HomeMy WebLinkAbout17-18064 il ;�
�� CITY OF ZEPHYRHILLS
��. 5335-8TH STREET
�sis)�so-oo20 180
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FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit N;umber: 18064 Address: 38620 PIEDMONT AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class af Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est�. Value: Parcel Number: 35-25-21-0050-0000-0850
Impro�d. Cost: 1,308.61 OWNER INFORMATION
Date Issued: 1/09/2017 Name: HAYNES JAMES & DIANE
Total Fees: 45.00 Address: 38620 PIEDMONT AVE
Amount Paid: 45.00 ZEPHYRHILLS FL 33540-1431
Date Paid: 1/09/2017 Phone: 813-395-8454
Work Desc: INSTALLATION FENCE VINYL 144'X 6 FT'
� CONTRACTOR S APPLICATION FEES
HOMEOWNER � FENCE 45.00
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Ins ections uired
FINAL II
REINS�ECTION 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 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�ining 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
CONT CTOR PERMIT OFFI ���
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO '�
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER ,
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8�3- so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
�• Building Department
�' -
Date Receive� c -Phone Contact for Permitting - ��� � 1 � – O '7 S /
Owner's Namel � ES Owner Phone Number �13 ".3 -O 7 �'J �
Owner's Address �� . �� ^ �� C Owner Phone Number
Fee Slmple Ti leholder Name Owner Phone Number
Fee Simple Ti leholder Address
JOB ADDRES� JO � l � '} v� – �L IS L• LOT# �
SUBDIVISION n L P � v l.�-lG PARCEL ID#
' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP�SED e � _ NSTALLSTR'B REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER _
TYPE`OF CO STRUCTION Q BLOCK •• Q. FRAME. 0 STEEL Q
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DESCRIPTIO�OF WORK �(�I C�
BUIL"DING'SIZE SQ FOOTAGE HEIGHT ,
OBUI DING $ (3oQ�' /_ r VALUATIOIV'OF TOTAL CONSTRUCTION
C� ���
QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
��
QPL MBING $ '—
.. . � �.S'�S
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (� ( �
'� l�
Q.GA Q ROOFING Q SPECIALTY 0 OTHER .� l
FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER - � COMPANY �
SIGNATURE ' REGISTERED Y�/ N FEE CURRE� Y/N
Addres i License#
"ELECTRICIAN : COMPANY �
-SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N
Address License# "
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PCUMBER.,, _ COMPANY= -
SIGNATURE REGISTERED Y�/'N �' , FEE CURRE� Y/N
Address License#' :
'�MECHANIC� COMPANY
SIGNATURE'' � ` � � � REGISTERED , Y,/ N : ,: FEE CURRE� , Y/N
Add�e"ss ' � • ' l:icense.#
,:'s:. . : . �
, 'OTHER;, ,"�?� ' ' � COMPANY
''SIGNATURE't. _� .,� _ • REGISTERED Y/ N_ FEE CURREK Y/N
;-,r�.;�-, , , � , .
- Address-•.;, _ - - ' - � License#
`'�.�'� � 9r�.—' . _ �,.� , y'r.. . ., . �•6i�e}_:._....t'. ,' �".,4 � � i " " ' ' . .
.<RESIDENTI „,, `;At#ach°(2);PIBti:Plari's;,(2):sets�"ofBuildi�g�Plans;'(1•)`setof�EneFgy`F'o'rms;'R;0.-1NPermitfornew.constiuctlon,
_ �,r;�u,;3_:;k;�x:•�,,=:Minimum;stenr(;1U)`workipg;days afte�.�submittal:iJafe. Required onsite;Constriiction'Plans;Sto�inuvater Plans w/Silt Fence installed,
� Sarntary-,Facilibes;&,;1�dumpster;�Site�Wor.irP,ermitfor..sotidivisions/large'p�ojects �
��,:COMMERCl/8L Attach 2 com lete'sets ofBuililiri`PI �`�' ��
, ( ) p g ans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcGon.
` Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
,;:=•` " Sanitary Facilitfes&1 dumpster.Site Work Permit"fo�all�new piojects.All commercial requirements must meet compliance -
��:=SIGN;PERMI� �AttaoFi'2"sets of;En��ineered'Plans:��_.. ��
�..�;,. � ) _�_., 9 .
__ � "'*PROPERTY SURVEY reGuired for,all.NEW construction.. _ :
', '.�DirecNons:. II ;,.a�;.:.- „ �,,r ,.
'` .Fill?out application completely.
� Ouvner&IlContractorsign back of application,notarized
� ' If over$x500,a Notice:of:Commencement is required. (AlC upgrades over$7500)
.v..�;,:.
i 1 " Agent(�rth'e�cont�actot)•or�Rower of Attomey�(foT'tFSe owne.�)would tie someone with notarized letter from owne�authorizing same.
i = ,„� �, , _: , ,. -
;:�OVER:THE:COUNTER:PERMI7TING:_... .,:..(copy.ofcontract•required) ' - - ` �
�� ��:Re�oofs if slit�gles Sewers � Service Upgrades NC . Fences(Plot/Survey/Footage) , '
�i � ` :.�_;_.___...__ :., .r__. ..�....,:.,.� . . ' . - - , ,�...-- - .
_ Drivewa s-Not over Counter if on public roadways::ne�iis'ROW
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I NOTfCE t�F DEED RESTRtCTiONS: The'undersigned understands_that;this;permit may be:subjeet,#a"deed" r.esf�ictions'�''�
_ y:...4�� �r^. -' '.:,:,..,-'.5.. ::_..3..�..'�.�_.,.i.:,!':i«f::::i�,.. ..:i��:'.`e_"`i'nt#.'..�,t..rt�..�.....!`._.{.:��i'.i.�.�._:':7.1�...-;:..'y%,.;o%��:p�;,Y�
�� which�may,,,be.mor.e�r.estrlctive.�than-Gourityregulations::The=uridersignecisassumesrespons'�b�lity:for`comp6anc��with:any _�
i aPplicable deed'restrictions. =f-�-�_:` r'"- .. ..� `
'� UNLICENSED CONTRACTORS AND� CONTRACTOR RESPONSIBILlTlES:= =!f=the=-awnerhhas fiiredLL a,�can#ractor or ;
contractors to undertake work, they.,mays.be required'.to be�-licensed in accordance with..state„and�loeai��regulations:�==1f>�tMi�e.s�•=r:';
' confractor is not ticensed�as requi�ed�by taw, botti�-the aVirnec�and:�canfractor=rriay�be cited�LLfor:as misdemeanor 'vialation
under stafe law. if the owrner or intendeil'contr.actoc are uncertain as to what licensing requirements:,rnay�apply�:fot•;tti,e:��s�',�
._f.. .,,:K.,.�. -,- ,..:
i intended wor.k,-they-are_advised to contact`rthe'Pasco Courity Builcling tnspection;Division=Licensing Section a#'727=84:7= i
8Q09. Furthermore, if the owrter fias ttired'�a coritractor or cont�actors, he Is advised to;�have the contracta,r{s,},zsign;.r.,,,, �,
portions of the "contractor Block°of this application_,far which.they will.be-responsible:-:�If��you, as�.the`oinr'ner`sign�as':t#�e�`�`..�
' con#ractor, that may 6e an indication that fie�is not'propePiy licensed antl"is nof entitled to permitting privileges iin.;Pasca;�s�.,;j
Couttfy. � _ _,. =.,.;,�_,�_.`..,"«s;��,,2
TRANSPURTATION tMPACTIUTILiTiES�tMPACT AND RESOURCE RECt3VERY"FEES:-The un8er5igned understands.--,.,;M1f
that Transportatian lmpact Fees and Recourse Recovery Fe.es,.may�apply to the.constr,uction,of.new.,buifd�ngs,�cnange�`of°=4�°_:�
use in existing building�,.or<.expans�on of�.existing build'ings, as spec�ed in Pasco Counfy C?rtlinance number 89=07 ari;iY ,
90-07, as amended. 1'he�undersigned also,understands, that such„fees,�as�may�:=b.e�due, will'be;identi�ec!"afi��#tie�:time;:of��`���";�
� permitting. �tt is further understood that7ranspo�tation Impact Fees and ResourceFRecovery: Fees must be paid pcior.to :;;
receiving a "certificate of occupancy�-or final,power release. If the project does not involve a"certificate of orcupancy:ar�°�:�-���
finai power�elease,,the fees:mast be.paid priar to permit issuance.._:Furtfiermore,.=�f Pasco Gounfy W,ater/Sewer3-tmpact;�,;={_.-�
. . ;�
fees are due,they must.be paid prior ta-permit issuance in�accordance wi#h'applica6le�Pasco County ordinances.
CONS1'RUCTlON�LIEN�LAVII(Chapter 713; Flarida Statutes,as amended}: If vafuation of wock is$2,50Q.OQ,oc more;ri�;�:::� ,�
certify that I, the applicant,=.have been .pravided with--a copy._of;the "Florida Constr:uction,Lien-..Law:Homeowner's "� ,
Protec#ion Guide" prepared by�tFie Florida Departmen# of Agriculture and Consumer Affairs. !f the applicant�is sameone;,.i. .' �
other than the°owner",;I;certify_that i.have obtained a copy of-the above'described document and;promis'e�in:goo,d`:faitli'"to`.,r:._, ;
deiiver it,ta the.'bwner':prior:#o-cammencement:'' � � ' ' � :
CONTRAGTC?R'S]OVItNER'S QFFIDAVIT=:T;t,�certify.that.,alt�the infor.mation in this application is aocurate and"tFiat ai(�wo�k
wi!! be done in compliance with a!t applicable�laws regulating construction, zoning and land�development. Application.is
, hereby made to obtain,=a,permit_to .do wrotk-and installatian �as :indicated. l�certify that no wark or instalfation�has �
commenced prior to issuance of a permit and�that all wark will be performed to.meet-standards of all laws regulating �
construction, County and Ci#y codes, zoning regulatians, and land development regulations"in`:the jurisdiction. I°alsa '.
certify that i understand that the reguiatians of ofher gavernment agencies may apply to the intended work, and that if is �,
my responsibifity to rdentify what actions f must take ta be in complianae. Such agericies inciude;but are ngt:limited::to: v
- .Department of Environmental�'Rrotec#ian-Gypress Bayliead`s; We#land Areas and Enviconmenta8y Sensitive �
Lands,Water/Wastewater Treatment. �^
- Sauthwest Florida Water Management District Wells, Cypress � Bayheads, Wetland Areas, Altering �
Watercourses. � �
- Army Co�ps of Engineers-Seawa(Is, Docks, Navigable Waterways.
- Department of Hea(th � Rehabilitative Services/Environmentat Hea(fh Unit Wetts, •W:as,tewafer Treafinent, °
Septic-Tanks. `
- US Environmental Pratect�on Agency-Asbestos abatement. , _<
- Federal Aviatian Authori#y-Runways.
I understand that.the following restricfions apply ta the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- if the fiii mateciaE is to be us,edi in. Fbod Zone uA", it is unders#aod that a drainage plan addressing a
°compensating volume" wiii be submitted at time af perrnitting which is prepared by a professionai engineer �
licensed by the State of Florida. � �
- If the fill material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
construction, I cert'rfy that.fill wil) be used only to fill the area within the.stem wall.
- tf fill material is ta :be used in _any area, t certify that use of such�fill wil( nat adverseiy a�fect adjacent
properties. If use of fil! is found to adversely affe.ct-adjacent properties, #he owner may be cited for violating
the conditions of.the building,permit issued under the aEtached.permit-.applica#ion, far.(ots fess than one (9) `
acre which are elevated by flll,an engineered drainage plan is requi�ed.
ff I am the AGENT FOR THE OWNER,•I•promise in good faith ta infvrm the owner of.the permitting conditions set forth in �
this affidavi# prior to cornmencing const�uction�. I understand that a separate permit may be required for electrical wark, .
plumbing, signs, wells, poals, air conditioning; gas, or ottier insta(latians not specificatly included in the application. A ,,
permit issued shall'be canstrued to be a license-to proceed with the work and not as authority.to violate, cancel, aiter, or
set aside any provisions of the technical codes, nor shall issuance of a permit preveM the Building Official from ther.eafter
requiring a correc#ion of errors in}alans;�construction or vialations of any codes. Every permit issued sfial! become irnalid
unless the work authorized by such permit is commenced within suc months of permit issuance, or if work authorized by
the permit is suspended.or abandoned for.a per.iad:.af six(6) months af#er the time the work i�`commenced. An extension ' -
may be requested, in writing, from tFie Building C►�cial for a period.not to exceed riinety(90} days and will demonstrate
justifiable cause for Ehe extensian. ff wa�k ceases for ninety{90)cansecufive days,the jab is ccrosidered abandoned. �
WARNING TO OWNER: YOUR FAILURE.,T„O REGORD.A.NOTICE OF COMMENCEMENT MAY RESUL:T !N YOUR
PAYING TWICE FOR IMPROVEMENT$TO YOUR:PROPERTY. 1F YOU:,INTEND=TO+OBTAIN�FINANCING;CONSULT "
WITH YCiUR LENDER t�R AN�ATTCiRNEY BEFCIRE RECORDING YOUR Nf3TICE OF�COMMENCEMENT.
FlORlDA JURAT{F;S:1 t7.Q3} ^�-`"'
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OWNER OR AGENT �����.'W-'�--�g��p /� CON7'RACTO�l�=`�`"^_�_4-'�C�.ltn1 ,�,
S�bscribed and swom to{or rmed)befare�qte thts Subsoribed and sw to(ar affirrne�}be re me s �
�-�by 1.r/�t Ar�� H F1Y(�� ' �- �'!-(z b� i Rrl� }�19Yf���
Who is/ere ersonaliy known to me or has/have oduced '� �� Who i are rsonally kr�own ta me or has ave produced
��� �lr2rs �nc��as Edent{8ca�on. i �C r �%��r�E:�'�c.c;er�.� as iderrt�firaUan.
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- i,u-L�� ''' � ry Public � L.l-�� Natary Publlc
/ ,,,," ,.; JACQU�LIN�9 ��� �""y,, JACQUEL4N OGES
Com (ssto '��•Y'�`�� ' Com �ssio Na g1•��°�t'-.
� r'k �xpit�9 a�9�����t��,2�18 :�• ; Expires peeember 12,2b1$
�• .a� F�i-�e$6�$�J-'�d�G .+• .�i.
Name of N a _ ' Name af Notary `
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CITY OF ZEPH�YRHILLS BUILDING DEPARTMENT
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Owner:
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Job Locat�on/Address:
Pazcel I.D�#: - - ----_ ._
SHOW AL�EXISTING&PROP�SEU STR.UCTURES GIVATG DIIvIENSIONS&SETBACKS
UTILITI'�BUiLDiNGS MUST SHOW SIZE &FIJUNDATION INFORMATiON
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FR{QI�TT FRUPERT'i�'LI�TTE f
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— —� — STREET — — — — — — — -- — — —
(NOTE E;�CAMPLES 3&2)..
Example 1. Setbacks far Rl &R2 Zoning Example 2. Setbacks for R3 2oniug
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PROP06ID
� 20'.SIN(�EFA1�ll.Yl 30'DIIPlE7C
� F80NT PROPERTY LiNE PRONTPk4PE&fYLINE
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�! - -- S1�ET -- - - - - - - - - - - -- SfREET -- - - - - - - - - -
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DISCLOSURE ST?iTEMENT FOR OWNER �
CIT]t QF Z88HYRSILLS BIIILDING DEPARTF�NT
I, }savs r�ad aad fu21y uaderstaad aad
agree to the proviaiano of �his 3astrumeat.
The �wndersigaed stat�s aad afffrms that he or she is desirous of constructiag,
renavatiag, addiag ta or reroofing his ar her own domic3le, that he or she
aetua2Zy ocaupies, or wil3. aecupy by sair� dom3.cile, and same is uot for ��
reatl, ].ease cr sale. Tha� he or she shall aamply with the follawing ccaditioas:
],. �hat �he owaer aad he or she alone shall act as the builder for all phases af
coas�xuctioa. �
2. �hat the owiaer will comply with a11 pravisioas of the City of Zephyrhills �
�ordiaaaees aad codes pertisieat tic the buiZdiag. ,
3. �Tha� iu the event various pbasee of constructioa are subcoatrac�+et�, he wi2l ',
�eng�,ge only properly liceased subcontrac�ors aad �ilZ persaa�lTg sup�ise
ouch work.
4. That ia the evesat the Suflding 2aapectar shall xequire carrec�ioas ta be made,
�he o�m�z wi21 �ssume fu13 respoasibility ta insure tlaey are made, and upon
eompletioa wi11 call for a rei.aspect3ass before proeeeding with the buildiag.
5. That the owaer shall aesume full respora,sibility for bhe canstruetion aad will
nat �ect superva.eion of his saork fzom the City of Zephy�h311s Suildxag
Department.
6. That prior to fa.aa2 ia�pectioa aay additi:oaal fee6, iacluding reiaepection
�ees, must be paid i.a fv,31. A written request trom �h:is affice shal2 `
�oasti�ute aa oiEfiaial aotice to pay additioaal fees.
7. �hat the owaer shall camply with all Ca.ty, State a�nd Fedesal Iaws �.a regard to
s�acial security, workman's aompensation, lien laws, etc. , whete app].icable.
8. T�at the owaer sha7.I camply with a21 the safety codes iseuecl by �h� Florida
� I��dustrial Ccmmiesioa. •
' 9. �tate law requires construction to be done by liceassd cantractars, You hav'e
a�ppl3.ed £or a persnit uader an exemgtioa to that 1aw. The e�cemptioa allavrs
y"�Cu, as the owuer af your property, to ac� as your owa coatractor w3th certaia
r��striations evea thaugh you do uot have a lie�nae. Xou must provide direat
o�neite supesvisioa of the eonetruction your�e2f. You may'builc� ot impxove a
oae-f�ni3.y or two-family resi.denee or a farm autbuildiag. You may also build
or improve a commescial building, pravic�ed your easts da aot eacceed $?5,000.
Tme building or resideace must be for yaur owa use or occupa�ncy. IG m�y nat
, b� built or subetantially impraved for eale or leaee. If you se11 or lease a
buiidiag you have built or $ub�taatially improved youraelf withia l year after
the construetion ia comglete, �he l,a�,r wi11 psesume that you bui2t or
sub�ataatially 3mpraved if for sale or le�s�, which is a vioZation af this
e�emption. You may aot hire aa val3ceaBed persoa�. to act as your coatr�ctor or
�o superviee people workiag oa your buildi�ag. It is your reepoaeibility to
make sure that p�aple employed by you h�.ve Iicenses required by state law and
b� couaty or muaiei�sal licea�ing ordinaaces. Yau may aat de2egate the
respo�ns3b31ity for supervisixtg work to a lic�.ns�ed eantra�tor wha 3.s aot
li�censed to perfarm the work beiag done. Aay persoa �orkiag on your buildiag
wha is aot lic�naed must �ark und�r yaur direct aup�rvisioa �.ud must be
�loyed by you, whiah means that yau muet deduat F.I.C.A. aad v�ithholdiag ta�c
and provide workers' comgeasation for that em,ployee, a2Z as preseribed by Iaw. �
� Yo�.ir consttuction must acmply w3th al]. appla.cable Zaws, ardiaaaces, bui3diug
co!des, �nd zon3.ag regulations. ,
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O I��,�TER'S S t�25TAT DATE � "� !'� �� !
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