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HomeMy WebLinkAbout11-11631 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sss)�so-oo20 11631 FENCE PERMIT Permit Number: 11631 Address: 39110 SOUTH AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: 26 Range: 21 Book: Proposed Use: NOT APPLICABLE � Lot(s): Block: Section: 13 Square Feet: „` Subdivision: CITY OF ZEPHYRHILLS Est. Value: �.+1U� Parcel Number: 13-26-21-0000-00500-0000 Improv. Cost: 1,271. � � Date Issued: 3/14/20 ` l} ��') Name: ZEPHYRHILLS DEPOT MUSEUM Total Fees: 40.00 r� Address: 39110 SOUTH AVE Amount Paid: 40.0 ZEPHYRHILLS, FL. 33542 Date Paid: 3/14/ Phone: Work Desc: INSTALL 82 LINEAR FT X 6FT BLACK CHAIN LINK FENCE LS#26 FEE WAIVED POST R US INC (813)779-7795 FENCE 40.00 �� 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 � 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 �OT CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-7ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 _ Building Department Date Recelved Phone Contact for Permlttin _ Owner's Name ! � f �/h l Owner Phone Number Owner's Address Owner Phone Number � Fee Slmpie Titleholder Name Owner Phone Number -� Fee Simple Titleholder Address JOB ADDRESS � j � I D ��u I� V� LOT #�� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED New corvsTR ADD/ALT � SIGN Q Q DEMOLISH INSTALL e REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION [� BLOCK Q FRAME �� STEEL Q (-- DESCRIPTION OF WORK ��GCI< �ijG � `' '� S�tr Ot•� 2 L(''�' p t BUILDING SIZE ,.S�Q FOOTAGE p 2- HEIGHT QBUILDING $/� �/ O� VALUATION OF TOTAL CONSTRUCTION l QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. QPLUMBING $ �����j . [�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (��b� I�� �� �.r, QGAS Q ROOFING Q SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY , Cd�l.. C�JC"� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address S�(� f-/q S cf License #� -� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/ N 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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facillties & 1 dumpster; Site Wor1c 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 constructlon. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY requlred for all NEW constructlon. Dlrections: Fiil out application completely. Owner 8 Confractor sign back of appllcatlon, notarized If over;2500, a Notice of Commencement is required. (AJC upgrades over;7500) '" Agent (for the contractor} or Po4ver of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) Reroofs if shingles Sewers 3ervice Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counterif on pvbttc roadways..needs aOW 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 restrictivns. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: 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 uniiersigned understands that Transportation Impact Fees and Recourse Recov�ry Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specfied 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 idenfified at the time of permitting. It is fu�ther 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 Depa�tment of Agriculture and Consurrter 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 comm�ncement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work will be done in compliance with all applicable laws regulating constn.�ction, 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-Seawaiis, Docks, Navigable Waterways. - Department of Health 8� Rehabilitative ServiceslEnvironmental 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 ce�tify 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 shail be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in pians, 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 the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT'� YOU INT�END TO OBTA N F NANC NG, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT o a m►ed before me this Su�cri s ( ) Subscribed and swom to (or afflrmed) before me this � y bY Who is/are personally knovm to me or haslhave produced Who i slare personally known to m as identl �d �roduced as identfflcatlon. - �� ,– (,(�,�,g� Notary Public Notary Public commi on �� �� `� g �''� S Commission No. �a�g (��� �7, �Q�4 ed, rinted or stamped Name of Not Name of Notary ryp P From:�,ee Reed Insurance 03/14/2011 14:27 #199 P.001l001 ACO d CERTIFICATE OF LIABILITY INSURANCE 3/14/201� THIS CERTifICATE IS ISSUED AS A AIATTER Of pIFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. 7H� CERTIFICATE DOES NOT AFFlRMATIVELY OR NEGATIVELY AYEND, EXTEl� OR ALTER THE COVERA(iE AFFORDED BY THE POLICIES BELOW. THIS CERT�ICATE Of INSIfRANCE DOEB NOT CONSTITUTE A CONTRAtT BEtYYEEN THE ISSUING INSURER(S�, AUTHORIZED RppRESENTATNE OR PRODUCER, A!O THE CERTIFICATE NOLDER. IMPaRTANT: M 1M csrtiflcate IwNler k an ADORIONAL INSUItED, tAa polky(les) mutt be �ndoraad. N SUBROliAT10N IS WANED, wbJect a the brma and wndkio�s M Me polky. caAain pdides may roquha �n andorsement. A tbtem�M on tMis cMKicate doas not conlsr rigMs to tha certNksta holdet M INu ol wcb enAOnemartt�:). �OD�R w�w�: And Mitler LEE REED INSURANCE P 813 782-5502 " PO Box 908 "° E"c: � f ,NO. (813)788-1996 „���, andy�leereedins.com Zephyrhilis, F133539-0908 INNMER�s) AfPORDNIO COVERA6E NAICi „asur�a � Southern-0wners Insurance Company 10190 in�auR�o Post R Us, Inc. i�su�R e dba Acme Fence „�sur�R c 5630 6th St. ir�ur�re o Zephyrhills, FL 33542 iNSUaa: E W8UAER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CER7IFY THAT THE PaLICIES OF IN3UR4NCE IISTED �LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE Pp�ICY PERIQO INOICATED. NOIWRHSTAN�ING ANY REQUIREA�NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE AMY BE ISSUEO OR MAY PERT/UN, THE iNSURANCE AFFORDED BY THE POLIGES DESCRI9Ep HEREIN IS SU8,IECT TO ALL TME TERMS, EXCLUSIONSAND CONUITIONS OF SUCH POLICIES. LIMITS SHPWN MAY HAVE BEEN REWCED BY PAID CLAIMS. � TYPE Of IN8URANCE � ynp pOLICY NUMBER Y MIOOVYYYy UMITB 6ENERAL UABIIRV EACM OCCURRENCE i Z�OOO�OOO X conneeRau c�wa. �waiun w�u�ses e. ox�xr«�ca a 50,000 CWMS�MADE � OCCLNt MEDEXPIAnyomDwbn) S S,OOO A 102312-20727448 1/29/11 1/29/12 PERSONALdADVIN.MJRV a�,�,� c�nu AGfiREGATE s 2,�0,000 6FM AOGREGATE LIMR APPL�S PER: PRODUCTS - COMPIOp A(aCa t Z�OOO�OOO x POLICV �� IAC i AllTOMOBILE LIA6RITY � E..�a.�r a ANYAUTO 90D4.Y INJURY (Per paiwn) _ ALL OWNED SCFIEDULED AUTOS AU70S BODILYIWURV(perapadpq) i NON�OWNED p i WREOAVI'OS AUTOS Wrwdderq s weeaeu.� uns �� eneH occurtnvace s EXCEBS WB CIAMABIAAOE A03RE(iATE S DED RETEMION i = WpqKER3 COMPENSATION WCBTATLL OT4 qNP EMPLOYERS' I,IABILRY Y/N TOHY LIMIi'8 EA urr Pnorneraw�r�n��am�e E.L. EACN RCCIOENT f pf41�.EygEp ElWWOEDp N!A �r � �+) �.�. as�se - � �w.ov� s M 1roi. dr�xib� uder DE8CR�TION Of OPERATIONS bsbw El. D18EASE - POLICY UYR = DESCRIPTION OF OPERATIONS ! LOCAI'IONS ! VEhNCLE3 (Atladf ACORD 101, �Adtloml RanaXU 8drd�le. q mor� epsoe Is taqui�pl) GERTIFICATE HOLDER CANCELLATIOM City of Zephyrhills Building Department $HOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCEiLED BEFORE 5335 Sth Street THE EXPiRAT10N DATE THEREOF, NOTICE WILL BE DEUVERED IN Zephyrhiils, FL 33542 ACCORDANCE WITH THE POLICY PROVISIONS. Fax:(813}780-0021 AIJTHOWZED REPRESENTATIVE � � 1988-2010 ACORO C PORATfON. AII rigMs reserved. ACOR025(2010/05) The ACORD name and logo are registered marks of ACORD