HomeMy WebLinkAbout17-18407� CITY OF ZEPHYRHILLS
5335-8TH STREET
. - � ' (sis��so-oozo 18407
FENCE PERMIT
� PERMIT INFORMATION ` = LOCATION INFORMATION
Permit Number: 18407 Address: 6155 9TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: TYSON
Est. Value: Parcel Number: 02-26-21-0160-00200-0120
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 4/25/2017 Name: NI SAI, HONG
Total Fees: 50.00 Address: 39132 COUNTY ROAD 54 UNIT 2120
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-1120
Date Paid: 4/25/2017 Phone: (757)288-8885
Work Desc: INSTALL PVC FENCE 259 X 6 FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
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� � Ins ections Re uired
FINAL
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
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
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be perFormed in accordance with City Codes and Ordinances
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C TRA TOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
• Building Department
Date Received : �i �� f� phone Contact for Permitting —
,_
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Plame Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS - - � - — �- LOT# �
SUBDIVISION PARCEL.ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e ., NEW CONSTR e ADD7ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROP.,OSED USE Q SFR Q COMM 0 OTHER
TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME � STEEL Q
DESCRIPTION OF WORK �� �
BUIL'"DING SIZE SQ FOOTAGE� HEIGHT �
OBUILDING $ O VALUATION'OF TOTAL CONSTRUCTION
�I QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �
� �
QPLUMBING $ Q �OC ��
a�
� ..dra' '
IGI,ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
/V QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ` COMPANY -
SIGNATURE ( � REGISTERED Y/ N FEE CURRE� Y/N
Address -License#
� 'ELEC,TRI,CIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
, , Address License# °
PLUMBER., COMPANY �
SIGNATURE REGISTERED Y-/ N - ., FEE CURRE� Y/N
Address � License#� .�
� .MECHANICAL � COMPANY
'"�SIGNATURE'" ` � REGISTERED Y/ N , FEE CURRE� Y/N
Address=�' ' License.#
s�t(r.. ,
OTHER� ��" - � COMPANY
i ��'SIGNATURE;.�., << .� - ' REGISTERED Y/N FEE CURRE�' Y/N
T'.' „ . ,. . . . . .
� -Address:- - � - - � � License#
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'-;`,:RESIDENTIAL��;;. '�AitacFi�(2):Plot��Plans;`(2):"sefs�of;Builiiing�Plans;j1•)setoPEnergy,Forms;R;O=W Permit,for new.construction,��
<.�:r,�,_��_.-�- Minimum,:te�,,(�10)working�iJays after'submittal:date.:Required"onsite;Gon`s`tniction Plans,°Stormwater Plans w/Silt Fence installed,
.�,...,F ._ '�-.�, a .- 1....--,� _4 _
_ . Sarjitary;Faeilities.&-;1�dumpster;.Sife,Work-Permitfor.�§ubdivisions/large:projects� ,
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�s:COMMERCIAL Athactr(2)'`complete'sets'of BuiliJing Plans-plus a Life Safety Page;(1)set of Energy_Fortns.R-O-W Permit for new construction. -
• : Mi�imum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
-� � Sanitary EaciifUes 8 1 dumpster..Site Work Permit fo��all new projects.All wmmercial requirements must meet compliance
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���_SIGN�.PERMIT AttaoFi"`(2)sets of;Engineered'Plans.��� �. - - -
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f�'��=•� PROPERTY SURVEY required for aII.NEW construction.. �
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:�Directiqns:. ,v<:,i��; -, ,
-� EIIU:out application completely.
, - �Owner&Contra�tor sign back of appllcation,notarized
If.over$2500,a.Notice of Commeocement is required. (A!C upgrades over$7500)
�'" Agent(forth'e�cont�acto�)�orPowerofAttomey(for'tlie owner)would'be someone with notarized letter from owner authorizing same
, ';'OVERiTHE�COUNTER4PERMITTING. ,,. .,(capy.ofcontract-required)`' � ' � �
:;=Reroofs.if sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-NotoverCounter,if.nn.public;roadways::needs•ROW=�'�:", yR,,,,«-F�-.:--:<:,�•--,.,J.-�.:-.,:,,,,.�_.-�.,.-.:�, _ .._ -
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NOTICE OF DEED RESTRICTIONS: The undersigned understands.tha#.,this,�permitmaybe;subject.to.deed�restric�voris_'.,;ri_;
wh�chamay�,6e.mor•e;cestrictive�than�County regula#ions: The�undersigne�t�assumes�=i�esponsiliiEi#'r:,fof�=compiianceiniit�h�'any",''�'°;;;
applica6le;deed restrictions. � � � ��" �
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UNL.tCENSED-CQNTRACTORS AND CQN7'RACTOR RESP4NStB1l:IT1ES: =1f•t�e-owrier�Ftas��1�iretl�=;a=�con#raetor or '
cont�actors�to undertake work;they.;may�'be reguired to be�licensed in accordance with sta#e-and<:loeal.r.egulatians,:��If'the:,�wf<<;
..�.�..:,_��;�.�.w,. . .
contractor is not.licensed-�as requiretl=by`�aw, botfi #he owner_and'so"ntractor-�rtaay45be��ci#ecl�=for���a�'�misdemeatior vialation� _.-;
under state-law. if the owner or intended contractor. are uncertain as to wha#.licensing requir,ements;:may:.appiy�:foir:,tFie;�:��:�'�,;;
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intended wark, they are advised to contacf fFie.Pasco County Builtlinginspection`:Division"�C:icensing Section at 727�847=
8009. Furtherrnore, if fhe iiVirrier has"hlreif�a cantractar or contractors, he �s aclvised to-#have the con#ractor{s};sign..,r;.�•_�
portions af the contractor Block af this application_far which they.will be.responsible::-If you, as��the"�awne�`sign;as��;#lie�'' "-;;
contractor., that may be an indication that�he is not properlylicerised antl�is not�"eriti#led�to pecmitting�privifeges,in Pasco_ .,,.:':-'�
Caunty. ., . ..: �=-r�r-� ;' -;
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TRANSPORTATION-IMPACT/UTILITIES IMPACT AND RESOURCE REGOVERY FEES:�The undersigned understands . ;_`.�
,... ..,,.
tha#Transportation lmpact Fees and Recaurse Recovery Fa,es.may�apply to fhe.construction_of new..b..uitclings,�change�of'```..�':s;
use in�existing buildings,�or expansian`of:existing�buildings, as specified in Pasco Caunty Ordinance number 89=U7"and ";`��'
9Q-07, as amencf�d. The-undersigned also.understands, #hat sucta.fees, as�:may;be.due, will be;identi�ed-at-�tliettirtie��afr��=;°�=
permitting. '•(t"is further�understood that�Transportation lmpact Fees��and Resource�Reeovery Fees must be paid p.r:ior to
receiving.a.°certificate of occupancy." or final,:pawer release. If the �roject does not involve a certificate of occupancy�o�.=��<_�°.�°',
final_power release�the�.fees-must be.,paid prior to permit issuance.,-_Furtfiermore,.iftiPasco�Caunty W,ateclSe.w.er,-tmpact:;;���� ,
fees,are.due, tliey must,be paid priar.to permit:issuance in accordance with'applica6le�Pasca..County ordinances. �
CONSTRUCTION�t�tEN�LAW{Ghapter 718, Ftorida Statutes,as�amended}: If valua#ion of wock is$2,500.00.,or mor.e;�l��;,r :
certify that �I, the applicant, have been provided with a copy of the "Florida Consteuctian_ Lien-.Law Homeowner's� .
Protection Guide" prepared"by ttie Florida Department of Agriculture and Gc�nsumer.Affairs. If the applicant is someone.,. ,
other than#he"owne�',:I eertify.that.ivhave obtained a copy of the above'descri6ed'dac�ment�and-promise�in goo,d';faitli,fo',*,
delive�it.ta the"awner��pcior�to-eomtnencement: " � �
CONTRACTOR'SIBWNER'S AFFIDAVlT�.,-;I,certify that.all the infocmatian in this application is accurate and'that alt�work
will be done in compliance wi#h all applicable�la`ws regulating constructian, zoning�and land�development. Application.is
hereby made ta ob#ain,a.;per.mit:to�:efo,.work and�installation,as,:indica#ed. ! certify fhaf no�work or=ins#allatians�has
commencec! prior to issuance of a permit ancl-that all work will be perFormed to_meet-standards of all laws regulating
constructian, County and City codes, zon�ng regulations, and land deveiopment-regtilations�iri�the jurisdiction.- I:�also ;
certify tttat I understand fhat the regu(ations of ather government agencies may appiy,.to the intended work, and that it is �
my responsibility#o.identify what actians I must take to be in,compliance. Such.agencies include,but are not limi#ed.,ta:
- �;Depa�tment af Erivironmen#al��Pra#ection-Cypress Baytieads, Vtle#land Areas and Ei�rvironmeritally Sensitive �
Lands,Water/Wastewater Treatment. �
- Southwest Florida Waier Managemerit District Wells, Cypress .8ayheads, VIIetland Areas, Aitering
Watercourses. 3;
- Army Corps af Engineers'�Seawalls, Docks, Navigable Waterways. ; �
- department of Health & Rehabilitative ServicesJEnvironmental ,Hea(tFr Unit We�ls, Wastewater.Treatment, ,
Septie.Tanks. � `
- US Environmerital Protection Agency-Asbestos abatemant. . � ` i
- Federal Aviation Authority-Runways. � i
! understand that-.the foUowing'restricfions apply to#he use of fslL• �
- Use of fi11 is not allowed in Fiood Zone°V"uniess expressiy permifted.
- If the fill material 'is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"campensa#ing volume" wi11 be submitted at time of permitting which is prepared by a prafessianal engineer „�
licensed by the State of Florida. . � '
- ff the filt materia! is to be used in Fload Zone "A" in connectian wiih a permitted building using stem wall
construction, i cert'rfy that fili will be used only to fill the area wi#hin the stem wall.
- If �II material is ta be used in any area, 1 certify that use af such�fiA will not adversely affect adjacent
properties. If use of fltl is.found ta adversely affect adjacent properties, the owner may be cited for viala#ing. , �
the canditions of�the buflding permif 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�pramise in good faith to inform the owner of.the permitting:conditions set forth in
this affidauit prior�to commencing const�uc#ion. I undecstand that a separate permit may be required#or electrical work,. _
plumbing, signs, welts, pools, arr.canditianing, gas, ar atfier insta�llations not specifically inciuded in the apptication. A
permit issued shall'-be construed`to'be a license.to�.proceed with-th'e work and not as authority to violate, cancel, alter, or +
set aside any provisions of the�fechnical cades, nor shall issuance of a permit preven#the Beriiding OfFicial from thereafter
requiring a correction of errors in plans; construction or violations of any cades. �Every permit issued shall became invalid
untess the work authorized by such permit is commenced within six months of permit issuanae, or if work authorized by ,
the permit is suspended.or aba,ndoned�for a period-,of six(6}months after the time the work i�commenced. An extension
may be requested, in wt�iting, from the Building Clfficial for a period:not to exceed ninety {90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety{90}cansecutive days,the jab is cansidered abandoned:
WARNING TO QWNERc YOUR.FAILURE TO RECORD.A.NOTlCE OE G4MMENCEMENT MAY RESUl:T IN YQUR �
PAYiNG TWiCE FOR IMPROVEMENTS..TO YOUR PROPERTY:. IF YOU::INTENDrTO�OBTAIN'FINANCING,CON�UI.T �
WITH YOUR`L'ENDER OR AN ATTQRNEY BEFORE RECORDING Y�llR�wNOTIGE i3�'�COMMENGERAEN'�.--�- - ""-~"
_ - _FLQRIG}A-Jt1RAT-{F:S:117;03} � --- —"-- � — — �
QWNER OR AGENT_� . CONTRACTOR �A� (s��,� �.�i �- �i�U'
Su cribed and��wam to(or rtned}be re me--�`�i Sub�� and bworri�a(or af�rmed)be a .me th�-r�
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ho ls/arep ersanally known t me or as/have produced � ho is�onafly.kna to me o as/have produced
():�1�,'�X'S �C.tG.��as iden�fica�an. 11.�11/� Ll GE;7L1� as identifica�an.
��.�.�C��_ Notary Publlc � Notary Public
Com ission No. � Cammfssion No, t—/ �� �.�1--,� l�
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Name af Nata t r�edi�rinted o��st mc Name af nrin nr�dP q���
�pAYP,� DEBRAELAINERUFFELI ��:� ''• DEBRAELAINERUFFEIL
:r G•••••�;,:.Cammissian#�G 445343 � �� �';_Commiss#on#GG{}45343
_":•,�,r'o"'=Explres November 7,2028 � =;,+�P;:Expires November 7,2020 '` .,
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Rcpt:1858198 Rec: 10.00
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04/26/2017 K. D. K. , Dpty Clerk
PpULA S 0'NEIL,Ph D PRSCO CLERK d COMPTROLLER'
NOT7CE OFCOMMENCEMENT 04pR6gK019�3�m PG 3039
PeTmitNo. . .- - -
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Property Identification No. (l•Z�. ?i��(��//�Q-•(./(�Zd(�-- O �
THE UNDERSIGNED hereby give informv you thet the�provement will be made to cermin real property,ead In eccordence with
Sectlon 713.13 of the Florida Statntes,the following mfvrmetlon is ptovided in this NOTICE OF CONIIVIENCEMENT.
1.Description of FroPectY� !dese�tpilon:J ,/�'e SSP�t�'l �PlT� �2 rls' � � ��,S�S��r'�'^��1/ZJ`
a)Street Add�ess: -i-
2.Qeneial description ofimprovements:�
3.Owner Info�mation ' . , �
a,rr�n��a ead�s: L z,
b)Name and address of fee simrle ' eY�lder('if othei than�vvner) �
c)Intetest iti propetty
4.Conri�ctbrInfotmation • .
a)Namemid addtrss:. 6�� �Odl OI. �j`
b)Telephoae No: �— Fax No.(Opt.)
S.Surery Informetton " . '
e)Neme and'eddresss
b)Amoant ofBond: '
c)TeIephone No.: • ' Eax No.(Opt.)
6.[.ender
e)Neme�d eddress•
Phoae No. •
7.Idenilty of person within the State of Floridu deaignated by owner upon whom notices or other documents may be served:
a)Name and address• '
b)Telephona No.: Fex No.(Opt.)_
8.In addition to h{msel�owner designates tfie followitig person to ruxiva e eopy bfthe�,ienoYs Notica es'provided in Section
713.13(1)(b),Florida Stahms:
e)Name end addsess• '
b)TelephoaeNo.• 4• .Fe�cNo.(Opt.) •
9.ExpuaHoa date of Noaca of Commencemerit(the expnation date ls one year frbm the date ofrecording�uiless a diffeieat date Ls
specifiad):
WARNING TO OWNEft: A;NY PAYMENTS MAD$BY TAE O'WNER AF7'&R THI:�IRATION ON THE NOTICE OF
COMMENCEMENT ARg CONSIDERED IM,Y'ROPER PAYbiENTS UNDER CSAP1'ER 713,PART I,SEGTION 713.13,
FI:ORIDA STATUTES;AND CAN ItESULT IN YOUR PA1'ING TWICE P+UR IMPROV�MENfS TO.YOUR pROPERTY.
A NOTICE OF COMIV�NCEMENT 11N3T BE RECUI2DED AND POSTED ON THE JOB SYTE BEFORB THE FIRST
INSPECA'ION. IF YOU INTEND TO OBTAIDI FINANCITIG,CONSULT YOU�t LENDER OR AN ATl'ORNEY BEF'ORE
COMMENCIIVG W ORK OR RECORAING YOUR NUTICE OF COMh'IENCEMENT.
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1$[IMI7'E OI OWIICf'0 AIIW O�Ca�fCCto[/ParhiGJMmegct
PriotNome
'Ibe fotegofng ins�ument was aclm�wledged�g me 's�day of � �� —, by .
type ofauth ,e.g.officer,trvstea,attosaey
in fact f _ o (name ofparty on beLalf of o eat executed).
P.ecsonally-Known=OR-Rroduccd-Idenil6eetion-�--z:otsry-Signahm '�
n e
, Type of IdeatificaGon Produced V'L� �r���,i C�Name(prmt) Q t�`2
' Verifieedon pursuent to Section 92.525,Florida Stawtes.Under pmaldes of perjury,I declare tLat I have reed the foregofig end that
the facts stated in!t are hue to the best of my lmowledge end beiiet
Slgnaturc olNeaual Puaoa 9ipping,Above
FOMtSMOClvid70C/
`,�;��'eY;�.,, JACQUELINE BOGES
,�; '°;: Commission#FF 150422
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