HomeMy WebLinkAbout20-1092 D
A. �i*"►��� City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001092-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 11/18/2020
Permit Type: Building Building General (Residential)
" Property Number. 4 Street Address
11 26 21 0010 04600 0060 5853 20Th Street
Owner Information Permit Info a o Contractor Information.
Name: PAMELA EVERETT Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 5853 20Th St Total Valuation:$500.00
ZEPHYRHILLS,FL 33542 Total Fees:$55.00
Phone: (315)567-3107 Amount Paid:$55.00
Date Paid:11/18/2020 2:01:28PM
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P,�roject Description
INSTALL 129 FT X 6 FT WOOD/4FT X 6 FT CHAINLINK
App'lic Lion 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 PEf IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 D y Fax-813-780-0021
City of Zephyrhills Permit Application �,jj. q
Building Department �rhN
Date Received Phone Contact for,Permitting. —
Owner's-Name Owner'Phon®Number; t .
Owner's Address- _ -
�" S� Z" J 1- Owner.P-hone Number° �"
Fee SfinpleT(tleholder Name ,' OiivnerPhone'Numti'®r. '
Fee Simple Titleholder Address
JOB ADDRESS ?:, ;•
��• -�- G.-c'. `I.l' •"��lii S. `.I LOT:#
SUBDIVISION PARCEL ID#i`} .y: :Z(�:Z C. COt.�;o, ,.
(OBTAINED FROM P,ROPERTJ!TAX NOTICE); ,
WORK PROPOSED NEW CONSTR' ADD/ALr 0 SIGN : Q Q . .DEMOLISH :•- ""
e INSTALL REPAIR"
PROPOSED USE- 0 .SFR ' 0 COMM :• .::,0; .OTHER'
TYPEOF CONSTRUCTION' BLOCK FRAME $TEFL`'."
0 0} o, o.
DESCRIPTION OF WORK YA i
,. . . - - ��9cQ.aYiq, �. •ex�5��rcf.
BUILDING„ ZE, SQ FO.OTAGE :3. / ! HEIGHT` _ :�bjC
." JBUILDING $. •�� VALUATION:OF'TOTAL,CONSTRUCTION.7
=ELECTRICAL '. $". AMP SERVICE 0 PROGRESS ENERGY- 0. W.R E.C;.
PLUMBING'." $
MECHANICAL $.,: VALUATION.OF.MECHANICAL INSTALLATION'.;
=GAS = ROOFING ASPECIALTY'0- OTHER::
FINISHED'FLOOR ELEVATIONS FLOOD ZbNe AREA =YES ' NO
BUILDER COMPANY`"
SIGNATURE '"=:REGISTERED. - : "Y./.N ' : "` FEE',CURREP Y'L`N«
Address License'"# .
ELECTRICIAN 777 .
COMPANY
SIGNATURE :REGISTERED Y/_N ;
Address ,License
PLUMBER COMPANY
SIGNATURE REGISTERED : . .-" Y:/'N: F,EE'CURREr::;
Address. License:#:_ - -
MECHANICAL: <.COMPANY _
SIGNATURE. REGISTERED " :Y/_N. FEE;CURREI%
Address
,
ense Uc #'.
OTHER. • ' -COMPANY'.:
SIGNATURE %'� :' REGISTERED:' `': Yr/ N t`' FEE CURREf� Y^/N"-'''
Aaaress . ; SSS�3, �� ^'S►- zephyr ha s 1 33 : License#.:`
-"
B•"ild' d0,Plans;'=1: ,setof`Ene Forms•,R=O_-.WA P..ertnit:fo
RESIDENTIAL Attach(2)PIoYPiaris;(2),sets of u dI 9,-. " (.) rgy.
Minimum.ten(10).working.days"after submittatdate. Required onsite;Con'structionPlans,Stormwater:Plans..w/Slit Fenceinstalled:"
Sanitary Facilities&I-dumpster,Site Work Permit for_subdivisIpns8arge projects
ja .q,,...
COMMERCIAL Attach(2)complete sets of B'uilding,P,.laps;,plus_a Life`Safety Page';(1)set of Energy Forms.R-O-W Permit-for-.new.Consttuction.'"=`
Minimum ten(10)working;days after'submittd:We'Required'onbite,Construction Plans'Storinii4afe�-Pianslw/`Silf Fence`instalied",'
Sanitary:Facilities&1:dumpster,Site•Work P, rmI!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&Contractorsign: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 Aftomey(for the owner)would be someone-with notarizedlefter from owner authorizing same
OVER THE COUNTER PERMITTING (copy,,of-contracUequired)
Reroofs if shingles *�Sdwers- "".,—Service-Upgrades,AIQ--.,,,,Fences(Plot/Survey/Footage). k ,
' ail:,"•.r.f'J�i;j,i i(':"..y1 ::"'c�i:'
Driveways-Not over Counter,if:on:pubiic.roadways:needs:RO
,:!ail;,.,,._� ".�.,• (7 •:)�`,' ..q * •
NOTICE OF DEED RESTRICTIONS: The undersigned unde jstands that this permit,may be subject to"deed"restrictions"
which maybe more'restrictive than County-regulations. The undersigned assumes"responsibility,for with any
applicable deed.restrictions;
.,
UNLICENSED"'CONTRACTORS'.-AND''CONTRACTOR`,RESPONSIBILITIES:—'IVt"he"owner,has�',lhired`ia,•contractor or
contractors to undertake work. they,may be,required.to be=licensed in accordance.with state and local regulations.-4f the:
contractor lsFnot 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 whafilicensing requirements may apply..�40L:.,the-"
intended work, theyare advised to contact the Pasco County�Building.inspection-Dlvision==-Licensing.Section at 727-847-
8009. Furthermore, if the owner},has:<hired,ia=contractor,or contractors, he is advised to have the:=contractor(s);;sign:..
portions,.of the"contractor.Block".of this:application-for whlch they will'be responsible. If you, as the.owner sign as the
contractor, that may be indication that he is not properly•licensed and is not entitled.to permitting privileges in Pasco
TRANSPORTATION IMPACT/UTILITIES.IMPACT AND:RESOURCE RECOVERY,FEES: The undersigned understands
that Transportation Impact Feesand•Recourse•Recovery Fees may apply-tor the:construction-of new.buildings, change of
use in existing..buildings, or expansion of existing buildings, as specIfihed:16Pasco Cotinty..Ordinance'number 89-07-.and
90407,.as.amended.• The.undersigned.,also-.understands,-thai:such fees,.as.may.be:due,,.will_be identified at-the"#ime-of
permitting. It-!s further,uridecstood•that?Transportation.Impact-Fees,and Resource Recovery Fees must be paid.prior to
receiving a""certific'ate of.occupancy" orfinal•power release. IIf1he1project:does-;not•involve a certificate.of:occupancyor:
final power release, the:fees_must be paid prior to permit issuance 'Furthermore,;if''Pasco County Water/Sewer Impact
feeiare.due;tl ey4tibst-be paid.prioeto permit issuance in accordance,withapplicable:Pasco County ordinances.., . .,•,
CCINSTRUCTION la1EN LAW.(Chapter ',13;,Florida Statutes,as-,amended):,-If valuation of work is$2,5.0.0,OO..or.more,,l_.
certifjr that=l;-.the`-applicant, have.-,been'-eprovide-d...wlth-.a"copy.of.the..."Flondda::.C6hstivction..Lien,L Womeowne' r's
Protection Guide" prepared by the Florida Department of Agriculture:and Consumer-Affairs. If the applicant..is someone..
other,than-tile"owner"',1:certify1hat`I.have,obtained a--copy,of the„above-described-document:anct,promise in.good-falth to
deliver it to the°owner".priorto commencement.
CONTRACTOR'S/OWNER'S:-AFFIDAVIT; i`certify that all:the-information'in:this applicationm ist accurate,and=that ally work
S r
will be done in compliance with'ail a ppliddble'�laws regiilating'construction; onitig'and.land-dev.,eloprtient:""Applica#ion'is-
hereby made to obtain a permit.to do�-work,..and,tinstallation=:.as-<!ndicated. ; 1 certify that no-work or instailatlon -has
commenced prior to issuance of a_permit and that all-work will be performed to meet-standards of all,laws regulating
construction, County grid City codes;.,zoningi,regulations, and-land .development regulations .in the jurisdlctlon_ :::h 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]must take.to:be incompliance. Such agencies include-.but are not.11mited,to:
Department of Environmental Protection-Cypress Bayheads; Wetland Areas and-Environmentally Sensitive
Lands,WaterMastewater•Treatment. a
Southwest Florida Water"Management DistrictVells;" Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls :Docks, Navig'able'Waterways. -
Department of Health & -Rehabilitative_Services/Environ mental--Health-Uniti;Wells, Wastewater,.Treatment,. .
Septic Tanks. ; i -''
-. US Envir:,onmentaLProteation Agency.-As bestos..abatement..
Federal Aviation Authonty�Runways:
I understand•thatthefollowing restrictions applyto•theuse,,of.filL
Use AIll`is not allouiieii in::Plood<Zone'!V"_unless;expressly'permitted.
'If"the' fill,-material-is -to.be used in flood Zone.W, it-is--undeirstood._that`-a:drainage-plan addressing a
°compensating volume".will,�besubmitfed 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 sternivwall.
construction;l certify that=fill:wiit,'be:uspd:only to till the:areiwithin the stem Wall.
if fill material-is-to i'be•used in any;area, i-certify-that-use-of-such'fill will:not~adversely--affect-adjacent
-properties.. If�use•of fill`ivy found..to,adverselyaffeCt::adjacent:.properties,,.the;•owner may,be-cited":for violating,
'the coriditioits of the biiildln",g:pe�r»it=issued,.unfiler:fhe attached permit"application;for lots less-than one (1)
acrewhich_ar_e elevated,by.All,an.engineered.drainagwpilar lsrequired.
If I am the AGENT=:FOR.THE�QWNER, l prornlse::irt:.goodrJalthYto 146rm:the owner.of the permitting:conditions setfortIl4n
tphis affidavit prior to'commencing.constructiogn. I understand installations notspecficaay.be to ed._i d for electrical work,
Ghat a separate`permit.may be require
lumbing,:algns,,wellsi-pools, air'conditlonin ,,gas,_or.other- n the..applicatlom ,A
permit issued shall be construed to be a license to.proceed with the work_and nb#as authority to"vlolate, cancel, alter, or
set'aside"any-provisions,of the technical-codes,.n,or:shall issuance°of:a permit prevent the Building`Official from thereafter
requiring_a correction•of_errors.in plans,construction or violatlons`6f.any-codes:-Every permit-issued-shaN-bdcome-ln'valid'
unless the work authorized by such.permit is•commenced within•six months of.penmit issuance, or'ifwork authorized by
the,permit-,is=suspended,orabandoned for-a..period.ofsix(6)moriths-after'-the:time:the:work-.ls.commenced:::An extension
may be requested, in writing, from the Building Official fora period not.to exceed ninety(90)days and will demonstrate _
justlflable"cause for-th'e-extension ,If=workiceasesfor ninety,:(9Oj:consecutive days,the.job is considered abandoned.-
WARNING-TO-vOWNER: YOUR:FAILURETO'-.RECORD.k NOTICE-OF.-COMMENCEMENT:MAY RESU.LT,'1NY0UR
PAYt14.6'1iAtICE_ 4R IMPE20VEMENTS TO YCi!UEt'PROPERTY::";IF YO,U-,!NTRfitD,,:.`O;:OBTAIN;:FINANCiNG CONSV.ILT .
WITH°YOURLENDEMOR�AN-ATTORNEY=BEI,ORE RECORDiNG:YOUR>NOTiCE: )F=COMMENCEMENT.
FLORIDA:JURAT,(F;S:-117.03).t
sw to or.affinned -before•me.this Subsc
._ . �r�' ��?"'•� RACTOR
S WpMER.,O nd s am`. :( ) —_ COCON abed;and-sW6ri to(bt affirmed);tiefore me;tttiis' .
-�f_' --
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Who is/aka rso f known to mas id as/tiav0eonrotliiced Who i' ar rsopafjy known tome;or`hai shave.�iroduced
y p
_ nti ide cation
Notary Public Notary.Public,
Commission No. 'C ommissiowft.:
Name of Notary typed,printed or stamped Name of Notary•type&printed_or stamped
CARLOS MALDONADO CARLOS MALDONADO
Commission#GG 346275 r ,:Commission#GG 346275
o�'Expires June 18 2023 Expires June 16,2023
••....fin. , fF•....pP.•
RFEIt.• Banded Thru Troy Fain insurance 800-385.7o19 8;tk•` Boded ThroTroyUn insurance 800-385.70f9
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 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 reirispection 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 t'hat 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 C,
ADDRESS
PHONE 15- -S-7,4-1-11('0
WITNESS PERMIT
JJMasterforms/OwnersAffidavit/NovO7
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November 12, 2020
To Whom It May Concern:
I, Pamela Everett,the owner of the property located at 5853 20th St,Zepherhills, FL give my son Scott
Everett permission to obtain a permit to put up a fence on my property.
Pamela Everett
94, Q
tag C�c� n te>rv�Iger �2v
ANGELINA T. FENTON
Notary Public, State of New York
Qualified In Seneca County
No. 01 FE6334784
COMMISSIOn Expires December 21, 20��