HomeMy WebLinkAbout20-22729 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22729
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22729 Address: 7936 MERCHANTVILLE CIR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESTVIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-1420
Improv. Cost: 4,458.00 OWNER INFORMATION -
Date Issued: 4/13/2020 Name: LAMARCA, APRIL
Total Fees: 65.00 Address: 7936 MERCHANTVILLE CIRCLE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/13/2020 Phone: (813)334-7520
Work Desc: INSTALL PVC FENCE 6FT (SIDES)X 231 FT
CONTRACTORS APPLICATION FEES
HOMEOWNER FENCE 65.00
FINAL Ins ections Re uired
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
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
have read and fully understand and agree to the
provisio s 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 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 worker's 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 (1� DATE
ADDRESS S 33540
PHONE
WITNESS PERMIT
I/Masterforms/OwnersAffidavit/NovO7
BOUNDARYSURVEY
t. •Of • • .• 00004.
7936 MERCHANTVILLE CIRCLE, ZEPHYRHILLS, FL 33540
At
15' �10.0� LOT 141 10.0' >
N 1 �z -O"p'E 10.01� U.E.ID. ("
01 (PLAT) 00
_ D.E. (PLAT)
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LOT 122 15,E ��„ LOT 142 0 - f,- O —��..� c O
{ RESIDENCE 6.9' 17.8' t. .... .. _w;w:v n�
{ I #7936 ��_, ;. :,:: :_; 20.0' 250',' = m
— — �J i COVERE 5.8'5. '
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\F' pX 'CK ; ;: - BEARING LENGTH
L1 I S00 19 19 E 1 30.03
POINT OF
CURVE TABLE CHORD CHORD
CURVATURE 1 _
LENGTH RADIUS DELTA LENGTH BEARING
AT LOT 120 `3 r?`sQ%'" `QO S�
\\o, C1 1 59.03' 75.00' 1 45005'38" 57.52' S22013'30'W
-ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
PHONE: 561.508.6272
�I FAX:561.508.6309
J11
1
LB 8111 �.
SURVEYING, LLC. Clyde McNeal PSM 2883
THIS SURVEY IS NOTE VA4D WITHOUT
5601 CORPORATE WAY, SUITE 103 WEST PALM BEACH, FL 33407 THE SIGNATURE AND THE ORIGINAL RAISED SEAL
NexgenSurveying.com OF A FLORIDA LICENSED SURVEYOR AND MAPPER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contaet for Permitting —
Owner's Name 1 Owner Phone Number
Owner's Address q q g ' ' erd t -e Ut i L r Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address `
JOB ADDRESS l� 36 rC, ��J 1 �l i LOT#
SUBDIVISION Tcesbt,twvv,\Fs] PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q Gr
DESCRIPTION OF WORK ft ,l v L r Ti
BUILDING SIZE SQ FOOTAGE ^ HEIGHT
ffi
ffi
ffi
ffi
ffi
ffi
BUILDING $ ? j / VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ `—`` [ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ / o
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I CYPN FEE CURREN /N
Address License#
ELECTRICIAN COMPANY,
SIGNATURE REGISTERED Y/ N FEE CURREN 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 Y/N
Address License#
OTHER /ter (�(��j 1( ( COMPANY
SIGNATURE REGISTERED Y/ 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.
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 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 roadwe YS
..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 local regulations. If the
contractor is not licensed as required by law, both thd 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 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 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'SIOWNER'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.1 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.
"Depart,mi6nt of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Sepiiq- ,anKS.
US,Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that ihe,follt)wing restrictions apply to the use of fill:
UsO,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
"com0iinsating volume" will be submitted at time of permitting which is prepared by a professional engineer
lieense'd,,by:,,the State of Florida.
if'tfie,fi.11",materlal is to be used'in Flood Zone "A" in connection With a permitted building using stem wall
constructioh',]tcertify that fill will be used only to fill the area within the stem wall.
If fill,m6ter*�iaLls to be used in any area,I certify that use of such fill will not adversely affect adjacent
propel ties',,-.1f.use of fill*is..found to adversely*affect adjacent properties, the owner may be cited for violating
ihia,,c6h,di.el6n'9,6f.rthe,,bdilding permit'issued.under the attached permit application, for lots less than one (1)
acre-wfi!6h.are elevatedby fill,an engineered,drainage.plan is required.
If I am the:AG kt.-FOK"THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth.in
this affidavitl,'Oribr-to commencing'6onstruction. I understand that a separate permit may be required for electrical work,
plum bing,,,::signs, wdlls, pools, air conditioning, gas, or other installations not specifically included in the application. A a
permit issued!6hall;,b6-construi§d!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,ai 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 yrequested, in writing, from-the Building Official for a period not to exceed ninety(90) lays and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,lfiel job is con'sider666bandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
PAYIN16tWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
-WITH-YOUR-LENDER-OR AN:-ATTORNEY-BEF-ORE-RECORDING YOUR NOTI E OF COMMENCEMENT.
FLORIDA JURAT(F.S.I
OWNER OR AGENT CONTRACTORn ktA,11 ,41"Ca.
(or a�ffflrirmed)�before me this
Subscribed and sworn (or bfnr)Kea)b me this I Subscribed and swZ to
by by
Who islarrsonally0nown to me or hasthave produced Who is/?pe7fly known to me or has/have produced
nfification. as identification.
Notary Public Notary Public
Commission No.
Commission No.
C, AIVA1101�
Name of Notary typed Name of Notary typed,printed or stamped
CARLOS MALDONADO
Commission 346275
Co
n,o
JunepireS 18.2023 CARLOS MALDONADO
Commission#GG 346275
Bonded Troy F"ninsuran
Expires June 118,2023
Bonded Thru Troy Fain insurance$00-385-7019
INSTR#202006213O OR BK 10086 PG 266 Pagel of 1
04/14/2020 10:50 AM Rept:2153303 Rea:10.00 DS:D.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Y 4
l('� NOTICE OF Caha=LCEMEN r
PennitXo.--�C) (�C`I . .
Property Identification No. .
0
THE UNDMSIGNM hereby give infomrs you Orat Ore improvement will be me&to wtabs tent property,tmd in aeeordw a with
Section 713.13 of&c Fimida Statutes.the foiloavmg in£or I fAm is provided b3 this NOTICE OF CobV RNCEbtM,
I Muctiptlou of property(feaaj d alptt - !
a)Street Addreaa; r4,, et,
2.Geaera[ ittspsovemen
ago
r
30wneriofonoation —r
n)Now and address: c2 V\
b)Name aadeddress of foe ' pietrtiehoider(if other than o
e)bluest in propayty
4.Conhactor Information
a)Name end address:
b)Telephone No.: Fax No.(Opt•)
5.Surcty Lifotmation
a)Name sad address
b)Amouoi of Bond:
0Tele71oneNo.: Fax No.(opt.)
6.1.ender
a)Nuts ad address:
phcneNo.
7.identity ofparsoa w"the State of Florida designated by owner upon whom notices or other domundata may be nerved:
a)Name and addtesa:
b)Telephone No.: Fax No.(Opt)
1h addition to himself,owner designates the foilowiag persea to mxlve it copy of the uenoes Notice as provided In Seaton
713,I3(l)(41 Roddy Stawtes;
a)Nana and address:
b)7'eleyboaeNo.: 'o .FartNa(Opt}
9.Explwtlon date ofNotI=of Commencement(the ezpimcion date is ono year from the date of recording unless a diffeteat date Is
spedfied):
WARNING TO OWNER ANY PAYKWTS MADE BY T=OWNER AFTER TIM mmm-TTON OF Tin NOTTCR OF
COMM¢NCRMRNT ARM CONSIDERED DNMPERPAYMRNTS UNDER CEIAPTER 713,PART I,SECTION 713.13,
MRIDA STATTI'IES,AND CAN RESULT IN YOURPAYB+IG TWICE FOR TMRROVii I[ENTS TO YOUR PROPERTY.
A NOTICE OF CONMENCEMENT MUST BM RECORDED AND FOST'ED ON THE JOB SITE BEFORE THE
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BBFORR
COMMENCING WORK OR RECORDING YOUR'NOTICM CE IENT.
STA ��^"' "
p ONSTANCE II:GERS()I
- 4 MYCOMMISSIO,'rGG24-.•' er ti
� � EXPIRES.Decc...ser
:ice•:•,w.a+n•,•.
The ft re rb ins er s acionowl be o thipf'� dqy of �i ?�L 20_i by
u ! �[/� (typo of authorw.e.g.officer;trustee dwraay
in fact)for (none of party on behalf of w was
Personakky Known•,_•OR Piodused Ideatiticittoa— Notaxy Sigadtwe
'Type of Weatification Produced,I:;t .�-L` Name tprint)
Verification pursuant to Soulan 92.525,Florida Statutes.Under,,peael iaa of perjury,I declare thatl bane reed the fmagoleg and"
tine facts stated in#are tine to the bcst ofmy knowledge and belie£- ..'
Staaa—M mead Pcaen Sip"MOD
CONSTANCE INGERSOLL
MY COMMISSION#GG294386
EXPIRES,December 13,2022
I E
Emu!,
State Of Florida,County Of Pasco
This is to certify that the foregoing is a
n ' true and correct copy of the document
. 41 on file or of public record in this office.
e rn�o�tiy;7,usc a Wit,ess, y hand d fficial seal this
day of Y 2��G_iS�
Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller
W 7
Pasco nty,Florida
gY__�..0 ,De uty_Clerk