HomeMy WebLinkAbout07-6431
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6431
Address: 5122 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20200-0160
300.00
45.00
45.00
2/05/2007
280 sa FENCE
Name: MCGEE, MICKEY II
Address: 5122 17TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813997-5642
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REINSPECTI N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are nee ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty nstruction c) repairs or corrections not made when inspections called d) work not ready for
inspection en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In a dition 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 water management, state agencies or federal agencies.
The payment f inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to wner: Your failure to record a notice of commencement may result in your paying twice for
improvemen to your property. If you intend to obtain financing, consult with your lender or an attorney
before reco ing your notice of commencement."
~-.
NTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
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t
OWner Phone Number
Owner Phone Number I
OWner Phone Number I
Date Received
Owner's Name
Owner's Address
Fee Simple Tltlehol
I
LS\ LL \, ~h
I
WORK PROPOSED
E3
D
D
I 2nD J~
NEW CONSTR
INSTALL
SFR
BLOCK
~
I
B
D
D
I LOT# I
PARCEL ID#l/i - 2& - 2-/- 6010- 2.0200-01 ~ 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
D
DEMOLISH
JOB ADDRESS
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRU TION
ADD/ALT
REPAIR
COMM
FRAME
~
OTHER I ~ e..n ( ,e...
STEEL D OTHER I
DESCRIPTION OF W
SQ FOOTAGE I
HEIGHT I
BUILDING SIZE
0 BUILDING 1$~.6~ I
0 ELECTRIC L 1$ I
0 PLUMBING 1$ I
0 1$ I
0 GAS D ROOFING D
FINISHED FLOOR EL VATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
Address
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
BUILDER
SIGNATURE
COMPANY
REGISTERED
~1
owneC
FEE CURRENT
Y/N
LIcense #
ELECTRICIAN
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
LIcense #
PLUMBER
SIGNATURE
Address
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
LIcense #
COMPANY
REGISTERED Y/N FEE CURRENT
LIcense #
Y/N
MECHANICAL
SIGNATURE
Y/N
Address
OTHER
SIGNATURE
Y/N
Address
RESIDENTIAL
ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
inimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Slit Fence Installed,
anitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
inimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence installed,
anitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
ttach (2) sets of Engineered Plans.
. ..PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Directions:
Fill out applicatio completely.
OWner & Contract r sign back of application, notarized
If over $2500, a otlce of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the con ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTE PERMITTING (Front of Application Only)
Reroofs wers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not 0 er 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 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 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 "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 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 proceed with the work and not as authority to violate, 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 haslhave 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.
j
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
(
DJ:SCLOSURE STATBHENT FOR OWNER
CJ:TY 01" ZEPHYRBJ:LLS BUJ:LDJ:NG DEPARTHBNT
0.el-
have read and f~~y understand and
The un
renova
aotua~
rent,
ersigned states and affirms that he or she is desirous of oonstructing,
ing, adding to or reroofing his or her own damici~e" that he or she
y oocupies, or wi~~ occupy by said domioi~e, and same is not for
ease or sa~e. That he or she sha~~ oomp~y with the fo~~owing oonditions.:
1.
t the owner and he or she a~one sha~~ aot as the bui~der for a~~ phases of.
struotion.
t the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhills
. nances and codes pertinent to the bui~ding.
t in the event various phases of oonstruotion are subooritraoted, he will
age on~y properly lioensed suboontractors and will personally supervise
work. -
t in the event the Bui~ding J:nspector shall require oorrections to be made,
owner wil~ assume fu~~ responsibi~ity to insure they are made, and upon
~etion wil~ call for a reinspeotion before proceeding with the 'building.
t the oWner sha~l assume ful~ responsibi~ity for the construotion and wil~
expeot supervision of his Work from the City of Zephyrhi~ls Building .
artment.
t prior to fina~ inspection any additiona~ fees, inoluding reinspeotion
s, must be paid in f~l. A written request from this office shall
stitute an offioial notioe.to pay additional fees.
t the owner shall oomply with all City, State and Federal laws in regard to
ial seourity, workman's compensation, lien laws, eto., where applioable.
t the owner shal~ comply with all the safety codes issued by the Florida
ustrial Commission.
te law requires construotion to be done by ~icensed contractors. You have
lied for a pez:mit under an exemption to that law. The exemption allows
, as the owner of your property, to act as your own contractor with oertain.
triotions even though you do not have a lioense. You must provide direot
ite supervision of the construction yourself. You may build or impr~e .a
-family or two-family residenoe or a farm outbuilding. You may also bui~d
improve a ocmmercia~ building, provided your oosts do not exoeed $25,000.
building .or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. J:f you sell or lease a
bu'lding you have built or substantially improved yourseif within 1 year after
th oonstruotion is oomplet~, the law wil~ presumeth&t you built or
stantial~y improved if for sa~e or lease, which is a violation of this
tion. You may not hire an ~ioensed person to aot as your contraotor or
supervise people working on your building. It is your responsibility to
e sure that people employed by you have licenses required by state law and
oounty or municipal licensing ordinances. You may not delegate the
ponsibility for supervising work to a licensed oontractor who is not
ensed to perform the work being done. Any person working on your building
i.s not li.censed must work under your direct supervision and must be
loyed by you, which means that you must deduct F.I.C.A. and withholding tax
provide workers' compensation for that employee, all as prescribed by iaw.
construotion must oomply with all applioable laws, ordinanoes, building
es:s::~o~ning re~gulations. ~~
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2.
3.
4.
5.
6.
7.
8.
9.
DATE '11.5/07
FL~ I .
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PBRKJ:T #:
-............~.......... -....................-........ _.& ...,U'KJJ.._~...4.
NOT FOR CONSTRUCTION
NOT FOR DESIGN
NOT FOR FENCE CONSTRUCTION
FLORIDA STA TUTE 61GI7-6,OO4,
avo SITE: BeNeHHARKS RE:QUlREJJ FUR CONSTRUCTIlJN)
NIlTE:, THE INTENT OF THIS SURVey
IS FDR TITLE TRANSFER ONL Y
STREET ADDRESS
5122 17TH STRE:E:T
ZE:PHYRHILLS, FL
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NoOO'OI'IrE. 90.06'(1-/)
90.00'(C)
NoOO'OI '46 ",I. 60.08'(M)
60.00'(C)
LOT 78
BLOCK 202
SCjJZ 1" - 3D'
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18.0'
0.0'
EAST 140.00'(P)
N.89'59'36 'E. 139.77'(1/)
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QHP LOT 17
--- BLOCK 202
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LOT 16
BLOCK 202
e;
is
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cL FIR 5/tr
~ LB 6569
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j S.B9'59'36'v' 140.00'(11)
WE:ST 140.00'(P)
FIR 5/8"
LB 6569
/
LOT 15
BLOCK 202
QUALITY CfIoITROLLED BY,
GEI1RGE RICHtDNiJ
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6'
LEGAL DESCRIPTION
LDTS 16 AND LDT 17, BLOCK 202, MAP DF TOWN DF ZEPHYRH1LLS, ACCDRDING
TO THE PLA T THEREDF AS RECDRDED IN PLA T BODK I, PAGE 24, DF THE
PUBLIC RECDRDS OF PASca COUNTY, FLORIDA
~
o 7.'5 15 30
GRAPHIC SCALE
MICKEY McGEE AND KA TIE GANO
WACHDVIA BANK MTG. CORP
AND/OR SECRETARY OF HOUSING &
MERIDIAN TITLE ca. INC.
A TTORNEY'S TITLE INS. FUND INC.
URBAN DEV.
NlJTr, IF APPLICABLE~ FUlCES SH/]VN HE:ANDER
{JtI CR 11FT LINES. (APPR!Jx, LDCA TIDN f1NL y)
FOUNlJA T1lJN/IJT/UTIES DISCLAIHER
NDTE,
F71/JN1JATlllN BENEATH THE SIRFACE: OF THE GRDUNlJ
HAS NIlT BEEN LDr:ATED.
IJNJJERGRaJNlJ UTlUTIE:S HA ve NOT BEEN LDCA Tell.
CERTIFIED TO :
THIS SURVEY lJ[CS NOT I?EFLE:CT OR
DETE:RNINE OWNERSHIP.
PROVIDED BY COUNTY
FInOD ZONE: X
COlOlUNlTY PANEL
DATED:
(FInOD ZONE: "B'. 'C". "D", &: "X" ARE NOT
IN DESIGNATED FLOOD HAZARD ZONE AREA.)
NOTD FE:IIA FLOD/) HAZARD HAPPING, THIS DA TE: PRODUCT WAS NOT lJE:SIGNElJ
TO MAKe Pl?E:CISE IN/ OUT FLDDlJ RISK DETERHINA TIONS. THIS Pl/DIJUCT IS NOT
SUITABLE: FDR ENGINEERING APPLICA TIONS AND C4NNOT BE USED TO DE:TERHI/C
ABSDLUTE IJELINf:A TlONS OF FL[)[JD BfJUNDARIES, CALL }-B71-FEHA HAP OR EHAIL
A HAP SPE:CIALIST AT l,IVItl.FEHA./JRG/HIT/TSlJ/FQ-HAPl7.HTH
CERTIFICATION :
I CERTIFY THAT THIS SURVEY WAS MADE UNDER MY DIREClJON AND THAT IT MEns
THE MINIMUM TECHNICAL ST ANOARDS SET FORTH BY THE BOARD OF PROFESSIONAL
LAND SURVEYORS AND MAPPERS IN CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE NOTE.
CODE, PURSUANT TO SEClJON 472.027, FLORIDA STATUTES. IN COMPLIANCE IoIlTH FAC,
It FlELD / / 61G17-6,D031 (5) CD (If L[]CATION or
-r '7J n l'l SURVEY DATE - 11 16 04 EASEMENTS DR RIGHT-OF-IoIAY OF RECORD,
I~ {<-- tl/'-...:J OTHER THAN THOSE ON RECORD PLAT, IS
BY: ~'" - I SIGNATURE DAlE : 11/17/04 ~5~~I~~~D TTHJs,~r~~:~V?~M;~ ~~PPER.
LELAND ,DYSARD, PIS #3859 IlARY E. FINSTAD, PSII #5901 CllNTON If. FINSTAD, PIS #2453
JEFFRY Ii HlLIJGOSS, PIS #4488 GEORGE R RICHllOND, PIS #2406
MJTEt PRC:PCRTY' DVICR SHlJULD {JJlTAIN
I./RITTEN FL.lXJIJ ZC1NE KTERHINA TIUN
FROH 0lR LDCAL PERHITlNG.. PLI4NNJNG~
AND BUILDING IJEPItRTiCNT PRIOR TO ANY
CDNSTRUCTlDN PLANNING AND/OR CONSTRUCTlDN.