HomeMy WebLinkAbout11-12536 CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET
(ss3)�so-oozo 12536
FENCE PERMIT
Permit Number: 12536 Address: 5431 17TH 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: 11-26-21-0010-14700-0050
Improv. Cost: 1,000.00
Date Issued: 11/15/2011 Name: HUEY, THOMAS J& TOBIEN
Total Fees: 80.00 Address: 5431 17TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/15/2011 Phone: (813)782-3575
Work Desc: INSTALL 212 X6 WOOD PRIVACY (50X3 FRNT)
HOMEOWNER FENCE 80.00
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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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CONTRACT R PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Received �� � S' � � Phone Contact for Permittin –
hvner's Name d' t U'P Owner Phone Number �Sf �j ��' � G1 lG'�
Anrner's Address �� 3 � � ' "I7/PP Z �9i �� �. �:3 � Owner Phone Number
°ee Simple Titleholder Name Owner Phone Number �—
=ee Simple Titieholder Address
lOB ADDRESS t � L LOT # �
iUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
JVORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � I��(� 1 � i 1.t/o• �iv fe a l" d- �L e ` � � -� �° >
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $� OQ � ,Jq VALUATION OF TOTAL CONSTRUCTION
W
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE r REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
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-0-W PeRnit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary FaGlities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Pians 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, StoRnwater Plans w/ Silt Fence installed,
Sanitary Facilities 8� 1 dumpster. Site Work Permit fo� all new projects. All commercial requirements must meet compliance
51GN PERMIT Attach (2) sets of Engineered Plans.
'"*'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over 52500, a Notice oE Commencement fs required. (AlC upgrades over s7500)
" Agent (for the contractor) or Power of.Attomey (for the owner) would be someone with notarized letter from owner authorizing same
7VER THE COUNTER PERMITTING (Front of Application Only)
2eroofs 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 County regulations. The undersigned assumes responsibility for compliance with ar�y
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 locai 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 IMPACTIUTILITIES 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 buiidings, 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 Transpo�tation Impact Fees and Resou�ce Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or flnal 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 appiicant, 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 Consumer Affairs. if the applicant is someone
other than the "owner", I cerfify 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'SlOWNER'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. Appiication 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.
- Southwes� Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the foilowing restrictions apply to the use of fill:
Use of fill is not allowed in Fiood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage pian 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
constructfon, I certify that fill wiii 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 fiil is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the buiiding 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, welis, poots, 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 authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nvr 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 shall become invalid
unless the work authorized by nd n d for of six (6�months after the tirri the workas co�mmenced An exte sion
the permit is suspended or aba
may be requested, in writing, from f work es (90) days, the jobis�cons dered blandonedstra e
Just�iable cause for the extension. I
WARNING TO OWNER: YOUR FAILU TO YOUR PROP RT1f. YOU INTEND TO BTAIN NANCSNG, CONSULT
PAYING TWICE FOR IMPROVEMENTS
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.0 �
� CONTRACTOR�� �
OWNER aR At3EN 8 {o me Is Subs bed and swom o(or afflrmed) befo me his
Subs bed a d swom to or rmed) f�r_ S/� by r•u �` ----
- .rr. - - �� r
/-�'/ bY ►� 1 O"" ``' ''��� Who islare pe onally known to me or iaslhave produced
W ho I s/a e p e r s o n a l l y k n o w n t o me or haslhave produced �� � e �� o as idenNficatlon.
f �� R , l � as Identlflcatlon.
, -
� ; C '� Notary Public
` !� �-----�otary Public ,_ ,
'• J CQUELINE B S Commi ion '� ''' �N���"= �ACQUELIN OGES
Comml � .. �. _.� � Expires December 12 201
°; 'res December 12, 2014 �� �,,�,
�. R � Name of Nota�
Name o � "
SKETCH OF SURVEY NorE.
rraE0F8URVer.• eOUNDARY BEAR/NGS SHOWNAREBASED UPON
RECORD PLAT OR DEED DESCR/PT/ON
� 0 15 30
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raRAPHI('. .S('.Ai.$ �]l1 FOet� �
1 inoh = 90 tt. Lega! Description
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Lots 5 de 6, Block 147, CITY OF ZEPHRYHILLS, occording to °'
the P/at thereof, as recorded in Plot Book 1, Page 54, of
fhe Public Records of Pasco County, F/orida.
Revised Certifications: 03/22/2007 �
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Communify Number. 120235 Pone% 0005 Fn
Suffix: C F.l.R.M. Oate: 12/17/1991 Flood Zone: X J j 4 � �
Fe/d Work: 3/12/2007 Comp/eted: 3/14/2007 N �caa � �
[oT 1
CertiFed To: �� 147
7homas Huey, Tobien Huey, Assu�ance Title, lnc.; Stewo�t
Tit/e Guo�onty Company, Suntrust Mortgage, its successo�s
ond/or ossigns. �
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Property Address: °p
5431 17th Steet 3 °
Zephyrhil/s, F7orido 33542 � �
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20.0' Survey Number. 0-167785 �n(`�
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