HomeMy WebLinkAbout06-5781
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
5781
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:
5781
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 5910 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04800-0200
1,000.00
5/11/2006
40.00
40.00
5/11/2006
PRIVACY FENCE - 182 FEET
Name: DYER, RICHARD
Address: 5910 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
J .
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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
re recording your notice of commencement."
~-~
RAC OR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-81 j-ll:lU-UU:.!l
Date Received
,~-II- () &
Owner's Name ,'-I ;[) t:f2... Owner phone Number t { 3 - rz 8'0- fcb I
Owner'sAddress r;~;~TA 5T ownerPhoneNumberl<iI3-4.bCf- 44~"
Fee Slmpl. TIl,.holder NamJA?c;l4ei> ;j)yclL. OWn.. phon. Nu..be, I
Fe. Simple TIlI.hold.. Add.... i:;;,o (7'Tcf 6T ze!'lfY!2-I(/(!s t--,0 3 "5 Sq.,;;....
159/0 /7rtl Sf 2~f{YfLll,l!J F~ 33S/f~
I I . PARCJ:L 10#: j/
D NEWCONSTR E3' ADD/ALT 0
D INSTALL REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D OTHER. I
DESCRIPTlDN DF WORK I ;/\/S T/f.<.C F6NG €. i. ;1./2. I <? /1M' 7
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I
'.'."....."....................................................,.......................................,,....,.........,............,....,......
~_ BUILDING 1$ /;" tJ 0 0 I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE t::J PROGRES:.E~~.:.::D----"'i;".E.C
D PLUMBING 1$ I . ("I "~71{ I
D MECHANICAL 1$ I VALUATION OF MECHANICAlINSTAuATIO .. d
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER '-------
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
WORK PROPOSED
b .2) /) ~ / lJ
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
I
ef)~p ()O
LOTti
JOB ADDRESS
SUBDIVISION
tt3~e3U
DEMOLIsH
I
I'
I
Address
ELECTRICIAN I.
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
~
BUILDER
SIGNATURE
COMPANY
REGISTERED
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
I
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
1111'11'1111"1 1111111111111.11111111111111111111".11111111111111111111111'111111111111111111111111111111111111111111111111I1111111I11111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslle, 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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for ali NEW construction. .
II I I I III III I I I I II I II I I I I I I II I I I I I II I . I II1I I , II I II II . III., . II I . I II II III 1I11 I . IIIII II I I ~ III i i i II I I I i I I i I III i I i III II i I i II I I j I I Ii j I I I ; . · i i II i i j i Iii Iii i
Directions:
Fill Qut 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 SelVice Upgrades Ale Driveways Fences (PloUSulVey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'perinlt may be subject to "deed;' restrictions"
which may be more restrictive than County regulations. The undersigned assumes tesponslblllty for 'compliance with any
. applicable deed r~strlctlons.. ... '. .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:" If the owner has hired. a contractor or
cc:mtractors to undertake work, they may be required to be licensed in accordance wltli state and local regulations. If the
contractor Is not IIc.ensed as required by law, both the owner and con~ractor may be cited fQr a mlsdemeanot violation
un~er state. law. If the f?wner or intended contractor a~e uncertain as to what "<<?enslhg requlreinent~ may apply .f~t the .
Intended work, th~y are advlsed.t~ contact the P~sco County Building Inspection Dlvlslori-Ucensl~g Section at 727-84.7-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to havEt'thS confracfor(s) sign .
. portions of the .contractor Block" of this ~ppllcatlon for which they Will be tesponslble. If you, as the ownet sign as the. .
contractor, thatniay be an IndiCation that he Is not properly licensed and Is hot entitled .to permitting prlvilege~ In Pasco .
County., ..' . . . .... .
TRANSPd~TATION IIl/IPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned Uhderstands
. that Transportation Impact F:ees ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
use in. existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hllmber 89-07 and
.' '. 90-07, as amended. The (mderslgned also understands; that such fees, as may be due; will be Identified at the time of
permitting..1t Is further understood. that Transporiatlonlmpact Fees and Resource Recovery Fees must be paid prior to
. receiving a .certificate of occupancy" or final power release. If the project does hot Involve a certificate of occllp~hcy or
final power. release, the fees must be paid prior to permit Issuance. Furthermote; It Pasco CountY, WateriSewer Impact
. fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordlhances.
CONSTRUCTION LIEN LAW (Chapter.713, Florida statutes, as amended): 'lfvaluatlon 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 soineone
. other than. the .owner", I certify thf:it 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 applicatloh Is accurate and:that all Wotk
will be done In compllanqe with all applicable laws regulating construction, zonltlg ahd land development. 'Applicatlonls.
hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or !nstallatlon has
commenced prior to Issuance. of a permit and that all work will be p~rformed to meet standards of all laws regulating
construction, County. and City codes, zoning regulations, and land development regulations In the jurlsdlctioh. I also
. .certifY that I understand that th~' regulations of other government agencies may apply to the Intended 1N0rk, ahd that It is
my responsibility to Identify what actions I mUst take to be In compliance. Such agenples Include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envlr.onmentally Sensitive .
Lands, Water/Wastewater Treatment.. .
Southwest. Florida Water Management District-Wells, Cypress' Bayheads,' Wetland Areas, Altering.
Watercourses. . .' '. .
Army Corps of Englneers-Seawalls, Docks,.Navigable Waterways. . ..' .' .
Departm'ent of He~lth & 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,fllllsnot allowed In-Flood Zone ava unless expressly permitted.' . . . '.' .
If the fill material Is to be .used In Flood Zone aN, It Is understood that a dralnag.e plan addressing a
.compensatlng 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 aN 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 hot adversely affect adjacent
properties. if use of fill Is found to adversely affect adjacent properties, the owner inay 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 of the permitting conditions set forth In
this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
. . . plumbing, sigris, wells, pools, air conditioning, gas,' or other ~nstallatlonsnQt specifically Included In the application. A
. permit Issued shall be construed to be a IIcens.e. to proceed With the work and not as authority to violate, c.ancel, alter. or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building OffIcial ~rom .t~erea~er
requiring a c;orrection of errors In plans,cQnstructlon or vlolat~ons ,of any code~. Every permit lssu~d shall. become Invalid
unless the work authorized by such permit Is commenced Within six months of permit Issuance, or If work authorized by
the permit is suspe(lded or ab.andtmed for a period of.Slx (6) months after the time t~~ w~rk Is com~ehced. An extension
'may be requested, In wrltlng,from the BuUdlng OffIcial fora period not to exc~ed ninety (90,) days..ahd wlll,~em(:mstrate
justiflal:1le cause for the extension. If work ceases for ninety (90) consecu~I"e days, the Job Is considered abandoned.
WARNING TO OWNER: YOUR FAilURE TO REC~RD A NOTICE OF COMMENCEME;NT MAy ~ESULt IN~OUR
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ~F YPU INTEND. TO.O,BTA~N F~NANCINGj OONSULT
WITH Y UR LENDE OR AN ATTORNEY BEFORERECORDI G YOU '. 0 I E OF COMMENCE T.
. FLORIDA JURAT (F.S. 11?,.03)
OWNER OR AGENT .
Subscribed and swom to (or afflnn!'ld) before me this.
, '. by . .. .
Who Is/are personally known to me or haslhave produced
as IdenUflcaUon.
CONTRACTOR ". . .
Subscribed and Swom to (or afllnned) before me this
. by .
Who Islare personally known to me or haslhave produced .
as IdenUflcaUon.
Notary Public
NolarY Public
Commission No.
Commission No. .
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped
l Ol- r f.+f.\v e:..
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