HomeMy WebLinkAbout06-6134
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
6134
Permit Number: 6134
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38603 CAMDEN AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number: 35-25-21-005A-00000-1130
350.00
9/26/2006
40.00
40.00
9/26/2006
INSTALL FENCE - CHAINLlNK 4'
HOMEOWNER
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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 you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement,"
ch.~ ~.
CONTRACTOR PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-00lU
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Building Department
/ Owner's Name
/ Owner's Address
Fee Simple Titleholder Namel
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Owner Phone Number
Owner Phone Nu~ber I
Owner Phone Number I
/ Date Received
U>-~ e..
Fee Simple Titleholder Address I
1-3 '6 CoD ~
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PROPOSED USE D
TYPE OF CONSTRUCTION D
./ DESCRIPTION OF WORK I CX'D.\" \\ C\\<.... ~Y"\Ce-
BUILDING SIZE I . I SQ fo'oT AGE I \ 9::> ! HEIGHT 1 ,,,,,..,,,..,,,.,,,,, I" .. " , .. . "'" " , " , "
II II Jill 1 II1II , I , . III I I II , I , I I II III 1 , I , II , 111 , ,. III 111111111111111111 , 1111111111111111 111111111111111
1$ ~ 5" 0 I
o ELECTRICAL 1$ I
o PLUMBING 1$ I
o MECHANICAL 1$ I
o GAS D ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I. . I FLOOD ZONE AREA DYES DNO . . .'
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. BUILDER ~ ' . _ COMPANY II h6~o.,.){\.e/ . I
/ SIGNATURE '=.,,- _ _ ~ REGISTERED I Y I N I FEE tuRRENT Y IN
Address 2B~ _~ A0€- License # I I
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I License # I I
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Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns .
Minimum ten (10) working days after submittal date. Required onsUe, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Fonns.
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.
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Directions: .
Fill out application completelY.
Owner & Contractor sign back of application, nolarized
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 Ale
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
Co..~~ ~e....
E~~w-4
E3
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o
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LOT #
/ JOB ADDRESS
. SUBDIVISION
PARCEL ID# I
3S" - 26- 2\ -DOC) ~ - 60000 ~ 1,3 a
(OST AINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
ADD/ALT
REPAIR
COMM
FRAME
D
D
o
OTHER I
STEEL D
OTHER I
/0
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
, PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CLJRRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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 "deedD restrictionsD
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 Dlvlsfon-Llcenslng 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 tht;lt Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a .certlflcate 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-I-Jomeowner'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 hav.e 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: .1 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, WaterlWastewater 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 till:
. _ Use of till is not allowed in Flood Zone .V" unless expressly permitted.
. If the fill materiaf is' to be used In Flood Zone "N, it is understood that a drainage plan addressing a
.compensating volumeD 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 ,,-:all. . .' .
If fill material is to be used in any area, I certify that use of such fill Will not adversely. affect a~Jacent
. properties. If use of fill Is found to adversely affect adjacent propertl~s, the. owner may be Cited for Violating
the conditions of the building permit Issued under the attached p~rmlt 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 OWNE~, I promise in good faith to inform the. owner ~f the permitting conditions set forth In
this affidavit prior to commencing construction. I understand that a separate per~~t may be.requlred for elect~lca.1 work,
lumblng signs, wells, pools, air conditioning, gas, or other installations not speCifically In?luded In the application. A
p ermlt is~ued shall be construed to be a license to proceed with the work and not as authOrity to vlolat~, cancel, alter, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCIal from the~e.aft~~
requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued tfshall :ec~:;e. In~a~
unless the work authorized by such permit Is commenced within six months of permit Issu~nce, or word. a~ or~ze . y
.. sus ended or abandoned for a period of six (6) months after the time the work IS commence. n ex enslon
~::~~~:~~est:d, in writing, from the. Building OffIcial for a period not t~ exceed ninety (90) da~s an3 ~II ~emo:rtrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is consldere a an one .
. ;':':~~~EO:O~EI:;P:g~:::rri=~~~ ~~II~:~~~~E~~~~~g~ 1~~:NMt~~~r.N 'r.',r;.:~~~~~d~N~~~~
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and swom to (or amnned) before me this
by
Who is/are personally known to me or has/have produced
. as Identification.
OWNER OR AGENT .
Subscribed and swom to (or amnned) 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
DISCLOS'DRE STATEMENT POR OWNER
CITY OP .zEPHYRRILLS BUILDING DEPARTMENT
I, he ~ ~\\'\ ~s ' have read and fuJ.~y understand and
agree to prov1s1ons of thi.s instrument.
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, ~ease or sale. That he or she shall comply with the following conditions.:
l.
That the owner and he or she alone shall act as the builder 'for all phases of"
construction.
That the owner wil~ comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to 'the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.,
That in the event the Building Inspector shall require corrections to be made,
the owner wil~ assume full responsibility to insure they are made, . and upon
completion wili call for a reinspection before proceeding with the building.
That the oWner shall assume fuJ.J. responsibi~i ty for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building
Department.
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 official notice. to pay additional fees.
That the owner shall comply with all City, State and Peder.al laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Plorida
Industrial Commission. '
State law requires construction to be done by licensed contractors. You have
applied for a pe:cnit 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~e ,a
one-family or two-family residence or a far.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, s~stantially improved 'for sale or lease. If you seJ.2.:oro lease a
building you, have buil torsubstantial.ly improved yourself, within 2. year after
the construction is complete, the law will pres-ume.th.a:t 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 supervis.ion and must be
employed by you, which means that you must' deduct P. I. C.A. and wi thhold.ing tax'
and prov.ide workers' compensation for that employee, all as prescribed by 1aw.
Your construction must comply with all appl~cable laws, ordinances, building
codes, and zoning regulat'ions.
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OWNER'S
ADDRESS
:E'HONE
DATE q\al.n\ G~
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w.:I:TNESS
PERMIT., #: