HomeMy WebLinkAbout17-18126 CITY OF ZEPHYRHILLS
5335-STH STREET
(sis)�so-oozo 18126
� FENCE PERMIT
� PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18126 Address: 39029 PARK DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00100-0040
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 2/07/2017 Name: RIVERA, SAMUEL
Total Fees: 45.00 Address: 39029 PARK DR
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/07/2017 Phone:
Work Desc: INSTALLATION 133 X 6 WHITE PVC FENCE
CONTRACTOR S APPLICATION FEES
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
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Ins ecti s 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 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.
All work shall be performed in accordance with City Codes and Ordinances
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CON CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
•• Building Department
Date Re�eived � �
Phone Contact for Permitting • r� . ���-_ �� z-
Owner's Name S /�j(J-[,,, � ��j f/ Owner Phone�lumber
Owner's Address � O �i9' G - !� �l/� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Titleholder Address .
JOB ADDRESS � ��G LOT# �
p
SUBDIVISION PARCEL ID# /z �26 -�/ - o�30 -�o�a� �- aaf�a
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED � -� WSTALLSTR B REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE � SFR Q COMM Q OTHER
TYPE�OF CONSTRUCTION BLOCK •• Q FRAME Q STEEL Q
DESCRIPTIOM OF WORK �M � � L.J/��f� f�G ��iNG�Cf
�
BUILDING SIZE SQ FOOTAGE �.�3 � �i �
HEIGHT •
�BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
� vo od
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, ,
QPLUMBING $
MECHANICAL v �V�
0 $ VALUATION OF MECHANICAL INSTALLATIOIV � .
Q,GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY ��SC c1 �L/'�eG/' e_ %�'
SIGNATURE � REGISTERED N FEE CURRE� Y
Address License#
�'ELECTRICIAN COMPANY
,. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address` , License# '
PLUMBER,,. _ COMPANY
SIGNATURE :REGISTERED . Y-/�N FEE CURRE� Y/N
Address ' License# ;
MECHi4NICAL' � COMPANY
�'SIGNATURE`'"�� " ` REGISTERED , Y/ N FEE.CURRE� , Y/N
Adii�ess=" � � - ' L-icense.# .
:.�- _ - • .
; 'OTHER''."�" � . COMPAfdY
�:SIGNATURE:?};';� ..� - � • REGISTERED Y/.N FEE CURREK Y/N •
:ni; ,.� , . , „
Address�.�: - _ - � . �°- . License#
":;RESIDENTIAL.�•:::"Attach";(2);PlotPlan's;'(2):sefs�of�Building Plans;'(1)�setof'Energy.Forms;R-O=W Perinit,fornew.construction,
_ , ' � Minimum_:ten•<(;1Q)`.working:`days afte�.-"siubmitfal=dafe.'Requi�ed`onsite;'Constriiction Plans;Stormwater Plans w/Silt Fence installed,
� . �;::�.s�.`.�'t=. .. ,.,._,:•...w
_-_ _- Sanita,ry;,Facl�lities7&.,1kdumpster�Site,.Wor,k,Permit_for;subdivisions/large'project's� ' � � �
��:.�bCOMMERCIAL Attach�(2)`complefe`sets'of'Buildirig Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
;';;' - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
;:�� . Sanitary EaciliUes 8�1 dumpster._Site,Work Permit"fo��all-new projects.All commercial requirements must meet compliance
�+"�SIGN�PERMIT Attacfi(2)sets of;Engineered:P_lans:��. �;; . .
� "•"'PROPERTY SURVEY required for aII.NEW.construc8on:.
M1:€-. __
��;Directions:. y- ,,, .
' `�"�F(Il:-out appliqtion completely. ��
,� Owner&Contra�tor sign back of application,nota�ized
"if over$2b00;a Notice:of'Commencement is required. (A/C upgrades over$7500)
: " Agent(for th'e cont�ractor)�or�Power�of Attomey(for'tFie owner)would tie someone with notarized letter from owner authorizing same
`s,:'.QVER.THE.COUNTER;PERMITTING._,....,_..(copy_of contract required) '
?-<Re�oofs.if sli(ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlveways-Not overCounter if on public`�roadw""ays..rieeds ROW
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NOTICE OF DEED RESTRICTIONS: l'he undersigned.understands.that.this.permit may be,subject to,".d�ed"-resf�iction^s":;;�a,''
wrhich;:ma .;be,more;r.es#rictive..than�Gount re ulations:�'��The�under�i'ned�'assumes`��es_onsib[li,",for com liance•wlth�an
Y Y 5 9 P� tY p Y �-
applicabie cieed iestrictions:. � • .�� ,, ` .r..�,,;;,.:.F:�;;��,..;;;�
UNLtCENSED CC}N7'RACTORS AND CONTRACTOR RESPONSIBIL{TIES:= "if�the�owner�has �iiired��a��contractor.or
contractors�to under#ake�work, they.may5be required ta be�licensed in accordarxce with state°and:�iaca{�regutations::='ifxthe�k{t�-��
,
contractor is nat licensed as r.equlred'tiy''lauv; botta�the oV"vrzer-:and'contracto"r,_�iay<'=be�cited=�for��a���rrtisdemeanor-vioiafton� '=,�.
under state law. If the awner or_intended.contractor are uncertain as to what lieensirtg.requrreii�ents:�may>tappfy_f.or:�tfi,e.���}'>>;r
,.�_,.�_r, . �..�.��.._... . ,..,_.
intended work, they:are.advised ta contact tFie'Pasco Caunty Buiiding Inspection'Division.=�Licensing Section at'727=847- `�
8009. Furthermore, if the owner has' iiired�a contrac#or or cont�acto�s, he is advised�to;��have the contractar{s)�.sign�,...,�;;.;
partians of the "contractar Block° of this appfication.for which they-,wiH.be.resp.onsible: .if,.,you, as:the`owner sign as��:tlie�``""�";�
contractoc, that ri�ay �e an indication•that he is�not prope�ty licensed ancl"-i`s not,erititled to permitting�priviteges.,in.Pas`co-.;,.:,;�
Coun - . _�.;:,_. .::��,.W,,:.�.�;=:a.t
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TRANSPORTATIO(V 1MPAC7/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:��The'undersigned understarids ,.,.:;_�
,..,-;.
that Transporta#ion Impact Fees and Recourse Recovery Fe.es:�may;apply to_the constructian.of,new:buildings; change.`of�=:;:�.",
use in existing buildings, ,or,expansion of:::existing buiid'ings, as specified in Pasco County Ordinance number 89-0? and ���
90-07, as amended. The�undersigned also understands, that such.fees, as:may.::be,due, wiil�be�identified�afi;�tfi`e�:time�of°:„����,;�
permitting. �!t is further understood that Transparfat�an lmpact�Fees=and Resource�Recavery Fees must be paid prior�to .:,j
receiving a "certificate of�occupancy° or final.power release. !f#he project does nat involve a�rtificate of occupancy�or��=�',��
final pavNer release,.the�fees�-must be,,paid priar to permit issuance. FurtHermore,-if.Aasco:Coun#y W,a#erlSewe,r.,,;Impacta�,�A�
fees are due,tiiey must.be.paid prior�to permit issuance in accord"a nce with applicable Pasco:Gounty ordinances. � ;
CONSTRUCTIbN LIEN�LAIN(Chapter 713;"Florida Statutes,as amended): tf vaivation af wor'.k is$2,50U.00;or_mor.e;,l,:,:. .`
.. �s..1•. �;
certify that i, the appiicant, have .been. provided�witFr a�copy„of the "Fiorida Constr.uction -Lien ..Law:Hameowner's
Protection Guide° prepared by�tt►e Flotida Department af AgricciEttare and Consumer Affairs. if the applicant'is some.one,z_. "°
other than the"awner",'l:certify that I,have obtained a copy of the:above describetl`document and promise�in gao:d'faitli'to .,::;. ,°
deliver.,it,ta.the"ownet';�prior.-to�comrnencement:` ` - - °
CONTRACTQR'SlQWNER'S AFFIDAUIT;��I,.certify that all the infaemation in this application is accurate and'that all�wa�k
wiii be done in comptiance with alt applicable`laws regulating construction, zoning�and land,-development. Application.ls -
hereby made ta abtain na _per,mit-to .do:,work-and instaliation..,as :indicated. t certify that no�work or.installation�has �
commenced priar- to issuance of a perniit and��E(iat al! wark wil( be performed ta meet-standards af all iaws reguiating e
construc#ion, County and City codes, zoning regulations, and lartd developme�t-regulations�in the jurisdiction: t°also ,
certify that I understand that the regulations of other government agencies may appfy ta the interided work, and #hat it is
my responsibility to identify what actions I must take to be in compliance.: Such agencies include:but are npt:limited to: `E
- >Department of Environmental:`Rrotection-Cypress Baylieads, Wetland Areas and Environmentally Sensitive `'
Lands,WaterlWastew�ter Treatment. Y
d
- Southwest Florida Water Martagement District-Weils, Cypress .Bayheads, Wetland Areas, Altering
Watercourses. �i
- Army Corps of Engineers-Seawalls, Docks, Navigable V4(aterways. .
- Department of Health � Rehabilitative Services/Environmental Health ,Unit-Wells, Wastewater�7reatment; � .
Septic:Tanks. '
- US Enviranmentai Pratection Agency-Asbestas abatement. _ •
Federal Aviation Au#horiry-Runways. � �
I understand that�.the following restriefians apply ta#he use af fitl: �
- Use of fill is nat allowed in Flood Zone"V' uNess expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is unders#ood that a drainage plan addressing a
"compensating valume" will be submifted at time of permitting which is prepared by a professianal engineer "�
licensed by the State of Flarida. �
- !f the fi!! mateNal is to be used in Flood Zone "A" in connection with a permitted bui(ding using stem wali
construction, I certify that fi!!will be used only to fil!the area within the.stem wat1.
- If fill material is to be used in any area, ! certify that use'of such-fill will not aduersely aifeat adjacent
properties. If use of fill is found to adversely affect-adjacent properties, the owner may be cited for violating '
the conditians of#he building permi# issued under the attached.permit-.application, for lots less than one (1) `
acre which are e(evated by fitt, an engineered drainage plan is requi"red.
If I am the AGENT FOR THE OWidER;l�promise in goad faith to inform the owner of-the permitting candifions set forth in
this a�davit-prior to cor�mencing construction. ! understand that a separate permi# may be requ'tred for electrical wark,_ :
plumbing, signs, wells, paols, air conditioning, gas, or other`insta!lations not specifcalfy inc4uded in the application: A �
permit issued shall°be construed to�be a licens.e to proceed�with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical eodes, nor shat� issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction ar vioiations of any codes. Every permif issued shall become invalid
unless the work authorized by such permit is cammenced writhin six months of pertnit issuance, or if work authorized by ,
the permit is suspended_or abandoned for a period=.of s�x(6}months after the t�me the work is`commenced. An extension
' may be requested, in writing, from ttie Building Official for a period not to exceed ninety (9Q)days and wil! demonstrate ;
justifiabte cause for the extension. 1f work ceases far ninety(90)consecutive days,the job is considered abandoned.
WARNING Tt} C3WNER: YOUR FAICU.RE TO RECO.RD A NOTICE OF CBMMENCEMENT MAY RESUkT IR! YQUR �
PAYlNG TWlCE FOR lMPRQVEMENTS;TQ YOUR:PROPERTY'. !�YC}U,INTEND�TO 4BTA1N-FINANCING�.CONSU�T_ -• __
WITH YOUR L'ENDER C?R AN A'ITORNEY-BEFORE EtECQRDlNGY041R`° Q'PIGE OF�COMMENCEMENT.
FLORt�A`JURAT(F.S.117.03) '
OWNER QR AGENT CQNTRACTt7R <--�-/�
Subscribed and swom to(or afflrmed)before me thls Subsaribed and swo�(or affirmed) forg me this -
�Y bY-./.'..-�"�1�i L�.lsL7v..-✓
Who is/are personally k�own ta me or haslhave produced ` Who fslare personally known to rr�or haslhave praduced
' as fdenUfication. as idenUficaUon.
Notary PubEic , Notary Public
Commission No. Commission No.
Name of Notary typed,prinfed or stamped Name of Notary typed,printed or stamped
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+ �������� Page# of pages
PASCO FENCE CO. �
4254 Plum Street Zephyrhills, Fl 788-5642 '
PROPOSAL SUB T0: JOB NAME JOB#
�r. Samuel Rivera
ADDRESS JOB LOCATION
39029 Park Dr.
DATE 2�06/2017 DATE OF PLANS
Zephyrhills, Fl,
PHONE# FAX# ARCHITECT ,
7�e hereby submit specifications and estimates for:
133 FT. OF 6' WHITE PVC PRNACY FENCING INSTALLED.
1�=2fi=�1=0030=06�0((�=�60�0- ----- - --
I -- ---- ---
AYMENT IN FULL ON DAY OF COMPLETION
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�e propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of:
�,235.00 �� Twent Two Hundred Thirtv Five Dollars oollars
with payments to be made as follows:� outlined above
Any alteration or deviation from above specifications involving exVa costs ReSpeCtfUlly � �{���IAY'/V
will be executed oniy upon written order,and will become an extra charge submitted
over and'above the estimate. All agreements contingent upon sVikes, --
accidents,or delays beyond our control. Note—this proposal may be withdrawn by us if not accepted within days.
�LCL��3$���E Dt ��
The above prices,specifications and conditions are satisfactory and are �
hereby accepted. You are authorized to do the work as specified. �
Payments will be made as outlined above. S' ure •
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Date of Acceptance � � ���� Signature`
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