HomeMy WebLinkAbout20-358 1
D
Cityof Ze h rhills
"'0°101 p Y PERMIT NUMB
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000368-2020
`j Phone: (813)780-0020
'i
Fax: (813)780-0021 Issue Date: 07/10/2020
X.
Permit Type: Building General (Residential)
Property Number Street Address
02 26 210180 00000 0570 6101 17Th St
Owner Information, Permit Information Contractor Information
Name: CHAD BOLENDER Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 6101 17Th St Total Valuation:$2,200.00
ZEPHYRHILLS,FL 33542 Total Fees:$75.00 /
Phone: (813)312-8151 Amount Paid:$75.00 �i 11
Date Paid:7/10/2020 12:00:47PM `�
'Z(
Project Description
INSTALLATION 305 FT X 6 FT WOOD FENCE
Application Fees
Fence Installation Fee $75.00
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.
CONTRACTOR SIG TURE 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-813-780-0021
Building Department
Date Received Phone Contact for Permitting Q J 3 2 - 23
Owner's Name IJ�IJt lJ • �J�1 �� Owner Phone Number O J' `Z 23D-I
Owner's AddressFw o t Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address Si-- •�
JOB ADDRESS �1 M ��� `�, �' r��� S rl�3 v S�Z LOT#
SUBDIVISION PARCEL ID# Z W Z O $ -00000— U S Z a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK-PROPOSED R
NEW CONSTR e ADD/ALT = SIGN _ = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER o
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 14 bMi
DESCRIPTION OF WORK ��►1 CP.. 1RS�Gl`�(� (�� W Sl�e- N) �� 1
BUILDING SIZE SQ FOOTAGE= ` HEIGHT S r C S 12 i
Z BUILDING
\ $ Z.L� . 00 VALUATION OF TOTAL CONSTRUCTION
� )
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
r -d/
=GAS = ROOFING Q._ SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' > (NO)
BUILDER _ COMPANY
SIGNATURE -� REGISTERED Y/.N - j,_ FEE'CURREI`::- ;X.]N:;
Address m License,.,;#• .•__.
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N. FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/-'N FEE CURREN LYLN
Address "License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N'`' FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N.. FEE CURREN
t
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2),set&of,Building Plans;(1)set.of.,Energy Forms;R-07W•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 Bullding 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 Plan$;•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.
ai ****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(Flot/Suryey/Footage) _ w;._, �;a _•.a=:-�,�
'y� as rr•"I]i; l�tl{=Usti. :"" :;
Driveways-Not over Counter if on public roadways..needs ROW
9' ;. ;;zs `i : "It`=ii?,'°• �. "'
' A
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 the owner and contractor may 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 contractors) 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 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",1 certify.thatf have_obtaine'd a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement..,.)
CONTRACTOR'S/OWNER'S AFFIDAVIT: Lcertifythat,all.the.information,in,thisapplication is accurate and that all work
will be done in compliance with all applicabl1 .e 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`'Cify codes; zoning regulations, and land`development regulations in the jurisdiction. I also
certify that I;:underst'and 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,WaterMastewater Treatment. .
'Southwest Florida Water Manag iement District-Welis, 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.
USI 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 inli 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. I"
If the fill material is to be used'in Flood Zone "A" in connection with a permitted building using stem wall
construction,:l certify that fill will be used only to fill the area within the stem wall.
If fill materiat'is to be used in any, area, I certify that use of such fill will not adversely affect adjacent
properties-'1f;use.of:fill,is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permif 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 f am the AOEN't'FO,I2TiHE.OWNER, I promise in good faith to`inform the:owner of the permitting conditions set forth"in
this affidavit'prior,to-'comrnencing.construction. I understand thata separate permit may be required for electrical work,
plum bing,,,;signs,_wells;--pools,'bir'conditioning, gas, or other installations;not'specifically included in the,application. A
permifissue&shall,be construed;to be a license l to,proceed with the work and not as authority to violate, cancel, alter, or _
set aside'any`provisions;.of;th :technical:codes, nor shall issuance of.a permit prevent the Building Official from thereafter
requiring-ib6lrrection tion or violations-of-any-codes: Every.permit issued shall become invalid
unless the:wotk 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.requested,;in.writing,'from the Building IOfficial for a-,-period-not to exceed ninety(90) days and will demonstrate
justifiable cause for the extensio'n."'Af'w 6tk.ceases for ninety(90)'06nsecutive days,the job is considered abandoned.
WARNING TO OWNER:. YOUR!FAILURE TO,RECORD A NOTICE.OF-COMMENCEMENT MAY RESULT 1N YOUR
PAYING TWICE'FOR'IMPROVEMENTS-T.O YOURVROPERTY:'i IFYOU'IN7`EN6TO:OBTAIN FINANCING, CONSULT
WITH YOUR.�LENDER,.OR'AWA =ORNEY BEFORE'RECORDING.YOU !NOT ICE:;OF-COMMENCEMENT.
FLORIDA JURAT"(F:s:117:03)`-"— — -- - — — — -—---- --.— —
OWNER R AGENT CONTRACTOR
u ad and sw or a ed)befor a this Subscribed'and swom�to(or affirmed)before me this
by
WHO ism,
personally kno 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
333 S
Commission No. C1G �p� Commission No.
Name of Notaryltypid,printed or st otary typed,printed or stamped
" ""�''' STEhMIEDAMS
; M "t MY CQMMISSION#GG 33356T
e� EXPIRES:May 13,2D23
t3ondedThuNotaryPtftUndmxhm
I
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 s of constructing, renovating, adding to or
reroofing his or her own domicile, that he or sh actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sa . 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 Leg4ations.
OWNER'S SIGNAT DATE 20-2,0
ADDRESS �s
PHONE _ 2
WITNESS _ PERMIT
I/Masterforms/OwnersAffidavit/NovO7
CURVE RADIUS ARC LENGTH CHOR
C1 P 40.00' 56.79' 52.14
Found 5/8" C1(F) 40.00' 57.30' 52.52
Iron Rod
No Number
LINE E
L1(P) P
L1 F i
20.0'
Lot 56
®9S8
10.6'
in 770
Aluminum -' J
Shed
00 5�
� 4
l
o �w
o_
o
o /10 26.0' / 42: i
o a�i N r 6 %
2 Concrete s9 ..
�0- It 27.5' / / -Drive'...'..
Story
Q 011 Masonry j Concrete /
N O 27.5' j%//////////�_ Residencem j Covered Walk j
Entryin
j
V ' A/C
4.6'
o ido Power
rporation io O o
a eed h •'s_
t0.0' Found 5/8" d :v
Found 5/8" of Iron Rod in
0 No Number A).
Iron Rod V
No Number ® E10 0' "I E. YT 1 Use 00, (P&F) ..
-- —J Basis of Bearing - .0 wM
. o
^ 0 0
V 00
Lot 58
Northeast
of Lot 6(
Found 5/
Iron Rod
No Numb,