HomeMy WebLinkAbout21-1564 Q
City of Ze h rhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001564-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/09/2021
Permit Type: Building General (Residential)
Property Number Street Address
1126 210010 18100 0090 5233 11Th Street
Owner Information Permit Information Contractor Information
Name: JOHN&KAREN DINEEN Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 5233 11Th St Total Valuation:$4,300.00
ZEPHYRHILLS,FL 33542-5029 Total Fees:$55.00
Phone: (813)783-8124 Amount Paid:$55.00
Date Paid:3/9/2021 10:16:05AM I
Project Description
INSTALLATION 161 FT X 6 FT VINYL 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.
y1QZL4-)L-*rn
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�? 913-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ''Z �j Y
Phone Contact for Permitting p
Owner's Name `� Owner Phone Number �—
Owner's Address �a33 S z� \\ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5`�.3� i Z LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR H
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = .OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT , \
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION'of
,
=GAS = ROOFING Q SPECIALTY = OTHER V �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER o COMPANY
SIGNATURE �\` REGISTERED Y/ N FEE CURREN
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 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
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 Buildingi 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&11 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) i
Reroofs if shingles Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage)• <.•w• k••,:.,:.,.,,.,�.,,>;,,�,�,...,.,
7 t�• tr" ''°`•e'a.:ea..,a..•-:.�....,� �P.[.'tl�f�.(h�:',%'�... ii.� �t,:: i'
Driveways-Not over Counter if- n pulilic'roadways::needs ROW a ;:
:?trY.,:3C•Jut;.�•nw.,z:r! .� ., sv.zr!L:;�';•:.:... ... . ... (gyp,;
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 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 applicatiomfor 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$2,5.00.00.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"owner"-prior to commencement.
CONTRACTOR'S/OWNER'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 t
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"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
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 bf 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 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 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.11NTEND TO OBTAIN FINANCING,:CONSULT
WITKYOUR LENDER OR AN ATTORNEY BEFORE'RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGE a,JCONTRACTO �y���
Subscribed and sworn to or affirmed)before me_this'
--Subscribed-al ;to-(or iffirmed)-before-me this---
— -- by-- — — -- — by
Who isT perq��ey known to me or has/have produced Who istare,�persona¢q�c�own to me or has/have produced
f—( 4 as identification. T G Q/ C— as4dent'fication.
Notary Public Notary Public
Commission No. Commission No. -I'
C��s M k( ,1ob 4� CW tb s M�1
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,•;�tri;,•.; CARLOS MALDONADO
Commission ItGG 346275 NY CARLOS MALDONA00
' � =Commission#GG 346275
Expires June 18,202
U'r•".�!;ryr°P Bonded Thru Troy Fain insurance 800.385-10 : "' !.,-A- �Expires June 16,2023 �J
Bonded Thru Troy Fain Insurance E0045-780
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS—BUILDING DEPART ENT
have read and fully un erstand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructVi g, renovating, adding to or
,I
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:
I. 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 Ze h hills ordinances and codes
pertinent to the building.
3. That In the event various phases of construction are sub:nlacted, he will engage only
r
properly licensed subcontractors and will personally supervise su h work.
4. That in the event the Building Inspector shall require correction to be made, the owner Will
assume full responsibility to insure they are made, and upo completion will call for a
reinspection before proceeding with the building. I
5. That the owner shall assume full responsibility for the cons"ption and will not expect
supervision of his work from the City of Zephyrhills Building Depa�-M—ent.
6. That prior to final inspection any additional fees, including reihsRection.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 law I in regard to social security,
workmarfs compensation,lien laws,etc.,where applicable. I
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 thoughyou 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 d not exceed $75,000. The
building or residence must be for your own use or occupan y. It may not be built or
substantially improved if for sale or lease,which is a violation of t is exemption. You may not
hire an unlicensed person to act as your contractor or to sups i ise people working on your
building. It is your.responsibility to make sure that people am loyed by you have licenses
required by,state law and by county or municipal licensing ordina ces. You may not delegate
the responsibility for supervising work to a licensed contractor w o 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,":hlch means that you must
deduct F.I.C.A.and withholding tax and provide worker's comps n',sation for that employee,all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes,and zoning regulations.
OWNERS SIGNATU S DATA
ADDRESS S
PHONE
WITNESS PE .'IAIT
P3 l e^ I k y 9 + /Q I p A f
o� ao1 Y h_ie k 01 1 s �
4'H Residential Black Vinyl Coated Chain—Link
25
18,
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I�O�nri m r
i
54' O
10' 4.. 10'
ae
�D 10' e
Kwri—b a Gate
ffi®�
Included in the job
1 4' Gate, 1 10' Double Gate
Selected Package:Black Vjn I Coated Chain Link 4H
This company was a pleasure to deal with From the time we Today's Price $3,395.00
started our project you could tell that customer service was very
important to them.This showed in the way they explained the
project to making sure that every deadline was met.I would
deal with the company again because they showed great Or
integrity in business.
Contact Sales
♦[* * , o
Certified: