HomeMy WebLinkAbout10-11295 CITY OF ZEPHYRHILLS ✓%
5335 - 8TH STREET
(813)780 -0020 11295
FENCE PERMIT
Permit Number: 11295 Address: 7721 MERCHANTVILLE CIR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE /NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESTVIEW HILLS
Est. Value: Parcel Number: 35- 25 -21- 0120 - 00000 -0240
Improv. Cost: 800.00
Date Issued: 12/10/2010 Name: CICANESE, ANTHONY JOSEPH & JESSI
Total Fees: 45.00 Address: 7721 MERCHANTVILLE CIR
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33540
Date Paid: 12/10/2010 Phone: (813)817 -2782
Work Desc: INSTALLATION WOOD FENCE 188 X 6
HOMEOWNER FENCE 45.00
-- - -
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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
' / t
CONTRACTOR PERMIT OFFI
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 Fax -813- 780 -0021
Building Department
Date Received – /0 ( Phone Contact for Permittin, –
Owner's Name A +l6 V v Jo 6- 11 C Owner Phone Number • 13 " 3 - 5 ? '
a ( /1 —e1Ch4 i/ /ll(G 33�No
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7 O 2 ( / yr V/ I IQ Cox . � 2 y(l4)! S , FL, 335-( LOT # 4 1
SUBDIVISION C�d�✓ `w H PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I-1 I DEMOLISH
1 0 INSTALL REPAIR
PROPOSED USE Y I SFR n COMM I I OTHER I f&-tA Ce
TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL n I
DESCRIPTION OF WORK c O + 7tu 1/ LiJoe � cs J ({ i a ca
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $
0 0 VALUATION OF TOTAL CONSTRUCTION
I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C.
1 (PLUMBING $
IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I IGAS I ROOFING n SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER / COMPANY / O�
SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N 1
Address License # l
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N
Address 1 License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I
Address 1 License # I I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y / N 1 FEE CURREI' I Y/ N I
Address 1 License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I
Address License #
RESIDENTIAL 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 subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
* ** *PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500)
** 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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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DISCLOSURE STATEMENT FOR OWNER
CITY OF .ZEPHYRHTT.T•S BUILDING DEPARTMENT
have read and fully 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 domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she aha11 comply with the following conditions:
1. That the owner and. he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only 'properly licensed subcontractors and will personally supervise
such work.
'4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure are made, and upon
Completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect_ supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees..
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
B. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
. you, as the owner of your property, to act as your on contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one - family or two - family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume•that you built or
substantially improved . if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not.
licensed to perform the work being done. Any person working on your building
who is not licensed 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 employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning re. - 'ons. .
OWNER'S SIGNATURE DATE
ADDRESS 9.21 ✓1.- rhawf✓IIle G,r 2.-eek1- frw115, / L 33.S4649
PHONE «3-.7<
WITNESS PERMIT #
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