HomeMy WebLinkAbout06-5733
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
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:
5733
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
1,500.00
4/25/2006
40.00
40.00
4/25/2006
NEW FENCE 156'
Address: 5116 7TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19200-0230
Name: MORAN CARL
Address: 5116 7TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813355-7749
fe1<(l~J i ^
REINSPECTION 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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
.u ~-.
CTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls t-'ermlt AppllCClllUII
Building Department
Date Received
e.-~.
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
I
I
I
I LOT # I d 3f02sLl
- rJ/., .- ;);- 00 /o-/9.J(;)1) -0 d 3DI
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
Owner's Name
Owner's Address I )7/ f..p
Fee Simple Titleholder Nam~
JOB ADDRESS
Fee Simple Titleholder Address I
15//(1/
I
SUBDIVISION
p S-;r~ cr-
I
D NEW CONSTR D
rn INSTALL D
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK l:T/15 -J.. a.. / / F.{J. tL L
BUILDING SIZE I I SQ FOOTAGE I \ '5 f..o ( HEIGHT I & /
..11..11.....1.11..........................1...1111...........111..1111..........,......11................1111111111.111.........1111111........11
PARCELlD#1 / /
WORK PROPOSED
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
D BUILDING 1$ \500, CO I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
BUILDER ~('11 e 0 tJ 11 -e r- I
SIGNATURE Y / N I FEE CURRENT Y/N
Address License # I I
ELECTRICIAN I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address I License # I
PLUMBER I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address I LIcense # I
MECHANICAL I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address I License # I
OTHER I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address I License # I
11111111'1111111111111'11 11111 " 1111111111 " I " III " I " I " I " II .. , I .. I " III " " " I " 'I , " 11111 " " II " " I " " " I " " II " III " " " I " I " I " I " " III
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
11111 111111 I1111111 1111111 " 11111111111111111111111111111111 . 111111111111111111111 .. 1111111111111111111 " 1111111 1111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to .deed" restrictions;'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance nuinber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a .certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, 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 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.
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. Application 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 issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify 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 agencies include but are not limited to:
_ Department of Environmental Protection-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.
US Environmental Protection Agency-Asbestos abatement.
_ Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
_ Use of fill is not allowed in Flood Zone .V" unless expressly permitted. . .
If the fill material is to be used in Flood Zone · A", it is understood that a drainage plan. addressl~g a
"compensating volume" will be submitted at time of permitting which is prepared by a profeSSional engineer
licensed by the State of Florida. . " . .' . ., .
If the fill material is to be used in Flood Zone A In connection With a permitted building USing stem wall
construction, I certify that fill will be used only to fill the area within the stem wall. .
If fill material is to be used in any area, I certify that use of such fill will not adversely. affect a?Jac~nt
properties. If use of fill is found to adversely affect adjacent properties, the. ow~er may be Cited for Violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. . . . . .
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
this affidavit rior to commencing construction. I understand that a s.eparate perm~t may ~e reqUlr~d for elect~lca.1 work,
lumbing signs, wells, pools, air conditioning, gas, or other installations not specifically 1n~luded. In the apPII~atl~n. A
p ermit is~ued shall be construed to be a license to proceed with the work a~d not as authon~y !o vlolat~, cance, a er, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dln9 ~ff~I~11 ~om the~eaftl~~
reqlUirintgha corr:~~~~o~fz:~o~Sy ~u~~::;~s~~:~c~~I~:~~~ ~~a:;ro:;"~sesoi ::::n'rt ~,::~:,u:r ffS :ark :~;:;'~~'::Jal~y
un ess e wor . . (6) th ft r the time the work is commenced. An extens on
the p~rmit is sU~Pde~~e~r~~n~b~~od~~~~ f~~ifdrne~I~~:II~or a~~~io~ ~o~to exceed nin~ty ~90) days and will ddemo~strate
~:Kfja~,~e:~:e ~o~ the exte~sion. If work ceases for ninety (90) consecutive days, the Job IS conSidered aban one .
NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YO~::~~~~ ~~~:~~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CoNSULT
:i~;o~lt~~g:~~:R~ ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
asldenUflcaUon.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
Cl:'I'Y ,OF ZBPBYIIATI_J,n BU1LDJ:NG DBPAIl'DtBIft'
~)I.U~e.-.rj Carl Moran \ -rru/t~z
i,~'rION 5-0 (p 7 "-''1 . 5f-r-e. e..+ Z ep h r h ;j /-5 F L-- ?::f:;-<l;;...
~~EL I. D . . 1# / I ~ Le- ex / 0 6 /6 I 9;;. 0 () a d 3 () ,
l SHOll ALL UJ:STIRG &: PROPOSED
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATZON. '
FRONT R~B~~{;L'~~j(>(
(NOTE EXAMPLES 1 & 2)
STREET
7V--f.. "5'+'''v~, -1..,. -7'-
1. SETBACKS FOR Rl, R2 ZONING
60'
.
<, ..
10'
p 1:'
R X
0 I
10' P S 10'
0. T
S I
E N
D G
'20 '
2. SETBACKS FOR R3 ZONING
60'
1 0'
10' .
10' BXJ:S'I'ING 10'
,PROPOSBD
20'SGL FAN 30'DUPLBX
1 0'
DlOn.a: PItOPEKTr LDIB
FIlUw.a PROPBIl"IT LlJfB
4/17/06
TO WHOM IT MAY CONCERN:
FROM CARL MORAN, TRUSTEE
RE: 5116 7TH ST ZEPHYRHILLS, FL 33542
PARCEL ID #: 11 2621 0010192000230
I CARL MORAN, TRUSTEE FOR THE 5116 LAND TRUST GIVE TOMASZ & OR
MICHELLE SEDLAK PERMISSION TO SIGN FOR, APPLY FOR, PICK. UP OR FILL OUT
OR TO ACT AS MY AGENT AND ANY OTHER TIllNGS THAT NEED TO BE DONE FOR
PERMITS AND DOCUMENTS TO OBTAIN A PERMIT FOR A FENCE ON THE ABOVE
MENTIONED PROPERTY.
c:;;;
-
.. ~ -IJ :-:>
STATE OF FLORIDA
COUNTY OF PASCO
I HERBY CERTIFY that the foregoing instrument was acknowledged before me this
17TH DAY OF APRIL 2006. CARL MORAN who~na1ly kno~e or who has
produced res' I en ion.
(
~ ,,----. ~~ ~~
N Public, State of Florida
Printed Name:
My Commission expires:
My Commission # is:
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