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Home My WebLink About19-21450 CITY OF ZEPHYRHILLS r 5335-STH STREET • (813)780-0020 21450 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION '.°ems Permit Number: 21450 Address: 604512TH ST Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):5 Block: 1 Section: Square Feet: Subdivision: TYSON Est. Value: Parcel Number: 02-26-21-0080-00100-0056 Improv. Cost: 4,650.00 OWNER INFORMATION Date Issued: 7/02/2019 Name: CHAMBERLAIN STARR Total Fees: 55.00 Address: 6045 12TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/02/2019 Phone: (813)377-5858 Work Desc: INSTALL WOOD FENCE 204FT X 6FT CONTRACTORS APPLICATION FEES HOMEOWNER FENCE 55.00 OF 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 &-- fWA4 P 7 CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL 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 0 I =] -Phone Contact for Permitting rrrrr= ... ........ .......... Owner's Name Owner.Phone Number Owner's Address Owner,Phone Number Owner Phone Number, JOB ADDRESS LOT# SUBDIVISION ,PARCEL ID#1 (OBTAINED FROM PROPERTY TAX NOTICE). WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCKQ FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE= HEIGHT 44 14- ............. =BUILDING J$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q DUKE ENERGY Q W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING F__J SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/.',N J FEE CURREN Address License J ELECTRICIAN COMPANY, SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F_ PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LXLN_J Address License MECHANICAL COMPANY' = SIGNATURE' REGISTERED Y/ N FEE CURREN L_Y_LN__j Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURREN, Address License# I I I I I I I I I ff +1+ RESIDENTIAL Attach(2)Plot Plans;,(2)pets of:Building Plans;.(I)set of Energy Forms;,R-O-W Permit for new construction, Minimum ten(1D). working days after submittal date. Required onsite,Construction Plans;Stormwiter Plans w/Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsAarge 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,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must i me et 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(fouthe 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)e) Driveways-Not over Counter if on'public fpaidway'' s.,;Aeeds ROW.: 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 owner 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 fora misdemeanor violation understate-law. If the-owner or intended,contractor are uncertain as.to what licensing requirements nts may apply for the. intended work, they are advised to contact the Pasco County Building Inspection Division Licensing Section at 727-847- 8009. Furthermore, If 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. Ifyou, astheowner-signasthe contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION,IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands thatTransporlation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, chongeof 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 isJurther 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,Patco 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, as,,amended): If valuation of work-is'$2,500.00 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,ArFIDAV.IT:.,I certify.that all the information in this application,is accurate-and that all work will be done in compliance with all applicable e 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-Seawalit, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US"EnVironmehtal Protection Agency-Asbestos-abatement.- Federal Aviation Authority-Runways. I understand that the-following-restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"W unless expressly permitted. - If the fill material is,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 '!K 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.may be cited for violating ng 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, 1promise-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 F plans, construction or violations of any codes. Every permit-issuedcthalll become invalid 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 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 for-the.extension. If work ceases for ninety-(90)consecutive days, the job is considered a-bandoned. WARNING TO,OWNER: YOUR FAILURE TO RECORD A NOTICE.OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO-YOUR PROPERTY. IFYOU.'INTEND TO OBTAIN-FINANCING;CONSULT WITH YOUR-LENDER ORAN-ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER 00 AGENT CONTRACTOR",�_ � 5u6i-c-riVed-iin—dsworn t6-(6r affirmed)heforem6 this-- (or-affirmed)-before-me'this- by Sub-scribeid and sworn-to by tame or has a ro ad has/have produced Whq is/are person Ily kn Who is/are personally known to me or has to n as identification. S I :ntificaflo Notary Public /7 Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped— Name of Not CARLOS MALDONADO Commission#GG 346275 cPor Expires June 18,2023 8..dWT1gvTmyF&lmw%04X5-7019 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, have read and fully understand and agree t,crthe 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 ctually 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. 5. 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 SIQNAT del 0-11, DATE Z L-1-121q ADDRESS taO(IS f1tr Z_ PHONE 0_3- 3 9 9 WITNESS PERMIT # { _.. S� � � �� }.3 �_ - 1 F� � ' sFT""' ��P.ES�`��tAP=^Si y._ ` •� :.n,._.m.._.. � . wq.._._..t"SS AIL -04 ITT LiLU ti' _— •°�'�, _ii•4 e� .as a�. a; roa, aw .�� `�'' �. `. �de: .. '• ,''� �� ,. i 4JOl O'll NO 1360 3• 742- , NO. lie*I - -~- jf�'LLt - NO t *o E N z �� d-) W PX-ION