HomeMy WebLinkAbout19-21604 CITY OF ZEPHYRHILLS
5335-STH STREET
(813)780-0020 21604
J FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21604 Address: 39717 MEADOWOOD LP
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est.Value: Parcel Number: 13-26-21-0140-00000-0510
Improv.-Cost: 400.00 OWNER INFORMATION
Date Issued: 8/05/2019 Name: JAIMES,MAXIMINO
Total Fees: 20.00 Address: 39717 MEADOWOOD LOOP
Amount Paid: 20.00 ZEPHYRHILLS, FL. 33542-6779
Date Paid: 8/05/2019 Phone: (813)783-4333 1 (
Work Desc: REINSTATE 13P#1 8720 1 X WOOD PENCE 4 FT X
CONTRACTOR(S) APPI Ir-ATION FEES
HOMEOWNER FENCE 20.00
FINAL Ins pectio s,Required
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
CONTRACTOR PERMIT OFFIOFA
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
'��lZiave 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.
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 J�TATURE M y,k M\,C\C) ZI on fl_S DATE [q
ADDRESS A/V
PHONE
WITNESS PERMIT #
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting --
Owner's Name (Yll (1 b t Owner Phone Number - " y33
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL
DESCRIPTION OF WORK 4r e� ✓) ���N W
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ o VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER T COMPANY 1V. 0 WJ)
SIGNATURE k J REGISTERED Y/ N_J FEE CURREN Y/N
Address F License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N F Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN 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 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,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.
Directio14tns:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC 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..needs ROW
NOTICE OF DEEDRESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County 'u|ations. The undersigned assumes responsibility for compliance,with,any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired o 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 |om/, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fudhermone, if the owner has hired m contractor or oontrautoro, 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
controotnr, that may beon indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION YMPACT/UTVLKTyES 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 bui|dingo, or expansion of existing buUdings, as specified in Pasco County Ordinance numbgr8Q-O7 and
90-07. as amended. The undersigned also undmrotanda, that such fees, as may bedue, 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 ^cartUinoha of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power na|eoom, the fees must be paid prior to permit issuance. Furthermore, if,Pasco CountyVVohnr/Smvxar 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 emnended): |f valuation of work io $2.5OO.D0or more, |
certify that L the appUmant, have been provided with e 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 bto the^ovvner^prior hocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will bm done in compliance withoUapp|ioab|e |avvsnegu|o1ingoonstruotion. zoningend /anddeve|opment. Application is
hereby made to obtain o permit to do work and installation as indicated. | certify,that. no work or installation has
commenced prior to issuance of permit and that all work will be performed to mmmd standards of all laws regulating
cnnotru(dion. County and City uodmn, zoning regulations, and land development regulations in the jurisdiction. | a|eo
certify that | understand that the regulations of other government agencies may apply to the intended vvork, and that it is
my responsibility ho identify what actions | must take bobaincompliance. Such agencies include but are not limited to:
' Department of Environmental Protection-Cypress Bayhamde, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment,
- Southwest Florida Water Management Oiatriot-N/e||o' Cypress Boyheado, Wetland Areoo, Altering
Watercourses.
- Army Corps ofEnginmers-SeavvoUs' Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit4NmUs, Wastewater Treatment,
Septic Tanks.
- U8 Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runwmyo.
| understand that the following restrictions apply to the use offill:
- Use of fill is not allowed in Flood Zone"V^unless expressly permitted. `
- |f the fill material is to*be used in Flood Zone ^A^' it is understood that a drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
' If the O|| mohnrio| is to be used in Flood Zone ^A^ in connection with a permitted building using stem vve||
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, ( certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnoperties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots /aaa than one U>
acre which are elevated by fill, on engineered drainage plan is required.
/f| am the AGENT FOR THE OWNER. | promise in good faith to inform the owner.ofthe permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical vvork,
p|umnbing, uigns, vvaUs, poo!e, air conditioning, gaa, or other installations not specifically included in the application. 8
permit issued ohoU be construed to be o license to proceed with the work and not as authority to vio|adm, oance|, alter, or
set aside any provisions of the technical codas, nor ahoU issuance of 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
un|amo the work authorized by such permit is commenced within six months of permit iosuance, 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 nequostad, in wriUng, from the Building Official for a period not toexceed ninoty /9O> days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TKJOWNER: YOUR FAILURE TORECORD 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.
FLORIDA `F_ --'
OWNER OR CONTRACTOR
Submribed and sworp Jo(or affirmed)before me this Subscribed and sworn to(or affirmed)before-me this
Notary Public Notary
Public