HomeMy WebLinkAbout17-18243 CITY OF ZEPHYRHILLS
5335-BTtt STREET
�' ' {813}780-0820 �$ �
FENCE PERMIT �
' PERMIT INFORMATION � - LOCATION INFORMATION
Permit Number: 18243 Address: 5925 9TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCElNEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lof(s}: Block: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHILLS
Est. Value: Parcel Nurnber: 11-26-21-0010-00700-0110
Improv. Cast: 2,002.79 _ OWNER INFORMATION
Date Issued: 31Q812017 Name: JOHNSC}N LAWRENCE
Total Fees: 40.00 Address: 5925 9TH ST
Amount Paid: 4QA0 ZEPHYRHILLS FL 33542-3530
Date Paid: 3JQ8/2017 Phane: 813-440-1866
Work Desc: lNSTALL 30 X6 VlNYL FENCE
CONTRACTOR S APPLICATIt3N FEES
LC7WE'S HOME CENTERS IN (407)832-8085 FENCE 40.00
c n
F ��
1ns ons Re uired
FI AL
REINSPECTION FEES:(c)With respect to Reinspectian fees will comply with Flarida Statute 553.80 (2)(c)the
local governrrienfi sha11 impose a fee of four times the amaunt of the fee imposed for the initiat inspectian or
first reinspection,whichever is grea#er,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additiona! restrictians applicable to this property that
may be found in the public records of this caunty, 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 awner: Your failure to record a notice of commencement may result in yaur paying twice for
impravements ta your property. Tf you intend to obtain financing,consult with your lender or an attorney
befare recarding your notice of commencement."
Co Iete Plans, Specifications and Fee Must Accompany Application.
All w rk shall be petformed in accordance with Ci Codes and Ordinances
CONTRA TO PERMIT OFFI
PERMIT EXPIRES IN fi MOWTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� . s��aso-ao2a City 'f Zephyrhiiis Permit Application Fax-813-784-OQ21
Building Department
� �^►o,nt►�n►
Date�ltecetvec� Phc ne Gontact far Bermltting �b l � '2. (o'� -.. �"1�to'S
Owner's Name� �-A R�`! �a�++�Sa�t Owner Phone Number "''�I 3�- �-�l y0 - $(o b
---�--
Owner's Addr�sss '�a(aM2 Owner Phone Number � ��
Fee Simple Tiileholder Name � Owner Fhone Number � �
Fee Simple Titleholde�Address ��
JQB ADDRES:i �9.`Z� ��1 S'�'" ��fiRjt hi��s �L ��5�Y.2. l.OT# t G +41
4
susoivis�or� �i a� ZePl�,�y�:tls � PARCEL iD# I�-'2(a-2f-oa t a-oo�oc�- c�� o
(QBTAINED FftOM PROPERTY TAX NOTICE)
WORFf PRQPClSED e NEW CONSTR ; ADC7lA4.T C,� SI.GN Q Q DEMOUSH
INSTAI.L F2EPAIR
PROPOSED USE Q SFR I COMM � QTHER
TYP�OF CONSTRUCTION Q BLOCK I FRAME �] STEEL Q
DESCRIRTION OF WORK 1/ 3O� INY4. �� �� t+��� wi"ft�. 1 `"t� wAtk- �'A��
BUILDING StZE ���� SQ F007=r GE�^� NEIGtiI" C��
f
BUIL.DING $ i ,
�„0���,G� �VALUATION OF TOTAL C(7NSTRUCTION
QE�E{�TR1CA� ��� �AfV1P S�RVlCE Q PROGRESS ENEf2GY � W.R.E.C.
QPL.UlUlBING $ �� �
i j���b� `�
{�MEGHANlGA� $ VALUATlON OF MECHANlCAL lNSTALLATION
QGAS '' Q RQQFING SPECIALTY � OTHER
FlNISHED F�flOR EIEVATI4NS FLOOD ZC?NE AftEA QYES NO
tftHttFHittt
BUILDER COMPAh1Y ,�o•w2-►�',,. t-�ame Ge.r�1"� G��
St6NATi1RE REGISTERED � Y/�N" FEE GURREA Y/IV
Address L(cense# f C(oG �50 8 y�'t �
ELECTRfC1AN CC3MPANY
SlGNATIlRE REGtSTEREO Y/ N �EE GURRER Y/N
Address ^ ��� License# �� �
PLUMBER COMPANY
SIGNATUi2E REGISTERED Y J N fEE GUftRE� Y/IV
Address �� License# �- ��
MECHANICAL Ct�MPANY
SIGNATURE REGiS7ERED Y/ N FEE GURREA Y/RI
Address ( License# � �
OTHER COMPANY
SIGNATURE REGlSTEREQ Y/ lV FEE CURREl� Y/N
Address �� I � Licensa# � �
i�htt
RESIDENTIAL Atfach(2)Plot Pians;(2}sets af Building lans;(1}set of Energy Fom►s;R-p-W Pennit far new constructian,
Minimum ten{1 Q}workirtg days after suh tittai date. Requlred onsfte,Construct{on Plans,Stormwater Plans w!Silt Fence installed,
---- —�--Sa►�Itary-Facl!lties-&1-dumpstec;:Sita�Wo�r�c-P-ermit.for�subdivisionsAarge.proJects__-- - -
COMMERCIAI. Attach(3)camplete sets of Building Plans plus a Lffe Safety Paga;(1)set of Energy Forms.R-O-W Permif for new canstruction.
Minimum ten(10}working days�after sub ittal date. Required ansite,Const�uction Pians,Starmwater Pians w/81ft Fence fnstalfed,
Sanitary Facilltiss&1 dumpster.Site War Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets af Engineered Plans.
"`*PROPERTY SURV�Y required for all EW consUucfion.
�
plrectians:
F(II aut applicat(on completely.
Owner&Contractor sign back of application,notarized
if over$2500,a Notlee of Commanaemant fs require . (A!C upgrades over;7500�
"" Agent{for the contractor)or Pawer of Attomey(for the o er�wauld be someone with nokahzed letter from owner authorizing same
t)V�R THE CGUNTER PERMITTING tFront of Appllcat on Only)
Reroofs ff shinc�les Sewers Servlce Upgrades :A/ Fences(P(otlSurvey/Footage)
i
Driveways-Nof over Counter if an puhltc roadways..neecis ftOW
s -
NOTICE OF DEED RESTRICTIONS: The undersigned understands that th s permit may be subject to"deed" res�rictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliai►ce�itf� any�, '
applicable deed restrictlons. '- ' ; I -
UNLICEN$ED, CONTRACTORS AND COCVTRACTOR RESPONSIBILITIIES: If the owner has hired �a contr•actor or
contractors to undertake work,�they may be required to be licensed in acco dance with state and�local'regulations. .If the
contractor is not licensed.as required by law, both the owner and contrac�or may be cited for a misdemeanor vlolation�
under state law. If the owner or intended contractor are uncertain as to hat licensing requirements may appl,y for�the
intended work, they are advised to contact the Pasco County Building Insp �ction Division—Licensing Section at i'27-847-� �
8009. Furthermore, if the owner has hired a contractor or contractors, e is advised to have the contractor(s) sign
portfons of the °contractor Block" of this application for which they will be responslble. if you, as the owner sign as the
contractor, that may be an indfcation that he is not properiy licensed and i�, not entitled to permittirig privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IAAPACT AND RESOURCE REC�VERY FEES: The undersigned und��rstands
that Transportation Impact Fees and Recourse Recovery Fees may apply t� the'construction of new buildings, change of
use in existing buildings,. or expansion of existing buildings, as specified i Pasco County Ordinance number 8�l-07 and
90-07, as amended. �Tfie unde�signed also unde�stands,'that such fees, as may be due,�will be�identified at thE� time of
permitting. It is further understood that Transportation Impact Fees and R�source Recovery Fees must be paic� prfor to
receiving a "certificate of occupancy" or final power release. If the project�oes not involve a certificate of occupancy or -
final power release, the fees must be paid prior to permit issuance. Furth�ermore, if Pasco County Water/Sewer Impact'
fees are due, they must be paid prior to permit issuance in accordance with�applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "F orida Construction Lien Law—HomE�owner's
Protection Guide" prepared 6y the Florida Department of Agriculture and ,:onsumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above de�cribed document and promise in goo��faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: f certify that all the information n this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land�development. Application is`
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has:
commenced prior to issuance of a permit and that all work will be perFor ed to meet standards of ail laws rEsgulating�
construction, County and City codes, zoning,regulations, and land devel�pment regulations in the jurisdiction. I also�
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is'
my responsibility to identify what actions I must take to be in compliance. S�ch agencies include but are not limite�d to:
- Department of,Environmental Protection-Cypress Bayheads, � etland Areas and Environmentally ;3ensitive
Lands, Water/Wastewater Treatment. ,
- Southwest Florida Water Management District-Wells, Cy�ress Bayheads, Wetland Areas, Altering�
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterwa s.
- Department of Health & Rehabilitative Services/Environment�I Health Unit-Wells, Wastewater Tr�eatment,
Septic Tanks.
- US Envlronmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority.-Runway.s.
I understand that the following restrictions apply to the use of fill: , . , - �
- Use of fill is not allowed in Flood Zone"V"unless expressly per Initfed. 4 '
- If�the fill material is to be used in Flood Zone "A", it ls u derstood that a drainage plan addr�sssing a
"compensating volume" will be submitted at time of permitting�which is prepared by a professional �engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall'
construction, I certify that fill will be used only to fill the area witFiiin the stem wall.
- If fill material is to be used in any area, I certify that use (�f such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent p�operties, the owner may be cfted for violating;
the conditions of the building permit issued under the attache� permit application, for lots less thari one (1)
acre which,are elevated by fill, an engineered drainage plan is r quired.
If I am the AGENT.FOR THE OWNER, I promise in good faith to inform th�owner of the permitting conditions se:t forth in
this affidavit prior to commencing construction. I understand that a separ ite permit may be required for electrical work,
plumbing,_ signs, wells, pools, air conditioning, gas, or other installations�iot specifically included in the applic�ation. A
permit issued.shall be construed to be a license to proceed with the work �nd not as.authority to violate, caricel, alter, or
set aside any provisions of the technical codes; nor shall issuance of a per�nit prevent the Buildirig Official from,thereafter
requiring a correction of errors in plans, construction or violations of any co�es: Every permit issued shall becorrie invalid
unless the work authorized by such permit is commenced within six mont�s of permit issuance, or if work authorized by.
the permit is suspended or abandoned for a period of six (6) months after tt��e time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to�exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecuti�e days, the)ob is considered abandoried.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT I!N YOUR
PAYING TWICE FOR IMPROVEMENT O YOUR PROPERTY. IF YOU NTEND TO OBTAIN FI A CING, CI�NSULT
-_.___WI.TH YOUR LENDER OR r4 ATTO N BEFORE RECORDING YOUR NOTICE OF OMME CE ENT.
FLORIDA JURAT(F 1 7.03) - - -- — _ _�.____ _.__ -- - -_ - _ ' - - -- --
OWNER OR AGENT • CONTRACTOR
Subscrlbed and sworn to(or affirmed)befo e me thls Subscrlbed and sworn o(or afflrmed)before e thls
by bY
Who Is/are personally known to me or has/have produced Who(s/are personally nown to me or has/have produced
as Identlflcallon. as tdentificaflon. ,
Notary Publlc Notary Public
Commisslon No, Commisslon No.
Name of Notary typed,prfnted or stamped Name of Notary typed,prtnted or stamped
I
—�
__ . . ,.� ", ,�.�.� ic��4 tsa ts�lStSi5t5yUUti » 8132694402 P 515
. . � t �, ,�• �
t �
�cot��:flAcz�� .. } . . .
:� . . .
,;:_ :_. 'A,.. �,�.���;�:�:�.:
;INSTAtS:Eb. AC�S:SpECfA(,tS , � , �: ' .., , .NUMB�R.'., ,;� j CUSTOMER I. -: . • � '
.. . �.>t���� � ; .�2:�:c�� : .,.,..;.:;:r; � ��55;�:�:1��: , � , � � .....
- . ...;;; .. !:..� � � ��
�� �-
� �.
ST4RE'N(). "' ' `:S'fRE�3�SS��" '�'�`�' .;` . , . ... .,. �STRE�YADbFi�'`S� ' � ��� '
_ �?5.'� '7 �� C�t.,.�'t�d �, r .,. :��z-5 :�" ��r�.:.... •�� .
CITY' .. . . • ..STA'[`E•. .. , ZIP , : - :.GtZY �'.'. • � :S'FA'1'�' .ZIP
.��� ,. .�� ��:.. 3-��.5���..: .��.,�.�,��. 5 . ' �� 3�Sy�� .
7ELEPHONE., . . �e�p�� . . .. .�� , ' ,
'iELEPHONE'
' �,;��3�"�'�'�._ .:���:�c� � � � . , kI•3.,:t.�y_�J '1'��'6� '
.. ��� � . :_.: � .- �� - -
DATE`� " � �Ct7W�'S�CbN1Ti�i4CTOR L{CEN6E NUMBEA�' �. • :4 ASH' •�o;":• .. tCC :' • R�0 .
Z 2'7•Z t�i'7. . . . .. ,,� c,UwcE .
��i�r i�,� ir� ' J' - - -�'
�
S'TREETAb�SFiESS , . . . Qf.TY . . . .. . STAI'E . Z!P
. �� .,�'��� �..�' �.�U.��: . ,.�. . - . . � .
�Adciitlan�rl.�Spe�ciffcatfoias'r, �The Enui�onmenta! Pxo..��ction Ag�ri.cy.{EFA} has_:requestecf fh�t.. � Mat��s -
Lo�n're's notify tristaitatlon cus#iiitie'rs fhat a leact•based paini:Fia2a�rd may+��ist in�dwetlings buitE . ' �zax .
=. � �..'.. ' • � . .� , �. •. . . . ' : .
. ...., . . .. .;. , �
:pi�i�r to1�78, ��ee,parnptitet'EF�A 7`�7-K-99-t3b`t;fbr detaiis: � � � �atior
^��-<-4.�..G✓��1� r.r:�-i�a1! :���.LF � '�' -G+����e v7_n-+:�� i��:ck,t-�' ..�c»r�.. .i `'r�z� .
p �� > ' +�:. . -� 1'otat� x -ZZ:• �9
1 k�G�. .L.�,,.1 .. <�i�c7l:, '�'?�'�CTS:..,��otrvC�.., ,t�ts � it Ll. ,4 .
...
--r-----
. . .. .- �/�
,...
�v�i.k' . <.c►�'�'.•_...�:8�+��=5� .Gv'ill: �C,.�t.o:v�.� �A�.C�` ��:Qe�.l.�.lLtv�le,�: '/����L.�r'' '.``t' . .t��. . . .
. �: . . . . '; .
exrs���;� �h�,�„� ��� °��►��.� ��►t• ���1•w.o �� ��^�j! I," h� � r��� �c�� t�r�!! � �°��t:�t... �k.�
r; �.. �Y„ ]� � , e
j a c.�G., b o��h '���5�.-�� . �.'oc-� ' . . .., .. . , . , .-. , , .. . . .... ir .... '.,. .
. - . • � . . . . .t---4-,:,, -. .. . ��. , . .. . . . . ,. , .,., , , . . , , , - .. .
. - . � . , � �� .. . , �.. . , , � , �
. . . - . � . .
0 � �
. d
� . a
tN r3 is to comme'ce n rea ona�e �` ! ' 'i
o ., . .n up4. .,.. s I 1 availabll.fty of Cqntractor rVh�GN Is;an�telqated to be(+✓� y_.__��.�.___,jfill in date]. ,
.�sttmated:campfetion.date;i:��.�t.�t�^,��, .�. tv�.on:-��''� .•[fiU.In date�,. . l, � .
. ��, .. . , . . . _! .. .
. . . . :r_ �....:� ..,... . . •..; � ,.. � .. � .r„ . . . . . �. � . .. . . � . . .
NOTIC6�TQ CUST4IMER , ' . .. •, . ,
A11 it�rns iisted�in'ttiis'ccsntract F�nd speeifi�ation shoetls):�e to:be installed'YiMder�c�nditions�agreed.upon aY time:of•purch;�.se and:at the price appearing on•thfs
contract iorm. This assurime§s+�und:eXi;�t3hg sutistractures,st�perstructure:and:points.Ofi attachmants. .Extra l�baror.material•incident•to�instailation necessitated
by�d�fectfve substnii:tures,superst[ucit�Pe,•:pa(ei�s t�f'attacEirrieo2,.ar the�snouEng•of,�Situres:�i�.appliances'to•be btJi'sd:at:extca co5t.�to castomer.
DO�f,�7'SIGN SHlS CCIN7RACT'tiNTlL COtU1PLE`TE AN[1 Y�UI HAVE FiEkD�'THETEFiMS ANL1 Ct3Ni�iT(C�RiS CONTAtNED�tJN TFIE
RE;1C!°RS�'St!?E�OF TFIl��'C�lN7'C�AGT:�. :E3Y�SlGNtN��-$E�OV►fq�`��!O�!•AF�E AGKNUWL;EE�CzING�TH�i7 V�Jt;t°-HAYE;RELID, t1�fD�Rw
� $TAHIC1.Afi1D%iGiF�iE�;1`fJ�THE�'f'�E:Rf!�NS A{�'D`;C`ONDYt'iONS;'���FG1F�'fH bNl�T'h!E Ft�'V�l�SC SIDE Oi-�!'}-!!S�'CON7"RACT.,Ytit1 AR� �
{. . .
.EN`I"IT[:�Ct`TCI A:,CQPY'�OF'7'FT1S'.iCQNTEi[1;C'i'A�'•TEi��ItNE�'q1='SlG1VAT'l�Fi�• �• ... , . '
�� �. , ���..... �. �: .,. . .. : - • � .
WITNESSO.URNAND{S)AND•SEAL{S•)'BELO.'\+Vl'k-iIS 2��C)AYCjF'_ ��l�r�t'"�`�r � ' �
,. . .. , . � � ,�-�---�-.
, l
� , {sea�>
p � ..ti ,.. �.• ♦ � , ... " .::' � .�.1 • •I.�'e � . ..
.' 9rr � , ., , {u6al) �. .[ ,. ,. . ,. . ' ' {Se81}.
S' ci' ist o�A � .. ., . . .. .,. . . :S'pou�e • : . .., ,. ' • . ,
;. :s� a;
'N 'cl ,y:
,jr
v. � ... •� .. .. • . • . ` . ��. 5.. .... ' . 7� " " . ��.. � .., • � . � � ., �
.I' ,
' : .i �. ' r +. , . . . . . i , ..'i • , , , '
I �
i �
�
�
� , h�g/
� ��.�s
-�-2����d �k,u i� �� ;�����-b�tl
��
��
.,
1����d
�t�9,h ��� �����
�Z/
�
i �,
�it/�►�nryd
;
�
� 9��� _a�,�,� ���$
i
! �-1���� �� �s�{"�'`�`�d'Z
i
$�,ob _$�� ���� x� ��-5 �b S�z�S
�bs��or �,,b� _ '-'
�s�l �'-�""-� .
A
S/� d Z06669Z�1,8 « R(InF,Rs sI.Q os� +,coi ,�•�• -- --