HomeMy WebLinkAbout18-19700 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19700
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19700 Address: 5324 16TH 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: 11-26-21-0010-17200-0170
Improv. Cost: 3,800.00 OWNER INFORMATION,
Date Issued: 5/17/2018 Name: JOHNSON, WILLIAM OTIS &LAURIE L
Total Fees: 55.00 Address: 5324 16TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/17/2018 Phone: (813)780-6143
Work Desc: INSTALLATION STOCKADE FENCE 163' X 6 '
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 55.00
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FINAL Ins ections Required
REINSPECT70N 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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CONTkKCTOR 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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Quotation prepared by:
This Is a quotation on the goods named,subject to the noted beloty:pr! object change after 90 days.
To accept this quotation,sign here and return:
77tank you for your bw*iess!
Tommy Finch Fencing LLC 11811 MarybiR In Dade city FI, 33525
E CeR 352-807-2433 Fax352-437 4913 Finch86C Gmail.com
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, 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:
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 in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work. i
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
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 �� J
ADDRESS
PHONE
WITNESS PERMIT #
i
i
Illilililllllllilllllllllllllllll111111111111111111111111111
2016083584
Permit No. Parcel ID No
NOTICE OF COMMENCE! T
State of1yn County of
GZ
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement.
1. Description of Property. Parcel Iddeentif cagiin No. — /2 �z��— p 010" 17 2.Q p
q
10 Street Address: J Y I ,'rc,—� f�/ ✓1
2. General Description of Improvement r) c.
3. Owner I formation cr Lessee informatlon if tqe Lessee eontreded for the Improvement:
Name / b r(�/, 5 c5
Address City U state
Interest in Property:
Name of Fee Simple Titleholder.
(if different from Owner listed above)
4. Contractor. L��CyI dress `� bkzi City State
Name*^A. n C4 /� „�. ,.p _ r�
Address �i lY►yL liti(J V�►(J1(S f�_ City state
Contractor's Telephone No.:
5. Surety'
Name
Address Clly State
Amount of Bond: S Telephone No.:
8. Lender.
Name
Address City state
Lender's Telephone No.:
7. Persons within the State of Florida designated b the owner upon whom notices or other documents 0 Y Po may be served as provided by l
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
J
8. In addition to himself,the owner designates of
to receive a copy of the Uenoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the eigirallon date may not be before the completion of construction and Mal payment to the
contractor,but will be one year from the date of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES. AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I dedare that,l have read the foregoing notice of commencement and that the fads stated therein are true to the best
of m y knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
ature of Owner ar Lessee, Owners or Lessee's Authorized
Rept:1958047 Ree: 10.00 i cer/0irectorlPertner/Manager
DS: 0.00 IT: 0.00
05/17/2018 J. R. , Dpty-Clerk r� Sfgnaattorys�Title/Offica
The foregoing Instrument was acknowledged before me this`day of 20 jjby %I
as (type of authority,e.g.,officer,trustee.attorney In fact)for
(nams of party on bphpB of who .strumenl was executed).
Personally Known❑M Produced Identificat
ion
❑ Notary Signature
Type of Identification Produced � r Name(Print) a
PRULR S.0'NEIL,Ph...D.PRSCO CLERKf CiMPTROLLEF
0g/17 Ill
/2018 01:24 1 (]� •;ipre'••. JACQUELINE80�GES
OR By, ,�72 P-- 2208- Commission FF 150422
+� a .Expires December 12,2018
•q�R� 10.`�. amdad Thu Loy Fain Inuxenre 806385.7018
wpdataRmWnoticecommencementyd)53048 -
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY-THATTHE FOREGOING IS
TRUE AND CORRECT COPY OF THE DOCUMENT
,. ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
, -0 WITNESS MY HAND AN OFFICIAL SEAL THIS
In godlve T-wt o
PAULA S.O NEI , CLERK OMPTROLLER
1887 = BY DEPUTY CLERK
lot
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department 3
Date Received
Phone'Contact'for Permitting
Owner's N ' e �` ` Owner Phone Number
Owner';-1Addfei5W a _ t'1, S 1 Owner Phone-Number ,
Fee SimplelTitleholder Name-' Owner'Phone Number-
Fee Simpid TitlBholder Address" ' 1
JOB ADpRiiss oZ t �' � M 1.��I IS I L.L�� LOT#
SUBDIVISION PARCEL-ID#:
(OBTAINED FROM PROPERTY.TAX NOTICE) "
WORK PROPOSED NEW CONSTR' ADD/ALT �' SIGN Q" = DEMOLISH
I
R
INSTALL a REPAIR
PRO.P..OSED:USE- = SFR 0 COMM = OTHER
TYPE!.-OF CONSTRUCTION BLOCK 0 'FRAME = STEEL Q
DESCRIPTION.O VIIGRKt >�•; (A, i CA. N
v.
BUILDING;SIZE SQ'FOOTAGE HEIGHT
,i..9.
QBUILDING.rf---- $ 1 _ VALUATION'.OF TOTAL CONSTRUCTION
=EzLECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E•C.
=F4 UMBING $
k � ,
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
i
=GAS Q ROOFING" 0 SPECIALTY. = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
8UILDER� �Q ---`�_-_ COMPANY`
_=- `V-
SIGNATURE REGISTERED Y-/ N- ' `FEE'CURRE� Y/N
Address License#
:. ELECTRICIAN. COMPANY_
SIGNATURE REGISTERED Y/ N FEE CURREn
I
Address - License"#
I
PLUMBEtt€. COMPANY
SIGNATURE _ REGISTERED L Y./'N .1 FEE CURREN J.LY/N
Addr®ss License#,:
-.MECHANIG�11: COMPANY.
SIGNATURE,`
REGISTERED "Y/.N FEE:CURREN _" .' Y F N, '
License.#
OTHER; `:s COMI?ANY
` 'SIGNATURE :r ?..:_- = REGISTERED Y/:N FEE-CURREN Y/N
Address =License'#
.:. .
RESIDENTIAL.;:;. ;Attach.(2)P:;Iot.Plans;:(2)sets:of;Bullding Plans;(1)aetof'Energy Forrris;"R=Q=1N:Pe.''miitfor'new`.constiiiction,.'
r.
,'» Mmimum ten(10)uyorkmg;:daq$;afte�sutiriiittal:hate:'Requfired`orislteCoristnictton Plans,StorinwaterPlans w/Silt Fence"installed;
Sanitary°,Facilities, lkdgmpster;Sife;;WorkPermit_for'subdivtsions7large:pro jects'_
`COMMERCIAL Attach>(2)'cdmplete5sets of`Building`Plans plUs's Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor'new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
"- Sanitary Facilities&.1 dumpster,"Site Work Permit f&alhnew:projects.All commercial requirements must meet compliance
SIGNI PERBHIT 'Attach'( )sets;gf Engineered Plans:..
_..
****PROPERTY SURVEY.required__.for.alLNEW:construction."
144-
>Fill-:out application completely.
'OwneC 'Contractor:sign.back of application,notarized
If over;$2900;-a Notioo-.of:Gommencement is required. (A/C upgrades over$7500)
�::•::;;, Agent`(forthe`��'or Power:of•Attomey(for'the owner)would be someone with notarized letter from owner authorizing same
''OVER;THE COUNTER_ PERMITTING" :.(copy of::contractxequired).:
, i§roofs;ifshingles tl 'Sewers Service Upgrades A/C Fences.(Plot/Survey/Footage)
Driveways-Not over Counter if on public;ioadways::ibeds ROW
NOTlCE:OF:DEEDRESTRICTIONS: The undersi ned-:understands:that;this etsmitma be.subjectto;"dee&-,restricti0 S
which tiiaynbe:mareresti ictive:thanCounty regla#ions:='Thecindersigned assumes reaponsltiiGty`far coir�piia14-
n van#h:any
appllcabW.deed restrictions.
UNLICENSEU-COWTRACTORS ANDCONTRACTOR..'. ..
,.: RESP;ONSIBIUTIES:<- if"ttie=oe ��contr actor or
,
contractors Yto undertake work; the ;:may be requiredao be:licensed fn accordance witlistate;and;local-;regulations::: fw-the_='.::
contractor,ls�not7licensed:as:required by`taw;7aoth.=the owner-;and contractor mayrbe�cited for>a=misderneanorrvlotation
under state taw. tf the owner or intended_,contractar are uncertain as.:to.what licensing.requir:,errrents`irnayapply=faftFe-rv'R> '
10
Intended work-1hey:are advised"to contact the Pasco County Building inspection Dlvrs�on---Licensing Section at-727-847
_ . -_ .. , '
8009. Furthermore, 'if the owner has`fiire-d`-a contractor or contras#ors, he is advised to,have the,contractor(s);alga;
portions of the "contractor Block" of this:application..for which-they will.be responsible:=-if-_you, as,the owner sign as the
contractor, that May be-an tndtcation that he•is not properly licensed and is not entitled to permitting privilegesztnePasco j
County. _ #
TRANSPORTATION-IMPACT/.UTiLiTiES-IMPACT AND RESOURCE RECOVERYFEES:-'The'uriiiersigned Understands
that Transportation Impact Fees and Recourse Recovery Fees may:apply to#he.cons#ruction:of.:newb. il..clirigs,.change>of°
use in existing'buildings, or:.expaiislon of<existfing buildings, as specified in Pasco County Ordinance number 89 Q7 grid
90-07, as amended: The.,undersignedialso.understands, that such:-,fees, as;:may;I:e':due;wilf'be
permitting. It is further understood that Transportation impact Fees,and Resource Recovery.Fees must be paid prior o F
receiving.a':"certiflca#e'.of occupancy" or final power release. :If#he:pmject does not involve:a ceTtificate of occupan'cy`oc'= >y'
final:power release,;tite=fees•must be-paid prior to permit issuance..:;Furthermore,,if:.Pasco�Caunty Water/Sewer impact
fees are due,-they;-_;rmust.be_paid prior to permit isstiance.in.accordance with'applicable:Fasco County ordinances.
CONSTRUCTiON•LlENLRW(Chapter 713;Florida Statutes,as amended): If valuation of work is'$2,50,O;OQ_ot.rnare,yt r:
certify that I, the ,applicant,.have been,provided with-a copy.:of-._the- Florida Construction;,Lien-Laws-Homeowner's
Protection Guide" prepared-by the'Florida Department of Agriculture and Consumer:Affairs. If the applicant is.:someone..;;
other than the owner",,i.certify that l,have obtained a,copy of the.above described;`document and.•promiselri 99po faith'#:
�, o
delive'rit:to`the°owner"°*,Ohor.-to.camnien'eement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: y;_<;i bettifthaVaIHhe information in this application is accurate and-that air Work
will be done in compliance with all appliable�laws regulating construction, zoning and.land development. Application.is
hereby~made to obtain,:a permit:to.clo vroxk--and .installation .as indicated. I.certify that no work or installation 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 development regulations i6-the jurisdiction: ",I°ais0 ?:
certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to Identify what actions.I must take to be in compliance. Such agencies include but-are not limited4o::
_Department of Environmental:'Protection=Cypress' Bayheads; Wetland Areas and Erivironmentaily�Sensit'rve ;V
Lands,WaterMastewater Treatment. is
Southwest Florida Water Management District-Wells, Cypress: .Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks;Navigable Waterways.
Department�,of-Health.,:&.,Rehabilitative, Services/Environmental:.Health UhitMells,,Wastewater,Treatment;
US Environmental Protection Agency-Asbestos,abeitement.
Federal.Aviation;Authority-Ru nways.
I understand that�the:following°restrictions apply to-the use of fill:
Use of fill is not'ailowed in Flood Zone"V"unless expressly permitted.
if the fill material is to be used in. Flood Zone °A", 1t is understood that a-drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by.the.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 filI`wiIVbe used only to fill the area within the stem wall.
If fill material`is to be used in any area, t certify that use of such-fill will not adversely affect adjacent
properties. i€use of fill is found,to_adversely affect-adjacent properties, the owner may be cited for viotatingi
the conditions.'of:the,'building;permit issued under the attached permit.application, for lots-less-than one (1)
acre which are elevated by fill,an engineered drainage plan is required. }
If I am.the AGENT FOR THE:OWNER f.promise;in good faith to inform-the owner of-the permitting conditions set forth in" i.
this affidavit prior to'commencing construction: .I understand that arseparate permit may be required for electrical.work,}
plumbing,.signs, wells,,pools,.a r,,conditioning,-gas,,.or otfter'installations not specifically included in the application. Al
permit issued shall' to:be`a'l'icerise'to>proceed with .. twork:and not,as authorlty to-violate,.cancel, alter, or I ±
set aside any provisions of'the-technical codes, nor shall issuance of a permit prevent the Building Official from thereafter; ;.,
.requiring a correction,of-errors'in-.plan s;construction,or violations of'any-cddesi Everypermit issued shail'become invalid" ;9
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by:
the permit is suspended,or abandoned_for,aperiod=pf six(6).`months.after the time the work is.comrnenced.. An extension r
may be requested, in`writing,,from the Buiiding-OOfficial for a period.not-to exceed ninety (90)'-days and will demonstrate
justifiable cause for-the extension. if work.ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING'TO OWNElit. YOURKI=AILURE,-TO,RECORD•A.NOTIM.OF
. , , COMMENCEMENT MAY RESULT'IN YOUR
PAYING W PERTY:, IF-YOU:INTEND-LTO,,OBTAIN:`FINANCING;'CONSULTEM
WITYOURLN -EROANAORNEY
BEFORE.RECORDiNG'YOUR`-NOTICE`OF' OMMENi EMENT 1-
FLORIDA JURAT(F.S.117.03)
OWNER
O and sworn o or�ttlrmed b�� CONTRACTOR-' - 2,� 2
ec� { me this Subsc�d, 6d.1 nt!`suvom to(or affirmed)b re me,this
S'—f 7�(-1 by L 6 1 t�i� -T ��.,rLSO �r7 by /2! Y` i
who mare pe�sopallly nngwn to me or,has/have produced Wh /ar erspnaliy known to me:or ha /have roduced
L' as Identification.
as identl cation.
c ..
Notary Public Notary Public
Corn f lon Com lssi N .
JACQUELINEBO
i,��i?+Y"Y�'„r,I JAGQUELINE BODES
GES
Name of Notary.' 50422 Name of Notary �; �. tuber 12,20I8
.IZoa;. ecem::�
12,2018 %t, ;°� BondedfiruTroyFeinlnsuranaa800385-?019
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CITY OF DEPARTMENT BUILDING
ZEPHYRHILLS " NOTICE
OF ADDITION, OR CORRECTION
I I
� DO NOT REMOVE ---,'
ADDRESS DATE PERMIT#[ 9
s/-p 3 Af
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job
will be accepted.
IVed &CCZY� 4 Jeli
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,unfit the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTI
the installation.
OFFICE HOURS 7:30 AM-4:30 PM MON.-FRI. INSPECTOR
CITY OF / / BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION C)R:CORRECTION
D • NOT REMOVE
ADDRESS DATE PE"T f
z � � � 9 ��
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
q clp kr_04E(j� S
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECT N
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR