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���►'���� City!of ZephyrhillS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000071-2020
Phone: (813)780-0020
• Fax: (813)780-0021 Issue Date: 05/22/2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 21 0010 03400 0180 5730 8Th Street
Owner Information Permit Information .Contractor Information
Name: GEOFFREY&CATRINA DALE Permit Type:Building General(Residential) Contractor: GEOFFREY DALE
Class of Work:Fence
Address: 5730 8Th St Total Valuation:$400.00
ZEPHYRHILLS,FL 33542-3707 Total Fees:$55.00
Phone: (813)479-8284 Amount Paid:$55.00
Date Paid:5/22/2020 8:37:47AM
0111
Project Description
INSTALLATION 127 FT X 6 FT WOOD FENCE
Application Fees
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.
C?, TRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-78MO20
City of Zephyrhills Permit Application Fax-813,-780-0021
Building Department
Date Received Phone Contact for Permitting ( )
aaasaasa p # aaaa
Owner's Name_ to,eQ 4 /(� Owner Phone Number
Owner's Address S7 0 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address [ G
JOB ADDRESS 6-730 � 3 rc �/SS LOT#
SUBDIVISION PARCEL IEW
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSfR e ADD/ALT = SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM 0 OTHER I G
TYPE OF CONSTRUCTION BLOCK Q/_ FRAME � STEEL
DESCRIPTION OF WORK c4 G'C ('L/1/-�q 'j w. / f-
BUILDING SIZE F SQ FOOTAGE HEIGHT
C�tKXtEXLLE'KrEL'XS[f jEfE.F-X JE E W-JE W-W.V-AL X X JE X 3E 3E E X X XXJEXXXJEE1ELEXJEA4JEJEiEJECLLC'EXX- E?Er
UILDING $ V U` VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL f$ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,A & /9���
=GAS = ROOFING Q SPECIALTY = OTHER �/ 4�{� �Y -51z,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES Oicb l-Y�
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N `
Address License#
ELECTRICIAN COMPANY ov
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L Y:/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y[N FEE CURREN
Address License.#
• ! p tlp
OTHER J OMPANY
SIGNATURE C-�, REGISTERED Y/N FEE CURREN Y/N
Address �u 0 License#'
aaldlIaasai'111s "" Ill ! ait& 11111.a # 111[ 1 alafalla )lalit11 " 1.lalllaillaa
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O W Permit for new Construction,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0027
Building Department
I
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 responsitiility,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 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,in work,they-are advised to contact the'Pasco.County Building Inspection Division—Licensing Section at 727-84Z 8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have thecontractor(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 IMPACTIUTILITIES 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-9M7;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 I,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"oinrn. r"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT:I certify that all the information-in this application,is accurate and that all worts 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.issuarice 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,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 !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 °K 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 Its 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 ORNEY BEFORE RECORDING YOUR NOTICE OF 0% EN C En.0 E_N-r
FLORIDA JURAT(F.S.117.03
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OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or rrmed)OJT me_ rs Subscribed and sworn to(or affirmed)before me this
by by
Who Ware personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
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