HomeMy WebLinkAbout20-35 D
.Qu
City of Zephyrhills TERM!r;NUMBERS a::
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000035-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 05/15/2020
Permit Type: Building General (Residential)
Property Number`` `.StreetAddress'"1126 21 0010 10500 0011 38654 9Th Ave
Owner-Information ` Permit Information Contracto lnformiat on::
Name: JUSTIN THOMAS&CASEY Permit Type:Building General(Residential) Contractor: JUSTIN THOMAS&CASEY
PRITCHARD Class of Work:Fence PRITCHARD
Address: 38654 9Th Avenue Total Valuation:$800.00
ZEPHYRHILLS,FLORIDA 33542 Total Fees:$55.00
Phone: (748)412-0757 Amount Paid:$55.00
Date Paid:5/15/2020 4:09:56PM I
Project Description
INSTALLATION 156 FT X 6 FT WOOD PRIVACY-PAINT OR STAIN FENCE REQUIRED
Application Fee's
.t.
Fence Installation Fee $55.00
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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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 add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D.#:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE&FOUNDATION INFORMATION
NGu�t_
FRONT PROPERTY LINE
STREET
NOTE EXAMPLES 1&2)..
example 1. Setbacks for RI &R2 Zoning Example 2. Setbacks for R3 Zoning
10'
.11r -
� I:
R X
O 1 19
IV 0 T 19 147
S
B N
D 0
PRUY06m
P-SINQEFAbIDY! 39DUAEK
}ROBTIMPEML11a lkONTPBOPt�1YL19E
SfEE£f -- r - - - - - - - - - -- Sf MT -- - - - - - - - - -
e
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
have 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 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,- our responsibility to make sure that people employed by you have licenses
required y by-14tate 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 DATE iS Z
ADDRESS 3$6YY q/a arc, 70hY1 'I l f 33Sy2
PHONE 7yd- NIL - 07S7
WITNESS PERMIT
I/Masterforms/OwnersAffidavit/NovO7
813-780-0020 City of Zephyrhills'Permit Application Fax 813-T80-0021
- Building Department
Date Recervetl .
=�02& Phone Contact.for_Permitting T� i{I L 15,7 '
Owner's Name U S i I n i�c Ii u/d Owner Phone
fA
Owner's.Address 7$o y y a V e . Owner Phone Number
Fee Simple Titleholder Name Owner Phone-Number -
Fee Simple'Titlehoider Address
JOB ADDRESS u k e- LOT# rr
SUBDIVISION PARCEL ID#_ '
(OSTAINED,FROM PROPERTY TAX NOT_ICE).
WORK PROPOSED NEW CONSTR. ADDIALT. SIGN. . Q Q ..DEMOUSH .
e INSTALL 8 REPAIR*
PROPOSED USE 0 SPR 0 COMM OTHER...I.. - w.
TYPE OF CONSTRUCTION Q BLOCK C]: FRAME:' 0 STEEL
DESCRIPTION OF WORK PrsV t+tY feMit 56f jo[u l' Y h,f h . wood.
BUILDING.SIZE` ISO FOOTAGE=; HEIGHT"'.]
BUIi DiNG'.
j VALUATION OF TOTAL.CONSTRUCTION'
=ELECTRICAL . ($—�� AMP SERVICE- PRO'GRESS'ENERGY_ 0 W:R:E'.C.
Y�j4C�� ft
OPLUMBING $ �, �d ��{'
=MECHANICAL $ VALUATION OF MECHANICAL'INST�ALLATION �a�.. J
=GAS Q ROOFING Q SPECIALTY-_= OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE-AREA =YES. NO.
BUILDER COMPANY
SIGNATURE to REGISTERED I Y/'.N FEE CURRE�, •,Y/R J.
Address License:#, ^. .
ELECTRIC,AN. COMPANY _
SIGNATURE' REGISTERED, -Y/ N FEELIJRRE�
Address' License#: �
PLUMBER
SIGNATURE --REGISTERED I Y'/ N 'FEE'CURREK;:
Address License#` 1
-MECHANICAL =COMPANY
'SIGNATURE ..REGISTERED- YT,N• 'FEE CURREN
Address Lloense#`
OTHER COMPANY—
SIGNATURE REGISTERED _Y!:N :FEE,CURREh
Address.. License#.F
RESfbENT1AL Attach:(2)Plot Plans;(2);sets of_Building,Plans;;(,1.),sdt;of Energy.f,op, s;,R=O-.W Permit:for,new-construction;. -
Minlmuin terl`(10)working days aftersubitii#taldoter Required onsi}e,:Cor►stnicttiiri Placis;Stomiwater Plansw/Sil#Fence restarted;
Sanitary.Facilities&'1.dumpster;'Site Work:Permit for subdivisionsAarge'projects:
COMMERCIAL Attach'(2)aompiete'.sets of�Building Plans.plus a Uf0 Safoty;Page;r(,1)set of Energy:Forms.R=O-W:Permitfor new-construction:.,,..„... .:
Minimum ten`(10)working days after§ubmrttat;date::Required;on'site,Constructlon'Plans,`Stormwater Plans w/'$ilt Fence instaiied,; ,.
Sanitary.facillties.&i.dU' mpster.Site Work Permit•for all new projects.Ail commercial requirements must:meet compliance.
SIGN PERMIT Attach(2)'sets•cf Engineered Plans.:-
""PROPERTY.:SURVEY:required:for all NEW;construction.
t}irectlons:
Fill out application completely.
Owner,&:Contradtor sign:back of application,notarized
tf over.$2500,a Notice of Commencement is required:.(A/C upgrades over$7500)
Agent(forthe contractor)or Power of'Attomey(for the owner)would be Someone with notarized letter from owner•authoriiing.same.
OVER THE.COUNTER PERMITTING .,(copy of contract required).
Reroofs if shingles Sewers Service'Upgrades A/C Fences(PIoNSd vey/Footsge) „y a
Driveways-Not over-Couhter if'oirpu lic`roadways.:needs Fl IOW
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.dee,d:re.stric.tions.,
UNLICENSED"CONTRACTORS"AND-"CONTRACTOR RESPONSIBILITIES: If'the owner has hired a* contractor or
contractors-to-undertakework,--they may be,requited,to-be licensed in accordance-with state and-local regulations. ff;the
contractor is not licensed as required by law, both theowner and contractor may-be cited"for a misdemeanor violation
under-:state-.Iaw,., -.If the.owner or-1hitended"tontractor 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-&,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 responslble; -]f 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 Transportition,:Irn pact-Fees:,and Recourse.Recovery:Fees.may,agply-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,undersigripd-also-understands,.1hat such fed% as may be-duei,will.lbe,.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--,pr9ject does root involve a certificate of occupancy-or,
final power.release,-the fees must,be,.paid.prior,to.perm.it Issuance. Furthermore, if Pasco County Water/Sewer Impact
fees aredue,they.must-,be:p.sid7prior.to.porM!t issuance in accordancewith applicable Pasco County,ordinances.
CONST-RUCTiON-'LIEN:LAW'-(.f,hapter 713i"Florida Statutes,as amended): If.,valuatiomof work-is$2,500;00noramorej:,l
certify,,--that li-the-applicant;--have--been--provided,with.a copy of-the.-'!Flo(ida.-.Constr.ucbon,-Lien, Law—Homeowner's
Protection Guide".preparedby the Florida Department of Agriculture and Consumer Affairs. If the applicant.is.someone
other than the"owner",j certify-thait1 I have obtained a copy of the4bove-described-document-and promise;in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/0,W,NER'S,:AFFIDA,VlT:.,1-,pertif-y that-all the.informatign--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 llmitedtm-
Department-of'Environmental Protection-Cypress Bayheads, Wetland.Areas,and. Environmentally Sensitive
Lands,:Water/Wastewater 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 Servites/Environmental :Health Unit Wells, Wastewater,TrIbatment.i.-
Septic Tanks.
,(-JS, nv onmental-iProto-atioft,-Agency4Asbestos.abatement.
Federal-Aviation Authority-Runways.
I understand that 1h0ollowJng restrictions,apply to-the-use of fill:
Us''e-oflll*�is--not,..allowed;in'-'FloodsZc)he:W"unless-expresslyL permitted.
If the:-fill- material is to the,.used in Flood Zone."K, it is understood that a drainage plan addressing a
"compensating oli ..pensating v6IUme"_wik be:submitted at time of-permitfing,:-which,--is:,prLepared by�a-professional engineer
Ilee nied:by* the State of Florida.
ux,,in-connection with a permitted building using stem.wal[
-conS.tr,ucti,d,n,il-tertifY,,that fill will bwused-only to fill the.areawithin4he,stem-wall.
If--fill: malteriaL is to be used in any area,I certify that use of such fill will not adversely affect; adjacent
prope!rti-6s--.,If-use,-of,fill-is-found.to:,adversely affect adjacent prboLertiias;.-the.--O.,wner•may be"cited,for-violating
the-conditions-of the building permit issued under:the.,attached permit application, for lots less than one (1,)..
acre wh'10."�are;.e16vated;by-fill,,-an:engineered drainage,.plan is-required.
If I am.the.AG.,ENT-.'FO'Ft�Tii'4P-,:O.W
:
'hEk, I promise in good'faith.to:iri'form,.the,owner,of.--,the:permiffing-conditions..set forth in
�
this aWidavit,.,pribr.-.ta,commencing L,constru.cfion. I understand that a separate permit may be required for electrical work,
plumbing,��--,"sigi.n-si,--wdllt;-pools, air-.conditloningv gas;-or other installations-not specifically-included in1he-application. A
permit.issuidd-shall be�,construed,to be a*license to proceedwith.,lhe:=work,and not as authority to violate, cancel, alter,.,Qr
set asid.e.,�..pn.y�provision.s:cif,*Ihd technical;codes,j,,-nar shall'lssuance,of:.a permit,prev.ent the Building Official from thereafter:
requiring:-ei-,co.rreetion-of-�err-ors in plans,construction or violations:of any codes-.- Every permit issued-shalir.become Invalid
unless-the�work.authorized,:by;such perMit is commenced within.six months.,of permit issuance, or if..work authorized-by,
the pernilt'.,16-suspended or abandoned for a period,of six;(6)months after the time the'work is commenced. An extension
may be rrBiq 0
oested im writing; theBuildlng;Qfficial-for a-perlod..,,not to exceed ninety(90) days and will demonstrate°
justifiable cause-for.the,extension.,-If work ceases-for ninety(90)-consecutive days.,the-job]&.considered,abandoned.
WARNING..'-TO-..OWNER,-. ,YOUR���FAILURE-,TO RECORD A,NO�T.-ICE:IOF-,COMMENCEMEN.T�:MAY--RESULT; -IN YOUR-
PAYIN-G`.T�'-WICE�-fOW�IMP�*6V�E'M'El4TS'TO,°y kl6P.r:RTY'r7lF'YOU:�lkT�iEi4U-T,.6r.-.OB.T-AIN�-'�FINANCING-�'CONSULS'-
EY:.BEFOKE--REQORDING,-_Y. 0 TICEOFZOMMEINCEMENT.-
WI-T-..H-Y.OUR,LE-NDER,OR--A-f4 OUR;N
FLORIDAJURAT(F.S.117.03)'-
OWNEWQKAGENT�%OA :CONTRACTOR;
Su scpbe&and sworn t6,(oVipffn-e%)_,b'fdre'ima,thls Subs 13-n`6dy!be reim6* i
_.-th s.
;-f) by a T11 5TIT, bV'- IT -
who k/are pepon nown t6 me or has/have produced Who Is/are onPy known tohne;o -Prcducedl
V" ps-iden cation.
Notary Public Notary Rublic
Commission No. Commission.No.
Ct A., rdo'�Ll
Name of Name:of.Notaryayped,printed orstamp.ed,•
6to P
Commission#GG 346275
`111- Expires June 18,2023
_A, 001100-385.70ill
j��o' Bonded Thru Ttoy Fain insurs Z
''Foam*`
'16 All 4 p, 7019