HomeMy WebLinkAbout18-19374 = CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(sia)�so-oo20 19374
FENCE PERMIT
PERMIT INFORMATION - - LOCATION INFORMATION
Permit Number: 19374 Address: 5741 19TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS ,
Est. Value: Parcel Number: 11-26-21-0010-07900-0010
Improv. Cost: 2,200.00 OWNER INFORMATION I
Date Issued: 2/26/2018 Name: TILLETT DAVID SCOTT &TILLETT DA ',
Total Fees: 55.00 Address: 38836 OTIS ALLEN RD '�
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33540-3008
Date Paid: 2/26/2018 Phone: (813)469-8401
Work Desc: INSTALL WOOD FENCE 200 FT X 6 FT
CONTRACTOR S . APPLICATION FEES
HOMEOWNER FENCE 55.00
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� ' �Ins ections Re uired
F NAL
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 applicabie 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
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
- PROTECT CARD FROM WEATHER
� CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS &SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION 1NFORMATION
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FR�7�TT FROPERT3� LIhiE
- - - STREET - - - - - - - - - - -
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for R1 &R2 Zoning Example 2. Setbacks for R3 Zoning
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6�
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60' -
- 10'
10'
P E
R X
4 I I� EXISTAiG lU
10' 0 T 1� 140'
S I 1��
E N
D (3
PROPOSID
ZO' 20'-SINGLEFAN�.Y! 3D'DUPLFY
FRONT PROPERTY LINE FRONT PxOPERTY LINE
- -- SfREET - - - - - - - - - - - - -- SfREET -- - - - - - - - - -
-_ . ,-�_.r—
s�aaso-oozo � , City of Zephyrhills Permit Application Fax-813-780-0021
� ` Bullding Department ��
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Date Recelved � g ,,phone�Contaat for Permittin 3 13 (�
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Owner's Name �,�V� s��� ���� Owner Phone Plumber
Owner's Address v �� � " �� `'�-� �� _ Ouvner Phone Number a�3'' �G�� " � `�o�
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Fee Simple Titleholder Name • ^$ I,l( Ou'vner Pfione Number
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Fee Simple Titleholder Address �S�wI�, .
JOB ADDRESS �7� � -( v LOT# �
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' SUBDNISION PARCEL ID# . - '
,
� . (OBTAINED FROM PROPERTY TAX NOTICE) �
1filORK PROPOSED ,. NEW CONSTR' ADDJALT [� SIGN Q � Q DEMOLISH
' B INSTALL 8 'REPi41R .
PROPOSED;USE Q SFR Q ' COMM � OTHER e � e,
TYPE'.OF COfVSTRUCTION 0= BLOCK • Q, FRAME Q STEEL Q
i '�v�C` .,�' ��- �q ` " �.
DESCRIPTION OF WORK
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BUILDING;$IZE SQ FOOTAGE HEIGHT •
,_,. ,
QBUILDING $ ��,� , VALUATION'OF TOTAL CONSTRIJCI'ION
�,ECEC7'RICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $
;
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
_ � .
QGAS Q ROOFING- Q SPECIALTY Q OTHER ,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COWIPANY
SIGNATURE REGISTERED Y/ N FEe cuwx�� Y/N
� Address , �Cicense#
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!``ELECTRICIAN
i;�� . COINPANY
,�;: SIGNi4TURE REGISTERED Y/ N � Fee cuR�� • Y/N.
- Address ' - License# '�
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"r PLUMBER.;; . . . 'COMPANY�
, SIGNATURE �� � REGISTERED Y.-/ N. � FEE GURRE� Y/N
;,: Address • .License# �- � �
;:-'MECHANICAL " � COMPANY
-'�"SIGNATURE''' �` <' i ' � " � REGISTERED , Y/:N FEe Cuw�en . Y/N
' Addre`s's��' � �• � � � License.#
,;�i.�.,<t: .
F„•OTHER�� .",;� :�. - ` 'COMPANY �
,-=��IGNATURE;:S;:_ *:Y � ' ' =REGISTERED ` , Y/.N FEE CURREA' ; Y/N
`tr:,��,,:�:i�,i"w , , , _ ._„ , . . . , � - . . - �- , - .
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;;-RESIDENTIAI:a�;; ��.AtCach�;(2);PI ( ):s ts�of BulidingsPlans;(1)°'sef of�Energy'Forms; �� w '��
� .s,:r: �,oi:.P..laas�•.2•Y e t� R=Q-IIV.Peririit�oc new.constiuction,
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'��� ^-.��:��.��4-��-��Minimum�;ten,�(1;Q);_,w,o�king3'day��;afterl"'s;utimittaGdate.`'Required'.onsite;"Constriiction`Plans,FStorinwater Plans w%Silt Fence insfalied;
;.G �: '.`1:.`:':::�'.:S'.Y^S.�t" c:�r ...�u: r.l. . S
�:�•,.::,, , � Sanitary;Facilities,&�'I�:dwmpster:�Site.Wor,kPermit;for;subdivisionsAarge'proJects` �:.,, `'.. �_-- - - -
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� COM�MERCIAL Attacti�(2)complete�'sets"of'Building Plans plus a Life Safefy Page;�(1)set of Energy Forms.R-O-W Permit for'new consUucBon.
. Minimum ten(10)working days after submiftal date. Required onsite,Construction Plari's,Stormwater Pians-w/Silt Fence.installed, � --
`�'� Sanitary Facil(des 8_1 dumpster.Site Work Permit fo��all�new�projects.All commercial requirements must meet compliance"
�:�;SIGN:P�RMIY '"Aftacfi"2�`sets.:Of; `��..�-- . `, . ,
(�) Engin,eered.Plans:>t����,":• �- ..
���••♦�4- R���PROPERTY�8URVEY reguired.,,for,.aII,NEW const�ruction:_ �
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-:,Di'rectlons: , ., .,. ,3{: . ._
� `` <�F(II`:out'appltcaUon completely. Y�
��� . O,wner.'8 Contractor:sign:back of application,notarized
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� If over:$2500;_a Notice of:Commencement is required. (AIC upgrades over$7500)
`�="�- Agent�(for`ttie'�con�trac'to�)�or-Power ofAttomey(for the owner)would`tie someone with notarized letter from owner authorizing same
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;:ANER':THE COUNTER;�PERMITTING., � (copy..of contract.required) " � '
�:Reroofs.if stiingles � Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
� � "D�i4eways-Not over Counterif on public'roadways.:needs ROVV• ���
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NOTiCE.OF DEIED RESTRICTIQIVS:- The undersigned;:unde.r�stands�tha#;this;pecmit:may�be;subjec#to�,".deed�';,r�stnctio%is-;s - .
which;:may.be?rrior'_e�:r.estiricfive.�tt�an�Gouriity�<r:egulafion'"s".�}Th��uride�signei�assur�es°ri�s�p.aiisiki►Cty fo�co`mpliance virith��any ry }
applicable deed restrictions. ..,::•.,.. �_: : ":-' ,. .� - i
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UNLtCENS.ED":�COiVTRAC'FORS. AND" CCINTRACTt3R RESP:ANSIBtLiT1ES� �ifi`<tiie�ov�rrier-�ias:�`iiire���'arccin.tractor ar ��
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contcactors-fo underfake work, th`ey,,wmaX;be,;required:to be�licensed in accardance:with.state�and"�loca�;regula�io%is:�:�'IftxEh'e�"n�.:':` � „
�A t a< _ , �.. ,. �. � _...,�>-. .r ,�., . ��.�,.;,... , a ;,
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contr�cto� is_not�licensedFas required.liy'law+, tiotti:fhe Qi�imer�-and'coritracto��may�be�cit�d for�a rn�s�etrte�n�r�violatran �; ;
under state law. If#he owner or.iotettdeci.contractoc are-uncertain as to what..ficensing�cequire�ments��irn'ay��apply���or��th�'e:����`���` �
intended wairkr.they:�are-advas�d'to cari�a�c't*��ie'Pasco Caunty Buiidirig;inspection�Divisian,_`Licensing Seation at 727 84�7- ,: �; ��
8009. Fur-thermore, if the owner has°hiired��a"corit�actor or coRtractors, he is advised to�?have�,the�contractor(s);;§�igin:�,„;, ,'� :�1
portions of the "contractar_Block°of this applic�tion„for-which.they:.w7l:be.;responsible: _!f you,�as=,#he�.owriers�gn;asYthe° .4;, ,�u; �,
contractor., tliat-may 6e an �nd�cat�on Eltaf he��s not prope"'rly l�censed anii�is�niit ent�ffed to permitt�ng pri�riieges!in�P;asca3:4+,r,.� + }'
County. . � -..: - _- < ,....-. :: �:�.a :�, {.,_; �� :;
TRANSPORTATt�N IMPACT/.UTILiTiES-tMPACT AND RESOURCE RECO-,VER�"FEES.��Tlie unctersignecl.understari.ds,;F,,.�� `:� ��
that Transpartation Impact Fees and Recc�urse Recovery Fees°{may�appfy to<the cons.truction�of;new.buildii�gs,.change�of�-�;°�� ;�„ �!
use in existing buil�ings,=or,expansion of;�ex�stfi�g 6uildirags, as specified in Pasca County Urd�nance number 89 07 and � � ,�
9Q-U7, as amended: The�untlersigned ai'so uncierstands,_that suchtfees, as:may<b,e.due, wiil„be:identi�ed���f�the�irriE�of. ; ,,�, ,��
permift�ng. "if is further unders#ood ttiat�Transportation lmpact�Fees:and Resource�F�ecovery Fees must be paid p.r.�or to `; �' ;{
receiving.a"certificate of�occupancy°:or final.:power release.= If the. project.does nat=involve.a cer#if cate of:oc�pan`cjf.o'r.����'�s� ;;. i;
final:power release;:the-fees.mast be..paid prior to-permit`issuance;,�_FurtFierrnore�.if,Pasco:Coanfy WaterjSewer.;�mp:aact:�w��-',` ;
fees are due,.tfiey.must.be paid prior to permit'issuance.in,accordance with=applicatile:.Pasco Courity ordinances. ' ;'
Ct3NSTRUCTtON;L1ER1 �:AW{Cfiapter 71�3;Florida Statutes;as amer�ded�: If valua�tian'of work is$2;5U.Q:O,O,or=.more;���..;,�� -
certify that I, the-applicant, have been provided with�-a copy;..af::.the�:"Ftoritla`Cons#fuctian �kien Law�—Homeowner's �" � r°
Protection Guide° prepared�by the florida�Department of Agricuiture and Consumer-Affairs. if the appiicant'is,s.om�one;,._ _ ;"
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other than the"owner",;f�e�ify that.l::ha�e o6fained`a.copy of the above`�described,tlocument andipromised:in goo,d`faitlif�o� . „_ �
deiiver:it.to'ftie'`owner."�prior;to=corximen�ement - �
CQNTRACTOR'S%01lVNER'S AEFIDAYl7':. �.l=.certify�tliat-'a!I ttie infarr�ation'in this appiicat'ron is accurate and�fFiat ali`worlt ?
v�ril! be done in compiiance with afi appiicab#e�laws regulating construc#ion, zaning�:and.land�development. Application;is {•:
hereby made to obtain; a;permit�to•.d.o�:work-and. i�stallation .as'indicate+'d. I cerEify fhat na wo�k Qr.ir�sfallafion'H has �
commenced prior to issuance of a permit and��tha# all work aviH be pertormed to-meet standards-of aEi laws regulating � �,,
constructior�, County and City codes, zoning reguiatians, and land devetopment regulations in.�the jurisdiction: °�1°�alsv `�•� €!
certify that I understand that the reguiafior�s of other government agencies may apply.to the intended work, and that it is �;n; �!
my responsibility to identify what actions 1 must_,take to be in compliance. Such agencies include but�are not limi#edtto:; , � i;" �;�
� - .Depa�tment of Envlranr'r'ie�ital:`Pro.tectioia-Cypress.�Baytieads, Wettand Areas and Environmentally Sensitive :,° (;
l.ands,WaterM/astewater Treatment, � ��x �'
- Sauthrnrest Florida Water Manag+�ment District Wells, Cypr�ss .Bayheads, Wetland Areas, AlterPng � �`�7 k�
Watercaurses. - . �F '.`` `''
- Army Corps of Engineers-Seawalls, Docks; Navigable Watervu�ays. � �'�r ;:;
- Department;af. Health;;.&.Rehabilitative, ServiceslEnvicanmentai :Nealtfi�,Unit Wells, Waste�ia#er l'reatm�nt� :� ;,�,
Sepfic�l`ariks. - .Y - � .� ;•,
- US Environmenta)Protection Agency-Asbestos.abatement. , � . � . s��=
- Federal�Aviatian�;Authority Runways. � `
! understand that-:th`e foHowing~restrictians appljr to the use of fill:
- Use af fitl is nat a(towed in Ftaod Zone"V"untess expressly permifted. ` ,
- If the fill� materiaG:is to be used in Flood Zone "A", it is understood #hafi a drainage plan addressing .a;
"compensating volume" wil! be submitted at time of permitting which is prepared by a professionai engineer; " ' '
licensed.by the'State-of Fbrida. " �;
- if the fifl�material is to be used in Flood Zone "A" in connection with a permitted building using stem wall, ',:
construction, 1 certify:that fiil will be used anly to fil!the area within the stem wall. _
- !f fi11 material is to �be used in any area, 1 certify that use of such�fiff wil! not adverseiy affect adjacent` _r j�;
properties. If.use of fill is found to advecsely affect adjacen#properties, the owner may be clted for violating� �: r�.t
the cond9tions.of the:buifd'rng permit.:issued under the�attached per.:mit:ap.plication, for lots�less than one ('!)i '• �i
acre which a�e eleva#ed by fill,an engineered drainage plan is requi�ed. ; j;v �,1
If I am the AGENT.FOR TME OWNER;1`�prom�se inwgoad fa9th to infarm_the owner of-the permitfing condi#ions set forth in; � ;�� ���
this a�daVit prior to cor�imencing c�instructivri.�i.understand that.,a„separate permit may be required far electrical work,?. ;" ���
. 5.+.w.:�.
plumbing, signs, wells,..paois,_air„cor�ditioning; gas,,,or•otlie�in,s'tattations nat specifically included in the applicatiQn: A;; ..��- ;`�; �
permit issued sha11'be construed�to�be a I'icense'`to�_proceed iniitfi ftae work=and nat as:sutliori,ty.to violate, cancel, alter, or; :; �'�
set aside any provisions of'tfie'technica!codes, nor sha!! issuance of a permit prevent the Building Ufficial from theceafter� 3�� �°�
raquiring a correctian:.of:ecrors�in.plans;construcEian oe�violatians ofany�codes.°=Every-permit issued sfiall'become invalid� ;�� ��
unless the wrork authorized�by such permit is commenced.witfiin,six montlis of permit issuance; or if work authorized by� ��-� �_.�
k.'f �
the permit is�suspended.,pr abandoned�for:a•p�eriod�,�rf six(6}�rrronths after the#ime#he work i�camrrienced..•.An extension i � t�
may be requested, in writing,�from�tlie Building~Official�for a period.not�to excc�ed riinety(90)days and witt demonstrate ` �.: ��
-: ,,,�
justifiable cause for-the extension..;If work ceases for ninety(90)consecutive days,the,jab is aonsidered abandoned. � t:� �,�
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WARNtNG TCf OWNER:,, YCiUR;FAiLURE��TO;RECORDlA NOTICE�OF COMMENCEMENT�MAY RESUl:T !N Yt�UR; ;;" � s
PAYiNG TWtCE'FOR�IM�i'3,OrlEMENTS,�TC!I�COUR PROPEF�TY;; IF YOU��IN'FE�1D'T0�08=TAIN«FINQI�tCING;'CON�ULT ; ``; i:`;
WITH YOUR'CENDER OI�AR!'AITORNEY BEECIRE��REGORDlNG'YQUR'.tdOTtCE�'GF`;COM6VfEN€EMENT. # , ;� i ;
FLORlDA JURAT.{F.S. 17. � �• _ , . , ._... _ > . ' -
—+CIWNER OR AC;ENT - - - - CONTRACTOR _ __ --�. __—__.. --" :�
Subscribed and swom ta(ar a imed)before me thls S�bscribed and swom to(or aiflrtnecl}before me this - '
bY �Y
Who Is/are persanally known to me or.haslhave produced � Who istare personalfy kna.wn to me or has/have produced
as Identlficaflon. as identiflca�an ` , �
Motary Public No#ary Pubflc
Commission No. Cammissfafl No. �
Name of Notary typed,p�lnted or stamped Name of Natary typett,printed ar stamped
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