HomeMy WebLinkAbout17-18720 CITY OF ZEPHYRHILLS
�, � 5335-8TH STREET
� + (813)780-0020 18720
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18720 Address: 39717 MEADOWOOD LP
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: 13-26-21-0140-00000-0510
Improv. Cost: 250.00 OWNER INFORMATION
Date Issued: 8/03/2017 Name: JAIMES MAXIMINO
Total Fees: 40.00 Address: 39717 MEADOWOOD LOOP
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-6779
Date Paid: 8/03/2017 Phone: (813)783-4333
� Work Desc: WOODEN FENCE 70' X 6'
' CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 40.00
re ' � ,L1�j,�"
�./�
3
�
Ins ectioris 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
�Q�.`.1!��Mr1��1Q S�.lrnn�S
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,�-,ow���� City of Zephyrhills Permit Applicatian Fax 813-780-0021
Bullding Department
;� �
Date ideceived ' ;
Phona Contact for Permitt4n -
�_.��.,r.--.�-..�-...---.T:W.`.�:-,� l � U� �. .
Oa,ner's Name Owner Phone Num6er
QOwoer's=Addre��=� O W(�(? Owner Phone tdumber � �
Fee Simple'Pltteholder Name �� � Owner Phone Number �' �
Fee Simpte Tltleholder Address
JOB ADDRESS -..-..i����� '�.P' V�I O� �O O t,OT# [�,�
SUB01�J{SIOtd �� � PAR�E�.ID#
(OBTAINED FROW PROPERTY 7A1(NOTICE)
WORK PROPOSED NEW CONS7R ADDlALT � SIGN [�] [� DEMOLISN
' 8 �NSTALL 8 REPAIR
PROPdSED�USE � SFR Q COMM � OTHER
TYPE OF CC)NSTRUCTiON Q BLOCK ' Q FRAMB C� S7EEL [�]
DESCRIPTIl�N QF`WQRK""�'�"'� G�OQ �'� �Z�'f��� � �/ / -
�IUILDItdG SIZE �� � SQ FOOTAGE��] HEIGHT C�_ �
�BUIL•DING----�---�$��%�� VALUATION OF 1'OTAI.CON3TRtJCTiON
c�
QELECTRICA4 �_-y� AMP SERVICE [� PROGRESS ENERGY [,� W.R.E.C.
QPLUMBING $ -
�._.��
QMECHANlGAE. $ VALUATtON OF MECHANtCAL INSTALIATION
I �����
[�GAS Q ROOFING [� SPEGIALiY � CiTHER
FI�i1SNED FIOOR ELEVATtONS ��� FLOOD ZQNE AREA QYES NQ
II t"�--�---��-==.��_n - - -�:�
, BUII.�ER �`�""`�`� COMPANY
' SIGNATURE �l t C REG1STfrRED Y 1 N FEE CURRE� Y/N
Address License# �� �
Ei.ECTRICIAN COMP�ANY
SIGNATURE w' REGISTEREd Y/ N FEE CURRE� Y/N
AdcGress lkcense# ( �
PLUMBER COMPANY
', SlGNATURE REGlS7ERED Y 1 N FEE CURRE� Y I N
Address Llcense# �� �
MECHANICA! COMPANY
SIGNATURE REGISFERED Y 1 h� FEE CURRER Y!N
Addre�s License# �`����
OTHER ,COMFANlf
BIGNATl9R� REGtSTERED Y J N FEE CURREh Y/N
Address License# �� �
RESIQENTIAL: Attach{2}.R1af Rlans;(2)sets of�Building'Plans;(1}'set of-Energy+Fortns;R-g-W Permit for new cons#ruction,
Min(mum:ten(10).working;days.aftec.subrtilttal date. Requireti ans{te,Cons#iuctlon-Pians;Stormwater Pians w!Siit Fence instaNed,
SanitaryFacllldes.�,1 dumpster-Slte'WorlaPermftforsubdlvisiqnsAargeprojects
COMME!?C1AL At#ach(3)complete sets af Buitriing Plans plus a Ufe Safety Page;(1}set of Energy Forms.R-O-W Permit for neuV constructian.
Minimum ten(10}warking days'after submittal date. Requlred ansfte,Canstruotlo�Pians,Starmwater Pians wl Sitt Fence installed,
Sanitery Facilitias&1 dumpster.Sit�Work Pearnit for all new projects.All commerc(al requiremenfs must meet cornpllance
S1GN RERN6lT Attach(2)sets of Engfineerad-Plans..
"'"•PROPERTY SURVEY requfred fur ali NEW constzuotEan.
Diraction�:
Flll out applicatlon completely.
Owner�Cantractor sign back of appltcaUon,notarized
� If over�259d,a Natice of Commencement is requlred. (A!C upgrades over�i7500)
'* Agent(for#he cantractor}or"Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMI7TING (Front of AppllceUon Oniy)
Reroofs(f shtngles Sewers Service Upgrades A!C Fenoes(PiatlSurveylFoatage}
driveways-Not over Counter if on pubilc roadways..needs ROW .. .,- . �,,, _ "
. .n:4.. .�. r c_ ..-� r.. . " . . . t,it� ' ` •
�r � � �. � ,. , - � .
y � .. . .t ` � � � �s .. + " -
� n � � . ... � a v.-.. ... .a� .. � i
- - ___.�.___� _ _._ � -.. _ -,-. . ... , -. . ..,._�_L..�____ '=,`"'--�,--__= __„ _-__�.._..___..___^�_. �___�. �_ _. 4''�-
� � 1
� �
NOT'iCE OF DEED RE3`TRIC410NS: The unde�rsigned undergtands�:th�t:thlsx.p�emit.m�y.be.subject to"deed".resVictions"
which may be,more,rest�(ctive-•th��Counky�regr�latCons. �The undersigned'assumes`resp�insitiiltty'for`coivipliance witFi any
applicable deed reshictions. �
UNLICERISED CO(dTRACTORS AND CONYI3ACTOR RESPOMSIBILITI�S: 16 the ow►ner has hired a contracQ�r or
contractors to undertake work, they may be;r,equleed•�.to.:be�Ilcensed in accordance.wtth state.and•IocaB regulations. If the
contractor ts not iicensed as requlred=by I�w, both the own�r and cont�actor°may be-�cited for a�misdemeanor violatton
under state law. If the owner or Intended co,ntractor are uncertaln �s to rwhat Ilcensing.requirements may��apply.>�r the
int�nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, (f the own�r has hired a cont�actor or contractors, he Is aclvised to have the contractor(s), sign
portlons of the "contractor Block° of this application for which they will b� responsible. If.you, as.the oviineP�sign ag the
co�tractor, that inay be an End6cat�on that iie is not.properly Iicensed and is not entitled to pennitting privileges fn Pasco
County.
'fRANSPORTATION:IMPACTIUTILITIES•IMPACt=AND R@�OURCE RECOVERY�FEES: Th�undersigned understands
that Trensportation I�pact Fees and.Recourse Recove.ry.Fees enay�•apply to�the conatructlon of new bulldings,�change of
use in existing buildings, or.expansion:�of>;exlsti�i,g.:buildings, as specifled.in P�scv County Ordinance number 89-07 and
90-07, as amend�d. The undersigned �Iso�u�d�rstands, that�such fees,•:as�rnay�be:due;,will��be ldentified at the�tim�°of
permitting. it Is furtlier understood that Transportation Impact Fees and�Resource Recov.ery�Fees must be p�id prlor to
rece�ving a "certificate of occupancN" or flnal power�.rel��se. :If��the project.does not involve�a:certificate of occupancy or
final power releas�, the fees must b� paid prior to permit i�suance. F��thermore;if Pasco County IMater/Sewer:Impact
fees are due,.th�y�;must be=pald.prior to perrrrit�•I�suance-in accordance with applicable Pasca�.County�oo�dinances. -
CONS'TRUCTION�L7EN�LAW(Ch�pter T13, FlorJda St�tut���as amended): !f valuadon of work is 52,500.00 or more, I
certify that I, the applicant, have.been provided with a copy of the "Florida Constn,ictlon L(en .Lav�Horneowner's
Protection Gulde" prepared by fhe Flo�ida Depa��tment of Agrlc.ulture and ConsutraerAffairs. If the appllcant is sorneone
other than the"owner", I certify that I�h�ve.obtained-a�copy.of the=above..descrlbed document=and.promis�in,good failh to
delive�it to the°owner"�.prior�to-commencement: '
CONTR�4CTOR'S/OWPIER'S AF�IDAVIT: I.certi�y,�that:�Il.th��,lnf.ormatimn Jn thi� �pplic�tion is accurate and @hat all work
will�b� done in complt�nce with all applicable laws regul�ting constructlon, zoning and land development. Applic�tlon is
hereby made to obtain .a permit..to do_.work:..and instailatlon as indl�ated:�� `I cectify that no work or Instaliatton has
commenced pr(or to issuance of a perm(t and that.all work virill be pertormed to meet standards o� all laws regulating-
construction, County and City codes, zoning regulatiQns, and land developrnent regulatlons�in the jurlsdictlon. I al'so
certify tha# I understand that the c�gulatlons of other government agencies m�y�apply�to the intend�d work, and that it is
my responsibility to identify•what.acttons I must t�k�:to berin:.corrlp�lance. S,uch agencle�Includ�but-are.not Iirv�(Qed to:
- Department of Ehvlronmental�Protect(on-Cypress�Bayheads, VUeNand Are�s and Environmentally Sensitive
Lands,WateriWastevvater Treatment.
- Southwest Florida liilater �Aanagement .District-Wells, Cypress.� Bay.h�ads; Wetland Areas, Altering
Watereourses.
- Army Corp§of Engineers-Seawalis, Docks, [Vavigable Waterways.
- Department of Health� 8 ReY�abiN4ative ServiceslEnvfronmental Health Unit-lNelis� Wast�virater<Treatment,
Septtc Tanlcs. .
- US Environment�l Protection Agency-Asbestos abatement.
- Federal Aviatlon.Authority-Runways.
I understand that the following:restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone�V"unless expressly permttted.
- If the flll materlal is to be used. in.�Flood 2one. "A", (Q. Is understood that a drainage plan address(ng a
°compensating volum�" will be subr�ltted at time of permittfng whlch is prepared by a professfonal engineer
Iicensed by the State of Florlda.
- If 1he fill material 6s to be used In Flood Zon� °A" ins connec�6on�vuith�a permitked building using stem wail
� constructEon, I certify that flll:w111=b.e used only.to.fill the area wrlthin the�stem�ali.
- If flll material is to be used in any area, I certify that .use. of such flll will not adversely affect adjacent
properties. If use of fill is found to adversely:�ffect ad)acent�properties,.the own�r m�y be clted for viofaQing
the condifions of the building.permit issued under the attached �ermit application, for lots less than.one (1)
acre which are elevated�by flil, �rt engtneered drainage plan Is requir�d. •
If I am th�AGENT FOR THE Ot�1NER, I,�prorrolse In good faith to fnform the owner of•the permitting conditlons �et forQh in
this affidavit prior to commer�cing constructlon. I understand that a;separate permit may be requtred for electrlcal work,
plumbing, signs, wells,.pools;, alr condttioning,.gas, or otMer Installatlons not•speclflcal(y included�in.the application. .A
permit Issued shall be constn�ed to be a�Iicen�e to�proceed with the work and not as.authority to,viola4e..cancel, alter, or
s�4 aside any provisions of the technical c+�des;�nor shall Issuance�of a.permPt.prevent the Bulidirig O�fict�l from thereafter
requfring�conection af errors In plans, construction or vlolat(ons of any codes. Every piermit Issued shali become invalid
unless the work authorized by such permit:�s-commenced�with(n sfx months of permlt lssuanc�, or if wrork auQhorized by
the permtt is suspended ar.aba�doned-for a:period of six�fe)rroontF�s.after the tim�the�work�(s commenced. An extenslon
may be requested, In writing, f�om the Building,Officlal for a period.�not to exceed ninety�(90) d�ys and will demonstrate
justlfiable cause for the extension. If work ceas�s�.for ninety,(90)cons.�cutive days...th�job�is considered abandoned.
lAIARNING TO OWNER: YOUR..FAILURE�TO..RECORD A..MOTIGE�O�•�COMMENCEMEMT_IVrAY RESULT IN YOl1R
PAVIPIG TWICE FOR IMPROVEMEN'�S�TO YOU�:PIaDP�RYY. I�°YO.EI�IN���+ID�TD��BT•'•AIPI��FIRtAP�EFNG;'CONSULT
WITH YOIOR LENDER OR AN A'1`�ORMEY�f�OREtRE�OR�DIN���OUR�fYOT�C�'O�`COMI11lENCf�1fENT'
FLORIDA JURA�(F.S.117.03) _ �� �
�'= -- —
OWPIEI�OPt AO�NT��� =l-Nl�-1-� ��i� ��; COM�'RACYOR ��`1C1"�`¢v►�\'1� r�c�.�PC
S b, ed and awa _(or atflrmed)before•, is Subscrlbed and'swom to(ot a(flrtned)'before me th s ��
Y Ce.�. ._ - _ _ ��✓ _ .�cr is� ,b�.. � r-� __. _ _ �
b �.a=s.. �
�o s/aee�pe�n ly known o.me or haslhave pro uced Wh .Isl re .erson Ily kno • me ar hesR�ave•prod"uced •
,�][1�C ��[�[I��l as IdentlflcatlOn. / �s IdentlBcatlon.
� '�/�S�-� ry Pubilc �� Notary Public
Co misslon No: �� � �J Commission No. '
��.� �iC�"/�� �U��-�� �c�'�- �,C�it/� Q�/�'��C11_� .
Name of Notary typed, rinted or stam e Name of Notary typed,pelnted or atamped
;o�;�yo�; �EBRAELAINE RUFFELL c�9�";�'��=�
:: G�' ' -E
�:Commission#GG045343 ,'�� t�;'-.; tr�nk:: ^tiiVcqU F
_'•: . ;;o•:la :�,. F EL
;���P�s Expires November 7,2020 -.; ;s • 'C��n;:r,i;•;.,ur.:•���;�3q3
••'F°;:�°'•• Bonded Thtu7roy Fain Insurance 8U0�38�7019 =:: ' � ..
:,,,���:�X}.''if65�SpVP,ii!:i;'7,2�20
'- '•.FOF"°P•` Baodnd ThN?roy Fain Insurence 80D385�)019
�,��.�•
�
� ��
�
, I I ` � '>
� �
� � � �
� � ;
� ' h ��h � � �-' � � .'�-
- � '
- - - - _ - �
i = -
�;, _ � ,
� o� _ � �R ;
� _ ` � � '
\ 1: �V I
l I / �� t
_ -�
I �� � I
,
..�9� ` cS
��
--���� � __ .
.l
' - - ---�•�-p�--
: � � �
.,
-- - -
- � - -
- - -- - - _ - - -- - - -- ... ---...- - - - - - - -- -- - - -� - - - -
�� � , I � , � � � � I� �
� � � . I �
..
� . . , �
DISCLOSIIRFs STATEi1�2�1T FOR OT9N8R
CITY OF ZLPHYRHILLS BQILDINffz DEPARTI�PTT �
� I, have zead aad fuliy understand and I
agre� �o the pravisions of this iast�rumeat.
The uader�igaed states aad affirms that he or she 3s desirous of caaetructing,
reaovatiag, adding ta or reroo�iug his or h�r own domicile, that he or she
actually aecupies, or will acaupy by said dom3.cile, sad s�►t� 3.s aot �or
reat, lease ax sale. That he or she shall camply with the followiag conditiane:
I
1. That the owmer aad he or ehe aloae shall act ae the buildear far all phases of �
coastruation. �
2. That the awaer w31Z comply with all psova.sioas of the City oE Z�phyrhills
ardin�aees aad cades pertiaeat to the buildiag.
3. That ia the even� various phases of cas�..�truction are subeoatracted, he will
eugage only properly liceasec� svbcoatx�ctoxs aad vri13 persaaall�r stapervise
such work.
4. That iu the ev�at the Suildiag Iaspector shall require correctiaas to be made,
the oivner wil3 assume full respoasibil3.ty to insure they are made, aad upcn
eompZetiaa vrill e�31 for a reiaspeetioa b�fcre proaeediag �vith the buiidiag.
S. Tha� the owaex sha].1 aesume full resposxsa.bility far the coastzuction aad vai22
aot e�eot aupetv3sion of his vaark £rom �he C3t�► af Zephyrhills Suildiag �
Departmeat.
6. Tha� psior ta fiaal inapectiou aay additioaal feea, includiag refaspectioa
fees, must be p�id ia �ull. 1i writtea r�quest �rom this of£ice sha11.
coastitu�e au o�fics.al aotiae to pay additiaa�l fees.
7. That the owa�r shall comply with a11 C3ty, State aad Federal 2aars i.a regard to
sacial security, workman�s aompensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with a11 the safety codes issued by �he Florida
Iadusttial Cammissica.
9. State law requires construetiaa to be done by 2iceased coatractors. You have
appl3ed for a permit uadex aa �as�mpti.oa ta that law. The e�cemgti.an a2Zoces
you, sa the ova�n�r of yaur property, to aact �s y►our owr� cozttractor w3th certaia
resstrictions evea though you do sio� h�ve a l.iceaee. You must provide direct
onsite supez-v3sioa of the caastruc�iaa your�el�. You may bufld or 3.mprove a
oae-f�m3,lg or two-family resideace or a f�.rm outbuilding. You may also build
or 3mprav� a commexcial buildiag, pravided gouz casts do aot e3tceed $75,000.
The buildiag ar resideace must be £or yaur owa uee or aceupaacy. I� may not
be built or aubsta�ntially imapraved for �sale or lesee. If you sell or lease a
bui3ctiag yau �ave built or subBtaatially impsovet� ycuzself withfa 1 y�ar aFtez
'� the coastructioa is cample�e, �he Iaw �ill presume that you built or
�, anbst�.atially improve� if foz sale ar le�se, which �.s a violatioa o� this
exemption. You magr aot hixe aai ualfcensed p�raoa to �ct as yaur aaatsaatas ar
to supexvise people workiag oa your b�sildiag. It is your respoasibility to
make sur� that people em�ploy�d by yau have liceases r�quired by stat� �la�ior aad
by ccuaty or mua�.cipal liaeasiag ordtivances. You may aot deleg�te the
xespo�nsibility fdr supervisiag wark ta a l.icensed contraatar wha is aot
liceased to perfaxa► the work being doae. Any persan workiag an your bui2ding
who is aot la.c�ased must war}e under your direct svipervia3on aad meast be
------- _. e�l�ed_byyouuL�vl3�.ch_.�teaxxe_that_.��v...mu�t-d�du,�G-g:�:C-:�r:--ead�svit-3nc�s3-dingt�c_.__.___ ._ ---- ----
and provide ieor3cers' compensation far that emp2oyee, alI aB prescribed by law.
� Your constaeuatioa mus� comply with a13 app3icable laws, ordinaaces, buildiag
' codes, and zaniag regulations.
��"--y-,---�--,-;���� _�..-r_,��,�, ._..,�
OT+dt3ER'S SIGNAfiURE=--;-t"-tC�,.`�7,rn.\Y'LCl �i�itmt'�CY'1C��, �A'PE=�� �-"�v`{-�,-��_ '
.�F.:3A.�.'�T»S�,^���,dL i�"� Q /
ADDRBSS �
I3�QNB��'�a 2�_`�- � �� 3�
iATTNIBSS PSi2Id.TT #
�
, ;
: