HomeMy WebLinkAbout05-4101
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
4101
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:
4101
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
Address: 5740 D GWO D ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/14/2005
45.00
45.00
4/14/2005
269' PRIVACY FENCE
Name: MARK ROWE
Address: 5740 DOGWOOD ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTlON 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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
PROPERTY CORNER MARKERS SHALL BE EXPOSED - CLEAR SITE TRIANGLE SHALL BE OBSERVED
i4~ c.~ ~~
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PE.t(MJ.:.1' .l\.J:"J:"J..I.J..\....n..a..""...
BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FIJ 33542
613-7S0-0020 FAX:S13-7S0-0021
DA'rE RECEIVED
1\ vie"
" ~...~
>11'\ . ,.l
'I. ~ (
a
PHONE CONTACT FOR PERMITTING oj J - 4,,'""7-~? Z 0
OWNER'S NAME
/!lA-i?e A. ~a,./c-
PHONE
9(;7-fpf(20
JOB ADDRESS S7,/0 Doyt-JQ"J 51-.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ~NEW CONSTRUCTION
(OBTAIN FROM PROPERTY.TAX NOTICEl
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM]
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
tJo04 HII~
BUILDING SIZE
SQUARE FOOTAGE
2,&~ 0. R-
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
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
BUILDER
COMPANY
SIGNATURE
v,'1d If .~
******************************************************************
STATE CERT OR REGIST #
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC,E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work, If the contractor wishes
you to sign as contractor that may be an indica4ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTOION 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 applicant is someone other that the ~owner", I cerify 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.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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.
Appli~ation 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 issuahce 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 jurisdiction. I also
certify that I understand that the regulations of other governmental 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 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 Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
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 which
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 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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced 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 b7 requeste~
in writing to 'the Building Official. An approved inspection must be logged dur1ng each S1X
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 IMPROVEMENTS 'TO 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".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and wnoO did Odid not take an oath.
o who has produced
(type of identification)
and who Odid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
POllY" ~
L~~~.._..,
S B9".J8',F E llBO.O' .
J~~
~-
. I
I ~i I ur&JlY w.NT
r- -14."
-.
UNlZSS SHCMN 011 IMDE NDf[ HDmH. M.L PRDPEIm' CCIRNEJIS ItflW NO IDDfI'R:A11oH.
II> """""""" ",............."... -... _......,. -/Oft........
- BEEN _ _ 8UII\Il'/IlIl, EllCIPT AS _
II> -.... MTAllA11llNS 011 -..s OWE BEEN LOC\TED AS PMr OF _
-. ........ - 011 ..... HIllE HEIIEIIN.
-..,,-......_-
- FOIl 1HE ElIl:LIMNE US[ MIl IDEm OF 1HE _ USIED HEIIEIIN. LMaJIY
10 ..... NImD ... NI:n' . ~ OR ~ IJCIPJ' WItH tHE IDCPRDB
WIIIIlDI COIIIENr OF __ IlIM'IIIIO, IIIC.
woa lNPO....ftOMAL Pv-.o_ ONLY
SUllJECT I'RClP[RJy _ HEREON _ 10 BE LClCAlED IN Fl.OOO ZONE X
PER FJ.R.Il. NUMBER 120Z30 01101); ~lED 8/30/82. BASE Fl.OOO ElLVA110N IS
~~~l.OCAL~E.:'~: J:r=~~=
I!I 0 C R:I ~..... a,.
h~~ ~T':::U:U~ ~ . ~:~\...w...:~~~~~..
~~.~~.. ~~~~~ ,.? .~i;'Iii;.. .....
'---I~ .-'""'"-- ~ . .. No~s, '(f'.. ':,.
PURSUANT TO FlllRIllA STA1UIE CHAPlER 472.027. g { f : : .
\ j :
':.. '. STATE-OF I" :
~/G5"~~ ...~~.!~.,.~!:.., ,
1II.1llIIR.IlIU.-PRDFIlISIlIIiiI.-a_f54lI8 IlIlE ..,..... ~.
NOT\IIII)_M_1IIlEMIlM__SfALlFA '~~.'!:'!t..,
FLlIlIIM UCENSED .- MIl _OlIn !UC1IIDIc
I
I
~ I
~ :
1 1-14.ll'
€
I
;
b
I")
II
.
-
~O.~
A
o\.p.o.
$::"-
IUlO.
l3-
CONe
8"-
c...
erN
(D)
Ml; lDCIH
"POIlIIllN '"
.......T
-
.......
_TED
cttt.It LINK FENCE
CCNCIIllE
=--
--
~
l!l
i
,,",'t'
89'33'15" E
S 8I'34'W E
f
133.81' (0)
133.77'
~%t,
10J1' i
-.
.1 l!l
.... i
~~ I k
f ~ i I
l!l I
u'l 0: . B
I~ ~
~
. I~
8
(I) ,j
11.8'
~r:.
I-
n'
b
II'!
lD
j!:
15
z
I
I
I
"lair
i: I
~1 I
lis i I
~:= ! !
~ !!
!~
I : 1-_
~~.~)_..-
~ _v R/W LH: 10th AWNUE
-
N 81'34'1,- w
N 89'36'15" W
133.153' (F)
133.53' (0)
lSIAI. __
=-~~~':'~.==~~~,~'2,
_Al~
- AT 1HE -- _ OF __ 12, _ 2lI -..... RANGE 21 EAS1l
- mnH -.. rABT. ALIIG 1HE _v _ II' SAIl __ 12, l1ao.o
FIET 10 1HE EAI1EIlLV IIGHT-CIF-WAV LH: OF _ S1R!E1) _ ALIIG SAIl
IIGHT-CIF-WAV UIIE, SDU1H lll1L2t FIET FllIt A PClIIT OF __ _ SDU1H _~I"
rABT. 1- FIET 10 1HE _v IIGHT-CIF-WAV LH: II' 23IlD S1R!E1) _ ALIIG SAIl
IIGHT-CIF-WAV. mnH 00'14'41. ..... _ FIET. _ ~ _.. ...., 1_ F!ET
10 1HE EASIIIlLV IIGHT-CIF-WAV LH: fIF 000IIl00 S1R!E1) _ AI.- SAIl IIGHT-CIF-WAV
~ 88.110 FIET 10 1HE PClIIT II' -.
AN)
IlaECT 10 AN) TOGE1HER lI1H A '0.00 FOOT U1IJTY EAlIEIEHT IIEINO FUR1HER IlESCIEED AS
flIU.OWS:
~"=~~~~":o~~~~~:
~
- AT 1HE - _ II' __ 12, _ 2lI -..... RANGE 21 EAS1l
- IOU1H -I" EAST. ALIIG 1HE _v _ fIF SAIl __ 12, llao.oo
FIET 10 1HE EAI1EIlLV IIGHT-CIF-WAV LH: OF 000IIl00 S1R!E1) _ ALIIG SAIl
IIGHT-CIF-WAV UIIE, IOU1H lC187.71 FIET FllIt A PClIIT II' IIEllIIINGl _ SDU1H _~I"
EAST. 10.00 FIE1l _ SDU1H 2IlO.lI3 F!ET 10 1HE _v lIGHT-flF-WAV LH: OF 10lH
A~ - ALIIG SAIlIIGHT-CIF-WAV. ~ _4ll" ..... 10.00 F!ET 10 1HE
EAI1EIll.V IIGHT-CIF-WAY LH: OF 000IIl00 S1R!E1) _ ALIIG SAIl ~-CIF-WAV. ~
-.a PIEr 10 1HE POIIT II' -.
BOUNDARY
lMPaOV1llW_NTa POVND4TJ:ON
LEGEND
"""'" --......". -
_ IfUT
""" FlU
--
--..-
,,"lUll
0..... OFFICIII. IIECOIlOS lOOK
Ul DWJlHEAD IJrlJTY LN
PC. """"
P'WT. -..-
P.R.... PINMNENr M7ERDICE MCJNUYENT
P.CoP. PEIaMHENr CON1ROL POIfI'
P.& PlAT lOOK
(P) .....T""'"
nN.<U.
~-
TOPOGR4P>>uC
....
fC'
EP
~
E'IIII.
r.a
FF
FtII
FP
FR
DEE/l1OOK
-.
ElL\ImllN
EIIGE '" -.
EIIGE '" _
-
_FIEIJ)
-.
.... -.
-~
"""'" CCNCIIllE
--
""""'--
""""'--
!f......
Go,
L..
-
.....
".1.
..c.
..II.c.
..0."
(j ~.o.c.
.
RES.
"..0.
"Ill<.
~
"""
...... '" ,...,.".
......"'-
......or_..-
......"'-
......"'-
POIIER FlU
IlOIlIUS
REllIOENCE
__'"
IMR IIOa<
-"'-
:g~1.
IIlH _ ""',oa
s!W
SCR.
T......
W>
<11>.....
.. ..Y.
...
we
~
~
SCREEIG
--
T'IPICoOL
--
"TEll IIEIER
WAtER _'fIE
WOOO fENCE
wmas CORNER
........ CONeRm
CENmIUNI:
-x_ awN LJrI( fENCE
---fJ--- WOOD FDCE
-loL_ DYERHOD UT1UTY UNE
AMERICAN SURVEYING INC.
L..B. *71 ee
SEE A8O\oE"
BEARINGS AM fJASED ON THE IIGT
RIGHT OF WAY UN~ OF 2:Jrr/ STREEr
WHICH SCARS S.OU14'41"W. P€R PlAT.
,
5740 00GW000 STREEr
ZEPHYtlH/US, FLORIDA
_TO.
_ A. ROCW
AU'Hl G\IolEl;lI mu: ~ INC.
otJ) IIEPUBUC M100N41. mu: INSIJRIoNCC CC>>IPIWY
0FtI0N ONE _ CORPORATION
MO..
--.
~ DA.ozw.
.......
--