HomeMy WebLinkAbout19-20926 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20926
FENCE PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 20926 Address: 5825 17TH 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: 11-26-21-0010-07400-0010
Improv. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 3/05/2019 Name: HERNANDEZ-RIVERA, ROY
Total Fees: 55.00 Address: 5825 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL 33542-4450
Date Paid: 3/05/2019 Phone: 386-315-1490
Work Desc: INSTALLATION VINYL FENCE 146FT X 6 FT
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 55.00
Ins ections Required
FINAL
REINSPECrION.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
Ta_4a� &_ f"07
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 Zephyrhiils Permit Application rax-o ia-rau-uu/
Building Department
Date Received' - 5 / 9 Phone Contact for Permitting =9D
Owner's Name �� t �� '�d�Z- Owner Phone Number - S-6 �-3 iS_- i
Owner's Address Z 1 74 t Owner Phone Number
Owner Phone Number �—
S Ss z 5 J 7 Afi 5 t ��'-e 1- Z_ LOT#
JOB ADDRESS 7
SUBDIVISION PARCEL ID# —2�2 r� 120(0 i d
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR� ADD/ALT SIGN Q Q DEMOLISH
INSTALL —� REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK /= FRAME 4 � STEEL Q
DESCRIPTION OF WORK2+V`.C��--
BUILDING SIZE F SQ FOOTAGE t9, r HEIGHT
---�BUILDING $ECS ALUATiON OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$ �
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANYx
SIGNATURE REGISTERED Y/ N FEE CURREN
Address r License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY L—
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N �j
Address 7 License# I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN J Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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&1 dumpster;Site Work Permit for subdivisionsharge 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&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$7500)
Agent(for the contrac#or)or Power of Attorney(for the owner)would be someone with notarized_Letter from owner authorizing same
OVER THE COUNTER PERMITTING,p;},,c,-(copyof;oonfrac.(:regUit•ed) +,?
Reroofs if shingles } Sewers ;,_;;1�;$ )aiFe trdes:iYC:;:. ;Fences(Plot/Survey/Foota(ae)
�p
rtF `• .:- 1-11 k ; .� ,5,i " ,�i:r,' :ii?i:`ti7•.4 ;i
Driveways-Not 9Ja'r,C6Unterrif orb, ybiic�oa}tl'yi�a s, eedFQW
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 maybe required to be licensed in accordance with state and local-regulaJons. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemea or violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may pply 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) 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 properly 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 building, 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,Wate r/S Iwer 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$2,500.06 or more, I
certify that I, 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 Lt 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, 9nd 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,Water/Wastewater 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 Agency-Asbestos abatement.
- Federal Aviation Authority-Runwpys.
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 "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 may be cited or 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 if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. A extension
may be requested, in writing, from the Building Official 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 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.
FLORIDAJURAT
OWNER OR AGENT�l CONTRACTOR
Subscribed and sworn (or a i ed before me this S s ed grid sword ( r af�me )before me this
9-5=L°r_by '��a'4�1.— Y1onC��2 by a04 �1�d
Who is/are persona fly knows to me or has/have produced Who i are personally knowr o e or has/have produced
FL. b 96&_U� as identification. ) [-• l 1&s;� _ as identification.
%Co-- Notary Public Notary Public
C Omission o. Co ssion
Name of No ry pr6ptDa Name of Nota tX rjntV0U6Al
Comm�wo =�.�' =ctxnmis m 6 GG 276451
12,2022
•- :*:
;. :o ExPltes Oet�mber � 7ot9 x �Y: fExpltes December 12,2022
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RIGHT OF WAY ASPHALT PAVEMENT::: : :::::::::: :::::::' :::::::: ::::::::: :::::::::ti::::::: ::: =::a i.:
-......PLATTED R
..EDGE OF PAVEMENT'=: ;'.:.:...........................::............................:. ...::..
....... ......... ...F
J�v': FH 4
GW Rev . -
140' (P)(� LF�—I
uP GW N 6 oo'6b` E 139.9 GIN
24'
FCM 4"X4" c FCM 4'X4"
(NO #) (NO #) 20 10 0 20
cr m
LOT 22
LOT 1 c`Oa
BLOCK 74 BLOCK 74 •t. a
... .... SCALE:1"=20'
30.0•
26.0'
t m
z r 21.3'Ot
LOT
BLOCK 174 � w p; LOT 2 :.W•, `',::' = t ,-., : 4' WALK. :�:?�:(n SURVEY OF: (DESCRIPTION AS FURNISHED)
BLOCK 74 w Fn 5.3' a w ;3
3 -how :cnH R,: LOTS 1-3, BLOCK 74 OF A MAP OF THE TOWN
U z o ONE STORY MASONRY STEPS °s w::o.= OF ZEPHYRHILLS AS RECORDED IN PLAT BOOK 1
W.4 RESIDENCE #5825 � ta�;.
.: WITH ROUNDED CORNERS" W"�x: PAGE 54, OF THE PUBLIC RECORDS OF PASCO
S a M z b w.:,c�.
$ _ 5.9' N COUNTY, FLORIDA.
wL
m ZrL. CS Li
STEPS 13.4' 30.1'
LOT 20 LOT 3
BLOCK 74 _ METAL BLOCK 74 n
SHED 8 1 m BLOCKS
pl UB
i
# FIR 1�2" ~� ` - w •' ~�' FIR 1/2" 20' CERTIFIED TO:
(NO CAP) s 89•s5'or E i40.0W (No CAP)
LOT 19 (F) ...:;....
ROY HERNANDEZ—RIVERA;
BLOCK 74 140' (P) ABSOLUTE HOME MORTGAGE CORPORATION;
LOT 4 BLOCK 74 FIRST AMERICAN TITLE INSURANCE COMPANY
SOME PORTIONS OF THIS ORA"NG,ESPECIALLY FENCES AND OB,ECTS NEAR PROPERTY AND BUILDING LINES MAY HAVE BEEN EXAGGERATED FOR GRAPHICAL PURPOSES AND MAY NOT BE TO SCALE.MEASUREMENTS AND DIMENSIONS
SHOWN HOLD OVER SCALE SYMBOLS MAY NOT BE TO SCALE.ANY USE OF AN ELECTRONIC COPY OF THIS SURVEY I$AT RE-USERS SOLE RISK AND WITHOUT LIABILITY TO THE SURVEYOR. BOUNDARY
OU Ind Y SURVEY
+j R EY
SUBJECT PARCEL APPEARS TO LIE IN FLOOD ZONE(S) X ` PER THE FLOOD INSURANCE RATE MAP COMMUNITY PANEL No. 120235 0456 F DATED: 9 26 14 F.B.# N A j�ufj/i �}ll �{�/
TYPE OF DATE OF NOTES: ' TYPICAL LEGEND P/E -POOL EQUIPMENT HAJ -HEATING AND/OR COOLING UNIT /��
DRAWN CHECKED WORK FIELD 1.NO EXCAVATION WAS PERFORMED TO VERIFY THE LOCATION OR EXISTENCE OF ANY WV -WATER VALVE WIC -WELL EQUIPMENT - w— -OVERHEAD LINES AC/+LU—SURV
BY BY PERFORMED WORK UNDERGROUND IMPROVEMENTS,NO BUILDING OVERHANGS SHOWN THIS DATE GI -GRATE INLET WM -WATER METER PLS -PROFEb'S7ONAL LAND SURVEYOR
2.THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE REPORT.NO WP -WELL PIPE 4r -CENTERUNE SIR -SET 1/Y IRON ROD&CAP PSM#6129 SURVEYING AND MAPPING LLC
21 17 ° INSTRUMENTS OF RECORD REFLECTING EASEMENTS,RIGHTS-OF-WAY, AND/OR Co -CLEAN OUT (D) -DEED/OESaaPTION PSM -PROFESSIONAL SURVEYOR AND MAPPER
OG DR BOUNDARY SURVEY 7
/ / OWNERSHIP WERE FURNISHED TO OR PURSUE?BY THE-UNDERSIGNED OTHER THAN SE -SCREENED ENCLOSURE (P) -PLAT BE -DRAINAGE EASEMENT
THOSE SHOWN HEREON. GONC -CONCRETE UE -UTILITY EASEMENT 4440 SPRING LAKE HIGHWAY
tF7 -FOLD DIMENsaN 3.NOT VAl1D UNLESS EMBOSSED WA7FH THE SURVEYOR'S SEAL YM -MANHOLE EUE -ELECTRIC UTILITY EASEMENT BROOKSVLLE' FL. 34601
4.ELEVATIONS(IF SHOWN)ARE BASED ON ASSUMED VERTICAL DATUM. CS -CONCRETE SLAB FCM -FOUND CONC MONUMENT EPUE-ELECTRIC POWER UTILITY EASEMENT
5.RE-USE OF THIS SURVEY FOR PURPOSES OTHER THAN W49CH IT WAS INTENDED, UP -UTILITY POLE FIP -FOUND IRON PIPE PUE -PUBLIC UTILITY EASEMENT _ (Bi3)949-6506
WITHOUT WRITTEN VERIFICATION,WILL BE AT THE RE-USERS SOLE RISK AND WTHOUT SN&D =SET NAIL.&DISK PSM,,5129 FOR -FOUND IRON ROD CARP-CORRUGATED METAL PIPE FAX (813)856-4541
LIABILITY TO THE SURVEYOR,N07HING HEREIN SHALL BE CONSTRUED TO GIVE ANY LP .-LIGHT POLE FN -FOUND NAIL RCP -REINFORCED CONCRETE PIPE ACCUSURV AI COM
RIGHTS OR BENMTS TO ANYONE OTHER THAN THOSE CERTIFIED TO. MP -METER POLE FN&D-FOUND NAIL&DISK PVC -POLYVINYL CHLORIDE!' 00,
6.BEARINGS ARE BASED ON THE NORTH BOUNDARY OF LOT 1 BLOCK 74 PS -PHONE BOX FIN '_�,,,,-FIRE HYDRANT ELEV.-ELEVATION ,i5" ':' ,
ASSUMED TO BEN 9DO0'OO'E 7V -CAJ3LE TEtElISION BOX OW-GUY WARE CC -COVERED CONCRETE
7.SOME PDRrroHS OF PLAT NOT LEGIBLE. EB -ELECTRIC BOX LS -LICENSED BUSINESS DARREN KIRK GIBBON P.S.M.# BOOT
SCALE:1"=20' JOB #1707-016 JET -ELECTRIC TRANSFORMER X4 P-EXISTING ELEVATION -7/21/17
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYREXLLS BUILDING DEPARTMENT
f,41&rk. have read and fully understand and
agree to the provisions of this instrument.
Theupdqrsigned-statesznd 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.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zeybyrhills 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—regu;ations.
OWNER'S SIGNP21MIE DATE 3 -5
ADDRESS
PHONE
WITNESS PERMIT #