HomeMy WebLinkAbout21-1694 Q
City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001694-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/15/2021
Permit Type: Building General (Residential)
Property Number Street Address
02 26 21 0180 00000 0290 6204 17Th Street
Owner Information Permit Information Contractor Information
Name: LEONE&JADE FARRINGTON Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 6204 17Th St Total Valuation:$2,000.00
ZEPHYRHILLS,FL 33542 Total Fees:$55.00
Phone: (813)479-5038 Amount Paid:$55.00
Date Paid:3/15/2021 4:27:46PM
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Project Description
INSTALL BLACK COATED CHAINLINK FENCE 120FTX 4FT
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.
CONTRACTOR 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 w/p J y Fax 813-780-0021
Building Department ��✓� ®��'
Date Received Phone Contact for Permitting -
Owner's Name l^-�rJ{� , (fir n �D� Owner Phone Number 13- 7�1 "vr
Owner's Address (�! L �. l�, (I s F�31� Owner Phone.-Number . 3 7
Fee Simple Titleholder Namet Farr, Lol-1 Owner.Phone Number.
Fee Simple"Titleholder Address FZU o L 7-"J- �r�
JOB ADDRESS F LOT'#
SUBDIVISION I Parlh I4//! PARCEL ID# 02 - 2& - O-Ott -ff�0
j (OBTAINED FROM 0kd0ERTYTAX'NOTICE)
WORK:PROPOSED_ NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
REPAIR
PROPOSED,USE- Q SFR 0 COMM: = OTHER. .
TYPE OF-CONSTRUCTION Q• 'BLOCK pQ' FRAME Q STEEL q G a
DESCRIPTIOWOF WORK T n S+-c,<< D 0.Gk, : Gtrd )�-ej-tc IVI e
BUILDING'SIZE ISO FOOTAGE HEIGHT ,
=BUIL"DING $' VALUATION OF TOTAL,CONSTRUCTION
i
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY `0 'W.R:E.C.
=PLUMBING $
.771
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY OE!� OTHER
FINISHED,,FLOOR ELEVATIONS- FLOOD ZONE AREA dES. NO,
. . . . . ... . . . .._. .-...-.-.-. .-■ . . .
BUILDER COMPANY OLV
SIGNATURE REGISTERED Y/ N FEE CURREN
Address F 711 License#.
ELECTRICIAN, COMPANY
SIGNATURE, REGISTERED Y/ N FEE'CURREN Y/"N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y.-/ N .FEE CURREK` Y'/N' .
Address °License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N• FEE CURREK ' Y/1N
Address License#
OTHER COMPANY
SIGNATURE, REGISTERED I Y,/ N: . .FEE CURREN Y/N
Address License#
1 1 1' Ihl"1 1:1:1 1.1 '1 1 .1.1.1.1 ,1;I tl- 1.1 1:1,1 1:,1 1•,1:1;-1-1 1 1 1 .1 .1 1 1 1.=1 1: 1.,1,1 1'1 1 1 1 I.h al 1 1.1 :1-.1 `I'•'1
RESIDENTIAL Attach,(2-)�PlotFPlans;;(2):sets:of Building,Flanskl ):set of;Energy-Forms;-R-O-.W-Perrnit for new:oonstructiom.
Minimurri'ten(10)working•days after'subfhittal'ddWf-Required onsite,Construction:Piaris;'Stormwatbt Plans-W/-Silt:Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(1a)working•daysraftersubmitta6 date:.:Required onsite,Construction Plans;;StormwatecPlans w/:Silt Fence.installed,
Sanitary Facilities&1 dumpster.Site Work Permitfor all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)•sets�of�Engineered!Plans:-
••••PROPERTYaSURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . .' . . . . . . . . . . ._._ .-. . . . . ... . . . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&'Contractorsign back.of.application,.notarized
If over$2500,a Notice of Commencement Is required. (AIC 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-COUNTEWPERMITTING (copy of contract-required)
Reroofs if shingles Sewers Service Upgrades A/C -Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadw ROW ays..needs
NOTICE OF DEED.RESTRICTIONS:.-.The undersigned understands that this permit maybe.subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned,assumes responsibility
'for compliance with any
applicable deed;restrictions;: - ,
UNLICENSED`CONTRACTOR&:•AND. CONTRACTOR RESPONSIBILITIES: If the, owner has hired a contractor or
contractocs:to:undertake work;,they:may�be required`to•be licensed=in-accordance._with.state,and.local regulations: 'If•the
contractor Is not ilcensed:as-required by law, both the.owner and.con#ractor may be,cited'for a misdemeanor violation
under. state law:-If the owner:ar intended contractor are uncertain as.to:what licensing requirements.may-.appiy•for the
intended work,- they are advised to:contact the Pasco-,County Buildin' Inspection Division.-Licensing Section at 727-847-
8009: . Furthermore;:.if:the:owner,has_hired a>contractor or-,.contractors, -is,advisedJo Have the:contractor(s)'sign
portions,of-the"contractorBlock" of:•this application'for whichthey will be:responsibl6. 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.. j
TRANSPORTATION..,I PACTLUTiLITiES..IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
that Transportation':Impact.Fees and-Recouese Recovery'Fees'may apply'to the construe#ion;of.new7bu{idings, change of
:e use in xisting buildings,,or expansion of existing buildings, as'-specified•.in Pasco County Ordinance number 89-07 and
90µ07,°as;amenddd' "The::undersigned.also;,understands,Ghat suc'n•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,,notirivolVe 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..;b6.-!paid,prior-to,permit`issuance in accordance'with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW.(.CF►apter;713, Florida'Statutes,as amended)--`if-,valuation-of work`is$2,500.00 or;more;.i
certify:that I the:applicant;: hairs 'beery:provided`with a copy of the "Florida-Coristructlon. L ien-Lew—Homeowner's
Protection:Guide":prepared'1heflorida.De0artment.of Agriculture and.Consumer Affairs. If the applicant is someone,
other than-the"owner"'-,.I cedify thatI have obtained a copy of-tlie•above described documentand promise in.good faith to
deliver.it to-the"owner".prior::torcommencement:,
CONTRACTOR'SIOW,NtRE F',FIOAViT:' I-,certi y..that,,all,,the:information:in:this application;is<accurate,and,thatall:work
will-be done !n complion'ee:•with all applicable.laws regulating construction, zoning and,.land development. Application is
hereby made to obtaln:a-;permit to do woek`and•iristallation as`"indicated: I certify,that•no work or installation=has
commenced pNor,to`.issuance;!of`.a.:permit.and;that:all work.-will,:be,:performed to-:meet standards of all laws regulating
construction;-Countw;any!>C ty nodes; zoning regulations, and land`development regulations in the jurisdiction. I-,also.
certifyahat.l:understatete l-,that'the,regulations of other government agencies may'apply•to the:intended work, and that it is
my responsibility,toside-Iy what::actions l must take to:be in compliance. Such agencies.include but are not limited,,.to:
Departri+ie;nfiof'Environmen#al Pro#ectiorrCypress Bayheads, Wetland Areas and: Environmentally Sensitive
Lands;.:1Nator/VVastewater,Treatment.
Sou
tlwest,•:Florida- Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps.of-Engineers-Seawalls, Docks,.Navigable:Waterways.
Oepartriment:of Health & Rehabilitative Seniices/Environmental' Health Unit=Wells, Wastewater'Treatment,
Septic'Tanks.
US`i^nvironmenta{;Protection Agency:Asbestos abatement.
FederalPivlationAuthority-Runways.
I understand:-that-tt e,following.restrictions=:apply to.the.use of fill:
Use.of:fill�is.not'allowed:iri Flood:Zone"V"unless-expressly.permitted.
If the fill.:materiaF.sls to 'be used in. Flood Zone"A", it is understood 'that a drainage plan addressing.a
"compensating-volume",wiil.be submitted at time of permitting:which.is:prepared by a professional engineer
licensed bythe 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;!'cectlfy'that:fi{I wilvbe used only,to fll the area within the stem:wal1.
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:,•fiti: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)
acrewhicl ;are elevated.byfilk an engineered•draihage:plan is required.
If I,=the,AGENT FbWTHE..OWNER,I promise`in good faith•to-inform,the--owner.af the permitting..condi#ions:set forth in
this-affidavit pr!or- to commencing construction: i understand that-a separate permit!may be required for electrical,work,,
plumbing; slgns "wells.;.pools;.air:=conditioning;.;gas- or other installations notspecifcally:included:in_the.,application". A
permit;issued shall;be,construedto be a:license to proceed with the work and not as authori#y to vioiate, cancel,.alter,or
set aside any provisions:of the.technlcal codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiririga correctlari:of errors iii'plans;construction or-violations of anyeodes. Every permit issued shaA-become invalid
unless-the work:authorized:by.such_permit is-.commenced within.six months of L permit issuance, or if work.authorized by.
the;permit is suspended or.abandoned for a'perlod of.-six(6)months after the time the'work is-commenced: 'An extension
may-`be requested;_in:writingi.from,the Building Official—,for a:=period'-not to-.exceed ninety(90) days and.will demonstrate
justifiable.cause..fdr the:extenslori,.=-If work.ceases for-ninety(90)consecutive,days,.the.job is,considered abandoned.-
WARNING TO'.OWNER:--•YOUR'�FAIL'URE TO RECORD A.NOTICE.OF.COMM.ENCEMENT-MAY RESULT IN YOUR
PAYING•TWIG"E'.FQR'IMPRQUEMENTS'TOn•YOUR PRORERTY.-IFYOU INTEND;TO OBTAIN FINANCING, CONSULT
WITH':YOUR:LENDER..<OR`AN.�rTTORNEYrBEFOR E'RECORDING YOURNOTICE OF'COMMENCEMENT.
7-OWNER OR,AGENT _.� CONTRACTOR
Subscribed and•swom t610 affirmed efore this Subscribed* swom to`(oraffrrmed`bef me this
.by scr by,
Who is/ar"e onall own tome or has/have produced Who is/a� ersonajty nown to,meior-has/have produced
d JL as identification. G r1 as,id
1
Notary Public Notary.Public
Commission No. Commission No.
(^."e W ,& Ca.(i do
Name of Noftry -printed �,r�,...,.or stamped Name of Notary typed,prime-or stamped
���;rr' •., CARLOS MALDONADD GARi 4S iuiAi DONA00
•"••-•c
Commission#GG 346275 '.; �; Commission#GG 346275
Expires June 18,2023 ;rNo`Expires June 18,2423
Sanded Thru Troy Fain Insurance 800-385.7019 R. Bonded Thru Troy Fain insurance 800-385.7019
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT
/-&/7e rdl-r0� 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 Toll—owing
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—. TIT9T III% owner h-all—ag-s-u-rff-e--full—rd-spo—nsi5ilitV7-fo-r-tie—66-n-s-fr-dc-tid-n--dh-d'will_ffo-f mpedt
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 of 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 workers 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 (P Q o 1-1 l7 h SI-m-P-6 2i9eW r Vx i 11 3 3 rye
j
PHONE
WITNESS PERMIT
77-
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Legal Description:
Lot 29, PARK HILL SUBDRMON—UNIT
ONE, according to the map or plat
thereof, recorded in Piat Book 14;
Page 70, of the Public Records of
ao o 1s ao Pasco County, Florida.
GRAPHIC sSME(In Feet) Property Address:
1 inch-30 rt. 6204 17th Street
GENERA1vr07ES-' Zephyrhills, Florida 33542
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