HomeMy WebLinkAbout14-15509 �r
CITY OF ZE � HYRHILLS
5335-8T STREET
�, (Sia)�s -0020 15
` FENCE ERMIT �
Y:�.�����-�`��:,:`�x:��_;�JPERMIT:INFORMATION 'LOCATION INFORMATIO:N'`;`"'p`ri��"�� �.'�-:=>����
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Permit Number: 15509 Address: 37722 GEIGER RD
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: 10-26-21-0080-00000-0080
Improv. Cost: 1,000.00 �� ` ���;` �OWNE�R'.INFORMATIONa'�={":'��_��`��`�'��'�r��
Date Issued: 7/22/2014 Name: SIMPLE SOLUTIONS SALON LLC �
Total Fees: 40.00 Address: 26221 PHEASENT RUN
Amount Paid: 40.00 WESLEY CHAPEL, FL. 33544
Date Paid: 7/22/2014 Phone: 813-380-7815
Work Desc: INSTALL 100 X 6 ' VINYL WHITE FE CE
� CONTRACTOR S ` APPLICATION FEES ���� '
OWNER FENCE 40.00
�� `
"�z�=- . � � . Ins ecfion :Re uired . .� . �;¢>�:, °�4�"��.
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following r asons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no�t 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, ther may be additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme�t, state agencies or federal agencies.
The payment of inspection fees shall be made before a y f�rther permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in acco dance with City Codes and Ordinances
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
I e�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-00�
� Building Department �
Date Received Phone Contact for Permitting -- �
�
Ip � / �
Owner's Name � �6 ' �• - Owner Phone Number � � — p — o�-(
.,
Owner's Address �7 / , � Owner Phone Number � °/ T J� D J
Fee Simple Titleholder Name Owner Phone Number d l�"��'��'���
Fee Simple T(tleholder Address
JOB ADDRESS [ o� �E:I �� G� f1 LOT#
�
SUBDIVISION PARCEL D#
(08TAINED FROM PROPERTY TAX NOTICE)
MIORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER 0� �.�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
1 i �' !
DESCRIPTION OF WORK �-- / ;
BUILDIPIG SIZE SQ FOOTAGEQ] HEIGHT �
QBUILDING $ D� VALUATION F TOTAL CONSTRUCT16N
QELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
o �s�� �
MECHANICAL $ VALUATION F MECHANICAL INSTALLATION �(
1
QGAS Q ROOFING Q SPECIAL�Y � OTHER �
FINISHED FLOOR ELEVA710NS FLOOD ZI NE AREA QYES NO
�
BUILDER M�ANY
SIGNATURE ��GI TERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAM CO PANY
SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUAflBER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# —1
MECHANICAL � CO PANY
SIGNATURE REGI TERED Y I N FEE CURRE� Y/N
Address License#
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8�1 dumpster;Site Work Permit for su¢divisionsAarge projects
CO�IIIHAERCIAL Attach(3)complete sets of Buiiding 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. Re�uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�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 construct on.
Directions: �
Fill out applica6on completely.
Owner&Contractor sign back of application,notarized
If over;2500,a Notice of Commencement Is required. (AIC upgra es over�7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences( IoUSurvey/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 regctlations. The undersit�ned assumes responsib9lity for compl4ance with a�y
applicable deed restrictions. � ,
UNLICENSEQ CC3NTRACTQi2S RND CClMTRACTOR R�SPONSIBi�.IT1ES: if the .owner has h9red a cantractor or
contractors to under,take work, they may be required to be Iicensed in accordance with sfa#e and (acal reguiations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
under state iaw. If fhe owner or intendec# confractar are uncertain as to what licensing requ'sremen#s may apply far the
intended work, they are advised to contack the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermare, if the owner has hired a confractor or contracfvrs, he is advised to have the contractor{s) sign
portions of the "cantrackor Block" of this applicatian far which they will be responsible. if you, as #he owner sign as the
contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting p�ivileges in Pasco
County. � ' ' '
TRANSPORTATION 1MPACT/UTILITIES IMPAC�'ANCt RESOURC� RECOVERY FEES: The undersigned underskands
#hat Transportatiort Impact Fees and Recourse Recovery Fees may apply to the construcfian of new build'mgs, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wiii be identified at the #ime of
permit#ing. It is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate af 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 fa permit issuance. Furthermore, if Pasco Caunty WaterJSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LlEN LA1�1(Chapter 713, Florida Statntes, as arrtended}: }f valuat�an a#work is$2,500.Q0 ar more, 1
certify that I, the applicant, have been provided with a copy af the °Florida Construction Lien Law—Hameowner's
Protection Guide" prepared by the Florida Department a#Agricuiture and Consumer AfFairs. Ef the applicant is someone
other than the"owner", 1 certify that I have abtained a copy of the above described document and promise in good faifh to
deliver it to the"owner"prior to commencement.
CONTRAC'TOR'S/01�►tV�R'S AF�ICfl�►Vl'T: 1 cer#ify fhat 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 abta'tn a permit to do work and instatlatton as indicated. 1 certify that na work ar instaltation has
commenced prior to issuance of a permit and that all work will be perFarmed to meet standards of all laws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that ( und�rsfand that the regulations of other governrnent agencies may appiy fa the intended wark, and that it is
my responsibility#o identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department af Environmental Proteetion-Cypress Bayheads, Wetiand Areas and Environmentally Serisitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Wa#er Management District-Wells, Gypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawa!!s, Docks, Navigable Waterways.
- Department of Heaith & Rehabilitative ServiceslEnvironmenta! Fieal#fi Unit-We11s, Wastewater Trea#ment,
Septic Tanks.
- US Env�ronmenfal Protection Agency-Asbestos abatement. ,
- Federal Aviation Authority-Runways. �
1 understand that the following restrictions apply to the use of fill:�
- Use of filf is not allawed in Fiood 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 vaiume" will be submitfed at time of permitfing which is prepared by a professional engineer
licensed by the State of Florida.
- 1f the fi11 material is ta be used in Fload Zane "A" in connectic�n with a permitted building using s#em waN
cons#ruction, I certify tha#fill will be used only to fill the area within the stem wall.
- If fill materiat is to be used in any area, I certify that use of such fil! will not adversely affect adjacent
proper#ies, tf use of fill is found to adversely affect adjacent properfies, fhe owner may be cifed for violating �
the conditions of the building permit issued under the attached permit application, far lots less than one (1)
acre which are elevated by fill, an engineered drainage pfan is reguired.
If I am the AGENT FOR'THE OWNER, I promise in gaod faith to inform #he owner of the permitting conditions set forkh in
fhis affidavit prior to commencing constructian. ! undetstand that a sepat�ate permit may be required €or electrica! work,
plumbing, signs, wells, pools, air conditioning, gas, or ofher installafions not specificatly included in the applicatian. 1�
permit issued shall be construed to be a license to p�oceed with the work a�d not as authority to.violate, cancel, alter, or
set aside any provisions of the#echnical cades, nor shall issuance of a permit prevent fhe Building Official fram thereaf#er
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall became invalid
uniess #he work authorized by such permit is commenced w3tliin 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 Buiiding C�fficial for a period not ta excesd ninety (90) days and wil! demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, fhe job is considered abandoned.
WARNING TO OWNER: YCtUR FAlLURE TD RECURD A NOTICE t?F COMMENCEMENT MAY RESUE.T IN YQUE2
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBYAIN FINAfVCING, CONSULT
{�1iTH YOUF2 LENDER C}Ft AN A�'ORNEY�EFt}RE RECQRQING YOUR NOTICE CJF COMII�ENCEMENT. _ _ -
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT GON7fiACTQ
Subscribed and swom to(or affirmed)before me lhls Subscribed and swom to(or affirmed)before me this
�Y by
WhQ islare persanatly knawn to me or haslhave produced Who islere personatly known to me or haslhave p�adnced
as IdenUficaGon. as identific�tion.
Nokary Publlc Notary Public
Commission No. Comm(ssion No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� , DISCLOSURE S NT .FOR l7'W2�R
d' CITY OF ZEPIiYJ?F3SI�I.S " I�DING DEPARTMERII'
=j �� have read and fully usiderstand and
agree •to the provisions o� �t-h�.s instrumen .
.The und�ssig�n,ed .states and affisms that h or she is desiraus af �onstructizig,
renovatixig, addirsg to or xeroo�ing his or her own domicile, 'that he os she
aetually occupies, ar wi11 accupy by said c3omica:le, and same is not �as
�rent, lease or sale. Tha'� he ar she shal comply wi-th the fo�.lowiizg cc�n,3i-tions:
1. �`ha.�, the awnes aac3_he or she alone sh � 1 aat as -�he buildc�x fas a1�. phases o�
construc�ion. -
2. �ha� the ownes wi:�.l comp3y with aI1: p avisions af �the City af Zephyrhil'ls
orda.rlances arid dodes pertinent to the�buildirig. ,
3, �hat in the event various phases ot c nstruct.ion are subcoatracted, he wi11
engage only •propesly 1.icexised subeon actors and will personal�.y supervise
such work.
4. fiha-� 3 n the event the BuiZdiag =nspea ox sh�11 requs.re cosrec�3.ans to be made,
-the owne.x wi11 assume full responsibi ity to insure •tb.ey are made, and upon
campletian w�.11. ca13. for a re;ri�ecti. n befose praaeecling with t�ie building.
5. Tha� the ownes sha11 assume ful.2 resp ns'ibility f'or the construction asxd wi3.1
not expect_ supesvisioa of his work fr the City .of Zephyrhills Building
D�part�ezxt.
6. 2'ha� prior ta firxal inspection aay a '�3.on�. fees, iriclucling zeinspecta.on
f�es, must be paid ixi full.. A writt r�quest from this office shall
constitute ain off�.cia]. not�.ce `�o pay �ditional. �ees..
7. �ha�. the ownes shall comply with a11 'ty, State and Federal laws �.n re�'drd to
soc.�.a1 seaurity, workman's ao�apensati n, 1i�n lavas, etc. , whexe applicab2a.
B. Tha� the owner s�s�11 comply wi.th all �e safe.ty codes issued by the Flosida
ISIC�CIS�'S'3.� C.`OID�1SS14A.
9. State 1aw rern�i res cosiststizcti.axa to b � done by licensed contractors. You have
applied tor a pe�m3.t under ars exesap �on to that law. The ex�ptior� allows
you, as the ownes af your property, c act as yout oaaa etintsactar vzith eertain
restricti.ons even though you da no�G ve a license. You must .provide clirect
ansa.te supervision of t3ze constructa. n yaurself. You may build or i�pxave a.
oae-�am,a.ly os two-fam.i.ly resid�nce o a faxm outbuilc3.i.ng. You may also bui.l.d
- or improv� a cammercial bt�.ld-issg, p=c�vided your cost.s do zxot exceed $25,000.
, The bui],ding or resid�nce must be to yc�ur own use ox� oc�upancy. .2t atay aat
be btii.l� or subs�ax�tially �.mproved ��r sale or l.ease. I� yon se1:l or Zease a
buildiug yau have bu:i,lt ar subs�raat.i.�12y i�aproved ycurseZ�' �ri�hin 1 year aftPS
the constructi.oa is campl�ate, '�he law wa.11 presume •that you built os
substan�i.ally improv�d if foz sale O� �.@33Er which is a vio3at.i.on c�f this
exezaptian. You may not hz.re an ua7.i��sed person to act a's your aoutraato= or
to supervise people w►orking on your �ui.lding. 2t is your responsibili:�y to
. make sure that people e�gloyed by yo� have licez�ses rez,;red by s�ate law and
by coun�y or mun3.cip'a1 liaeasing o�d�ces. You ma.y not� delegate the
respons3bility far supervising wask a licensed aantractar who i.s not.
1icn�sec3 to pertorm the wcrk be.ixzg don�. Any p�sson work.zng aa your builcliang
wha is ssot lzc�,��d mus�t svorlc uside� �raur direct supervisa.on arxd must be
P�pZoyed by you, which meaus t�at yo must deduat F.I.C.A. and withholding tax
and provide work.ers' compEasa'�,a.on �o that �mplayee, all as pxescribed by law.
You� aozYSt.rt�.etian must compZy with 2 appl3cable lawrs, orcLisiances, buildiz.�g
codes, asid xoriing regzalations.
OWNER'S SI�NAfiURE C����+�G(���'�Y. DA2'E ,
ADDRE S S r ��...
PHClNE ° -
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