HomeMy WebLinkAbout20-1156 Q
.......... City Of Zephyrhilis PERMIT NUMBER ,
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001156-2020
ti Phone: (813)780-0020 Issue Date: 09/07/2021
Fax: (813)780-0021
Permit Type: Building General (Residential)
Property. Number Street Address
34 25 210130 00000 0510 37349 Laurel Hammock Drive
Owner Information Permit Information Contractor Information
Name: RICHARD GRAHAM Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Fence
Address: 37349 Laurel Hammock Dr Total Valuation:$1,800.00
ZEPHYRHILLS,FL 33541 Total Fees:$97.50
Phone: (813)616-0546 Amount Paid:$97.50
Date Paid:9/7/2021 1:16:18PM
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Project Description
INSTALL VINYL FENCE 6FT X 82 SQFT///4FT X 208 SQFT
Application.Fees
Fence Installation Fee $65.00 Fee $32.50
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
4 7,
F 0 lilfl � CI of Ze h rhills _.City p Y � ,„, PERMITNUMBER
5335 Eighth Street _
Zephyrhills, FL 33542 BGR-001156-2020�
Phone: (813)780-0020
Issue Date: 12/03/2020
4 Fax: (813)780-0021
Permit Type: Building General (Residential)
4 t _ - $treef Address
R ; Property Number
34 25 21 0130 00000 0510 37349 Laurel Hammock Drive
Co t actor Info,�maf Ott ?
4 Owner:;lnformation. Permit Information
Name: RICHARD GRAHAM Permit Type:Building General(Residential) Contractor: HOME WNER
Class of Work:Fence
Address: 37349 Laurel Hammock Dr Total Valuation:$1,800.00
ZEPHYRHILLS,FL 33541 Total Fees:$65.00
Phone: (813)616-0546 Amount Paid:$65.00
Date Paid:12/3/2020 10:43:56AM l
Pro�ectDescription k. :� .. f ^n_
INSTALL VINYL FENCE 6FT X 82 SQFT///4FT X 208 SQFT
�Applicafion Fees Via; ,
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.
CONIWCTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
`t313-780-0020 City of Zephyrhills Permit Application,�WV4 a o) j Fax-813-780-0021
Building Department
?:Date Received Phone.Contact.for.Permltting
'rTTj- -
Owner's-Name :�'Cha� Owner`Phone,Numb er^'` �,.3-^ �.
owner's`i4ddress: 3.7 3`� �rl ��e,�iMoc� Q/)✓ Owrier:Phone-Number
Fee'Stmple.Titleholder Name Owner Phone:Number!
Fee Simple.Titleholder Andress
ADD a $S 7, ( c mac' � wuwuv r� :LOT:#.
•
JOB RE �� C-..
SUBDIVISION FN f UVL, ;PARCEL iD# :..
(OBTAINED'FROM•PROPERTY.TAX,NOTICE):
... . .. . .. , �� : �,'� e - ADD/ALT'. :Q� SIGN< ::'�Q...�,.,, , _-0' :'`-;DEMOLISH.WORK•PROP.,OSED NEW CONSTR; - ,
INSTALL REPAIR.
PROPOSED USE '/"SOR`:'.:. °0;. . COMM=;.
TYPE OF CONSTRUCTION BLOCK, FI1ME'. STEEL`
DESCRIPTION OE)11VORK r. Fig
c-C VC �' fi �j'� �- . `�• �' „S�=
BUILDING SIZE HEIGHT
BUILDING.. O VALUATION OF,,:T:OTAL';CONSTRUCTION
-. $ -
=ECECTRICAL,' ' $ '. .AMP-SERVICE Q "i: >;PROG.RESS'ENERGY. =:,Q,, VUiR:E:C,
=PLUMBING. $.
=MECHANICAL $. .VALUATION OF MECHANICAL INSTALLATION',
=GAS = ROOFING . -SPECIALTY 0: .'a OTHER:
FINISHED'F100R ELEVATIONS 'FLOOD ZON =YES NO'
/
BUILDER COMPANY`' j f�/ 2`U�j`vi+"; ; ..-
SIGNATURE I REGISTERED.,` Y'/
Address; icense'#' 77
ELECTRICIAN` COMPANY
SIGNATURE -''REGISTERED: Y'/.'.N "T..EE'CURREK-,
Address 4 se
PLUMBER
SIGNATURE: ;REGISTEREb Y:/,:N•: ;';FEE:cuRREn:. ::Y-:/.N
.Address: .: ; License..#
MECHANICAL.:. '- COMPANY
SIGNAT,,URE.• REGISTERED . Y'/ N.-. FEE,CURRED :Y/N
Address. License#; '
OTHER COMP,.ANY ''
y
SIGNATURE REGISTEREb``+ ''Y`!N'-"' "FEE CURREN'` Y'/'N
se#,'
Address , .. � ._ Licen .
Attic'h =PIoCP,lans=2 sets ofBiiildfri Plans�`•1 se't''of:Erie'' Porms'R=O=VUFerrmt for new constructi8n;:
RESIDENTIALO .O . g (..) r9y. :.
Minimum ten(10)•working days after submittal date. Required.orisite,.Construction Plans,Storm water Plans w/.'Silt Fehc�installed;.
Sanitary Facilities&1 dumpster,Site Work Permit for sub'divisi-oris/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:construoUon:'
Minimum ten i10)'working`days after subm:I6l,d6ti Required'onsite,Construction.Flans,'Stormwater'Rlans`uv/S�It Fencesinstalled
SanitarffaciIltles&-` ,.dI mpster:Site Work;Permitfor:ali,new:projects:All.commercial requirements;rrlust'Meet=compliance '
-' ,..... ._
$IGN PERMIT Attach(2)setsof Engineered Plans.
""PROPERTY SUkVEY'requlred for 611'NEW'constructlon.
Directions:.
Fill outapplication completely...
Owner&:Contractor,sign.baek of application,notarized
If over$2500;a.Notice,of Commencement,is required. ,(AIC.dpgrAdes over$7500)
Agent(for the contractor)or Power of Aftomey"(for the owner)would be someone with notarized letter from owner authorizing same,
OVER THE COUNTER PERMITTING (copyof coritractirequired)
Reroofs if shingles Sewers Service Upgrades A/C Fences.(Plot/Survey/Footage)<-
Driveways-Not over Counter if o'n'public'roa'W1Ws;hee_ds ROW
it�';leis!.Jl�i)i...... al!1'.�,,.J i8 ..iyr ,. .:d".. ; .....,.. �'lt'.�'. .._.„ i., :I:::.`.:.... ••.f;.;':•'�'
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NOTICE OF DEED RESTRICTIONS: The undersigned undersiands.thatihis permit-may be subject to"deed"restrictions"
which may be more,restrictive than County-reguiations. The undersigned assumes`responsbilityfior-compliance with any
applicable deed_restrictions: f.`
UNLICENSED+CONTRACTORS"AND"`COMTRACTOR RESPONS101LitIES-.��`If the'owner:-has-`Hired~`a contractor'-or
contractors to undertake.work_, they,may4be•re`quiredato be�Jicensed in-accordance.with state and local'regulations, �If the.
contra'Ctar-is'not'licensed-as required by law, both the.owner-and contractor may be cited€ar`a-misdemeanor %lolation
under state law. If the owner or intended contractor are uncertain as to what,licensing requirements.may apply for-the
intendedfwork;-they are"advised.to contact the.Pasco County-Building Inspect on Divlsion,—Licensing.Section at727-847-
8009. Furthermore,,if the owner•has�,hlredra rcontractor or contractors, he.is advised to. have the:.=.contractor;.{sj;sign..:
portions.of.the.`.`.contractor Block"_of..this:appllcation:,for which theywill be.responsible. if y-ou,•as the.owner sign as the
contractor, that may bean indication that he is not properly-licensed and is not entitled to-permitting•privileges in.Pasco
County,.,. .
TRANSPORTATION IMPACTiUTiLiTiES.IMPACT Ali RESOURCE RECOVERY FEES: .The undersigned understands
that-Transportationr'Impact Fees-and- Recovery-•Fees.may apply-to-the.construction of.new-buildiings, change of'-
use in existing::buildings, or expansion of.existino.-buildings, as.specified•in`Pasco-County Ordinance' number 89107.and
90-.0.7,.as.amended. The-.undersigned-also-Li also_.Li stands,,�,that-.such=fees,.as may.-be:due,.will.be,identified at the time£'of:
permitting. It is further,understood.that:Transportation.linpact Fees and Resource Recovery Fees must be•paid'•,prior to
receiving a"certificate of_occupancy"wor fnai.power release. if'the=project;does notf iInvolve a certbcate of.occupancy;or-:-
final power release; the:fees must be paid prior'to permit issuance:•=-Furthermore,4f"Pasco County.Water/Sewer Impact
fees.are.due;they must be paid prior to permit issuance'ln"accordance with`applicabie Pasco County ordinances;.
CON$TRU6t,tot4-LfiEN•°l:AW.(Chapier•713; Ronda Statutes,as.,amended! If valuation of work is$g,500:00:or,more,-I
certify.#hat',:l; 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,that1haveobtained a-copy-of thwabove-described,documentFand-prom ise"in•good faith td- .
deliverJt-to-the"owner"_prior to commencement.. `
CO•NTRACTOR'SIOWNER'S�AFFIDAViT:.'t certif.that alt the,information an`this'application is>accurate.and'..#hat`aitAinrork'_
will be done-in compliance With,all applicable. aws regulating construction, zoning:and`landdevelopmen#: Application:is •
hereby made to obtain a permit to doE,work,and=>inst6li9tion..as°-indicated. - I -certify that- no`=work or installation--has
commenced prior to issuance of a permit-and that all:work will,be performed td•meet standards of all laws regulating
construction, County.and�'City,'codes;-�-zoning:.,regulations,•and,•_land developii regulations'in'the jurisdiction,�11: "also
certlfy-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�agenciesinclude:but are notJimited„to:-
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and.EnvlronmentallySensitive
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 Wealth & -Rehabilitative Services/Ehvironmental-.Heaith--Unit=Wells, Wastewater,Treatment,
Septic Tanks. '
US,EnvironmentaLP:rotection;A ertc l
,g y-Asbestos-abatemenl .. . . .. ...
- Federal•AViation Authority�Runways
1 understand-thatthe following-restrictions apply to-the�useof.fll;
Use.offfill it n6t''alt6Wdd-ina=iood,Zonia"V"-unless:expresslyipermifted.
- If'the-fili"materiai--is.to.-be used•'in Flood Zone-"A"; it is.:_understood,:that•a drainage plan-addressing a
"comps_nsating,volume"twIIVbe:submItted.at-time of permitting Which-is-prepared-by a professlonal:engineer
-licensed-by the-State,of'Flodda:
- If the fill material is'to be-used.in Flood:.Zone;°A°s.in4connection with a permitted building using stem.,,waIV_
construction; I certlfy,1hatA1[•wii[`be:t eed:oniy to;,flltheAarea!within•the stem vVaii.
if fill-materiai is to':be-used in::any:area, I:certify1hat-•use•�-of such-.fill-•wiil:•:not-adversely-afli aldjacent
properties.. if use.of fill4sGfound:to.a Iversely.afiect:adjacent,pcoperties,;the:owner may,_be:cited;for violating
the conditions:ofthe'buildiiiig`::pe.tMifassued-.under:the-attached-{aerm]t`application €or,lots-less than one (1)
acre wh1ch_are..e1eYated bY.:fill,ra;t.engineered>draiciage pfart'is•required.
If I am-the AGENT:FORJTHE--OWNER,f prorrris.:e,in.good:faitkrto'in€6rni,ahe awner'of the;.permitting:_conditions set forth in
this-affidavit-prior-to'commencing construction. '''i unders#and tl€at-t'separate permit may be'required:for-'electri I work,
plumbing, signs,-wells�_pools;•air conditioning,•gas,:or-other,--instaiiations-not..spec�cally included-in,.the:.appiicatI6n:• ,A
permit issued shah be construed to be a license'°to.proceed:with thework.and not as authority to.•viotate, cancel,.elter, or
set°aside anyprovisions:of-thetechnical,codes,.nor-shall-issuance-ofa permit-prevent the Building Official from-thereafter= '
requiring,a corrgction•of>errors in`plans, construction or violations;.af.anycodes:' Every permit-issued-shall..beeome•invalid
unless the work authorized by such.permit is:.commenced Within six months-of.permit issuance, or'if work--authorized by
thet,permit,,is-suspended or abandoned: 6r a..period=of-six(6)•months•after_.the:time.the.work-,is--.commenced,:-An.extension
may be requested, in writing, from the Building Offclal for.a,peflod not.to exceed ninety(90) days and willidemonstrate
justifiable"cause for. ftwextension. If.workleeasps,for ninety-_(9Q)consecutive days;the job is considered abandoned.
WARNING TO OWNER: YOUR:FAILURE TO;RECORD:A'NOTICE-.OF-COMMENCEMENT.MAY RESUlT:IN;,Y V
PAYING"TWICE:FOR�IMPR01/EMENT•S Tq*Y*R-PROPERTY:;SIF:YOU INTi ND"I`OAOl3TA1N INli4NC11VOy-t UNSULT.
F 4.,
_ _{AtFTHYQUR�EE�iDEI�OR:AN:ATTORNEY-,BEFORE RECORDINGXOURrNOT.ICE-OF.COMMENCEIUiENT.
FLOR D JURTA (F.S.:177.03 _
OWNER;OR:AGENT CONTRACTOR
. GbsCribed.and.swom 10{or affirmed}.pefoPe
Subscnbed:An bswom to(or affirmed},efbre� q this = S- b.
y_ y.,.
Who i are pe holly renown tome or has7have protliicec! Who`is/are pe a Ily kn'me ot-has/have produd6&
L as identification. ' - aiNch ittificatiom,
Notary Public Notary.R blic:
Commission No. Commission:No... :
Name of Notary typed rinted or stamped Name of Notary:typed;printed cr stamped
�n�� •; CARLOS MALDONADO
Commission#GG 346275XF
CARIOS MALDONADO
Expires June 18,2023Commission#'GG346275
Expires June 18,2023
Bonded Thru Trny Fain Insurance 900.385 70f9 Bonded Thor Troy Fain Insurance 800485.7ot9
j
♦ t [
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 reinspection fees, must be paid in
full. A written request from this office shalt 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 $76,000. 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 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 d DATE f)
ADDRESS 7 $7"t Ct .-Lc t K cx ,{
PHONE Yt '-
WiTNESS PERMIT
CoNtcR aR1VE Ci;OS�NG;`1NfTtS'.i0'•UTIuTY -
�ASWEX.T ON W E-S EiRLY SIDE rJF LOT:.
fHERErARE:: PiC>✓S%NEAR'7AE;:.. Y..:;
tr: EBY CERTIFY THAT I HAI/E REVIEWED
` ..' AND RECEIVED A COPY OF THIS SURVEY AND
UNDERSTAND THAT THE ENCROACHMiWNTS,
SHOWN iFAAPLICABLE WILL BE SHOWN
A5 -EXPEI=' loN. "
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