O6��F� FCtR 5/8' I I CERTIFI''TMS PLAT.TO',CORftECTLY REPRESEM THE
i — I - -- - - i Edd'ie Jenl ns L _ — �Q��O����M'�M05�CRIBEO HEREON, JOB N0, ��-
S7qNpqRD Field Book No. 4
F-- - - - - - -- - ---- - � THROUGH
I 1�'�P) I I 5J-17.052,FLORIOA ADMINISTRATNE'CODE.' ��R6 L
� �or i� � JEFFERY,-A.CO,PELAND�9;.L.5. No.5279 P.O. Box
I � �� � ; �� , Brooksvill
� I ,� C AX:N 35
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DATE Party
2 26 11 JP
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•��nwe�• � �
�eFF A7WA7ER STATE OF FLORIDA '
CHIEF FINANCIAL OFFICER
DEPARTMENT OF FINANCIAL SERVICES
DMSION OF WORKERS'COMP.ENSATION �
"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW"
CONSTRUCTION INDUSTRY EXEMPTION �
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 3/3/2015 EXPIRATION DATE: 3/2/2017
PERSON: GILLIGAN TIM , J
FEIN: 461033818 -
BUSINESS NAME AND ADDRESS:
NEW TAMPA FENCE INC
�
�•
31224 CRESTMONT CT.
WESLEY CHAPEL FL 33543
SCOPES OF BUSINESS OR TRADE:
FENCE INSTALLATION
AND REPAIR- "
Pursuant to Chapter440.05(14),F.S.,an officer of a corporation who elects exemptlon from this chapter by filing a certifirate of eledion under this sedion
may not recover benefits or compensation under this chapter.Pursuant to Chapter440.05(12),F.S.,Certificates of eledion to be exempt...apply onty
wifhin fhe scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.;Notices of eiedion to be
exempt and ceriificates of election to be exempt shall be subject to revocation"rf,at any time after the filing of the notice or the issuance of fhe ceAifipte,
the person named on the notice or certficate no longer meets the requirements of this sec3ion far issuance of a certificate.The department shatl re�oke a
DFS=F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RE1/ISED OB-13 QUESTIONS?(850k{13-1609
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NOTIC`E OF CflMIVVi�NCEMENT R°pt:1754612 Rec: 10.00 �
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0311112016 E. M. , Dpty Clerk
Permit No.
Property Iden#frcariaa No. J ���'"�tSb f d—�7 t�v—L3 1 l r
IT�E[JtrDERSIGNED henby give informs you theL the improvement+rvill be mede W cermin real proparry,aad im eccordenee with
Seclion?23.13 of the Fiorida S�iutes,the fa2towiag inRmnat�on is pravidat in this NOfitCE OR COMMENCEMENT. ��
2.Descciptian ofproperty(Ixgal desalyttox) �' � ' 1 UwPj 'h�1 Zi��"` £�
a)StreetAddmsa: ,2 'Z t
2.C3enerai descriptipn ofimprovements: e�.J G� n� —e N P
3.0 er Tafotmati0n
`— a)Nama srsd adtlress: ti. [° „� �/�
b)Name end ecidress of fee simpie h�ltholder('if othet tl�na owner),�� ,, r�//rf�..p
cj Tntarrst in P��P�'
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b)Te2gphana No.:_.�_.�..�.� �a�,� � o.�a�r.� ��
s.s�ry�fo�u�► . . 33 s�3
e)Name end'eddreass
b}Aaiot�t of Bond: ' '
c)Tbltphane Na.: • ' Fax No.(Opt)
6.Leader
e)Neme and edch+ess:
Phone No.
7.Identity of peison within the Ssste af F3orida des4gnated by owner ugan wham notic.�s or other doca�men#s msy bc semd:
e)Neme end addsess: �
b)Ta2ephcne No.: • � Pmc No.(Opt.)
8.In addi6op w himsol�owner daiBuat�s the fntlawing peraoa to ceceiye a copy bf the LieaaYa Natice as'pzovided'na Sec�on.
713.29(Ixb},fitorida Smt�rtes:
a)Name�d add:+ess: �
b}TelepLono No.: �• .Faa No.(Opt) •
9.Fxpiratian dete of Natice af�ommencempit(tlu eacpiration date�S ona yiar tx+oaa tha date af zecardfing wilws a diffetmt datc iv
spoci8ed):
WARNfNG Td OWNE�i: ANY PAYMENTS MADB BY THE OWNRR AFTER TIiE E7�CE"TRATION�D4+T�S TTOTICE OF
C0144MENC8MENT ARE CONSIDERED IMPROPER PAYti[ENTS UNAER Cf#AP'FER 9i3,FART I,SEC2TON 723.I3,
N'I:ORIDA STATUT6$;AND CAl'I R�.SULT IN YOUIt PA'X'II�Cr TVVXCE FOR IIVVIPROVBMENTS TO YOCTit�ROPERTX.
A NitYi'[CE OF COMNIF.NCI:MENT 31NST BE RECORDTGD AIVD POSTEB 4N fiSE JOB STt"B BEE+dRE T'HE FiRB'L'
INSPECTIQN.IE YOU]NTEND TO UB'XAIC�T BlNA1VCING,C4N5QI.T YOUIt L�ND$R QR AN AT!"QRhTEY BB.RY?RL
COMMENCING R'ORK Oit RECORDING YO�1R NOTTCE OF MIVLLNCEMBNI: ,
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