HomeMy WebLinkAbout17-18304 CITY OF ZEPHYRHILLS
5335-8TH STREET
- ' ; (sis)�so-oo20 183
FENCE PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18304 � Address: 5123 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: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 11-26-21-0010-19300-0110
Improv. Cost: 300.00 OWNER INFORMATION
Date Issued: 3/29/2017 � Name: KENNEDY, ROGER & NANCY
Total Fees: 40.00 , Address: 38601 FERM CIRCLE
Amount Paid: 40.00 � ZEPHYRHILLS, FL. 33542
Date Paid: 3/29/2017 �, Phone: (813)783-1268
Work Desc: INSTALL 40 X 6 WOOD PRIVACEY FENC/6 X 4 SPLIT PLASTIC RAIL
CONTRACTOR S � APPLICATION FEES
HOMEOWNER FENCE 40.00
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Ins ections Re uired
FINAL
itEINSPECTION 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
CTOR PERMIT OFFI �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��-�saoazo City of Zephyrhills Permit Application F�»813-780-0021 �� �- .
• Building Department �'`
Date Recetved . Phane Contact farPermltting '� –
Owner's Name i9 C � .?/�C� Owner Phone Number ������c�� /�„�O �
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Owner's Address � ��� L'��/� �� O�nrner Phone Number �— �
Fee Simple Titteholder Name � � Owner Phone Numlier � ��_
Fee 8lmple Titleholder Address �
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JOB ADBRESS � �a 3 � �� �� �' •/�� LOT# [�
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SUBDIVISiQN � � PARCEI.iD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WQRK PRQROSED e .. NEW CQNSTR 8 ADDIA�T �� SIGN Q Q DEMC}�ISH
INSTALL REPAIR ,
PROPOSED t15E � - SFF2 Q CC?[UIM 0 QTl1ER . E'.r/G�
TYPE"OF CONSTRUCTION Q BLOCK - Q FRi4ME � STEEL Q �— —�
��. / 1 ��r
DESCRIPTIOtd"OF WORK � C G� '��� '�f � t /�� G(l�Od /�°t�t° G � �/7'� �'a.✓�
� Bt11�D1Fl�SIZE �� � SQ FOOTAGE HEIt'sH'i • S�f�,�Ti cu,� �/��
Og������� �y������ VAIUATtOt�OF TOTAL COIVSTRt1CTtON
f• ,,
�� ..QEI:EGTRICA� �� AMP SERVICE [� P320GRE5S EtVERGY Q W.R.�.C.
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� �PLUMSIf�!{'a � � �� f� �ry�
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QIVIECHANICAL � � VALUATlON OF IUiECHAN[CAL tN8TALIATIQN
QGAS Q ROOFtAtG Q SPECIA�TY [� C}THER �,�if �L^^'�� .
f� t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
�.eui�a�R � caM�Ewir �1,Yi� .�t.z-' �'y'"
SIGNATURE ,,,� a«�??� '/' REGISTERED Y'/'N FEE CURREn Y%N
�lddress � "Liaense# � �
�.�`ELEGTRt,C.iAPI , , COMPd#t�lY �
�SIGNATURE REGISTERED Y/ N �FEE GURRE� Y/N.
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- Address � - License# �u �
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FLUMB.ER;, ,. COMPANY -
��SIGNAI'URE REGISTERED , Y•/'N= ' FEE CURRE�` Y/N
Address � License# � �
°':MECHAP11CA1:"` ` � COMPAFIY
':�SIGNATURE�'"�� � RECaISTERED , Y/.iV FEE CURRE� ; ; Y/N ' ,
Aiidress�` " � ` ' � License.# �� �
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� ,OTHER=�;"�`,�. , , , � . �GOMPANY ,
t"SIGNATURE;i,+'�;;_ .n " � � - REGISTEREd Y/.N . . FEE CURREK Y/N
��►aaress. _ _ _ . rt: " , � �
License#
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R !A[. ;,: Afhach`(2};Plot;Plans;�'(2)E'sefs�of`Building=Plans�(1�}°set of,Energy,;Forms;R=fl-�(1t.Rermit,for new,consttuction,'
, .ESIDENT
,; , . .:
l; „ Fc�;s�}r R; �>Minimum ten,(10),workmgl,days:after submittal�date.�Required�onsite;Cbn'structlon`Plans,.Stormwater Plans w/Silt Fence installed,
w'�:;;.-- San[t�ry�F�acitlties�i&ul�dumpster,;Sitei=Wor.k Femiit for-subdivisionsllarge;praJeets -- == .r� � �
�r:,. .-., .,. _ . _
-~:;GOMMERCIAG A#tach��(2)�comptete sets ofBuilding Plans�plus a Life Safety Page;{1}set of Energy forms.R-C1-W Permit for new construction.
- Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
-_ -Sanlhary Facilf�es&1 dumpster.;Stte Wor.k Permit fo�ali neuv pi�ojecEs.Aif commercial requirements.mast meet compltance
�r}��SiGN:PERMIT `Attaati(2)'s'ets-of,Engineered;Plans:��� :;:�..,�. �
`<;� �" "`""PROPERTY$URVEY required for.all,NEW construcNon. _
�_._ __
���Directions; ..,...� :
�''�' �� F:ill;out�application completely.
�;.,...
.:Ouirner&:Cciritrdctor sign.kiack of application,notarized
; If over:$2500,a Notice af'Commencement:ls required. (A!C upgrades ovsr$7500) _
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;0.gent'(for't't�e=cocitiactor)°or�Power o#'Attamey{for ttie ownet�wouid be someone with notadzed iefter from owner authorizing same
.. �,.,� . .. , � - ,., -.,_ ....
;.OVER`,THE�COUNTER;PERMIITING`.` .,(copy:of.contrack;required)� �'� ' - � _ � , ,
'r:Reroofs if.sfiingles Sew�rs ;``,Service�Upgrades PJC,"', �Fe�ces(PIoUSurveylFoatage) ' , ,
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_" Drlveways-Not over Gownter if.on.public.�oadways_:needs ROVV � ,
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that;�his;prermit may,be,subject to_;`deecJ",restrictions":.:�.$�,;�-
,� . .�:. :���: �. :. ,_ a. �.::.:_: q_,.,. � z, r
which�may,:�e�more=cesfrlctivefthan:Coucity.regula#ions�`�.T#te�underssgneif4.assu�iies�respons�bilityfor��°camp{`tance�inry#h any` �` �:
applicabte deed restricfrons. � - :�3��-:==s'�°�r::�<��:�:=,t-
UNLlCENSED Ct?PfTRA►CTOE25 ANQ CQNTRAGTOR RESPQNSIBlLITIES:: ��lf=tlie�-owner`�has°��iiceel`�a�:�contr;actoc or '?�
contractors+to undertake work;they maXj;be.requir,ed to befiicensed.in accordance with.state,and;N�:loca}�;regulations.L:�if�?#tae�::�"�t,�
contractor is.not.licensed.-as required liy'law, botti�the ovmer"and'sontracfor-may�beuoited=for a.misdemeanqr violati'on:� ;<��°i��
under state lavu. �Ef the owner or intended cantractor. are:uncertain as to what.licens�ng�requirements:,rnay.apply:for;�he;};�'��;�-.`
_ '.."�.�.�"'t.k.}. . ,k,.i�..>•" - �. - 'v s. ...-
intended wark,.they-are.advised to contact'the'Pasco County Buildmg'Inspecfion;.Division:=l:icensing"Section at�727=84�7- `�°
80Q9. Fu�therrnore; if the oirvner-has'�tiired�`a��caritractor or confrai:tars, he is advised to��have4#he�xctrnt_ractar{s}v;s�rgn.;��;�;:_:
portions of the contractor Block of this,application for which they wiil be responsible..If you,_,as�tfie,-owne� sign_as the. :f.�
contraatar., that may be an indication�that'°he�is not properly�!i'censed�anii is nof"entiflec! to�permitting privilegesr,in.Pasco, ,.,
� Caunfy. - _. - .._ , �_ . _ � � - :�� �,.� �,�, ;
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TRANSPORTATION-IMPACt/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:�Tfie untlersigned understands =_.'%�;:
z-v,�-,�.M�==����.
that Transpor#ation lmpact Fees and Recourse Recovery Fees may�apply ta the constnaction,af.newmbui.i.cling�,:chartge;iof�''>�,,';s��_
use in existing buildings, o��,expansiorr;of�'existing buildings, as specified in Pasco County Ordi,nance number 89�U7.:and:,'�:-,;::;;�,
9Q-07, as amended. The;undersigned also 4�anderstands,°that such.sfees,=as�:may,.be.due, wifi;:t�e�identified"`at�tFie'":fiir=ie�afi;�;:j�-'''�_
permitting. '1# is fur#her understood ttiat``Transportation=Impact Fees°and Resource:fRecovery:..Fees must be.paid pcior.:to ;Y`�
receiving a "certificate of occupancy"�or;final.,power celease. If the;project:does not=.inuolve;a certificate of occupancp:ot':�=�w�`=�'
�naF pawer release;,the:fees:mus# be.paid priar to pecriiif issuance.� Furtfiermore, if Pasco Gounty W.;_ater/,.Sewer,�lmp�act��-.:-: ��;
fees are due; tliey must:be-.paid prior�to;permit_i'ssuanceyin=accardan'ce with'.applicable Pasco:County o�dinances. �
� CdNSTRUCTION°LIEN�I�A1N 4Chapter 713,"Florida Statutes,as amended}: If valuation af wrark is$2,50Q,OO.or more,�iYaSt. : �
certify that `I, the .applicant,: have been-.provided with�-a-copy,:ofn;#he ''Florida= Constructionv:Lien...Law:Homeowner's i
Protection Guide°�prepared`��y the Flor'ida Department of Agricuiture and Consumer.Affairs. If the apptieant�is;som�one.4:E,�
ather than the"owner",;1;certify that.i::have o6'tained a copy of the.above"described'document and promise,�in,goa,d�faitli':to.A::,
deliver.it.to.the'�owner'!:pr.ior�;to.:cammencement:�' � ' � ` �
CONTRACTpR'S1�{�VNER'S AFF'iDAVIT:,:-rl;cert�'}r#hat.all the.informatian in this applicatian is accurate and`#hat ali'wo�k
will be done�in compliance with all applicable laws regulating canstruction, zoning�and land�development. Application..is
'` hereby made to�obtain�a;:permit..to;do;,.work and instalfation..,as=�indica#ed. #-certify thaf no-work or.instatlation�has
commenced prior-�to issuance af�a permit and=that all work will be performed to.meet:standards of all laws regulating '
construc#ion, County and City codes, zoning regulations; and land clevelopment"regulatior�s irr.:the jurisdic#ion. =1�also
certify that i understand#hat the regulatians of ofher government agencies may apply to the intended work, and that it is S �
my responsibility to identify what actians I must take to be in compliance. Such age�cies include:but are not limited_.to: f
- ,Depar�men# of Environmentaf:'Protectian-Cypress�Bay�ieads, VVetland Areas and Environmentaily Sensi#ive �
Lands,Water/Wastewater Trea#ment. �
- Southwest Flarida Watee Management 'Dis#rict Welfs, Cypress Bayheads, Wetiand Areas, i4ltering $
' Watercourses. - � �
- Army Corps of Engirieers-Seawalls, Docks, Navigable Waterways.
- Departmen# of Health � Rehabilitative 8enricesJEnviconmentai Heal#h llnit Wells, Wastewater Treatment, � �
8eptie:Tanks. e ` '
- US Envirt�nmental Protection Agency-Asbestos abatement. ,. �
- Federal Aviation Authority-Runvuays. � �
I understand that�the following restricfions apply to the use of#i!!:�
- Use of ftil is not allawed in F(ood Zone"V"unless expressly permifted.
- If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensating volume"will be submitted at time af permit#ing which is prepared by a professianal engineer "
licensed by the Sta#e of Flarida.
- If the f!I materiai is to be used in Flaod Zone "A° in connection with a pecmitted building using stem wa11
, canstruction, I certify that fill will be used only to fill the area within the stem wall. �
- If fill :material is to :be used in any area, I cerkify that use of such"�fill will not adversely a�Fect adjacent
propertles. If use of fi11 is faund ta adversely affec#�adjaaent properties, the owner may be cited for violating.
the conditions of,the building,permit issued under the attached permit.application, for lots�less than one (1)
acre w�iich are eievated by fill,an engineered drairiage plan is requi�ed. •
If( am the AGENT FOR THE OWNER;-I:promise in good faith to inform the owner af.the permitting conditions set forth in �
this affidavit prior to commencing construction. ! understand that a separate permit may be required for electrical wark,.
plumbing, signs, wells, paots, air conditioning,..gas,. or other installations not specifically included in the application. A. , .
permit issued shall'be construed'to'6e a lic�nse.to p�oceed with the work and nofi as authority.ta violate, cancel, alter, or '
set aside any provisiorts of the"technical codes, nor shall Issuance of a permit prevent the Buitding Officia(from ther.eafter
requiring.a correction of errors in�plans;:construction oc violations of any-codes. Every permiY issued shalf tiecome invalid
unless the wark author►zed by such permit is commenced withln six months of permit issuance, or if work authorized by _ .
the permit is suspended.or abandonedafor a period..,of six(6)months after the time the work i's cammenced. An extensian '
�may be requested, in writing, from the Building Official for a period:not to exceed ciinety (90)tlays and wil! demonstrate
justifiable cause for the e3ctensian. ,If work ceases for ninety{90)cansecufive days,the jvb is considered abandoned. �
WARNING'`TQ OWNER:. YgUR �A1�URE .T,Q RECQRD�:A NOTICE�OF G,OIUOMENCEMENT MAY RESUI�T IM YOUR �
PAYING TWICE'F4R;iMPROVEMENTS;TO YOUR..PROPERTY...1F YOU�;INTENDwTO�OBTAIN'°FINANCING; CONSULT
INITH YQUR"LENDER�OR AN�ATTORNEY BEFORE�REGQRDING YOUR NC}TICE`O�=CQMMEN�CEMENT. �
Fl.ORIDA JURA7{F.S.117.03);; � . �
. rv; . ._
---� OWNER ORAG�NT�G' �°' CONTRACT0�2-���,�L ��� �� --- - - __- -- _._� -
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S cribed and svv�x�{o; efore ma thls Subscribed and swom to o rrned�befo me this -
i ��?g-�7 by , P �',��/? py r�' P ..?/�. .
Who is/Le p rsqnally kqq o me or has/have p duced ^ � Wha islare ers nalty k qw� n to m or has/have produce
t�er.stace�as Identification. -- jyL �j�s �XCi�sc,.., as identification.
'� �
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, Notary Public r Notary P.ublic I
Co mi ori missio ,,•,�,�«„ '
� �
� .�ACQUELINE B06ES �+R `•:= Cpmmission#FF 15Q422
Name flf tYotary�rR�,; �i5i� �? 18 Name of Natary � er ,
� . ,�� on c royFclnlnsumnone00.385.
i, '• �:•�-'�'nr Troy Fain Insurence 800�385•�M9 ,k'- 7018
i:�,.�....__., ,. . ,»,.�me�w.zs �
.
o �. � CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D.#:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVIl�TG DIlvIENSIONS&SETBACKS
U'I'ILITX BUILDINGS MUST SHOW SIZE&FOUNDATION INFORNIATION
� � I
� ,�.�t
FRONT PROPEI�T3�LI�T�
- - - STREET - - - - - - - - - - -
(NOTE EXADTPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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60'
ta
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P E
R X
0 1 ip D�57T�1G �Q
10' � T 10' 1-0D' '
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PROAD6ID
�, �I'•SAI(�EFAI�.Y! 3UDIJPIFX
}RON7'PROPER7'Y IIHE FkONl'PEOPE&7'4 LiNE • --•-
- -- SI'[tE�l' -- - - - - - - - - - � - -- SfREEi' -- - - - - - - - - -
tY � �
DISCLOSIIRE ST�TEt�NT FOR OWNER
CITY dF ZSPHYRFiILLS HIIZLDING D73PARTI+�NT
=l have read aacl fu1Sy uaders�and aad
agree ta the provisiaas o£ this iastrumeat.
The undersigaeci etates and affiaems �hat he or she is desirous af coastructiag,
reaovatitxg, addiag ta or reroofiag his ar her owsi. domicile, tha� he ar she
actually OCCiIj}7.ES j os wiZ3. oecupy lay sais� domici3.e, and same is not for
reat, lease ar sale. That he ar she shall camply with the following conditians:
I. That the owaer an.d he ar she alaue shall act as the builder for all phasee of
coaetructioa.
2. Tha� the atvaer will comply vaith a3.3 provisicas of the City of �ephyrhille
ordiaanc�s aad codes pertineat t�o the bua.ldiag.
3. Th�t ia �he event variotts phases of coas�xuation are subcaatract�d, he will
engage oaly propexly licens�d subcoa�rac�ors and will person�lly aupervise
auch wor]s.
4. That in �he eveat the Suilding Iuspector shall require aorrectious ta be made,
the cwner w.i11 aseume full respaassibility to iasure they are mad�, a�nd upon
ctm►pletion wiSl caZl fax a reiaspectioa b�fore proceed3ng w%th the buildiag.
5. That the owaer sha11 assume full respoasibili�y for the construc�ion and will
� aot e�ect supervieion of ha.e work fxasn the City 'of Zephyrhi2ls Suilding
bepartmeat.
6. Tha� priar to fiaaZ inepectii.oa any additiaaal fees, includiag reiaspectiaa
fees, must be paid in �u3.I. A written request fram this affzee sh�21
coas�itut�e an officfal uotiae ta pay �dditiona•1 fees.
?e That the oiaaer sha11 camply �r�th all C�ty, State and Federal Iaws in regard to
social seauri�y, warkman's compensation, lien laws, etc. , whete applicable.
8. That the awaer sha11 comply with all �he safety codes issued lby the Floridm
Industria�, Commis�ion.
9. State law requires conetructa.oa to be done by liceased contractors. Yau hav�
�pplied for a permi� uader aa exemption to tha� la�*. The �emptioa allaws
you, as the ow�ser of your properby, to act as your own coatractor with cert�aia
restrictioz�.s evea though you do nat have a licease. You must provid� direct
� oasite supervisian af the caastructiaa youreeZ�. You may 'bui2d or impxove a
oae-Eamily or �wo-iEamily residenc� or � farm outbuildiag. You may alsa bu31d
ar improve a comm�sciaZ building, Provided yauz cos�s do aot �sce�d $?5,000.
The buildiag or res�ideaae mu�st b� for your owa use or occupaaay. It may aot
be built or �ubstantially improved for sale or lease. If you sell or lease �
buildiag you have built or substas�tially improved yaurself withia 1 year a£ter
�he coastxuctiaa is complete, the 1aw will presume that you built or
substaatially 1,ICt�=4"ST�CI if for sale or lease, whieh is a vialatian of th3.s
escemp�ioa. You may aot hire �au ualic�ased pereon ta act as your coatractor or
�a supervise people worltiag oa your building. st is yaur r�spaas3b�li�y to
' xnmke s�ure that peaple emplo}►ed by you have Iiceases z�quired by s�ate law aad
by county or muaicipal 13censiag ordiaaacea, You may aot delegate the
responsibility for supex.vising ivark to � licens�d eosxtractor who is no�
liceased to pextorm the work beiag done. Aay persoa workiag oa yaur buildiag
', who is aot liceased must work uac3ez yonr d3.rect supervisioa aad must be
emp2oyed .by you. wh3.ah meaas that you must cieduct F.T.C.A. aad withholdiag tax
and provide �aorkers' compensation for that employee, all as prescribed by l�w.
'� Your caastruction must eamply with a3I. app3.icab2e Iaws, asdinaaces, buildiag
! codes, aa8 zoaiag regulations.
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OWNEIt'S SIGNATURE DATE c�i/.2-'�// Ai
ADDRESS [°,�i
�orrs __�1.3 �.3�'�-�35��
ws�xsss �s�r� #
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