HomeMy WebLinkAbout17-19073 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis��so-oozo 19073
� FENCE PERMIT
` -' � PERMIT INFORMATION � � � LOCATION INFORMATION -
Permit Number: 19073 Address: 5903 17TH ST
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: 11-26-21-0010-04900-0040
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 11/21/2017 Name: ISAACSON, SHARON LEE
Total Fees: 50.00 Address: 5903 17TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/21/2017 Phone: (813)389-7712
Work Desc: INSTALLATION RAIL FENCE 208 X 4FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
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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 Ci Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� e��-7aaoo�o City of Zephyrhills Permit Application Fax 813-780-ao2�
Buitding Departmen# . �'�
Date Recefved �'�,# ' � t � Phone.Canta�for�Perniltttn ��3 3�'� _ 7�1 �--
Owner's Naine �c^ Y` S c�A.LS�Y-� Owner Phone Number �t J ! � ( �
Owner's Address J-�(� � � � Ornrner Phane Number � �
Fee Simple tTitleholder Nama ( ~ � Owner Phone Numbe� �� �
Fee Simple jTitleholder Address •
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JOB ADDRESS � P� � I rJ LOT# �_��.
SUBDIVISidN , �� � - PARCEI.ID#
# - , , , (OBTAINED FROM PROPERTY.TAX NOTICE)
W4RK PR4P0.SED NEW CONSTR ADD/A�T C'�` S1GN' Q • Q DEMOLISH
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PROPOSEi3 U$E Q SFR Q COM{V1."' � QTHER
TYPE OF COWSTRUGTION' � Q� `BLOCK ' Q FRAME ��] STEEC' Q ` '
DESCRIPTION OF WORK' Vl\\ � �(`�\` t Y��� � V D ��-
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BUILDIAIG S
QBt}E�DING � S`(7� � � �._...�_�. - "„ `� ;
� VALUATION:OF'TOTAL CONSTRUCTION �
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QEI:ECTRIGAL �' �, AMP SERVIGE Q PROGRESB ENERGY Q W:R.E.C.
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MECHi�WiCAL $ VALUATtON QF�MECFfAN{CAL li�l3TALiATIQN.
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C��as 0 �oo�iNG :[� _ sP�cir�.nr ,� om�� -
FINISMED FLOOR ELEVATIONS r�� FLOOD zONE AREA QYES. .NO
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BUIF.QER ' COMPi4N1ts , ' �� �` ��G!��. - ' .
SIGNATURE REGISTEREb Y/ N . � FEE CURRE� ' Y/N
Address Cicense#'� �
ELECTRIClJW � 'COMPANY ` - -
SIGNATURE � REGISTERED Y/ N FEE CURRE� ' '�Y/N -
Add�e�'s ` � . . _, , Lioense# l° � �
FLUM88R '� ' � ' ' , �COM,P,ANY
SIGNATURE' ' ,_REGI3TERED Y L•N.:. - FEe cut�n� YJ N.
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Addre�s s .� � - _ .
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MECHRt+IiGAL: ' ' � - �CQMPI,WY - ` -
SIGNATURE� ' ' ` � � ' " REGISTERED.�� Y,/.N FEECURRE�;. Y./�N - , -
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Address� - , �` . ° _ . -�
License# �, ,
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o.rt���t : .. .. . ';co�ipa�ir � , �
SIGNATURE' - � -- �° • � '� ' " � " ' REGISTERED� Y/ Nz.., �e cu�n Y/N
Address, . - . � - . � - _ - ` , , _ _ ticense# � .. ; '�
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RESlDENTIAl:; s-_AitacF�;{2)„PIo�P..lans;.,(2}set`'s'.ofBulliling?Plans;'{1}set of'Enei+gy�Farms;f R=O=W`Peiin,it for new 6onstructiori,
, - MinimumYterr(1.0);,working;days;after;submiftal'da#e.:s:Required onsite;GonstiucHon-Rlans;Stormwate�Plan's w/Silt`Fence installed,
__ �� �"Sanitary Fac1llUes,;&;:1,;dumpster�Site•alVark,jPermitforsutidivlsions!large�,proJecTs', ,�" :�• ` � � `. � " ' . - _
CQII+lMERCIAL Attach�3}-cor'nplete seEs'of'8tiltclirig'Fiaiis ptus a�l.Ife Safetjr Page;(1)set of Energy Fatms.R-C?-NV Permlt far nev+r canstructlan. �
� Minimum ten(10)wrorking days after submittal date. Requlred onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facil(tlas&1 dumpster.Site Work Permit for all new_projects:.All commerclal requlcements.must meet compltance '
SI�H PERMPC Attadi{2)"se#s ofEngiiieeirecf;Plans..;-:-.��-_^,= ,. ->. � - . . - �
••'"PROPERTY SURVEY reyuirec!for_aII,IVEW canstructlqn.. -
, Dlrectlons: . ...�., . - . „
Fill out applicatlon completely.
'� Owner 8�Contrackor slgn back of applfcaBon,notarized
' If over�2500,a NaNce of Cammencement is reqaired. (AtC upgrades over�T500)
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Agent(for the contractor)'or"Povuer of Attomey(foir tFie�owner)would be someone with notarized letter from owner authorizing same. -
OVER't'EtECOUNTER.PERMIITING._.._.. .(�raritof�RPPticatian-Only.)- . . -,,,, � " �
Reroofs if shingles Sewers Servlce,Upgrades,NC, ; Fen.ces�(P.IotlSurvey/Footage) ., , '
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Drivewaya-Not aver Caunter if on public roadways..rieed's ROW , •- - • . "
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(�OT1�E�F D�ED RIESYRIC'B'IOMS: The undersigned.under�tands��th�t.thi�;.p�rmit.nnay.be,subJect to,mdeed".reslr!�tlons�,.: ,. .__
which may be�more�restcicttve..th�n Coun���regulatlons: �The underslgn�d��ssumes-responsitiiltty for compllance irvvitli�ariy �
applicable deed_restrictions. , � - -
UNLICENSED CONTRACTOR� AND COtdTR�1CTOlt RESPQNSI�ILITIE�: -if-the owner�has �hired �a contractar or
contractors to undertake work, they may.be�rgquired��to:be-:Iicensed In accordance.with state.and�loca0;regulatlon.s.: if the
contractor Is-not Ilcensed��s�requlted�tiy I�iiv, bo4h•the owmer and-contracto���may be°c(fed for a�misdemeanor violatlon
und�r s¢ate law. If the own�r or intend�d,cvnt,r;a�tor:are,��ancertaln a� to what Ilcensing requirements�may�apply��for�the- -
Utended work, they are`adviged_to cmritaet tFie�Pasco�County�ullding`In�pectfon Divlslon--Llcensing�S�ction at 727-84Z-
8009. Furttiermore, !f the owner�Fias��hlPe� a� con�rac'tor o� contractors, he is advised to have the contractor(s),-sign _
portions of�the "conttactor_�lock° of thls application..for.ubhich.they wrill be_�:esponsible..�If you; as.the owner`stgn`�as th�
contractor; that may be an Indication that he-is not properly'licensed�antl��is not'entttled to permitting privileges in Pasco
County. � - `
TRrAfd�POitTAT10N.IMPACTIUTILII'I�$�IMPAC'�ANb�RE��URCE REC01lERY:FEES: The und�rsigned understands
that TransporQ�tion Impact Fees and.Fd�co.urse Recove.ry.Fees mey��apply�:tc:tf�e`constniction:of new buildings,�change'�of"-- � � =
use in existing buildings,�or�,.expansi�n:•of.�ezist6n�:�buildings, �s speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended.t,The und�tsigned �Iso:understands, that:such fees;.as�may�be.�due;��vulll:be Ide�iUfied at the•�time°of - �
permitt(ng. It is further understood that Tra�ispor�ation Impact'Fees ar�d�Resource:Resovery�Fees..must be p�id prlor to
r�c�iving a °cerf(�cate-of�occupancy" or�fiinal-�powe,r.-�elease: :if�the.proj�ct..does�.not Involve:a-.certfffcaf� of occupancy�or-���� �
fln�l power release;;�the;fees-mu�t"be p�id�prior to..permR lasuance. Ft��thermoce;•if:Pasco;County�UVater/Sewer;lmpact �
fees are due�_Ihey.�reust be>pald prlor to.perri�it�•Issuance�ln accordance-witfi.�appllcable Pasco�.County ordinances. �
CONSTItUCT10N"L"IEId"LA1N(Chapter 713, �lorlda�tatutes�as amended): If valuadon of work Is$2,500.00_or more,.I� ,
cerlify 4Fiat I, 1he applicant,� h�ve.been provided with--a-copy�of�the�"Florida� Coristruction� Lien.:Law=Horr�eowner's
Protectfon Guide" prepared by the�Flo�ida Dep�rtmenC of Agric.ulture and Consu�er-�.Affairs. if the applicant is someone: � � ,
other than the"own�r", I certify�.that.L.h�ve,obtained�a=copy,of.the;abovades.cribeddocument°and.proml�e�in,good.faith•to
deliver It to:the.`ownec"�prioe��toycornmenc�ment:' ' ' �� ' �
GONTE3ACTOR'SlO1NNER'�AFEIDAVIT: I.cei�Q6fy,:.that-all_,th�;inf.ormatimn:in thl.s �pplicatlon is accurat�and that all work
will'b� done in complfance with all appl(cable�laws regulating constructlon, zoning and�land�development. Applica4ton is
hereby made to obtain .a permit..4o_do�wotk;.;and 'installatlon as Indic�ted:.-°I certffy that no work':or Installation has
c�mmenced pr(or to Issuance of�a permit"and that.ali work will be pertormed�to meet standards of �II laws �egulating-
constructlon, County and City codes, zoning regulatio.n�, and land development tegulations�In-th� jurisdictlon. 1 al'so. _
certify tha# I u�derst�nd that the r�gulatlons of other government agencies �ay�apply�to the intended work, and that It is
my responsibilit�to id�ntify�what,�ct(ons I anust�take:to be,in:.cor�pliancs: Such.agencies include but-are.not Ilmited to: �
- Department of Erlvironmental=Protectlon-Cypress.'Bayhead�, WeNand Areas and Environmentally Sensitive
Lands,Wat�rNVastewater Treatment.
- Southwest Florida Water �ulanagement: .�istrEct-Weils; Cypeess.� B�yh�ads; Wetland� Areas, Altering
Wat�rcourses. � �
- Army Cocps of Engineers-�eawalls,�ocks, (Vavigatile Waterways.
- Departm�nt of Health�'.� Rehabiiitative Services/Environment�l_ Health Unit VVells,.Wastewat�r�Treatrr��nt,
Septic Ta�ks.._ � - - - ;
- US Environm�nt�l Protection Agency-Asbestos abatement. �
Federal Av.latton_Authority=Run�nrays: � -
I understand that the following:�re9trictions apply to tiie use of flll:�
- Use of fill is not allowed in Flood:Zone"V"unless�xpre§sly permikted.
- If the :flil' m�4er9al is to�'�b.e used�in�:Flood -�one. �A", It is understood that a drainag� plan address�ng a
"compensating volumep will be submitted at lime of.peemitting which is prepared by a professional engineer
Iicensed by tlie St�te of'.FloHda.- �
- If ih� flll�material i's to be used fn Fiood Zon� "A" (n�conn�ction�wlth:a �permitted building using s4em wall
� construction, i certify tha4 titl<wall=b.e�used only.to#111 the are�wlthln the�stem•wall:
- If flll materlal is�to be used in any area� I �ertlfy that .use of such flll w611 not adversely a�f�ct adJacent .
prc�pertles. If use af flll is found to adversely�f�ect adJacent�prc�perties,.the owner may be cited for violating
the condffions...of the building:permit Issued�under the:attached..permit applicatfon, for lots�.less than one (1)
acre which are elevated�by flll, a�engineered draireage plan is required.
if I am the�►GENT FOR TH�AIMNER, I;promise In good faith to tnform the owner of the perrriitting condftions set forth in
this afPidavit�prtor to commencing conshvction. e understand that a�aeparate permit m�y be requtred for elect�ic�l work,
plumbing,�signs, wells, pools;. alr condltiontng, .gas,�or other Install�tlons not.spec�flc�l0y lncluded�in.the applic�tlon. .A
permit Issued shall be eonstrued Qo be�a�Oicense�to-proceed writh the woPk ar�d not�as:authoNty to.vBoi�te;�=cancel, alter, or
se4 aside any provisfons of Qhe t�chnleal codes;�nor shail is�uance�of a.permit.prevent the�ulldirig O�fic(al from therea�ter
requlrin.g a correction af errors in-plens, construcfilon.or violations of-�ny codes. Every�permlt Issued siiall become invalid
unless the work authorized.by such permit:�ls-commenced�within sUc_m.onths of permit issuance, or if work authorized by
the pe�mit ts suspended or:abae�doned�for:a;period,of six:f 8)months.afte�the.tlme the�wo�k fs commenced. An ext�nslon
may be requested, In wrlting;ftorr� the.Buflding,Official for a p�r(od.:not to-exceed ninety (90)-days �nd will demon§trate
justl�abl�cause focthe extension�. If work ceas�s.for ninety(90)consecutive:days,..the Job�is constder�d aba�doned. ;
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WARNIWG TO OYVN�R: YOU�:FAILUitE�TO..REC.O,RD A iVOTICE:OF°COMMENCEIVI�MT:NFAY-RESULT IN YOUR
P�IYING TWIC:E•�OR�IMPROV@MEN.�S-.TO,rYOUR.:PRQPER;TY.;IF°YO.U;IN�END:T����BTAIN�FIPFAt��1WG;'CON�iULT
-9fr"I�fH YOIOFi L@P�DI�R OFt�APO��'TORPI�X���4�OR��P�����BN��'�OUR'6'd�41��"O���OV�19A1�ENCE�44'JEr�Y' "� -—
FLORIDA JURA�(F:3.1.17.0 .. ' . . .
OWNIER OR AOENT 1��� COfVT�CTO� �
S�upsc_rl�e��d sw�_m (ar afl9rreqed)before me thls S� scrl ed and'swom�o(o affirme befote me fFii�
-�by '1�. � L �Q�t cz�S�^�-� ��by-lX � L. �S c�a c S rr�—.
y�q�(are Dersonally b.me.or haslhave produced W�q I /a qperaonally1�qo�rn M me or hes/haee�praduced
�1K• L t�e�2-� ae I den tl flcatloti. _ d J g �C z�. -�`-' es Identlftcadon. _
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Notery Public t�2� � Notary Publlc
m sslo o:•�"'+"",,,, BOGES Com Issl .M
_,,;' '•;= Commission#FF 150422 •-'� •�;�: S
- ecember 12 2018 '•: ��= Commission#FF 150422
Name ot Mo �iHn aom�lasiepedurence 800•385-7019 Name ot fVote " � er 2,2018
�""' '•���������`� Bonded Thru Troy Fain Inwrance 800.385.7p1g
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DISCLOSUR.S STATEMENT FOR OWNEs'R �
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CITX OF ZEPHYI2HILLS SUIi,DING DEPARTI'�1QT
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I. � �a•4`U Y� � � ��,�,vY""� have read and ful ly uaders�and and I
agree to the pravisions o� this iastrument. ,
The undersigaed states and affirms that he ar she is dasirous of canstructing, ;
reaovati.ag, addiag to or reraafing his ar her own dom3.cile, that he or she .
actually occupies, or will occupy by said domsca.le, aad same is aat for
rent, Iease or sa1e. That he or she sha1l comply with the follocaing candita.ans:
l. That the owaer aad he or she alane sha12 act as �he buildez for all phases af
coastructioa.
2. That the owner will comply with all provisioas of the City of Zephyrhills
ordiaauces and codes pertiaent ta the building.
3. That ia the eveat various phases of coastruc�ioa are eubcoatracted, he will
engage aaly properly lieensed subeoatractors aad will. personally supervise
such work. '
4. Tha� in the event the Building Iaspector shall require correctioas to be made,
the owner vrill assume £u12 respoasibility to insure they are made, and upon.
completion wi11 ca11 for a reiaspectioa before praceediag with the building.
5. That the awner shall assume fu3.Z respoasibi].zty for the caastructiaan and will
not expect supervisioa of his work from the City af Zephyrhills Buildiag
Depaxtmeat.
6. That priar to fiaal iasgec�ion aay additional fees, includiag reinspectioa
fees, must be paid in full. A writ�ea request fram this office shall
constitute an afficial natice �o pay additianal fees.
7. That the owner shall comply with a11 City, S�ate aad Federal laws ia regard �o
social security, warksaan's compensation, lien laws, etc. r where agplieab2e.
8. That the owner ahall comply with all the safety cades issued by' the Florida
Iadustrial Commi�sioa.
9. Sta�e law requires constructian to be doae by Iiceased coa�rac�ors. Yau have
applied for a permit under aa exemp�ion to that law. The exemptioa allov�rs
you, as the owner af your propexty, to act as your own caa�rae�or with aertaiu
res�rictions evea though you do not have a license. You must provide direct
oasite supervision of the coas�ructioa yourself. You may build or improve a
one-familg or t�«ro-family resideuce or a farm outbuildiag. You may also build
or improve a commercial building, provided your casts do aot exceed $75,000.
The buil.diug or resideuce must be for yaur owa use ar oceupancy. It mag not
be built or 'substaatially improved �or sale as lease. If you sell ar lease a
bnilding you have buil� or substaatially impraved yourself withia 1 year after
the coastruction is camplete, �he law will presume that you built or
substaatially improved if for sale ar lease, which is a violatiaa o£ thi.s
exemptian. You may not hire aa ualicensed person to act as your caantractor ar
to �upervise ,people warkiag oa your building. It is your respoasibility to
make sure that people emgloyed by you have liceases required by sta�e I.aw aad
by count�y or municipal liceasing ordiaaaces. You may rsot delegate �he
responsibility for superva.siag work to a liceased conGxactor wha is not
licensed to perform the wark being done. Any pezsoa working on your building
who is aat licensed must work under your direct supervisian aad must be
employeci by yau, which meaas that you must deduct F.I.C.A. and ro�rithhaldiag ta�c
and provide workers' compensation for that emzaloyee, a11 as prescribed by law.
Your coastructioa must comply wsth all applioable laws, osdinaaces, building
cades, and zauing regulatioa .
owrr�Rr s szcri v�� ��mE 1 c -Z� - C7 '
ADDRESS �� L �-
PHONE P-1� _� � '�� n � .
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�� WITNESS PERMIT #
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� CITY OF ZEPHYRHILLS BUILD1NG DEPARTMENT
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O�ner: ' J �C��v�-, �S G1 aLCS U`i
Job Location/Address: s CJ(),3 ) ���
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GNING DIMENSIONS &SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION 1NFORMATION
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FRObTT PROFERT s�' LI�TE
— — — STREET — — — — — — — — — — —
, (NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning �
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60� —
— 10'
10'
P E
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0 I 1� EXiSTAiG 1Q
10' 0 T IU 140'
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PROFDSED
20' 2�-SRdGLEFAN�.Y! 3�DUPLEX
FRONT PROPERTY LINE FRONT PROPERTY LIliE
— —— SfREEf —— — — — — — — — — — — —— SfREEI' —— — — — — — — — — —
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