HomeMy WebLinkAbout07-7060
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
7060
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:
7060
FENCE
FENCE REPLACEMENT
NOT APPLICABLE
Address: 38030 LAWANDA LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0160-00000-0170
231.27
9/28/2007
35.00
35.00
9/28/2007
FENCE RELOCATION/EXTENSION 65'
Name: TICKNOR, JAMES & CHRISTINA
Address: 38030 LAWANDA LP
ZEPHYRHILLS, FL. 33542
HOMEOWNER
FENCE
35.00
hl1~l.oJJ
l21<.. lo7
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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
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CONTRACTOR PERMIT OFF I
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 Received
"?;- y ;- )P" /C
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
/ Owner's Name
" Owner's Address
7.Bt77~
Lllw;9NP.4 ~ pp/,
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
~$pJo
LA"" /I j4-' , IJ '- pC? I'
I PARCELlD#1
NEW CONSTR El ADD/All D
INSTALL REPAIR
SFR D COMM D
BLOCK D FRAME D
LOT #
/ JOB ADDRESS
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
DEMOLISH
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
"DESCRIPTION OF WORK I III" -,;, fx;J7. .", r-f'lV(p ~f'JI1"i/r' ""~ ~""V
BUILDING SIZE SQ FOOTA~E I t,6/ HEIGHT
111111111111 I , 111II1111 1111 ' I ' 111111111 1 " , , , , , 11111111 " , II " III . , III " 1111 " I ' , . 1 1111 . III " 1111111111111 " I " 1111 " " 111111 " 1111 , I , 111111 . 11111
WORK PROPOSED
OTHER
STEEL
I
o
OTHER I
~ BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
/1$ ,;; '? I
~J/~
1$ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo
1111111111111111111111111111111111111111'111"1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
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BUILDER .
SIGNATURE CZ--,
,
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
Address
COMPANY
REGISTERED
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
License #
111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 onsite, 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.
Di~~~ti~~~': . . . , , , . . . , . . . . , . , . , . . , , , . . , , , , . , . . , , , . . , . , . . , . , . . , . . . . , , , . . , , , . . , . . , , . . , , . . . . , . , . . , , , . . . , , . , , . , , . , , . . . , . , , , . . . . . , , , , , , . . , , , , . . , , , , . , . . .
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 AlC Fences (Plot/Survey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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 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 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 properti~s, the.ow.ner 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~ ~o v'ol~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 violat~o~s o~ any codes. Every ~ermlt 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 mn~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, the~ob 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)
OWNER OR AGENT ~ ~
Su~scrib~ and swor1Tto (or affirmed) before me this
C11~ ~ /.Q 7 by --'~ pn\x2[ \- ~ .j \ C ~s\c...v~
Who Is/are personally known to me or haslhave produced
FL... D (2 u,'2 u (j as Identification.
CONTRACTOR
Su~scri d and to (or affirmed~efOre me this
, ~~ bVW rk- -r-\C" tL(\.c-~L
Who Is/are personally known to me or haslhave produced
H.~ "1>Q_0\\"L U <! as identification.
~',,~/'.. ,~~ Notary Public
. ~- "
~ ,j _ tf J"\J..... 1. 'l... "--'......
Notary Public
Commission No.
Name of Notary typed, p
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, JIII'1f'/ -r;"(k~o~ have read and fuJ.J.y understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domiciJ.e, that he or she
actuaJ.J.y occupies, or wiJ.J. occupy by said domiciJ.e, and same is not for
rent, J.ease or saJ.e. That he or she shaJ.J. compJ.y with the foJ.J.owing conditions:
1. That the owner and he or she aJ.one shaJ.J. act as the buiJ.der for aJ.J. ph~~s of
construction.
2. That the owner wi.J.J. compJ.y with aJ.J. provisions of the City of ZephyrhiJ.J.s
ordinances and codes pertinent to the buiJ.ding.
3. That in the event various phases of construction are subcontracted, he wiJ.J.
engage onJ.y properJ.y J.icensed subcontractors and wiJ.J. personaJ.J.y supervise
such work.
4. That in the event the BuiJ.ding Inspector shaJ.J. require corrections to be made,
the owner wiJ.J. assume fuJ.J. responsibiJ.ity to insure they are made, and upon
compJ.etion wiJ.J. caJ.J. for a reinspection before proceeding with the buiJ.ding.
5. That the owner shaJ.J. assume fuJ.J. responsibiJ.ity for the construction and wiJ.J.
not expect supervision of his work from the City of ZephyrhiJ.J.s BuiJ.ding
Department.
6. That prior to finaJ. inspection any additionaJ. fees, incJ.uding reinspection
fees, must be paid in fuJ.J.. A written request from this office shaJ.J.
constitute an officiaJ. notice to pay additionaJ. fees.
7. That the owner shaJ.J. compJ.y with aJ.J. City, State and FederaJ. J.aws in regard to
sociaJ. security, workman's compensation, J.ien J.aws, etc., where appJ.icabJ.e.
8. That the owner shaJ.J. compJ.y with aJ.J. the safety codes issued by the FJ.orida
IndustriaJ. Commission.
9. State J.aw requires construction to be done by J.icensed contractors. You have
appJ.ied for a permit under an exemption to that J.aw. The exemption aJ.J.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a J.icense. You must provide direct
onsite supervision of the construction yourseJ.f. You may buiJ.d or improve a
one-famiJ.y or two-famiJ.y residence or a farm outbuiJ.ding. You may aJ.so buiJ.d
or improve a commerciaJ. buiJ.ding, provided your costs do not exceed $25,000.
The buiJ.ding or residence must be for your own use or occupancy. It may not
be buiJ.t or substantiaJ.J.y improved for saJ.e or J.ease. If you seJ.J. or J.ease a
buiJ.ding you have buiJ.t or substantiaJ.J.y improved yourseJ.f within 1 year after
the construction is compJ.ete, the J.aw wiJ.J. presume that you buiJ.t or
substantiaJ.J.y improved if for saJ.e or J.ease, which is a vioJ.ation of this
exemption. You may not hire an unJ.icensed person to act as your contractor or
to supervise peopJ.e working on your buiJ.ding. It is your responsibiJ.ity to
make sure that peopJ.e empJ.oyed by you have J.icenses required by state J.aw and
by county or municipaJ. J.icensing ordinances. You may not deJ.egate the
responsibiJ.ity for supervising work to a J.icensed contractor who is not
J.icensed to perform the work being done. Any person working on your buiJ.ding
who is not J.icensed must work under your direct supervision and must be
empJ.oyed by you, which means that you must deduct F.I.C.A. and withhoJ.ding tax
and provide workers' compensation for that empJ.oyee, aJ.J. as prescribed by J.aw.
Your construction must compJ.y wi.th aJ.J. appJ.icabJ.e J.aws, ordinances, buiJ.ding
codes, and zoning requJ.ations.
OWNER'S SIGNATURE A- ~
ADDRESS )'$p~,p LJ/Io.J_"", ~____ :!'rJ/,. fI ,1,7f1/1..
PHONE $O-71'-I.rlr f
DATE
/ ,)./>- 07
WITNESS
PERMIT #
JOB LOCATION'
CITY OF ZEPHYRHILLS BUILDINGDEPARTHENT
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OWNER
PARCEL I.D.'#
SHOW ALL EXISTIRG << PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
" I
:;10
FRONT PROPERTY LINE
(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 1 0'
S I
E N
D G
20'
FRONT PROPERn LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10'
EXISTING
10'
10'
PROPOSED
20'SGL FAM
30 'DUPLEX
FRORT PROPERTY LINE