HomeMy WebLinkAbout17-18341 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 18 1
' FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18341 Address: 38243 14TH AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
� Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 11-26-21-0010-01400-0100
Improv. Cost: 936.00 OWNER INFORMATION
Date Issued: 4/07/2017 - Name: MAYHEW DARLENE M
Total Fees: � 40.00 Address: 38243 14TH AVE
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/07/2017 Phone: 813-713-1272
Work Desc: INSTALL 32 X 6 CHAINLINK FENCE
CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC (407)832-8085 FENCE 40.00
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- Ins ections Re uired
FINAL
REINSPEC7TON FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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 properly 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
efore recording your notice of commencement."
mplete Plans, Specifications and Fee Must Accompany Application.
work s be erformed in accordance with City Codes and Ordinances
CO RACTOR 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 cif Zephyrhills Permit Application Fax-813-780-0021
. Bufiding Department
M hf i uq
Date Received
; Phc ne Contact for Permittin g/ Z�, -- R �
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Owner's Name� �AfZ�2Ne. �R h Owner Phone Number (0 3 - �3 3 - �5/S D
Owner's Addr�sss 3 S��3 /y�1 A�`e. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
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JOB ADDRES:3 3��-�3 �y�► (�t/�, e�PtiR �i�15 L .7 3�y z LOT# 10 —/�.
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SUBDIVISION C� zerh �'1i��S I PARCEL ID# ��'26'2��'00/� �QI 00 — p�OO
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPCISED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR ; COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK I FRAME � STEEL Q
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DESCRIPTIONOFWORK �tJs��� 32j Oi' �o� ��9{t C�Ar�JLi�Nk �'�NC2 t,Ji'7�h, f �oAT
� �BUILDING SIZE SQ FOOTi G� HEIGHT
�
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��UIL.DING $ �,3���0 f VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ j AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
I
OPLUIWBING $ i � ���
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f
�GAS ` Q ROOFING SPECIALTY 0 OTHER �v
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY L_O W�S. I^�'p(NG C2,�-e2 S L L L
SIGNATURE `re� NTh C REGISTERED = Y"/JN � FEE CURRE� Y/N
Address � 7�q9'3 / Nc�o F� 3 8 7 S �Ucense 15�$Sf l 7
ELECTRICIAN 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# �—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f�lans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after sUbmittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instailed, _
Sanftary Fac(Ilties&1 dumpster;Slte Wor�C Permft for subdivlsionsAarge projects - -
COMMERCIAL. Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten(10)working days after subn�ittal date. Required onsite,Constructlon Plans,Stormwater Plans w/S(It Fence installed,
Sanitary Facflitles&1 dumpster.Site Wor Permit for all new projects,All commercial requirements must meet compUance
SIGN PERMIT Attach(2)sets of Engineered Plans. �
•"•PROPERTY SURVEY requ(red for all EW consWction.
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Directlons: �
Fill out appUcation completely. i
Owner&Contractor s(gn back of application,notarized
If over 52500,a Notice of Commencement is requlrec. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owner authorizing same
OVER THE CCIUNTER PERMITTING (Front of Applicat�on Only) •
Reroofs ff sh(nc,�les Sewers Service Upgrades A/Ci Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pubiic roadways..neer s ROW
_—.— ____—.—_1
NCITICE OF DEED RESTRICTIONS:. The underslgned understands that fhis permit may be subject to"deed"res�rictions"
which may b� more reskrictive than County reguEations. The undsrsigned assurnes �esgonslbfi�ty for campifance with�ny I
applicable deed restrickiflns. '
UNLlCENSED CONTRACTORS AND G09VTRACTOR R�SPONSIBILITI ES: If tfie owner has hired_a contractor or
contractors`to,underYake work, they may be required to be licensed in acco dance wifh sfate an��locai regulations. If the
cantractor is nof licensed as required by law, both the owner and contrac,or may be cited for a misdemeanor vioiation�=r�
under sfate law. if the owner or intended cantractor are �ancerfain as to ha# iicensing reqiairements may apply for the��
intended work, #hey are adv9sed ta contact the Pasca Caunty Buildfng lnsp �ctian Divisian—Licensirtg Sectian at%2?-847-�
80Q9. Furthermore, if the owner has hired a contrac#ar ar contractors, e is advised to have the contractor(s) sign
partions of the "contractor Block" of this application for which #hey will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he fs not proper(y 1lcensed and i=� nof enfitled to permiffing priviieges in Pasco
Cnunty.
TRANSPORTATiON iMPACTIUTILITIES 1{1diPACT AND RESQURCE REC�VERY FEES:, The undersigned undr�rstands
that Transportatian {mpact Fees and Recourse Recovery Fees may appiy t #he construct'ion of neirv buiidings, cl�ange of
use En existing buildings,, or expansian of existing buiEclings, as specified �r�Pasco County Ordinance number 8C!-Q7 and�
90-47, as amended. Tlie undersigned also und'erstands,'that such fees, as may be due,�will be identified at thf� time of
permltting. !t is further understaod that Transportation Impact Fees and R�source Recovery Fees must be pai�l prior to
receiving a "certificate of.accupancy° or final power release. If the project�does not invotve a certificate af occupancy or �
finai power release, fhe faes must be paid prior fo permi# issuance. Furfh�ermore, if Pasco Caunty WateNSewer Impact'
fees are due, #hey must be paid priar to permit issuance in accordance with�ppiicable Pasca Courtty ordfnances.
Gt}NSTRUCTIQN !.lEN LAW(Chapter 713, Florida Statutes, as amende }: !f valuation of work is$2,500.00 or more, 1
certi€y that I, the appHcant, have been provlded with a copy of the "F orida Gonst�uction Lien Law—HomE�owner's�
Protection GuPde" prepared by the Florida�Department.of Ag�iculture and :onsumer:Affairs, If the applicant is �omeone �
other than the"owner", I certify that I have obtained a copy of the above de,acribed document and promise in goo��faith to
deliver it to the"owner"priar to commencement.
C�NTRACTOR'S/OWNER'S AFFIDAVIT: I cer#ify fhat all the information n this application is aacc�cate and #hat a}I work
wiii be done in compliance with al1 appficable laws regulating canstruction, zontng and land developmenf. Appiication is
hereby made to obtain a permit ta do wark and Installatian as 4ndicated. i certEfy that. no wortc ar instaliation has.
commenced prior to issuance of a germit and that a!I work will be perfor ed to meet skandards of all laws rE.gulating:
construction, County and Ciky codes, zoning regulations, and land devel ypment regulations in the jurisdiction. I aiso
certify that I understand that #he regulations af other government agencies may apply to the intended work, and that i# is ',
my responsibility to identify what actions 1 must#ake,fo be in compliance. S�ch agencies include but are not limit�d to:
- Department of Environmental Protection-Cypcess Bayheads, 'Netfand Areas and Enviranmentally ;3ens�tive
Lands, WaferJWastewater Treatment.
- Southwest Fiorida Water Management Dfstrict-Weils, Cy�ress Bayheads, Wetland Areas, Altering
Wa#ercourses.
- Army Corps of Enginesrs-Seawalls, Dacks, Navigable Waterwa s. �
- Departmenk of Health & Rehabilitative Services/Environment�I Health Unif-Wells, Wastewater Tr�atment,
Septic Tanks.
- US Environmentai Protection Agency-Asbestos abatement.
- Federal.Aviatian Authori,ty-Runways.
i understand that the foflawing restrictians appiy#a the use of fili:
- Use of fil{ is not allowed in Flood Zone"V"unless expressly per�nitked. �` �' � �
- If�the #il! materiai _is ta be used in Flood Zone ""A", it,is u derstood that a drainage plan addri�ssing a
"compensating volume" will be submitted at #ime of permitting which is prepa�ed 6y a professional �ngineer
ficensed by fhe Stafe of Florida.,
- If #he fiil material is to be used in Fiood Zone "A" in connect;ian with a permifted bu9lding ttsing stem wai4'
construation, I certify that fill will be used oniy to fill the area witt�in#Fie stem waii.
- 1f fill material is ta be used in any area, i certify that use f such fll! will nat adversely affect adjacent
properties. If use of fi!! is found to adversely affect adJacenk p�operties, the owner may bs clted.for vialating,
the condifions of the building permit issued under the at#ache permit application, for Iots less thari one (1)`
acre which are elevated by fill, an engineered drainage pian is r}equfred.
If I am the AGENT FOR THE OWNER, I promise in gaod faith to inform fh� owner of the permitting condifions s�f farth in
fhis affidavit prior to commencing construcfion. ( understand fhat a separ ite permit may be required for eiectrir;al waric,
plumbing, signs, wells, pools, air conditioning, gas, ar other InstalfatPons��ot specificafly +nciuded in the applic�ation. A
permit issued shall be canstrued ta be a ilcense to proceed wittt the work tnd not as authority to violate, cancel, alter, or
set aside any provisions of the technica! codes, nor shall issuance of a per�it prevent the Building Officia!from tl�ereafter
requiring a correckion of errors in plans, construction or violations of any co�es. Every permit issued shall become Invatid
unless the work authorized by such permit is cammenced wifhin six month�s of permit issuance, or if work authc�rized by,
the permit is suspended or abandoned for a period of six(6) manfhs after t�ie tima the work is commenced. An�xfension
may be requesfed, in writing, from the Buiiding Official far a periad nat to exceed ninety (90) days and wiEl demartstrate
justifPable cause for the exfension, If work ceases for ninety(90}consecut9�e days, the Job is considered abandor�ed.
� WARNING TO OWNER: Y(�UR FAILUR� TO�RECi�RD A-NO3'ICE-OF �QMMENCEM -MA-Y-R�SUl.T I!N YOUR
PAYlNG TWICE F'�R lMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO O TAI FINANCING, C+PJNSUL.T
WIYH YtJUR LENUER OR AN ATTORNEY BEFORE RECORDING YOUR O CE OF O ENCEMENT.
FLORfDA JURAT(F.S. 117.03) w
QWNER OR AGENT GONTRACT
Subscribed and swom to(or affirmed)before me this Subscribed and sworn o(or affitmed)befare me this
bY �Y
Who!s/are persanally known to me orhaslhave produced Who Is/are personally nown to me or has/t�ave praduced ,
as identlBcatton, as tdentiflcatian.
Natary Pubiic Notary Public
Commissian No. Gommission No.
Name of Natary typad,printed or stamped Name of Notary typed,printed ar stamped
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DA7E � LOWE'S CON7'RACTOR LICENSE NUMBER" � ' CASH BANK ^ LCC g� REG. ���„ . •t, I
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Addiflonal Specificafions: Th�� �rn►ironmental Prcatection Agenc;y (EPA) has requE�sted fihat ' " , Mat'Is
I Lowe's notify installatlon customers 4hat.a lead based paint hazar�d may exist•in eiwel6ings built � �Tax
prior fo 1978. See,pampFitet EPA 74'd�K�99-001 for dletaifs. ' Labor ��
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.Work is to commence upon•reasanable ava abillty of Contractor whfch Ils anilcipated to be. ��� .�� ''�.` •- � fili in date.
Estimated completlon date is i= �!• . � ,^r:�•:�4•.) [Pill in daiej. � . ---C , �
NOTICE TO CUSTOMER . ,
All items listed in this contract and specification sheet(s)are to�bei installed under ccrndltions agreed upon at�time of purchase.:and at the price appeariri�on this
coniract form. This assumes sound exf:;ling substructures,super�tructure and�5olnls of attachments. Extra labor or�material�incident to fnstalfatlon necessftated
by detective subst�uotures,superstruct,ure,polnts of attachment,or the�moving of fixtures or Appliancos to be billed at extra co;;C to customer, .
DO NOT SIGN THlS CONTRACT'UNTII_COMPL�TE/�Np YOI)�lAVE:READ THE T�RM:i AND CONDtTt1��N�COIVTAIN�D�ON THI3
, REVERSE S![)E OF.THIS CON1'RACT. BY SIGNINCi BELOIN, YOLI ARE ACKfsOWLE15GING THAT Y17�U HAVE.READ, UNQER-
STAND AND'AGREE TO TH�TI:F�M:i AND COfVD1TI�ONS SE f FOR'TH ON TIiE REVEfiSE SIDE OF TIiIIS CONTRACT.YOIJ.AR1='
EfVT9TLE[�T�A COPY OF TN1S COMI'RACT AT THE TIME OIF SI'GNATUHE. � . •
' WITNESS OUR HAND(S)AND SFJ�L(��)BELOW THIS =-� �" }�DAY OF ����"r`"'�' • Z'�►/'7
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Phone{home}: �6t13- �33' �f�is'd Phc�ne{cell}:'$')3-��S`5- �15�) Phone (ather}:.�__ _�_
insiall Address: �j�L-� ����tre. _����1� ��- ��j� t%�
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Directions: .. ��
1, Walk the fence line aft�r discussing pr�perty boundaries with the custorner-indicate any obstructions�s
yau measure
2. Imagine what the fencE: looks like frorr� a "bird's eye"view
3. Sketch the fence vrith these details:
• Mark where the fence abuts,attaches to or is built around any structure ar obst�icle
• Mark where gates wil! be locafie��as well as gate fiype (drive or walk gatej
• Mark best access route from ma�terial dr�p-off point to constructic>n area
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