HomeMy WebLinkAbout03-2567
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
2567
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: RELOCATE 7' CHAIN LINK FENCE
2567
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 39421 SOUTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
12/11/2003
Name: CITY OF ZEPHYRHILLS
Address: 39421 SOUTH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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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
The payment of inspection fees shall be made before any further permits will be issued to the person 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
before recording your notice of commencement."
------ com~let . . ans, Specifications- and.Fee Must Accompany Application. . m.
All w rk al be performed in accordance with City Codes and Ordinances
TV CORN M R:- RS SHALL BE EXPOSED - CLEAR SITE TRIANGLE SHALL BE OBSERVED
~
-..-.... ~_._-
TOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
....
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
. .
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
JOB ADDRESS
City of Zephyrhills
Ya3rdtJ'12/ ~
City Maintenance ~
PHONE
5Q..Jft, Ave..
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
.
OALTERATION
o REPAIR"
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBI LE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Install and relocate 71h chain link fence
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT 71h
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOaMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNATURE
""O'.i"i"~t:~It~SECTION
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BUILDER
Jim Williams
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
Fence Company
asp
92-10265
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANI CAL
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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CONDI~IONS 0[' PERMIT J'.FFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned undev,tands that this permit may be subject to "dee~ J:estrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed r~strictiorrs.
B. UNLICENS~D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractuz or contractors to undertake work, they may be required
to be licensed in accordance with state and loc&l regulations. If the contractor is not
licensed as required by law, both t.ht~ o\mer and contractor IndY 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 tile intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
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
will be responsible. If you, as the owner signs as the contr~ctor, you a~e indicating that
you, rather than the contractor, are responsible for the wory-. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES .~D UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, ,have been, provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applj.cant is someone other that the "owner", I cerify tha~ I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to corrunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT,
I certify that all the information in this application is
be done in compliance with all applicable laws regulating
development.
Application is hereby made to obtain a permit to do work and installation as indicated.
certify that no work or installation has corrunenced 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 juri.sdiction. I al.so
certify that I understand that the regulations of other governmental agencles 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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-We:ls,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a .drainage plan addressing a "compensating volume" will be submitted wh.i.ch
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the w~rk and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of ~ permit prevent the Building Official from thereafter requiring a
correction of errors.in pJ.ans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is corrunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENT::: ,:;.; 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 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF. COMMENCEMENT",
accurate and that all work will
~onstruction, zoning, and land
I
SIGNATURE: OWNER OR AGENT
SIG.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Deroce me this _ day of
by
n rkno..,} ",dged
19_
51'/1.1' OF FLORIDA
COUNTY OF
The foregoing i.ns~ment wa~M;lm9_Vfled~~~.~
Before me4this _ dq'i of~, ~..L
by vo~a"n'r\0
(name of person ac nowledged)
~ho is personally Known to me, or
(name of person acknowiedged)
Owho is personally ~l1own to me, or
Owho has produced .
(type of identification)
and whoO did Odid not. take an oath.
,Dwho has produced
(type of ider.tificationJ
and who Odid ~id not take aJ: oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed,
printed or stdmped
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