HomeMy WebLinkAbout06-5828
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
5828
Permit umber: 5828
Permit Type: FENCE
Class of Work: FENCEINEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 7312 HI HLAND LOOP
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0100-00000-0040
Name: TRAN, DUNN
Address: 7312 HIGHLAND LOOP
ZEPHYRHILLS, FL. 33542
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REINSPECTlON 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 l . tend to obtain financing, consult with your lender or an attorney
before recording your notice ofcolTime ement. n
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./ . CCTOR------- PERMIT OFFI
.,/ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
./ Owner's Name 'f',
./' Owner's Address I 7 S , ~ .
Fee Simple Titleholder Nam~
InaP
./' JOB ADDRESS
SUBDIVISION
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WORK PROPOSED
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ADD/ALT
REPAIR
COMM
FRAME
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PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
./ DESCRIPTION OF WORK
BUILDER
/SIGNATURE
BUILDING SIZE
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/0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
D GAS
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LOTt# CD
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(OeT AINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
DEMOLIsH
OTHER I I
STEEL 0 OTHER I I'
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HEIGHT I b t=l
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
ROOFING
SPECIALTY D
FLOOD ZONE AREA
FINISHED FLOOR ELEVATIONS
/--\
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
COMPANY .1
REGISTERED
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
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W.R.E.C.
OTHER
DYES
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I Y I N I FEE CURRENT
License # I
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Y/N
Y / N I FEE CURRENT
Y/N
License #
Y / N FEE CURRENT
Y/N
License #
Y / N FEE CURRENT
Y/N
License #
Y / N FEE CURRENT
Y/N
License #
1111'1 t 11'11111 11111' '1111111'11111111111111111111.1111111111111111111' 1111111111111111111111111' 11111111111111111111' 11III11111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FOm1s
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy FOm1s.
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 all NEW construction.
111111111111,111111111111111111111111111'1111111111,11l'II,IIIII'IIII'III,llllli,llllillliiilllllillillllili1IIIIilill..illllilll;lliiliiiiiliillii
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
. NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be subject to .deed" restrictions"
. which may be more restrictive than County regulations. The undersigned assumes responsibility foreompllal'1ce \NIth any
applicable deed r~strlctlons. . , . .' . '. .. . .
LlNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the owner has hired, a contractor or
CI;mtl:8ctors to undertake work, they may be re.qulred to be I!censed In aCcOrdance witH state and local tegulatlollS. If the
contractor Is not licensed as required by law. both the owner and con~ractor may be cited fQr a misdemeanor violation
under state. law. If the <?wner or Intended contractor are uncertain as to what licensing reqUirements may apply fot the'
Intemded work. th~y are advised .to contact the Pasco County Building Inspection blvlsloli-L1censlng section at 727-847-
8009. Furthermore. If the owner has hired a contractor or contractors. hi! Is advised to have : the contraotor(s) sign
. portions of the "col"!tractor Block" of this EJPpllcatlon for which they will be tesponsible. If you1 as the owner sign as the. .
contractor. that;Jriay be an Indication that h~ Is not properly licensed and Is hot entitled to permitting prlvllege$ In Pasco
County. . .' ' .., '.
TRANSPd~TATION I""PACT/UTILlTIES IMPACT AND RESO~ROE REOOVERY FEES: The underslgnedUilderstahds
. that Transportation Impact ~ees and 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' underslgne~ also understands; that such fees. as may.be due; will be Identified at the time of
permitting. 'It Is further '-:Inderstood, that Transpo~atlon Impact Fees and Resource Recovery Fees must be paid prior to
. receiving a .certlficate of occupancy" or final power release. If. the project does hot Involve a cenlflca~e of. occLlpancy or
final power. release. the fees must be paid prior to permit Issuance.. Furthermote; 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): Ifvaluatlon 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 taw-HomeoWner's
Protection Guide" prepared .by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
. other than the "ownet", I certify thl;d I,have obtained a copy of the above descrlbli!d 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.lnformatlon In this application Is accurate and:that all Work
will be done in compllanqe with all applicable laws regulating construction. zonlhg aild land development. 'Appllcatlonls..
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 p~rformed to meet standards of all iaws regulating
construction. County' and CItY codes. zonh)g regulations. .and land development regulation!! In the jurisdiction. I also
,certify that I understand that th~' regulations of other government agencies may apply to the Intended work. a~d that It Is . .
my responsibility .to Identify what actions I must take to be In compliance. S,:!ch agenples Include but are hot limited to:
Department of Environmental Protection-Cypress Bayheads. We~and Areas and Environmentally Sensitive .
Lands, Water/Wastewater Treatment. ..' ',' .
Southwest. Florida Water Management District-Wells, Cypress' i3ayheads.' Wetland Areas, Altering.
Watercourses. . ..,.... .
Army Corps of Engineers-Seawalls. (jocks. ,Navigable Waterways.... . ".
Departm'ent of He~lth & Rehabilitative SerVices/Environmental Ht;lalth 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 offill 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 dralnag.e p'lan addr.essing 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. materlai 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 'fllI the art;la within the stem wall. .
. If fin . 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 a~versely affect adjacent properties. .the owner may be cited fo~ v.lolating
, :. 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 ~ondiUonsset fo~h In
this affidavit prior to commencing. construction. I. understand that a separate permit may be requited for electrical wor~.
, . . plumbing, signs, wells. pools. air conditioning, gas.' or other installatlonsnQt specmcally Included In the application. A
permit Issued shall be construed to be a Ilcens.e. to proceed with the work and not as authority to violate, c.anc.el. alter. or
set aside any provisions of the technical codes. nor shall Issuance of a permit prevent the Building OffIcial from .t~erea~er
requiring a qorrectlon of errors In plans.cQns~ructlon or violations ,of any codefj. Every permit lssu~d shall become Invalid
unless the work aulhorlzed by such permit Is commenced within six months of permit Issu~nce. or If.work authorized by
the permit is suspended or ab.andoned for a period ohlx (6) months after the time th~ ~ork Is com~enced. 'An extension
may be requested; In writing, from the BuOdlng OIIlctel for ,a period not to exceed ~Inely (90) days, and ",mdemoostmle
jusUflable cause for "'" extelislon, if work ceesesfor ninety (90) conseculilre days. "'" Job Is considered ahendoned. ,
WARNING TO OWNER~ YOUR FAiLURE TO RECORD A NOTICE OF COMMENCEMENT MAy REsuLt 1101 YOUR
, PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. I,F YpII INTEND, TO O,BTAIIoI FIIoIANCING; oollSlILT
WITH UR L NDER O' AN ATTO NEY BEFORE RECORDING YOU ..NOTICE OF OMMENC ENT,
. FLORIDA JURAT (F.S. 11?-03)
OWNER OR AGENt .'
Subscribed and sWam to (or affinn!KI) before me this.
. '. by . '. .
. . Who Is/are personally known to me or haslhave produced
as Identification.
CONTRACTOR . .
Subscrlbed and swom to (or afilnned) before me this
.. by. .
Who Islare personally known to me or haslhave produced .
. '. as IdentiflcaUon.
Ncitary Public
NotarY Public
Commission No.
Commission No.
Name of Notary typed. prlnled or stamped
Name of Notary typed. printed or stamped
CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT
OWNER
JOB LOCATION
PARCEL I.D.' #
SIIOW ALL EXISTItIG & PROPOSED STRUCl"URES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
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FRONT PROPERTY LINE
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(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
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20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
DISCLOSURE STATEHEHT FOR OWNER.
CITY OF ZEPHYRBILLS Bt1J:LDJ:NG DEPARTMENT
I,
agree to the provisions of this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile" that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions.:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with a.J.l provisions of the City of Zephyrhills
ordinances and codes pertinent to 'the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work..
4. That in the event the Building Inspector shall require corrections to be made,
the ow.c.er will assume full responsibility to insure they are made, and upon
completion wili call for a reinspection before proceeding with the 'building.
5. That the oWner shall assume full responsibi~i ty for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
.constitute an officia~ notice. to pay additiona.J. fees.
7. That the owner shall comply with all City, State and Federal laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the sa~ety codes issued by the Florida
Industrial Commission. .
9. State law requires construction to be done by licensed contractors. You have
applied for a peJ:mit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain.
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or impr~ea
one-family or two-family residence or a f;u:m outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence. must be for your own use or occupancy. It may not
be built or. sUbstantially improved for sale or lease. If you s~l ;or' lease a
building you. have built or.substantially imp:z::oved yourself within' 1 year after
the construction is complete, the law will presume .thAt you built or
substantially improved if for sale or lease, which is a. violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and w:Lthholding tax
and provide workers' compensation for that ~e all as prescribed by law.
Your construction must comply with all aPP:J.~cable awe, ordinances, building ,
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PHONE
WITNESS
PERHJ:T #