HomeMy WebLinkAbout14-14980 , CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(sis)�so-oo20 14980
FENCE PERMIT
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Permit Number: 14980 "
� Address: 5724 18TH 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: 11-26-21-0010-07900-0160
Improv. Cost: 700.00
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Date Issued: 2/18/2014 Name: DAVIS, JOHN
Total Fees: 50.00 Address: 5724 18TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/18/2014 Phone: (813)312-4853
Work Desc: INSTALLATION CHAIN LINK FENCE 300 x 5'-change reprint
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HOMEOWNER � -� � ,,��� .. .., .�, ;�wv � � ,�,
FENCE 50.00
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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
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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
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813-780-002f� City of Zephyrhiiis Permit Application Fax-813-780-0021
Buiiding Department
Date Received '
Phone Contact for Permittin
Owner's Name / � �. � �� S A
Owner Phone Number �j) 3/Z-�/�r�3
Owner's Address 72 / F 4
( S�rt'�P � Owner Phone Number
Fee Simple Titleholder Name �
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S 7Z�/ ���� S{Yt,P 7—
LOT# �
SUBDNISION PARCEL ID#
WORK PROPOSED � (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR ADD/ALT � SIGN [[� [� DEMOLISH
INSTALL REPAIR
PROPOSED USE [j�' SFR �] COMM
TYPE OF CONSTRUCTION [� BLOCK � OTHER
Q FRAME � STEEL Q
DESCRIPTION OF WORK �`j��� ��� � f� � S.- ./���
r
BUILDING SIZE SQ FOOTAGE C]
HEIGHT
OBUILDING $
. 0 tl VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
� 0 PROGRESS ENERGY � W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� " �
�AS -� f
0 Q ROOFING Q SPECIALTY � OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �
[�]YES NO '�,�
BUILDER . �
SIGNATURE �� COMPANY p� E' ��� ��—
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �—
ELECTRiC1AN
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License#
OTHER
SIGNATURE COMPANY
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,
Minlmum ten(10)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 Facilities&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.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of apptication,notarized
�• If over:2500,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 from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Oriveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The und ulat9ons. The undersigned a'ssumes espons bilbty for compl ance tw th ny
which may be more �estrictive than County reg
applicable deed restrictions.
UNLICENSED CONTRACTORS AND C ONeRAe�T�o be E ensedSiBaacoEdance th s ate and local egulationrsc Ifrthe
contractors to undertake work, they may b q I for the
contractor is not licensed as required by �aW nbat�h�o hare unce ta n asnto what licensingte qu�emen'ts may app y iolation
under state law. If the owner or intended co
intended work, ihey are advised to contact th�ea contractor orBco'ntrac to sp hei�s advised ot 'have he cotnt actor(s) sign
8009. Furthermore, if the owner has hire
portions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as t e
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pands
County.
TRANSPORTATION IMPACTIUTILITIES IMPARe A�ND R eeOmay ap E�toVheRconstrEuStion of new b ude gsnchangand
that Transportation Impact Fees and Recourse rY
use in existing buildings, or expansion of existinerstalnd's9that such fees,'as may be duey�I abe dentified at he-tme }o
90-07, as amended. The undersigned also und
permitting. It is further understood that Trans OWer'eleaseacif the project�doesrno Rnvolve a certificatetof occ pancy or
receiving a certificate of occupancy or final p
final power retease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be paid priorter 713,iFlorida Statutes, as amenided)P If valua on of work s $2,500 00 or more, I
CONSTRUCTION LIEN LAW(Chap of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copY licant is someone
Protection Guide" prepared by thet��hade bta ned a copy of thetabove descr bed documlent nd prompse in good faith to
other than the"owner", I certify tha
deliver it to the°owner"prior to commencement.
lication is
CONTRACTOR'SIOWNER'S AFFIDAVI able law�regulatingeconst uct on!zoning anld laind developmentn Appt a' Wor
will be done in compliance wi1h all applic
hereby made to obtain a permit to do W and that1alltwork will be perfoemed to meettstandards of all lawsllae9ulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development ri9to the ntended�workl and that it is
certify that I unde�stand that the regulations of other government agencies may app y
my responsibility to identify what actions I must take to be ess Balj he ds SWetland Areas alnd Enviro ment'a lyt Sensitive
- Department of Environmental Protection-Cyp Y
Lands, WatedWastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Southwest Florida Water Management District-Wells, Cyp
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 appty 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 �n ,ted at t me of permitting wh ch fs prepared rby agprofessionalr eng eer
"compensating volume" will be submit
licensed by the State of Florida.
_ If the fill material is to be used in Flood Zone fIA{ne a ea w'thin thetst m W m�tted building using stem walt
construction, I ce r t i f y t h a t f i l l w i l l b e u s e d o n l y t o
If fill material is to be used in any area, I certify that use of suc h f i l l wi l l n o t a d v e r s e l y a ff e c t a d�a c e n
properties. If use o f fl l l is fo u n d t o a d v ersel under thejattached per�mit pplicat onr for lot s l e s s t h a nVOnet'( )
the con di tions o f t h e b u i l d i n g p e r m i t i s s u e d
acre which are elevated by fill, an engineered drainage plan is require d.
m the AGENT FOR THE OWNER, I promise in g o o d faid thatna�s parat permit may be requ�ir d for Ie le c t r c a l work�,
If I a lication
this affidavit prior to commencing c o n s t r u c t i o n. I u n d e r s t a n '
plumbing, signs,
wells, pools, air conditioning, gas, or other installations not speci f ica l ly i n c l u d e d i n t h e a p p
ermit issue d s ha l l b e c o n s t r u e d t o b e a l i c e n se to procees u 'nceho f a pe m it p r e v e n t t h eh B u d i n g O�ce al from thereval d
p rovisions of the technical codes, nor shall ermit issued shall become in
set aside any p codes. Every p
requiring a correction of errors in plans, construction or violations of any
unless
the work authorized by such permit is commenced w�honths after the t mpe thetwork is commenced Anhextens be
the permit is suspended or abandoned for a period of six(6 gp da s and will demonst
90 consecutive days,the job is considered abandoned.
may be requested, in writing, from the Building Official for a period not to exceed ninety ( Y
justifiable cause for the extension. If work ceases for ninety( � CE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI OUR NOTICE OF COMMENCEMENT.
rAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYN IC'F YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR
FLORIDA JURAT(F.S.117.03)
CONTRACTOR � � ---
� � fw� � ffirmed)before me this
OWNER OR AGENT''� Subscribed and swo n . L- `
S bs ed nd swo or aHirmed)before me this z_/ --/' by
� �� �C� by �� Who 1=onally kno to me or haslhave produced
---o knovm to me or haslhave produced ) •,� ����_as identlfication.
Who is��P���
�. (!(,��cy—as idendBcation. --.,
�,�,,�.�,....+.� S - ,;. Notary Public
ti "` � C�E �B Notary Public . ,�,�,�,,
��� �F����.�o�o Comm►�sion i��'�' '.�= JACmission#EE04052p
Comm i.� ,,,wtra� :�;, �_ •�
� ::�. Name of Notary tYP - ",yF"w'i"n'e"`°�a�c-�a�s
Name af Notary 1yPed�Printed or slamped �