HomeMy WebLinkAbout15-16856 ' CITY OF ZEPHYRHILLS
, 5335-8TH STREET
�sis)�so-oo20 168
FENCE PERMIT I
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16856 Address: 6921 OAKCREST WAY
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0140
Improv. Cost: 3,075.00 OWNER INFORMATION
Date Issued: 12/22/2015 Name: MEDINA LUIS CHRIS & HEIDI
Total Fees: 55.00 Address: 6921 OAKCREST WAY
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 12/22/2015 Phone: (813)715-6099
Work Desc: REPLACE WOOD FENCE 210 'X 6 '
CONTRACTOR S � APPLICATION FEES
BIG DOG FENCE INC (813)907-9877 FENCE 55.00
_ �
I
�
�
� •— S � l �
�S 1= ��
Ins ections Re uired
AL
REINSPEGTION 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 Ci 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
� ei�-�eaoozo City of Zephyrhills Permit Application F�-a��-�saooz�
Building Department
, DateReceived s 9�j 9Pj?
Phone Contactfor Permittin
Owner's Name U(S (../I{2/S /�/�C/N/ Owner Phone Number IfV�"�� ' d
I OwnersAddress (p �� �1���CIL�S]r KJ OwnerPhoneNumher
Fee Simple Titleholder Name ���� Owner Phone Number
Fee Simple TiUeholder Address
JOBADDRESS V LOT# �
SUBDIVISION ��I���ES� r5/�S PARCELID# ��� C�Z�V`6dUb��O J��
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q '
DESCRIPTION OF WORK � ��-�Z�b�v��'o�L7JGU� �—£�CFiwr� S�¢��
BUILDING SIZE SQ FOOTAGE �I b f L! [T� HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTIO� 3'G7�� w
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �����*
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY � OTHER �G�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY 1� �J b� I�E NC�
SIGNATURE rtEGiSTettE� Y/ N FEE CURRFI. Y/N
Address 1� L�O�F'}h� �2 �£S� t.h r L License# (J � V
' ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE r�GISTEaEo Y/ N �cur�En Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERm Y/ N FEE CURREt� Y/N
Address Llcense#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllll
RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormvrater Plans w!Silt Fence instatled,
Sanitary Facilities 81 dumpster;Site Work Pertnit far subdivisfonsAarge projects
COMMERCIAL Attach(2)complete sets of Buitding Plans plus a Life Safety Page;(i)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence inslalled,
Sanitary Faciiities 8 1 dumpster.Site Work Pertnit for all new projeds.Ail commeraal requirements must meel compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application comptetely.
Owner&Cantractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
(
� 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. I
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or I
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If 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 contractor 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 properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRAPISPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply 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"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. Furthermore, if Pasco County WatedSewer 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 i, the applicant, have been provided with a copy of the "Florida Construction Lien Lav�Homeowner's
Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant 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.
CONTRACTOR'SIOWNER'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 construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify 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 inGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervrays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
I Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly peRnitted.
- 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 fiil material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I 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 attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage 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 in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
piumbing, signs, wells, poois, air conditioning, gas, or other installations not specificaliy 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,alter,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 pians,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(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 wiil 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 COMMENCEMENT MAY RESULT IN YOUR I'
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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by by
Who is/are personally known to me or hasmave produced Who is/are personally known to me or has/have produced
as iden6ficatian. as iden6fication.
Notary Public Notary Public
Commission No. Commission Na.
Name oi Notary typed,printed or stamped Name of Notary typed,printed or stamped
. � lllllllllilllllllillllillli�lllllllllllill[Illlill1f11lIIIlI
� 2015202600
.. . �
Rcpf.:17355@9 Ree: 10.@0
D5: 0.00 IT: 0.00
1212il2015 K. R. M. , Dpty Glerk
' Permit No: �au�a s.o'NEIL,Ph D PASCO CLERK & COMP7ROLLER
Tauc Fotio No: ' �
120R16K 19301� PG 1��5
'� • NQTICE OF C4MMENCEMENT
State njFtarida ' Cpunty� �
' THE tlNDEFtSiGIVED hereby gives notice thet improvement witi be rru�de to certain real property,and in
nccordance�with�Chupter 7l3. Florida Statutes. The following infarnsation is provided in ihe Notice of
Commaneemeni.
i: Descriprion ofprope (legal dzs,cription roperty and street address :
a 1 �.`'s f-�f�S �i�l '!3 3 Z 7-�
2,. c U'(1..Est' �e.. ;"! 6 �
2. Generat do 'ption of improvement. j p
rwef �aDk? t�,.•�fi �1d �F ffT' l��rt,G'Ga12�,�",(a�arJ
� c<.�i�Z �'S �tlE
3. Uwner inform�tion{Nnm�uddress,interest in praperty,and nnme and address of fee simple
titlehoider( ther tEwn owaer): .
, �u�s �.d' ,ru5 �'?E.d��� S�-,rt E.. ,�l�lr�r5 �p--s r�-b o�v s.i
4. Contra tor iafomvstian: (Name and address,phone number,fax number)•
' ��4� �a/Gw �tlG Fi/orms� l��Z �6st�y G�►''7���.
� 3 3��.5� r
5. Surety(Name and addsess,amount af band,phane namber,ta�t number): IF APPLICABLE: �
6. Lender(Nart�and address;phone number,tax aumber): IF APPLICA.BLE: �
. '"�"'z`�'7."'-'�
?. Persaus within the Sinte of Fiorida designated BY Owner upon whom nadees or oihec .
dacumcnts rnny be served as provided by Section 713.t 3(2)(a},FEorida Statutes: (Name and
address,phone number,tax number): �
7���
' 8. In uddition to hisnself, t?wner desigriates the foilawing person(s) tQ recaive a copy of t6e
Licnor's Nodce as provided in Section ?13.13{1)(bj Flarida Sts�tutes. (Name and address,
phone number,ta�t number}.My other petsans owuins propeRy other than those nnted abave.
9. Expirntion date of Notice of Commencemcnt(the expirapon date.is 1 yenr&om thc date af
recording unless a different date is specified).
• Sjgnanue of Owncr.X �,�.� (d��s- -rr(1.�'� _�
Sworn to and subsc 'bed before r c by s'�•!Y t�'����-�.r who is personally luiown to
rnc or pcoduee V1Q� as iden6ficution and who did take an aath,this
_j5 day of 20 Kll��otty�,�u�er
u • �l4iPttty Pubfic
Signacure of Nocary; �-^' � State of florida
Printed aarne of nouup: MY CAMMISSION�FF 911t29
, � E�ites:AugUst 24,2d1S
. '
��g,plCLq�.
�fiaT€�F ���R1�A,COUNTY OF PASCO �.'�� � � � ' ��'Q�
fil�l�I�Tb�C�RTIFYTNATTHE FOREGO{NG ISA � • �
�'�U�AN6�U�RECT COPY OF THE DOCUMENT
�N�i�:�OR C��PU9LIC RECORD IN THIS OFFICE � '
�„�«r�v�7.��� . �
WI�N�s�Y MAND,4N OFFICIALSEALTHIS ,� ' :,��.,,: .
����j1��� � 2� O . �
�� ' IL,�LERK&COMPTROLLER * ., 288� *
�Y _ __ _ ' DEPUTY CLERK ���Q���R�OP'