HomeMy WebLinkAbout13-13946 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�so-oo20 13946
FENCE PERMIT
Permit Number: 13946 Address: 6036 GREEN DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYRHILLS COLONY
Est. Value: Parcel Number: 01-26-21-0010-12000-0011
Improv. Cost: 2,737.00
Date Issued: 3/06/2013 Name: ZEPHYRHILLS RRH LTD
Total Fees: 45.00 Address: 7865 SOUTHSIDE BLVD
Amount Paid: 45.00 JACKSONVILLE FL 32256
Date Paid: 3/06/2013 Phone: (904)642-1759
Work Desc: INSTALL REPLACEMENT WOOD FENCE 210 X 6
U S A FENCE COMPANY 813)677-4411 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 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 federa� 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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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received . 2 2�� �j Phone Contact for Permittin ��J � 77' --��{ �
Owner's Name � 2�1 l ��5 �� L Owner Phone Number �,3"70 �' Z�7 5
r/ ,/� z25�
Owner's Address ll�� SOL r�+� U� �f�'� �c�.'v'1i-�L L Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS c�� 3� lr!'C-E��'� �J2— LOT# ��
SUBDIVISION �4�OI�LESS ��Ffn�/�'TS : PARCELID#
T—
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��N4 T/1'UI b ('F"� (�� .'✓C-f/ �7 �C��''n�J
BUILDING SIZE � � 3Q FOOTAGE C� HEIGHT
QBUILDING • VALUATION OF TOTAL CONSTRUCTION
�� � 3 7�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C'`�
r-���� �,�ti7a�%<
OPLUMBING $ � "� " -
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 7�7� �v
QGAS Q ROOFING Q SPECIALTY 0 OTHER ,���" � �3gy�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ 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 L/S � /"�,v✓L�fi -�
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address �L�G! /� yG��'�—`�i�/�� ,3(�t � License# �G�l(v! 7 v
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitarv Facilities&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 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over Sz500,a Notice of Commencement is required. (A/C upgrades over ST500)
`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Oniy)
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 County regulations. The undersigned assumes responsibility for compl�ance 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. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
po�tions 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 buiidings, 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, wili 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 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'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, Wettand 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 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 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 �MR AN ATTORN Y EOFORE RECORDING YOURNTEND TO O�B MMENNANENT.� CONSULT
WITH YOUR LENDER O
FLORIDA JURAT(F.S. 117 03)
OVy,1�ER OR AGENT ���'Z�
�`--- and swom to(or fflrmed)before me this
Subscribed and sworn to(or affirmed)before me this by
by 4Vho Islare ersonally known to me or has/have produced
Who ls/are personally known to mas identlficationroduced P as identlfication.
Notary Public
Notary Public
Commission No.
Commissfon No.
Name of Notary lyped,printed or stamped
Name of Notary typed,printed or stamped
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NOTICE OF COMMENCEMENT �-
Permit No� w=
Tax Folio No. W�
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THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with ��
Chapter 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. =
1. Description of property(legal description of property):v�ands Pe�P�es Part o F Traas�2o a�zi �esc n �
8�Stl'Cet�Ob�AddCOSS:6036 Green Drive,Zephyrhills,Florida 33540 —
2.General description of improvement(s):Repiacemenc ot Fencing �
=
3 Owner or Lessee information(Lessee as owner only if contracted for improvements) �
a.N8It1e ana 8d(�I'OSS:Zephyrhills RRH,Ltd.,do 7865 Southside Boulevard,Jacksonville,Florida 32256 �
b Interest in property:Fee simpie �
c.Name and address of fee simple titleholder(if other than owner):NiA �
� 4.Contractor Information —
a.Name and address: usA Fence,2001 N.4oth SVeet,Tampa,Florida 33605
b. Phone number:a�s-s��-aa�� Fax No. (Opt.)813-s��-s2��
5. Surety Information m v A
N(AO
a.Name and address.NiA v
b. Amount of bond$ cNn m.`~
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c. Phone number: Fax No (Opt.) W��
6 Lender m w
a.Name and address:NiA . v
b. Phone number: 3 m
7. Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by � ��
Section 713.13(1)(a)7.,Florida Statutes: t .. �
a.Name and address: N�A a' ��
b. Phone number: ' •
8. In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in 'o ��
Section 713.13(I)(b),Florida Statutes: �'
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a.Name and address: NiA A
b. Phone number: •-
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Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different �
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER N D
PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13, FLORIDA STATUES,AND ,�°N D
CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A oo N�'
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE '�W z
BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ���
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR �N T
RECORDING YOUR NOTICE OF CQ�IYIMENCEMENT. N3 D
Verification pursuant to Section�2.525,Flqrida Statutes. Under penalties of perjury, I declare that I have- �'''°
read the foregoing and that the facts in it are true ta the best of my knQwledge and belief ��
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of Owner or Le see,or O er's o essee's uthorized ffic /DirECtor/PartnedManager � �
Signatory'S TItIC/O�7CC1': Karen J.Seligman,Mgmt Agent or Owner,Zephyrhills RRH,Ltd. A
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State of Florida �
County of A4a�aEee�.v�tL
The foregoing instrument was acknowledged before me this �3rn day Of February Zo�3,20_by
Karen J.Seligman ,who is personally known to me or has produced
N/A ,and who did/did not take an oath.
(Driver's License#) `
Signatu of Notary A PAIGE
Public- tate of Florida �� �'�'''-_ MY���pN ri EE 2�672
= EXPIRES:September 27,2016
Mu riel A.Paige B�d���,����
Print,Type,or Stamp
Commissioned Name of Notary Public
Q2/26/2013 08:03 F�Y 8136713211 tTS.� FENCE - TAMPA C�002
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�ont��af/Homeowner: ���,� ( �,qr�,- _ �� �
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Date Received: ��-'<��— J �
Site: �v 0��F' �e;��(��l s��-
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Permit Type: � ' y �,f'� r;�,��t.""(v �%
Approved w/no comments�l,�[ Approved w/the below comments: ❑ Denied w/the below comments: ❑
��
This comment sheet shall be kept with the pennit and/or plans.
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� -L/ / 3
Kalvin Swi e ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)