HomeMy WebLinkAbout16-17918 �
'I CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3��8o-0020 17918
FENCE PERMIT
� PERMIT INFORMATION " LOCATION INFORMATION
Permit N;umber: 17918 Address: 7335 HIGHLAND LP
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est� Value: Parcel Number: 34-25-21-0100-00000-0300
Impro',�r. Cost: 1,100.00 OWNER INFORMATION
Date,'ssued: Name: PELKEY DAVID & DAWN
Total Fees: 40.00 Address: 7335 HIGHLAND LP
Amou�nt Paid: �, �Z�� ZEPHYRHILLS, FL. 33542
Date Paid: �I�1'�` Phone: 269-362-5330
Wor,'k Desc: REPLACE 72 X 6 WOOD PRIVACY FENCE
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 40.00
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! Ins ections Re uired
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REIN�ECTION 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
'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 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."
il Complete Plans, Specifications and Fee Must Accompany Application.
; All work shall be pertormed in accordance with Ci Codes and Ordinances
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� ONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
j PROTECT CARD FROM WEATHER
s�sa$o-ooza City of Zephyrhills Permit Application Fa�c-8'l3-780-Od21
� Building Department
Date Receivedh %r�" , r(�a . ��• Phone Contact for Permitt[ng (�(�/<"/ � ����
Owner"s Name ����� �+��r� � � ���� L` Owner Phane Number �� - 36a- 53�
( �
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Owner's Addr'ss �� 'J� /71 rr l�CI�NQ ��6� Owner Phane Number �
Fee Simple Tit�eholder Name �_' � Owner Phcne Number � �
Fee Simple Ti i eholder Address
JOB ACIDRES� �/ ��S !7�G��LA/�� l'��✓'� LOT# [�GLL_._�i
suaolvisioN ��1�' ,�t�.� . �1�As� / �a�ce��� 1-�� 3? �'GS i�S --1�
(OBTAINBD FROM PROPERTY TAX NOTICE)
WORK PROP�SED e NEW CONSTR 8 ADDIAIT � SIGN Q [� , DEMOUSH
.� INSTALL REPAIR
PR4POSED USE Q SFR Q COMM ' �� OTHEt2
7YPE OF CO STRUCTION Q BLOCK • [� FRAME � STEEI. Q
DESCRIPTIO OFWORK ��'�jACE �.�j GfiGG� �E��E L1�ItIa U/�L/�t �d,�ll/A, LJ.� �6'.�1iC� -
BUIL411NG Sl E C� � SQ FOOTAGE[� HEtGHT C �
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Q�U, �i�� � I GD„ C p UALUATiON t7F TOTAL CQNSTRUCTIQN
QEL ICi'RtCA� � � AMP SERVtCE � PROfiRESS ENERGY Q W.R.E.C.
QP�IMBIt�G $ � ���
e ,� �
OME�HANICAL $ VALUATIflN OF MECHA�ttIGRL INSTALlAT{ON �r`t
QGA� Q =RQQFING Q SPEGIA�'1'Y � OTHER
FINISHED FLI OR ELEVATIONS r�� FLOOD ZONE AREA [�YES NO
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SIG ATURE + '�G'i'���" „_,,_� � REGI�S E�D ��jY�N ����E CURRE� Y/N
�kF—
Address �License# �! �
ELECTRICI COMPANY
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
' Addres Liesnse# � ¢ � (
Ptt3M8ER CCiMPANY ' �
SIGNATURE � REGISTEREp Y�/ N FEE CURRE� ` Y 7 N
Addres , �-Cicense# �� �
MECHi4NIC � CONIRANY
' SIGNATURE REGISTERED� ' Y/ .N FEE CURRE� -Y/N
Add�es ' . . � { , License.# �� ^�
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OTHER� � COME?ANY . �
SIGNATURE r ��' � REGIS7EREp , Y/ N . ,. FEE CURREM , Y,/N
. . .,,. �,•,
Addres - License# �! �
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� RES{DENTf �� � Attach.(2}:Piof'Ftans;-(2)=sefsofBuilding=PEans;={1}'set�of'EnergyForms;R-0-W Perrriit,farnew.construction,.
, �. r =;Minimum,ten.(10).wo�king�days after'submittal'date. Required onsite;Canstriiction Plans,,Stormwater Plans w/Silt Fence installed,
� � Sanitary;,F.acili,ties;&:;1,dumpste�,.Site�W.or1c.Perrriit'foc sub�divisionsflarge pr'ojects�. - � � ""
� "'GOMMERCt) Attach�{2)'oorriplete sets of Builtllrig PEans plus a lifeSSaEet}r i'age;{1)set of Energy Forms.R-O-W Perm`st for nevir canstruction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, ,
Santtary Facilities&1 dumpstes.Site YYork Permit fo�•a!i new projects.Ali commerciai requirements must meet comptiance
; SIGN PERMI AttacFi(2)�sets of,Engineeced Plans.
`"""PROPERTY SURVEY required for.all.NEW construction.
'-'�Directions: � �_ �-_ ,
Fill;out�pplication completely.
� �@3inrii�rer Contractor sign.back af application,natarized
If over�2500;a Notice of Commencement.is required. (AIC upgrades over$T50Qj
� " Agent(for th'e'cortt�actor}�or Power of Attome}r(for ttie owner)wauld tie someone with notarized letter from owner authorizing same
r.-OVER THE �OUNTER PERMI'RING �'„�"(copy,of:contract'reGuired) � -� - � � ` � . '
'�.Reroofs if shI gles Sewers r ���Seivice"Upgrades�A/C' -Fences(Plot/Survey/Footage) ` -' '�' ' ' � �`���,.' .
�: � � •�''�� ,t
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Drivew�ys-Not over Counter,if on public roadways.,needs,ROW �, " - - ' ", ' , �, , , �
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NOTICE OF DEED R�STRtCTiONS: The undersigned understands that tt�is,permit may be sub}ecf to"deed"µrestrictions''..,�'
which„may,be more-rest�ictiue.than County regulatians: The=undersignedzassum-es�responsibility fo�cdrimptiance`with'=any'`''`
� appiieable deed�estricfions. � _ .. {" �. , ,
UN!lGENSED-.CONTRACTORS AND Ct3NTRACTOR RESPONSiBlLITIES: If ttie-owner��has hire�i-a��contractor or
cantractors�to undertake work, they may be required ta be�licensed in aecardance with state a`nd loca! regulations:�If�the: ��
contractor,is not licensed as required by'law, both the owner and contractor rnay�=be cited for�>a misdemeanar vialation
under state law. if the owner ar intended contractor are uncertain as to what.licensing requirer;iients;zmay.apply'for-:•ttae� ""
intended wor.k, they are advised to contacfthe Pasco County Buiiding inspection�f3ivision=Licen`sing Section at?27=847-
8009. �Furthermore, if the owner has hired a cantrac#or or contractors, he��is advised to have the con#ractor{s),sign, .,.
portians of the "contractor Block" of this appiication for which they will be respansible. !f you,,as,the�owner"sign as ttie '
cantractor., thatmay be an indication that he is not properiyiicensed and is not entitled #o permifting priviieges in_Pasco
Caunty. . ' � -
TRANSpORTATlON IMPACTi,UTiLiTtES IMPACT AND RESOURCE RECOVERY FEES; �The undersigned understands
that Transportation Impact Fees and Recaurse Recovery Fees may.appiy ta the construction of new buildings, ctiange�'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 aisa understands,-that such.fees, as may-b,e.due, wil! be:identifisd at�sttie-titiie ofi' "
pe�mitting. It is further understaod ttiat Transpartation tmpact Fees and Resource Reeovery Fees must be paid prior ta
receiving a "certificate of occupancy° or final pawer release. !f the,praject daes not invalve a certificate af accupancy=ar 4
fina! power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County W.ater.lSewer-lmpact. �•
fees are due, they must be paid prior to permi#issuance in accordance with appficabie,Pasco County ordinances.
Ct3NSTRUCTION LtEN LAW(Chaptec 713, Florida Statutes,as amended): If valuatian of work is$2,500A,O.or.mare,�t �.��
certify that i, the appiicant, have been provided with a copy_of the "Florida Gonstruction Lien Law;Homeowner's "
Protection Guide" prepared by the Florida Department af Agricuiture and Consumer Affairs, if#he applicant is someone ,
othe�than the"owne�', [ certify.that I have obtained a copy of the above described'document and promise�in good faitti�to
deliver.it_,to the"owner''.prior.to.carnmencement. �
C4NTRACT4R'S/OWNER'S AFFIDAVIT: I certify.that aii the information in this application is accurate and'that all�work
wil( be dane in comp(iance with all applicable laws regulating construction, zoning and land-developmen#. Appiicafion is
hereby made to obtain a permit to do work and installation as indicated, ! certify that no work ar instaflation has
commenced prior to issuance of a permit and that aN work will be performed #o meet standards of all laws regulating
construction, Coun#y and Gity codes, zoning regulations, and land develapment regulations in the jurisdiction. 1 aiso .
certify that i understand that the regulafions of other government agencies may apply to the intended wark, and that it is �
my responsibility to identify what actians i must take to be in campiiance. Such agencies include but are nat limited;to: ,
- Department of Environmenta! Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterM/astewater Treatment.
- Southwest Fforida Water Management District Weiis, Gypress Bayheads, Wetland Areas, Altering �
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department af Heaith & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater 7reatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestas abatement. �
- Federal Aviation Authority-Runways.
t understand that the following restrictions appfy to the use of filL �
-� Use af filt is not aliowed in Flood Zane"V"unless express(y permitted.
- If the fiA material is ta be used in Ffood Zone °A", it is understood that a drainage plan addressing a
"compensating valume" will be submitted at time of permitting which is prepared by a professional engineer -
licensed by the State of Fiorida.
,- !f the fi!! material is to be used in Ftood Zane "A° in cannection with a permitted building using stem wal!
canstruction, !certify that fill will be used only to ftll the area vuithin the stem wall.
- If fill materiai is to :be used in any area, I certify that use of such"fill will not adversely affect adjacent
properties. If use af fili is faund ta adversely affect adjacent properties, the owner may be cited for violatirig
the conditians of the building permit issued undar the attached permit app(icatian, far iots less than one (1) �
acre which are elevated by fill, an engineered d�ainage plan is required. � �
If I am the AGEWT FOR THE OWNER, I promise in good faith to inform the owner of the permitting canditions set forth in :;?
this affidavit pr.iar to commencing canstructian. ! understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poals, air condifioning, gas, or�ather installations nat specifically included in the applicatian. A
permit issued shalt be construed to be a license to proceed with fhe work and not as authority to violate, cancel; alter, ar
set aside any provisions of the technica!cades, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction ar violations a#any codes, Every permit issued shall become invalid
unless the wark authorized by such permit is commenced within six months of permit issuance, or if work autharized by �
the permit is suspended ar abandoned for a periad..of six{6}'monfhs after the time the work is commenced. An ex#ension
may be requested, in'writing, from the Buiiding Official for a periad.not to exceed-ninety(90) days artd wilt demonstrate
justifiable cause far the extension. If wark ceases far ninet}r(90)consecutive days,the job is considered abandoned.
WARNtNG TO OWNERc YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU�T IN YCtUR
PAYlNG TWICE FC?R IMPROY�MENTS TO YOUR,PROPERTY. IF YOU tNTEND.°TO BBTAIN-FINANCING;GONSULT
U!!�T'!��OUR�d:END�R�OR AN A1"I`C?RNEY-BI€Et?6tE-RECClRDING Y-�UR=6��T�CE�F��610l1!l�E�l�EI!l�EN�:-
FLQRIDA JURAT{F.S.117.03) �
����� CQNTRACTOR �-�� �'�"
OWNER OR AGENT„�
Sy�cribed and swam to{or a�irm d before me this Subsc' e and swornjQ(or affirme before me this
t t"'t�-1� by�;/Zfi�� �Gl.+`•+°C-}� ____L���by 11,�ti:A� �G(.J't'G-�
Who is/ar�,Aers nal�Y k�no�r►to me ar haslhave produced ' Wt�,�s/ar��@ pe�sanaflyjcnawn to me or haslhave produced
1�`L.��U')+G:�L,t,�,.� as identlfication. �`(�'�a�2�'Y'�/-S �r�iµ...�..� as identificatian.
�-otary Public °it-�. .. Notary Public
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Commi i Commissia ������°•� `
;?o}*��°s;e4., JACQUELINE BOGES '�� :�� Commission#F���S _
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Name of Notary typ " ,ar E�em er 12,2p9g
Name af -� �: GS @CP.(11 f 2,2018 � ' .mn�a on ed ruTroyFainlnsu�ance800.395•74i9 .
w��DF M1p�`�� Bonded Thru 7roy fain tnsuranca 600385-7019 ' ,
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i . DISCLOSIIRS ST1aaTEMENT FOR :OT+�NSR � .
CITY QF ZEPFiY'RHII�LS BIIZLDING I}BPARTMF�AIT �
I, !1✓AL/+� GiJ ����'f"C"y have read and �ully uaderstaad aad I
' agr`�e to th� provisioas of this iastrument. ��
Theivadessigaed states aad affirms that he or she is d�sirous af coastructing,
rea vatiag, addiag ta or r�roofiag his or her owa domicile, that he or she
, acti�ally occupies, or wil7. oecupy by said domicilej aad same is aot for
rent, lease ar sale. 3'hat he ar she shall camply with the following coaditiaas: �
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l. (That the o�,raer and he or she alone shalZ act as the bui2der for all phases of j
cons�ruction. i
2. ITha� the owner wi11 comply w�.th aZl provisioas af the City of Zephyrhills
i ordiaaaces aad codes pertiaeat �o the buildiag. �
� 3. �That in the event variaus ghasee of constructioa are subcoutracted, he wi11
engage only properly lieeased subcoatrac�ors aad wilZ perso�oally supezvise
' such work.
�. That xn �h� event the Suildiag Iuspector sha23. r�quire corrections to b� made,
the owaex will assume full respoasib3lity to iasure they are made, and upoa
completioa wi11 ca11 for a xeinspectioa before proceediag with the buildisig.
5. Tha� the owaer shall assume full r�sponsibility far the coastructioa and �vi11
aot expect supervisioa of his work from the City af Zephyrhills 8uilding
Depast��nt.
6. That priar to final iaapect3on aay additioaal fees, includiag reiaspection
fees, must bs paid ia Eull. A writtexi request fram this office shall
aonstitute aa off3,cia1 rsotice ta pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to �
soeial security, workman's camgensatian, Z�en laws, et�. , mhere appliaable.
' 8. That the owaer shall comply with all the safety codes issued by the Florida
, Iadustrial Commissioa.
9. State law requires conetructioa to be done by liceased contractors. Yau h�.ve
applied for a permit un,der aa ex�snptioa to that law. The e�cemptiaa a].1ows
� ou, as the owaer of your property, �o act as yaur awn contractor with certain
sestrictions even though you do uot have a licease. You must psovide direct
lansi�e supersrisioa of �he aonstruetioz� yourself. Yau may build or improve a
�one-Eamily or two-family reaideace or a farm outbuildiag. You may also build
, or improve a commercial buildiag, provided your costs do aot exceed $75,000.
e bui3diag or resideaae must be foz yaur awa use ar occupancy. It may aot {
� e built or sulasta�tial].y improved far sale or lease. If you sell or lease a
F uilding yau have bui2t ar substaatial�.y impsaved yaurse].f wsthin 1 year a�ter
Ithe coast�cuction ie complete, the law will presume that you built or
�Substantially improved if for sale or lease, which is a violation of �his
�xemptioa. You may aot hir� an uanliceased peraoa �o act ae your contractar or
to su,pervise people workiag on yaur buildiag. It is your reepoasibility to ,
G ake sure that people ea►ployed by you have lieenses required by state lat,r aad
� y couaty or muaicipal ].iceasiag ordiaances. You may aat delegate the
� esponsibility for supervisiag work to a li.censed cantractos who is aot
, icerised to perform the work beiag done. Ray persoa working on your building
' ho ie aot liceased mus� work vader yaur direc� superviaion aad muat be
� loyed by you, whiah meaas that you must deduct F.I.C.A. aad wi.thholdiag ta�c
, i nd provide warkers' compensation for that employee, a1Z as paresaribed by Zmw.
' our coas�ructioa must aomplg with all applicab2e Ia�s, ordinaaees, bui.3diag �
j Iodes, and zoaiag re atio . il
�i OWNER'S SI�NATURE ��� DATE �
i�iDDRSSS
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iITNEBS PBRMIT #
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