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Ze p Yrhills
PERMIT NUMBER
-~ - 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001566-2021
N Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/23/2021
Permit Type: Building General (Residential)
Property Number St eet Address
1126 210010 09200 0010 54,43 5Th Street
Owner Information Permit.Information lContractor Information
Name: ALLDREDGE URICK Permit Type:Building General(Residential) Contrac or: HOMEOWNER
Class of Work:Fence
Address: 5443 5Th St Total Valuation:$200.00
ZEPHYRHILLS,FL 33542 Total Fees:$45.00
Phone: Amount Paid:$45.00
Date Paid:4/15/2021 8:16:07AM
OD Y �
Project Description
INSTALL 63 FT X 6 FT PRIVACY WOOD FENCE ADD 215 FT X 6 FT
Application Fees
Fence Installation Fee $45.00
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 minspection.
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.
"!Z
CONTRACTOR SIGNATURE P 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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Ff1lNllln City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001566-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/23/2021
Permit Type: Building General (Residential)
Property Number Street Address
1126 21 0010 09200 0010 5443 5Th Street
Owner Information , Permit Information (Contractor Information
Name: ALLDREDGE URICK Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 5443 5Th St Total Valuation:$200.00
ZEPHYRHILLS,FL 33542 Total Fees:$45.00
Phone: Amount Paid:$45.00
Date Paid:2/24/2021 2:38:39PM
Project Description
INSTALL 63 FT X 6 FT PRIVACY WOOD FENCE
Application Fees
Fence Installation Fee $45.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with F�orida 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.
Ulf IfA 1
ONTRACTOR SIGNATURE PJJAIT 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 —
Owner's Name Y-1 Owner P onber
,�
Owner's Address l/ •S1+re �'� Owner Phone Number
Fee Simple Titleholder Name "I ` f` Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK �� `^' N 44,
BUILDING SIZE F SQ FOOTAGE HEIGHT ��
BUILDING $ !_ _ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ G•� AMP SERVICE Q PRO RE ENERGY Q W.R.E.C.
�ICCJ `��SS'ldY�
=PLUMBING $. �V 1
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLKTION
=GAS = ROOFING 0 SPECIALTY = OTHER I /W
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . I.
BUILDER COMPANY
SIGNATURE ) REGISTERED Y/ N FEE CURREN Y/N
Address I . License
ELECTRICIAN COMPANY
SIGNATURE` REGISTERED Y/ N FEE CURREN Lyl N
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE URREP LLN
Address License
MECHANICAL COMPANY
SIGNATURE REGISTERED -,,Y/ N FEE CURREN Y/N,
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt, Y/N
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,Sti rmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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&1 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. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attomey(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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-bo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permitmay 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
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",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 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, 1.certify that use of such fill will not adversely affect adjacent
properties. If use of fill,is fqund 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 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11 .
OWNER OR AGENT G0N? ACTIN ORd
Subscribed and sworn to(or affi d)before me this Subscribed and sworn to(or affirmed)before me this
by y by
Who is/are 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.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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
I I
Iq
FRONT PROPERTY LINE
STREET - - - - - - - - - -
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for RI &R2 Zoning Example 2. Setbacks for R3 Zoning
I
6lP
I
60' -
- 1p
1a
p E
R X
0 I 19 EXISYING 10'
10' T IV 0 140
S I I4�
E N
D G
PROPOM
i
P-SAIGIEFAMILY! 39DUPIEX
FRONT PROPERTY LINE FRONT PROPERTY LINE
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZZPHYRHILLS BUILDING DEPARTM BUT
I, <4 it Ire 4�'_Nk have read and flully understand and
agree to th provisions of thi"nstrument.
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 fIollowing 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 pertiment. to the building. fi
3. That in the event various phases of construction are subcontracted, he will
'engage only properly licensed subcontractors and will peisoUally 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 I are made, and upon
completion will call for a reinspection before proceeding with the building.
s. ThAt 't�e owner shall assume full responsibility for the construction and will
not ek',_p-.,ect supervision of his work from the City of Zephirhille Building
Dop.ax. neat,
6. Tt prior to final inspection any additional fees, including reinspection
must be paid in full. A written request from thisloffice shall
titute an official .notice to pay additional fees.
7. iFrb the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. where applicable.
S. That the owner shall comply with all the safety code is�1ued 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 I exemption allows
you, an the owner of your property, to act as your own contractor
ntractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build o3pimprove a
one family or two.-family residence or a farm outbuilding.` You may also build
or improve a commercial building, provided your costs do dot exceed $75,000.
The -building or residence must be for your own use or occIupanc3e.. it may not
be built or substantially improved for sale or lease. If 1you sell or lease a
bi#lding you have built or substantially improved yourselt within I year after
the* d6nstruction is complete, the law will presume that y I ou 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 yourl responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not1delegatethe
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.0 and withholding tax
and provide workers' compensation for that employee, all prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S DATE 2��_2_1
ADDRZS:-!��qM_ -.:s r tv-�FLO ul SYT75 -STIStl
PHONE P 13- 15t V-cf-331v-
WITNESS PERMIT #