HomeMy WebLinkAbout10-11353 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 11353
FENCE PERMIT
Permit Number: 11353 Address: 39031 BLUEJAY AVE LT 25
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE /NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EASY ACRES
Est. Value: Parcel Number: 1 3 - 26 -21- 0100 - 00000 -0250
Improv. Cost: 4,352.00
Date Issued: 12/22/2010 Name: ALBANESE -DOW , MARGARET
Total Fees: 50.00 Address: 39031 BLUEJAY AVE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/22/2010 Phone:
Work Desc: INSTALL 237 FT OF 6 FT HT WOOD FENCE WITH 3 GATES
USA FENCE COMPANY 813)677 -4411 FENCE 50.00
r
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
n
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
17
•
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 Fax - 813-780 -0021
Building Department
Date Received ( / ®J& Phone Contact for Permitting ! 3 7 -- 7
Owner's Name MAN ' / '15L - VC& Owner Phone Number ?/3 ,6
Owner's Address 3905 5 / , /L/ J 4' /qvi✓ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5/9-717/, LOT # 2 5
SUBDIVISION (I' S % PrC 12E S PARCEL ID# kg -_ 24 - 21 - 0/60 - 6vooO -0zs
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE 1> SFR I 1 COMM n OTHER 1
TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME n STEEL 1 I OTHER I I
DESCRIPTION OF WORK J 1 i (1 - 3 7 / 0 1 4, W r af1GU / j i- k r lit 3 c5 14-fC S
BUILDING SIZE SQ FOOTAGE HEIGHT
6r
\ BUILDING $ 17/Y,--2- ( 1() VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS EN - Y n W.*. C.
1 I PLUMBING $ 1�
I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT •N
I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO ,
BUILDER 1 JR � COMPANY USA ,1/r -., e
SIGNATURE
`/ REGISTERED 1 Y/ N 1 FEE CURRENT l Y/N 1
Address 2o/ /V `t C% ' 77174741- cL _3 Y/ C �
j I License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N I
Address
1 License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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 $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 A/C Fences (Plot/Survey /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 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 construction of new b gne un of
that Transportation Impact Fees and Recourse Recovery Fees may apply to the
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
to:
my responsibility to identify what actions I must take to be compliance. SW florid Areas alnd ude but are not Environment ly Sensitive
Department of Environmental Protection -Cyp ess Ba Y heads
Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management District - Wells, Cyp ress y
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 commes air con air con ditionin9n las, or other installations r not specifically included n the application. A
plumbing, signs, wells, pools, � gas,
aside a ny p v i s io construed ns of the technical be al codes, nor shall proceed the work and not as
a permit prevent the Building Official from thereafter
se after
set asde any proiioc
unless t a correction
work au thorized by of error s s u such permit is o six months of permit Pssuance, or if work authorized by
unless tty sch
m a pb r is es ed, pend
in d or writing, from Build Building Official (6) months after
period not the time
the
ninety days and will demonstrate
may be requested, in g, from h 9
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned.
WARNING TO OWNER: YOUR FAILURE YOUR NOTICE OF
YOU INTE
ND TO OBTAIN n FINANCING, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N E F OMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
C •
OWNER OR AGENT ONTRA ONTRA and sworn t• (o ` a
Subscribed and sworn to (or affirmed) before me this "rmed) before me this by
Who is /are personally known to me by Who is /are personally known to me or has/have produced
i den cation. produced as identification.
as itf cat
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
This space for use by Clerk of the Circuit Court only.
111111111111111111111111111111111111111111111111111111111111
2010180283
Rcpt:1341692 Rec: 10.00
DS: 0.00 IT: 0.00
12/20/10 R. Cervantes, Dpty Clerk
NOTICE OF COMMENCEMENT
Permit Number:
Tax Folio No. - -
r -- .66CXO -0250
The undersigned Florid Statutes, the following information s provided in the NOTICE OF COMMENCEMENT.
hereby gives
r� p petty, and in accordance with Section 713.13 of the
property (stre address re wired): -J '63/
1 Legal Description of , 9/j/f� I / ,�'"/
Lo 25` G X�-/ de v- E �i /G�Jr ` re
5 ca
le c / . ig -S'Po e 3Fy
2. General description of impr ,vements: ovf�. E k75 r /sto C..v
3 Z.1011 . 1-1 D Gt/OVII , A/e . ' �✓ �' Ivshf d
3a. Owner Name: - ---L_� i. " J AI F 1' �! V -- f4 fE S
6�t.Itf SE — ' ✓Otte
Owner Address:
it e-
3b. Owner's interest in site E s r d E I V c-
PRULR /20/ S.0'10 NEIL,Ph.D.PR CLERK $ COMPTROLLER
3c. Fee Simple Title holder (of other than owner)
Address: �j/ 12 OR 8i( 84 0 1 of 1
R LJ 4. ' Contractor Name: S 4 x/C,c- P -7
Ern t.i
PG 527
Address: 2 C0 e [ ( f ! /!7 / 3 '�fi�rr
5. Surety Name: N/ Phone: ,t1�ar
Address: Amount of bond:
6. Lender Nam �/ Phone:
Address: Contact: e.
7 . Person within the State of Florida designated by owner upon whom notices or other do u may be served as provided by
Section 7 13.13(I)(a)7, Florida Statutes.
Name: /j/6,v
Address:
Phone 8. In addition to himself, Owner designates the following person to receive a of the Lienor's Notice as provided in Section
713.13(I xb), Florida Statutes.
Name: /r d C
— '-- --- -�..__ Address:
Phone Number:
9. Expiration date of Notice of Commencement (expiration date is one (I) year from date of recording unless a different date is
specified). ._._______
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Ag // / / /.
STATE OF FLORIDA —pq.s('lj Signature of Owner or Owner's Authorized Officer/Director /Partner/Manager
COUNTY OFjiilpi
The foregoing instru ent was acknowledge Inc this O
by nowledge b efore _ day of see-
Personally Known nc OR Produced Identification
w) �2 for
--
Type of identification Produced _
fir _ .
a p ° N. CHARLENE SUMME' $ '
0 MY COMMISSION # DD689458 -.' -1 » � •
'c0 * EXPIRES: June Si i A
Under penalties ' 2011
f pe
Signature - Notary Publ
tpsmiage igir that dliaa/dt01f0eght awing an . that the facts stated in it are true to the best of my knowledge and belief.
Signature of Natural Person Signing Above
(A copy of any bond must be attached at the time of recordation of this Notice of Commencement)
Updated February 200E
/
- ...2
THIS IS TO CERTIFY STATE OF FLORIDA, COUNTY
L � � OF PAST:
' THAT THE FOREGOING
D CORRECT COPY f" 4
TRUE AN
AGE ON FILE OR OF PUBLIC S
OF THE DOCUME ^�T
7 trv' THE S MY HAND ND OFFI AL SEAL THIS UBLIC RECORD IN THIS OFPC
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PAU: 0
S . O' NEIL,_CLER �_
,iii r & COMPTRO 1
DEPUTY CLETRK
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6i: Itm', ;Thhir, 1 .0 - 00W)S OF PASO.) COLNrc, FLORiDA.
flR,M. CerTIFICAT1ON: THE ABOVE DESCRIBED PROPERTY IS SITUATED IN ZONE '' C .. AS
DELINEATED ON FLOOD INSURANCE RATE MAP PANEL NO./ 202.36 0005.5 DATED A pt I 8 , G9 3
SURVEYOR'S NOTES:
1. NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED EXCEPT AS NOTED.
2 NO INSTRUMENTS OF RECORD REFLECTING EASEMENTS. RIGHTS OF WAY, AND/OR OWNERSHIP
WERE FURNISHED THIS SURVEYOR EXCEPT AS SHOWN
3 BEARINGS SHOWN HEREON REFER TO RECORD PLAT. UNLESS OTHERWISE NOTED.
1 ImarosMINMIOnm■serMI■m■ •
... Certified to MARGARET ALBANESE-DOW
__...... _ GROSSLAND MORTGAGE CORPORM TON
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p1; Of PASCO .,01, Nr \', , I LOR i DA.
r I R m. Crac.:Jknghi. THE ABOVE DESCRIBED PROPERTY IS SITUATED IN ZOt4E C.... AS
DELINEATED ON FLOOD INSURANCE RATE. MAP PANEL NO.180255 00055 DATED Aprl 1 8, 19133
2.E.YEISfialall__
1. NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED EXCEPT AS NOM.
2. NO INSTRUMENTS OF RECORD REFLECTING EASEMENTS, RIGHTS OF WAY. AND/OR OWNERSHIP
RE rup Mils SURVEYOR EXCEPT AS SHOWN.
3. BEARINGS SHOWN HEREON REFER TO RECORD PLAT, UNLESS OTHERWISE NOTED.
--
Certified to: MARGARET ALBANESF-DOW
_
_
_ ___-_-_- ___ _______ _____. (KOSSLAND MORTCACF CORPORATION
1 I - 4.-----1 F1R1 AMERIA%- TITII INSURANCE COMPANY