HomeMy WebLinkAbout18-20011 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20011
FENCE PERMIT ,
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PERMIT INFORMATION = LOCATION INFORMATION
Permit Number: 20011 Address: 5912 12TH ST
Permit Type: FENCE ZEPHYRHILLS, FL. i
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: 11-26-21-0010-02100-0130
Improv. Cost: 400.00 OWNER INFORMATION
Date Issued: 7/25/2018 Name: MUNIZ JOSE
Total Fees: 55.00 Address: 12139 LEANNE DR
Amount Paid: 55.00 DADE CITY, FL. 33525-5929
Date Paid: 7/25/2018 Phone: (352)437-0313
Work Desc: INSTALLATION 140FT X 3FT WHITE PICKET FENCE
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 55.00
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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 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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CONTRACTOR PERMIT OFFIOFA
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 INFORMATION
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FRONT PROPERTY LINE
.._ _ STREET
(NOTE EXAIV,IPLES 1&2)..
Example I., Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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STREET
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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.
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 I 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 5;j5p S�l ("A"-,- DATE
ADDRESS 5112 7__:V- CA-
PHONE _3 5'2 Q_�
WITNESS PERMIT #
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting 1(
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Owners Name Owner Phone Number 0
Owner's Addressl Gq � lrlAk Owner Phone,Number
'
Fee Simple-Titleholder Name ,kA Owner Phone Number
1,
Fee Simpl6tTitleholder Address
JOB ADDRESS F LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR AbD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION Qi,. BLOCK FRAME -STEEL
DESCRIPTION OF WORK C)
.BUILDINIGI*ZE 0 SO FOOTAGE= HEIGHT
MBUILDING $ VALUA
TION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�EP'LUMBING 1$
qo
00
[ER]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
E�]OAS ROOFING Q SPECIALTY 0 OTHER
FINISHED,fLOOR ELEVATIONS FLOOD,ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE �,7( REGISTERED FEE CURREN
�S.
Addre s License
ELECTRICIAN. COMPANY
.'SIGNATURE REGISTERED Y/ N FEE CURREN
Add,!ss License# F
PLUMBER! '-COMPANY
SIGNATURE REGISTERED- Y/'N`,] FEE CURREN
Address License J
MECHANICAL COMPANY, J
SIGNATURE REGISTERED Y.1 N FEE CURREN L-Y i N
Address License#'
OTHER,,-" COMPANY
SIGNATURE" REGISTERED Y/ N FEE CURREN LKLN J
Address License#
H HH;k i4k 1 .......... HHHHHHHH I 1-11, i I H !.I I if 1 f i 1H 111
RESIDENTIAL Attkh+1,(2)Plot PIa;ni;:(2)s6t-s.o.f-BuildirgPlans; 1)setof Energy Forms;k-"06rmIf'6r'ndw_constructIon,.
Mirflmum,terf(10)working days after sdbmIttaI:date:-Required'onsite',Construction Plans,Stormwater'Plans.wt Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge projects
:"COMMERCIAL Attach(2)complete sets of Building Plans plus a Llfe,,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Mirfimurn'ten(lp)'Working:days-after,submittaI date.,Requtr6d Onsite,Construction Plans,Stormwater Plans w/Silt Fence Instilled,
Sanitary,Facilifies&I dumpster.Site Work Permit for-all new projects.All commercial*requirements must meet compliance
ance
SIGN PERMIT Attach'(2),s6ts ofEhgIneered-Plans.
****PROPERT--Y,*+SURVEY required for all NEW construction.
1:14444:14444;
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Fill out application completely.
'Owner&C6ntractor'sIgpback of.application,notarized
lf"over$2500,a Notice Of Commencement Is required. (A/C upgrades over$7500)
Agent(for the dontractor),or Power"ofAftomey(for the owner)would be someone with notarized letter from owner authorizing.same
'6ViFt,THE%C.O.UNTER...PERMI!TTING (copy of"contractiequired)
Rded6ftff shingles Sewers 'Service-Upgrades AIC ' ; Fence's(PlottSufvey/Footage)
Driveways-Not over Counter if on public roadways..needs'ROW