HomeMy WebLinkAbout17-18383 �
CITY OF ZEPHYRHILLS
�- - � 5335-8TH STREET
(sis��so-oozo 18383
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18383 Address: 38250 A AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
, Est. Value: Parcel Number: 14-26-21-0010-01300-0010
Improv. Cost: 354.00 OWNER INFORMATION
Date Issued: 4/19/2017 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 40.00 Address: 38250 A AVE
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/19/2017 Phone: (407)975-3000
Work Desc: INSTALL 18 ' X 5' CHAIN LINK
ON RACTOR S APPLICATION FEES
. FENCE 40.00
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 be performed in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
C14LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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$��-�saaoza City of Zephyrhi#Is Perrr�it Application Fax 813-780-0021 �
' Building Department
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Date Received . Phone Contact for Permitting • - �Q
Owner's tdame 2� h Y A�p� Nv�s��s /-�o�l� $a�fi �c�/�; �� �rd
Owner Phone Number �/3 78� ' .S-SG��
Owner's Address I 1�� /CJ r�� (9 r�Ar�C t? /� � �i �+� �� �
Ar F�- Owner Phane Number
Fee Simple Titlehotder hlame ���3��/ jry I}U�tr� �}����� -� rP h+�c�� Ow'ner Fhane Number � �
Ree Simple TltteholderAddress �i a'iQ �t�Q.. P �i ta r1s �L ?,�S t� �,
JOB ADDRESS v��a-�d 1� F#U 2. Z P i!r�rrS �� � S lI Z- LOT# [�
SUBDIVlSION � � PARCEl.ID#
(OBTAINED FROM PROPERTY TAX NOTICE). �
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PROP,OSED USE Q SFR Q �COMM 0 OTHER _
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QSUILDlNG � ��^ d � VALUJ�TION'ClF TOTA[.GONSTRtlGT[Oi+l
QELECTRICAL �� AMP S�RVICE Q PRt�GRESS ENEFtGY Q W.R.E.C.
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QMECHANtCAL $ VALUATION qF MECHANICAL.INSTALLATION �t%'✓/
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FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES NO
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BUILDEt2 , y�/ ' . G�'r�v?aR'ANY {�y �
SIGNATURE .;�� � f � - REGISTERED ! FEE CURRE� Y/N �
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� 'ELEGTRICIAN . COMPANY
SIGNA'1'URE REGIS7ERED Y/ N FEE CURRE� Y/N
Address - License# � ' �
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F.LUMBER., COMPANY
SIGNATUR� � REGIS7ERED Yr/ N� � FEE CURRE� Y/N
Address �. � Licerise#'.� �
°- .MECH,�IN4CAL � COtVIP.ANY
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:`-:REStDENTfAL;;:. A�chw{2);;Ptof:Plan's;`(2}.sefs ofYBui[cltng�Plans;{1)`set'of'Energy;For"tiis;R-O=yY Perm9t.for new.canstiuction,
'K, _ -_.:;*;�;�:.�rr,,,--::Minimum;ten;(,10),working`�days-aften;submittal�iiate. Requireii'onsite;Gonstr'iicUon Plans,Stormwater Plans w/Silt Fence instalied,
kK=. `� � ` y ` Sarntary,Facilities&1ydumpster,,,5,ite:,Wor,k Permit for;subdivisions/Iarge:proJects = ' �
.q�-r. - _ , �
,-=::GOMMERGIAl. At#ach{2)compiete'sets'of'Buitdi»g Plans�plus a l.ife Safety Page;{1}set of Energy Forms.R-Q-W Permi#for new cansfructton.
- �-- - Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Santtary Facifit�es&�1 dumpster.5lte=Work Permit fo�a!!new pcbjects.Al!commercial requirements must meet complfance
;?;'.SIGN>PERMIT -Attacti°(2)sets.qf,Engin�eered'Plans:��- •
"""*PRORERTY SURVEY„required for.aILNEW canstruckian.
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� _� �Eill:out application comple#ely._ ._ .._. __.�..-.-_. _, _
: t'lwner:�Cor�tractor"slgn tiack af appNcation,nataf�ized;
�` if over$Z500;a'Notice of Gom�mencementi is required. (A!C upgrades over$750Q}
" �..� �.n„s_�r;'�^N':,°>y ia„�,^,c.`.���.:14`tC�:J :r�' -�: '�'! t;'1,. ' -
Agent{for�th'e�cbntractorpo�;Power.of;Attcimey{fc�r;tlie awne�)wauld tie someane with r�otarized letter from owner authorizing.same
vl: `'Yt:!`:....}i�...� . ..�.,+
';'ONER�:THE'COUNTEi2�PEF2Mt�TiNG,r.,..�; (copy,of'cbntraet required) j �"' � �
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°;Re�oofs if'shingles• ~Sewers �"� Service Upgrades A/C Fences(PIoUSurvey/Footage) .,..,, ,-r���_.
t�;,rw:'�:3i,'';:!. ' �
° � _,. �„ti.,-�<<<, .,;:�;�` :� -'.
- Driveways-Not over Counter if an pubtic'r`oadways..n"eeils ROW "�•' '' '�'""""�` � •
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NOTiCEAF DEED RESTRiCT18NS: The undersigned.under.s#ands.tha#.this,permit may.be;subject.to"deed" cest�ictioii's°`,:;
�:..� ��,� ���:t N,�, ���.�a..,v..,._� � `;
wfiich;may::be,more<r.estric#ive�thanCounty regulat�ons."The�urider"sigriec�'�,'assiimes�respansibil�ty;for�com�iiance°rivith�any
applica6le�deed restrictions. . ' _ .., .._ �, -�__.,�:<a�-_�<.�;�-=t.,�� .;
UNUCENSE�- CONTRACTORS AND CANTRAGTOR RESFONSlBlL:ITlES:�- �If--the•-owrier=hasrliired}°a��.contractor or
� contractors to undertake work, they,may�hbe,r.eguired to be�licensed in accordance with state,and�local,regulations:_=��lf;tti�e���'�-<�
contractor is not�licensed�as'rEquired;by iaw, bo#Fi the owner:and'confraa4or�may�-be�=cited far.a:'rnisdemeanor violation� ��;
under state law. If the owner or,irrtendecl.contFactor. are uncertain as to what.ticensing r.equirer,r�rents:;rnay°�apply'f.or;�#ii;e.�Y�'• ;;
.,ay<,�ttr�.,...•
intended wark, they are�advised to contact-tfie'Pascii Caurity Builtling fnspection�Divisiqii-=[_icensing_Section af 7'27=8.4�7-
8009. Fur�hermore, if the owner tias"liired�a� coiit�actor or confractors, he is advised to ihave the�contractor{s,}esign,,,,�.,.�r;
� !r� e.. .�4�'.:.? X
portions of the "contractar Block°_of this application for which they will.be.responsible. ff you, as`�the�ovrrne� sign,as�=the�'��~:;��
contractoc, that may be an indication�that he is not properly licensed and is nat`entitied to�permitting privileges in.Pasco, .;,:,�?,
County. . ,�::�.. t��,a�,;•:. •.
�,�__ ���n.
Tl2ANSP4RTATtON-tMRAC7NTILtT1ES�IMPACT AND RESCIURCE RECt3VERY FEES:�The undersigned undecstands °�
that Transpartation impact Fees and Recaurse Recoverjr Fees.�may.apply to the consfructian of new.bui(dings,.ciiange5of'��'"'�
use in�existing buildings, ar�.expansion of,:existing�buiEd'ings, as speclfied in Pasco County Ordinance number 89=07�an;� =
90-07, as.amended. The�undersigned also understands, that.such-fees, as4may.b.e�due, wi11"be�iclen#i�ed�at'�t#�e"'�;tirrie`�of�'s"���f
--.a permitting. 'It�is further understood that Transportation Impact Fees and Resource�-Recover'y:Fees must be paid prior to
receiving.a"certificate of occupancy" or�final,,pawer release. If the project does not�invoive,a'certificat� of occupancy,3:o�:��5-'-�`;
final_pawer reiease, fhe.-fees-must�be-.paid prior ta pecmit issuance. _Furtfiermore,.:if;Pasco Gounty Water/Sewer,-lmqact,-,r� ;
fees are due,tfiey,must be paid priar.ta permit�issuance-in accordance with'appiicable�Pasco.County aFdinances. "
CONSTRUC7lOM l�IEN�LAW(Chapter 713, Flarida Statutes,as amended): if valuat�on of wark is$2,500.OQ...or more;.�i;�pr� ,;
certify that 'I, the ,applicant; have beeri. .provided with' a copy,of Ehe "Florida Construetion:�l:ien Lav�-�Fiomeowner's �
Protection Guide" prepa�ed�by tfie F�la"rida Department of Agriculture and Consumer Affairs. If the applicant;is-someone,,.r,
athe�fhan the Nowner", (-eertify that.l_have obtained a copy af the.above`described'�document-and promise:�in goo.d=faitli;fo;,, .
de(iver.it.ta-the`;owner"�priorato=commenceinerit. � � - � �
CONTRACTOR'S%OWNER'S AFFtDAV11':,,:,{<certify that alt�the infanrnatian in this application is accurate and'that all�work T
will be done in compliance with ali applicable laws regulating construcfion, zoning�and (and�development. Appiication_is
hereby made to vbtain•_a�,permit�to,�clo;_wor•k"-�and insta!latian.ras �indicated. i�certify thaf noawork or instal{ation�=has
commenced priar- to issuance af a p.ermit and�that all work wi!! be perFormed to�meet-standards af a!! faws regulating
construction, County and'City codes, zoning �egulations, and land develapment�regulations"iri.the jurisdiction. I also
certify that i understand that fhe regulations af other government agencies may apply to the intended work, and that it is �'
my respansibitity to identify what actions I,must#ake to be in compliance. Such agencies include but are not Iimited,to: "
- s Department of Environri�ental�'Pr'otection-Cyp�ess Baytieads, Wetland Areas and Environmentatly Sensitive .
Lands,WaterMfastewater Treatment, �
- Southwes# Florida Water Managemenf District-We1ls, Cypress .Bayheads, Wetland Areas, Aitering
Watercourses. w
- Army Corps of Engineers-Seawalls, Docks;Navigable 1Naterways.
- Departmen# af Hea(th & Rehabiiitative Services/Environmenta(.:Heal#h Unif-Wells, Wastewa#ec Treatment;
Septic=Tanks. ' ___- . _ -�- ___.___ - _ - - —
- , U� Environmenfal Protect�on Agency-Asbestos a�4��t�rr�en#. -•
- Federal AviationAuthority-Runways.
1 understand that.the following r'estric#ions apply to the use of fill:
- Use of fill is nat allowed in Fto,od Zone"V" unless expressly permitted.
- If tlte fifi material is to be used in. Flood Zone "A°, it is understood #hat a drainage plan addressing a
"campensating valume" wiH be submitted at time of permitting which is prepared by a prafessional engineer �
licensed by the State of Florida.
- If the fill material is to be used in Fload Zone °A" in connectian with a permit#ed buiiding using stem uva!!
canstruction, I certify that fill will be used only to fill.the area within the stem wall.
- tf fill material is to be used in any area, 1 certify that use of such`�fill will nof adversely affect adjacent
propertfes. lf use af fill is found ta adverse(y affect adjacent properties, the awner may be cited for violating.
the conditions of��the bullding,per.mit issued under#he aftached permit..application,.far lots less than one-(1) '
acre which are elevated by fill,art engineered drainage plan is required.
If I am the AGENT FOR THE OWNER;�!�►romise in gvod faith to inform the-awner o#.the permitting:canditians set farth in �
this affidavit prior to commencing cbnstru'ction.��"I understand that a separate permit may be required for electrica! work,. '
plumbing, signs, weiis, pools, air conditioning,.gas, or ottier��installations nat specifically included in the application. A �
permi#issued shallbe construed�€o�be a Hcense�#o.proceed with"the work and not as authority.#o violate, cancel, alter, or
set aside any provisions of the'technical codes, nor shall issuance of a permit prevent the 8uilding Official from thereafter
requrring a corr.ection of errocs in plans,°construction ar violatEons of any codes. Every permit issued shaH become invatid
unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by :
the permit is suspended.or abandoned for a period..of six(6)months after the time the work is commenced. An eactension
may be requested, in'writing, from #iie Buiidirig C3fficial for a period,not ta�exceed ninety(90) days and will demonstrate
justifiabte cause for the extensian. ff work ceases far ninefy(90)consecutive days,the job is considered abandaned.
MlARNING TO OWNER: YOUR �AILURE=TO RECORD.A NOTICE OF COMMENCEMENT�MAY�RESULT !N YC}UR
PAYING TWICE'FOR IMPROVEMENTS_TO YOUR.PROPERTY.. IF YQU:INTEND�TO�OBTAlN�=FINANClNG, CONSULT
WiTH Yt3UR LENDER C1R AN�`ATT�RNEY BEFiDRE-RECORDING YOUR NOTICE'OF�C6MMENCEMENT
_ FLQRtDA JURAT F.$.1 :
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OWNER OR GEN rGZ,! CONTRACTOR�,,,"�_���,,.�'J'� �'-�-%. � > .n_...�— -
3 b bed an ta or af�mt be o e is Subscribed and swom o(ar rmetl befiore me this �
_y���—hY��� � \ ����3� , i,
Who is/are personal y koown t� Qme or hasmave produced J Who isfare ersonally k wn t e or has/have praduced
as ldentificatlan. as identlficatlon.
� c� �^}�� +�� � :�a',�"'��1:�, E57liER F.MGCIINTOCK-8$RRV
_�-��`�1.J(�11 Notary Public .�: NY COMMISSlOM#FF ublic
' •'�� ` �XplRES May 14,2020
'•�4;:::,,;
Comm ssfan No. Commissian No. ���)398•p153
�n�*Y::�'�i„ .IAWIIF�A �' U//� � ` C
(Vame aE Notary typed,pri star�{p�tj�{�{�gg�p����g��� hlame of Natary typ�ed,printed or stamped V
EXPIf3ES:Marclt 5,2418
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