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
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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 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
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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��
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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
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Name of Notary ryp P
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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�
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LEE REED INSURANCE P 813 782-5502 "
PO Box 908 "° E"c: � f ,NO. (813)788-1996
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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
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