HomeMy WebLinkAbout16-16886 . e . CITY OF ZEPHYRHILLS
5335-8TH STREET �
(sis)�8o-0020 . 168
. FENCE PERMIT - -
� ' PERMIT INFORMATION-- . � ��°:LOCATION�:INFORMATION::, --: : ' - °
Permit Number: 16886 _ , _ Address:.5327 GALL BLVD _ •
Permit Type: FENCE • ZEPHYRHILLS; FL. , . : �
Class of Work: FENCE/NEW Township: Range: Book: �
Proposed Use: COMMERCIAI� Lot(s):• Block. Section:
Square Feet: � Subdivision; CITY QF ZEPHYRFiILLS
Est. Value: Parcel Number: 1.1-26-21-0010-13300-0010
Improv. Cost: 1,500.00 .�-� OWNER INFORMATION -
Date Issued: 1/07/2016 Name: ACTIVE FOOD.SERVECE MANAGEMENT
Total Fees: 40.00 Address: 11201 WOODLAND WATERS BLVD
Amount Paid: 40.00 WEEKI WACHEE FL 34613-6425
Date Paid: 1/07/2016 Phone: 727-410-0077
Work Desc: INSTALL 79 X 6 BOARD ON BOARD FENCE - �
CONTRACTOR S - - = �� - �- ` � APPLICATION�FEES �. -
OWNER FENCE 40.00
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� � 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 Musti Accompany ApPlication:
All work shall be pertormed in accordance with Ci Codes and Ordinances
C CTOR PERMIT OFFI
RMIT EXP�RES IN 6 MONTHS WITHOUT�APPROVED INSPECTIO .. � �
CALL.�OR.INSPECTIOlV - 8, HOUf�,�NOTiCE�REQUIRED � ; - �� ,
� � � P.ROTECT CARD FROM IAf�ATHER� � � _
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813-780-Q020 Ci#y of Zephyrhills Permit Application Fax 813-78p-0021
1 • Bullding Qepartment .
Dale Recelved P..hone=Contact�forFermittin
Owner'a Name ����44 � +Jv Qwner Phane Namber
Owner's Addrass �rQ l � l 3 � Owner Phone Number � �
Fee Slmple Tltleholder Name - Qweer Phone Number �
Fee Simple 7ltleholder Address
J08 AdDRE3S 3 l�(Q � �J l � LQT# �.�
SUBDiVISlON � PARCEL tD# ~
• , , (OBTAINED FROM.PROPERTYTAX NOTIQE)
WCtRK PROPOSEp = NEW CONSTR ADDIA�T � StGN Q [� DEMOLlSii
-•e. INSTAI:L �' REPAIR -
PROPOSED}.USE _ � � SFR Q COMM' C� OTHEF2 '
TYPE OF CONSTRUCTIOIV < Q - 'BLOCK + `Q FRAME ,[;� STEEL Q
DESCRIi�TiQN OF WORK ' Z' 'l'� � �j0,� G•r � G.� � �1 �P� C ��, c�.-S
BUILDING SIZE � � SQ FOC)TAGE��, : HEIGHT�.
QBUILDING r$ ` -- _ '
L_�1� VAt,tlATION£OF TYOTAL CORISTRUCTION
QEl.ECTRiCAI r�" � AMP SERVICE Q PF20GRESS ENERGY Q W.F2.E.C.
�.
QP�UMBtNG $ ' � t � �jf_
J,�i l ��lJ
„ ,,, ., � • +, XJ
QMECHiRNtCAL $ ' VAl:UATIONOF,M�CHANICAIlNSTRC6ATlOIV T `
QGAS Q RQOFING Q SPECtALTY � OTHER
FINISHED FLOOR ELEVATIONS � � FLOOp ZONE AREA QYES fV0
BUII.DER ��./ COMPANY�
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address _ t;.(cense#"� �
E�ECTRICIAN: . COMPANY , . , �
SIGNATURE ' REGISTEREp Y/ N FEE CURREA`f 'Y/N
Address • . , , - Ucense# � �
P�UMBER COMPANY .
SIGNATURB� `� ` REGI3TERED , Y,/ N �_FEECURRE� � - Y•/N
Address � . � Ltcense# �� • �.
MECH/�ld1CAt: � - � GOMPAt�tYY,
SIGNA'PURE 2 � � � REGISTERED , �._.Y.,/ N . FeECUR��. Y-kN =
Add�ass�;' . _. � - '" License#�� � �
OTNEEt . ` - ` ' ;CCIMPANY ` - ` � -
SIGNATURE -•.� ''" '"� -" '�� " � � � `REGISTERED " Y/ N... � FEE CURRE� � - Y/N
Addres� _ , . ,Llisense#�� �
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RESIQENTIRi:�°� Atkacfi:{2);P-iot P,.taas;�,(2}sets.of:Bult8inglFlans;(9)'set af<Eriergyr>Forins�R-0-W Parmit far nsw cansbuction,
F��Minimum>tenr(,1,0)�working;days;afte.r.;"submiftal`clate.t':.Requlred ansite,°Construcdon:Plans,'Stormwater'P1ans w/SIIt Fence installeii,
. : �--,., .,.....� ,,,. .. , ,.
SaNta'ryFacilides,;8�1;dumpster,=Slte Work}P„etmit;for;subiJiviSionsAarge_projects_=. . .�.,,
COMMERCIAL Attach{3)c6inptete se#s'af�Bultiiing Plaiis plus a Cife-S'afetp Page;{1}set of Energy Forms.R O-W Permit for new canstructlon,.�
Minimum ten(10)woikfng days after submittal date. Required onsite,ConsUucUon Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides 81 dumpste�.Site Work Petmit tor all new�proJects..All commercial requlrements must meet compllance �
SIGFIPERMIT Attac,�'{2)'sets�tifEnglrieerediP-.laiis. - �� .
•"'PROPERTY SURVEY requfrt�d,for_all_NEW canstrucUon..
Dlrections: - ...�.. � . '
Fitl out applicatlon completely. ,
Owner&Contractor sign back of appllCatlon,noWrized
tf over 52500,a Notice of Commencement Is requlred. (AIC upgrades aver 37500)
1� '. ':.�,h..fn��...
Agent(far ttie�contractor)orPower of'Attomey"(for the owner)�would be someone with notarized letter from owner authorizing same
OVER'fFiECf3UNTER.PERMiTTING_. ... .(Frantof-Applicat�an�Oniy} . _ ." _ -,
Reroafs if shingles Sew+ers Seroice Upgrades A/C Fences(Plof/Survey/Faotage) .
Drivewaya-Nat over Counter tf on public roadways:.needs RCiW' � �
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NOTICE OF DEED RESTRICTIONS: The undersigned,undergtands;#h�t;:this.�,p�rmif Finay be.subJect to,"deed",restrlctlons°::.�_ _,,,�..
which may�tie=rriore�=re�ttiotive>th��County��r+agrilatfons: TFie�:underslgned��assumes�'responsftiiltty`for�compllarice with`"any ` �
applicable deed restrictions. _ • , , �. ' „� � "- -
UNLICENSED�CONTRACTORS �AND CONTRACTOR RESPONSIBILITIES: �If�the`�ovmer�has��Fiiced��a".contractor or
contractors to undertake work, they may;be;requir.e.d_to.;be-,llcensed�;°In accordance.with:state:.and;lo,ca,l regulations.:•�,If the��-�'�-�-���
contractor is not licensed as� re'qulred"tiy law,:both'the owner and�cont�actor=may be�cite'd�for a��misdemeanor violat(on
under state Iaw. If the owner or Intendedscontractor,aresuncertaln as to what Iicenstng.requirements;may-.-aPp(y=ior:tF�ie` �� �
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intended.work, they are`advised fo coritact the Pasco�County_Bullding;ln"spection,:Diyislo..n,=-Llcensing Sectton at 727-847-
8009. Furttiermore, if the owner�has hi��d a�conUactor o�confractors, he�is advised to have �the contractor(s),sfgn_ , ; , ,
b,. -4 . ... .i��F:. �.
portlons of the "contractor,Block",of,thia.appl�ation_for.which.they.will:.be..tesponsible.� If:you;.as�the owner sign"as`the"'" ' '�
cont�actor; that�may"be an Indlcation that`he`is"not.properly flcensed'antl'is�'not entttled`to permitting priaileges In Pasco ; _
County. ' • :��:.��-; :�� � _
� TRANSPORTATION=IMPACTNTILITIES-rMPAC7�ANb-RE$OUItCE RECOVERY FEES:�The unde�tgned understands
that Transpo�tation Impact Fees and.Reco.urse Recove.ry_.Fees.may�;apply�to�t�e constructton_of new_buildtngs��change•of��'- -
use in existing buildings, or-�expar�si�crfof�ezisti�i,g�buildings, as speoifled.(n Pascv County Ordinance number 89-07 and- •
90-07, as amended.,,�,The undersigned aiso;understands, that:`such fees�:,as�tnay:be:�dne�rwilL�tie iden/ffied at the�time°of�� ` ��` "'
permitting. It Is furtFier underatood that Tra�sportatlon impact Fees and`Resource:Reco�ery�Fees.must be pald prior to �
receEving�a 'certf�cate.:of occupancy" or flnal�.power.-release:��:l��the proJect...does�not Involve:a::certfficate of occupanby-o������•�'�-<
final power�release;tF�e�.fees must�be paid;pcior to.permit Issuance. F��thermo're;�fE-Pasco:County'1Nater/Sewer�,:lmpact� -> � - �
fees are due�,they_must.be-.paid..pi�iar to permit�-iss_yance=ln.accordance witfi:appiicable.Pascv':County��ordinances. •
CONSTRl1CTION LIEN�LAYV(Cfiepter 713� Florlda Statutes,as amended): If valuatlon of work is$2,500.00;oc more, I� ° :.
certify tFiat I, the..-applicant, have•.been provided�wlth- a copy�of#he��"Florida� Con§Uuctton-Llen .Lav�Homeowne�'s
Protection Guide" prepared by the Flo�ida Department:of Agriculture and Consumer.Affair�. if the applicant is someone, , �
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other than the'owner", I certffy,that:l�have.obtained9a�copy;of:the.abovs.described tiocur�ent;and;promis�'in,good��faith,to ,--,.:
deliver it to.the'owner"�=p�ior-to-cornmencement:"� ' �'-' � ' `� ': - - ,.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ce,rtt[y,.that-all�the;inf.ormation�.in�this applicatlon is accurate.and that all work
will'be done in compliance wfth all applicable"laws regulattng constructlon, zoning and:•land`development. Appltcation is
hereby made to obtain.-.a.permit�;Yo.,do:.work.vand;li�stallation as indi�efed::� �°I certifyi that no work�or Instaliation hes
commenced prior to Issuance of a permiE'"and that':all work wlll be perFormed�to meet_standaTds-of �II laws regula�ing�
construction, County and City codes, zoning regulatlans, and land development regulations=ln�tfie .jurisdlction:- 1�al'so
certify that I u�derstand that the,regulations of other government agencles may�apply�to.the.intended work, and that it(s
my responsibility to Ident(fy�what:acttons I must take:to be�in:.co►rlpllance..,.Such.agencles include but are.not Iimited to: _ _ �
- De artment of E�vlronmental>��Pr'otectton=� ress'Ba head�;�1IVeNand Areas and Environmentall Sensitive
P CYP.:�. .,. y. Y
Lands,Water/Wastewater Treatment.
�-r
- Southwest Flortda Wate� Management`:�District-Wells; Cypress. Bayr�eads; NVetland Areas, Altering
Watercourses. - � �
- Army Corps of Englneers-Seawalls, Docks, Navigatile Waterways.
- Department of.Health::&.�:Rehabllitative�.Setvices/Ern►itonmental Health Unit:Wells, Wastewatera Treatment,
Se�tic Tanks. _ � • � _
- US Environmental Protection Agency-Asbestos abatement.
Federai Avlatlon.Authorlty;Runways. - - -
I understand that the_following.restrictlons apply to the use of flIC� �
- Use of fill Is not allowed In;Flood�:Zone"V"unless expressly permitted. _ �
- If the flll material�=ls to� b:e�used;7n-�Flood -Zone. "A", It. is understood that a drainage plan addressing a
�compeFlsating volume"will be submitted at time of=permifting which ts prepared by a professtonal engineer
Iicensed by the�tate of'F�otida: `" . - � .
- If th� fill material°is=to be�used tn Flood Zone 'A° in�connection�wlth�a �permitted building using stem wall
' conatructton, I_certify.that till�.wall:be�used only.to.flll the area within�the�stem�wall.
- if fill materlal is �to be used in�any area;�l�ce�tif�r tfiat .use of`such flll wlll not adversely affect adjacent
propertles. If use.of_fill is found_to_.adversely:,�ffect adJacent�pr�pertfes�,the owner may be cited for viofating._ �
the conditions.:of the building=:permit-Issued�under the�at�acfied,permtt epplicatlon;for.lots�:less than.one (1)
acre which�are'elevated"tiy ilit;��engineered dralnage pla�is requlred. • .
If I am the AGENT FOR TNE�OIMNER; I�.promise inlgood fa[th to Inforrra tfie owner of.the permitting condftlons set forth in
thts affidavit prior to commencing constructlon. I understend thet a�aeparate permtt may be required for elecMcal work, ._
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plumbing, signs, wells,.pools;:alr conditioning,-.gas,-;or:otMe� Install�ttons not•sp�c�ically included�in.th� application. .A __
permit Issued shall be construed to be`a'I(cense'-to'�proceed witti�'tNe;work and_not as:authoNty:to,vlolate,'cancel, alter, or
set aside eny"prodisions of the.teclinicai c+ndes;�nor shall issuance�of a.permit.prevent the 8ulldirig Official from thereafter
requirin.g a corcectton af eRors In•plans; constructlon_or violations of any cod�s. Every p�etmit�issued-stialB-become invalid
unless the work authortzed:by such permit:•Is.commenceci•withtn.sUt,,m.onths of�permit Issuance, or If work authorfzed by
the permit is suspended�or.aba�doned<for a:period;of:�six:(e)�montfis:.eRer the tlme the�work•��s commenced, M extension�
may be requested, in wciting,.from.tFie:Bullding,Official for a perlod�,not.to�exeeed�ninety�(90)��days a�d wrilf'demonstrate
justifiable cause for.�the extensior�. If work ceas�s:for ninety(90)cons.ecutive:days...th�)ob�ts considered abandoned:
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WARNING TO OWNER: YOUR.FAILIJRE•T4.R�EC.ORD A::.NOTICE OF��COMMENCEMEMT;NFAY=�RESULT IN YOUR
PAYING TWICE.I=OR IMPROVEMENTS�T�O�XOUI�:PIt�PERTY;�IF°.YO.Ua1P1��E�D�`TO��OH�AIN�FIN�►I�E1NG;�ONSULT
WITH YOUR�LENDER OR AN��1'�TORNEI��EPORE�RECOR�IWG=1fOUR'NOTIC�;"OF'C011111111ENr�ENf�.N1"
.;. . _ ..;� . . .. .- .
FLORIDAJURA�'�(F.S:U7A3}.., - . - — —_ , - - - - - — -_ -- -
OWNER OR AOENT � CONTRACTOR �
Subscrlbed and swom to(or afflrmed)betore me thls Subscribed'end'swom�to(ow afltrtned)�before me this ,
bY — •by �-
Who islare pe�sonally knovm to.me or haslhave.Produced . Who.ls/are;p.ersonallyknown•to.me.or hes/have prodiiced �
� ae Identlflcatlon. as IdendflcaQon.
Notery Public . Notary Publlc
Commisslon No:°�-- Commisalon No.
Name of Nofgry typed,printed or stamped Name of Notery typed,pdnted or stamped I�
C1TY OF / / / / BUILDIN�
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRESS DATE. � -� `=' PERMIT�,
� - �� 2� -C�-�-� �-�� : ._.� , -. i_
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shali be made before the job •
will be accepted.
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It is unlaw(ul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the wortc with tlooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the instaliation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR�'(,7�i`—�►�5�
I