HomeMy WebLinkAbout16-17738 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 738
FENCE PERMIT
PERMIT INFORMATION � - - � � LOCATION INFORMATION
Permit f�umber: 17738 Address: 38540 NAOMI AVE
Per it Type: FENCE ZEPHYRHILLS, FL.
Class�f Work: FENCE/NEW Township: Range: Book:
Propos d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es . Value: Parcel Number: 02-26-21-002A-00000-0050
Impr . Cost: 5,332.62 - OWNER INFORMATION
Date Issued: 9/16/2016 Name: GEISINGER, THOMAS & KAREN
Tot I Fees: 80.00 Address: 38540 NAOMI AVE
Amo nt Paid: 80.00 ZEPHYRHILLS, FL. 33542
D te Paid: 9/16/2016 Phone: (813)380-5742
Wo k Desc: INSTALL BOARD ON BOARD FENCE 274 X 6
� CONTRACTOR S - � APPLICATION FEES -
HEARD FENCES FENCE 50.00
CONTRACTOR CERTIFICATE 30.00
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REIN PECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment 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.
NOTIC : In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may b 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.
Th payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements 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 performed in accordance with City Codes and Ordinances
er
CO RACT PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, ' e�a-�eaoozo City of Zephyrhills Permit Application F�-a��-�aaooz�
Building DepartmeM
D Recefved
Phone Contact for Pertnittin
ow er'sName THOMAS & KAREN GEISINGER ownerPnoneNur�ber 813-785-1046
Ow ers Address 38540 NAOM I AVE Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
�o ADDRESS 38540 NAOMI AVE ZEPHYRHILLS, FL 33542 �or# �
SU DIVISION PARCEL IDIF 02-26-21-002A-00000-0050
(OBTAINED FROM PROPERTY TAX NOTICE)
WO K PROPOSED e NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PR POSED USE Q SFR Q COMM � OTHER BOARD O BOARD WO D FEN E
TY E OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DE CRIPTION OF WORK REMOVE CUSTOMER'S 274'OF WOOD FENCE. INSTALL NEW 274'-6'HIGH BOARD N
BUI DING SIZE SQ FOOTAGE 274'LIN R HEIGHT 6'HIGH
QBUILDING $ � Z VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FI ISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I
BU LDER COMPANY
SI NATURE REGISTERED Y/ N FEECURRQ� Y/N
Address License# �
EL CTRICIAN COMPANY
SI NATURE REGISTERED Y/ N FEE CURRE(� Y/N i
Address License# ��
P MBER COMPANY
SI NAiURE REGISTERED Y/ N FEE CURREA Y/N �
Address License# i
M CHANICAL COMPANY
SI� NATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
�
o ert C MPANY HEARD FENCES
SI NATURE EGISTFRED Y/ N �cuaRen Y/N
Address License#
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R SIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/iarge projects
COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0.W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
S GN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
D rections:
Fill out application completely
Owner&Contrador sign back of application,notarized
If over Sz500,a Notice of CommencemeM is required. (AlC upgrades over 57500)
"I Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
I
OVER 7HE COUNTER PERMITTiNG (copy of wntract required)
RerooFs if shingles Sewers Senrice Upgrades A/C X Fences(Plot/Survey/Footage)
I
OTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
�uhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
�pplicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
�ontractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
ontractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
�nder state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
�ntended 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
�ortions 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 entitled to permitting privileges in Pasco
County
RANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
hat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
se 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 Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. 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"owner"prior to commencement.
CONTRACTOR'S/OWNER'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 include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland 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 Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
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 permitted.
- 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 fill 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,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically 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 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(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 will 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
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) � �. y���
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OW NER OR AGENT CONTRACTOR � �I�„^n„�
Subscribed and sworn to(or affirmed)before me this Subscribgd and swom�-�or affirmed)befo e e t is 1 O��y "���i( � �/LC.C�.�
by r,f',SPO'i?.(!�� bv 1 Oi'YimU� �
Who is/are personally known to me or hasltiave produced o i!are�ersonally known to e r has/have produced
as idenYrfication. as identification. �otPa�P�B�i
•, � BETly J,ANDREWS
����� � * MY COMMiSSION�EE 849138
Notary Public ��/�'�"% � , „��RES:November20,2016
��� �y�/3 � '�OF F�O� Bonded Thm Budget Notary ge�yir�
Commission No. Commission No.
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Name of Notary typed,printed or stamped Name of tary typed,printed ar stamped
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09/16/2016 J, R. , Dpty Clerk
i NOT'ICE OF COMMENCEMENT � - """- -� �
Pe:mit Number:
Tax Folio No. 02-26-2 -00 -0 00 -0050
The nnderaigned hereby�ves notice that improvemwta will be made to certafn real property,and in accordance with Sectlon 713.13 of the
Flarlda Statutes,the following informadon le provided fn the NOTICE OF COMMENCEMENT.
�. r.�t��;�or�y c���r• ��OMI AVE ZEPHYRHILLS, FL 33542
REESE ADDITION UNREC PLAT OF LOTS 5&8 BLOCK 5 OF SUB OF W 1/2 OF SE 1/4 OF
SEC PB 2 PG 6 POR OF LOT 5 DESC AS FOLL:
2. General descrip6on oFimprovecnena: REMOVE&HAUL OFF CUSTOMER'S EXISTING WOOD FENCE.
iNSTALL NEW 274'OF BOARD ON BOARD WOOD FENCE WITH TWO GATES.
T I 1 I����I� r\�
3a. CJwnerNazne: i nvwir��&nilri�rv v�i�i�d��ri
Owner Address: 38540 NAOMI AVE ZEPHYRHILLS, FL 33542
3b. Owner's interest in site: I Mh'KV V CM CIV I
3c. Fee Simple Title holder(of other than owner)
Address:
d ���,��.��N,.�A. Heard Fences
A�: P. O. Box 1440 Dover.FL 33527 P�: 8�3-659-Oi 95
RLI Insurance Comoanv
.,. ^,�..,::�..,,,. :;,.,..,:.
Aa�rss: 90 no m erg rive Psoria, IL�61615 Phone: 309-692-1000
6. Lendcr Name: Contact:
Address: Pho�e:
7. Person within the State of Floridn dcsignated by owner upon whom nofices or other documents may be served as provided by
Section 713.13(!)(a)7,Florida Statntes.
Name: Address:
Phone Number:
8. Itt nddition to himself,Owner dcsignntes the following petson to nceivc a copy of the Lienor's Notice as provided in 5ection
713.13(1)(b),Florida StaNtes.
Name: Address:
, ,,,.___,.,_....L__.
9. Expiration elate ufNotice of Commencement(expiration date is une(1)year from clate of recording unless a different date is
specified).
\UADN�TI!`TA AO/N�D• A_1VV t��V7�RCNTC 11I�t�C LV TSl�f�\1l1V�D�LTCD T[JO AYI�fD�T�AN AL`T[7�C 1VAT���f1D
COMMENCEbff.N'(ABE CONSIDF3tF.D IMPROPER PAYMFNI'S IJNDER CHAP7T.R 713,PAAT],SEClTON 7L#.13y FLOBIDA
STATUTES,ANU CAN RESULT iN VOUR PAYING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. A N07'ICE OR
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE Tf�FIRST INSPECTION. IF YOU
iNTEND TO OBTAiN FINANCTNG,CONSULT WITH VOUR LENDER OR AN ATTORNEV BEFORE COA(MENCINC R'ORK OR
RECORI3ING YOUR NOTICE OF COMMENCEMENT.
Signnpue of Owaer or Owner's Authorized OfficedD'uecror/Partner/Manager
STATE OF FLORIDA
c:uur�i Y ur nu.�.��suxuuun
The forcgaing instnunent was acknowlcdge beforc me this�dey of J e1.�1'e.� � ,20 ,C.J .
by�rer� ��e►St r�C�C' .� dWn2 r t'or_ om2 i cYl�C'�e.l��S
Prrcnnallv Xn�avn f1R A•ndm••d Idrnrifi�ari�n
Type of 1d �. � a,, , ���,� —�
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+; ti� tNY COMMlSSION/G�3 OT6t� 1 C�-l.� � V�.�R�t��l,'Lt/�.. .
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�;+��Ar•j EXPIRES:September S,2�
3sr,°„i;°}-' Bonded Th�Y MOtary PUblb Ul�fwtylr Signature-Notmy Public
Under pcnalties of perjury, ec nre nt ave rea e ore oi d thnt the facts scated in it are true to the best of my.knowledge and belief.
ls / e. , _ - --- - • -
•/V�� PAULR 5.0'NEIL,Ph.D.PR5C0 CLERK & COMPTROLLER
SignatureofNahualPe SigaiugAbove 09/i6/201 0:16am 1 of 1
(A capy of my bond must be utlnched et.the time o reeurdauoa of this Nutice af Camme¢cement) OR BK ��2� P� 29�� ,
��,v��c������ STATE OF FLORIDA, COUNTY OF �ASCO
THIS ISTO�CERTIFYTHATTHE FOREGOING ISA
o��► TRUE AND CORRECT COPY OF THE QQCUM�NT
��� ON FILE OR OF PUBLIC RECORD IN THIS OFFIC�
� � rnyod.ti,��.�'� � * WITNES • YHANDA OFFICIALSEALTHIS
, . \ � �'� YOF ; 2 l:L
.� �J • PAULA S.O'NEIL, CL �2' &COMPTROLLER
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