HomeMy WebLinkAbout16-17827 ' I �
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;, CITY OF ZEPHYRHILLS ` �'
� ' S335-8TH STREET �w
`' i� �sis��so-oozo 178 ��� I
�, FENCE PERMIT �
II PERMIT INFORMATION LOCATION INFORMATION
PermitC�Number: 17827 Address: 5146 20TH ST
Per,mit Type: FENCE ZEPHYRHILLS, FL.
Class; of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
E�t. Value: Parcel Number: 12-26-21-0010-00100-0040
Impriov. Cost: 830.00 OWNER INFORMATION
Dat� Issued: 10/13/2016 Name: MACDONALD ALFRED
Total Fees: 40.00 Address: 5146 20TH ST
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-5218
D;ate Paid: 10/13/2016 Phone: 813-486-6593
Work Desc: REPLACEMENT CHAIN LINK FENCE 70 X 6
�, CONTRACTOR S APPLICATION FEES
HOME�� WNER FENCE 40.00
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- ) Ins ections Re uired
FINAL GI �
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� 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
�I 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 b�e 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
' "Wa i ning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. 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.
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All work shall be pertormed in accordance with City Codes and Ordinances
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C NTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MOIVTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED,
� PROTECT CARD FROM WEATHER
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8�a'�780-0020 City of Zephyrhills Permit Application Fax 813-780-Q021
� v • Butiding Depactment
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Date Recelve}d � = Phone�Contact for Femtlttin ` —
Owner's Na N e .� � >� �� " �.�.�`5� ���^ Ownsr Phoae Hum6er � �� ��� � � �� '
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Owner's Ad�lrass � � & .a�.���'`• S ° �'��'�������^� Owner Phone Number
Fee Simple'fltleHolder Name t — � � Owner Phone Number �— �
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Fee Stmple�itlehold�ar Address - °
JOB ADDRE$S_-/".- i � `'� � .�F1 � � �i�� �,�c ��`� � �1�G.�j .�,��L'S LOT# ��
SUBDIViS10� �— � PARCEI.ID# -
I) , (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO�OSED =NEw CONSTR ADDlACT' -� 31GN� Q Q DEMOI.ISH
� e. INSTALL 8 REPAIR �
PROPOSED��tlSE Q SFR � COMM � �OTHER -
TYPE OF CQ�NSTRUC770N Q� BI,OCK " [� FRAME C� STEEC Q
DESGRIPT�dN OF WORK � �4 r � �` t � E�Ei c cv �1 r� l� '� ' 4C C�i �! ;
BtiiLDlAtG SFZE ���� � � SQ fOQTAGE�� . ,HEIGHT ��
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0��������' �� VALt3AT18N�OF'i'OTAL CONSTRt1C1'ION
� �3� ��a
QEt.�Gi'RICA� $ ' AMP SERVICE Q PRt�GRESS ENERGY Q W.R.E.G.
QPL�MStNK`a $ 1 '
�M�CHAt�lICAL $ '' VALUATlON OF=MECHANiCAI INSTAIIATIt�N j� /
�s . �Y l ��� �
[�GA Q ROOFING Q SPECIR�TX-�� OTHER�
FIfViSHED F�QOR ELEVATIONS p�00D ZONE AREA QYES NO
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eu��.�E� COMPANY� �����
SIGNATURE � REGI$TERED Y N FEE cuartEn Y/N
Address Ltcense# �� ��
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ElECTRIC.; . � COMPANY '
SIGNATURE � REGIS7ERED Y/ N FEE'CURRE� ° 'Y/N
Atldress , . , ' . . . License# � ' �
PLUMBER ' COMP.ANY ,
SIGNA'fURE ` " , ,.REGISTERED YJ-N . ,-:F.EB CURRE�` Y/N �
Address License.# � �.
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MEClfAN1CAL` GOMPANI( .
SiGNATURE�' � � � � ` � � REG.ISTERED Y,/ N ; FEE CURRE� Y/�N •
•�"�.. _ .. ' . .. r .. k � • " v
Address` -� License#
OTHER ''�� - - � ,CONlPANY
SIGNATUREi� '�;: =- ' • •• � `REGISTEFtED � Y/ N;., Fee euRtten• Y/N
Addres� ' � � x,° T "+� u �r License# �_ �
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RESlR6N'T1A�::� ;1�ttach`{2�,P-_fofiP,lans;.(2�`sefs��af:8ullding�Plans;•(1)`setafEnergy,Foiigs;,R-O=W'Peri»Itfarnewconstruct�on, -
;:;;�.;;:�Minimum;ten(:1.0),woricing;days:�afler:;subriniEtal dafe.�::Requlred onsite,•:ConstrucNon'Fians;�Stormwate�Plans w/Stlt Fence installed,
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�'�� `�Santtary Facilltles.&;„1;dumpste_r,TSite°Wor1c.P:,ermit for subdivislonsAarge'proJects� ,�� ��-= � � "
COMMERCiI�t. Attach{3)�oomptete sefs''of Bultdiiig`Plan's plus a l.tfe'Safe#y Page;{i)set of Energy Foims.E2-O W Petmtt#ac nev+t canstructtoo:
Minlmum ten(10)worlcing days after submtttal date. Requfred onsite,Construction Plans,Stormwater P1ans w/Silt Fence installed,
I� Sanitary Facilitles&1 dumpster.Site Work Permlt for all new:projects.All commerclal requlrements.must meet compliance �" �
. SiGN PERMI� At#acti"{2)sets ofEngineered:Plans., �_,.°.. ` .. � �
••«"PROPERTY SURVEY re,quired for all WEW constructlon.
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Dlrectla�s: II . °�.,�", - '
Fill out a�pplfcaUon completely.
Owner&Gantractor slgn back of appl(catlon,notarized
If over�2500�a Notice of Comm�ncem�nt Is required. {A/C upgrades over 57500}
'" Agent(for the conbraotor)`qr PouVe�of"Attomey(for tlie o�rner)would be someone with natarized letter irom owner authorizing same
t1YER TNE COtINTER,P..ERM1T[ING._..__._{�ront of Application On{y) � " _ , ,
Reroofs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) -. ., ' , , �•,. f
Drlvewaya-htat over Counter if on pubifc roadways..needs F�tlW t ' ' , -
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NOTICE OF OEED RESTRICTIONS; The underslgned undet�tands�:th�t>this<.permi��,may.be;su6�ect,to,"deed";restrictio,i;is" :: ,`,;_-,.,�s
which may�be�,more�resti�ictive�ths��County�r+egr�latf6ns:� The.underslgned�as�urries-re�ponsiblittji:�for�compliance witFi=any "��'` ��
applicable.deed restrlctlons. . - • . . _. ... � ,. � .�.-
UNLtCENSED�C+DNTRACTORS AN� CClNTRACTOR RESPONStBIL1TIES:� ��if=the-owner�hase fiirei�"a-"conMactor ar
contractors#o undertake work, they niay:b.e,��quir.;ed:to-be;lfcensed In,accardance.wtth state.and�local.regulations:°�If}the�•���' �� �
cantractar.�ls-not liaensed-as�requtred.;6y law� boUt the owner and-=coritsactor�rriay�be��cited�ftiir=�a�mis�emeanar vtola#ton
under state law. If the owner or Intended,�aaontractor,,ar,"e,,:uncertain as to what Ii+censing.requirements:�may�-appiy:-:fcir:ti�e`-�„ � �_-
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intended wark,they are a+dvlseii to c�iritact the,Pasco��ounty�ullding'Inspectton Dltirlslan-Ll+censing Se�tton at 727-847-
8009, Furthermore, if the owner has'hirecl��a ccinUactar`or contractors, he is advlsed to have±the canfractor{s),.sign, �
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portlons of the._contractor Block" of.,thls application_for,which.,:they,will.be.r.esponsible.�.�if:you�_as.the oviine�sign�as the ''` �
contractor, that tnay`be an liidica#ion that`'Fie'is fiot":properiy:licensed'ancl`Is"nof'ent�ied to permitting`priulleges In Pasco
County. . .. _._. __. r:,,_. .. ,..
TRANSPQRTATI�N�IMPAGTtUTILITIES=YNlPAC`�I0.Nb�ItESOURCE RECt?YERYfEEB. The underslgiied uiiderstands
thatTranspartation Impacf Fees�and.Reco.urse.Recovery.�ees mey��appiy:td:the;construction,of.new_bulidings,_ahange:�of"?�`• ��°-`��''�'�
use in ex#sting bulldings; o�.expansi�n���of�existi�i,�',buildings� as specltted.in P�scq�County Ordinance number 89-07 and
90-07, as amended;�,,The unders#gned also;�wnderstands, ttiat�such#ees,�;asitnay.�e-fdue;uwilf-�be 3dentified at the�time�afr'� .��: ::
permitting. It Is fiirtlier understood that Trai�spo�tation Impact'Fees and';t�esource�.Reco�ery��ees,.mu�t be paid priar to
rece�ving a°c:erfiflcate:�of�occupancy"or flnal~�tOW8fi=�8I8aS8.� :If���I1@�1CO�E3C�.tI4BS:t10t I[1VOIV@:a::cert�icate af occttpancytaf�='f���""_'-"
final powec-release; the�•f.ees mu�t.be patd,prlor to.permft issuarice. Ft��thermore;tf Pa�co;County�lNater/Sewer�almpact . .
fees are due,..theywmust be:pald.prior�a p..errttit'�Iss_yance�in_aEcordance witlf�appAcable:Pasco'��County��ordinances. •
CONSTRUCTiON�t�tEN't.AW(Ctiapter 713� Flartda Statutes�as amendeclj: 1�vaiva�an of work is$2,500.00>oc more, 1� �: -��, .
certify that I, the �applicant; have-been prayided �with�a copy of #he °Fbrida��Constructioii' Lien.:Lav�--Homeowner's
Protection Gutde" prepared by tFie Flarlda pepartmenf of Ag�lc,ulture and Gonsumsr;Af�lrs. tf#he applicant Is someone• .. _,� �-�,
other than the"owrie�", I certify.that i�h�ve:ab,tained�a'-a'apy.of.the:abave..desc�lbed docui�ent°and�p,r_amise�.ln,good:faith to . ,
deliver it to:.the`owner";:pcldr=to=cornmericements', ' > .. � .V � -` . , -
COMTRACTOR'SJC?WNER'8 AFFiDAViT: I.ceit�fy;,tt:iat��ali.#he�Inf.ormatton.Jn•thi�applicatton is accutate.�nd tha#ali vvark
will'be done in campliance with all.applicable'law� regulating construc8on� xoning and:�land�development. Applicatlon is
hereby made to obtain .a permit�:tq,:do,-work::.and.:i�stallatlon as ind[��#ed:��..�:1� certit'y that na wark�or tnstalla#ton has
commenced prior to issuance of`a pemiit'and that.all work will be performed ta meet.standaTds��of�all laws�regulaRing-
conshvctlont Caunty and City codes, zoning regulatia�ns, and Eand developmer�t regala�ons`�in tFie:�urisd(ctian.= 1-ai'so
certify that I understend#hat th� regulatlons of other government agenctes may•apply�ta.the,intended..uvork, and#hat i#Is
my responsib!lity to Identtfy�what,acttans I musttake:to be.In�com�!lance�,Such.agencles-Include but�are.not 1lmited to:. . �
- Departrnent of E�tvironmentat�rProtection=Cjipress."Bayhead�;"V�/eNand Areas and Environmen#aiiy Sensitive
Lgnds,lNaterlWastewater Treatment. - �
- Southwest Flor�da 1t�$ter Management�c�}istric#-ltlteils;.'CYPress.,.8ayheads;- Vltet#and Areas� Alt�ring
Watercourses. - � � •
- Army Corps of Englneers-Seawalfs,Clocks,�avtgable Waterways.
- Department nf ,Heaith�;,�,ReMab111tafive,.Services/Er�vir.anrrienfal�Nealth:Unit:W�alt.s� Wastewater=Trestment, �
Septic Tanks..�' ~" � . _. _ ., .. .� ,
- US Enviranmental.Protectian Agertcy-Asbestos abatemen#. •
Federal Av..let(vn Aut�ioM.iy-Runways�'� . ,
i understand.that.the-followang..restrlctlons apply Yto the�se o#flll;�
- `� Use of flll is not allawed in'Fiood,,;Z,o,ne"V"unless expressty pe�mitted.
- If the�fill materlal� is to'be used:'7n :Flood Zone. °A", It. is understbod that a dratnage plan addressing a
"campe�sating voiume"will be submitted at#ime af�pemnitting whlch is prepared by a professional engineer ,
Ilcensed by-the�tate of'Flarida: � � . .
- If the f�ll material°Is to,be used in Ftoad �bne 'A" in}conne�#ion�vv�th�a��ermitted bullding using stem waii
� construction., i ce.rtify that fill.wall.�b.e-used only.to.flll the area wtthin�the�stem�wall. � ` �
- !f flll materia! Is to be used 1n anjr area, 1 �certify that .use. of`suah flll will not adversely affec# adjacent
� properties. if use of fili is found�.to ad.versely.�tfiect ad)acent�properties�,the owner may be cited far vtol'ating, �
the condi�lons_of the.building�:permit Issued-u�der tha'at�acfied_�ermit appltcation;_for:lots�.less.than one (1)
acre whlcti are elev�ted�by flll;�rt,engineeted dralnag�plan Is cequlred.
If I am the AGENT 1=0R'THE OYMNER; I;pmmise in good,faith#o inform the owner of��the�permltttng condi#lons set forth in
thts attidavtt'prior ta cominer�cing canstructlon. 1 under��tand that arcsepa�ate permlt may be tequtted for electrRca!'work�
plumbing, signs, wetls,.paots;. alr condttioning,.ga�a� ar ati�er instaii�tions nat.spec�ically inclus�ed�in.the apptication. .A .
permit Issued shall be construed to be�a�license�•to��proaeed with'tNe�work and not-as:authority�to,violate,"cancel; alter, ar
set aslde any provlstons of ttte#echnlcal.codes;�nor shall Essuancetof a.perml#.prevent the Bulldlrig Qf�clal from thereafEer �
requiring a correction af ercors�in.pfans;-constiuctlan or violatians of-anycodes. �very permlt�i.ssued stiall°6ecome invalid
unless the woric authorized.by such permit:ls-cfl�menced•wlthin s;f�c,mQnths of peRnit Issuance, or!f work authorized by
the permif is suspe,nded�or.abandoned-for a:period,of�s�C(�)monffis.aRer the tl�e the�wo�k�ts commenaed. An extensian
may be requested, in writtng,.fram tlie�Building.Officlal for a period.�not-to exceed ninety(90)�days a�d will`demonstrate
justi�abfe cause for.�lhe extension: If work ceas�as,for ninefy.�90}cons.�cuthre da�;..th��ob�is consfdered abandone�. '
WARNING TO OVYNfR: YOUR.FAILURE�TO=.R�Q�A.,�tQ�IGE:Of:�COMMENCEME[�T.IYtAY�RESULT IN YOUR ?
PAYING TWICE;.FOR�IMPROVEMENTS�TO.YOUR,:PR�IPER�7Y:�r�t��.YO.U�IiVTEND�TO���O8TA1N•�FIN�f�E1NG;�G.ONSUI.T
WIT D O: AN- O FOR ��, O �d f:� OU . ; �.;0 ,.. , . E � .,
Fl0l�1DA,IURA�'(F.S:117.03} , �� - -- _'-_-- - —-. —_-—---- " ____----- -- --
OWNER OR At3EN %- t CONTRA4TOIt - �
Su6sctibed and swom M(or a before me fhis ' Substxibed�nd'swam'ta{ot afllrmedTb�fata rtte ftii�. ,
�r,-/3-i 6 by :by �. -
Wfio is/ pers nal(y kn to.me or.haslhave.produced Who.ls/are p.ersonally known�hy me.or has/haver•produced • '
� s �'� n �
� �trtv' Ct"�ae-IHe»Uflca�9n. as tdenti�catlon.
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� �`'t"�' Notery Publia . Notary Publtc
C � ion .o`� Comr�lsstan Na, .
' � :;��;�Y a�o'r,-: JACQU ' �
IVame of Notary typed t rtT�d �ta's��l#FF Name ofi IVotary iyped,Pdnted ar atamped
.,>-r;=;: �xpires� 15D4228
i ;� �1���`�� 9ond ecember 1Z 2 ,
i , ..:,..,�,;�Y� °d Tfuu 1'roy p�n Insurancp$ 01
°a3esaors
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d . CITI'OF ZEPHI'itHILLS�UILI�ING DEPARTMrENT
Owner:
Job Loc�ation/Address:
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Parcel I!D. #: � '
SHOW�L EXISTING&PROPOSED STRUCTURES GNING DIMENSIONS&SETBACKS I
VTII,IT�BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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�RONT PROPERT3�LIY+TE
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— �� — ST1�ET — — — — — — — — — — —
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(NOTE EX�MPLES 1&2)..
Example 1. Setbacks for R1 &R2 Zoging �xample 2. Setbacks for R3 Zoning
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FRONT PROPERTY LINE FRpNT PBDPERTY LIHE
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II DISCLOSIIRS STATEI�NT FOR OWNER
CI7"Y OF ZBPHYRHILLS SIIILDING DEPRRTMENT
Y
I.�� have read aad fully uaderstand and
agsee to the provisions of this iastrumeat.
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The uadersigned states and affirms that he or she is desirous of constructiag,
reaovating, addiag to or reroofiag his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, and same is aot for
reut, lease or sale. That he or she shall comply with the followiag coaditions:
1. That the owaer and he or she aloae shall act as the builder- for all phases of
coastructioa.
2. That the owaer will comply with all provisioas of the City of Zephyrhille
ordinances aad codes pertiaent to the building.
' 3. ' That ia the event various ph�ses of coastruction are subcoatracted, he will
engage only properly licensed subcoatractors aad will persoaally supexvise
such work.
4. That ia the eveat the Suildiag Iaspector shall require correctioas to be made,
the owaer will assume full respoasibility to iasure they are made, aad upon
completioa will call for a reiaspection before proceeding with the buildiag.
5. ', That the owaer shall assume full responsibility for the coastructioa aad will
not expect supervisioa of his work from the City of Zephyrhills Suildiag
Departmeat.
6. That prior to fiaal iaspectioa any adc�.itional fees, iacludiag reiaspectioa
fees, must be paid ia full. A written request from this office shall
coastitute aa official aotice to pay additioaal fees.
7. That the owner shall comply with all City, State and Federal lavas in regard to !
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the safety codes issued by the Florida
Iadustrial Commission.
9. State law requires coastruction to be doae by licensed contractors. You have
applied for a permit under aa exemptioa to that law. T}�e exemption allows
you, as the owner of your property, to act as your owa coatractor with certaia
restrictioas evea though you do aot have a licease. You must provide direct
onsite supervisioa of the coastructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuildiag. You may �lso build
or improve a commercial buildiag, provided your costs do aot exceed $75,000.
The buildiag or resideace must be for your owa use or occupaacy. It may not
be built or substaatially improved for sale or lease. If you sell or lease a
buildiag you have built or substaatially improved youreelf withia 1 year after
the coastructioa is complete, the law will presume that you built or
'substaatially improved if for sale or lease, which is a violation of this
exemptioa. You may aot hire aa unliceased person to act as your contractor or
to supervise people workiag oa your buildiag. It is your respoasibility to
�make sure that people employed by you have liceases required by state law aad
�by couaty or muaicipal liceasiag ordiaaaces. You may aot de],egate the
respoasibility for supervising work to a liceased coatractor who is aot
�liceased to perform the work beiag doae. Any persoa workiag on your buildiag
�who is aot licensed must work uader your direct superviaioa aad must be
�esnployed by you, which meaas that you must deduct F.I.C.A. and withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your coastructioa must comply with all applicable laws, ordiaaaces, buildiag
codes, aad zoaing regulatioas--
pOWNER'S SIGNATURE �•`��d;� DATE
ADDRSSS ��f r o � S� ��� �.2.�� f�1—
�HONE
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i�IITNSSS PSRMIT #
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