HomeMy WebLinkAbout17-18577 �, _ a
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis��so-oo20 18577
- - FENCE PERMIT
PERMIT INFORBIIATION LOCATION INFORMATION
Permit Number: 18577 Address: 38445 5TH AVE HISTORIC
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: 11-26-21-0010-15300-0090
Improv. Cost: 900.00 OWNER INFORMATION
Date Issued: 6/15/2017 Name: ABED HAZEM G
Total Fees: 40.00 Address: 38445 5TH AVE -HISTORIC
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/15/2017 Phone: (813)997-3406
Work Desc: INSTALLATION WHITE VINYL FENCE 45 X 6 PER TODD APPROVED
CONTRACTOR S APPLICATION FEES
OWNER FENCE 40.00
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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 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
813-�ao-oo2o City af Zephyrhills Permit Application Fax 813-780-oa2�
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Buiiding Department .
Date Recelved . �: Phona=Gantactfor�Pemt[ttln :
Owner's Name ' Owner Phone Nurnber 1 .!�� �l�} --� �a �
Owner's Address �0 '�y �d~� Owner Phone Number �� '�
Fee Simple Titleholdar Name Owrner Phane Numbe� � �
Fee Simple Tltleholder Addresa
, Jd8 ApDRESS �D�� �' LOT# ��
SUBDiVISiO1V �� � PARCEL.�D# � , �
,. , (OBTAINED FROM PROPERTI!TAX NOTICE)
WORK PROPO&ED : NEW CONSTR Apt}lA�T � StGN � Q DEMOLtSH
���e. INSTALL 8 �. REPAIR -
PROP05ED�USE Q SFR [[� CON1M , �� {7t'i-�ER J
TYPE OF CONSTRUCI'ION � Q ' '� :BLOCK " Q FRAME " � ���
,;�] °STEEG ' [� �
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DESCRtPTION OF WORK l�J� ' C.._.. .� "t�'�l_ � �c�'7'� � �
BUlIDfNG'SFZE ` " �`SQ FOOTAGE��. • . .,.,,NEtGtIT� �wr____�
�����'����' � ��, � ' �--�� VALUATiOi�i t�F�l'OTAL-CONSTRUCI'ION
QEI.ECTRtGAL , �$ �` � AMP SEI2VICE 0 PR{1GRESS ENEI2GY Q W.R.E.C.
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QPLUMBlNG: $ ' �'� '7
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MECHANICA! $ . ' VALUAT[ON OF�MECNAi+fICAt.ItVSTALI:ATlON G'"'° `
0 . A.-
, QGAS Q ROOFING Q SPECIAi.TY � OTHER
FINISHED FLOOR ELEVATI4NS ��� FL.00D ZQNE AREA QYE$. NO
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BUtF.DER COMP/WY= "
SIGNA7URE ' �/�`�.._, REGISTERED Y/ N FEE CURRE� Y/N
Addre�$ r License# i �
���cx�{cii�i: : , .=coM�a�rr � . r. .. , .
AEIY
SIGNATURE � REGIS7ERED Y/ N FEE CURRE��� =Y LN'
, Address� ' ` . - License#:��� �
� P�.UMB�R"�_ ,CQMPANY , .� ' .�,aC , '
SIGNA7URE`' � ' � REGI3TERED,. Y/,-N� ;FEE CURRE� Y:-/N. '
, Address , � License,# �^ � ' � � -
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MECHANICAt: . , � COM,PANIC '
$IGNATURE • � "' ` REGIS7EEtED.,. Y,/ N � FEECURRE� Y;/�N . ,
, Address°< � '` " � � , . � - ' � ' License#�� � - ' � -
� O'fHER �- - ' �`� ' � . . iCOMPl1T+lY '- ' - -
i SIGNATURE � �• ��"`�' '` � ���t' " ' ' ' REGIS7ERED'' Y/ N; �FEE CURRE� Y/N
Address„ „ . _ ,{�"� � �i . � � . , ticense#��� � � `) ,
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RESlDEtdTiAL;:::-�Attac,Ft{2}nPtot:P.lans;.�2)`sets=of'BuElilingy'Plaos;�{1}sefafsEnergy�Farins,,R-0=WPermltfornewconstructton, , .,
-� �•�Minimum:ten;�(1.0);worlcing;days�afte�:"submittal date::�;Requlred onsite;<-CionstiucUon Rlans;�Stomnwate�'Plans w/Sflt'Fence instatled,
1 `5anitary�FaciltUes;&rl,dumpster�Slte�Work++Perm9kfor;su6divisionsQarge'projects;-� �: '� ' ` �'�• -
GOMMERCIRI. Attach{3}`aoinplete s'efs'of Building Flaits�plus a�ifeySafiety Page,�{1)set of Eiiergy Forms.R-d-W Permtt for nernr construc�on. _
Minimum ten(10)worlcing days afker submittal date. Requfred onsite,Constructlan Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factlides&1 dumpster.Site Wor4c Permit for all neiarproJecfs..All commerclal requtrements must meet compltance ' �
SIGFi PERNDIT Attadi"{2)'se�ofEiiglneer,ed Plans:"--� � � ` -
"•""PROPERTY SURVEY reguired for all,NEW,a�nstructian... -
Directions: � .r , _ .. __ ., .
Ffll aut applicaUon completely.
Owner&Contractor stgn back of appitcattan,notarized � ,
if over 52500,a Natice of Cammencement is required. {A/C upgrades over�7500)
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'" Agent(far the contractor)'or Power of Attamey'(fo�tFie owner)would be sameone�with notarized letter from owner autho�izing seme
OVER'THE COUNTER PERMITTING-� __. .(Front af-AppticatiomOnly}- - � ' .
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage)
Driveways-htot over Counter if an pubflc roaduvays..needs RdW
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ersigned,under�tands;th�t;this:p�rmif:may;_be,subJect;to,"deed",restrlctlons".. .�:,, ;;_,.
NOTtCE OF DEED RESTftICT10NS: The und , �
wrhich may�be�more.rest�ictive^th��County»regulatlons �The underslgned i ssumes'resptinsitiility'for`compllance�with--any
appiicable_deed restrictions. �., :�.�: ..�.� .-, .- = ,_ . , _ .. - . .. _, ,. .__i_ :.'�. . . -
UIVLICENSED-CONTRACTORS AND CONTRACTOR RESPONSIBIC:lTIES: =°If�the��owner°has'�hired��a�`aontractor or
contractors to undertake work, they may:be:.ce�qulrsd•�to��be�llcensed In accordance.with,;state�.and_local::regulatlons: ��if�the=� °' -�
contracto� ts-noE Ncensed�`as�required`:tiy law, both the owner and�confractor;may be•-clted°for"a��misdemeanor violation
under state law. If the owner or Intended;,contra�tor.;:ere^;uncertaln as to vivhat Iicensing,requirements,$may-�epply�,for.tfie'� �� •f �°�-
intended work, they are'advlsed"fo contact'the'.Pasco County,Bullding'Inspectlon�Divlslon.-Ltcensing�Section et 727-847-
800g. Furthermore, ff the owiier Fias�hired a��contracto�"o� contractors.!he�is advised to have�the contractoKs);,sign,.. .� , .:
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portlons of the "contractor Block",of this.appllcation.for which..they will beNtesp.onslbie:-:.lf:.you,,as:#he owner sign„as the�
contractor, that�may be an indicatlon that''he'is not properly Ilcensed-and�`is not entitled to perrriifting�prir`tileges In Pasco
County. ' _ � . . ' . � . _ , 4�, , ,. ,
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TFtANSP.ORTA710N:INIPAGTIUTILITIES�IMPAC7�ANb RESOURCE RECOVERY�FEES:�The undei`stgned"uriderstands
thatTransportation Impact Fees�and.Reco.uree Recove.ry_Fees may��apply,to�tF�e�constructlon,of.new.buildtngs,;Tchange°-of"���� ''=f� '==
use in existing buildings, oc_,expar�si�n�of��existin,g'�buildings� as specffied.in Pasco County O�dinance number 89-07 and.
90-07, as amended.�_,�he undersigned also:understands� that:�such fees;�:as��may�be::due;:�.wfll:�tie ideniifled at the�time=of.' �- �-
permitting. It Is fu"rtfier understood that Tra�spo�tation Impact'Fees and�Resource�Reco�ery=Fees.:must be paid prior to
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receFving a:"cerfificate.of occupancy"-or�flnal�.power;celease:� :If;the.proj�ct=_.does�,not involve.a::certff„icate of occupan'cy.�o�-�--�a���'����'
flnal power-release;.the:;fees�mu�t:lie paid;prlor to,permR issuerice. Ft��ttiermore;If:Pasco;County`°Vllater/3ewer�tilmpact� � �:,��-�����
fees are due,.they_must.be-;,pald,.prlor#o,.permit�:l'ssuance=in.accocdance wttFi��appllbable:Pasco'�County�ordtnances. •
CONSTRUCTION�LIEN'LAW"(Cfiapter 773� Florlda�Statut�s�as amended): If valuatlon of work is$2,500.00:or.more,.I� -��:;
certify that I, the.�applicant;:have�been provi.ded wtth-a-copy of:the�`Florida Constructton� Lien:.Lav�Homeowner's
Protection Guide" prepared bytlie Flo�ida Department�of Agriculture and Consumer;Aifairs. If the applicant Is someone: ,.
other than the`owner", I certffy�that_.I�h�ve:_obta)ned�a=copy,ofthe:above:described�docu�ent�and,,pmmis��in,good`.�faith.-to . � ' �;,,
deliver It to'.the<"owner.":p�ior�to>ccmmencement:''' ' � `.: ` - -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I�certity::tt.iat:all:,the.inf.ormation��in�tht�application is accurate and that all work
will'be done in comptiance wfth all.appllcabfe�laws regulating constructlon; zoning and�land�deyelopment. Applicatlon Is
hereby made to obtain .a pecmit;:to do;work,,and:installatlon as indl�afed:�--=t. certffy that no work�:or Installatton has'
commenced prior to issuance of�a permif�and that.all work wiil be perto�med�to meet.standards-of all laws regulating-
construction, County and City codes, zoning regulatiQns, and land development cegulatlons�in the jurtsd(ction:- (�al'so. .
certify that I u�derstand that the regulations of other�government agencies may�apply.to the.intended verork, and that it is
my responsibiHty to identify�what,act(ons I must�take:to,be�in:,compllance,.S.uch:agencles include but�are.not limited to: : �
- Department of Env(ronmental='Protectton=Cypress.�Bayhead�, WeH'and Areas and Envtronmentally Sensitive
Lands,WatedWastewater Treatment. ' � _
- Southwest Florida Water Management: :District VVells; Cypress.� Bay�eads;- Wetland' Areas, Altering
Watercourses. ��� .
- Army Corps of Engineers�Seawalls, Docks, Navigatile Watetways. -
- Department of,Health_u8.,ReY�abllitative,Services/Enviconmental�Health Unit Wells, Wa�tev�raater�Treatment, �
Septic Tanks:. . _ - - . , ' ' - �,
- US Environmental Protection Agency-Asbestos abatement. i
- FederaF Avlatlon=Authocity-Rutfways.
I understand.that the.following.:restrl'ctions apply'Co the use of flIL•• I
- Use of flll Is not allowed in:Flood,Zone"V"unless expressly, permitted.
- If the�fill mateNal=ls to b.e use8.,ln �Flood Zone. "A", It. is understood that a drainage plan addresstng a
°compensating volume" will be submitted at#ime of:permitting�which is prepared by a professfonal engineer
Iicensed by#he State of Flo�ida. � - , ;� , .
- If th� flll materlal�is-�to be used in Flaod Zbne 'A" in�connec�lon�with�a permitted buildi�g using stem wall ,
� construct(on� I certify.that fill:vidll:b.e used only.to.fill the area wlthin.the�stem wali.
- If flil material Is to be used in any area; I"�aertify t#�at .use. of such flll will not adversely affect adjacent '
propertie�. If use of fill is found:to adversely::�ffect adJacent�propertles�,the owner may be clted for violating '
the condi#lons-_of the building=:permit is"sued=under the�attached,�ermit application;for lots�.less.than:one (1)
acre whicfi ere elevated�tiy�illt; an engineered dralnage plan ts r,'equired.
If i am the AGENT FOR THE OVYNER, I;promise In good falth to inform the owner of�the permitting conditlons set forth tn
this affidavit�prior to commeracing construcNo'n'. I understand that�a-separate permit may be requtred for electMcal work, ,
plumbing,,.signs, wells,.pools;, alr.condttioning,�.gas,�or othe� install�'tions not•spec�l�ally included�in.the application. .A ,
permit issued 5hall be construed to b`e�a°Iicense'�to`;piroceed with tFie;wiork and not-as:authority�to:vlolate;.`cancel, alter, or
set aside any provlstons of the.techrilcal codes;�nor shall issuance�of a.permtt.prevent the Buildirig Oftic(al from thereafter
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requlring a correction af errors in;pians; aonstFuctlon or.violations of�any codes. Every permtt�issued"sFiall-become invalid
unless the work authorized.by such permit:is-commenced•withfn sUc months of�permit issuance, or If work authorized by
the permtt is suspended=or;abandoned•for a�:period;of�six.(8)montfis.aRer.the,time the�work�is corrimenced. An extension
may be requested, in writing,..f�om,the�Building,Offlcial for a period.�not to�exceed�•ninety(90)'�days and�wilf demonstrate
justifiable cause for.�the extension�. If work ceases:for ninety.(90)cons.ecuti je day.s...th�Job:is considered aba�doned. �
WARNING TO OWNER: YOUR.:EAILURE,.TO.,.REC.ORD,A;;�tOTIGE:OF.�=COMMENCEMEMT�.INAY°RESULT IN'YOUR
PAYING TWICE;FOR,�IMPROVEMENTS.TO:YOUR:�:PROPERTY. �-1�°.YO.U{I�F�END:�TO`OHTAIN•�FIPFApE1NG;'C.ONSULT
WITH YOUR LENDER ORAM�ATTORNEY�BEF�R��RECORdING�YOUR`NOTICE"OF'COMII�ENCE�INENT'� � �
FLORIDA JURAT;(F:S:1..1T.03} � -- ---- --– _— --;_ _- _ i- . . _ -- -�- .--- -- -
OWNER OR AOENT . CONTRACTOR ', .� I '
Subscrlbed and svwm to(or aflirtned)betore me th�s Subscribed and'swom to(or afflrtnedpbdfore me'ftil�
by .by.. i. - �
Who Isfare personelly knovm to.me or haslhave produced Who.ls/are p.ersonallyknown•to me:orhas/haveproduced •
� ae identlflcatlon. - as Idendficadon.
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Notery Public . C � Notary Publlc
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Commisslon No:� Commisslon No. �
Name ot Notary lyped,printed or stamped Name ot Notary typed,printed or stamped
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