HomeMy WebLinkAbout07-6937
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6937
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:
6937
FENCE
FENCE REPLACEMENT
NOT APPLICABLE
Address: 7135 A HLAND DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0050-00000-0210
750.00
8/09/2007
40.00
40.00
8/09/2007 Phone:
REPLACING CHAINLlNK WITH WOOD PRIVACY 200 LINEAR FT
h v-'lc.1Q cO
I q I'" fc.,)7
I~
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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
~
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date ReceiveCl
Owner's Name
Owner'sAddress L3J & Ash lOJ\.o\Dr'\ ye
Fee Simple Titleholder Namel
Owner Phone Number I
Owner Phone Number I
.# JOB ADDRESS
Fee Simple Titleholder Address I
I -=1-\ ~~
I
f\~h )o.X\.C\
I
D NEWCONSTR CJ ADD/ALT D
D INSTALL CJ REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
- DESCRIPTION OF WORK I \(\.~'TC\. \\Cl,"",,~ J; Wd '\=e(\Ce...
BUiLDING SIZE I SQ FOO';:GE I 2...00 I HEIGHT
'111111'.' 1111'" 1111"" ,,1.,," 'II III '1111' r 1111"" I111 ,." 111".'" 1111 r, 1IIIInll'III.II.,' 111"11111111111' 1111111111111111111111" I1111111
:=rS-O. 99
U-~lVe.
PARCEL 10#1
lOT #
-oS 2"5..2\ . 0050 .O(x~'02\()
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
o
MECHANICAL
SIGNATURE
/' 1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111 11111 11111 11111 11111 11111 11111 III I! 1111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I1111111111
:~~~~~~~ ~ I ;.~:~~: I r~~"'16A'%~';~.r. VIN I
Address '_ License # I
I
I
I
I
I
I
I
I
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
License #
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
DI~~~t;~~~': ' , , , , . , . , , , , . , , , , , , . , , , , , , , , , . . . , . . , , . , , , , , . . , . , , , . , , , , , , . , , , , , . . , . , , , , , , , , , , , , , . . . . , , , . , , , , , , , , , , , . . , , , , , , , , . , , , , . . , , , , , , , , . , . , . , , . , . ,
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 NC Fences (PloVSurvey/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 c;>wner 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 "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 proceed With the work a~d not as authon~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng 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 authorrzed .by
the permit is suspended or abandoned for a period of six (6) mon,ths after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a perrod not t~ exceed n1n~ty ,90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutrve 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. 11
~
OWNER OR AGEN
SUbflmed and swo to (or affirmed) fore me this
'?i "l 01 by (cho-A&"
Who Isfare personally known to me or has/have produced
~L )) {?01?.. L~ (I as identification.
CONTRACTOR
SUj<criPed an wo~ to (or afflrme~ bef~e me this
~ q 1(;; 7 by" C \"'\c....A.C' . O/..J.-.{. \J..)Gl.. + k6 n S
Wh.JlJs/are personally known to me or has/have produced
I-\... \) Qu Q... l \ ~ as identification.
-
~ ('~~1..~ Notary Public
~~ 0-.,,,, (").~
Notary Public
Name of N
, . N ,""'ll K
Commission o. l;""r.Y ~~~ aren L. Miller
:t-( i~ Commission #
Name of Notary typed, print xplf'es October 29,2010
Bonded Troy Fein . Insurance. Inc llOO-385-7019
I, '2L
agree to the
DISCLOSURE STATEMENT FOR OWNER
.1 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
{ A rf A,' nS have read and fu1.1.y
provisions of this instrument.
understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici1.e, that he or she
actua1.1.y occupies, or wi1.1. occupy by said domici1.e, and same is not for
rent, 1.ease or sa1.e. That he or she sha1.1. comp1.y with the fo1.1.owing conditions:
1. That the owner and he or she a1.one sha1.1. act as the bui1.der for a1.1. phases of
construction.
2. That the owner wi1.1. comp1.y with a1.1. provisions of the City of Zephyrhi1.1.s
ordinances and codes pertinent to the bui1.ding.
3. That in the event various phases of construction are subcontracted, he wi1.1.
engage on1.y proper1.y 1.icensed subcontractors and wi1.l persona1.1.y supervise
such work.
4. That in the event the Bui1.ding Inspector sha1.1. require corrections to be made,
the owner wi1.l assume fu1.1. responsibi1.i ty to insure they are made, and upon
comp1.etion wi1.1. cal1. for a reinspection before proceeding with the bui1.ding.
5. That the owner sha1.1. assume fu1.l responsibi1.ity for the construction and wi 1. 1.
not expect supervision of his work from the City of Zephyrhi1.1.s Bui1.ding
Department.
6. That prior to fina1. inspection any additiona1. fees, inc1.uding reinspection
fees, must be paid in fu1.1.. A written request from this office sha1.1.
constitute an official notice to pay additional fees.
7. That the owner sha1.1. comp1.y with a1.l City, State and Federa1. 1.aws in regard to
socia1. security, workman's compensation, 1.ien 1.aws, etc., where app1.icable.
8. That the owner sha1.1. comp1.y with a1.1. the safety codes issued by the F1.orida
Industria1. Commission.
9. State 1.aw requires construction to be done by 1.icensed contractors. You have
app1.ied for a permit under an exemption to that 1.aw. The exemption a1.1.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a 1.icense. You must provide direct
onsite supervision of the construction yourse1.f. You may build or improve a
one-family or two-fami1.y residence or a farm outbui1.ding. You may a1.so bui1.d
or improve a commercia1. bui1.ding, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be bui1.t or substantia1.1.y improved for sale or 1.ease. If you se1.1. or 1.ease a
building you have built or substantia1.1.y improved yourse1.f within 1 year after
the construction is comp1.ete, the law wi1.1. presume that you bui1.t or
substantia1.ly improved if for sa1.e or 1.ease, which is a vio1.ation of this
exemption. You may not hire an un1.icensed person to act as your contractor or
to supervise peop1.e working on your bui1.ding. It is your responsibi1.ity to
make sure that peop1.e emp1.oyed by you have 1.icenses required by state 1.aw and
by county or municipa1. 1.icensing ordinances. You may not de1.egate the
responsibi1.ity for supervising work to a 1.icensed contractor who is not
1.icensed to perform the work being done. Any person working on your bui1.ding
who is not 1.icensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that emp1.oyee, a1.1. as prescribed by 1.aw.
Your construction must comp1.y with a1.1. app1.icable 1.aws, ordinances, building
codes, and zoning~r.e. gula. --=:>
OWNER'S SIGNATURE~~~ DATE 8~9--0'7
ADDRESS W '
PHONE ("'?5f~) Zs6a:- 3'8<:51
WITNESS
PERMIT #
CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT
OW~ER
JOB LOCATION
PARCEL I.D.' #
SIIOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
J~---
<'....H'_~..........~..;....-,~"'"'"';!l;"..
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2 ) STREET
1. SETBACKS 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'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
1 0' 1 0'
10'
.
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
FRONT PROPERTY LINE