HomeMy WebLinkAbout17-18947 - CITY OF ZEPHYQHILLS
5335-8Tt{STREEC �
tsxs��so-oo2a 18
EENCE PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18947 Address. 5407 4TH ST see nates
Permit Type: FENCE ZEPHYRHILLS, FL.
Class af Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Btock: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHILLS
Est. Vatue: Parcel Number: 11-26-21-0010-09300-0090
Improv. Cost: 800.00 OWNER INFORMATION
Da#e Issued: 10l1812Q17 Name: CHIANG, BENIR�SALINA
Tatal Fees: 40.00 Address: 16915 POWERLINE RD
Amount Paid: 4Q.00 DADE CITY, F�. 33523
Date Paid: 10/18/2Q17 Phone: (352)567-0378
Work Desc: lNSTALLATION 48 X 6 PRIVACY FENCE
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 40.00
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Ins ec#ions Re uired
FI AL
REINSPECTION FEES:(c)With respect to�Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
(oca! governmenfi shail impose a fee of faur fiimes the amounfi of the fee imposed for the initiat inspectiort or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additianal restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required frarn ather governmenta(
entities such as water management, state agencies or federal agencies.
The payment af inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to awner: Your failure to recard a notice of commencement may result in your paying twice for
impravements ta your property�,�.If you intend ta abtain financing,consult with your lender ar 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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CONTRAGTOR PERMIT OFFI '
PERMIT EXPIRES IN fi Mt}NTHS INITHOUT APPR4VED INSPECTIB
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
City of Zeph�rhills
Service Request # 6401 No Permit
Date 10/17/2017 128:OOPM deadline Assignee Bacon,Joel
Status Open Department Building
Schedule 10/27/2017 Taken By Boges,Jacqueline
Closed Date Priority
Location 5407 4TH STREET
Feature
District
Caller code,enforcement Address 5335
Home Phone City/State/Zip ,
Work Phone Caller Note
Cell Phone E Mail
Description
fence wooden put up with out permit. need owner of property to give permission to rentor.Onwer stop by
given permission for rentor to pull permit on his behalf I notarized the signature.given deadline to pull permit
Contact Notes
Date Time Made Note
October 17, 2017 Paae 1 of 1
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.:
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DEPARTMENT OF CODE ENFORCEMENT
October 10, 2017
� Ben L Chiang Rev Family Trust
Gloria Mi Sing Chiang
16915 Powerline Rd ,
Dade City FL 33523-6319
RE; Failure to maintain property to community standards
5407 4�' St
Zephyrhills FL 33542-3939
Parcel ID: 11-26-21-0010-09300-0090 (Card: 001 of 001)
Code Enforcement requested that your property be brought up to the standards
adopted by the City of Zephyrhills according to Ordinance Requirements for
Compliance: Please refer to the attached Land Development Code, Section 7.07.02,
7.07.03 and City of Zephyrhills Ordinance 866-04. Some of the basic requirements
are but are not limited to: Submit: Permit Application Plot Plan (Showing water
meters; easements, property lines) Fee: 0 to 100 ft. - $40.00 Additional 100 Feet—
each or any part thereof- $ 5.00/ea.
The property owner will be responsible to have this property brought back to the
community Standards adopted by The City of Zephyrhills under Ordinance
#7.07.02,7.07.03 You will have 10 days to comply. Failure to respond to this notice
will result in a fine of up to $500.00 and fined daily until the property is brought up
to community standards.
If you have any questions,please call this office (813) 780-0020.
Sincerely,
L i�-zyt.�.-
JOEL BACON
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'.� �.� �'� � Q ��� � � � � �� � ;
� Certified Mail Fee
'm $ i
Extra Services&Fees(cneckbox,edd Iee es eppropdate)
� ❑aen,R,R���n m��a� s '
!� ❑Retum Receipt(electronic) $ ��„�(
'p ❑Certifled Mall ResMcted pelNery $
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j O ❑AdukSignat�ueRequired $ \\� i
j ❑Adult Signature Restricted Delivery$
'� Postage
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$
, ;� Total Postage and Fees
$ I
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o �1-�' - - �QL"�yXl�/_�!�s�__LlIQl1lC.�/_�y/��1�Q�L . I
� etand pt. o., rF Box o. �"-"""" "T"-"""' "" �
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10/10/2017 11-26-21-0010-09300-0090�Pasco County Property Appraiser � -
Data Current as Of: Weekly Archive - Saturday, October 7, 2017
Parcel ID 11-26-21-0010-09300-0090 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value ,
CHIANG BEN L REV FAMILY TRUST Ag Land $0
CHIANG GLORIA MI SING Land $16,800
16915 POWERLINE RD Building $40,565
DADE CITY FL 33523-6319 Extra Features $444
Physical Address
5407 4TH ST
ZEPHYRHILLS FL 33542-3939 Just Value $57,809
ASSessed (Non-School Amendment 1) $57,809
Leclal DeSCI'Ipt1011 (First 4 Lines)
I� � See Plat for this Subdivision
I Taxable Value $57,809
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 9 & 10 BLK 93
i OR 1271 PG 952
OR 8404 PG 777
]urisdiction
City of Zephyrhills
Land Detail (Card: 001 of 001)
_-_...�_._�__�__— �___�.__-__.,_._.�_________.,..._.____ �.--- --�-----.� �
Line + Use �Description Zoning Units Type �Pr�ce Conditio-n--�alue
____�`�___�_� l
1 �� 0100 SFR � OOR3�� 8,400.00 E SF f $2.00 j 1.00 � $16,800
Additional Land Information
�Acres �I ^0.19 ~jTax Area�` 30ZH��FEMA` �� X j�Residential Code � ZHLHLP2
! I � � Code ( �---------_
i
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
ear Built 1960 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
nterior Wall i Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
uel Electric Heat Forced Air - Ducted
/C Centra I Baths 2.0
Line 'Description 'Sq. Feet `Repl. Cost New
- ---------�- _-__s__-------------�- ----- --�._
�_`.-__1 _! � FEP .�.__���___272 --{-----�10,914 __�_._
� _�___`______._' --•------. ___�v_�_._�__._._._� _
�------------ _
2 � FST (�4� 80 $2,298
---_------___3�._-----__.._ �___�_._.___.__-FGR .__.__. 288 �- ___._._�6,606_._-------
___�-------_____��
4 __,__.��_�_ FOP -------__ ._...___ 256 -----.___.- $3 676
_�_----...._._.____..__----___________,_- -___—�-._ �
5 � BAS _._I_.___._._-.-_768 _____._.___ 1 � $44,114 -Y
Extra Features (Card:•001 of 001)
__�___._._._...________�_..-,-----_..,:__�. _.____......,__..�.._.__ _.�---.__._._.�;-.. _.__._.___.__._,_..__ ________..__...____.�...___..
Line �Description ��Year� ,Units �/alue
I 1� ^ DWSWC 1977 300 $297�
_�— � _� ._.._�____P�,_� __._------�---
2___—__ I______._—UDU-M T ---(--�-y 1983-- -- � 1 $147
Sales Historv
Previous Owner: CHIANG BEN L & ROSALINA C
--___^. _____ ---�..._..___..___r.___�_�_------_�._...._
Month/Year ---r---- -�----___�_._.._-r---::-------1------- —
Book/Page Type ;DOR Code Condition Amount
----- ----�----- — --- ----- ------�-- ----
--�`____---
08/2010 , 8404 / 0777� � Quit Claim Deed I 11 � Improved , $0
------- -----�-----__-____�_��._--: ---�_ _
08/1983�-----( ~ 1271 / 0952 -- � i---_ ___�- Improved ! $31,500 �
http://search.pascopa.com/parcel.aspx?parce1=2126110010093000090 1/1
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CITY OF ZEPHYRHILLS — CODE ENFORCEMENT
5335 EIGHTH STREET, ZEPHYRHILLS, FL 33542
813-780-0020 �
VIOLATION NOTICE �
BY ORDER OF CODE ENFORCEMENT OFFICER �,
IT SHALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A
RESIDENTIAL/COMMERCIAL BUILDING OR STRUCTURE, OR
PROPERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR
THE OPEN STORAGE OF ANY:
❑ UNLICENSED VEffiCLE ❑ INOPERABLE MOTOR VEHICLE
❑ HIGH GRASS & WEEDS ❑ DEAD TREES OR GS
❑ FURNITURE ❑ TRASH
❑ UNKEMPT ALLEY ❑ UNSECURED REFRIGERATOR
❑ APPLIANCES ❑ UNSECURED SWIlVIlVIING POOL
❑ BUILDING MATERIAL OTHER:
�� �-r S o l���P I�i �� �. t-�/U G�. ��R IfVI�T
�P�. E3� �� �3J �G�C �o �in,�S � ��n!/�L c`��S
ADDRESS: �LI�� ��L � � R��� DATE: � � � - � 7
UPON NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUN AND
RESPONSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH
PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS LISTED ABOVE.
FAILURE TO COMPLY MAY RESULT IN FINES ASSESSED UP TO $500.00.
� �R-Cc��N �' — � — ! 7
CODE ENFORCEMENT OFFICER DEADLINE
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By order of the �uilding OfFicial: �ViCC�mA. ��rgess ti ��
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II �uilding, plumbing, electrical and mechanical �nrork�,�
shall eea�e a� the belovv mentioned property. �
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Address: �� � � � � �.�� � ��
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Date: �a -- �, 1 ` 17
Code Enforcement Officer: � �n l�Q �
Contac� the
Zephyrhills �uilding Departrnent ,
5335 - 8th Street I
�13-7�0�0020
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���u City of Zephyrhills Permit Application FeX 8�3aso-ooz� L
�,. Bullding G9partmerit . , ,
- f �
., ,etved �„ � .: Phane�Gontact for Permittin �s l �-- � }
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Owner's Name �� ��� Owner Pfio»e Number D � ��i�Vl ' ,.
};
OWtt9f`8 Add�ess � �� Owner Phone Number '
� � : _ � �;
Fee Simple Tlklehaider Name � I Owner Phone Number � �
Fee Simple Titlehalder�lddresa �
�I
J08 ADDRESS � LOT� � .
3UBDIVIStON � � F'AR�IEL.l�# .
(087AlNED FROM PROPERTI!TAX NQTICE� ;
WORK PROPQSEp •_.NEW CONS7R' ADDlALT Q S{GM' �Q C] pEMOLISH
'�e. INSTALL 8 REPAIR
PROPOSED�USE Q SFR• Q COMM �� OTHER : '
TYPE OF CONSTRUCTION - Q� BLOCK " Q FRAME Q STEEL Q !
DESCRIPttON OF WORK ' y� ��'�C �L�.C� L� ,
BUILDING SIZE � �`SQ FOOTAGE��; _ _HEIGHT}.��,�� i
QBUILDING $ VAt,UA7lON`OF TCITAL CONIS7'R4JCTION" ' '
. ��d.�� _ � ,
QEIECTRICAL $ - � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. j
o , � � ��j�� ��;,���� '
PLUMBING �p___.� - '��'" �/+ �� ,
� '2�
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QMECHANICAL $ VAk.UATION OF MECMANICAL INSTALLATION � ,
QGAS Q RtZOFiNG .Q SPECIAL'iY �] OTWER ,�2�� ���e"��'' �
�'���sf�`�p�.c( .
FIi�i1SHED FCQOR ELEVATIONS FLOOD zOtdE AREA QYES. NO ��,�� ���� �
�
BUILDER �,.{`� (1 , �� COMRANY� l7DS�'L�C'�.�� � ,
SlCyNATI}i2� � ���' �lV��---"' REGISTERE Y/ N ��E cuRaEn Y/N
, � �
Address ' � 1,Icense#'�_.,. � �
�
, �
ELECYRtC1AN:: ,. COMpANY � �
StGNAfitlRE � REGISTERED Y J 1�1 FEE CURRE�' ' � li'Y/N � ,
Addre8� � . I.ICet1Se�#'.� r �
Fi.UiVIBER ' � COMpANY ' �
$lCaNATU12E� ; REGIS.TERED, Y/:F1. . ��.FEE CURREh Y J IV
Address � _ � .L.Icense,#.���� ��.
MECHANiCAi: � - ' . . . COMP/WY, '
S!(�MATURE ' R��ts7'Ei�Eo Y./ hf . � ���Cu�'t�n Y-!N
;,.: .. .
Address ' . ' - , . - f` � Licenss#,� , �� -
OTHER ; ' ' ' " ,COMPANY .,�.�
SIONATURE --". - ., .�,, , . ` . . .` RE��s=�ai�o - Y 1 N:.: . ��ctiRtt�i� - Y!N.
Addresa ' � . , ' Clcense#'� I
° . .. ._ ,�;x.<: :..: .
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RE3IDENTIAL�: Ai#�cti�'(2}„P-.1at•Piaiis;��:(2)'s'ets;of:BuilBingi Pians;t1)set o1�=Eiiergy+�Forms;,R=O�W�Perrriif far.new construcUon,, • ; ,
.. :��Mlnlmum�ten�(�1A);worlcing�clay,s;atker;subm�ttal"datia:a Requli�if onslte;:Gan�truc8on'Rlans;=Stormwater Plans�w!Si1t Fence Installed,
. �� SaniteryFacllltles:&�1,dumpster-�Slte�;Work}P�ermlt�otsutidivlslonsAarge:qtojects'�=_ :."z:;; "
COMM�lt�iAt:•`= Attach(3)`c6mplete�sets`bf'Sullilie�Flans ptus a Life Safety Pege;=(1j set of Energy Forms.R-O-W Permit far new construc�tlon.
Minlmum tett{1�)worlcing d�ys after subml�tal date. Requ3reo onsite,Gar+s'vuoiic�n Plans,StareaM�ater P1ans rnrl Siit Fence instalted,_ ___. __ _
SaMtary FaclliNes&1 dumpster.Stte Work Permlt for all new.projecfs.All commerclal requlrements,r�i+st meet compllence � �
SIGN PERMi7 Attacfi"(2)§et's of�Englneered:Plans:;� ..,�;�- . .,, , � .
"•**PRC?PERTY SURVEY regulrec!for_atl,NEW constnacBon.. ,. •
Dtr`ections: .. , . .
Ffl1 out appllcaUon comptetely.
Owner 8 Conhector slgn back of appllcatlon,notarized �
If aver�2500,a Notice of Camm��acem�nt la requlred. (AIC upgrades aver S7S00)
..,.-r.•.-n,.::
.. ' �''.^'�°°
qgent(for th�e contractorj'or`Pqwet of Attomey(fbr flie owner)�wauld�be som�one�wlth natarized letter fram awner authorizing same
aV�RTHE CdUNTER:PERhAiTTING. -- .(.Front of�ApPllcatton_Only)�.. :_-: �J....s�,� �� "' ��C� �
Reraois If&hingtes Sewers Service.11pgrades AtC Fences'{PtoUSuroeytFootage} � � '
. .. .. .. .. ._ ._.. . ' � � CS_.�t�-c�r-��:.�``"^e'�' ...
DrOvevaaya-Not over Counter lf on publlc roaiiw'/ays;.rieeds ROW `' �A�4UE�tiNE��� S �� - - ••
�.,,, ..
' ., s�,�,�Y rvB`•', mmission#FF 15042z_ ��
=`r.�.t '�"= Expires Dacember 12,20180 ,; r�6'-��'7 (j+-/�
�r �o�" Bor.dadlf'mtroyfaminwre a800�985' , '�` f ;,`,
'°�i°;���i . lr
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� ' ,
NOTICE OF DEED RESTRICTIOWS: The und.�rsigned under�tands�ith�t;ihts:-p�rrn[f-.may.,�;b4e,subJe.ct,xo.A"aaea"�restr�ctions" - ` �`
which mayrti�:more��rest�ictl�re�th���-County,i9a�ulatlons:��7h'e`�uiidei�signed�assume�'-'�esptinsl6111ty-'for�ompitanc`e witti`any�`" � '�
appllcable.deed:resMctions. ,� :.,. ,-� . . • �� •:.: -�
UNLICENSED��CONTRACTORS �AND CON�'RACTOR•RE�PONSI�ILITI�$: -�If��t�e owner�has�hire�d"e':contracto� or
contractors to undertake work, they may,bte..;r.e,,quir�edNto��bezllcensed_In::acc�ordance:with.state�.and�local regulatign5i��If°the��� � '
contractor Is not�Ilcena�ed�as��requlredAtiy'lew►,.;botii'the bwner and��`cont�acto��mey�be��ctted�for a'i°ml�demeanor vlolatlon
under state law. If the owner or Interided,.;contra�tor;e�re..�rncerteln as to wF1at Iicensing.requiremerrts��may=e�ppiy�a�for�the-j• ��� �°�
Intended work, they are advised to coritact.tfie�Pasco�.County Bullding_'_Inspectfon,DCvis�lon'-�-L•Icensing Section.at 727�847-
8009. FurtF�ermore, If the owner lias'hlred'a cont�actor o� coriiractors. he is edvised to have �the contractor(s),,sign., „
3. ,s,��,
portions af the� contractor Block of.thls�eppllcation.:for:which.theD�will.be,.r.e�p.onslble.-:,.:If�you;=as>:tk�e owii�er'sign�°a�`the�° ��
contractar, that�may be an indlcation that'tie-ls not:properly licen�ed antl�'Is`riot�er�t6tled to pemiltting�privlleges In Pasco
County. • , : ,>.�.�,.. .. .
TRANSPORTATION-IMPACTIUTILITIES<r�IPaC�AN����$�UitCE RECOVEI�X�F�E�: �'hs�ue�dersig�ed�understands
that Tra�spor#aQOon Impact�P�es�and.Reco.uree.Recovery.Fees mey;apply��to�tf�e.constcuctlon,of new_buildtngs�?change��of"` '�"�' '"
use in exisHng buildinga, or��expar�slo%rtof��existi�%g�buil�ings� as specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,.�The underslgned also,understands, thait°such fees;;as;may:'�e•�rdue;;:wlll,}be idenlifled at the�`time�of��' -�"�� J°
permitting. It Is turtFier understood that Tre�sp�o�tation Impacf Fees and`�aesource:;Recovsry�Feess.m�st be paid prbr to
rece4ving-a:'certiflcate.of�ocxupancy"�or flnal-�.powsr.release: :Ifthe.project:�.does;not involveea�certfftcaCe of occupan��i�or���-'��``
flnal power�release;,tMe•;fees.must'tie"patd:p�lor to;pecmft 18sWance. Ft�,�#hermore--I�:Pascv,�Couniy-Water/Sawer�:lmpact _ :���• °��
fees are due�_lhey._�must�be>pald.prlor#o.pem�it�;issuanee��n.accord:a.nce wltFr appllcable;Pasco'�.County�ortlinances. •
CONSTRUCTION�LIEN'LAW�(Chepte�713� Flor�da Statute��ea amended): I#valuatlon af work Is$2,500.OQ.:or more, 1- � -,
certity that I, the applicant; haVe�been .provided wlth�a copy�of��the•�":Florida-Construction� Llen..:Law�—Homeowner's
Protectio� Guide"prepared by tFie FloHda Deparfine�t:of Agric.ulture and Consumer;:Affairs. if the appllcant Is someone- � ; �
other than the`owner", I certifp:.that_;I.h�ve..o.b,tedned�`a=copy;of:the;�bQve.�descri��e:d�tiocur�ent�and.pr�mise;.in,good;�faith.to -
deliver ft to the`,owner�`�p�ior�to�commencement:" � � ' .
CONTR�►CTOR'S/OWNER'S AFFIDAVIT: I.ce�(fjr:;th�t,.ail.the,inf.orrnation..l��thi�applfcatlan(s accurate.�nd that all work
will'be done in compliance with all.appllcable laws regulatln� constructlon, zpn(ng and:�land development. Appltcatlon is
hereby made to obtain .a.pecmlt,,to�do_:wor'k:,and�:instellation as indl�eted:.s ��I cenify thet no workcor Installatton has
comm�nced p�lor to Issuance of a permtf and that�:all work wlll be performed�to meet stendards�of all laws �egulating-
constructton, County an� City codes� zoning regulatians, and land.develoQnnent_r��ul��lone�tn th'e jurl�dictlrr,: I�aiso
���1fy t��Q 9 �:nde�s�nd th�t fhe regulattons of ottie�gov6rnment agencies may�apply�to the intended work, and that It ts
my responsiblllQy to identify.what.�cttons I must•take:M besin..compllar�cs,. S.uch�.agencles include but��are.not Ilmtted to:
- Departm�nt of Envtronmental�PFotectton=Cypress.'Bayh'ead�, Wetlend Areas and Environmentaliy Sensitive
Lands,Wat�rMlastewater Treatment. -
- Southwest Florlda Water Management-.l�tstrict 1Nells; Cypress.Y�Bay�teads; Wetland' Areas, Altering
Watercourses. . <
- Army Corps of Englneers-Seawalls, Docks, Navigatile Waterways.
- Department of.Healt.h,::.&,.Rel�abilitative.;ServlceslEnvironmental. Heaith Untt-Well.s;�V1Fastewater�'Preatment,
Septic�Tanks:. - � � .
- US Envfrenmental Protectlon Agency-Asbestos abatement. .
- Federel Av.latbn_Aulhorlty-Rurnveys:
I understand that the.:followang:reatr,l'otlons appiy'to the use of flll:•
- Use of�fill is not ailowed in:Flood,fZone"V"unless expressly,permitted.
- If the fill mateNal is to,be used�in.�Flood Zone. "A", It. is underetood that a drainage plan addresstng a
°compensating volume" wlll be submitted at�Ime of�perrt�ift_tng whlch ts prepared by a professional engineer
Iicensed by�he State of�f.lorida. • .
- If th� flll materlal�ts�to be used in Flood �one 'A" in�connection�with�a���e�mitted buflding using stem wail
� construction, i certify.that�II�iArAl�b.e used onfy.to.flll Qhe ar��withln.:th���t�m wall. � • .
- If flll materlal is to be used in .any �re�, E ���r316gt-4�a4 .u8e of �uch-flll wlll not adverseij+ afiect adJacent
properties. If use of flll is found�to advereely:,�ffect adJacer�t��pPc�perties,,the owner may be clted Tor vloCating
the condlflons:.of�ihe b�ilding�permlt Is"sued�under tha attached,�ecmit eppAcatlon� for:lotsyless.ihan:one (1)
acre whtch ere elevated�tiy iill,��t englneersd drainags plan Is r�quired.
If I am the-AGENT-.FOR.THE OWNER; I:promtse In good faith to Inform the owner of�-the perrriitting condklons set forth In
this aHidavit�pnor to commer�cing consbucHon. "I uni�erstand thet�am aeparate�permit may be requlred for electrical work�
+a'—L7"
plumbing, signs, wells,.pools;.alr condltloning,,.gas,�-.or otMer: Install�tlons not�spec�leally Included�tn.the�application. .A -
permit issued shall be construed to b�e`a�Itcense`-to`proceed with ttie wo�k and not-as.-authoNiy to,vlolate���cancel, alter, or
set aside any provisions of the.technical..c+odes;�nor shall Issuance�of a.permit.prevent the Bulldirig O�ficlal from thereafter
requirin.g a cocrection nf-ercors:irn•plans;-consttuction or.violatlons of-any codes.� Every�petmit�iss�ed sfiell�become invalid
unless the work authorized:by such permit>�Is_co�menced�withfn Qijc months of�permit Issuance, or If work autho�ized by
the permit-is suspended=or:abaradoned=for.a:period;of�six�.�)montfis.afterthe:tlme#he�wor�k�is corrimenced. An extenston
may be requested, in writlrtg��from.tHe:Bullding,Officlal for a period:�not<to exceed'��niriety�(90)'�d'ays a�d wili'demonstrate
justifiable.cause for.�the extensior�. If work ceas�s�for ninety.(90)cons.ecutive days...the Job�ls considered aba�doned.
WARNING TO OWNER: YO.UR,;�AILIJRE<•TOY�:R�EGORQ,A,MD�TlGE:OFf�COMMEi�C�MENT�MAY-RESULT�IN�YOUR
PAYING TWICE;FOR:IMPROVEMENTS$Tfl��f:OUE�:=P�PERTY.�1��YO.Ur1��EWD�'�Tt���OB7�A1N`=FIN�AIi1EtNG;'CON9ULT
WIT O a. ,. � G:, ,pU , �z : -� ._--_ __ — ---
FLORIDA JURAfi-(F:S:1 7:03) c . �_• _ � ".—,�.,T��..��/4/ \C[ —
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OWNER OR AOENT �CdNTRACTO ',`,', a�
3 bsalbed and ewom o d) eto• e s � S' scrlbed and' �b( ' aefol�e me't� �
�v-Z�-f7 by � � � � .by.. ti ,;�C(� � V�-�.��
�A�1s/are e�s onalty,known to.me.or:healhave produced Vyda.ls/ere persor�allyJcngvrn�to:rtte;or,#�as/have•produced �
� T�� O(,[r`G��s'2 ae Id'entlflcatlpn:- 1�i7�� d�L L�ce a-C�- as IdentlflcaUon.
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%—- ,ry Publlc . � � Notary Public
Commi sl rt"a , �N OGES'� � ComnNis o .No.
`? •'" ��i%'�� JACQUELINE BOGES
�*. .her 12,2018 � �o�, �
Name ot N .;ad, Hnted or�tar����, ��• � Neme ot Notary- ",�, �,► ber 12,2018
`,04�'.��,r�oy� �'t�;��7`ES` , • . ,''I�Q��4q`�` BondedThmTroyFvnlnsuranceB00.385�?^'• �'e
;; , ��f:,5042 „ �py, �� �_., ,•:
oc'� 'JACQUELINE BOGES ri` x
' � i� 2 O?4•' �4�,i ,i ,�'.
_;?;;� -��; � .,3�19 ;•_ Commission#FF 150422 '� ,�p
� ' ires
,A�;�' „,,��.�v,,.., 'o:� Exp' `December 12,2C18 r.��� fi
^ �'��`�"r�'�"���' '�'�� . '�%oF F�°P`�` Bonded Thru imy Fain Insuranca 800.3B5-7p�g :'.
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DISCLOSURE STF�TEt�1T FOR OWPaER
CTTX OF ZSPIiYRHII�L�^ SUILDINC DEPARTP9ENT'
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�, ���,t�,,�G"� �� � hav� read aad fully uaderstaad aad
agree to the pzovisions o� this iastrrxmeat.
The undersigaed states aad a�firms t3sat h� ar she is desirous of coastzucting,
reaavatiago adding to or reraofiag ha.s or her owa damicile, that he ar she
actually �occupies, or wil], occupy by Z.CI.-� smid domicil�, aad same is no� for
reat, lease or sale. Tha� he or she shall comply w3th the fallawiag aonditioas:
7.. That th� owaer aad he or she aloae shall act as the buil.der for aIl phases of
canstructian. ' �
v 2. That the owa�r` will camply svith all psavisioas-of the City �of Zephyrhill's- - -
ordiaaaces a�ad cod�s pe=tia�at ta the buildiag.
3. That ia the event various ph�ees of constructiaa are szxbcoatsacted, he will
engage oaly propexly licensec� subcoatractor�s sad wi11 pereoaally aupervise
such wark.
4. That ia the event the Buildiag Zasg�ector shall requ3re correctiaas to be mad�,
the owsuer will assume fu11 respaasibility ta iasure th�y are made, aad upon
aomple�ion wi21 cal.1 for � r�iaepeatian befare praceediag with the buildiag.
5. That the awner shall ae�wme �ull respoasibility for the con�tructiaa aad will
aot expect supervisiaa af his tdark fxam �h� Citg af Zephyrhil3a Suildiag
Depaartmeat.
6. That pr3or to fiaal iaspeetataa aay additioual fees, includiag reiasp�ction
fees, muet b� pai8 ia fu11. A written request from this office aha11
coastitute aa afficial aota.ce to pay addlitiaa��l �ees.
7, That bhe ovaaer sha1Z comply with a11 City, State asad Federal 2as�s iu regard to
soaial security, warkman's eampensation, Iien laws, etc. , where applicable.
$. That �he owaer sha11 camply with a11 the safety codes issu�d by the Florida
Iadus�r3al Commie�ioa. - - �
9. State la�w requires conatz�uctioa ta be doae by liaensed contraatars. Yau hav� -
agplied fox a permit u�.der aa eacemptioa to that law. The e�cemptioa allows
you, a.s the acvaez of your property, to act as yaur owa coatractor with certai�
restrictiona even though you do �not hae� a� license. You must_ pravide direct
onsite eupervision af the con�tructioa yourself. You may build or imgrove a
one-family or twa-familg residenc� or a farm autbuildiag. You may a2so build
or improv� a commercial builciing, provided yaur aosts da aat ea�ceed $�5,000.
_ The building ar residence must be for your own use or occupaacy. It may aot
be built or substa�atially improved `for sale ar lease. If you s�11 or lease a
buildiag yau bav� built ar sub�taatially 3.mproved yourself withia 1 ye�r after
the coastzuctioai i's' complete, the la`a �;ri1Z presum� that you."built. or° �
substaatia3ly ia;proved if for sale or le�se, whicl� is s violatian of this
exempt3oa. You may aot hire aa ualic�ased peraoa to aat as your caatractor or
to supervise peapl� warkiag oa youx buildiag. It is yaur respoasibility ta
make sure that g�eople emplayed by yau have 2sa�nses r�c�aired by atat� lava aad
by county or muaicip�.l 2ic�nsiag czdiaanees. You may aat delegate the
respoasibility for supervising work ta � licease�3 cantrac�or who �s aot
3iceased to per�orm the work being doae. Aay person warking oa gour builcia.ag
who is �aot� licea�ed must saaxk under yaur direat sup�rvision aad must be
�].oyed by.�.►ou� w�,ic��nQ�as_that._3rau-must-deduct R��-.-C-�--aad-vai�hha-Ycting�t�— ---_-_
� � and provide workers' eompensata.on for that employee, all as ps�scribed by Iaw.
Yo�z construct3on must aomply with all applicable 1aws, ordiaaaces, buildiag
codes, aad �oaiag r atioas.
OWNER�S SIGNATURE
� r V �� DATE � � � �
ADDRESS ., `'
PHOI�TE, O ',.
6dITN8SS ` , �. ' PSRPRIT #
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State of Florida County of Pasco
T The foregoing instrument was acknowledged— _ __ —
-- --before-me-this d`�b�� �`N''–___201=I by _ __ -
�ew Lee �n-��Ur,� who did not take an oath
and who produced—��"p�-as-ide tification— --
�vv�.��7- �
— -- -- �r44AA���xA S'A�FlULLAH—
��r pGp �o�ry I'ublic,Sf�te of Florida —
$ -� l Commission#FF 921953— -- – —
� �py wmm.ex�ires P��v.15,2019
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