HomeMy WebLinkAbout16-17192 �; .
� CITY OF ZEPHYRHILLS
5335-8TH STREET
�Sis��so-oozo 17192
FENCE PERMIT
PERMIT INFORMATION � LOCATION.INFORMATION �
Permit Number: 17192 Address: 39140 OLD MILL LN
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0350
Improv. Cost: 1,100.00 - OWNER INFORMATION '
Date Issued: 3/23/2016 Name: OLIVER JOHN
Total Fees: 45.00 Address: 39140 OLD MILL LN
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-8200
Date Paid: 3/23/2016 Phone: 813-843-1063
Work Desc: INSTALLATION 105 X 6 FT WOOD FENCE
CONTRACTOR S - - � �- APPLICATION,FEES `
HOMEOWNER FENCE 45.00
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� Ins ectio`ns 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 Ci Codes and Ordinances
�vl�l� ,� l i��;�i�
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Od20 City of Zephyrhills Permit Application Fax 813asa-ooz�
w Bullding Department
Date Recetved �, Phone Contact for Pet�»tttln �� - ����
Owner's Name �'� V V 1,���--� Owner Phone Number ��� �ta`"'�������
Owner's Address �"1 � V !`-�1 l ( ��..p�=- OKmer•Phone Number O!� "��� � `-'��
�ee Simple Titlehoider.Name ���{ � Owner Phone Number
Ree Simple Titieholder Address ��t�--- '
Jd8 ADQRESS ✓ 1 V 1�/1 I t �� '� LOT# ��
� t� �
SUBDfVIS10N 1 cJ m,�L�� � �� PARCEL.!D# I P'�'Oti LQ 'a�' ! '" C��(�(� "`�'�� d
(OBTAfNEQ FRQlA PROAERTY TAX NQTlCE)
WORK PROPOSED � � NEW CONSTR ADDiALT � SIGPt [� Q DEM0418H -
INSTALL 8, REPAIR
PROPOSED USE SFR C] COMM [� OTNER
TYPE OF CQNBTRUCTiON BLOCiC ' Q FRAME Q STEEi. Q
DE3CRIPTtdN OF WORK ���C�`\ � 'TC�1C�� �C�O ��'_C�CQ_ C� t Q'I—) r C.r � �c�i,j�'��
SUILDiNG SitE � � �Q FOOTAGE�� HEIGHT .
BUILQING $ �'� ""
�f D' C.��J J VALUA7101V bF�TOTAL CONSi'RGCTION
._.1
C]ELECTRICAL �;S_�-w� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
L
�]PLUMBING �� �
� � (� /�Z,,,,
QMECNANICAL $ VALUATION OF MEGHRNlCAl.INS7ALLATION � � �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED F�OQR EIEVATtONS C�—� FLOCiD ZONE AREA QYES NO
f �--�-r�n�e. ��a��.r-
BUILDER } �'}1 �--- - COMP
SIGNATUtt� C�'� � �/' t �� i�"� REGtSTERED Y/ N FEE CURRE� Y/N
Adc�ress Ltcensa# � �� �
ELECTRIClAN COMPANY
SIGNATURE "' REGISTERED Y/ N FEE CURRE� Y J N
Address �Llcense# �� �
PLUMBER � COMRANY
SIGNATURE ( REOlSTERED Y J N FEE CURRE� Y/N.
Address Llcense# �— �
MHCHANICAL ' COMPANY
SIGNATURE REGISTEREQ Y/ N FE6 CURit�h Y/1+1.
Adclress Ltcense# � �
OTiiER COMPAldY
SiGNATURE REGISTERED Y! N ��cuR�t� Y i N
Addreas Ucense#•i � �
�.s .�
RESIDEN7'tAl. Attach(2}Plof`�Plans;•.(2)sets_oi�8u11dIng,Plans;(1)set ofEnergyForms;R-O-W,Permit.for hew.con,stru�tion,
Minimum:ten:(1.0);working?days:after,.submittaf8ate�Required ansfte,ConstrucUon'Plans;�Stortnwatet Plans w!Silt Fence instailed,
Santtary EacjltUes&,1,,dumpster,Site�:Wot1c.�P<ermit for'sutidtvi'slonsllargeproJects�•- �'°
COMMERCIAL Attach(3)`aomplete sets of Bullding'Plans plus a Life Safaty Page;(1)se!of Energy Forms,R O-W Permit for new canstruction.
Minimum ten(10j working days after submitffiI date. Requlred onslte,Construction Plans,Staanwater Pfans wt Sflt Fence tnstaited,
Sanlhary Facllitles&1 dumpster.Site Work Permit for,al!ne+nr'proJeats.All commercial requlremer�ts must rrii�ai compilance
SiGN PERMIT Attach�(2)`sets of Engineered=Plans:,'- �r:- �
"'•PROPERTY SURVEY,reguired for,all NEVU construc8on.
Directlons: '
FIII out appllcatlon complekely.
QMrner 8 Contractor sign back of appltcarion,natarized
� If over�2500,a Notice af Commeac�mant Fa requlrad. {AIG upgrades ov�r�7500)
'* Agent(for#he contractor}or'Powet of i4#toi'ney(fo�the owner)would be sameone with notarized letter from dwner authotiztng same
OVER THE COUNTER.P.ERMITTlNG- {Front of App!lcation On{y}
Reroafs If shingles 8ewers Servlce Upgrades A!C Fe»ces(PfottSuroeylFootage)
Driveways•Not over Counter if on publlc roaiiways..n+eeds ROW
f � s
N07'10E OF DEED RESTRICTIONS: The undersigned under�tands�:that.thls;:p�emlt.may be.sub)ecE to"deed"restrictlons"
which may.be:more�-r.est�ictive-th�n C.ounty>reg�lations. �The�underslgned��ssumes-responsibility for compiiance with�any
appilcabl�deed restric4lons. - •
UNLICENSED CONTR�ICTORS .AND .CONTRACTOR RESPOtdSIBILITIES: -If�the owner has -hired a contractor or
contractors to undertake work, they may be;r.e.quired.,to::be;licensed In.accordance.with state.and�local.regulations. If the
contractor ts not.�l(censed as�required'�by law, both�4he owner and�contcaetor�=may be-clted�for a�misdemeanor violatlon
under state law. If the owner or intended contractor•:are;uncertain as to what Ilcensing.requirements,may�apply:fior the
intended work, they are advised to cont�ct the Pasco County Bullding In�pectton Divislo�t—Llcensing�Section at 727-847-
800�. Furthermore, if the owmer has hired a contractor o� contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for whtch they wlll be responsible. If you, as.the ovime� sfgn as the
contrac@or, that inay be an indication fhat he is not�.properly licensed and is not entitled tb perrriitting privileges in Pasco
County.
TRANSPORTATION�IMPi4CTlU71LITIES��IMRAC't'-AI�b-I�ESOURC@ RECOlIERY FEES: �The undersigned understands
that Transportatfon Impact Fees.and.Recourse Recove.ry.Fees may>apply�to:the canstruction of new bulldings,,change of
use in existfng buildings; or-.expar�esion:•of�existin�g��6uil�ings, as spec(fl�d.in Pascv County Ordinance number 89-07 and
90-07, as amended., The undecsigned also.;understands, that.such fees�:as�may be:due;,�wiil.be identified at the�-time of
permitting. It Is further understood that�'ra�sportation.Impac4 Fees and�Resource R�coverji�Fees.must be pald prior to
receiving a "certiflcate.of�occupancy" or flnal�.powerrelease. :If th� project does.not involve:a cer#ific�te of or.cupancy or
final power release;4he fees must�be paid prior to permit issuance. Fu�thermore;�if Pasco�County Water/Sewer Impact
fees are due, they�_must b�-paid prior to permit•Issuance=ln accordance with appllcable.Pasco�County ordinances.
CONSTRUCTION LIEN LAVN(Chapter 713� Florlda Statutes��s amended): If valuation of work Is$2,500.00.or more, i_
certify that I, �he applicant, have-been provided with a copy of the "Florida�-Constructlon� Lien Law=Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consum�r A.ffairs. If the appllcant is someone
other than the"owner", I certity that I have.obtainedr�copyr.of the above..described docu'ri�ent°and.p.r.orv�i.s�In,good faith to
deliver it to th�'owne�prior�to�cornrnencement:
CONTRACTOR'S101AINER'S AFPIDAVIT: I ce�ti[y.thatall the:lnf.ormation-in�thi.s applicatlon is accurate�nd that all work
will�be done in compliance with all applicable I�ws regulattng constructioro, zoning and�land�development. Applicatlon is
hereby made to obt�in .a peemit Co do work.�and installatlon as Indlcafed:�• I certify 4hat no work:or installatton has
commenced prior to Issuance of a perm(t and that.ail wrork �nrill be pertormed to meet standards of all laws regulating-
construction, County and City cod�s, zoning regulatians, and land development regulations�In the jurisdlction. I also
certify that I understand that the regul�tions of other government agencies may�apply to the intended work, and that it is
my responsibility to identify•what.act(ons I must t�ke:to be,in.corr�pliance: Suctr agencies include but-are.not Itmtted to:
- Department of Erlvironmental Protection'=Gypress. Bayhead�;�VVetl�nd Areas and Envtronmentaily Sensitive
Lands,WeterMlastewater Treatment.
- Southwest Florida Water Management .Distrlct-Wells, Cypress.'�Bay�e�ds; Wetland Areas, Altering
Watercourses.
- Army Corps of Engine�rs-Seawalls, Docks, Navigable Waterways.
- Department of Health � ReY�abllit�tive Services/Environmenta0 Mealth Unit-Well.s, Wastewater�Treatment,
�epttc Taeiks. -
- US Environmental Protection Agency-Asbestos abatem�nt.
- Federal Avlatton�Authortty-Runways.
I understand that the following;restNctlons apply to the use of flll:•
- Use of fill is not allow►ed in Flood Zone"V"unless expressly.permitted.
- If �he fill materiai is to be used. In �Flood Zone. "A°, It. is und�r�tood that a drainag� plan addressing a
"compensating volume" will be submitted at#ime of permitting whlch is prepared by a professional engineer
Iicensed by�he State-of florida.
- If the flll materlal Is to b� used In Flood Zone °A" (n�connec�lon�with:a permitted building using stem wall
� construction, I certify that fill:w111=b.e tased only.to.fill the area withln the stem•w�ll.
- If fill material Is to be used In any area, I �certlfy that .use. of such flll will not adversely affect adJacent
properties. If use of flll Is found to adversely.�fiect'�adJacent��prop�rties,.the owrner may be clted for violating
the condi�ions of the bailding;,permit Is�ued u�der the.att�ched permit application, for�:lots less than one (1)
acre which are elevated�by�flll, act engineer�ed drainage pian is required.
If I am the AGEPIT�OR THE OWtdER, I;:promise In good falth to fnform th��owrner of�#he permitting condftions set forth In
this affidavit�prtor to commencing construction. I understand that a�separate permit may be requlred for electrical work,
plumbing, signs, wells, pools; mir conditioning, .gas, or other installations root•spec�ically lncluded-in.the application. �A
permit issued shail be constru�d to be�a��Iicens�to�proceed with the work and not as:authority to.vlolate,�cancel, alter, or
s�4 asfde any provls(ons of the technical.codes;�nor shall Issuance�of a.perrv�lt.prevent Yhe Bulldirig Official from thereafter
requiring a correc4lon.nf errors in.plans; consfructlon or violations of any codes. �very permit issued shall become invalid
unless the work authorized.by such permlt:�s.commenced�withtn sfx monQhs of permit tssuanc�� or tf work authorized by
the permit is suspended or�bar�doned-for a:period of�six d8)�months..after the time the�work is commenced. An extension
may be requested, in writing, from the Building:Officlal for a period not to exceed ninety�(90) days and will demonstrate
justifiable cause for.the extension. If work ceas�s:for nine�r(90)cons.ecutive:day.s�..the Job�is consfdered abandoned.
7RIAR�ING TO �IIniN�R: YOUR.FAILt�RE T�..RE.C.ORQ;�1 MOTIGE:OF:COMIVfENCEMEIIFT:NPAY��RE�ULT IN YOUR
PAYING TWIC�FOR�IMPROVEMEN.TS�Y�-YAUt�:�.PR:OPER7Y. IF YO.UrIN��END�°T�;O�TAIN••FII�tA(�CING;�ONSULT
1NI'TH YOUR L,ENDER�OR AI�ATYORNEY��fFOR��i�ECOR�NG�YOUR=NOTICE�°O�''�OMMENC�Ef1MENY:
FLORIDA JURA�(F.S.1.17.03) •• .. . ,
O�IIW�R CsR I10ENT��� I'�I 7' ��•1/?^ CONTR�ICTO�_ 'o y'!�. /` t�I_v�?�—
Subscribed and swom to Lor aHirmerl),�efore me this Subsaibed�nd'swom- (or fftrmedpbe re me thi�
- by --�C 7.oGr�r !�f ��1, ,� •by �_.��,� � fJ7_ '��i—
Who Islare personatry knovm to.me or haslhave produc�d ifUho ls/ere personall . own�to me or-has/have-produced •
as Identlflcatlon. as IdendRe��on.
Notery Publlc . - - r NoFary Publlc
Commisslon Plo: __ Cammis�lon No.
Name of Nc+�ery typed,printed ar stamped Neme of Molary typed,printed or stamped
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Curve Table:
c-� RADII DELTA .�xc CHORD CHORD BEAR: S U M M E R H I L L B R I V E
Cl-P 50.00 52°28'47" 45.80 44.21 N 14°20'35"E
Cl-M Field Measured: 44.32 N 14°43'41"E
n B�UND
PREPARED BY:
� ��4'Chainlink Fence pQ wM W.ater Meter M Measured(In-fieId) JOHN TROEI.STRUP LAND SURVEYINC
�� 6'Wood Fence � Up Utili,ty Pole P Plat reference J T 1 3111 S.KIlVGS AVENUE
—o�— Overhead Wire � CIR.Capped Iron 5/8"Rod Fnd Found BRANDON FLORIDA 33511
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