HomeMy WebLinkAbout12-13423 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (sis)�so-oozo 13423
FENCE PERMIT
Permit Number: 13423 Address: 5337 19TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range• Book:
Proposed Use: NOT APPLICABLE Lot(s): Block:� Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17400-0110
Improv. Cost: 340.00
Date Issued: 9/06/2012 Name: GROSS, SUZANI�E &JAMES
Total Fees: 40.00 Address: 5337 19TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/06/2012 � Phone: 813-9 7-0381
Work Desc: VINYL FENCE
HOMEOWNER F CE 40.00
�
� ��
�
`
REINSPECTION FEES: Reinspection fees will comply with Florida Statube 553.80(2)(c)when e�ctra inspection
trips are necessary due to any one of the following reasons: a) wrong address b)wndemned work resulting
from faulty construction c) repairs or oorrections 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 aooessible.
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 munty, 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 Person owning same
p , pecifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
,
� C TRACT PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATNER
��o-�ex,-�u�u c;ity ot Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin �'/,,� � _ ,�
�
Owner's Name /� � Owner Phone Number �J j— ^tj3�
Owner's Addresa � �°r� �j � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS �.j �j ��`f�j �F' � � �/� .
LOT# C�
SUBDIVISION PARCEL ID!!
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED e NEW CONSTR 8 ADD/ALT �� SIGN [� [� DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /� L� �G` � i r
BUILDIN(3 SIZE SQ FOOTA(3E �
C��v HEIGHT
QBUILDING $ � � y� n� VALUATION OF TOTAL CONSTRUCTION �� °Z�
C/
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0
OPLUMBING a
.-� � �`��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY [—� OTHER �� � G
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
S GNATURE ����-� ,,.--"� COMPANY /`'�/d�J� l�Gv/ff��.
`v'� REGISTERED Y/ N FEE CURRE� Y/N
Addreas License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Addreas License# � —�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 81 dumpster;Site Work Permit for subdivislo�s/large projects
COMMERCIAL Attach(3)comptete sets of BWlding Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsfte,Constructlon Plans.Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster.Sfte Work Permit for all new projects.All commercial requirements must meet compUance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"'"PROPERTY SURVEY requtred for all NEW constructlon.
DirecHons:
Fill out applicatlon completely.
Owner 8 Contractor sign badc of applicatlon,notarized
If over S2S00,a Notice of Commencement is required. (AIC upgrades over i7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTfNG (Fmnt of AppllcaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on pubflc roadways..needs ROW '
NOTICE OF DEED RESTRICTION Count �red ulat'�ion5 The undersigned aIS umes resp nsibiibty for compl ance w!dh any
which may be more restrictive than Y 9
applicable deed restrictfons.
UNLICENSED CONTRACTORhe ma beN qRu ed o be E ensedSiBacooEdancef th t te and localeegula onsc Ifrthe
contractors to undertake work, t y y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vif�lat�he
�nder state law. If the �dv sed toncontact the Pasc�o County Buadingslnspectioni Div s�fon—L ciens ngtSection at727-847-
intended work, they are a
8009. Furthermore, if theBlock" of this applicationtfor which they will�be espo s bleelftyouaas the owneasign as the
portions of the "contracto
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco
County.
7RANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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
permitiing. 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 cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer (mpact
fees are due, they must be paid prior to permit issuance in acco�dance 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 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'S10WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wilf 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 �egulations in the jurisdiction. t 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.
- Souihwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercou�ses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental 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�II:
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 ce�tify 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 adve�sely affect adjacent
properties. If use of fill is found to adversely affect adJacent properties, the owne� 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 ptan is required.
If t am the AGEN7 FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th in
this affidavit prior to commencing const�uction. 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 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�S da s and will demonstrate
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is conside�ed abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPRO ATTORNEY BEFORE REP ORDING Y�U �NT TND TOF BTAIN FINANCNT, CONSUL7
WITH YOUR LENDER OR AN
FLORIDA JURAT(F S. 117.03) `��/�/
CONTRACTO uc..
OWNER OR AGENT • Su bed and swo (or aflirmed)b me this
Subscrlbed and sw�n to`�, rmed)befo e me ��,_j� by pD S
�-�-t'�by �'I°r�13 ��'�S`� known to me or haslF�ave produced
Who islare person y known to me or has/have produced Who I are pe
�, �,- , r�3�� as identlficatlon. � '�-�'�f ��- as identlfication.
^ /.
Notary Public
Notary Public �_ � "�•• JACQUELINE ES '
ission#EE 20 Comm►ss�'on �', ��` � �
Com�ri ' , ,/ �� Expires December 12,2014 x
, -.
�%+'�„Rd�,*,. BadedThuTroyFain�SO4.985d019 �%'�,� BadedTlauT Fainlnaraxe
Name of Notary typed,Printed or stamped Name of Notary ty �
, r �I
�1
�
� �
� ---------- -- -i-- � ��-�__-- � �
� � ' � y
U � � �
� � �,`�
� y .� � �
y � � ��
�
� �
, �, �
� � ��{ �
��
a
� �� �
� a� (',�: ���r � \
� y
� �� ' N�
�� � — ��
. _ ! _( /�',' � '�` �
��'� �'�,r��'.�S
� - -
y
�
\
,�
�
.�,'� � ,%1 � .
, 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 conections 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 l�- � " /�.-.
ADDRESS
PHONE
WITNESS PERMIT
UMasterforms/OwnersAffidaviUNov07
Pasco County Parcel: 11-26-21-0010-17400-0110 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, September 01, 2012
Parcel ID 11-26-21-0010-17400-0110 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
GROSS SUZANNE L&]AMES Ag Land $0
5337 19TH ST Land
ZEPHYRHILLS FL 33542-4620 $15,120
PhysiCal Address Building $26,752
5337 19TH ST Extra Features $1,873
ZEPHYRHILLS FL 33542-4620 7ust Value
�43,745
LeOal DESC�IDtIOrt (First 4 Lines) Assessed (Save Our Homes) $43,745
See Plat for this Subdivision Homestead 196.031 - $25,000
TOWN OF ZEPHYRHILLS Non-School Additional Homestead Exemption _ �p
PB 1 PG 54 Taxable Value
LOTS il & 12 BLOCK 174 �18,745
Warning: A significant taxable value increase may occur when sold.
OR 5444 PG 1535 Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zonin�� Units Type Price Condition Value
1 0100 SFR OOR2 8,400.00 ,�F $1.80 1.00 $15,120
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA Code X Residential Code H P2
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1952 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Plastered Interior Wall 2 None
Flooring 1 Hardwood Flooring 2 Parquet
Fuel Eledric Heat Forced Air- Ducted
A/C Centra I Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 � 288
Z $2,653
� 132 $1,695
3 � 240 $3,095
4 B� 780 $28,743
5 FEP
120 $3,095
6 �
84 $1,253
Extra Features (Card: 001 of 001)
�—Line Description Year Units Value
1 ��S� 1986 1 �
2 $305
D -M 2003 1 $519
3 � 2003 240 $459
4 P-�� 2006 324
$590
Sales History
Prevfous Owner HANNON CHESTER E TRUST
Month/Year Book/Page Type DOR Condition Amount
Code
01/2003 5444/ 1535 Warranty
Deed Improved �p
� Warranty ����
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&bl... 9/6/2012