HomeMy WebLinkAbout06-5555
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
5555
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:
5555
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
Address: 39027 6 H AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-002A-00100-0010
4,000.00
3/13/2006
45,00
45.00
3/13/2006
INSTALL VINYL FENCING
Name: BISSON,RA YMOND
Address: 39027 6TH AVE
ZEPHYRHILLS, FL. 33542
r:;nJl II D~
loll C(J'
REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
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
improv ents to your property. If you intend to obtain financing, consult with your lender or an attorney
befo"" ording your notice of commencement."
....~~ ~~
~ --- CONT ---- - PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrry OF :iiJ!iJ:'n.J.nn~.........~ ........nu_- .........""'---,..---
BUIILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, E'L 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
'3--r3-o0
PHONE GONTACT FOR PERMITTING
OWNER'S NAME R~~n&_(E tt-d:<2
JOB ADDRESS ,) I 0 ,2 7. 0# O.--p~. r
, ,
PHONE c/()7 .-)'70 3 C/( ~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 it I d -d.(,o. @, - ba~ A -60'00 ~O\ 0
(OBTAIN FROM PROPERTY,TAX NOTICEl
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
III ADDITION
DMOVE
zgY-u. I, T"'8 A:T-ION
o REPAIR
D INSTALL
WORK PROPSED: aNEW CONSTRUCTION
D DEMOLISH
DMULTI-FAMILY
D INDUSTRIAL
D * OF UNITS
D SWIMMING POOL
o MOBILE HOt-
DOTHER
c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK z--U# Fp~.t2... (3\..\~. c-+";)
BUILDING SIZE
SQUARE FOOTAGE
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
$ !fOOD,OO
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
AMP SERVICE
D Progress Energy D
W.R.E.C.
o MECHANICAL
$
VALUATION OF'MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER
COMPANY
STATE CERT OR REGIST i
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ELECTRICIAN
COMPANY
SIGNATURE
.
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHA}{ICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST it
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
Th~ unde~signed understands that this permit may be subject to "deed restrictions" ~hich
may be more restrictive than'City regulations, The undersigned assumes responsibility for
compliance with anYappiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner, has hired a contractor or contr~ptors to undert.ake work, 'they may be required
to be licensed in accordance with state and local regulations, If the contractor is no~
licensed as required by law, both the owner and contractor maY'be cited for a misdemeanor
violation under s~ate 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 "Gohtractor, Sections" Of this application for which they
.will be responsible, If you,' .as the owner signs as the contractor;ydu 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'indication that he is not properly' licensed and is
not entitled to permitting privileges in the City of Zephyrhills,
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT~ON FEES '
D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES,' AS AMENDED)
I certify that I; the applicant, hay~ 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 "owne.rir 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 compli~nce with all applicable laws regUlating construction; zoning; and land
development, " ' . '
Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated, I
certify that no work or installation has commenced prior to issuance of a permit and that i
all work will be performed to meet sta~dards of all laws regulating,construction, city !
codes, zoning regulations, and land dev~lopmerit regulations in the jurisdiction. I also I!
. certify that I ,understand that the regulations of other governmental agencies may appiy to I
the intended work, and that it is my responsibility to identify what actions I must take td
be in compliance, Such agencies include but a~e not limited to: *Department of I
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmehtally Sensitive I
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 Protectiori Agency-Asbestos abatemen~
I also certify that, if fill material is' to be used in Flood Zone "A" or "A, etc." I i"t is
understood that a drainage plan addressing a;~'compens~ting'volume" will be sub~itted which
is prepared by a professional engineer registered in the state of Florida prior to permit
issuance. 1
A permit issued shall ,be ,construed'~o be a licenSe to proceed with the work ~nd not as
authority to violate, ,cancel, alter, or set aside any provisions. of the tetJhnical codes;
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, qonstruction, or violations of any code. Every permit
is~ued 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
period of six months after the time, the. work is commenced. One 90 day extension of time
may be allowed for the permit with fBedharge of $15.00, The extension shall be requested
in writing to'the Building Official. An approved inspection must be logged during each si*
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 OB~AIN FINANCING; CONSULT
WITH YOUR LENDE:R OR AN ATTORNEY BEFORE RECORDING YOURNOT~CE OF COMMENCEMENT. JOB'S UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT",
.
'.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me. this ~day of ',I 20_
by
(name of persor acknowledged)
[1ho is personally known to met or
o who has produced
(type of identification)
and who Ddid O:lid 'not take an oath
STATE OF FLORIDA
COUNTY OF
.The foregoing instrument was acknowledged
Before me this _ day of , 2CL-
.by
. (name' of person a~knowledged)
o who. is personally known to me, 'or
o who has produced
(type of identification)
and wtioO did 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
_ D:ISCLOSURE STATEMENT FOR OWNER
./..} i' C';,TY",OF. ZEPHY:R.lD:LLS BO'J:LD:ING DEPARTMENT
:I, ~~f{;lQ, " have read and ful.~y understand and
agree to the prov:Lsions of this instrument.
The undersigned states and affi:rms that he er she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e" that he or she
actua~~y occupies, or wi~~ occupy by 't~ ~//Jc. said domici~e, and same is not for
rent, ~ease or sa~e. That he or she s ~ comp~y with the fe~~owing conditions,:
L
That the owner and he er she a~one sha~~ act as the bui~derfor a~~ phases of
censtruction.
That the owner wi~~ comp~y with a~~ provisiens of the City of Zephyrhi~~s
ordinances and codes pertinent to 'the bui~ding.
That in the event various phases of construction are subcontracted, he wi~~
engage on~y proper~y ~icensed subcentractors and wi~~ persona~~y supervise
such werk.,
That in the event the Bui~ding :Inspecter sha~~ requ:ire correctionS to be made,
the owner wi~~ assume fu~~ respensibi~ity to insure the.y are made, and upon
comp~etion wi~i ca~~ for a reinspectien befere proceeding with the bui~ding.
That the oWner sha~~ assume ful.~ respensibiJ.ity fer the construction and wi~~
not expect supervision of his wrk from the City of Zephyrhi~~s Bui~ding
Department.
That prior to fina~ inspection any additio~ fees, inc~uding reinspection
fees, must be paid in fuJ.~. A written request from this office sha~~
.constitute an officia~ notice. to pay additiona~ fees.
That the owner sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to
secia~ security~ workman's compensation, ~ien ~aws, etc., where app~icab~e.
That the owner sha~~ comp~y wi th a~~ the safety codes issued by the F~orida
:Industria~ Commission.
State ~aw requires construction to be done by ~icensed contractors. You have
app~ied for' a permi. t under an exemptien to that ~aw. The exemptien a~~ows
you, as the owner of your property, to act as your own contractor with certain.
restrictions even though you do not have a ~icense. Yeu must provide direct
onsite supervisien of the constructien yourse~f. You may bui~d or imprC?Ve .a
one-fam.i~y or two-fam.i~y residence or a far.m outbui~ding. You may a~so bui~d
or improve a ccmmercia~ bui~ding, provided your costs do not exceed $25,000.
The bui~ding or residence must be for your own use or occupancy. :It may not
be bui~t or. sUbstantia~~y improved for sa~e or ~ease. :If you s&l~:or' ~ease a
bui~ding yotihave bui~t orsubstantia1~y .improved yourse~f within ~ year after
the construction is comp~ete, the ~aw wi~~ presume .thAt you bui~t or
substantia~~y improved if for sa~e or ~ease, which is a. vie~atien of this
exemption. You may not hire an unl.icen.sed person to act as your contractor or
to supervise peop~e working on your bui.~ding. :It is your responsibi~ity to
make sure that peop~e emp~oyed by you have ~icenses requ:ired by state law and
by county or municipa~ ~icensing ordinances. You may not de~egate the
responsibi~ity fer supervising work to a ~icensed contractor who is not
~icensed to perform the work being dene. Any person working on your bui~ding
who is not ~icensed must work under your direct supervision and must be
emp~oyed by you, which means that you must deduct F.:I.C.A. and withho~ding tax
and provide workers' c ensation for that emp~oyee, a~~ as prescribed by 1aw.
Your construction must"' ~y wi th a~~ app~i'cab~e laws, ordinances, bu.i~ding
codes, and zoning r at'ions.
2.
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9.
OWNER'S
ADDRESS
PHONE
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NOTICE OF COMMENCEMENT
Stateof 9::l~/.:r~e County of ~~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. DescriptionofProperty: ParcelNo. ! 2... je, -;} j,-otJ.2 J) '"otJ!tf6 ,... CJt5/tf>
32o~'7 t;H a,._ .7,d.e/4
I (Legal description of the p p y and street address if available)
2. General Description of Improvement ~ -35"'0' cG .Jt4"--,, ~ I ~
t~~f ~~ ~
R3.
Owner Information: Name
Address S / cJ )l. r 01!-/ a t-e> .~
Interest in Property: U..k?L.(! Yz
Name of Fee Simple Titleholder:
(If other than owner)
~
CRAYmO!J() E BISSON)
City X-r4n-..,l.tt State l'/~~
--- 33SY-L
1/11111111111111111111111111111111111111111111111111111111II
2006049896
....
Address ~-
4. Contractor: Name
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City State
J/~..- &~ e'JZ r-
City
State
Rcpt : 917870 Rec: 10. 00
DS: 0.00 IT: 0. 00
03/13/06 __ Dpty Clerk
State
City
JED PITTMAN. PASCO COU~TI CLERK
03/13/06 10:19am 1 0808
OR BK 6881 PG
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In a~diti,on to himself, Owner designates
of. . . . to receive a copy of the Lienor's Notice as
provIded m SectIOn 713.13 (1) (b), Florida Statutes.
- .
9. Expiratio? date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified,)
Signature of Owner
Sworn to and subscribed before me this
J...~
day of
NAt:}C'H
,20~.
Notary Public:
ep~
~.ot<-_
. ,/'"
My Commission Expires:
PC93053048/A m It- 4 g~qOII
'7iCf...ymDtJD'"P>, S$o,0
A'JltJ.t,
~~'(. PAmIC!l\ L JOHNSON
\. ... ~ MY C0~:iS~~()N If DD 15M':;7
OFf\.ti EXP;h.t:.$: ;.)rflobGr 6, ;..:.[X:1i8
1-8J0.3.!\KlTARY FL Nctary &leA"" /I aTh.""'!:l\,J. Inc
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