HomeMy WebLinkAbout19-21449 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21449
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21449 Address: 39165 9TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-002A-02600-0012
Improv. Cost: 1,846.64 OWNER INFORMATION
Date Issued: 7/02/2019 Name: CROSLEY, JENNA L
Total Fees: 45.00 Address: 39165 9TH AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL 33539-0566
Date Paid: 7/02/2019 Phone:
Work Desc: INSTALL 43.6FT X 6FT VINYL FENCE ON SIDE OF HOME
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 45.00
e
Ins ectio 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 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.
II work All be performed in accordance with City Codes and Ordinances
CO TRACTO PERMIT OFFI
P M I EX IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CA FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting — ,�
Owner's Name S�NOwner-Phone Number c n v
Owner's.Address I 5, VV Owner:Phone Number
hVn 15 l�J� Owner Phone Number.
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R
ADD/ALT = SIGN- _ = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q' SFR Q -COMM = OTHER
TYPE OF CONSTRUCTIONQ BLOCK Q FRAME
� Q STEEL
i Q
DESCRIPTION OF WORK I
BUILDING SIZE SQ FOOTAGE= HEIGHT" wrff �nce
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMRSERVICE = DUKE.ENERGY 0 W.R,E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA =YES NO
BUILDER COMPANY
SIGNATURE A REGISTERED Y/.'N FEE CURREP Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address. License#
PLUMBER COMPANY.
SIGNATURE REGISTERED, Y/ -N FEE CURRR
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt, .Y/N
Address License#
RESIDENTIAL Attach.(2)Plot Plans;.(2)sets of'Building Plans;(1)set OfEnergy Forms;R-O-W.Permit for 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 for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1).set of Energy Forms.R-O-W Permit for new construction..
Minimum ten(-10)working days after submittal date. Required.onsite,Construction Plans,Storm-water Plans w/•Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY'SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner'&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers.-.-•.-Service Upgrades-.A/C,- -Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on:public roadways::rieeds,ROVV
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS:AND CONTRACTOR RESPONSIBILITIES: If-the 6wher'has 'hired a contractor or
contractors to-undertake work, they may be required to be licensed-in accordance with state and local regulations. .If the
contractor is not licensed as required by law, both the owner and contractor may be cited for af misdemeanor violation
under State--law. If-_the-
the-owner or=intendedt contractor are uncertain as to what.licensing requirements may apply for the.
intended work, they are advised to contact the Pasco County Building Inspection DiVisiCin—Lic6rising Section at 727-847-
8009. -Furthermore, 1f..the owner has; hired'a 'Contractor or contractors,,.he is- advised to have the contractor(s)i sign
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 indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION,IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use-in existing buildings, or expansion of existing buildings,-as specified in-Pasco County Ordinance number 89-07 and
90-07, as amended. The-undersigned also understands, that such fees, as may be due, will be-identified at the time of
permitting. It is further understood that-Transportation.Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or-final power release. If the project does not involve a certificate of occupancy or
final.power release, the fees,must be.paid prior to permit issuance. ,Furthermore, if,Pasco County Water/Sewer Impact
fees are due,they.must-be paid-prior to permit issuance in accordance,with applicable Pasco County ordinances-.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a&,amended): If valuation of work is t2,500.00 or more, I
certify that 1, the applicant, have, been -provided with-a copy of- the "Florida Construction Lien Law—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 I have obtained a copy of the above described document and-promise in good faith to
deliver it to the"owner"prior to commencement..
CONTRACTOR'S/OWNER'S-AFFIDAVIT:- I certify,that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work''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 in the jurisdiction. I also
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 limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
- 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 Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agenby-Asbestos�abatement.
Federal Aviation Authority-Runways.
I understand that-the following-restrictions apply to the use of fill:
Use of,flill-is not allowed in Flood Zone"V'unless expressly permitted.
If the fill material ls�to be used in Flood Zone "A", it 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 fill will be used only to fill'the area within the stem wall.
If fill material is to be 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 affect-adjacent properties,- the owner maybe cited for violating
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, I promise-in good faith to inform the owner of the permitting conditions set forth in
this;affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells,- pools, air conditioning, gas, or other installations not-specifically included in the application. A
permit issued shall be construed to be.a license to proceed with.-the work and not as authority to violate, cancel, alter, or
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,plans, construction or'violations of any codes. Every permit issued shall become invalid *
unless the work.authorized by such permit is commenced within six months of permit issuance, or K work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be-requested, in writing, from the Building Official fora period not to exceed ninety (90) days and will demonstrate
justifiable cause for4he-extension. If work ceases for ninety-(90)consecutive days,the job is consiA,nred abandoned.
WARNING-TO OWNER: YOUR FAILURE TO RECORD A NOTICE OFCOMMENC E AY RESULT IN-YOUR�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF INTEND T I rX A Fl"NCING; CONSULT
-ATTORNEY BEFORE RECO "WITH-YOUR LENDER OR AN* RDIN OUR NNOTICE F 0 ENCEMENT.
FLORIDA JURAT(F.S._1_fT03)--
OWNER OR AGENT CONTRA TOR
Subscribed and'swom to(or affirmed)before me this Subscribe nd t ad) e a e-ine-th
by by
Who Is/are personally known to me or has/have produced Who is%re personally t me or s/h ve produp6d
as identification. S lrii U ntibeal(fion.
Notary Public 0 Notary Public
Commission No. Commission No._�
Name of Notary typed,printed or stamped Name of Notary typed,prinled-o—rstaT.Kd
CARLOS MALDONADO
XCOMMISSIOn#GG346275'
.7 Expires June`18,2023
FBmWedft Tmy Fain Wumnw8wW,3%Ws.?c19
DISCLOSURE STATEMENT: FOR OWNER
CITY OF ZEPHYRRILLS BUILDING DEPARTMENT
I, '11-nna C)rf)51" have read and fully understand and
agree to the provisions of his 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 mus ork under y d rect supervision and must be
employed by you, which me 13 that yo m st deduct F.I.C.A. and withholding tax
and provide workers t3lon a employee, all as prescribed by law.
Your construction -Usomcpoetn wit p able laws ordinances, building
codes, and zoning L re - n
Via-10
OWNER'S SIGNATURE DATE 2
ADDRESS P)W!5 q1b
PHONE
WITNESS PERMIT #
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fCLF 0.3' N. of line ` N
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South tine of Tract 27 :c7-'t tS A'Z v e�'�ue
North Line 9!h Avenue - _ ��' - - � . l South Kne of Tract 26
4Q;_R/4V'- PavemOn( -Width Varies North tine 9th avenue
-----------------
ahn Walsh, Professional Surveyor & Map er
3100 PPasco Road San Antonio, Florida 33576 Additions or deletions to this SUrvo mop t)t f�A011 by other (}� �..i
Phone: 352)5i36-ssso Email.LLL.=.
6ng poly prohibited without tir><itfen conserrt DI
Professional License number P51S � � s1911iv PIP
t:Jenna CrosleyHIDE valid urilhouE the signature and the orr faat "y"-----
afa7=/orid�lraonsed SUNeyor an({m� 9 r of Survey: gjg/4n0I9 ' de Peer• order number: IV19-0402
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