HomeMy WebLinkAbout07-6505
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6505
1,600.00
3/05/2007
45.00
45.00
3/05/2007
INSTALL PRIVACY FENCE 314 X 6
Address: 4747 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-03000-0050
G Y, LULA & BURKS, EVERLY
4747 9TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813783-2307
CJ~'1/<2~
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REINSPEcn N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are nece ry 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 n 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 as 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 0 ner: 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 recordi g your notice of commencement."
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ONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
813-710-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
!(gPS
Date Received
~. ~~;",/'" 'j/'~. / ,,-'
1111......
/ Owner's Name /
, Owner's Address
Fee Simple Titlehqlder Namel
fir <iT
s (d- t..;1 t; s - 9..t 1, ~ ,. I LOT #
I PARCELlD#I/4 - ;;;It - ;;)-1 - 60/0 - 03000 -0050 I
(OBTAINED FROM PROPERTY TAX NOTICE)
D ADD/ALT 0 SIGN 0 MOVE 0
D REPAIR
D COMM c=J OTHER
D FRAME c=J STEEL D
f.Jf' .. JAC '1 Fe' n c(-" SI~ I j.. C::.
SQFOOTAGEI I
Fee Simple Titlehilder Address .
./ JOB ADDRESS I ././7 'i p
I I
WORK PROPOSE+
9-'4
I .
SUBDIVISION
PROPOSED USE I
TYPE OF CONSTR~CTION
./ DESCRIPTION OF
B
[Zj
c=J
I
NEW CONSTR
INSTALL
SFR/OIiI'I~
BLOCK
BUILDING SIZE
DEMOLISH
OTHER I re /7/'e
HEIGHT I
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.
j/ 1$ /(POO \ 00
1$
1$
1$
D GAS. c=J
FINISHED FLOOR ~LEVATIONS I
o
D
D
o
ELECTRI~AL
PLUMBI~G
MECHA~ICAL
ROOFING
BUILDER /
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
I
I
I
I
D
I
VALUATION OF TOTAL CONSTRUCTION
D
D
AMP SERVICE
PROGRESS ENERGY
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY c=J OTHER
FLOOD ZONE AREA DYES
DNO
/M/#t" CJ0Hev
I Y I N I FEE CURRENT
Y/N
License #
Y/N FEE CURRENT
License #
COMPANY
REGISTERED Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Y/N
Y/N
Y/N
Directions:
Fill out applicati n completely.
Owner & Contra tor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNT R PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage)
Driveways-Not ver Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subfct 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. 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 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 the~eaft~r
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.
'1
CONTRACTOR. / ..
Subscribed and SWO~ i]neaf}?!fre me~ / J't;7.
3~'O 7 by , .t'J < W(
Who(s/are personally known to me or has/have P uced
.. U,.l-!'>t-- as identification.
(~"- g~
~ission o.
Notary Public
..==:J.~ ~ . ,C ""- ~ Nola", Publ"
Co::Z::O ..
J~~t~~8;", JACQUELINE BOGES
'y A, .'f';-; ~. D0621833
Name of Notary.~;.;rh."~-4JIlr 12, 2010
;:; :~~"", Bonded Thru Troy FiilnlMullllCl800-385-7019
DISCLOSURE STATEHENT FOR OWNER
C:r.TY OF ZEPHYRB:rLLS BUJ:LD:rNG DEPARTMBNT
6. -eu~
have read and f~~y understand and
this instrument.
she is desirous of constructing,
ow:n domici~e" that he or she
occupy by said domici~e, and same is not for
she sha~~ comp~y with the fo~~owing conditions:
~.
2.
3.
4.
5.
6,
7.
8.
9.
yo
re
on
on
or
t the ow:ner and he or she a~one sha~~ act as the bui~der for a~~ phases of
struction.
t the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s
'nances and codes pertinent to the bui~ding.
t in the event various phases of construction are subcontracted, he wi~~
age on~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise
h work.-
t in the event the Bui~ding :rnspector sha~~ require corrections to be made,
owner wi~~ assume fu~~ responsibi~ity to insure they are made, and upon
~etion wi~~ ca~~ for a reinspection before proceeding with the bui~ding.
t the oWner sha~~ assume fu~~ responsibi~ity for the construction and wi~~
expect supervision of his Work from the City of Zephyrhi~~s Bui~ding
artment.
t prior to fina~ inspection any additiona~ fees, inc~uding reinspection
s, must be paid in fuJ.~. A written request from this office sha~~
stitute an official. notice. to pay additiona~ fees.
t the ow:ner sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to
ia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e.
t the ow:ner sha~~ comp~y with a~~ the safety codes issued by the F~orida
ustria~ Commission.
te law requires construction to be done by ~icensed contractors. You have
~ied for a permit under an exemption to that ~aw. The exemption a~lows
, as the owner of your property, to act as your own contractor with certain,
trictions even though you do not have a ~icense. You must provide direct
ite supervision of the construction yourself. You may bui~d or impr~ea
-fami~y or two-fami~y residence or a far.m outbui~ding. You may also build
improve a commercia~ building, provided your costs do not exceed $25,000.
bui~ding .or residence must be for your own use or occupancy. It may not
bui~t or substantia~~y improved for sa~e or ~ease. If you se~~ or lease a
~ding yoti have bui~t orsubstantial~y improved you:rse~f within 1 year after
construction is comp~ete, the law wi~~ presume that you bui~t or
stantia~~y improved if for sa~e or ~ease, which is a vio~ation of this
tion. You may not hire an un~icensed person to act as your contractor or
supervise peop~e working on your bui~ding. :rt is your responsibility to
e sure that peop~e emp~oyed by you have ~icenses required by state law and
county or municipal ~icensing ordinances. You may not de~egate the
ponsibi~ity for supervising work to a licensed contractor who is not
ensed to perform the work being done. Any person working on your bui~ding
is not licensed must work under your direct supervision and must be
loyed by you, which means that you must deduct !'.I.e.A. and rithhold:Lng tax
provide workers' compensation for that employee, all as prescribed by law.
construction must comply with all applicable laws, ordinances, building
es, and zoning t'ions.
DATE
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CITY OF ZEPHYRHILLS BUILDING DEPARTHENT
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SHOH AL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BU LDINGS
MUST SHo.W IZE &
Fo.UNDATIo.N INFo.R-
MATION.
(No.TE EXAM LES 1 & 2 ) STREET
1. SETBACK Fo.R Rl, R2 Zo.NING
60'
10'
P E
R X
0. I
10 P S 10'
0. T
S I
E N
D G
20'
FR NT PROPERTY LINE
oa
.
FRo.NT PRo.PERTY LINE
2. SETBACKS FOR R3 Zo.NING
60'
10'
10'
EXISTING
10'
1 0'
1 0'
PRo.Po.SED
20'SGL FAM
30 'DUPLEX
FRONT PROPERTY LINE