HomeMy WebLinkAbout19-22162 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22162
` FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22162 Address: 5913 20TH 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: 11-26-21-0010-04600-0010
Improv. Cost: 1,800.00 OWNER INFORMATION
Date Issued: 12/12/2019 Name: MICHELLE D CRUMPTON
Total Fees: 55.00 Address: 5913 20TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-3839
Date Paid: 12/12/2019 Phone: 813-679-7634
Work Desc: CHAINLINK 4FT X 62F( FRONT YARD)WOOD PANELS 6FT X 56F (BACKYARD)
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 55.00
0
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
C NTRA TOR PERMIT OFFI
PER XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813a80-0020 City of Zephyr-hills Permit Application FaK-!813-780-0021
Date Received ,�a
Phone ContPOLfor Permitting : ,.� •� _
"Owner's.Name'' 16 Q (i -.OWner,Phons;Nurhber."
:Owner's Address'
f- :OwnerPhone�Numb®r:'
- ,. �� 1 I"l`S• � - •:Owneir,Pfion®iNiimtier:' � .
LC
JOB,?ADDRESS +; f J D L'OT'#/• 7771
,SUBDIVISION PARCEL los'l
:.
(OBTAINEb"FROM%PROPERTY TAX NOTICE);.'_:'
WORK�PROPOSED "NEVIFCONSTR` ADD/ALT'' '_ '' `'SIGN: ' :;DEMOLISH '
:'. INSTALL;= 8'1. REAAIR. ,.
PROPOSED USE' SFR 'COMM`` OTH
TYPE`OF CONSTRUCTION BLOCK FRAME' ;STEEL
D64P: TiQN,OF`INORK Ql. . 6 �,l7
BUILDIN..G.SIZE. �t.$Q'FOOTAGE� :HEIGHT;'
- .
: BUILD.ING., $ ALUATION'OP=TOTAL-C.'ONSTRUCTION '
. . , . � :
EL•ECTRICAL:' $ ' AMP'SERVICE O.UKE'ENERGY. yVdR.E G:•
=MECHANICAL $ VALUATION:,OFMECNANICA4�INSTgLLATION.
=GAS = ROOFING '0 '1SPECIACTY• Q_." OTHER':'
FINISWED`FLOOR'ELEVATIONS'''`:` FLOOD''ZONEi4REA =YES NO
BUILDER 9 COMPANY
SIGNATURE '�RRBGISTCREb>° Y f'N ' "'FEE'cuRREn Y•%N
.Address i.
ELEC'pTRICIAN. COMPANY.-
SIGNATURE " REGiSTERED '" ;'~Y/'_N ' P0fdURRER--' '",Y:LN
.Address: ,.• •, . .�ktcert`se;#.' - '
PLUMBER COMPANY!
SIGNATURE., REGISTEREQ. Y -N'.-,: ffEErCURREA' Y;PN:F•7.
Address License:#
MECHANICALi COMPANY
SIGNATURE= REGISTEMED '.:YF;NE+Culp:; :.Y%N•..'". -
'Address'
OTHER; COMPANY .: '
SIGNATURE,-, : .REGISTERED Y/':'iV FEE`CURREn
Address
RESIDENTIAL Attach:(2);PIoHf?ratt:i:(2)sefsdf;B.uIIdtll'rL?lans°(1:,setlof?Ene Fttirl�ls'R10=1A1ri?ertrilfor?iiew Lrori§Uucfion;:`
9 r, ) �5y
Mlnlr u 4en(10}1NoPking'days`aftet's�ibinlftal date:'Requlred'onslfe,Coristrucdon Plans,Stormuvster Plan�swir/SIIt;Fence lnstalled;r
Sanitary Facilities&1 dumpster;Site Work Permit:for.subdlvisionsAarge projects
COMMERCIAL Attach..(2)_complete.sets•of-Building Plans:plus:a,Lffe1Safety=Page;-(1)set of•Energy:Fonns.,R=0-U1!-P.ertnit-for ne_w construction:
Mlnimum'ten('1:0).v dtking*,days aifeR`su6mittal,date.?.Adoulied.o"nsite,Construction Ptaris;^-StormwaterPlans',w/•Sllt'Ferice;tnstalletl'
Sanitary-Facilitles;4:A•dumpster:Site-Work•Pemilt for all:new-projects.All come eccial.requirerrierits`must;meet.compliance.•> -.
SIGN PERMIT Attach(4S-it6f'E6gineere&Plans:
""PROPERTY$URVEY.requlred'forall NEW.construction.
---------------------------------
Directions:
Fill out application;completely.
Owner-&�Contractor+slgrrback of appllodtlon;.notarized
If over$2500,a Notice of Commencement ls'required. (NC 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• •(oopy:ofcontract•required) ,
Reroofs If shingles Sewers Servlce'U�ig[ades":i4/C� Fen'ces'(Plot/Survey/Footage)
Driveways-Not over.Counter if on publio;rcadways..needs'ROW
NOTIC'E�:OF:DEED.iRESTRICTIONS:- The:under,,g!6 a ur�de sXands•that.this:permit may.•be.subject to"deed"restrictions"
whichj,'n' be•moce;restrictive-than.Countyregulations The°undersigned:assumes-responsibilityfor::compliance.With any
apollca le-':deed::restrictions:
UNLICENSED:'4CONTR,ACTORS:i.AND:itONT.*ttOR'-;RE. :PaNS181�ITIES f t e, r-yha fired a°d r
h S. h..awns -.-or
_`contactors tii.;:uritlertatCe:work'the.�.i fia e"ce uir"' "`:``q..° ,.k Y ;;,- �,q; ed.#o tiemcensed��lii�accor'danee;with'state and local`regtt�attons ..lf_the
cantractoris not:,lcensediwsis-requifetl•�by taw:�both the,owner.:and::_contractar mayx.beci#ed;for`a misiemeanor.violation
understate la 'tf�th&'bwner:or;intetided.,contrac#or are uncertain asto*ftit-licensingrequirerrierits may. 1pfor:the
intej�ded worts;at ey,.;;are ad�ised�to.'ccnfacf=tt e`:'Pasco'CountyBuifding lrU;PgOj o"n'D visian: Licensing,?Section'at•72?=8:47-
8,OU9:: Furthermore;°.;if#tie'owner has.;hired:at contractor; o� coptractors; he !s advised to have:the',contractorf s)aign
Qtirtians of ttie"contras#or;Bioct'"'of5thisapjilication for;which:#Fiey::wiiG lie:responsible''tf yau, as#he:owner sign as the
:c ttac#or;:tt at'm'ay�be'ari ndicatio.n'.th'at`he"is:not.properly lieensed and'is nit~entitled#a permitting:privileges in Pasco
:County:,
-TRrANSP;OIt<TATION;^IMPACT/UTIhI I S IMPACT RIND'R'ESOURGE�RECOVERY FiGES,';The:undersigned=understa[ads
_.. .-,. .
#hat Transportation Impact Fees aittl Recourse:.:Recovery,.Fees mayµc ,Iy to'ttie.;construction..of.;new 6uildings khan of
use=`iri:existirig bulldmgs,;or expansion:af:exisfing"biildRngs,;as`specetl in Pasta•County C}rdirartce;number 88=07_and
90=07..`as°amended•`r.The-'undersigned also understands;th;kt,,s h:fees;,as':may.-be.due;.wIll,be'ider tifed`.at4hel1irne::of
permitting:'.Itsis-,,f 7't�iei;; is a to dn�rti��it'i`tansportatlon°'Impact i=ees:ani Resource:'Recovery tees must be•:paid_priar#o
receiving,;a:°cark sate:of cups c:', ar'final power;release;:. (f,the, ro dct;does notninvolve:a�_aertificate,aof-,'cu •arts ..or.
finai.power4elease; the;fees:rnustrbe°paid-prior.:to=perrrtit:lssiiarlcey Ftartti''ermore;,tf Pasco County WaterlSewer Impact'
fees;:are;tlue tteyair,rstbe.pai' prtdt;to.psm.±t`issuance:;in:'•actor:.danceuvitiappicatite.;PaseaCountyordinances: ;;
CQN.STRUCTIO:�t; ,1EN l.`AVIL(Ch`apte�r 713 ;Florrda Statuteis amen"sled); If,valuation,of-virork•i$:$2;50O:O.Qor
certify-.#Fla#=`t.`:the'a6piicant;shave`t eert provided v+iti -a coj 'cif`they'.,,'iorI—onstrtiction:.:Lien•�l:4 ameawr er s
RrotecfidwGutddr ropare&'1by tl a Florida�beparfinent_of:`Agricultu�e:and:°Consum.er''Affairs.. If:the;applicant:.isxsromeone;.
...�
other{than::the=;"owner", 1 cer:tifrtiatl;have obtained a copy::+pfthe,abave:describeddocument and:.protnrse in'good faith to
h ,....
deli et'it';fo`the"ownerr"'prior ti=ooii rnencement.
CONTRACTTOR':S/ONIN R'.;S;AFF1, 1 1'f~�I ct rtify:ahaf;all:.the,ir�farmatioh fn`this`application:is,acourat"nd:.tF at=ally work
urrili;ire o ne iri,,p,n tiepee_Awith�ali�ap#i[ able�lawsf:reguiatr�r�cohsfraction;zaiiing,and,land=eevelopmerit. Application`is
y
here made o.,'dbtain a:permit:`ao doaSwork.<and:;it stalls ion, s i id sated:= I certif That-no:work•or'�nstallat on .has
commenced pnor:to:'issuance'af a:permit antl:that.all work.will-be.performed::to:•mee�#;.standards..of all.:laws.regulating
con''struction,::Counfy';and:cix,.�S�od�ies :zoning=:regulations; andY[ ndf:development regulations in atsa
certify`that l:understand;the t'e r+ gu7atigns=of.>:ottier,.governmerit•agencies tmay:apply to,the..intended:work,'arid that.if is
myrespansibility;to'ideritify.what=actions!'must:take La be.in comp!lance:. Such:agencies:lncl`ude butare not•:ilrnited;:to::,
Department of:;Environmental:Protection-Cypress-Bayheads,.Wetland_Areas''and'`Environmeritally Sensitive
Lands;-WaterMtastewater Treatment.
- Southwest Florida 1Nater: Management DisErictlNells;: 'Cypress Bayheads, Wetland` Areas, Altering
Watercourses.
- Army.Corps;of:Engineers=S:eawail t,;Doal�s; NaVigeNoIiWaterways: '
Departmetif.;of..Health-.&:Rehabilitative:Serviced1 -ri*6nmehtdf" ealth`Unit-Wells,,:,Waste.water:'�Treatrn,ent;;;
Septic-Tanks: �. ... . . . ,
;US`Envircnmentail;RrotectionAgency..,-Asbestgs;abatement::..
Fe 'et 9.A iatV AutEiarrty-!run rajrc.
1 understantl: at?#f.e-following restrictions:;ap
ply.to the usepf
<Use of fill is;>not=;allov!ed-in> Iuo: =Zori. '°eV"'unlesst,:expressly.permitt.ed:.
!f fits;flll-;material`<is :be tiled:jn i=lood` Zctrie,:.�A";:':its°'rs�',-Uh'derstood ,that`�a:drainage::plan addressing a
compensating,volume";yuilfibe submitted:at.time.of permitting:whichi is.,prti red.by a professional.engineer
.ficereed< y the Stafe::of:Florida:
Af..thd,fill.;material::is.to';'be:used'_in Floodi::Zone;,°AE;,im.connection•with.a permitted.building'usingstem:,wall�';
constryction=.leer#ifyfFit fillwilltie'uVsed_onlytb,�flttle area:within:the:stem:wall
lVfill•:-inaferiaV ls-,.fo•be•:used" i'-"aiiji. area;' I :cerfifjr #fiat`userof;siicli' filfrywill not::adversely'iffect.adjacent
properties: If.;use;of;fill'i'.is fou'nd`to:adyersely,a`ffect adjacent;pfoperties,.1he-owner-hay.be,-aicitedt'for°violating.
""the_condltii ns of the.?urldrng=permit;'issued under1he.attjcheii.permit'.appllcation-,161 Iats`less.than one:{1}
acre;whirl„ace=elevated byrfill;an erng veered:dfajnage:plan is,required.
lf'(°am the AGENT FOR,THE7rOWNEit, l protrttse:ri.gaocJ faith to it forrii^the.o_ner:oUthe.perm, ing;conditions•set:'forth iri +
._ . :
this:affidavit°prior fo:coinmencing;;cnnstructiorr: :•I understand)that�'saparate':permit,may be.required.for;electr'rcat•wgrtc;
plumping„siry'ns;wells pools, sin coed boning,;:gas;,:or.:other lastalI tions:.no#:r pecifically ncluded:in the application: A
pert»it ssiied'sfiail=be construed>toYbe a;license'"to-proceedVith he.wark*ariif not:as-authorlfy:to violates:car>cel,;atter Tar;.:
set-Faside;any.;provislons:of:the.4eehr ical,Bodes;:nor;:shall:issuonod'of-a permit::preventthe,B.uilding.Ufficial:frohit ther,06 er:
regitlring=a:+correcho rof:errors'�r(plans,construction or'violatio k,,6tany.codes:µ:Every;permlt--j4sue&, ll'-:beq`ome 67aild
unless�the'<Work•authorized`bi;such,perrriiit•is::commenced-Vtilthin:six months•.of;•peri;ifissuance;.or:if..;work'authorjzed:f y
theiperitjit„!s'.suspen. ed:ory'abandoned for a•period of six f6):monthsafterthe#rme therwoik°ls:coriamenced:=An,eztension.
may_be4pquested,m writing,-fratn:the Buiidmg..Ofkwi.'for�_e. not{ta exceed ninety f90}days.and wili'deimiDnstrate:.:
justiflobte cause for.the,eKtensiort: if work�ceasesfor:nlnety;(90):consecutive days;.the:job is considered abandoned:'-
WARNING:?0:4WNi Rr- YO.U1�!FAI44RE'TO'•RECORD:Av.NQ,TiCE':;O.F::COMMENCEMENT MAY RESULT;fIN�X010:
PAYING' ; C :FOR i R.=Y EPNTS. :OsYO.0 't'R y.PE, _``;IF. O.',INT.ENQh' O'QI iT `lN,.l= IA , IN:G CONS!,L 7
}, f:A; E. �_ ;MPv.,r xN+ u�'C,..:..x=.., , p Qy�,. , .�,4t.:,_ .,-� ,.�.$,,,. A. C
tl1IITN 0 41.IslVDE t t�`R>A ATTf'JRNEY:'BE`F.tJRE, 2RC NG��Yt)Ui2IVt 7tCE3C1F COMlV11E t ENt NT
FLORID A;`JURAT'(F°.S!41.T0,'_3)�,_ t - . .
OWNER,OR;AGEW `' Y� -- �'` ;, ;;: M;CGN`TPA TOR_;; -
Sub`cirrbe "arich'sKioin`;to,oir:affl __e } 'e ts';a<:•: Sufi'scrip`.` antl'."sworn:to'r(4r.'ffi' ). re .
191 Whovs/ person sown.o me.or tiaslhave pro VJh are:.. ovally krtdwn to:rija,orara .aYe produced,:.
(_ C as•rdeniification. as;. " titivation:-.
Notary Public "Notary.P0b11C'_ ,f
Commission No.
_ Commission'No:
uCIE
t .
Name UNota'ry typed;pdrited or:stamped Name,ot.Notary typ'edi prinXed`or-stamped.
y�,4 ... CARLOSMALDONADO CARLOSMALDONADO
"; Commission#GG 346275
Commission#GG 346275 ,:
o'Expires June 18,2023 ;: 'o'Expires June 18,2023
�S:gF F°P' Bonded Thru Troy Fain insurance 800.385-7019 'j°'�;F x�OP Bonded Thru Troy Fain insurance 800-385-7019
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRRILLS BUILDING DEPARTMENT
-f) ' have read and fully understand and
agree to the provisions of this C &nstrument.
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 ZepIxyrhills
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 10 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 SIGNATURE
DATE , 4 ' !
ADDRESS V El OC
PHONE
WITNESS PERMIT #
..........
American Land Title Association ALTA Settlement Statement-Combined
Adopted 06-01-2015
Hillsborbugh Title, Inc.
ALTA Universal ID:
5320 Primrose Lake Circle
Suite A.
Tampa,FL 33647
File No./Escrow No. : NT1 9-69326
Print Date&Time: December 11, 2019 9:47 am
Officer/Escrow Officer: Nancy Wadsworth
Settlement Location 5320 Primrose Lake Circle, Suite A.
Tampa, FL 33647
Property Address: 5913 20th Street
Zephyrhills, FL 33542
Borrower: Michelle Denise Crumpton
6219 Louisiana Ave
New Port Richey, FL 34653
Seller: Mildred Jane Clark
5913 20th Street
Zephyrhills, FL 33542
Lender: United Wholesale Mortgage ISAOA ATIMA
Settlement Date: December 11, 2019
Disbursement Date: December 11,2019
"Cd-
Financial
Lender Credits to United Wholesale Mortgage 65.00
ISAOA/ATIMA
14-7,800.00 Sale Price of Property 147,800.00
Deposit 1,000.00
Loan Amount 147,800.00
4,434.00 Seller Credit 4,434.00
Pro ratio nsIAdjustments
34.07 County Taxes 34.07
12/11/19- 01/01/20
4.14 Solid Waste 4.14
12/11/19- 12/31/19
Loan Charges to United Wholesale Mortgage
-ISAOA/ATIMA I
0.045% of Loan Amount(Points) 66.51
Copyright 2015 American Land Title Association File#NT19-69326 78
All rights reserved Page 1 of 4 Printed on 12111/19 at 9:47:27AM by Nancy.wadsworth
TommyFinch Fencing LLC
S
Quote J Invoice
Customer Name:14 1
Address:5{.l1 5 gotk 51 i
?-eV hL w lL[(S IR 3�b
Phone: V 3 -(ol 9 - -1 Gaill ?
Email: RLeviiiiate.�ci . Cs'u_mp} p f
Today's Date: rno-, .
17-11-lq
i
Tmmniv Finch nC2 nS-� 60 Dmt im
oq c)
1J
fY1�'Q�17f1 Y PLL Ll� - P�e�t`l _ 24�
Due E
Total ...
Quotation prepared by: Jessica Fiac& So� CC� I q f
This is a quotation on the goods named,subject to the conditions noted below:Prices subject to change after 90 days.Once Contract
is signed.Remaining b2lance due nWn completion of the job.Warranty is as follows:lifetime on labor.Any damages from a -`I
storm or any,other destructions-.%till NOT be covered_Service calls will be S35 for the evaluation of any damages that mere not labor
related.Good side of fence must face out no exceptioms Wtiah We accept any major credit or debit card with a 35%surcharge,
cash,chedl money orders -
To,accept this quotation,sign here and return:
Address:3248 Drermen St Dade City Fl,33523
's
Email:Tommvefirtchfencingcom
phone:352-W-2433 or 352-424-2327 j
i
Y
i
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner: i e 1n e--1 f Oro�p'1
44
Job Location 1 Address: 9 2 ) .3 0 - f l l s 3 25,q
Parcel I.D.M
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE&FOUNDATION INFORMATION
Lo
y\l1)ed DaM<S
ln5�ete
FRONT PROPERTY LIKE
-- STREET
(NOTE EXAARLES 1&2)..
Example 1.- Setbacks for Itl &R2 Zoning Example 2. Setbacks for R3 Zoning
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