HomeMy WebLinkAbout20-999 Qatar City of Zephyrhills PERMIT NUMBER
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5335 Eighth Street
-" Zephyrhills, Fl-33542 BGR-000999-2020
Phone: (813)780-0020
t' Fax: (813)780-0021 Issue Date: 10/30/2020
Permit Type: Building General (Residential)
P�opertyNiimber - t ;, :. ° "•Sheet Address -? k `,er ;' "
1126 210010 19900 0050 15210 19Th Street
r Ownerinformat�on.. Permit Information k, ,,,:Contractor Information. ;,
Name: GRETAZINDEL Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 5210 19Th St Total Valuation:$1,640.00
ZEPHYRHILLS,FL 33542 Total Fees:$65.00
Phone: (352)467-0334 Amount Paid:$65.00
Date Paid:10/30/2020 3:57:35PM �f /
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Prdject Descrition%"
INSTALL WOODEN FENCE 6'X 224 FT
Fence Installation Fee $65.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property.If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,y)Q9L4y*-r-
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application �17 Fax 813-780-0021
Building Department
-TAT VO#
Date Received
Phon®Contact for Permitting t7 3-X/
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Owner's Name &V.74Z.. Owner Phone Number
Owner Phone Number
Owner's Address 'ry-lis
Fee Simple Titleholder Name r Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ,�- LOT
SUBDIVISION PARCEL ID# 0q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADDIALT' SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR 0 Comm OTHER 1
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL = I I
DESCRIPTION OF WORK Ee�C`�'-A-"9149D.00 (%-b
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C.
=PLUMBING r—
=MECHANICAL $ VALUATION OF MECHANICAL,INSTALLATION
=GAS 0 ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
RED _J FEE CURREN,
SIGNATURE REGISTERED
Address License# F
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
OTHER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F-
2 mein a i ft
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/Slit Fence installed,
Sanitary Facilities&I•dumpster;Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach(2)complete sets of Buildifib'Plans plus A Life Safety Page;(1),set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working.day s aft6r,submittal daite.,'Required onsite,Construction Plans,.Stormwater Plans w/Slit Fence installed,
Sahitary Facilities&1.dumpster.,Site Work Permit for all,newpniects.All Commercial,requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered*Plans.
****PROPERT- Y'SUIkVEY:re I quired for all NEWbonstrtiption.
. ................
O'lil 7 out;application completely.
Owneri&Contractor si6nback,of application,notarized
If 6v0r,$2500.,a Notice of Comme'rIc'em'einfis required. (4C-:`juPqrq,0ew over$7500)
Agent#orrthe contractor),or Power of Attorney(for the owner).would'156 someone with notarized letter from owner authorizing same
OVER-THE,COUNTER PERMITTING -."(cqpy,of contract required)
-:'Riero6fs if thingles -Sewers- —Serviceljo4rades-,A/C`,, Fences(PlottSurvey/Footage)-------,- ,- ,.
Driveways-Not over Couniief If on'OubildroadwaYS.:reedsiRow
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 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 89r07 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 1, 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/OWNERISAFFIDAVIT: 1,certify.that all,the information in this application is accurate and that all work
will be done incompliance 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 a'pply-to the use of fill:
Use of fill is not allowed lhFiodd'ZoneW"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:IsUbmitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is tobe used,in Flood Zone"A" in connection with a permitted building using stem wall
construction, I certify-that fill will be use I cl;onlyto 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 found to..adversdly'af66tadjacent.properties, the.owner may-be.cited for violating
the conditions of the buildi6g,,�.per'mi't:-�issued-.uhde.r,°the--ciffiRched permit application, for lots-less than one (1)
acre which are elevated:by1fill, an.,ongiheered'drainage-plan is required.
If I am-the AGENT FOR THE OWNER, 1:promise in-goddfait4ljo inform-the owner of the permitting conditions set4orth in
this affidavit prior to commencing construction. I understand 4hat 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 afterthe 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
PAY114G,TWICE FOR,IMPROVEMENTSTO-Y,OUR'PROPERTY. IF YOU-IINTEND TO.OBTAIN,FINANCING,CONSULT
WI,TWY—OUR-L'ENDtR70R-AN-AW-ORNE-Y-BEFORE-RECORDING'YOUR NOTICE.-OF,dOMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT, CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/ pe 11 known to me or has/have produced Who lrLre pers litknown to me or has/have produced
Uty as identification. as Identification.
Notary Public Notary Public
Commission No. Commission No.
CL::(I-QS AAAIJO\A-, - M411
Name of Notary typed,printeil-or stdiriped Name of Notary typed,printed or stamped
CARLOS MALDONADO CARLOS MALDONADO
Commission
ommission#GG 346275 Commission#GG346275
Expires June 18,2023 %AZI .:,4- Expires June 18,2023
bonded Thru landed Thm Troy Fain insurance 800.3e5-7ol9 Tt
TrayFolitInsuraft*8OO.3M-7019
WEST 1 /2 OF BLOCK 199
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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 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 forl 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. I
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. 1
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 rein spection 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. I
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 I
_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 costsi 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 contractoriwho 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 5.2)0 ic?V- S-+ &2WCWjic, 'Fi-
PHONE g 51;k- W C�S?
WITNESS PERMIT
..............,
I/Ma9edornW0wnasAffldavitNov07