HomeMy WebLinkAbout07-6453
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6453
6453
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
Address: 5323 BELTRAM DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0030-00300-0110
NEL ON, WILLIAM E
5323 BELTRAM DR
ZEPHYRHILLS, FL. 33542
Phone:
h~OJ.42d
'( - --;)1-07
~
REINSPEcn N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are ne 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 w en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In ad ition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found i the public records of this county, and there may be additional permits required from other governmental
entities such a water management, state agencies or federal agencies.
The payment 0 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 record ng your notice of commencement. n
~~
RACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
111111..11
a./2
W. E, /II.e 1.- S"tJ AI
I S-~ ~r gal- -r I? A-1Yt
Dft.
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
/ Owner's Name
/ Owner's Address
Fee Simple Titleh Ider Namel
Fee Simple Titleh Ider Address
/ JOB ADDRESS S?JJ /3 e '- I /,? A-Ivt iJ 12... LOT #
SUBDIVISION I PARCELlD# I to) -d..~ - d \ - 0030 - 00500 - 0 \ \ 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSE B NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTR D BLOCK D FRAME D STEEL D OTHER I
/ DESCRIPTION OF ORK I FE-weE:. C fI~1 Pol L / /JI A--
BUILDING SIZE I SQ FOOTAGE I 1/' I HEIGHT I
D BUILDIN
D AL
D
D MECHAN CAL
D GAS
FINISHED FLOOR
/ 1$
1$
1$
1$
D
VALUATION OF TOTAL CONSTRUCTION
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
Address
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
RESIDENTIAL
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
COMPANY
REGISTERED Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
I
I
I
I
I
I
I
I
I
I
BUILDER
/ SIGNATURE
11:~ F~Y/N
License # I
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Y/N
Address
MECHANICAL
SIGNATURE
Y/N
Address
OTHER
SIGNATURE
Y/N
Address
COMMERCIAL
ttach (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
ttach (3) sets of Building Plans; (1) set of Energy Forms.
inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
II commercial requirements must meet compliance.
ttach (2) sets of Engineered Plans.
'''PROPERTY SURVEY required for all NEW construction.
SIGN PERMIT
Directions:
Fill out applicati completely.
Owner & Contra tor sign back of application, notarized
If over $2500, a otice of Commencement is required. (AlC upgrades over $5000)
Agent (for the co tractor) 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 Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not er Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restricflons"
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, 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 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 "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 ~nstallations not specifically in?luded. in the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y !o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUlldmg OffiCial from thereafter
requiring a correction of errors in plans, c~n~truction or violat~o~s o! any codes. Every ~ermit issued. shall become. invalid
unless the work authorized by such permit IS commenced wlthm 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 nln~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) .~1"/ ~ C}/I/( 'C
OWNER OR AGENT J1/' <C ~V'_ CONTRACTOR f/t/ .
Sub crlbp,d and sworn to (or affirmed) efpre me this ,Supscrlped and sworn t~ (or affirmed efore ~e thiS
r9112--tp, byl)..)\\h'<'l'y\.9du.,),,,,", ~JlI....,;r~" 8-!l~Ic-D7 by L0\\'I""~ 'i'~HJ',,"", t-J.QI~I'",",
Who isfare personally known to me or has/have produced Who Islare personally known to me or haslh~ve produ~ed
FL \) l2u (2 u. C as identification. K l) ~..j ~ L\ c- as Identification.
c\n':;~~~/~
Notary Public
.~"-"" d ~ ~ L ,
Notary Public
Commission No.
Commission No.
CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCAT ON
PARCEL 1. .' #
SHOW AL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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U'I'ILITY BU LDINGS
MUST SHOW IZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAM LES 1 & 2) STREET
1. SETBACK FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
FR PROPERTY LINE
FONT PROP RTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10'
EXISTING
10'
1 0'
1 0'
PROPOSED
20'SGL FAM
30'DUPLEX
FRONT PROPERTY LINE
DJ:SCLOStJRE S:L"ATBMEN'l' FOR OWNER
CJ:.'l'Y OF ZEP!lYRE[J:LLS BUJ:LDJ:NG DEPARTHENT
4.
this instrument.
J:,
have read and ful~y understand and
ersi~ed states and affir.ms that he or she is desirous of constructing,
ing, adding to or reroofing his or her own damici~e" that he or she
y occupies, or ~~~ occupy by said damici~e, and same is not for
ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions.:
~.
t the owner and he or she a~one sha~~ act as the bui~der for a~l phases of
struction.
t the owner wi~l comp~y with a~~ provisions of the City of Zephyrhills
'Dances and codes pertinent to the bui~ding.
t in the event various phases of construction are subcoritracted, he wil~
age on~y properly ~icensed subcontractors and ~~l personally supervise
work. .
t in the event the Building J:nspector sha~~ require corrections to be made,
owner wil~ assume fu~l responsibi~ity to insure they are made, and upon
~etion wi~~ cal~ for a reinspection before proceeding ~th the building.
t the oWner sha~~ assume full responsibi'~i ty for the construction and wil~
expect supervision of his Work fram the City of Zephyrhi~~s Building
artment.
t prior to fina~ inspection any additio:c.a1 fees, including reinspection
s, must be paid in ful~. A written request fram this office shall
stitute an officia1 notice. to pay additio:c.a~ fees.
t the owner sha~~ comply with al~ City, State and Federa~ laws' in regard to
ial security, workman's compensation, lien laws, etc., where applicable.
t the owner sha~~ comply with a~l the safety codes issued by the Florida
ustria~ Commission.
te law requires construction to be done by licensed contractors. You have
lied for a permit under an exemption to that law. The exemption allows
, as the owner of your property, to act as your own contractor with certain.
trictions even though you do not have a license. You must provide direct
ite supervision of the construction yourself. You may build or improve a
-family or two-family residence or a farm outbuilding. You may also "build
improve a commercia~ building, provided your costs do not exceed $25,000.
building or residence must be for your own use or occupancy. J:t may not
be ui~t or. sUbstantia~ly improved for sale or lease. J:f you sell or lease a
bu'ldinsr yoti have built orsubstantial~y improved yourself within 1 year after
th construction is complete, the law wil~ presume that you built or
stantia~ly improved if for sa~e or ~ease, which is a violation of this
tion. You may not hire an unlicensed person to act as your contractor or
upervise people working on your bui~ding. J:t is your responsibility to
sure that peop~e employed by you have licenses required by state law and
ounty or municipa~ licensing ordinances. You may not delegate the
onsibility for supervising work to a licensed contractor who is not
sed to perform the work being done. Any person working on your building
is not J.icensed must work under your direct supervision and must be
oyed by you, which means that you must deduct P'.I.C.A. and withhoJ.ding tax
provide workers' compensation for that employee, all as prescribed by iaw.
construction must comp~y with a~~ app~icable laws, ordinances, building
s, and zoning regu~ations.
JYt:: r~~
SIGNATURE
DATE
;)..../1---,. 07r
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PERKIT #