HomeMy WebLinkAbout14-15784 CITY OF ZE HYRHILLS
5335-8T ;STREET
(�is)�s -oozo 15784
FE�ICE ERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 15784 Address: 5420 SATSUMA DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00200-0070
Improv. Cost: 860.00 OWNER INFORMATION
Date Issued: 11/17/2014 Name: JOHNSON, MARITA
Total Fees: 50.00 Address: 5420 SATSUMA DR
Amount Paid: 50.00 ZEPHYRHILLS FL 33542
Date Paid: 11/17/2014 Phone: 813-715-0386
Work Desc: INSTALL 250 X 4 CHAIN LINK FENC
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
� � �� �
� _ � - 1 '�
. :j�
�� Ins ection Re uired
F NAL
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 re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fi) 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 further permits will be issued to the person owning same
Complete Plans, Specifications a d Fee Must Accompany Application.
All work shall be performed in acco dance with City Codes and Ordinances
�„/E 'L�JO'
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
5T AVENU�
. �
O � - � _
� - �
� s. s�4��4 ��. �o.00' �P)&tF} � :
,�.Q' F.I.R. 5/8" F:I.R. ��.�?
NO 10# , , N�� Ip#
in Conc. 0 9•5 8'0 0 - in Conc.
io. cD
CO . CO C. �
Carport Metai
Shed
,._ �
� 2 •�� 4.
v �i
Canc. i � '.
� �
L� ��w i �
v J
w
a � � o .
�
� Cov. � Fforida Cj.
� � Conc. Room O
.
� 0 � . �
� _ � _
� 0 �C � .
�- o o � �
�
� � p N r '�'
� � � D � 1.0_a — �_
� � o �� �
� � �� � o
�
�- b , z6.o' a I I Z
� 0 20.0 �� � 'I
.
z - —
LDT 7 ;� ¢ F.�.R. 5��
BID�+k � N N NO ID#
in Conc.
..._. ____ � „ _ � ,
�.0• 1 a' Easement 7 ut;i�ty Pote
_.. ._. ._.... � —�� — — — —
�:i.R. 5/$" S. 89'4 '45"E. 70.�0' �P)&(F�
� LB #6859 . � I
813-780-0020 City of Zephyr ills Permit fOpplication Fax-813-780-0021
Build ng Department
Date Received Phone Contact or Permi4ting ;3� � �/ � -- ��J �
Owrner's Idame /�'lC�y` 1 /� �c��1�S Ovaner Phone Idumber ��3 V ��.� U 3��
Obmer's Address S^�r�� ���t-S��'J � U� Oeamer Phone tdumber
Fee Sira�ple�itleholder Mame �j'`� / � J�,t�n S o n Ovdner Phone Rlumber
Fee Sfmpie Titiehoider Address ��'�a(�� ��" �v�� �f•
JO�ADDRIESS S�I,�� S�'�JvM �t Ef�� LOT# ��
SU�DIbISIOR9 PARC L ID#
(OBTAINED FROM PROPERTI"TAY NOYIGE) �-
HNOEdC=PROPOSED NEW CONSTR ADD/A T 0 SIGN Q Q DEMOLISH
INSTALL e REPAI
PROPOSED USE Q SFR Q COM � OTHER
TYPE OF COMSTRUCTIOfd Q BLOCK Q +RAM � 0 STEEL �
D�SCRA�TIOFd OF WORi( a" r C�'1�1:A.I111I� ✓I� � hI
BUILDIfdG SIZE SQ FOOTAGE FIEIGHT
OBUILDING $�/,�� VALUATIO OF TOTAL COMSTRUCTIOIJ
l`�
�ELECTRICAL $ AMP SER ICE � PROGRESS ENERGY Q W.R.E.0
�PLUMBING $ ��� v U
�MECHAfVICAL $ VALUATIO OF MECHANICAL INSTALLATION v `
OGAS Q ROOFING Q SPEC ALTY 0 OTHER
FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO i ��y'
6 �
BUILDER� .� C MPAfdY I�U✓t'e- �LV✓�er
SIGId�i�U � R GISTERED Y/ N FEE CURRE� Y/N
c4ddress License#
ELECTRICIAM OAflPANY
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUAfl�EFt ORAPAfdV
SIGR9dsTURE R GISTERED Y I N FEE CUFtRE� Y/N
Address Lfcense#
i��CHE►MICAL ���m+�v
SIGWATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
OYHER OMPAMY
SIGR9ATURE EGISTERED Y/ IV FEE CURRE� Y I N
E4ddress License#
RESID�MTIAI. Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
� Minimum ten(10)uvorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit fo subdivisions/large projects
COMIIlAERCIAL Attach(3)complete sets of Building Plans plus a Lif 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 fo all new projects.All commercial requirements must meet compliance
SIGfd PEI2MIT Attach(2)sets of Engineered Plans. _ � , '
""PROPERTY SURVEY required for all NEW cons ction.
Directlons:
Fill out application completely. ,'
Owner&Contractor sign back of application,notarized
If over Sa500,a fdotice of Commencement is required. (A/C u grades over�7500)
'" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owmer authorizing same
ONER THE COUMTER PERMITPIbC: (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�,
�l07iCE O� DEED Rf�S��ICYIOPl�: 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 compliance with any
applicable deed restrictions.
LJPVLIC�IdSED COIVTF��►CYO�� �►�ID CONYRACT�R ����OPISIBILIYII�S: If the owner has hired a contractor or
contractors to undertake wor6c, they may be required to be licensed in accordance vuith 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 lawr. 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. FuPthermore, if the owner has hired a contractor or contrac�tors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which th�y will be responsible. ff 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.
YF�R9SPO�tTATIOiV IiVIPACYIUTILI'TIE� VH�i��C7�Pl� �E�OU�C� Rf�GOV�RV FE�S: 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
I 90-07, as amended. The undersigned also undersfands, 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 fihe 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.
�OPJ57FtllC710fV L.I�Gd 1.6��i1 (Chap��c 713, I�IOPI���t��lJ���� �s ��nend�d): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been p'rovided with a copy of the °Florida Construction Lien La�nr—Homeo�nrner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", 1 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.
CO�lT�d�CYOR'SIOV!lR7�R'� �►F�Ib�ii/IY: 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
certify thai I understand that the regulations of ofher 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 �ayheads, V1letland Areas and Environmentally Sensitive
Lands, WaterM/astewater Treatment.
- South�nrest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable VVaterwrays.
- Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. .
- US Environmental Protecfion Agency-Asbestos abatement. a ,
- Federal Aviation Authority-Runways. �
I understand that the follovuing restrictions apply to the use of fill:
- Use of fill is not allovved in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "N", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting uvhich 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�►GE7VT �OfR 1fHfE OWlWE�t, I promise in good faith to inform the orrvner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand thaQ 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 vvork 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 Officia!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) mon4hs 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.
!/U�RNIFl� TO O{�lR9�R: VOUI� fF�I���E TO ��CO�D A l�O�'!C� O� COWd�iENGf�i1flEP1�' fl��►Y R�Sl9LT 1�9 YOUR
�AYIIVG '�IC� IFOR IY�IIfPfi�OVfE�F1��YY� l(O 1(O�� �'VZO�'ER1�Y. �f�YOl1 9Pl'�'EW1D YO O�Yf�IR7 FIPI�iVC9R1�'s, C�R��l1�.Y
VVIVFI YOU92 L�fVD��O�G� b770�t Y[��FOV�� 9��COff��IP1C9 YOU� iV0 IC O� COi�i�liI�R1CI��iI�NY.
FLORIDA JURAT(F.S. 117.03) �l !� �� �„ll
OIAIPIEI2 Oi2 AGEPIT � VI/1r V L�"� 1A' �d��(/� COfVTRACTOR " • . /�'• d ✓�S U
Su crib� swor to(or af�jrmed)before me this Subs ribed and swor to(o a ir ed)before me this
��� by �B��.� _ ,�1 / 1—�7-(�/ by
W islare rso ally kno me or has ave produced Who ls/a�_e p onally known to me or s/have produced
� i � ys , as fdenUficaGon. ��I�.� as identificaGon.
� � tVotary Public Notary Public
Co slan N . Commission No.
Name ot Notary typed,printed or stamped Name of Notary typed,printed or stamped
I '