HomeMy WebLinkAbout06-5884
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
5884
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:
5884
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 5903 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-01400-0040
450.00
6/20/2006
40.00
40.00
6/20/2006
CHAIN LINK FENCE
N WS N, ASHLEY
5903 9TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 779-3795
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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
before recording your notice of commencement."
~U~ ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application i', 30 . : 1. \
Building Department ---\ : :; U
Fax-813-780-0021
Date Received
Phone Contact for Permitting
OWner Phone Number ~
/ Owner's Address
Fee Simple Titleholder Namel
3, lQS-
Owner Phone Number I tl ~ ~ I (L{ . toC( V) I
OWner Phone Number 13S 0- < a- {JUl 'S0Z.0S-1
:
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LOT #
/ OWner's Name
/ JOB ADDRESS
Fee Simple Titleholder Address I
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D ADD/ALT 0
D REPAIR
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o FRAME 0
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PROPOSED USE
TYPE OF CONSTRUCTION
B
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NEW CONSTR
INSTALL
SFR
BLOCK
PARCEL ID#I i I - 2<0 -d, \ - 00 ~ 0 - 0 l'feD - ooLt ()
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
SUBDIVISION
WORK PROPOSED
OTHER
STEEL
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D
OTHER I
I DESCRIPTION OF WORK
HEIGHT I
BUILDING SIZE
/ D BUILDING 1$ tt'5"Q - 0 D I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII.II~IIIIII111I11111I111111111111111111111111111
/ :~~~RE m~f1y AffM~ I ;~~::~~A. ~rr mClmR€NT VIN I
Address E- I License # I
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License # I
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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
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.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111111111111111111111
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
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
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PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y I N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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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 number 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 "An, it is understood that a drainage plan addressing 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 "N 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 adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner 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 of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authori~y !o viol~t~, 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 codes. Every permit issued 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 suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS 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.
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
as identification.
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
/1 . ~CITY OF Z IlYRHILLS BUILDING DKPARTHBNT
OWNER U:4{) eu)S0Y\
JOB LOCATION ")C{ Db c/11 9!---a(ef 1~ (PL 3~ij 2..
PARCEL LD.'#
snON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHaw SIZE &
FaUNDATIaN INFaR-
MATION.
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(NaTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FaR Rl, R2 ZaNING
60'
2. SETBACKS FaR R3 ZaNING
60'
10'
P E-
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10' P S 10'
0. T
S I
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D G
20'
1 0'
10'
10' EXISTING 10'
PRapaSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
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DISCLOSURE STATmmNT FOR OWNER
Q CITY OF ZEPHYRIIILLS Bm:LDING DEPARTMENT
I. ~f,ll, , ~ 0 I A:J2, (SY\ have road and fuJ.1y understand and
agr ~ 0 t~ons of this instrument.
The undersigI;l.ed states and affiJ::IDS that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own dcmici~e" that he or she
actua~~y occupies, or wi~~ occupy by 'said dcmici~e, and same is not for
rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions,:
L
That the owner and he or she a~one sha~~ act as the bui~der for a~~ phases of..
construction.
That the owner wi~~ comp~y with a~~ provisions 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 subcontractors and wi~~ persona~~y supervise
such work.,
That in the event the Bui~ding Inspector sha~~ require corrections to be made,
the owner wi~~assume ful~ responsibi~ity to insure they are made, and upon
comp~etion wi~~ ca~~ for a reinspection before proceeding with the 'bui~ding,
That the owner sha~~ assume full responsibi'~i ty for the construction and wi~~
not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding
Department.
That prior to fina~ inspection any additiona~ fees, inc~uding reinspection
fees, must be paid in ful~. A written request from this office sha~~
. constitute' an officia~ notice, to pay additional fees.
That the owner sha~~ comp~y with a~~ City, State and Pedera~ ~aws in regard to
socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e.
That the owner sha~~ comp~y with 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 permit under an exemption to that ~aw. The exemption 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. You must provide direct
onsite supervision of the construction yourse~f. You may bui~d or imprC?Vea
one-fami~y or two-fami~y residence or a far.m outbui~ding. You may a~so bui~d
or improve a cammercia~ 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 sea~:or' ~ease a
bui~ding you have bui~t orsubstantia~~y improved your.se~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 vio~ation of this
exemption. You may not hire an un.J.icensed 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 required by state ~aw and
by county or municipa~ ~icensing ordinances. You may not de~egate the
responsibi~ity for supervising work to a ~icensed contractor who is not
~icensed to perform the work being done. 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.J:.C.A. and withho~ding tax
and provide workers' compensation for that emp~oyee, a~~ as prescribed by ~aw.
Your construction must comp~y with a~~ app~icab~e ~aws, ordinances, bui~ding
codes, and zoning gu~at'ions
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DATE
OWNER'S
ADDRESS
E'HONE
WITNESS
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