HomeMy WebLinkAbout11-11659 , CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
(si3)�so-oo20 11659
FENCE PERMIT
Permit Number: 11659 Address: 5150 4TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15600-0160
Improv. Cost: 2,000.00
Date Issued: 3/18/2011 Name: ALTUM MINDY JO
Total Fees: 67.50 Address: 5150 4TH ST
Amount Paid: 67.50 ZEPHYRHILLS FL 33542
Date Paid: 3/18/2011 Phone: (770)695-8584
Work Desc: INSTALL PRIVACY FENCE 309 LINEAR FT X 6
HOMEOWNER FENCE 67.50
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REINSPECTION FEES: Reinspection fees wiil 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 w rk shall be performed in accordance with City Codes and Ordinances
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CONT CTO PERMIT OFFI
PERMIT E IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis)�so-oo20 11659
FENCE PERMIT
Permit Number: 11659 Address: 5150 4TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: ,'1 �- � - 5600-0160
Improv. Cost: 2,000.00
Date Issued: Name: :" LTU MINDY JO
Total Fees: 67.50 Addres . 5150 4TH ST '
Amount Paid: ZEPHYRHILLS FL 33�42
Date Paid: Pho e: (770)695-8584
Work Desc: INSTALL PRIVACY FENCE 309 LINEAR FT X
HOMEOWNER FENCE 67.50
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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 t� 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 pertormed in accordance with City Codes and Ordinances
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: //1� ,�'1 ���
Date Received: � �/ `/
Site: � (� ,�(� �� ��
Permit Type: �rGl���`� �7C� ,.30 � �t
Approved w/no comments: ❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet sha11 be kept with the permit andlor plan �
����lJtA� ' � ,
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Kalvin Switzer — Plans Examiner Date o tractor and/or meo r
( equired when comme s are present)
Pasco County Parcel: 11-26-21-0010-15600-0160 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, March 05, 2011
Parcel ID 11-26-21-0010-15600-0160 (Card: 001 of 001)
� Classification O1 - Single Family
Mailing Address Property Value
ALTUM MINDY ]O Ag Land $0
5150 4TH ST Land $22,848
ZEPHYRHILLS FL 33542-4034 Building $13,448
Physical Address Extra Features $203
5150 4TH ST
ZEPHYRHILLS FL 33542-4033 Market Value �36,499
Leaal Descri�tion (First 4 Lines) Assessed (Non-School Amendment i) $36,499
Homestead 196.031 - $25,000
See Plat for this Subdivision �"
ZH PB 1 PG 54 LOTS 16 & 17 Non-School Additional Homestead Exemption -$0
BLK 156 Taxable Value �11,499
OR 8417 PG 193
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0100 SFR OOR3 8,400.00 SF $2.72 1.00 $22,848
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1920 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
�— Line Description Sq. Feet Repl. Cost New
�1 �� UCP �— 176 � $987
2 BAS �- 696 $26,413
3 � UOP ��— 160 $911 �
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1973 116 $96
� 2 ��- UDU-M 1980 ��— 1 � $107
Sales History
Previous Owner LEIGHLY ROY THOMAS & JO ANN
�— Year Month Book/Page Type Amount
2010 09 8417 / 0193 WD $0
2009 09 —, 8178 / 0351 WD $14,400
2009 � 09 8178 / 0349 DD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 3/11/2011
8�aaso C:ity ot Lepnyrnills Nermit Application Fax-S73-7S0-DU21
Building Department
Date ReCelved '` —' phone Contact for Permittin —
Owner's Name � P, i V U i'� Owner Phone Number 77v `�
Owner's Address fi � Owner Phone Numbe�
Fee Simple Titieholder Name � Owner Phone Number �
Fee Simple Titleholder Address
uJOB ADDRESS I�� y � "I LOT # �
SUBDIVISION � � . PARCEL ID#
(OBTAINED FROIiA PROPERTY TAX NOTICE)
Q�VORK PROPOSED � NEW CONSTR B ADO/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [�] SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
�DESCRIPTION OF WORK C�- e� C� �� r 1 " ` �+�
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING $� O �O I O� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ / /�C!-�V ��
T. 4 , ,� r�'�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v" �
QGAS Q ROOFING Q SPECIALTY Q OTHER 'I� �� I(1 ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
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BUILDER � COMPANY �I � rn`e O w` f'e �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURREP Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N �
Address Ucense # —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED 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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Buliding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new wnstruction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary FaclliUes 8 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 fo� all NEW construcUon.
Dlrectlons:
Fill out application completely.
Owner 8 Confractor sign back of applicatlon, notarized
If over;2500, a Notice of Commencement is requlred. (A/C upgrades over i7500)
'" Agent (for the contractor) or Power 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 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 Counry 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 unce�tain 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 understovd that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
�eceiving 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. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinat�ces.
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 Environmentaliy Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, 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 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 shall be construed to be a license to proceed with the work and not as authoriry 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 plans, construction or violations of any codes. Every permit issued shali 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 job 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 C�MMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT� CONTRACTOR �
S s bed and swo to (o� r afflrm� �re e Subscribed and swo to ( r affirme efore me is
,`�--� l ( by �' � ►�s � ,� � tv,n� 3 -1 i- � r by � I ►� S � � -H > ✓l�
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
�,c2� as identlficaUon. c� ce.-s�- as idenBfication.
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,.,,,,,, � Notary Public � � Notary Public
Com _ mission # EE OA0520 Commission �'1'�Y •� �''4, �ACQUELIN BOGES
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Name , e or s ampe Name of Not,
. DI5CLOSIIRE S'�'a'�'�'�'�?R' .FOR OW1�R
CITY OF ZEPFIYEtFi�S Sm�D�TG DEPAF�t—'�'�'rT�'
, have read arid fu11y uridess'tand aad
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aqree ~to the provisions of �th�.s ins't��t •
The undersigned.states and affirms that he or she is desirous of coastructing,
reriovating, adding to or seroofing his or her ovrsi do�icile. that he or she
actually occupias, or roPi11 occupy by said domicile, asid same is not for
•rent, lease or sa1e. That he or she sha11 comply with the followiiag conditions:
1 Tha - t�se owner and.he or she alone shall act as the bui.lder £or al1 phases of
construction.
2. That the omner ws:ll comply with aL1 provisions of �the City of Zephyrhills
ordiriances and aodes �*'�'; n�t to the buildiug -
3, That in the event various phases of construction are subcontracted, he will
engage orily�properlY liceased subcontractors and will pErsonally supervise
such work.
4. That in the event the Building Inspactor shall req�73.re correcti.ons to be made,
the owner will ass�e full respoasibili�ty to iasure �theY az'e made, and upon
completion will ca11 f'or a reiaspeation before proceediag with the build3ng.
5. That the owner sha11 assume full respensibilitY for the construction aad v�i11
not expect_ supervision of his work from the Ca-tY of Zephyrhills Building
Depastment.
6. That prior to final inspacta-on any additional fees, includiag reirlsPection
fees, must be paid a.a fu11. A written requast from this office sha11
constitute an official notice rto pay additional fees.
7. That the owner sha11 comply with a11 Ciiy, State and Federal laws in reg3Ld to
social security, workmaa's co�pe.risation, lien laws, etc., where applicable.
B. That the owner sYia11 comply with a11 the safety codes issued by the Florida
Industrial Co�ission.
9_ State law re� coastruction to be done by liceased contractors. You have
applied for a perma.t under an exemPtion to that law. The exemption allovrs
you, as the owner of your praperty, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervisioti of the coastruction yovrself• You may build or improve a
one-family or two-family residence or a fazm outbv.ilcliag. You may also build
or improve a commercial building, provided your costs do aot exceed $25,D00.
The buildiag or residsace must be for yovr ewss use or occupaacy. =t may not
be built or substantially improved for sale or lease. If you se1:l or lease a
building you have bvilt or substazitiallY improved yourself arithin 1 yaaz after
the constniction is complete, the law will pres�e �that you built or
substantially improvad �if' f'or sale or laase, which is a violati.on of this
exemption. You may not hire azi unla.c�ssd person to act as your contractor or
to supervise people working on your buildixiq• It is your responsibility to
make sure that people employed by you have liceases rec� by state law and
by county or municipal liceasing ards.=iances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not.
licensed to perform the mork beiag dona. .Any parson working on yovr buildiag
who is not liceased must svork undes yovs direct supervisioa and must be
P�ployed by you, which meaas that you must deduct F.I.C.A. and withholding tax
and provide workers' compeasation for that employae, all as prescribed by law.
Your coastruction must comply �cith a11 applicable 1aws, ord�siances, building
codes, and zoning regulati s.
OWNER' S SI �j�/V��� DATE ��/� lG� ���
ADDRESS � S �
PHONE - - ^
W2TNESS �•R*�TT #
SPECIAL POWER �F ATTORNEY
THIS IS A MIUTARY POWER OF ATTORNEY PREPARED AND EXECU"TED PURSUANT TO TITLE 10, UNITED STATES CODE,
SECTION 10446, BY A PERSON AUTHORIZED TO RECEIVE LEGAL ASSISTANCE FROM THE MILITARY SERVICES. FEDERAL
LAW EXEMPTS A MII.ITARY POWER OF ATTORNEY FRO�1 ANY REQUIREMENT OF FORM, SUBSTANCE, FORMALITY OR
RFCORDING THAT IS PROVIDED FOR POWERS OF ATTORNEY BY THE LAW OF ANY STATE, COMMONWEALTH, TERRITORY,
DI3TRICT, OR POSSESSION OFTHE UNITED STATES FEDERAL LAW SPECIFIES THAT A MILITARY POWER OF ATTORNEY
SHALL. BE GIVEN THE SAME LEGAL EFFECT AS A POWER OF ATTORNEY PREPARED AND EXECUTED IN ACCORDANCE
WITH TtIE 1_AWS OF THF JURISDIC�TION WHERF. IT IS PRESENTED
KNOW ALL PERSONS, that I, M WDY J. ALTUM, a legal resident of FLORIDA and presently residmg at 1990
HARBORVIEW DRtVE, SUM"TER, SC 29153, desiring to execute a SPECIAL POWER OF ATTORNEY, do
hereby appoint .10 HUMBI,E LEIGIII.Y whose address is 5150 FOURTH STREET, "LEPHYRHILLS, FL 33542, as
my Attorney-in-Fact to act as follows, GRANTING unto my said Attorney full power to:
To perform any and all act� necessary or appropnate to niaintam my house and real property and other attachments
thereto, located at: S l50 FOURTH STREET, ZEPHYRHiLLS, FL 33542
TERMINATION: This Power of Attorney shall become null and void the 28'�' day of September, 2011 unless I
should become mcapacitated; in that case, it �hall remain in effect until revoked by me.
Notwrthstanding my insertion of a specific expiration date hereui, �f on the above specified expirarion date I shall be,
or have been, carned �n a military status of "missu�g," "m►ssing-in-achon," or "prisoner of war," then this power of
attorney shall automatically remam valid and in full effect until sixty (60} days atter I have returned to United States
Military control following termination o`f such status.
IN WITNESS WHEREOF, I have hereunto set my hand tluti the 28'�' day of September, 2010.
MIND Y J. UM
STATE OF SOUTH CAROLINA
COUNTI' OF Sumter
On 28'�' day of September 2010, before me, Edward L. Joyce, Notary Public, personally appeared
MINDY J ALTUM personally known to me or proved to me on the basis of satisfactory evidence to be the person
whose name is subscribed to the within mstrument and acknowledged to me that he/she executed the same m his/her
authorized capacity(ies), and that by h�s/her s�gnature on the mstrument, or the entity upon behalf of which the
person acted, executed the instrument.
E . JOYC� ��^tc.ry Public
tate of S G Cc���r}�� of �;umter
My Comm�ss�o�� �x�;�,,;; �ac. 05, 2013
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