HomeMy WebLinkAbout18-19196 C[TY OF ZEPHYRHILLS
5335-8TH STREET
_, (sis)�so-oo20 19196
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION '�
Permit Number: 19196 Address: 7235 ASHLAND DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0280
Improv. Cost: 1,450.00 OWNER INFORMATION
Date Issued: 1/12/2018 Name: RICHARDS JUSTIN KEITH & HODE JEN
Total Fees: 50.00 Address: 7235 ASHLAND DR
Amount Paid: 50.00 ZEPHYRHILLS FL 33540-1415
Date Paid: 1/12/2018 Phone: 813-394-1342
Work Desc: FENCE WOOD 160' X 6'
CONTRACTOR S APPLICATIOIV FEES -
HOMEOWNER FENCE 50.00
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' " Ins ections Re uired
FINAL
REINSPECTEON 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 properly 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
"Vllarning 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 lerader 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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CONTRACTOR PERMIT OFFI
, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1iVEATHER
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813-780-0020 City of Zephyrhills Permit Applica4ion Fax 813-780-Q021
BuHding Department _ `''
Date Recelved — �'� — � � phone;Corilact foreFeecritttln ' �3 .�5 5 � 7 �a
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Owner's Wame �✓S}�n � Gh��S Owrner Pha�e Numaer �� 3' � �- ��4�.
owner's�►ddress �a-'S S �`sh I o�r+ � r�V �Z Owner Ph�ne Number � �
� Fee Slmple3Title6older.Name � • � Owner Phone Number � �
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Fee Slmple Tltleholder Addres�
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. L_��OB ADDRES8 0�r'�� a c LOT#
SUBDIYlStON � � PARCEL ID# � - '
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WORK PROPQSE� �.NEW CONSTR ADDlALT C'� SIGN' Q• ' �`Q DEMOLlSH
' e, INSTALL �� ,,.REPi�IR
FRQPOSED-U8E Q SFR � COMM �� OTHEF2
TYPE OF CONSTRUCTiON � Q� BLOCK " [� FRAME C] STEEC Q
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DESCRIiaTION OF WORK (V�:�✓ �.,/0 e/1 C¢ b ��' h, h �Q -F� rJn
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BW�DING SlZE' � � �'S4 FOOTA�E.� HEItiHT ��� .,
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' QELECTRIGAG. ($ '� AMFSERVICE Q RRt�GRESS ENERGY Q "W:R.E;C.
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QMECHANlCAl. $ ` YALUATtON OF MECHANICAL INSTRLIATItON .
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QGAS , CJ ROQF,ING ,Q SPECIA�TY C� , OT,HER� , --
FINISHED FLQOR ELEVATIQNS r�� FLOOD ZONE AREA QY�S ,NO �
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SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/�N':
Address ticense��� � �
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I EI.�C7RICIAt+1> - °COMPANY • `
�� SIGNATiJRE �' REGI37ERED Y/ N FEEGURREK`' `-`Y/N
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Address " � . . . License# i�` ",'.�. �
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PLUMBER " �COMP�W�' � t. " :
SIGNATURE' i' '" REGIST.ERED • Y Ir�N.t �FEE-CUFtREk Y:-/N:�-�:� x
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Addre�`s ` , . , � . _ .` + � ",.Ltcense#�� � `� ,,��:
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MECHANtGAL` • `COIiIIPAFtY . ,.. �t . - ' _ �
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SIGNATURE - '•' � � ' � REGI$TERED.,r: Y„/..N�., � FEECURRE��_ X;/�N �
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03HER '' � - � ` ',CONlPANY''
SIGN/1TURE' -.- , _ „ � -" . . ' „ ` Y REGISTERED`' ' ' Y/ N.:.. FEE CURRE� - Y/N -
Addr� , . _ f t ,. . „: , L`icense# � ' -, � �
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RESlQENTIAI:�;: , :Attacli'•"{2):Plot Plans;.,(2}set''s:affBullifing+'Ptans;(�)`seti:ofiEnergyrFoiins;'�R=O=W'Perinitfar new constccicbjon, � ,
�; �,,1:�.�Minimum,tern(1U);uvo.rking;days;ahe�;sub►iiiffai-date:r,Requi�ed onsffe;:ConstrtioBon=Plans,�StormwaferPians�w/SiIE�Fence instailed, '
� �Sani'tery FacillUes;&;;1jdumpster�8(te,�Woric;xP.ertnit fgr,sutidivisions/large projebCsw.;,�;;,.,c� :<'=-��: � . •�. . , , . ` �
CONIMERCIAI. Attach{3)'`compte�ke"sefs`of Buiiding Plans�ptus a'Life Safefy Page;�(1}set af Energy Forms.R-t>W Permi##or new canstructton. ���
Minimum ten(10j workfng days after submlttal date. Requlred onsite,CansUucHan Plans,Stormwater Plans w/Silt Fence installed,
Santtary FaciliHes&1 dumpster.Site Work Permit for all new.proJects..All commerctal requirements_must meet compliance `
SlGN PERMlT Attach{2}'sats oE�Englneer,ed%Ptaiis.,-4 :r;,.- 3' ',h - - . . -
""PROPERTY SURVEY required,for aII.NEW construction. , �
Dltectlons: , - .. � � �
Ffll out applicatlan completely. �
Owner&Contractar slgn back of appllcatlon,naWrized �
If over��v00,a Nof�ce af Commsncament Is reqaired. {AtG upgrades ovar 57500) .
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Agent(for the�co�tractor)or'Power of Attomey(far tFie owner)wauld be someone with�ocarized letter from owner suthorizing same
OVER THE COUNTER,PERM11Tthlt3 ---(Front af-Rpp1lcatiaa•Only}- . ' �
Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foatage)
Driveways-Nat aver Counter tf on public roadways'..needs ROW' _'�'�''-��""�_`�'�`:`�`Y`, � ' ` � . } �" '✓'
.w. ._. . b .•..,: ....... _ ... ...u_. ... —... J�.. .���..+ilr�. . ��..
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M�'�°I����D����@�TRIC'�'I�N�: T�e ut�d���lgr�ed,u�der�t��ds�:th�t:this?p�t�rni�:rn�y_be.rsubject.to�deed"resfrlcQions" .�..,
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which may;be�mofe�resthictiv�:�th��Couiily:regralattons.;The'ahd�r"slgn�d�'���unies��esp�rosfbility frar�corriptlanc�i v�+iQli"a`eiy
��ppllcable deed'r��trectlons. .. : . -
Uf��iC�RiSE���4�A8��1CT�63S ��D CrGIMT�!aCTO� �E��ONS��I�t1T���: -tf t�e muvner'has��hicecl��a cdnfractar or
contrac4ocs 4o und�rtake wo�k, th�y may.be.�re�q�rired:<ta�b�,.lt��nsed Ir�accaedance..wigh state.and•loca6_regulation.s.: If the� =
c�nt��c#or is not licer�sed=�s=req�le�d;by l�v, b¢�th the ou�er ��d=��tc�at���-may-be�clt�d for a�mis�errneanor vtalatlor�
under state law. If the awner ar Intended�,�co,ntra�tor,ar,e,.uncertain �as to vvhat Ilcensing.requlr�ment�?nnay apply:�=;for.�the ��
, � . n ..
tnt�nded vuortc, they are adviseii��'contact�tie P�sco Cou�ty,�ultiling'lnspe�l�ii lRhrlslon_-t:lcenslr�g�ectiora a4 727-847-
80�9. Furtti�meor�, if the ouvroer'fias�`hla�ed � con�actor'or contr�c@�rs, he i� ai�vis�cl to harre the contcactar(s),.sign �
portiorts of the..°cantractor �Im�k" ��.this.�pplicat(on..for�rtrhtch..they.:wiil:.,be�,.r.e�por�sibte� 6f yau,-�s:ihe ovutier'�ign a�'fhe `
con�eactor, #hat�rna� be an ��dlc�ti�c� th�t'he=is�na�Y pcopee#j+'li�erisec� aa�tl��l��iot�r�tl�ed to perrnitti�g privllege§ i� Pasc�
County. ' �' .-.
°��N�l��RTI��YQPI-IMPi���'SI�T��:l��'IE��l�l���Y•�P�b�E��l�RC��EC�VERY��EE�:_The under�#g�ed unders�and�
th�t Transpartatiom Irnpact Fees�nd.R�coutse Recove.ry.Fees rtiay�.apply�,#o�the constr�ction,:of ne�w.bulldings,�change�of'� ' '
use in ��isting boaildings,�or:expar�sl�in�of�-eiiis`ti��g:�builtlings, a�� �pecffied.in Pasca� Caunty Ordlnanoe nur�ber 89-07 �nd
9o-tB7, as amea�d�d.,.�.The under�lg��d also:understands, fh�t.�such fee�� �s��m�y:°b��.due;:,�ntitl.�6� tdent�ed at#h�r#ime°of�° - ,
per�itting. It Is fu"rther understobd that Transp�rtation lenpa�t Fees and'°Ftesour�ce;Rec`oV`e'r'y-�F�es.m�ast be pafd pPiar fo
rece�v6ng-a "c��f�c�t�of oc�eupancy"�or#�n�l�•power.reli�a�e: :ff�th�projec#�does,ti��involve=�a=:c��t�6c�te of��up�ncy o���:.... ;
. _ ....
finai powrer releas�;_,ili��:fees ainust ti��pald�;prior#o,p�rmit Issu�nc�. Fu�kh�rrr9are;�if:Pa�co:Cour�tty��WaQer/�ewer��lmp�ct �� � �
fees are due,..they.:must.be-pald�prlor to permltUlssuance:En,accordance�itlf�pplfcable P�sco'.County ortlte�an�es. �
����TitUGTiOtd'Coi�W°1.A�VV'(C�i��t�r 713� Ft�r��1�St�tt��a�,�a�m�nd���: 9f valar�tlor�ofidvark is$2,500.00:r�r rnar�;1 .
.,
cerlify 4ha# ,I, the. �pplic�nt; have.been .provided��with--a copy of 4he• "�'Iorida�� Construction� LIe�:Lavv--Homeowner's
Pr�tectl�� Gu1de" prepa�red by.f�ie F�o�ida Deparfra�enf o�Agric�[#�te and Consamer.;Affairs. �f#i�e �ppticac�E Is someor�e �
other than ti�e tlowner", I aer�t6y,�that.l h�ve.,obtained�a�copy.of the:abQve:.d�,scribed doct�ment°and.pror�l��r`:in.gaod_f�ith to .
aielixer 4t to..ths.'owne�'=.prioc ta4eomrrt�nceme6it:'" � � � , � ' -
�ON'P`�CTOR'�/�VVNEi3'S�����AVi1': i.�erti�y�tfaat�aEE.theAi�ormation:,l�thl.��ppllc�tlon is ar.curaQe and th�t ali wrork
�►ill'be don� in comp0l�nc�with ali.a�pplicable'laws regulating construction, zonir�g ands land'�d�vel�pm�ro�. Appitca�ton Is
h�reby made ta abt�lr� .a permi#;�i�:do u�roi�C;�;and:tns#�Il�tlon �s lndlceted:, ..::1 certEfy that n� w�rk=°or instatlaftmr� has
comrroenced prlor to t`ss�u�nce of'a permif"and�hat:all work will be pe�Formed tm m�et stac�dards of aEl laws regulating�
const�ucQl�nt G�u�t� and �ity �odes, zoning re�ulatic�ns, and land devetnpm�n# r.�gal�t�ons=in th�Ju�Osdlcti�n. I �Iso
c�rtify that 1 ur�derst�nd tt�at Qhe r�gulattons of oth�r governm�n��g�nc(es m�y�apply#o the_intend�d�vork, and that it is
my r�sponslbllity to Ider�tify�wh�t.�cQlons!must Q��e to be<l�:.c�rrfpllar�ce. S:u�h agencf�s��ciude but are.ns�t lirnited t�; ;
- depackrnen� of Er�dirorarv�entai>�P�tect3o�=Cyps�ss.�ayfiead�, 1N�tl�nd Areas and Environr,nentatly Sensitive
�.ands,l6Vat�r/VVas�ewater Treatment. �
- �outhwssq Florld� V49ate� Iviana��ment� .D��t�ict V�elds; Cy�re�s.'�"��y.#�eads; �tUe�#and Area�, A#ter�r�g
VVatercourses. �
- Army Corps of Engine�r�-S�aw�lls} Docks, Na�iga�le Waf�eway�.
- Depaatm�nt of Health;B,.Ret�abiiitativ� Seevic�s/Er�vB�or�ment�l,.H�attb� Uinit VVeI[s, 1Nastewater•Tr�atment,
Se�ftc Tan�s: ' . � - � '.
- US�nvi�nmentai l�tect��n Ag�ncy-Asbe�#os ab�tem��t.
Federal Avl�tivn:Authori.ty-Runways:� �.
4 und�c�4acod.that Qhe foiloi�l�ig:�res�i�tlons appiy Ntca tt�e use�€f�la:
- Us�of fill is not�tiowed in.Fiood=Zorae�V"unless expces�ly perr�itted.
- If the.-�+11�ma�e�i�o"}is�to�be us�d:'In��Flood-��ne "A"� it. ls underskood th�Q a drainage pl�n addressf�g �
°compensa#ir�g v�lur�eW will bs subm�tted a#t€me of-.�ermlfting wh�ch is pr�pared by a prafessionat en�3neer
Iicensed by�h�State of:Florida: � - -
- If fhe fill-matertal�is to:be-use� 1� Fl�o� Z�n� °AR ln��onn�cti�r��u►i3th:� �ermltted b�itdi�ag ustng ste� wa31
construction, l ee�tifiy th�t.fiil�:ticiil�b.�used onl�.to.fill�h�area w(thln�the�tem wall.
- If t6A m�terlal ts'to be u�ed-ir� any area; I �aeitify thett .t�s� c�f s�ach f#!I wi!! nat adversety �ffec4 adja�en�
praperti�s. If�se,of fi9t is,fou�d�ta adversety:�ff�cfi adjac�nt��properties,.Qh�or�ner may be cited for vloi�ting �
the candi#Pons.of the bia0ltli�ig.permi@ Is'sued�ured�r the_°�tfached.,p�rmit a�pplfcatic�n� for lots.less.than one (1a) �
acr$wfit�h are elevated`by i�lt,art e�gin�ered d�ir��g�plan�s r+�quired. . , i
If G am the rA�@M7'FOR THE Q�VYf�l�pt; l;.promise Ir� good falt6�to!n#orr�the owner of�the.permitting�ondit�ans set forth in
this atfidavtt�prloc fa�c�miner�ci�ag ccinstru�tlon. I understand 4hat��.separate permit may be requlred€or etectrica!'�ror�,
piumbing,_.signs, wells.,,,paots,. ale c�nditioning,..ga.s, oe oth�r in��all�`tions no$,spee�fcat�y included�3n the applica#ion. ,A
permit Issued 'sha10 be cnatstrue,d to be a�license�to�procee�with the vuork�ntl not.as:a�a�thor,ity to.vlulate;cancel, alte�, o`r
s�t�std��ny�provisi�i�s�f the tech�iical.cod��;�nar�haillssa��nce�of a.perttait.pr.event##»�ulldirig t�#fic3a!from there�ftet
requlring a correc�lan af eRors En;pl�ns.; con�#nictian,or vlolations of any code�: �very p�ermtt Issued�sl�all become indalid
unless th�work authort�ed_by sa�ch pePmit:�l�_co�menced•vvith�en sf�c.month��f permit I�su�nc�, or If vvork authorized b�
Qhe perm�t is susp+�rrded�ae..�bandon�d�f��a=p�riod;of�sGc�(�)cn�n�#iis:�fter the;t9rn�tfi���wotk�ls c�mmenced. An extensian
onay be� requ�sQ�d, In �iting;�rom tPi�e.Buildi�g,CIP�cial for� periqd.not-to.exceed�-ntt�ty(90) days ��d v�ri!! demonstrate
�us�l�able'���s�f�t:�h��xtensia�: If r�ock ce�ses:for ninety.{90}��ns.�c�tive day.s,..�h��ab��s ce�nsidered a�ba�don�d. `
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Name of 1dol� ed Name of t�ata ed dnted or�rca ed
��'i�'r'im•• pEBRAEIAINERUFFELL °�"�'"""
"�'`"�'`�<�'� 1,1Yp„��� DEBf;AELAINERUFFELL
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:-•-�=Er,ui��cs November 7,2420 ;�<,v , •.:Commissian#GG 045343
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� DISCLOSUR$ STATEI�NT FOR OWNSR
� CITY OF ZTPHYRFIILLS BUILDING DSPARTMENT
I, _��Vs�`�n {f � .��cJ�.r� �✓ have read and fully understaad aad
agree to the provisions of this iastrumeat.
The uadersigaed states and affirms that he os she is desirous of caastructiag,
tenovatiag, adding to or reroofiag his ar her own domicile, that he or she
aetually accupies, or wi11 occupy by" said damieile, aad same is not for
reat, lease or sale. That he or she ishall comply with the followiag coaditioas:
1. That the owner aud he ar she aloae sha11 act as the builder far all phase� of
constructian.
2. That the owaer wi11 aomply with all provisions of the City of Zephyrhills
ardiaances and codes pertineat to the building.
3. That ia the eveat various phases of coustruation are subcontracted, he will
engag� only properly licensed subcaatraators and will persoaally supervise
such work.
4. That in the eveat the Ptuildiag Taspector shall require correctioxis to be made,
the owaer- vaill assume full respoasibility to insure they are made, and upoa
completion. will aall for a reiaspectian before proaeediag with the buildiag.
5. That the o�vner shall assurne full responsibility for the construetiou and will
not expeet supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final iaspeatian aay additioaal fees: iacludiag reiaspectian
£ees, must ba paid in full. A writtea request from tlais office shall
coastitute an official aotice to pay additional fees.
7. That the awuer shall comply with a11 City, State and Federal laws in regard to
social security, warkman's campensation, lien 1aws, etc. , where applicable.
8. That the ownar shall camply with all the safety codes issued by the FTorida
Iadustrial Cammissioa.
9. State law requires constructioa to be done by liceased contraetars. Yau have
applied tor a permit under aa exemptioa to that law. The exemptian allows
you, as the owaer of your property, ta act as your owa coatractor with certaia
restrictioas evea though you do not have a licease. You must provide c3.ireat
oasite supervisioa of the constructiaa yourself. You may build or improve a
ane-family ar two-family residence ox a farm outbuildiag. You may also build
or improve a commercial buildiag, provided your costs do aot exceed $75,000.
The buildiag or residence must be far your own use or occupancy. It may aot
be built or substantially impraved for sale ar lease. If you sell or lease a
buildiag you have built or substantially improved yourself within 1 year after
the eoastructiaa is complete, the law will presume that you built or
substantiallg improved if for sale or lease, which is a violation af this
exemptioa. You may aot hire aa unlicensed persoa to act as your contractor or
to superva.se people working on. yaur buildiag. It is your respansibility to
make sure that peaple employed by you have liceases required by state law aad
by couaty or muaicipal licensiag ordinaaces. You may aot delegate the
respoasibility for sugervisiag tivark to a licensed coutractar who is not
licensed to perfarm the work beiag done. Any persan warkiug oa your buildiag
who is aot� liceased must work under your direct supervisioa and must be
employed by you, which means that you must deduct F.I.C.A. a.nd withholdiag ta�c
� arid pravide workers' compensatian for that employee, all as prescribed by law,
Your caastruction must camply with all applicable laws, ordinanees, building
aodes, aad zoaing regulatioas. �._
� `�.-
QWNER'S SIGNATURE DATE j �j�.-�b E K
ADDRBSS -
PHONE
WITNTSS PSRMIT #
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