HomeMy WebLinkAbout18-19591 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19591
FENCE PERMIT
PERMIT INFORMATION LL LOCATION"INFORMATION
Permit Number: 19591 Address: 38825 B AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02200-0091
Improv. Cost: 705.00 OWNER INFORMATION
Date Issued: 4/19/2018 Name: SALIVA ROBERT A & SHERRIE S
Total Fees: 55.00 Address: 23110 STATE ROAD 54
Amount Paid: 55.00 LUTZ FL 33549-6933
Date Paid: 4/19/2018 Phone:
Work Desc: WOOD FENCE 124'X 6'
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 55.00
Ins ections Required
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 City Codes and Ordinances
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CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
513-7aD-UU20 City of Zepnyrnilis Permit Application rax-rs,s-foU-Uuz'
Building Department
Date Received '
�'. Phbne-Contact,for'Pennitting:
Owner's Name r c� Owner Phone Number
Owner's Address: Owner Phone Number '
Fee Simple Titleholder Name•:f OwnerPhone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION. PARCEL-ID#
(OBTAIWORK PROPOSED NEW'CONSTR' ADD%ALT '0 SIGN FR�-OM PROPERTYSAX NOTICE)� DEMOLISH
e. INSTALL :•- . :REPAIR
PROPOSED;USE- Q SFR 0: -COMM. 0 OTHER
TYPt OF-CONSTA`6CTION' 0 BLOCK Q *RAME Q. ,STEEL 0
DESCRIPTION`OF-W6kK I
-BUILDINGsSIZE SQ'FOOTi4GE HEIGHT
QBUILDING $ _ c VALUATION'OF TOTAL CONSTRUCTION
=ELEC,TRICAL $ v 7 AMP SERVICE Q PROGRESS ENERGY Q' -W.R.E.C.
t '
[PLUMBING $ -
i
i
=MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION
- i
;GAS 0 ROOFING Q SPECIALTY. O OTHER
FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA YES NO
:BUILDER: _ COMPANY h -
SIGNATURE REGISTERED Y•/ N:' FEE•CURRED Y'/N,
Address -'License
ELECTRICIAN'1 „. COMPANY
SIGNATURE REGISTERED Y/ N • FEE CURREN Y/N '
Addr®se` ' License# :.
PLUMBER;, COMPANY
81GNATURE `REGISTERED Y-P& kj FEE:CURRE�. Y/;N
Address. ,License'#.
'•.MECHANICAL'" COAAPANY
SIGNATURE""" $ 'REGISTERED WIN N FEE CURREN
Addt4ss�.�.:'-17 License.#
;OTHER`.•`: "COMPANY
;.:.^. REGISTERED '•Y/:N- FEE"{'.URREN Y I N
GNATU,RE
a.'o M:;� .
RESIDENTIAL. :4ttac' 2 .Pidf:Plans:2 sets`o Buildin 'plan's :1' set of Ene F`orms R O<1N,Perrnit 4 rdev�; nstivction; '
u. ten' 1 Q•, `o in'kda �aftersubmjltai date::Re uired:'onsite;Gonstniotion Plans,`.Stom�water Plans w/•Siit Fin ce installed;
r• -,' Sani cIles&Y1•dum,.P_s,.te_f�,,•S. if1 3sWb'":.P:e_r'mmJLt':ifoe
COWMERGIAL Attac2)compes oBildingPlansplusa` 'Ssaufbetdt•yCS„PIs.aiog,ne s;./'l('a1.i)se„e<Pt roo.f1e.E.c tesrgo`'m1-s.
-
R-O-W Permit for new construction:
Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenpe.jnstalled,.
Sanitary'Facilities.&1 dumpster.Site Work Permit fog all.'new projects:All commercial requirements must meet compliance
<-
:;SIGN'PERIWIT "Attach•Osets;glEngineeredPlensi_:::.;_';,:• _; :.s..::• ....:,':.
'PROPERTY SURVEY regulr�•alI,NE•W construction._::
I` FIIIout`application.completely.
Owner'&Contractor.%sign.-back ofapplication,notarized
` 1f:pver'$2500;.a-N6tiee:of;Commencement is required. (A/C upgrades over$7500)
Agent'(for°the.con`tractor)cor PoWer.,of Attomay'(for'ttie'owner)would'tie someone with notarized.letterfiom owner authorizing same
OVER'THE COUNT•.ER P ,I,tflAliTINC,�m:.,::::......(copy-of contract.required). ',
Reioofs ffsfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
DdVewa s-Not over Counter ifon- ubile roadwa'§;-iideds"RbIN'
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NOTICE--OF DEED':RESTRICTIONS: The undersi ned,:understan. s>that;this :ermit::may be,subject;:to.:".d"eed,.re'stt
.: ...... -. -'...•sig .S. i.
which�ma. be Amore:restncttve:.than:G.otarlt re u#afiions.-.'Ft urtde s '"ne l'assumes r sponsl#sl ty.for.comp#iance.rl ith any`
x Y y .9 _ 9_ . _. _,..
appil—bie;.deed restrictions.'
UNMENSEM.'ZO T,"MCTORS AND--CONTRACTOR RESP!;ONSiBILITIES 'If the=owner has 'lti ree`:'a.contractor'or
contractors-to undertake work;-the „rna .be:required.to-beiiicensed in accordance w#tlt.state and locaLregulations :xlf the u.
Y I 1 ... Rt F
contractor.-isTnot.Hcensedras:.required by.levy;'bath:=the owner-,and`'eoritracti�r may=b6abitid 'far a jTnlsdemeanor violation.
understate'law. If the owner.or_imended:contractor....are uncertain as,#o what:.licens#n :reg airentients{-)Mor�apply1f the
intended work,.they:are advised•to contact the-Pasco Coucity'Bui#dingInspection;_DEvisioi-Lcensing'.Section-at 72:747
80.09.1'•Furthermore*, N the owner"has 'h#red`-a-cdMIbc,tor`or contractors, he is advised taihave,the,,contraetor(s)s;sign,.�T, . ,
portions of the 'contractor:Block"of this,application:for.which.they-,will:be•responsible::lf'youu,•.as the ownersign':as the;:
contractor,that may be an indication t#at he•is not proper#y'IIbdnsed arid'is not'entitled to permitting p01heges_iun Pasco;
County.
TRANSPORTATION IMPACTfUTIL-rr1ES<IMPACT-AND RESOURCE RECOVERY-FEES:`Tfte undersigned-understands: :.
that Transportation Impact Fees and Recourse Recovery Fees'mayapply to the.constcuction:..of new..bulldirigst::chafeof` `. r
use'in jexisting'bufldingA,For:expansion=ofia;eXisting':puildings, as specified in Pasco County Ordinance number: and
90-07,i as amended. The,undersigned also•understands`,:that such:•fees, as;:rnay�be:due, will be ldentified`atitMeniiin# f. ;
permitting. 'It is4fitrther-uriderstood that Transportation impact Fees=,and Resource:{Recovery,.Fees must be paid ptiar:,to
receiving-a::"certificate of_occupancy" or final,power release.. If the-,project:does notinvaive o certificate of occuo'de"d r r
na!_:power=releaset#ie-fees-'must be:paid'prior,.#o permit issuance.. Furt#iexmore.:if.,Pasco:County WaterJSewer=lirtpact ::':'
feesarodue,.they. N°L'must.tie;paid prior to;permltissuance.imaccordance vAth.applicable,'Pdsco:Cotitity ordinances.
CONSTRUCTION-LIE 4W(Chapbir713;'Florlda Statutes,as amended): If valuation of work is$2 500;00 or::more,,;;1 _>
certify.ithat •I, the applicant, :have ,been.,:prov#ded"with a:copy.:,of.-the="Flonda--Construction::�Lien..:Lavu--_Homeowner's-
Protection Guide" prepared"•by the Florida Department of Agriculture and Consumer.Affairs. If the applicant#s'-someone
other than the owner",1.bertify:that:i..have otita#rigid a copy of the-above`descOW-J ocurr�enf and promise=in good"faith°ta.:
deiiver,it.tor#lie':'owner"{prior.=to:cirmertceriient
CONTRACTORVOWNER'S AFFIDAVIT::;l;certify-#hat_all--the information in this application is accurate and`that alf work
will be idone in compliance with all applicable"li ws.regulating construction, zoning::and;land-,;development. Application,_is
hereby} made to-.obtain a::,P.ermit:;to:do::work-and...lnstallation...es'�indfcated,. •I certify that no work or.instaltationti'has
commenced prior to issuance of a permit and that all work will be performed-to-,meet-:standards`of all laws regulating
construction, County and City codes, zoning regulations, and land developmenf regulations.'iri-.the jurisdiction:-f_-I:4iso
certify that I understand that the regulations of other government agencies may appiy.to the..intended work, and that it is_
my responsibility to identify what actions.I.must;take.,to.be.in..compliance;�,.Such'.clgencles include'but.are not:#imited to:a
Department of Environmental`protection-Cypress Bayhe ids;Wetland Areas and Erivironmentally'Sensitive
Lands,Water/Wastewater Treatment. -
- Southwest Florida Water Mana9ement -Distri6t-adlls,`' Cypress- -ftyfieads, Wetland Areas, 'Altering �.z
Watercourses.
Army Corps of Engineers46awalls,'Docks;*Navigable Waterways:
Department:,of:Health:;&.Rehabilitative,-ServiceslEnvironmental: Heal#h�-�Unit-Weiis., Wastewater:,Treatment,
US Environmental Protection Agency-Asbestos.abatement.
- FederalAviation;Authority=Runways.
I understand than:tile"following''tictlons apply to'-the use of fill:
Use of fill,is not:allowe'j fin-Flood Zone"V"unless expressly permitted. i
- If the fiil�=material'is-to°be used in. Flood Zone "A", i# is unddrstood that a-drainage plan addressing:a
"compensating volume".will be submitted-at time of permitting which is prepared by a professional engineer
licensed;byahe State of•Florida. ..
if the fill'material is to be used in Flood Zone "A" in connection with a permitted building using..stem wall.,
construction, I.certify.that-fill�r it-be used only to fill the-area within the.stem wall.
if fiff- haterial-Is-4 -oe used.-In' any area, I 'certify that use of such-.-fill will not adversely affect adjacent.:,. .
properties. If.use of:fill:Is found:,to adversely'.066U.adjacent properties, the owner maybe cited for•viol ating.
the contlitions..'of r.th&bulfdih6:perm1t:'sstied under the'attached;-pe[mit-application, for.:Iots-less-th9n-one'(1}
acre which are-elevated fay fill,an engineered drainage plan is required.'
If I arr_the.AGENT:FOWTHE:OWNER ,`;r romise in,good faith to inform:the owner of..the�perrilitting,cQpditibns'set forth in
this affidavit p''ior#o"commencing eonsttuction:�.l.understand that a separate permit may be required for electrical.wdrk,:.
plumbing, signs,.wel#s,.,pools,.,air;:conditioning,,.;gas,::ar,other'i stailat#ons not specifically included in the applicatiorii .'A.;.. :.:<
permit issued sha##-tee construedt#a be a flcense to"proceed witi 'tfie.awork`and nt7t as::authorlty to violate.cancel,.aiter,i or
set aside•.any provlsIions'of`tiie"feciinical codes, nor shall issuance of a permit prevent the'Building Official frohl thereafter.
requiring:a;correction�,of,errors�in plans,construction.orviola#ions-of-ang,codes., Every'perm'l issued`shWI'become invalid
unless`the work authorized`by such permit is commenced within,six_,:months of permit issuance, or if work authorized lby
the permit is-suspended;or-abandonede,for-,a--perigdtiof six-(;)- i o6 iii ;after the time the work#S commenced. An extension
may be requested,.`inrrl�rftfng;':fcom.:the Building tcfai'for a period:not to eifceed ninety{gt))'days and"wfii demonstrate
justifiable cause for.the extension.,,if,work;ceases for ninety(90)consecutive days,the job Is considered abandoned.
WARNING'` TO`OVYNER. 'YOUR':n�.AILURE,TO:=RI:./OpD:.A'NOTICE;OI=::CiJi1AMENCEMENT:.M�Y=RESt!!T°'IN YOUR
PAYING"'�/�CE_1'FOR'iMPFF�;�O.YEMENT fCf lfiO,UR RROPERTY,.IF-'_YO.ClI�INTEND'FTO-,OBTAIN��FINAN'CiNG 'CONSULT
WrrH YOUR LENDER OR AN'ATTORNEY BEFORE RECORDING'YOUR`N`4TICE bFtONtMENCEMENt
FLORIDA3URAT:.(F:S::11:T.13
OWNER OR A6iNT CONTRACTOR —
Sub cxi and,svuo to% ed)before me this Subscribed and sworn to or a rmed)-6e re me'thls
tN�ois/crepe on,ll .known,to.me.or.hasmave...produced, o s/argips"so{ral1yknown.tome'or.has/havepraduced: :
�iS !! - as'ldeiitlftcatlon. jj / S I tC as Identification.
. �C�p/ Notary Public y Notary Public
Commission No. Commission No. G& 644.59UR
Name of Notary typed,printed or stampecY Name of otary typed,. Anted or stamped,
DEBRAELAINE RUFFELL DEBRAELAINE RUFFELL
s Commission#GG 045343 ,. .,:Commission#GG 045343
, ,Qa Expires November 7,2020 .; P Expires November 7,2020.
•sf,,av,�� BondedThruTmyFaininsuranceM365.7019 '•• ,;';°.��" Bonded ThruTMyFaininsurnce600.38n•7019
Pasco County, Florida Section 14, Township 26, Range 21, 0.6 miles SE of Zephyrhills
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DISCLOSURE STATEMENT FOR OWNER
CITY OF F ZEPH_YR_H_ILLS BUILDING DEPARTMENT
I, �y ,ate f� 1 �/ ^_ have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
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1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That is the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
S. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official 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 owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. 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 construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not j
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATURE DATE 14h(? 1,?0ZZ
ADDRESS 7 3 D f
PHONE ?
WITNESS PERMIT #