HomeMy WebLinkAbout18-19214 ` � CITY OF ZEPHYRHILLS
5335-STH STREET
� ° (sis)�so-oo20 1921
FENCE PERMIT
�- - PERMIT�INFORMATION - �- f`=-�LOCATION INFORMAT(ON- _-�
Permit Number: 19214 Address: 5308 23RD 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00500-0190
Improv. Cost: 900.00 OWNER INFORMATION
Date Issued: 1/22/2018 Name: RIZNER AUSTEN & MCINTYRE KRISTA
� Total Fees: 50.00 Address: 5803 MARTA DR
Amount Paid: 50.00 TAMPA FL 33617- 1125
Date Paid: 1/22/2018 Phone: 813-763-3472
Work Desc: INSTALL 200 FT X 4FT CHAIN LINK FENCE
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 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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. 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
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, e13x�ao-oozn City t�f Zephyrh611s Permit Application Fax-813-780-0021
� , 8uitding Department �
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Date R�celved P!�one_�an�cf for Permit�in
Owrner'�NaQne S r`�ZYlGV" Owner Phone Number �( 3 ���� "' ���� �
Owner"s Addres� �'J' 30 3rd �� - Owrrer Phone Numb�r � �
Fea Slmple;T'itleholderName � • � Owrner Phone Rlumb�r �� �
Fee Sirnple�Tltleholder Address
JOB A�DitESS 530. o`�3`� �� - �C 'l 1 S �j-- ��`J``�c3 LOT# ��
�ueatv�s�vra t '�.�,�� �bRCE�.t� .
�,J (OBYdIP1ED F.R41�,PROPERTI!YAX IVOTICE)
W4RK PR�POSg� tVEw CONSTR ADDI�i:'f �� SIGN [� � pEMOLtSH
, �/ . INSTAI.L 8 REPi41R �
PROPOSEDr01$E � SFR Q COMNI [� QgHEFi
TYPE OF COWSTitUC'fIOPI Q� 9LOCK " [� FRAME �Q STEEL [�] ' G 4�A
�
DE�CRiPI'i�lN�F WORit �N13�"h�I I 1�"1 r C1rta; rti t�r�K �i�` Yt e. D C�:
�UIL�I�IG�lZE � �1"84��OT�GE��; � HElGHT ���� ,
QBGII.DING � Q��� � VALU�4TtON£G)F`TOTAI CON57'RllCTIOiV `
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QELECi'Ft1GAl: $ ' A�P SERVICE Q Pfat?GRESS ENERGY Q W.R.E.C. I
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QPLUMBINt3 � � ` '
[„�MEGHANlGA4. $ VAL"URTlON OF,MECMAPlICAI INSTALIATiQN `�, `
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(�GAS [� i2QOFING .Q SPECIA�.TY [�,� OTHER -
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE A,REA QYES. ,NO
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BUILD�R � C�t�flPAFlY�� ' �{��U1R. t��1L�1-�� . �
I S1GNA7l9RE REGI&TERED Y/ N FEE CURREI: Y/N
Address Ltcense# �� �
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E�E�TRtGF�uM1I ?COAtIPANY
SIGNA'PURE � REGISTERED Y/ N FEE CURREF�' 'Y/N
Addr� - . license.# � � �
fPLUMBER � � COMP�ItdY � , - + ° .
S1GNI�TURE' � , REGIS7ERED, Y/�.N•; FEE CURREP Y/N �
AdcE�ess � . - � tscense.#�, - . �
� -
N1ECN�PI(GAE: ' CQ�tt�ANY " � , '
�IGPiA7�41RE i REGI,STERED . Y�/ N �,� FEE;CURRE� , X,/,=N'
Addre�s ' � - ' . License#���. . ,�. �
OTHE� CQ�9IPAAY�iY ,
$IGNlA"Pl)RE `=' . � � � ' ` REGISTERED� Y/ N.._;` FEE CURRE� Y/N
� Addre�s � - , _ Cicerise# � � � -
E2ESlDE�tTiAl:;: � •Attacli�(2j„PtofPfans�.(2}set`s=of�Buitdirig�Plans;(1}`sefof-Energy:Forms�R=O=W°Permitfornewi�nstruction, ' +
, ::MiNmum,�ten._(:1,0):working;da}rs;after subtnittai date. Requtred onsite;-Construction'�Ptans;Stormwate�'Pians°w7 Slit Fence 3nstai�ed,
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Sanitary FaciltUes;&:,1;,dumpster=Slte Work.Permit for su6divisionsAarge project$ � •a
CQEVfIUl�RC1AL Attach{3)�c8mpl�te sets pf 8u1li31ng P1'sns plus�a�Llfe Safe#y Page;{1}set of Energy Fomts.R-t?W Petmlt#o�new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructlan Plans,Stormwater Plans w!Siit Fence instaUed,
Sanitary FaciliHes&1 dumpster.$ite Work Perrrrit for all new�projects.All commercial eequlrements_must meek compliance
S1GN P�63Mi1' Attadi{2}sets of Ersginee�ed�Plans.;: .:- �- `
••"•PROPERTY SURVEY reyuired for all NEW canstrucdon.
Dlr�cftlons: � �,
Fill out applicaUon completely.
Owrner&Contraotor sign back of appl[catlan,natadzed
tf aver$2500,a t�aticg of Comman�ment is aequirec6. {A►C ap�Pades aver$7500)
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'" Agent(for the contraator)'or"Povirer of Attbmey(for tfie awner)would be someone with notarized letter from owner authorizing same
dVER 7H�COUE�T�R.PE�2Mi'�'FI�1� - {Front a€Application Only) ` � � �
Reroofs if shingles Sewers � Servioe Upgrades,A%C Fences(PIoUSurvey/Foatage) , '
�trivawrays-Not nver Counter If on public roadu+ays..i�seds l20W "
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NOTIC�OF DEED RESTRICTIONS: The undersigned.undergtand§�th�tjlhi�;pprm�t•.may„be,subJectto:"deed"restrictlons":_,_` �'� `
' which may�.be:more�-r.esttictiverthsin�County;regrilatfons:�TFie underslgned-assumes=�espvnsitiil(tjcfor`�rinpllance-'with�'any- � � '"�-
applicable.deed=resMctlon§: ' . • ' � ; . ;' " � � . � ����_-
UNLICENSED•CONTRACTORS :AND CONTRACTOR RESPONSI�ILITIES: =If�the�owner_ has°��htred��a:contractar or
' _ `` _ q , ed In�:accordance.with s.tate;.and,�local;regulations:�If the°�- � �
contractors to undertake work, they may be�r� ui�ed,�to:,bezllcens�
', contractor (s not Itcensed=as requlred.=by lainr, both the owner and conUactort may be�cited for�a�misdemeanor violation
under state law. If the owner or Intended��contra�tor=�ere.�unce�in as to wh�t Iicensing requirements may=apply=:�for�'the�- - ��-
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intended work,�they a�e:'advised to coritact tFi'e��Pasco County @uilding;Inspectton.Dlvlslon-Ltcensing Sectton at 727-847-
�009. FurtFierrinore, if the oviiner`Fias�liirod'a con��acfo�o� contractors, he ts advised to have the contractor{s), sign_ _
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portions of the�,contractot.Blo.ck of.this..application..for,whtch they,will.b.e-r.esponsible:- ff:you,as;#he owner-sign'as"the
contractor,that tnay be an indication fhat'he;is�not:properly'Iicensed�antl�is'not entitl�tl fo pet�riiktfng�privlleges tn Pasco �
County� � - i . ,� . . _. • , ' . �, � �{ �
TRANSPORTATION�IMPACTIUTILITIES=rMPl1C'�ANb�RE$OUitCE RECOVERY�FEES:�-The undersigned understands
that Transportatfon Impact Feas:and.Reco.urse Recove.ry.Fees m�y,�;applyt to�the constructton°of new_bu,ildings,�change�'of`� ���' ''4-
use in existing bufldings,-oc:expansion��of-�ezistin;g�tiuildings� as specffied.in Pasco County Ordinance number 89-07 and�
90-07, as amended.;:.The. undersigned also.•un.dersta�ds� tha�t'�such fees;,as.�majr:be:<due;;:wllL=be.(dentffied at the�tim�`�of�� �" - '
1 e.�.�. .�
permitting. It is furt her understood that Traiispo r tation impacf�Fees and;Resource.rRecovery�Fees.must be paid prior to
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receiving a ce�fificate,of oxupancy"�or flnal�.power-release:':if�the project.,does;:not.involve�;a=.certificate of occupancy.�o�`��-���= �-�
final power.release4:,the:.;fees`mu�t`�tie paid:pe�or to,permit issuance. F�l�tk�ermore;�°ff:Pascv,;County�Water/Sewerf:impact � �.
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feesaredue,.they�tnustbe;_pald�prior,to„permit��lssyance'in_a�cocdancewlth�appllcable�Pasco�•County'ordinances. �
CONSTRUCTION�LIEN"LA1fY(Cli�pt�r 793;Florlda�Statut���aa amee�ded);`If valuatlon of work is'�2,500.00;or more..;l ,_
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certify tHat .I, �he._.applicant,:-hav,e-�been�.provided �with�a-copy-of the�"F.lorida� �onstivctton` Lien :Lav�—Homeowner's
y,. .,.,..-.:,.. .
Protectfon Guide" prepared by'fhe Flo"rlda Depa�ment�.of Agriculture and Consumer:Affalrs. If the applicant is someone� .. �
other than th�'owner", I certffy,that.l;h,aye,;obtained�a�=copy.of.the:abova.rJes.c��bed document�and;promise;in;good`:faithto ,;
deliver It to..the.:-`:,owne�':prior�to�comriiencement:' �` � �}� .: - - _ - .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce,�tlfy:;that-_all,.th�,lnf.ormatft�n:in�thl� application is accurate and that all work
will�be done.in compliance with all.appltcable`laws regulating construction, zoning and��land development. Appl(catlon„is
hereby made_ to obtain�.a .permik�,to;Fdo;work:;,and,;installation as indlceted:.-.-.:I. cectify that no work�or Installatton�has �
commenced,,p�lor to is5uance of`.a-perriiit�'and`thaf�:ail�work will be p�rtorm�d to meet.standards--of all laws regulating�
construction, County and City codes, zoning regulatians, and land development regalat(ons�tn the jurtsdtct(on.- 1�=ai'so
� certify that I understand that the regulattons of other government agencies may�apply�to the int�nded work, and that it is
� my responsibility to identify•what.acttons I must•take:b be,in;.corr�pliancs.:. S.uch�agencles include but-are.not Ilmited to: � ?.
- Department of E�vironmeMaG Protection'-C yp�ess.'Bayfiead�, 1Netland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida 11Vater Management: .District Wells, Cypress.'�Bayheads� Wetland Areas� Altering .
Watercourses. �
- Army Corps of Engineers-Seawalls,'Docks� Navtgatile Waterways.
- Department of.Health�:8,_Rehabilitative.,,.ServiceslEndironmenfal:��Health Unit Well.s, Wastewater�TreatmenC,
Septic Tanks:__�;.', '. ,, . � • �.. -. -- - ? �
- US Environmental�Protection Agency-Asbestos abatement.,._-
- Federal Avlatlon.Authorlly<Runways:-•�;:- � - i
t..�:�.'�....� . r j .
I understand that the.following;�estrictions apply to"tFie use of flll:
� - Use of fill is not allowed in;Floo.d,.�:Zone"V"unless expressly permitted. :
- if the-:fiil material`�is'to�`�ti.e>used``In.:Flood Zone. "A; (k. is understood that a drainage plan addressing a
"compensating volume"will be subm(tted at#i►ne of;,permitting wfiich is prepared by a professional enginee� '
licensed by�he-.State of;Flotlda:- "� � � . � E
- If ih� flll �materlal-.ts-�to-be•used (n Flood �one "A" in�connectlon�wlth�a'�ecmitted buildirtg using stem wall _
� construction, I ce�tify.that;�ll:virall=b.e used only.to.fill the area within�the�stem�wall. . �
- if fill material�ls to �be used �in any a�ea, I �ce�ti�jr that .use of such flll will not adversely affect adJacent
propenies. If use of,fill is found_to adversely:�ffect adJaEent��prope�ties�.the owner may be'cited for violating
' • the�condlilons�:of fhe buiiding;perm(t Issued�uFlder the�attached_�ermit �pp(ication,;for:lots:less;-than.one (1j)
aare w►htcfi are elevateii��tiy filt;a�r engineered dralnage plan is required. . �
If 1�m the AGENT FOR.THE OWNER,,I�promise in good faith to Inform the owner.of°the permitting co�dit{ons set forth in
this affidavit`prior to�commencing consbvction. I underst�nd that a�separate permit may be requlred for elecMcal`work`, '
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plumbing,..signs, w,elis,.;pools;. �Ir,conditioning�-.gas,.�or other in�tall�tlons nol,spec�ically included�in.the application. .A
permit issued shall be�construed to'be�a'Itcense��to'-proceed vvith tNe wo�k and,not-as:authoNty�to:violate��"cancel, alter, o�
, set aside any"provisions of the tecFinical codes; nor shall issuance•of a.permit.pcevent the Bulldirig Oificial from thereafte� -
requirtn.g a correct(on a�f:errorsin:plans;,consttictlon or vlolations of-any codes. :Every-�p�ern�lt=ls"su�d�sfiail-become invalid
unless the work autfiorized by such permit:is-commenced�wtthtn_sf�c;months of�permit issuance. or if work authorized by
the permit is.suspended�or-.abar�doned,for�a;period;;ofslx EB)montiis.:aRer the;tlrne the�wo�k�ts cominenced. An extension
may be requested�,In v►rciting;;f�om.they Building.Official for a p�riod=-not�.to exceed'=ninety�(90)�days and will'demonstrate
� justi�able cause ior.the extensior�. If work ceas�es.for ninety.(90)cons.ecutive:day.s...the job�is�constdered aba�doned. :
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IMARNING TO OWN@R: YOUR;:FAILIJRE.TO..,R�EC.ORD.A.,MOTiGE�OF��COMME(�CENIENT.MAY�RESULT'IN��YOUR
I PAYING TlNICE;FOR IMPft01�/EAf�EIVT3:TO:YOU�:PR�RER°1Y:�,�IF°:YO.U�INTEND'TO�iDBTAiN=FiNAR1EING;'CONSULT
' WiTH YOUR LENDER OR AN�ATTORNEY�EFORE�RE�OR�IN���YOUR'NQTIC�`OF�COlM�II�ENCE � ' '
- �- - - - . _ : ,;., .. . -..., .... - . ... _ _,_
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OWIdER OR AOENT�� COWTRI�GTOR��� � ,
Subscxlbed and m M( r aHiRned before me thls S�bs bed nd'awom=to of atflrtned-before me i�.
���Z-�r� by`"�v 5�-r,✓� �.t 2v��r ,.�`�—� .by-�1��+��+-��,`.�c�' _
Wiio is/ re perso ally.knovm to.me.or has/have,produced V�Is/ar�p�e�son8�Ily�iovm:to m. or ha�/have�produced • �
S �� as IdentlBcaBpn. �L< <CJ{Lll��J [a CC�.� as IdentlRcatlon. -- �
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� � ota Public , C�c�� � r . ,
�Y Motary Public_
Comml I o:` Co rnis on.No
"",, JACQUELI �
.•'q�'�"PyaC�'•. 'ssion#FF 150422 ,�'�Y eY'�- JACQUELINE BOGES
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Name ot Notary �� ��@6cem � Name of Notery typ d�� r
',;+� atg�'��� gondadThruTroyFelnlnauranco��5'���5 ;y�, pr? xpr s ecember12,2018 i
�Rf10� '�.�y,pF F.�,1�`` 8ondod YBm Troy Fdn Incurenco 800�385•7019
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, . � DISCLOSIIRE STATEMENT FOR OVaNER I
CITY OF ZEPFiYRHILLS BUILDING DEPARTMENT
2, A,,� ���f'letr have read and fully understaad and
agree to the provisions of this iastrument.
The undersigned states aad affirms that he or she is desirous of constructiag,
renovatiag, addiag to or reroofiag his or her own domicile, that he or she
, actuaTly occupies, or will occupy by said domicile, aad same is aot for
reat,� lease or sale. That he or she shall comply with the followiag coaditioas:
1. That the owaer and he or she alone shall act as the builder for all phases of
coastruction.
2. That the owaer will comply with all provisions of the City of Zephyrhills
ordiaaaces and' 'codes pertinent to the building.
3. That ia the event various phases of constructioa are subcoatracted,� he will
engage oaly properly liceased. subcontractors and will persoaally supervise
such work.
4. That in the eveat the Building Inspector shall require correctioas to be made,
the owaer will assume full responsibility to insure they are made, and upon
completion will call for a reiaspection before proceeding with the building.
, 5. That the owner shall assume full responsibility for the coastructioa and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
� 6. That prior to fiaal inspectioa any additional fees, iacludiag reiaspectioa
fees, must be paid ia full. A written request from this office shall
constitute aa officia:l notice to pay additional fees.
7. That the owner shall,''�comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the safety codes issued by the Florida
Iadustrial Commissioa.
9. State law requires coastructioa to be done by liceased contractors. You have
applied for a permit under aa exemptiou to that law. The exemption allows
you, as the owaer of your property, to _act as your owa contractor with certaia
restrictions even though you do not have a license. You must provide direct
onsite supervisioa of the constructiou yourself. You may build or improve a
oae-family or two-family residence or a farm outbuildiag. You may also build
� or improve a commercial building, provided your,costs do aot exceed $75.,000.
The buildiag or residence must be for your owa use or occupaacy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the coastruction is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violatioa of this :
exemptioa. You may aot hire an ualicensed person to act as your coatractor or
to supervise people working on your building. It is your respoasibility to
make sure that people employed by you have liceases required by state law and
by couaty or municipal licensiag ordiaances. You may aot. delegate the
responsibility for supervisiag work to a licensed contractor who is aot
licensed to...perform the work being doae. Any persoa working on your building
who •is not T�censed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. aad withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordiaances, buildiag
codes, aad zoaiag regulatioas.
OWNER''S SIGNATURE DATE � [g �
ADDRESS �j?j0 a�j� % (,.
PHONE SI3 - "[43 -. 3y7 .
WITNESS PERMIT #
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a LEGEND BOUNDRRY SURVEY � CERTIFICATIONS.
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