HomeMy WebLinkAbout19-21863 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21863
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21863 Address: 37722 GEIGER RD
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: 10-26-21-0080-00000-0080
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 10/08/2019 Name: SIMPLE SOLUTIONS SALON LLC
Total Fees: 85.00 Address: 26221 PHEASENT RUN
Amount Paid: 85.00 WESLEY CHAPEL, FL. 33544
Date Paid: 10/08/2019 Phone: (813)380-7815
Work Desc: INSTALLATION 114 FT X 6 FT PVC FENCE
CONTRACTORS APPLICATION FEES
FAMILY FENCE COMPANY OF FL 1 (813)571-5946 FENCE 55.00
CONTRACTOR CERTIFICATE 30.00
C
FINAL Ins ections 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 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
Phone Contact for Permitting F(
......... .......... .....rrv"rrrf........ .... ........ ............... 113=
Owner's Name Owner Phone Number 3
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION- PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER b,,JC__,
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK r .1 \C) C_
BUILDING SIZE, SQ FOOTAGE= HEIGHT C��
11iiiiHow 4-444 11
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
[ GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE _ GISTERED UY A FEE CURREN Y/N
49
Address License# I cis
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
- 7Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j
Address License#
MECHANICAL COMPANY'
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J
Address F_ License#
OTHER COMPANY
SIGNATURE REGISTERED Y/.N FEE CURREN LILN__j
Address License#
HHHHi _11-444 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I HHHHHH!-Hf HHHHHHHH
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 d6impster,Site Work Permit for subdivisicns/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:
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,'a'koiicei.�f Corjinriencemenf Iii'646irod.:. (AIC upgrades over$7500)
Agent(for the contractor}.prFpwar,9f Attorney(for,the'owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PEkMJTTINd% ,(6opy oi;c8ntr6ci2i4,equired)
Upgrades-A/C' -Fences(Plot/Surveyffioolage)
Reroofs if shingles- ewers
Driveways-Not over Counter if on public roadways..needs 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 localregulations. If the
contractor is not licensed as required by law, 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. 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 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 the4time 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, 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 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 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 "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 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'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 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.
-----. IDA- -RAT(F:S:117:fl3)-_
OWNER OR AGENT - CONTRACTOR
Subscribed and sworn to(or affirmed)before me this subscribed and sb rwo to( ffirm d)befor m this
Who is/are personally known to me or has/have produced Who is/ar ono y to me or has/have produced
as identification. as identification.
0
Notary Public tt,e. IEIt 1 Notary Public
Commission No. Commissi . o. AANVIEUN9 goals
* 's>�Cc,�ulaslitort#i#27134bT
Name of Notary typed,printed or stamped Name of Notary typed, ri �t ,,�lrarFs:nscn �b9[B•7p1fl"'
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MAP OR SURVEY,`
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