HomeMy WebLinkAbout20-233 A
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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000233-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 06/11/2020
Permit Type: Building General (Residential)
Property Number Street Address
35 25 21 0050 00000 0430 7135 Landover Dr
Owner Information Permit Information Contractor Information
Name: RAMON IRENIO MEDINA&ROSA Permit Type:Building General(Residential) Contractor: RAMON IRENIO MEDINA&
BESSY GONZALEZ Class of work:Fence ROSA BESSY GONZALEZ
Address: 7135 Landover Drive Total Valuation:$4,300.00
ZEPHYRHILLS,FLORIDA 33540 Total Fees:$65.00
Phone: (787)485-7858 Amount Paid:$65.00
Date Paid:6/11/2020 3:37:38PM
Project Description
INSTALLATION VINYAL FENCE 213 FT X 5 FT
Application Fees-
Fence Installation Fee $65.00
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021
Building Department
Date Received Phone Contact for Permitting
................ .......rrinr= ................. 11 11111111 ITM ......
Owner's Name 2,,,,,r, Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
408 ADDRESS LOT#
SUBDIVISION' PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL
DESCRIPTION OF WORK R13 F+ VI: ,L Fc-7,N C C_
BUILDING SIZE SO FOOTAGE= HEIGHT
..........
=BUILDING "I c' I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMPSERVICE 0 PROGRESS ENERGY Q W.R.E.C.-
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS r__ ROOFING - -t Q e3
SPECIALTY OTHER
. 7 FINISHED FLOOR ELEVATIONS FLOODZONE AREA =YES NO,`'
i i i's i N i i i i i i i i i I i i I v I i4 2 1 2 a i 1.1 H H i+H
11+1 H'I 1 144 H+I+
BUILDER COMPANY
ildNATUR�O -REGISTEREO Y/,N E CURREN+'
117
Address o License,'
ELECTRICIAN :COMPANY
SIGNATURE' REGISTERED Y/ N FEE CURREN LILN_J
FAddress Licensai
PLUMBER COMPANY
.:SIGNATURE REGISTERED I Y/ k—l" - FEEcuRREN LILN J
Address :'license#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y,/ N,,.': FEE CURREN Ly JN_J
Address License#,
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License
H4+
RESIDENTIAL Attach(2)Plot P'fans;(2)set&of,BuIIdIng Plans;(1)set of.Energy'Formi R-OwW Permit for new construction,
Minimum ten(10)Working days,after submittal date- Required onsitei Construction"Plans,Stornimater Plans,w/Silt Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdiviiionsfiarge 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&I dumpster-Site Work Permit for all'new,projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*"'PROPERTYiSURVEY-required for,all NEW.construction.
............ ...........
frectil o'ns:!
Fiffout 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 Powerof Aftompy,(!kr the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING,�'.;n::;(copy.61"66ritract required).Z1 I , red)
Reroofs if shingles &wers Service -Aiii -'Fences(Plot/Survey/Footage)
Driveways-Not over.Counter flipri public roadways-.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. Y
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 'If%the owner has hired a contractor or j
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
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-713i 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„that1 have obtained a copy of the above-Aescribed document and promise in good faith to
deliver it to the"owner"prior to commencement..,. ,
,
CONTRACTOR'.SIO.WNEW&AFFIDAVIT:�,Lcertify;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`1^6nd 'installati6n-6s 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;°Countyw.and''Gity:cod'es; zoning regulations; and�land`-development regulations in the jurisdiction. I also
certify that I understandthat 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, Weiland 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, NavigablieWaterways;.'
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"V" unless expressly permitted..
If the-.fill .material is to be used in Flood Zone
n"A",
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 she fill material is to be used'in Flood Zone "A 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
propertie8--Af use.,of;.fill,is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions ofahe-building permit issued under the attached permit application, for lots less than one (1).
acre whidh,,are;elevated.by fill, an engineered drainage plan is required.
If I'am th'e:AGEN7 FOR'THr:.OWNER, I promise in good faith to inform the-:owner of the permitting conditions:set forth'in
this affidaviVonor to-com,mencing:construction. I understand that a separate permit may be required for electrical work,
plumtiii g Vsigns,=well$;:,pools;,=a ir'conditioning, gas, or other installations.not specifically included in the,application. A
permit iss iedshall.be;construed'to be -license to proceed with,the.-work and not as authority to violate, cancel, alter, or
set aside'anyp�ov'isions of tle`aechnicaGcodes, nor shall'issuance_ofa permit prevent the Building Official from-thereafter:
requiring,:areorrection,of.erromin-_plans, construction or violations of any,codes. Every permit issued shall become invalid
unless the;; dek,authorized;by.,suci permit is commenced within six months of permit issuance, or if work authorized,by
the permit-1s su`spended°or abandoned for a period of six,(6)months afterthe tithe-the work is commenced. An extension
may be.requested, in_,writing,;from;,,the Building:Official for a,iperiod 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 IMPR'OVEMI NTS-TO=Y-OUR`PROPERTY-:''_IF-YOU.INTEND=TO=OBTAIN FINANCINGVCONSULT--;--
WITH YOUR LENDER OR`AN>id►TTORNEY BEFORE'RECORDING',YOUR NOTICE10F'COMMENCEMENT.
FLORIDA JURAT-(F.S.117.03)
OWNER OR AGENT CONTRACTAMMor
S bs ribed and swo (o affirm d or this Sub c' ed°am before me this
by �„��Who I re @@��r�so I kpQwn to me or has/have produced Who' repme or has/have produced
4L LfCiI�CQTdP as identification. � as identification. ,
Notary Public Notary Public
Comm sio No: C m iss n oIArQIJ;:iINr.pop, A`
Name f41 CommlIft ission ped Name of Notary f:d GG 278457
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner: i
Job Location I Address:
i
Parcel LD.#:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE&FOUNDATION INFORMATION
t
t j
FRONT PROPERTY LINE
-- STREET — — — — -- — — — — — —
NOTE EXAMPLES 1&2)..
?xample 1. Setbacks for RI &R2 Zoning Example 2. Setbacks for R3 Zoning
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
I, I 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 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 DATE
ADDRESS
PHONE
WITNESS PERMIT
UMasterfonns/OwnersAffidavit/NovO7
INSTR#2020Q92970 OR BK 1 011 7 PG 1999 Page 1 of 1
06/12/2020 08:38 AM Rcpt:2170833 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
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g ¢ �, State Of Florida,County Of Pasco
This is to certify that the foregoing is a
true and correct copy of the document
*' on file or of public record in this office.
Witne my hand and official seal this
day ofZUl 2 C3a
�- ;•'' s Nikki Alvar&S�wles,Esq.,Clerk&Comptroller
Pa C u Florida
By Deputy Clerk