HomeMy WebLinkAbout13-14861 ` CITY OF ZEPHYRHILLS ,.��
5335-8TH STREET
(sss)�so-oo20 4861
FENCE PERMIT
Permit Number: 14861 Address: 6055 10TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0300
Improv. Cost: 3,278.00
Date Issued: 12/30/2013 Name: RANK, DAVID 8�SHIRLEY
Total Fees: 45.00 Address: 12311 OSCEOLA RD
Amount Paid: 45.00 CAMDEN NY 13316
Date Paid: 12/30/2013 Phone: (813)395-6307
Work Desc: INSTALLATION 155 X 6' PVC PRIVACY FENCE
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 f) 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
/
CONTRACTOR PERMIT OFFI '"
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit App
lication Fax-813-78C1-0021
813-780-0020 Building Department
� d3 � 7?
ate Received � Phone Contact for Permfttin �
��r� ��L Owner Phone Number
��3 -3q� °'
�wner's Name �/� �(j 7_ O 9�,�,
/G �-� jb �1. S� �y��, �� pwner Phone Number
hvner's Address ��
S��� _ Owner Phone Number
=ee Simple Titleholder Name
Fee Simpie Titleholder Address s '�,`Y � ;a
LOT#
,s-�,e-r✓��
JOB ADDRESS
��S O� PARCEL ID# �pgTAINED FROM PROPERTY TAX NOTICE)
SUBDIVISION �
e NEW CoN57R e ADD/ALT
� SIGN Q DEMOLISH
WORK PROPOSED INSTALL REPAIR
SFR � COMM � OTHER �
PROPOSED USE � gLOCK Q FRAME � STEEL Q
TYPE OF CONSTRUCTION Q � �/V �����
.�NS f/�-�tc. /s"5 ' of � �fi-�' �'Y �Y
DESCRIPTION OF WORK � G ;
BUILDING SIZE
SQ FOOTAGE ��s HEIGHT
�j tu
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION� � .2�p.
OELECTRICAL $ AMP SERVICE �
PROGRESS ENERGY �] WR.E.C.
�PLUMBING $ /
VALUATION OF MECHANICAL INSTALLATION � ' � /
�MECHANICAL $
GAS Q ROOFING Q SPECIALTY � OTHER YES �� �2�
� FLOOD ZONE AREA 0 �
FINISHED FLOOR ELEVATIONS
CiDMPANY Y� N FEE CURRE� Y/N
BUILDER REGISTERED
SIGNATURE License#
Address
------
COMPANY Y! N FEE CURRE� Y 1 N
ELECTRICIAN REGISTERED
SIGNATURE License#
Address
COMPANY FEE CURRE� Y 1 N
PLUMBER REGISTERED Y/ N
SIGNATURE
License# �_
Address �_
COMPANY FEE CURRE� Y 1 N
MECHANICAL REGISTERED Y I N
SIGNATURE License# �
Address � (�� !",����
/� COMPANY �� � �
OTHER � REGISTERED N FEE CURRE� Y I N
31GNATURE C� C a/(�I7 l/
� � ���, 5�. ������ �3�6 �icense# �
Address �G� `
RESIDENTIAL Attach(2)Plot Plans;(2)
sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new co�struction,
Minimum ten(10)working days aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans wl Silt Fence installe ,
1 set of Energy Forms.R-O-W Pe�it for new consWction.
Sanitary FaciliUes 8 1 dumpster;Site Work Permit for subdivisionsllarge projec s
COMMERCIAL Attach(3)comP�ete sets of Building Plans plus a Life Safety Page;( )
Permit for all new projects.All commercial requirements must meet compliance
Minimum ten(10)working days after sub�ttai date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence insta e ,
Sanitary Facilities 8 1 dumpster.Site Wo
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely. �i�tion,notarized
Owner 8 Contractor sign back of app' rades over 57500)
If over E2500,a Notice of Commencement is requfred. (AIC upg
Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service UP9rades A/C Fences(PIoUSurveylFootage)
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"resfrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLlCENSED 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 ma a I for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847-
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 cert�cate of occupancy or
finai 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, Florfda 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 Agricuiture 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'SlOWNER'S AFFIDAVIT: I certify that ali 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, WateNWastewater 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.
- Fede�al 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�II 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 Iots 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 pe�mit 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN EMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscrtbed and sworn to(or affirmed)before me this Subscr(bed and swom to(or afflrmed)before me this
by b
Who is/are personally known to me or has/have roduced y
p Who is/are personally known to me or has/have produced
as identlficatlon.
as identlfication.
Notary Public Notary Public
Commission No. Commission No,
Name of Notary typed,printed or stamped Name of Nota p
ry typed, rinted or stamped
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V�.'S f� F'-�,C1 G Rea: 10.00
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� 'Z o�l y VC��7 , DS: 0.00 IT� 0p � Clerk_ _
� �—��Q�. FL 33 �12/27/13`B:_McBee, P Y _
'PR�1 R.0'NEIL�Ph.D.PA5C0 CL Of a COMPTROLLER�
1 �ii2/�2R�BK �9�7 iPG 2�2`---.
Pemtit No: �-------- -- - .
Tax Folio No: �2 262�ob�-o�r�3Go
• NUTiCE OF COMMENCEMENT
Sto�e ojFlortda ' C'ounry� �eo �
' THE UNDERSIGNED hereby gives norice that improvemcnt will be made to certain real property,and in
accordance with Chapter 713. Florida Statutes. The following informarion is provided in the Notice of
Commencement. .
l. Degcription o property(le�gal description of property and street dress):
,�D ,(� 7'YSG,�SG/3 D��l S/O /G 7 .
6-� 6 S �� —G 3
2. General description of improvement: � ' �
Z-N<<,�cl /5"�' o� G �r PYC �lzi vatiy FE,�/e�
3. Owner information(Namaaddress,interest in property,and name and address of fee simple
dtleholder(oth�r owner):
,�,.�,o � �a�`s-�� � �t �ti,i�f c �3s�Z
N
4. Contractor inforn�ation: (Name and address,pbone number,fax number): �
11SA �,✓e� � 2aa/ �l• 5la `� S� 7irwr/'�.�c ���0 5
5. Surety(Name and address,amouut of bond,phone number,tax number): IF APPLICABLE:
q� --
� -.
6. Lender(Name and addcess,phone nucnber,tax nu,mber): ff APPLICABLE: '
�,/.�
7. Persons within the Stata of Florida designated BY Owner upon whom notices or other . �
documents may be served as provided by Section 713.13(1)(a),Florida Statutes: (Name and
address,phone number,tax number): �
�,//a-
8. In addition to 6imself, Owner designates the following person(s) to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b) Florida Statutes. (Name and address,
phone number,tax number).Any other persons o'wai�g property other than those noted above.
�%�Y
9. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of
recording unl a ' ere ��spec' d).
Signature of Owne .
Swom to and subscribed before me by �.�-U 1 G '� u/1 �� who is personally known to
mc or produced as identification and who did take an oath,this
��day of 0� . '
Signaturc of Notary: 1�/ ��"� Notery PublfC StaM ot florida
. Delia R Sanchez
p a� My Commission EE a18883
I STA7E C1�FLORIDA`,�'����F°�C t '},.wd� �a��orxbno,e
THIS IS TO CERTIFY � • � .
TRUE AND CORRECT COPY OF THE DOCUMENT �1
� ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
� '
� WlTNESS MY NAND AND OFFICIAL SEAL THIS_ * � ��PT • y
2 G ', '` '�`
-�,�1 �', �� DAY OF�.�CR�-� '
.•
PAULA S_ O'NEIL,CLERK&COMPTROLLER �A,' J ��` .'.*
..., __—,�— -- • � �' .
BY � j �s x-�S_�_���1�_�Z_,c� DEPUTY CLERK Qk • �'
�ORIDA ♦`
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