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Home My WebLink About13-13943 � ' CITY OF ZEPHYRHILLS 5335-8TH STREET , ' (sss)�so-oo20 13943 FENCE PERMIT Permit Number: 13943 Address: 5619 12TH 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: 11-26-21-0010-10400-0030 Improv. Cost: 500.00 Date Issued: 3/04/2013 Name: PETIT, JR JOHN Total Fees: 40.00 Address: 5619 12TH ST Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/04/2013 Phone: Work Desc: INSTALLATION CHAIN LINK 279 X 4 HOMEOWNER FENCE 40.00 � V��- � AL • 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 . CONTRACT R PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-002C1 City of Zephyrhills Permit Application Fax-813-78U-0021 Building Department Date Received � ; Phone Contact fo�Permittin _ Owner's Name 0 �� f�� r Owner Phone Number �l3� �f Z � b � Owner's Address (� � 1 Z ( � �rG� Owner Phone Number Fee Slmple Titleholder Name Owner Phone Number � Fee Simple Titleholder Add►ess JOB ADDRESS C ( { I� S �er-� LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEw CONS7R ADD/ALT �� SIGN [� O DEMOLISH INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK C ��Y � �' L l �� BUILDING SIZE � SQ FOOTAGE Z c c c � HEIGHT �( Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION f:1 t� � �I QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. QPLUMBING $ MECHANICAL �/�� 0 $ VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY � OTNER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER ,!y /., �� COMPANY 1 � b� e � �r'e� SIGNATURE �� LL. REGISTERED N FEE CURRE� Y/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 AtNach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)wo�lcing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities&1 dumpster;Site Work Pertnit for subdivlsfonsAarge 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 construction. 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 commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *`"'PROPERTY SURVEY required for all NEW construction. Dlrectfons: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over a2500,a Notice of Commencement is requlred. (A/C upgrades over 57500} "' 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 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"dee�" 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 misdemyannopyiolation under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 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 permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "ce�tificate 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 Pascv 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"owne�", 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. ( 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 ihat 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 & 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 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 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 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 unde�stand 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 invatid 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 F E�OR AN ATTORNE Y EFORE RECORDING YO R'NOTI E OF COAMENCEMENT.' CONSULT WITH Y�UR LEN� FLORIDA JURAT(F S.117.03) OWNER OR AGENT '' � _.,�_ CONTRACTOR Subscribed and sworn o( aiflrmed)before m 's Subscribed and swom to(or afflrmed)before me this b { �.'�e � � r�r� by y Who islare ersonalty known to me or haslhave produced Who islare personally known to me or has/have produced P as identlficafion. as ldentlficadon. 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F> '%o J� • f- . �pt�..'�" . Q� F �S� 3; � °' Z � 5:� � 6p 0 00�p�o�P> ��z �a ..r �.�� a . ' '- � S 25 �z a ce a�'i v° � \ O � . 'c.-: . - 6+� .� �� Q�O (�/I ::�o ScP� 3��o lF> � `, ,y� e°�o J�w�o r �a� Z 0 � �N°� g \ =o m V� p, . E �o�, \ �W� o 0 �\5 6 Op�� '`=�'�, �s o y }�� Q 5 25 ` ,._ q > -o.e��` °c, y a V'� d . .\ � w m � O NQU � O o c� .../ �� S'�,� �8p �1• w w ?! l L�� a Z �'v�`"s � �o L OwUI 2�yd � �W� Qp �wa �J�.d �N �4� �A (�HL� 6- a �� n � o ��`� �z �i0 � v~ y� . ,�� N� � ��, o, °a� � Y�Q `i u O�� V'� � m�J � d :eG,. � V �' -m O 1E+ \ � �6 �� Zr�� l c� � J �ZJ � .� F=Q=� �O � � �� M�� ) � Z � U�SW t (n F—a C� � �'� � �0� � C]�N Oa.. � �. `" \ �� ,�o \ C9 �°o � � \ .°o � °� \ ��Q s� � � �, , � Nw y��'� Z � �'� �o.� q�zm � ��Pl 'o X� �°• o ��Fl � 30�o lel N 25 0�O P��(�P� � •o P�F> 2�p0 .� - 6a oo� DISCLOSURE STATEMENT .FOR OWNER C2TY OF ZEPHYRFi=S�S BIIII,DING DEPARTMENT _, JC Nn �"'�� L� � � �� 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, r�onati.ng, adding to or reroofing his or her own domicile, •that he or she actually occupies, or FriZl occupy by said domicile, and same is not for •reslt, lease or sale. That he or she shall comply with the following conditions: 1. That the owxier and_he or she alone sha11 act as the builder for a11 phases of construction. 2. That the owaer wi11 comply with a11 provisions of the City of Zephyrhills ordinances and codes p2='tinent to the building. 3. That in the event varicus phases of construction are subcontracted, he will gngage only •properly licansed subcontractors aad will persosially supesvise such vrork. 4. That in the event the Building Inspector shall re�,�re corrections to be made, the o�aner will assume full responsibility to insure �they are made, and upon completion will ca11 for a reinspectioa before proceeding wi.th the building. 5. That the owner sha11 ass�e fu11 responsibility for the constsuction and wi11 not eapect_ supervision of his mork from the City of Zephyrhills Building Department. 6. 2'2�sat prior to final inspection aay additional fees, including reinspection fees, must be paid ia ful1. A written request from this office shall constitute an official notice -to pay additional fees. 7_ That the owsier sha11 comply vrith a11 City, State and Federal laws iri reCJ3rd to social security, workman's compensation, liea laws, etc. , where applicable. 8. That the owner sha11 comply wit�i all the safety codes issued by the Florida Industsial Commission. 9, State 1aw re�,;res coastsuction to be done by licensed contractors. You have applied for a pQ��t uader axi exemption to that law. The exemption allows you, as the owner of' yovr property, to act as your own contractor with certain restrictians 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-fami.ly or two-family reside�ce or a farm outbuildixzg. You may also build or improve a commerci.al �++,;1.�;Tq, provided your costs do not exceed $25,000. The buildiag or residsnce must be for yovr own use or oceupancy. It may nct be built or substantially improved for sale or lease. If you sell or lease a building you have built or su2�sta=itially i�proved yourself within 1 year after the coastruction is camplete, the lam wi11 pres�e �that you built or substantialZy improved •if for sale or laase, which is a violation of this exemption. You may not hire an unliceased pErson to act as your contractor or to supervise people working on your buildi.ng. It is your responsibili:ty to make sure that people employed by you have licenses rern,;red by state law and by county or municipal licensing ordinaaces. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licensed to perform -the work beiag doaa. Any person working on your building who is aot liceased must work under Zrour direct supervision and must be employed by you, which meaas that you must deduct F.2.C_A. and withholcling t=T and provide workers' compensatioa for that employee, a11 as prescribed by law. Yous construction must comply with a11 applicable laws, ordinances, building codes, and zoning regulatioas. OWNER'S SIGDIATUFtE DA2� �i Q r� ( i �j Z 0 i� ADDRESS , PHONE � W=TNESS PERL�T #