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Home My WebLink About20-22480 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22480 FENCE PERMIT P ,-,PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22480 Address: 39106 6TH AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR HEIGHTS Est.Value: Parcel Number: 12-26-21-0030-00100-0280 Improv. Cost: 500.00 OWNER INFORMATION Date Issued: 2/14/2020 Name: EDWARDS, JANICE Total Fees: 65.00 Address: 33541 ARCH LN Amount Paid: 65.00 ZEPHYRHILLS, FL 33542 Date Paid: 3/18/2020 Phone: 813-610-8353 Work Desc: INSTALLATION 63 FT X 4 FT CHAIN LINK FENCE CONTRACTORS APPLICATION FEES LOWE'S HOME CENTERS INC (407)832-8085 FENCE 45.00 CONTRACTOR CHANGE 20.00 FINAL Ins ections Required REINSPECTION FEES:(c)With respect to Rennspection 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 Sa c �- CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Jacqueline Boges From: Jacqueline Boges Sent: Thursday, March 5,2020 9:03 AM To: Jacqueline Boges Subject: RE: received 39106 6th ave Monica ms Janice has already purchase a chain link fence permit#22480 if your company would want to do a change of contractor for$30 and sign onto the permit would be best . Thanks again... Jackie Boges 813-780-0020 ext 3513 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He Himself we have."Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. From:Jacqueline Boges Sent:Thursday, March 5,2020 9:01 AM To: 'MONICA WATSON'<MWPERMIT@msn.com> Subject: received 39106 6th ave See new ordinance for fence installation chain link has to be color coated no longer gray maybe installed in the city limits.The cost of the permit will be$45.00 and it is ready for pick up. Jackie Boges 813-780-0020 ext 3513 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He Himself we have."Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail i NOTICE: OF DEED RESTRICTIONS: Th 3 Urr erslgried understands that this pernrilt rrlay be subject;to "doedt' restrictions"-: which may be'more rostric;tive'than Coun y rEa ulatlons. The undersigned assurnus responaibillty for coml)Mn;e with siny appil(mble deed restrictions, UNLICIENSED CONTRA(oTORS AND GON RACTOR RESPONSIBILITIE11:4: If the owner has hired is contractor or contraactors to undertake work, they may 7e required to be licensed In accordance; with state and local regulations. 11' the contractor is not, licensed as required b, I law, both the owner and contractor, may be cited for a misdernearior violation under' state .law.; If the owner or IntendlacA co itractor are uncertain as to what ilcensing requirements rruay;apply for the intended work, they are advised,to contal t thej Pasco County Building Inspection DIvislon--•Licensing Sectlorl at 727--847- 8009, Furthermore, If they owner has hired a contractor or contractors., he Is -;advised to have the contr,.actor(s) sign portions of the "contractor Block" of this Iappli�atlon for which ttioy`wlll be iEje,ponsibie, If you, as the owner sign ,its the contriactor, that inray be an indication th<a he Is not properly licensed and is not entitled to permitting_ privileges In fiasco County, _ TRANSPORTATION IMPACT/UTII_ITIE' IMPACT AND RESOURCE RE.COVI_R'Y FEES: The undersigned understands fhiat Transportation Impact Feiss and Re ours Recovery frees may apply to the oonstruction of new buliidirlgs:, change of use in existing buildings, car expansion o exl,ting buildings, as specified In Fusco County Ordinance number 139-07 and 90-0'r, as amended. The undersigned to So a dorstands, that such fees, as may be due, will be Identified at the time of permitting. It Is further understood that 'ran portatlon Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or intaI ower release; if thie project does not Involver ar certificate of occupancy or final Dower release, the fees must be p Id Pr or to,permit Issuance. . Further'mc5r i li' Pasco,County Watelr/Skmier' Impact fees are due, they must be paid prior to 1)EsrrnI Is In accordance with a!)pllc<ables Pasco County ordll'rtanc;l_:s, CONSTRUCTION LIEN LAW (Chtapter 'V1,11, Florida Sltattttes, a, amende:d): If valuation of work Is $2,1500-00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien LaHr•-•Homeow1'10r's Protection Guide" prepared by the Florid a Department of Agriculture and Consumer Affairs. If the applicant is sorneone other- than the "owner", I certify that I hav , ob atried a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cornmenoMM011t, CON'T'RACTOR'SIOWNEER'S AFFIDAVI •: I certify that all the Information in this application is accurate and that all work will'be done In cornpitance with all applicable laws regulating constructlon, zoning and land development. Application is bereby made to obtalin a permit to do work, and InstEillatlon as Indicates;, I cetrtify that no work or Installation has commenced prior to Issuance of a perryilt ar+d that all work will be performed to meet standards of all law:, regull:ating construction, County and (',ity codes, z ning regulations, and land development regulations In the jur-Isdlction. I also certify that I understand that the regUlatiiii no c f other gove'rnment-tagencles may apply to the intended work, and that it is my r,l:)sponslbility to Identify what actions rrlu,t 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 Dlstrlct-Wells, Cypress B ayheads, Wetland Areas, Alto:ring Watercourses, Army Corps of Englneers--Setawal s, Docks, Natvigable Waterwayfs. Department of Health $ R Ilakfl itative Services/E:nvironmental Health Unit-Wells, Wastewater Trelatn•ient, Septic;Tanks, US,Environmrantal Pro•tec;tlo Agency-Asbestos abatement, Federal Avlatlon Authorlty-Ri S. I Lind erstand that the following restriction apply to the use of fill:, Use of fill Is not allowed In Flood 'Zone "V" unless expressly permitted. If the fill material Is to be Iusec� in Flood Zone "A", It Is undersitood that al drainage plan alddrelssing a "compen:lating volume" will be I bmitted at time of permitting which Is prepared by a professional E:nciirreer licensed by the State of Florilda, If file fill matorlal is to be used n Flood Zone "A" In connecl;lcln with a perrrlitted building using stem wall construction, I certify that frll�vill be used only to fill the area within tlle stem wail;. If fil material Is to .be used in any area, I certify that use of such fill will not adversely affect adjacentproperties, If use of fill is fc and io adversely affect adjacent properties, the owner may be cited for violating the:conditions of the buildinlcf pe:lmit issued under the attached permit application, for lots less than ane (1) acre which are elevated by f 11, •ar engineered drainage plan Is required, If I aim the AGENT FOR THE OWNER, promise In good faith to Inform the owner of the permitting condil:lo"ras set forth in . this affidavit prior to commencing constluctioln, i understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air condi loninig, gas, ar other Installations not specifically includes; In the application, A permit issued shall be construed to bet e,n Iicse to proceed with the work and not as authority to,vloiate, ct�rloel, altr:;r, or set aside any provisions of the technical cod s, nor shall Issuance of a permit prevent the 13ulldlrig Official from thereafter requiring a con-,Iection of errors In plans, cons,tructlon or violations of any codes, (Every permit Issued shall b°ecome Invalid unless the work authorized by such permit Is commenced within six months of permit Issuance, or If work authorizE:ld by the permit is suspended or abandoned f 1I• a�erlod of slx (a) months after the time the work Is commenced,:An extension may be requested, In writing, from the Build ng Official for a perlad not to exceed ninety (90) drays and will,1dE:morlSirate justifiable cause for the extension, if wo}k co ses for nil-lety (90) consect.ItlVEr daays, th�Job is considered aktartdoned, OUR WARNING,, TO; OWNER; YOUR F�4IL IRE TO RECOi3,b A NOTIF YUrJ Itd'r MM TO Of�TA NIFINANII�III f`i,7C(�t .)- PA`/ING 'F1rVICN FOR IMIPROVEP/IE,NT, TO YOUR PR EWER WI'1'lt YOUR LI.NDER 0 AW_A'1"1OR E'Y_ EFORE RE CORD1 G YOlLR_N_OTICE OF t:�OMViME NCEMI _UILT, Ft.QRIDA J1JRAT(F.3. 11 3) UWIVIEiR ioR GEN •------•-- 1•Qlua_ oribed an rm �fyyre' m his Subscribed and sworn to(or afflrmed)before me this - --i� duo d ._b Who Is/are personally la�own to mt3 or has/hdvo produced Islare p nall_ _ o me or has/have p oduc d _--�— as Identification. Identlflcdtlon - -- --- Public -----_—__—. ----- Notary Public MY CO MISSION#GG 135667 Commission —"- 001111f ', r Bonded Thru Notary Public Underwriters --------•--- �— Namo of Notary typed,printedi or s:tamped Narncl of Notary typed,printed or stamped ^� L e310076=RRDWrd CeDI36AtA"n%awa-W? CONTRACT# 0153560 LOWE'S At1rT10RrZE0.REOREp EIrTA, NUMOGIL CUSTOWR* �) STORE NO. :STREET t !f J !(/G* STREET ADaRESS .' r! v i7 18 SY ' , TVr CITY ''STATE' 2tP CrtY i ��"'� 35y TELEPHONE TELEPHONE bATE p LO FOR EN$E( AVER CASH 1wac: uCc Ida /Z J' ZOZl:� COC16be4� I CM r, drROB INS TALLJITION STREEI'ADDRESS l CrT1' STATE ' 3AP" 5-Air AS: Louvt5 will w%s All --9t...r of N' ltac� CIa,,.• k r,cc '�f"h a �a!/r 4 NOTICE TO CUROMEttI-P.�1 CALCU ; T1Al'r :.In ordgr•tp prppbdy..perfprfh the -pf ggdAin. q,.tha,Co tract. rice miky.•Incluge more Goods than ctuply wtlf rxe lftslai� •.+asad•'. "the,r�easured goer 'footpgg'.of.the ProjectAraa.•As':s tegu#,ith ;p ,s 4ee t t the Iump•sum Prifo stated in this,Contract Is oa10u1ate ,'Upon, t a.., Too of est mglec�Goodrrequired to f ilffli tho.iCp( @y), �rayexrgetl'ttte ectyai square footage of 1he,,Prpjaat'Are •@ntl the'• � r, 1n4Y. Qctiltrated.pesed an the;amoirnt;pt,Goolla reQyli , Eq fu, 161tteet;(including wastq). Sysigningg this Cpptract•.¢eloW,t: tofRetA4 g�to . t•Al,lf)le notice grid agrees;end eruf elstaliid¢, at P ce(((nnn?JSt el;dhosa ao>!t§which mt►Y not be rotunded once the•Instaflat n t�etvtce are P.O orm� f NOTICE TO CUSTOMER: Fed ' I.law' til- ur0$ o rovidb you with:the pamphlet RonoyMaRlgfht:8y �Inq*fits antnt 'Cus at:knowlodgos wo having rocolVed:e capyvf this" phlet.tt oty: orit bepsn Mfo'rml»g Customer_ Contract TOtBrtl ' �OCR, of the potential ttsk.of the lead• rd exp uro m Innovation activlty to be applicable taxes itTlcluoed . porformod il�Cuetomoes dwotli• unit.. NOTE: if rotteWwood'ls.dls V red' ring nateliat on•a ditional charges wili'a'p .You" M1riii tven:a"qqli e'and'a ch*nge order must bo•completed and'sl�' d.by tfia coat mor i any4additlonal charges.. Cuafo **Soot anitlei. 'An work or mo I•not• fl 'I nol Ind, In Ihl eontrocLIAn cho oe or additions will bo at an.edditionai'che f •tho:rriaterlel end labor. NOTICE TO 8� R:. - CORW G TO FL8 IDA'S.CONSTRUCTION'LIEN-;LAW` S C HS:713.001113.37 FL IDA STATUTES)),T1'IOSE WHO; ORK• Yf�UR PR P TY OR.PROVIDE MATERIALS A WES��AND Alf : T P .ID IN. FULL.HAVE ARIGHT TO-E FORCE HEI kCLAI •.F PAYMENTAAGAINST YOUR:P • :THIS CLAIM-I$" AS A CONSTRUCTION LIEN. I YOU. 1CO TRA A QR OR: 'A:•:SU.BCON7RACTOR'.*Fi 0 PAY SUBC C ORS, SUB•SUBCOµTRA TORS OR NA RIAL S THO$E PEOPLE 0, .RE+:. . MONEY`MAY:L TO OUR PROPERTY FIOR PAYME F :EVEN;1 Y0q•.HA , AL Y�PAID Y. ORC�GTE}R 1 LL.,IF YOU FAIL PAY OUR CONTRACTOR,YOIIR.CO �'r AC MAY ALS .HA A LIEN ON YOUR-POOPERTY.T" ERNS IF A N[IS FLED OUR PROPERTY-MULD BE 0 A• ST-YOUR ILL O:PAY .OR LABOR,MATE,IALS- OTHER SEWESTTHAT OUR CONTRACT'dA ORS►SUB Q TOR MAY VE�FAIGED O.PAY:'T4 P OTE T'YO ELF,YOU SHOULD STI LATE IN THIS CONTRAC THAT E NY: AYM T!$MADE,'YOUR CONTRiAOTOR.IS . WED TO-PROVIDE YOU" !I HA WRITTEN RE3; •OF LI Ni' PER N�qR COMPANY THAT,IiALS►:PROVIDE YOU.A.'NOT{CE T, 8 ER:' FLORIDA:SCIONS UCTI NLIE WIb�COM .LEXjAND.IT.ISRECOMlME EDTHATY CONSULTANATI7DI EY PHOTO RELEASE:Customer gr, IS to LO ditdl�ldWa's:elhpbtrAas bndjtt4l#epetideitF a0ttV8ctE3t��iie`ti�fit:tis t e photographs of.the:Pr%misos-wh e Installation.$orvit,as.wll1Wtpeffo "ed.amOR performed•stiJho'P?emtsesirelated.to'thleCcintrad,,-*4:th0v gr�ldala.kowelslEdlRight,"titles Interest in and todho photog onusotin•el merit Is-and fTtedia;iUMdwrtde,in perpetuity:''Cuatomgnauthddd vs= t¢sap�stght,arera d isisbiish.t a. photographslln pptd•andhxof saNVAw gnear,4 ttiat4;6v4sik4-.use,,ut hiphotographs ftiranjia�t4g*rp I +bu/:Amtiitiite�dltcF martceU , adverttsing;publlFRy;Illustration; Ifttltgcand tat>' tentyt3yllAlpaU�g here,ICustoriter ogrees torthe'foregolrtg. `�x:.YY �testainetao atiltiel to the let rkhto ea� ne an ro a»e61i0i tiebti ofrGofitrsrlOr•andlor fany.apneteti�ardoros eu�tornK i)yrhiob ta!anticMpatod t bo QN n d JrEstimiited goropta andeto':Is �� a (lHhyt•date].• ::.•:. I. Said estimated-,aubstantlat:comW Itin"dafaia 16i of ttte:assehca.'A statementi-of any oontingencloihat wot;id jt angB :estimated subs1lntlal- comWetfOn. Q is, _;. 01 This Contraof provldn bst.ar49 ,rn.by or.t.ww•1s�wt:b..�rsot►!�d;by.,aiNptyB il►gAA;tGtri, �ot>wiaiatid l:�iw!eIGt1 �M�aH �1cH1 TO GO TO CoultT.tovfflame ,tlont dti �PT fareti>rtisrtlhtkar'msv'-,6iitakemtaSMihL-l-,--.-irQf� iL'pwia;i4aastl ltMprDes+ir�ri wlN�ba ,, ' i :> tv: I .. ... '� �:. a: �:. "�.ti. ;�. �. J. ::--�;. :�` -;:; S �•'' CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22480 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22480 Address: 39106 6TH AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0030-00100-0280 Improv. Cost: 500.00 OWNER INFORMATION Date Issued: 2/14/2020 Name: EDWARDS, JANICE Total Fees: 45.00 Address: 33541 ARCH LN Amount Paid: 45.00 ZEPHYRHILLS, FL 33542 Date Paid: 2/14/2020 Phone: 813-610-8353 Work Desc: INSTALLATION 63 FT X 4 FT CHAIN LINK FENCE CONTRACTORS APPLICATION FEES HOMEOWNER FENCE 45.00 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 CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 13.780-0020 City of Zephyrhilis-Permit Application Fax-813-780-0021 wI1u a Building Department• / atA'Reeel PhonwCon1detibr,Perrrrittin J ..,f.Owner's:Name: :•- -_J �/•!c-�.' -r�C,�= � .:;.,... .. . - O : S'�� _ g'3:-53�-._ - �iner.!Plion®�Nuniber�'= �(a�U' n,Owner'a Address -3'9�':O �p"�I-�- . �� Own®r Pkone=Numb®r '7— `S:' h -T•�C l LS L-3�S 2 OwH®r;Phone Nilinbet''. %'J ADDRESS: - OT#=:A; SUBDIVISION :. PARCEL ;(OBTAINEDROMfPRbPERTIF.:TAX I(OflL) -r .. ;W -RK-PROP•-.OSED __ NEW:CONSrFt. ADD/ALT"-: :SIGN" _ i DEMOLISH' _-� - PROPOSED>USE,'.. $FR:i:> ::'Q.;- '.zGOMM<'; "` -:OTHER'"r '-TYPE=OF CONSTRUCTION'. BLOCK'i' FRAMEfi '` c r---!-� -STEEL : :: .•. '.DES,CRIPTIOWOP WbRK;.: —SiL kL !:�c/ J i' _ �.3; :BUIL:DING•SItE S.Q,F0OTAGE: _ HEIG -t 44 M BUILDING'� '•$ - `: VALUATION;;OF!4TOTAL''CONSTRt)CTION o• • ..Soo =E(ECTRICAL.,,. $, AMP',.SERVICE DUKEENERGY. ;;er ;'ViiR:E.C.. =PLUMBING' . :''$; .. :.�i�� •}7iZ-��3� - . �.7:;�r�� • =MECHANICAL $• VALUATION OF MECHANICAL'IN+STALI ATfON17 =GAS 0 -ROOFING ,SPECIALTY - OTHER:._ FINISHED FLOOMELEVATIONS:. ' 'i tFl°OOaz-ONE'ARRA,�:``'• '[ YES`.` ` `NO BUILDER COMPANY.. : o. .:O:w v w. SIGNATURE ' `�— �..::y..REGISTkREDi %Y'/-N• ?'FEEiCURRE�r; !EY%N':i•'.'z 3 ' . .. _ -. .. - .•,:w ^tea",.• `�. _.js..:' - " .Address` ,. License,#31.;.� :-'r -•�; ELECTRICIAN` .., COMPANY N. SIGNATURE REGIST0ED' Y'%N.' ,;FEE CURREFk, `°Address itciense.#•.` � PLUMBER COMPANY�-_ - - - -. SIGNATURE :RGYSTI:Rtcl) "` Y%=N=`, 'j'.fEE;CURRF,A` '' SF.rN�� • _ { -Address ,<.' Incense: MECHANICAL: : .. COMPANY: SIt3NATUR6 _ :REGISTERED:: Y ;N; r'FEE:'ef1RREn'^"`.'•.Y./;N Address,..:: _: ".,,_ :. ei#,1, Lipens OTHER', SIGNATURE'. R�CiI�tIcRED - a=Y:/x N;:;;, F,EE,GUR ,. R _"";Address......::,�._ ,:.- .:..,. ___ - - ,,.:_ -• .License.#; C� f {{ ,4'' f %4' A P. a 'coils tlo' :'. •' ' -f� aidtn�:'pens• 1:';sef'ofs ne on'ns•�.R=O=�IN e• Mornw �'c n;�: RL:SIDEN11At:' Attach:;' �Ict�Ians,(��;�ets'b,�..i. _�I- .,(-)- E r9Y E. .� •.�. �- ', G'., ..1:•.nE•.a• a'r.•+ :,. ?s:,8, :. " •,�-c •.� q�'a' 'p r`� 'Y _t- *M)nithum fen(d.0�� ork�tigadays af(erstrbrl�ihl'i)ate: RireTf onsite;;C,onstriiictioii Ptarrs;S�ormuatefPferis:�i/.::Slit l= rice;fnstallsd; Sanitary;Fadlities:8 :.dumpster,�Sife.W6rk Perritit fOrsi�6diiiision3/la�.rge,projects COMMLRCIAL - .Attach:(2j�complete;Setsof;Bulfding.Plensepfus:,a 9feSNafetyP.agei(1)'set`oftEnergyFo"rms;R=O=WPerrriit,fdr;new,;QpgtrucUon�:.;,." Mln(mum'teri(1:0),';working da �aRers�lliQ IttaY d `e,:Req� retl`gnsite.-ConsWcyori Pi�rtsy Sto•miwat�r`,Pjan:;iw% ilt;Fence m`stalled::. Sanitary'Fad1IIt s&1 durif�s Siie Nork' errnit'for all newprojects:Ali:eommerdal:requireinents must meet compliance :. 'SIGN PERMIT AttacH(2)?set of Engin;0erei;i?lans: F;;c :;; ,,.:;:' "PROPERTY SIJRV[3Y requi1 red for alt NEW coristrucdon. ..A Directions:' .Fill out application completely. 'Owner,-kCQnfi ctor•stgn; ack'.of app•p�icaBon;notarized If overs25U0;a'Notice:5f Commencmerit is required. (A/C upgrades.over$7500) Agent:(for-the:contractor,)oriPower:;of.Attomey;(for,the owner);would1;ibosomeoneiwtth notarized•letter from:owner•authoriNnI g same: OVER:TIfECOUNTER.PERMITTING, (capX:ofconira�tregyired);. .- . �.. RerodfsIf sliingles Sewers ServicAsUpgra'des:`A/C "' `''Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways-needs ROW NOTICE OF DEED RESTRICTIONS: The urfdersigned.,understands that this permit-may be subject to°deed°restrictions" which,may-.be-more>restrictive4thamCounty..,regulations. The undersignedrassumes°respo'nsibility'for"compliance with,any applicable deed restrictions: , :UNLI'CENSED:AGO'NTR�ACTORS�jAND�CONTRACTOR��RESW`ONS1B°I��T�IE�S'�`�l'f�fie°"t�uvie �has`�ltiired'a`-contractor or contractors to undertake work„they:rnaykibe requiredt to be licensed in ,with state.andlocal regulations-Af-the •` contractor`is:-not licensed",as required by law, both therowner=ands eai fta.accortiancecior-may-bw°dited,:for a-misdemeanor violation under state law. if the owner:,or;.tntended contractor are uncertain.as:to_what;licensing,,:requirements;.may-applyxfor''the intended:.work;=.they-,arwadvised to contact the Pasco-County°Building-insgfectioWD!VisiarwLicensing Section at'727-847- 8009. Furthermore, if the ow,nelhashiredEa contractor or_contractors, ,he is advised:.to. have the contractor(s) sign portions:of'#he."contra'ctor Block".,-of:this.application_for.which they,:uuiilbe..r..espotasible.,,.lf you, as the"owner sign as the contractor;that may be anAn'dication'thai: he is not properly licensed-`and is not entitled.,-to-permitting-privileges in Pasco County,. TRANSPORTATION IMPACT/UTiLiTit:giI PACTAND.RESOURCE RECOVERY•FEES: The undersigned;understands that'Tr.•ansportation;'Impact.Fees:and_Recourse�Recovery Feeslmay,4pplyto-the-construction�of4•new buildings;cliarige of ilea in ezis#trig=tiuildings,or exp'ansion"of existing buildings, as specifieii in Pasco County Ordinance-number,89-07 and 90-07,, as amended....The:.undersigned�also.Munderstands";`,thAVsuch fees,.as.:may-.be,due,"will�be..i.centified,'- IF a"dine of permitting. It is further iinclers#oticttfiiatkTSportation:impact Fees and Resource Recovery Fees must be`paid.prior to " receiving a:s"certificate.of.occupancy or fhdlapowdr.release.-,, if<tF a pr0ject1doe4rn6t7invotve_�a certificaw'606ccupa't cyfor ~ final:power release, the fees.must be paid prior to permit i'ssuaiifi e. -'Furtherrnoi`e;..:.if'PasaofCounty Water/Sewer Impact . fees-are':due;they must-lie."paid'*ir"--ito per"1lt'issuance in accordancd Wth appiicab re:PaiscorCountyordin'gwces� '- ...,',., C'ONSTi UCTION'IaEN'LA1N(Clfapter.773rFlori`tl'a'Statutes as(amendad):,:,if vafuatiora`ofinrork is;$2,.00:00 orrmore, I certify that I; the a idew tpnppl[canti::bave_tee��pcovi :o = i ac .Lien Law--Homeowner's : 'Protection Guide" prepared by the Florld1trDepartment of Agriculture,and•Consumer'Affairs. mpone other-than:tlie�`owne ';i:ceitifjt=th t"I leave=oYitained a cop .of fhe aboiFerlescribe i=dobikr ent--and-promise In good faith to deliver it to the"owner".-prior Wcomm'enrernent. 71 CONTRACTOR'SIQ1hINEit S"Af ![YA1 IT; 1 certify.#haf dll,;Yhe jrtfor at1onR:jn this-applicat on-t acctirdte:an:.dJhot..altwork wilt'tie one`iii'cainpliance With.,,all pplic4ble laws regula#ing}construction zoning arid-land;:developmepz.;?::Application is hereby made to 'obtain a permit to�ci�O'work rid installation has:indicated. I certify"that no work or. instaliatlon has commenced.prior to issuance of a.permit_and.,that all work wilf-be`,.performedd to..meet;standards of all laws regulating construction; County andriCfi@-,_1 les•`.zoning,:?regulations, anil land'°development regulations in the-lurisdiction:b l also certify that i:under-stand that the regulations of other::government'agencies,-mayapplypto thneiintended work, and:that.it is my responsibility.to Identify what actions'l:must:iake.to.begin compllance. Sucfiagencies include but arwriotrllrriifed to: Department of Environmertital-nProtection-Cypress Bayheads, Wetlan.&Area&and=Environmentally Sensitive Lands,WaterMasteWgtq,,��rei ejpt•!, C.. _-.... :._ Southwest Florida Water Management District*Wells, Cytpress,..Bayheads, . Wetland Areas; "Altering Watercourses. Army Corps-of Engineers-Z'ealnalls;,D6cksi;Navigabld,Waterways. - Department of�Hea'Ith4-0jFk habilitative;.Services/>Ehvironm'ental Health Unii=Wells;{Wastewgter�-Treatrn'ent, Septic Tanks US��Environmental�Protdetloh/gency='Asbestos`"abatements` - Federal"AVIatidh-Ai tli RUhanfajrs:" I understand.Use o fit siinot a9�nwad litloodaneVo unle4$selxpressiy�permitted�. _ -if"the"-#iI material:is to-:be-used in flood Zohe "A, 'it _Is und&i66&that a drainage plan addressing a compensating,:uom ert r�iilli;,tie,.subm fled-at'4time�of--permittigWwhiph;his.;.prepared-by.:a:;professional engineer licensed-liy tfie State of Florida .If-the:#ill,:material ls;ta4be,';�:,usetl inm.Flood Zon"e�"A''y,�in connection with a permitted building`using stem, construction,.l..cerkify-that filtiwi�l=lie-used only;t ►fill.tf te,area�'ithin_ttre,st m, wap; .::.. . It fill.material is to..:.be..:.used•in..any area, 1.certify-that use.of�such--.fill�wlll not adversely affect,adjacent properties:-,If-use.,of,`tili�s"f buctd`to.,adversely'affect adjace"rJtit.'roperxi-sr- a owrier..:may::be- ited for violating the conditions of the building permit`issued under,:,the-attached permit application, for lots less than,one_l),. --acre;which-ar$,elevate�d4by�,fill;san i-ngineered:dtaina'ge plan'is required. If I am.the AGENT�FQR:THE OWNER,:: prom'ise in good'faits to::infor-in,.the.owner,'of.tlie permitting;.conditions set forth in this_affdavit.prior to commenejng;t s#ruction. I understand-that a separate permit.may be required for electricak4work, plumbing;.signs;r.wells;..pools; air'.conditioning;Ygas;,or other installations-not=specifically-.,includ'ed' in-4*-application. A permit issued'shall bezonstrued to be a.license to�proceed;iwith.4he.work.and novas authority to-violate,cancel;,al#error=.. set-aside any-provisions-ofithe•tecMnical codesr nor shall Jssuance of-a permit°.prevent the;,Bu.ilding,Official from-thereafter, requiring.ahcorrection-of;errors=in plans,construction or violations;ofany-codes:`�--Everyperniit!issuedtshall-,become•invalid unless the-work.authorized_by suchvermit is commenced.within.six months of.permitApsua_.nce,.or..if,,work.�6uthor4Mfty the-'permit`issuspenided'or abandoned for`a'p'eriod"of•six(6)months after.the.time the:work is commended:,;. mextension may be,requested,--:in.writing,•vfrom the Building.Oft<ciai 167massperiod not to exceed ninety(90)days and will demonstrate Just able cause_forthe.;extensionr If work,.cadsesforininety�(90)`conseeutive..days,.:the.:jobuisaconsidered4abandon = WARN NG..TO�-OWNER:- YOUR'FAIL°'URE"TO.RECORD::A=1YOTiCE€OF COMMENOEMENT-MAY RESULT iN'Yi R PAYING'fVItIC FOR IIVIPROVEMi=N`FS T `Y?UR PROD'Et2fY: 'IF91`iU'tNTlrNb':TQ"bkTAIN" INgNCrN CQNSILT'.:: F ,< WITH'Y.OUR_LENDER OR1ANzATTdRNlrlf B FORE F2f=C L INGsYC Ui2 IVt3fi�GE'OP=C.OI1iIMENCI=tIiiENT. F�t.ORIDA JURi4T'(P S 7M) OWNEit oR AGENT GQNTRAGTO Subscri nd sworn:•o• 'frirrned)-ber. me 't Subsc' `dgd swo" t r affinedj tie `r®m :2_t ay ctircQS ... sJ p�e��,,sso��n__al rtawn me or hasihave produced who isi rep rsanal qwn=ta tiie oa ftasll.ave:praifuaed A �C:.tU'CltJ as Identification. G CP:si -+�-- as�ideittifio2tion. .i Notary Public a-�1 Natary..Public . om issio N)- comma 40. . Name of Notary typed,printed or stamped Name;of aVotary typed,pr1ntedior stainped• DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT have read and fully understand and agree 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 Zephyrbills 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 o37, 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 AU,,"C=V DATE /-)--aO ADDRESS -3'9-10 PHONE WITNESS PERMIT # 1 Nj I I V . all t {/ g� r r 5\