HomeMy WebLinkAbout16-17868 CITY OF ZEPHYRHILLS
. � 5335-8TH STREET
� �sis��so-oozo 17868
FENCE PERMIT -
PERMIT INFORMATION � LOCATION INFORMATION
Permit f4lumber: 17868 Address: 38007 LAWANDA LP %
Perrr�it Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�re Feet: Subdivision: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0320
Impr �v. Cost: 1,400.00 OWNER INFORMATION
Date�lssued: 10/28/2016 Name: CLEGG PHILLIP & LORNA
Total Fees: 40.00 Address: 512 SUSAN ST
Amount Paid: 40.00 NEW MARTINSVILLE WV 26155-2318
Date Paid: 10/28/2016 Phone: 304-266-8764
Wo�k Desc: INSTALLATION 48 VINYAL X 6 & 50 CHAIN FT X 4
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 40.00
,�
, �,
° � Ins ections Re uired
FINAL
REINS�PECTION 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
1 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
"Wa�ning 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 City Codes and Ordinances �
�- ,
ri
'`� CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
-�-=- ----
813- 80-0020 I „��p City of Zephyrhills Permit Application Fax-813-780-0021 I
� Building Department
. �� ,
Date Received � .
i P.hone-Contact for:Permlttln
I � . � ' ���I- .2� 6-� 2 E
Owner's Namb � ` Owner Phone Number
Owner's Addrass � b�� �1� /-}� ��(�� Owner Phone Number �ll -7 ��- � 2�J'�
Fee Simple TI leholder Name ' Owner Phone Number ' ' �
Fee Simple Tttleholder Address �
JOB ADDRES � b D��J iC�-G�f��p �J- �.D(7 z���1 � l(,�,�5' LOT# �o�
SUBDIVISION ' PARCEL ID# -
, , (OBTAUNED F,ROM'PROPERTY TAX NOTICE)
WORK PROPQSED �,NEW CONS7R ADD/ALT Q SIGN �Q �Q DEMOLISH
I �B. INSTALL e , REPAIR �
PROPOSED.U$IE Q SFR Q COMM [� OTHER �
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME � [� STEEL Q
DESCRIPTION OF WORK ' 7-�i �� Cy'�c-'�'1 �/ � ,�
BUILDING SI � � � SQ FOOTAGE ' . .,HEI,GHT � I
QBUIL�ING $ / � VALUATION`OF TOTAL CONS7RUCTION I
� ` - ��
QELECTRICAL - $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �
QPL:U BING $ '
����
QMECHANICAL $ VALUATIQN OF'MECHANICAL INSTALLATION � /� � � I
;V i
QGAS Q ROOFING Q SPECIALTY .Q OTHER� (�
FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � `' ' �,�'�
�� , COMPi4Nlf ",. �,v xi v[�Z
SIGNATURE !> REGiSTERED Y/ N FEE CURRE� Y/N
Address � ' Llcense# ,
ELECTRICIAN, , COMPANY � �
SIGNATURE �' REGISTERED Y/ N FEE'CURRE� Y/N
Address . . . _ . Ucense#� . . '
PLUMBER ' COMP.ANY �
SIGNATURE' � " REGIS.TERED. Y./ N,, �,FEECURRE� ' Y,-/N
Address , � License„# ,
�MECHANICAL` � . • ., ' COMPANY
SIGNATURE• � ' ` � REGISTERED Y./ N FEE CURRE� Y/�N :
Address�" �;..`�" � .. ' : � . � � License# - -
OTHER ` ' �+ �� � - `' -,COM,PANY_ `
SIGNATURE �= �' "� �`'`' � � � ` REGISTERED� Y/ N... FEE CURRE� Y/N ,
Address � � ' ���- Liceiise#
RESIDENTIALh�-. AtNacF%(2);;Plot%P.lans;_(2)sets.of Building�Plan"s;(1)set of=Energy�Fo'rtn,s;�R=O-W-Permit for new construction,
.
�-- G�,;�;.Minimum�,tem(:1,0),;wo,rktngydays:aRer`subinittal dafe.�;R'equired onsite,tConstrticdon-P_lans;Stortnwate'r'Plans w7 Silt Fence installed,
�"�"���Sanf{ery Facilly,�es:8Yl,dumpster=Slte�WorkrP:,<ertnit#orsubdiyisions/large'�projects,: -_" �. ' ' '
COMMERCIAL Attach(3)`com'plete sef5`of Building'Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
- Minimum ten(10)working days after submittal date. Requlred onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factlitles 8�1 dumpster.Site Work Pertnit for all neinr�projecfs.All commercial requlrements.must meet compliance
SIGN PERMIT AttacFi(2)sets ofEngineered�Plans.. � --�:'- �. .. ' '
"••PROPERTY SURVEY required for all._NEW_construcUon.. . _
DlrecNons: _:.• - : ' '
Fill out appli Uon wmpletely.
Owner 8 Con ctor sign back of appltcatlon,notaAzed
If over�2500�a Notice of Commencement is requlred. (AfC upgrades over 57500)
" Agent(for tliell�contraetor)`or Power of Atfomey(for tFie owner)�would be someone with notarized letter from owner authorizing same
DVER 7NE COUNTER.PERMITTING.• --:-�(Front-of-Applicetlon Only)-
Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubifc roadways..need's ROW�
, ;ti ;
NOTICE OF DEED RESTRICTIONS: The u�dersigned under�tands;th�t:thls°p�rmit,may:be,subJect:to.�deed"r.estrlctions".�..V ��.�.f:��,
which may>be;more�=r.eettictive�th��>County��riegrilatrons:�The undersig�ed%�a§suines��esponsitiiltty:for-compilance:iivith any� �- � `
applicable:deed-restrictions. ...,��:... :.,.. . � .. . : _. : . _.._ • .. . _ _.
UNLICENSED`CONTRACTORS�.AND CONTRACTOR RESPONSIBILITI�S:� -•lf-the��owner�hash�htce�d��a"contractor or
contractors to undertake work,-they may,b.e.;reiqulre,d5to.:be,llcensed Irt�:accordance.v,uith:state.and,�local_:regulatl.ons.:��;1f the��=� � •�
contractor is not Ncensed as�requlred;tiy law, bottr'the ovimer and-confracto�r-rtiay��be=cited°for�ahmisdemeanor violatlon
under state law. if the owner or fntended,,contcaator-;areruncertaln as�to what Iicensing.requirements,;may�:applyr>�iir�the'=�--•' � ����
Intended work,they are advlsed to,contact_tlie.P�nUa�cfor o Bco�ntract rs i tiei is advlsed�have he cotntracto s sign_:, :._ . I
8008. Furthermore, if the owner has hired a � ,
Y N " J'ry"'• '�<"•'si;-�_' • I
� portions of the._ contractor Block of.thls.application_for,which.they,wlll..be.resp.onslble.-. If:you;=as.,:#he.owne�`�sign�as`the� -
contractor, that�may'be an indicatfon that`he-1s noY.-properly Iicensed and`�Is'not`entiNed to penriitting pri�lleges In Pasco
. ��.. : :z°� ����_
County. � , �
TRANSPORTATION.IMPACTlUTIUTIES iMPAC'I��ANb•RESOURCE RECOVERY��FEES: The unde�stgned unde�stands
lhat Transportation Impact Fees and.Reco.urse Recove.ry_;Fees,rtiey,�:apply.to�tf�e;constructlon of new.buildings,�change`of''`• °��` '�
use in existing buildings,�or:�expan�lon���of��ezisti�i�'�buildings, as specffied.in P�scv County Ordinance number 89-OT and
90-07, as amended.,�_The undersigned also;urtderstands� thait`�such fees,�;a���may:be��due;awlll�be identified at the`time4of�_� �_�':` ,,:
permitting. It Is iurtlier understood that Tra�sp�o�tation Impact Fees and��Resource...Reco�sry�Fees..musC be paid prior to
receiving a °cerffficate-of�occupancy"�or flnal•�powerrelease: :If the.proJect,:does�.not,Involve:a-�.certificate of occupanoy�or`��<"�° �=�� '"'
flnal power-release;>,#he-,fees mu�t be pald�p�1or to;permft Issuance. Fu�th�rmore;if:Pasco;County�1Nater/Sewer�,lmpact� -- .. �
fees are due,they�must be.pald:.p�lor to,permit�;iss,uance�in accordance with��pplicatile Pasco��County o�dinances. •
CONSTRUCTION�LIEN'LAW�(Cliapter 713� Florlda Statutes�as amended): If valuation of work Is$2,500.00.ormore� I � ,: :•n
cerNfy that I, the applicant,,-have.been provided� with--a copy°of the�"Florida='�onsti�uctlon� Llen .Law—Homeowner's
Protectio� Guide" prepared by tHe Flo�ida Department�of Agric.uiture and Consumer,Affairs. If the appHcant is someone , ._
.,
other than the"owner", I certify that.,l have:obtained�as�copy.of:the:above..described tJocument-and.promise tn,good;_faith�.to _ � „
deUver it to.the.'owner"pHor-to=cammencemenE:�, ' - � - -_ - - _
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.c,eitify<,ttiat<.all�.th��,,lnf.ormatitm:;l��thi�appilcation is accurate.and that all work
will�be done in compitance with all.applicable laws regulating constructlon, zoning and�;land.`development. Appiication fs
hereby made to obtain .a .pecmit..�to:do_zworic.,;and�ihstallation as indiCafed:.< •:I� certiiy that no work��or Installatton fias
commenced prior to issuance of�.a permit"and that�.all work will be perFor�ned to meet-standards=of ali laws regulating-
const�uction, County and City codes, zoning regulatians� and land development regulatlons�in the.jurisdtction.�� I� al'so. .
certify that I understand that the regulations of other government agencies may�apply;to the..intended work, an�that it(s
my responsibilityato identify�what.actions I must•take;to be,in:.compllance;.,S,uch;agencles�include but=are..not Iimited to: ; -
- Department of E�v(ronmental>�Protection=Gypress.�Beyiiead�,�lNeaand i�reas and Environmentally Sensitive
Lands,WeterMlastewater Treatment. ` �
- Southwest Florida Vllater Management :Dtstrict-Wells;' Cypress.�Bayheads;- 'Wetiand Areas, Alte�ng
Watercourses. - •
- - Army Corps of Englneers-Seawalls,�Docks, Navigable Waterwrays.
- Department of Health:;;8 .ReFiabilitative„Services/Enyironmenf�l:-Health Unit Wells, Wastevvater<Treatment,
SepticTanks:._� -_ ' - - - � :�
- US Environmental ProtecBon Agency-Asbestos�batement. , �
Federal Avlativn_Authority-Runways��
I understand thatthe.following.�restrlctions apply to the use of fliL••
- Use of fill is not allowed in.Flood_Zo,ne"V"unless expressly peranitted.
- If the .flil material--Is to�be used.��in::flood Zone. "A°, tt. Is underetaod that a drainage plan addressing a
"compensating volume" will be submitted at�ime of�permittJng vuhich is prepared by a profess(onal englneer
Iicensed bythe�tate of Flotlda: • .
- If ih� flll materlal=ts to be used in Flood Zone "A" (n�connec$ton�with�a permitted building using stem wall
� construction, I certify.that fill:wall��b.e-used only.to.flll the area within�the�stem�wall.
- � If flil material is to be used in any area, I �certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll is found:to ad.v.ersely,,�ffect adjaeent�prc�perties,.the owner may be cited for violating,
the condl#ions.of the b�ildtng�-.permit Issued�under tfie:�attacFied_permit appltcation�.for:lots.less°than.one (1)
acre which are elevated�tiy flll;an englneered dralnage plan Is required. •
If 1 am the AGENT FOR THE OWNER; I;promise in good faith to ic�form the owner of�the permitting condftlons set forth in
this affidavtt'prtor to commer�cing constructlon. �I undersfatid that a�aepar�te permtt may be requtred for elect�icaP work, .
.:,..,
plumbing, signs� welis�.pools;, alr condttloning,.gas, or.otMer install�tlons not�spec�taally included-in.the applicatton. .A
permit issued shall be construed to'be a�license�to proceed with ttie work�nd not-as:authoriiy:to.violate���cancel; alter, or
set aside any"provisions of ihe.technlcal.codes;�nor shall issuance�of a.permit.prevent the Bulidirig O#ficial from thereafter �
requlring a correction af eRors in-plans:; con§huction or violatlons of-any codes. Every p'ermtt=lssued�shall�become�invalid
unless the work authoHzed;by such permlt:�is-commenced�withln sUc,months of�permit Issuance, or if work authorized by
ihe pe�mit is suspended�or.abandoned-for.a:period of�six(B)�montFis.aRer the tirne the�work�ts commenced. An extension
may be requested, in writing,.from the�Bullding,Officlal for a period.�not.to exceed ninety�(90)��days a�d-will'demonstrate
justifiable cause for.�the extensfon�. If work ceases:tor ninety(90)cons.ecutive days...th�Job�is considered aba�doned. "
WARNING TO OWNER: YOUR..FAILURE,TQ.R�ECORD A.:MOTICE:OF��COMMENCEMENT_MAv�RESULT IN YOUR
PAYING TWICE:FOR-�IMPROVEIYIENTS TO.YOUR�:PROPER7Y:=�IF�YO.tJ�1�'�EI�ID�T��BTAIN;FINApE1NG;'C.ONSULT
WITH YOUR t�E DER OR AN���TORNEY�EFO1tL�R�OR�IMf�'YOUa'NOTIC�°O��COMAIIENC�E�IM .�.NT�� '
.. _ . _. . .,. _. , . _ .
FLORI�A JURA�_(F.S• 117. 3}_— - ----_---- -_ -- - �_ � _
-. • '- - .. - -
OYVNER OR AOEN� CONTRAGTO
Subscrlbed and swom (or afflrtned)befor me � Subscrlbed'and'swom'to(ot aflirmed)'b me'UiIH
by ,by . .
Who Islare personally known to.me or:haslhave produced Who.ls/are p.ersonallyknown�to me�or haslhave-produced •
es Identlflcatlon. as idendflcation.
Notery Publlc . Nofary Publlc.
Commisslon No:` Comrnlsslon No._ -
Name of Nofary typed,printed or stamped Name of Notary typed,printed or atamped
�• a
DISCLOSIIRL ST�TEMBNT• FOR OWNER
�.. �
CITY OF ZBPIiYRFIIZtLS SUZLDING DEPARTMtyNT
� I, have reac� aad fully uaderstaad and
ag e to the pro sioas o� th' a�trum�at. ,
Th uadersigaed states anc2 affizms that he or she is desirous of caastructing.,
re' avatiag, addiag to or rerootiag his ar her owm domicile, that he or she �
ac��ually aceupiea, or will occupy by saa.d domicile, aad same is aa� far j
re' t, lease or sale. That he or she shall comply with the �ollowiag coaditions: �
1. fiha� th� owaes °and he or she alaae shall act as the buildez for ell phases of
- coastruction.
2, That the or�rner wi�.l comply with a1Z par�v3.siaas of the Gity of Zephyrhills
ordiaaaces aad codes pertiaent to the buildiag. ,
3. Tha� ia the event various phases of aonstructa.oa are subcontrae�ed, he wi1�. �
enga.ge aaly properly 2icensed subcoatractors aad wiZl per�aaally supervise �
such work.
4. Tha� ia fih� eveat the Suildiag Saspector sha11 requir� correations ta be made,
the owaer will assume full respoasib3lity to 3asure they are made, a�n.d upom
completioa will ca11 for a reinsp�eticn before proceediag with the b�►siidiug.
5. That the owaex sha11 assume full re�poasibili�y far the constructioa aad isvill
aot expect superviaioa of his work from the City of Zephyrhills Suildiag �
Departmeat.
6. IThat priar to final iaepectioa aay additioaal �ees, includiag reiaspectioa
fees, must be p�.id in full. A wzitteu requeat from this office shall
cons�itu�e aa official aotiae to pay additioaa•1 f��s.
7. That the owa�r shall camply with all City, State aad Federal laws in xegard to
� soeial seanrity, warkman's oompensation, lien laws, etc. , where applicable.
8. IThat the awaer sh�ll camply zaith all the safe�y cades i.�sued by the Florida
' Iadustrial Co�nisa3on.
9. � State law requires con�truc�ioa to be doae by liceased contractos�s. You have
applied for a permit under aa eacceznptioa to that law. The eatemptioa a11ow�
�you, as the ocau�r a� yaur prag�xty, to act as yaur awa aontractor with certain
resbrictic�ns even though you do aot have a licease. Yau must provide direct
ansite s�aperv3.sioa of the coa�truetioa yoursel�. Xou may build or improve a
one-�amily or two-�amily residenae ox a farm autbuildiag. You may also build
or improve a commereial buildiag, provided your costs do aot� exceed $75,OOQ.
�The buildiag oz residence must be for youx ovaa use or occupaacy. It may aat ,
!be bu31t or substaatial].y improved for sale or lease. Zf you se11 or lease a
!b�zildiag you have built or substaatially impsoved yoursalf �rith3.n 1 year a�tez
'the coastruction ie complete, the law will presume that you built or
�substaatially 3mproved 3f for sale or lease, w*hiah is a violatioa af this
iexemptioa. Yau m�.y ao� hir� an ualic�:ased persoa to act as your coataractor or
�to supervise p�ople workiag an yaur buildiag. It is yaur r�spoasibil3ty to
� ake sure tha� people employed by yau have licenses required by state Iaw �ad
^ y cauaty or muaicipal liceasiag ordiaaaces. 'SCou may act delegate the
espoasibs.lity far supexvissag work to a 23ceased contractor s,rho is rsot
iceused to perform the work beiag daae. Any persca �vorkiag on your buildiag
ho is aot liceased must woxk vnder yaur direc� aupervisioa and must be
'�:mployed by yc1x, s�,rrhich m�aas that you mus� dedvet F.I.C.A, �ad w3.thholding t�
� nd provide warkers' campensation for that employee, al1 as prescribed by Za�v.
�our cons�ruetioa must comgly with a11 agplicable l�ws, ordivaaces, buiZdi�.g
odes, and zoaiag regulatioas.
r '° � �
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WNER'S SI�NATURE DATE �� �Oy J�
.�l.DDRBSS
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L+1'TTNESS P]3RMIT #