HomeMy WebLinkAbout17-18632 CITY OF ZEPHYRHILLS
.:�,� 5335-8TH STREET
- (sis)�so-oozo 632
FENCE PERMIT
PERMIT INFORMATION - � LOCATION INFORMATION
Permit Number: 18632 Address: 39751 MEADOW LOOP
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0590
Improv. Cost: 2,809.00 OWNER INFORMATION
Date Issued: 7/05/2017 Name: DOYLE THERESA
Total Fees: 45.00 Address: 39751 MEADOWOOD LOOP
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542-6779
Date Paid: 7/05/2017 Phone: 813-997-6961
Work Desc: INSTALL BOARD ON BOARD FENCE 158 X 6
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 45.00
I
� Ins ections Re uired
F NA
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
CO TRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
aiaaeaoozo City of Zephyrhills Permit Application Fax-813-760-0021
Building Department
y Date Received .r� (� �j ��'� � C'/�,
/ � �' �� Phone Contact for Pertnitting b �J tl�
Owners Name rl�j � J/Q �� I Owner Phone Number �,j �f`7 7 l0 7 Il'�
Owners Address �J �J� ►-n������� �.� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS ���S r � �
LOT#
SUBDIVISION �C�f�O�N sX 'rvl7'Y/ PARCEL IQ#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER t'e�
IYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP110N OF WORK f�S'�'�/�l G���} v �/I( �
BUILDING SIZE SQ FOOTAGE I S� HEIGHT �
�BUILDING $ �f O . VALUATION OF TOTAL CONSTRUCTION
c�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY .R. .C.
QPLUMBING $ �,('� J )
+� � lJ
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER � � � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO x � �
BUILDER n����� � COMPANY 'hL�"
SIGNATURE L� REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
' Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consUuction,
Minimum ten(10)working days after suhmittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanifary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions: ,
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
"' Agent(for the contractor)or Power of Attomey(for the owner)vrould be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
1
, •�NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibiiity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contracto[,that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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 "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I�ertiTy that all the information in 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 performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governme�t agencies may apply to the intended work,and that it is
my responsibility to identity what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabiiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
� - Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing 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 within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent 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 which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or 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 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 exte�sion. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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.
FLORIDA JURAT(F.S.117.03)�
OWNER OR AGENT CONTRACTOR
�S bscribed and sw�op��t�o(pr affirmed)bef �ne this Subscribed and om to(or affirtned)before me this ��"�j�
'�bY Xl thG�Gs.G/" /��L��� — by.F'1 •';/sL�✓l�S1�+' � /
o is are q n ly kn w�to me or has/have pr duced is/ar person�kn wn to me or has/have produced
� ' en�cation. �l ' as identfication.
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2017104624
PertnitNo. PerceIIDNo (J�Z`G���rv �"1� —Va��'����
NOTICE OF COMMENCEMENT
S��e ot ��ol�ti a� �a��,� Pas c�
THE UNDERSIGNED hereby gives natice that improvement nnll be made to certain real propeRy,and in accardance with Chepter 713,Florida Statutes,
the faqowing Infortnation is provided in thls No6ce of Commencement s,r-�
1. DescripdonMProperty: Parcelldent�ratianNo. � ��Z��•d/ ���' w /�
Streat Address: ✓ 1��1 `V���0���u �iY ���� ���S
2. General Description of Improvement����L� '`�"V L'u�w
3. Owner InfortnaUon ar Lessee infartnalian if the Lessee contraded for the imprnvemerrt:
-�t-f�n,�� �� L�
3ct7S1 ��uclawo� (.P ZePhNrli,i Il.s �—
ada�ss c��y sut�
Interest in Pioperty:
Nama of Fae Simple Titleholder
pf difterent from Ovmer fisted above)
Address r,�v� �Z�� City State
4. Cantractar.
Name p� � ��m��
11�b2. e�,t.b,ras?ce, ,tr�
,�d�� �13 $�Sy 2��� �� S�-�
Contractars Telephone No.:
5. Surery:
"�"1e Rept:1876403 Rec: 10.00
nddress OS: 0.00 IT: 0.00 — stete
AmountatBond: 5 07/05/2017 D. B. , Dpty Cl'erk
6. Lender. PqULA S 0'NEIL,Ph D PASCO CLERK g COMPTROLLER
Name 07/05/2017 12:53 m 1 of 1 .
a,aa�sg OR BK 95�f P� 3��� — sr��e
Lenders Telephone No.. _ _ .
I 7. Persons within tl�e State af Florida Cesignated by the owner upon whom rrotices or other documents may be served as provided by
Secflan 713.13(1)(a)(7),Florida Statutes:
. Name
Address City State
Telaphone Number of Designeted Person:
8. In addNian to himself,the ovmet designates of_
to recelva a copy af the Lienors Notice as provided in Sedion 713.13(1)@),Florida Statutes.
Telephona Number of Person ar Entity Designated by Owner.
9. E�iratian date of Notice of Cammencement(the e�iratian date may not be befare the completlon of construction and final payment to the
cantradar,but will be one year from the date of recording unless a dtfferent date is spedfted):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECOROE�AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTtON. IF YOU INTESJD TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOT{CE OF COMMENCEMENi
Under penalty of pe�jury,I dedare that I have read the toregoing notice of commencemerrt and thal lhe fads stated therein are true W tlie best
, o(my knowledge end be6ef.
STATE OF FLORIDA �/,�E��
COUNT`(OF PASCO
Si ture of Owner or Lessee,or Owners ar Lessee's Authorized
' Officer/DirectadPartnedManager
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3a ignatary's TItle/0ffice ( ,n °
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The foregoing instrumeM was acknowledged hefore me this_day of v� ,20�/by 1�'1 S� 'L "�---
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� Personally Known 0 O�f Produced Idenfification� Notary Signeture 4 ��= F�v
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Type of Identification Produced f L 4`YZI Il�XS U��' Name(Print) v '�
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�� ' � ���� t�, THIS IS TQ CERTIFY THAT THE FOR�GOING IS A
��,� ��; �, X �'�.�� TRUE tiNQ CORRECl"CGPY OF THE DOCUf�EPJT
��.��`����"��`� �;�e ON FILE OR OF PUBLIG�ECORD IN THIS OFFICE"
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