HomeMy WebLinkAbout03-2269
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
2269
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
'--Work Desc:
2269
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 5624 CARIE CT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
8/01/2003
40,00
40,00
8/01/2003
185' OF 6' CHAINLlNK FENCE'
FENCE
---REiNSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
II The payment of inspection fees shall be made befo~e any further permits will be issued to the persall owning same
- "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
I before recording your notice of commencement."
I Complete Plans, Specifications andFee Must Accompany Application,---------
. .. .... All work shall be performed in accordance with City Codes and Ordinances
-~~ 12Tvi2R (yr~ SHAll BE EXPOSED-=- CLEAR 5I'TE &All BE OBsERVED . ~.~
~ . - CONTRACTOR - ~ - - PERMIT OFFI -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
2 c/Lrt {c. liK
JOB ADDRESS
Sf.; ;?L!
{V Avf....( (..
/Y)AV;I::~
C I 2-ep!-hj rAt / IJ
PHotlE(Y/~) 779 9 YS2
Ii.. ? 5 (l--fL
OWNE:R' S NAt1E
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OB'I'AllLFROM PRCJPE;RT.'LTAK NOTICEL-
WORK PROPSED: Or,JEW CONSTRUCTION
o ADDITIOn
OALTERATTOll
o REPAIR
[J IllSTALL
oSIGN
o ~1(JVE
o DEMOLISH
PROPOSED USE: OSGL F'N1JLY DWELLIllG
o COM~1ERC IAL
OWJLT 1- FAMI LY
o INDUSTRIAL
0# OF UtnTS
o SWU1MING POOL
o t10BILE Hm1E
o OTHER
DESCRIPTION OF WORK
CJ RF,STAURA1,1'I' & HEALTH DEPAR'I't1ENT APPROVAL
-L2r-/ of & / f1/L FiI\JCL
BUILDING SIZE
SQUARE FOOTAGE
HEIGH'I'
RESIDENTIAL:
cm1~1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDH1G PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQIJIRED FOR ALL NEW COllSTRUr.'TJON,
PERMITS REQUESTED
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHAtJICAL
$
VALUATION OF TOTAL CONSTRUCTION
----
AMP SERVICE
o
FLORIDA POWER
o
v~.R.E.C.
$
VALUATIOn OF MECHANl.lAL mSTALLATI01~
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF' COtJSTRUCTION: II BLOCK
o FRAt1E
o STEEL
o OTHER
FIlHSHED FLOOR F.LEVATlONS
I S PROJECT HI FLOOD ZOHE AREA 0 YES
o NO
BUILDER
ffi-~-
*****+****************k*}***************+*******):~k***************
COMPANY
STATE CERT OR R8GIST
CITY PROCESSING #
SIGNATURE
ELECTRICIAN
S I G1JATURE
COr1PA1JY _________________
STATE C8RT OR REGIST #
CITY PROCESSING #
**************************~*******;************************~******
PLUMBER
cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNl\TURE
*****************************************************A**k***~****
OTHER
SIGtv-\.TURE
cm1PANY
STATE CERT OR REGIST #
CITY PROCESSIIlG #
*******************~***********************~*****k********~**~i'**
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" 'Hhich-
may be more restrictive than City regulations. The undersigned aSSIJmes responsibility for
compliance witll any applicable deed restrictions,
B. UNLICENSED CONTRACTORS All[) COl'lTRACTOR 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 Ilot
licensed as required by laH, both the owner and contractor may be cited for a misdemeanor
violation under state laH. If the owner or intended contractor are uncerLai!1 as to what
licensillg requirements may apply for the intended work, they are advised to contact the
City of ZephyrhiJls Buil(Hng Department, 813-780-0020,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
Hill be responsible, If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the \vork, If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licerlsed and is
not erltitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Ilith a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the "o;.lller", I cerify that I
have obtained a copy of tile above described document and promise in good faith to deliver
it to the "owner" prior to commencement,
E. CONTRACTOR' S/OWNER' S AFFlDAVIT
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 00rk and installation as indicated. I
certify that rlO 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, City
codes, zoning regulations, and land development regulations in the jurisdictiorl, I also
certify tllat I understand that the regulations of other governmental agencies may apply to
the intended work, and tllat it is my responsibility to identify Hhat actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-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 Wateiways
*Department of Health & Rellabilitative Services, Environmental Health Unit-Wells,
Wastel^later Tl-eatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood 2011e "A" or "A, ete,", it: is
under'stood that a drainage plan addressing a "compensating volume" w_ill be submil:tf,d I.,hicll
is prepared hy a professional engineer registered in the State of Florida prLor to permit
issuance,
A permit issued slla11 be construed to be a licertse to proceed with the work and not as
authority to violate, canoel, 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 code, Every permit
issued sha1.L become invalid unless the Ivork authorized by such permit is commenced \'Iithin
six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the I'lork is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15,00, The extension shall be requested
in writing to the Building Official, An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YUUR FAILURE TO RECORD A nOTICE OF COMlvJENCEl'1ENT t'lAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
$2,500 Hl VALUE DO NOT NEED TO RECORD Al'-lD POST A "NOTICE Of Cm1t1ENCE:HEtIT",
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument Ivas
Before me this __day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 2()
(name of person acknowledged)
o Hho is personally knm'lll to me, or
(name of person acknowledged)
O,ho is personally known to me, or
of identification)
take an oath,
Owho has produced
(type of identification)
and ,vho DeEd [}:iid not take an oatil
o who has produced
(type
and l.,hoO di d 0 did not
Si(jnatllre of person taking acknowledgement
Signature of person taking ackno\^lledgment
Name typed, printed or stamped
tlame typed, pr-lnted or stamped
.0.:-1"
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