HomeMy WebLinkAbout12-13160 CITY OF ZEPHYRHILLS
5335-STH STREET
(sss)�so-oo20 13160
FENCE PERMIT
Permit Number: 13160 Address: 38525 CAMDEN AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1090
Improv. Cost: 1,369.00
Date Issued: 6/11/2012 Name: DOLINGER, JERRRY L SR & KAREN S
Total Fees: 45.00 Address: 38525 CAMDEN AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/11/2012 Phone:
Work Desc: CHAINLINK 4' HT- 198 LINEAL FEET
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
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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 aacessible.
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
Com lete Plans S per'son owning same
p , pecifications and Fee Must Accompany Application.
All work shall be pertormed 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
Pasco County Parcel: 35-25-21-OOSA-00000-1090 001 Page 1 of 1
Data Current as Of: Weekly Archive - Friday, June 08, 2012
Parcel ID 35-25-21-005A-00000-1090 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
DOLINGER]ERRY L SR&KAREN 5 Ag Land $0
38525 CAMDEN AVE Land $18,859
ZEPHYRHILLS FL 33540-1013 Building $52,638
Physical Address Extra Features $922
38525 CAMDEN AVE
ZEPHYRHIILS FL 33540-1013 ]ust Value �72,419
L@Qdl DeSCI'IDt1011 (First 4 Lines) Assessed (Non-School Amendment 1) $72,419
See Plat for this Subdivision l�'"' Taxable Value $72,419
ALPHA VILLAGE ESTATES PHASE 2
PB 23 PGS 8-9 LOT 109
OR 8700 PG 0395
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR2 7,574.00 � $2.49 1.00 $18,859
Additional Land Information
Acres 0.17 Tax Area 30ZH FEMA Code �Residential Code ALFALPi
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1988 Stories 1.0
Exterior Wall i Concrete Block Stucco Enterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Duded
A/C Central Baths 2.0
Line Description Sq. Feet Repl.Cost New
1 FC�R 264 $5,888
2 BA 960 $53,328
3 FEA 168 $6,555
4 F�P 68 $944
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DW WC 1988 756 $832
2 C-3 1989 1 $90
Sales History
Prevfous Owner GERULSKI PAUL W&
Year Month Book/Page Type Amount
2012 05 8700/0395 WD $82,900
1999 06 4166/ 1404 WD $70,000
1988 � 04 1704/0079 WD $54,900
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=3 5&twn=25&rng=21&sbb=0... 6/11/2012
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Proposal Submitted To J�b Name Job#
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Addmtiti Job Location
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Date Date of Plans
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Phune# Fax# Architect
We herehy,ubmit specificatiunti and etitimates for
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We propose herehy to furnish material and labor—comple[e m accordance�vith the above specifications for the sum of�
$� - - � -- F ` � � Dollar,
���ith payments to be made as fcillo�vs • , � :- r.� �/` w
Any alteratii,n or�Ieviati�m trum abo�e specitir:uiunti in�'iilving exh'a c<,Sts�vill ReSpectt�UflY subnutted.
be e�ecutcd unly upun�vritten�ir�ler,an�l��ill beccnn�an extra rharge e�ver and ,
❑ho�c thr��titima�c \II,i`�rreme��tti c�mtingent u��ui��,tril,e� :irri�ent�.�,r drl:i)` �..�' .° �r w_...,j,-..-; '°_°'�._
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� N itc—thiti prup�itial may be with�ra��n by us rf not acccptc_I within— —day`J
ACCEPTANCE OF PF�FpC}SAL �'`' , . �
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The ab�,�c �riceti, tipeciticati�ine ;ind •.e�n�(�ti��nti ar� �ati,fnctrny and are ' � ,
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hereh� ncccptcd Yuu arr auth��riz�d te,�Iei thr��urk:i�tipecilie�l. Pa}'mcni� Si�n�t[ure .L/'+",;•
��ill be madc aa�iutlin�d abo�r
l�;uc uf Accept:tnre ----- —_ — — Sign�ture
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS — BUILDING DEPARTMENT
�, have read and fully understand and agree to the
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale That he or she shall comply with the following
conditions:
1 That the owner and he or she alone shall act as the builder for all phases of construction
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3 That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9 State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE DATE
ADDRESS
PHONE
WITNESS PERMIT
UMasterforms/OwnersAffidaviVNov07
, s�s-�aaoo2o City of Zephyfiilis Permit Application Fax-813-780-0021
Building Deparlment
Date Received � "/, p
l Phone Contact for Permittin l 3 �a� —� �
Owner's Name �� I� D G./ Owner Phone Number
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Owner's Address !f Z) �' E �(�t� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Addrosa
J08 ADDRESS LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEw CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK (C � � Gf G�-�
t
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUtLDiNG $ VALUATION OF TOTAL CONSTRUCTION
/ � C� o
QELECTR�CAL $ AMP SERVICE Q PROGRESS ENEJ3G�� Q W.R.E.C.
:•
OPLUMBING � f�'�
,.�F �,C� ,
QMECHANICAL $ VALUATION OF MECHANICAL INSTALL.�TION ���/ `
QGAS Q ROOFING Q SPECIALTY 0 OTHER `� "f
�--_�________. _.... :
F�NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY ASC � ��N��
SIGNATURE � REGISTERED N FEE CURRE� N
Address 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 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 aRer submittat date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instailed,
Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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,Stonnwater Plans w/Silt Fence installed,
Sanitary Facitities 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 for all NEW construcdon.
Direct(ons:
Fill out applicatlon completely.
Owner&Contractor sign back of applicatlon,notarized
If over t2500,a Notice of Commencement Is required. (A/C upgrades over=7500)
"' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 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 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 Departme�t of Agriculture and Consumer Affairs. If the applicant is someone
othe�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"owne�"prior to commencement.
CONTRACTOR'SIOWNER'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
ce�tify 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-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 following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the filt 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 wail
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, welis, pools, air conditioning, gas, or other installations not specifically included in the appiication. 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, 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 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 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 COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or aHirmed)before me thls Subscribed and bwom to(or aflirmed)before me this
by Y
Who Is/are personally known to me or haslhave produced Who Is/are personally knovm to me or has/have produced
as Identlficadon. as idendficatlon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,p�inted or stamped Name of Notary typed,printed or stamped