HomeMy WebLinkAbout15-15914 CI OF ZEPHYRHILLS
5335-�TH STREET
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� = ENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15914 Address: 38517 CAMDEN AVE
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:
Improv. Cost: 1,200.00 OWNER INFORMATION
Date Issued: 1/14/2015 Name: SCURLOCK JACQUELINE
Total Fees: 45.00 Address: 38517 CAMDEN AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/14/2015 Phone: (813)312-3273
Work Desc: INSTALL CHAINLINK FENC 186 'X 4'
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 45.00
, � � �
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Ins ections Re uired �
FINAL
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not pos ed on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this pe mit, 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 m nagement, 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, Specifi ations and Fee Must Accompany Application.
II work shall be pertorm d in accordance with City Codes and Ordinances
' ONTRACTOR PERMIT OFFI
ERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
. PROTE CARD FROM WEATHER
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a�s-�$o-oozo City of Zeph rhills Permit Application Fax-813-780-0021
B ilding Department
Date Received, -- . Phone Cont ct for Permitting —
Owner's Name � � Owner Phone Number � ��— ' (
Owner's Address ��ln Z f 1� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
/
Fee Simple Titleholder Address �
0
JOB ADDRESS LOT# �
1
I. $UBDIVISION___ l G� ��� P CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� AD /ALT 0 SIGN Q Q DEMOLISH
INSTALL RE AIR
PROPOSED USE Q SFR Q CO M , �0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q
DESCRIPTION OF WORK GI\1�1 ��1'�� YL c-'�� I 0 6 � )C / /
BUILDING SIZE SQ FOOTAGE HEIGHT
7 �
OBUILDING $ �Ub� VALUA ION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP S VICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
�l
�MECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � ��
QGAS Q ROOFING Q SP CIALTY � OTHER
FINISHED FLOOR ELEVATIONS FL OD ZONE AREA DYES NO
�
BUILDER COMPANY �� rA�I�Y�.-�+ (,�Y'�-(3CJ
SIGNATURE C 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
SIGNATURE 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,
Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. �
"""PROPERTY SURVEY required for all NEW co struction.
Directions:
Fill out application campletely. �-
Owner 8 Contractor sign back of application,notarized ' , � �
If over$2500,a Notice of Coinmericement is��re_quired;,"(A/C` pgrades over$7500) .,. .,.. __, , , , _ . ' '
;,� '� ,
"" Agent(for the contractor)'or Power.of Attomey(for the owner),w uld;be someone with notarized letter from owner authorizing,same ._
- - . :-r� '
OVER THE COUNTER PERMI7TING �' _ ' (Front;of Application Onl , • � � , _
Reroofs if shingles Sewers. _-.,...,..Service.Upgrades..AlC.:�;='��F ces(PIoUSurvey/Footage) " ;
Driveways-Not over Counter if on public roadways..needs ROW ~�
IVO'TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deee��r�strictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONYRACTORS �4ND COPITRf�C70ft RESPONSI�ILITIES: 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. 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 wil:=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.
YRAIdSPORTATION IMPACTIUTILITIES IIlflP�CT 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.khe project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance: i�urthermore, 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 LAIiV(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.
COfVTRACTOR'SIOVIINER'S AFFIDAVIY: 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 pertormed 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, WaterMlastewater Treatment.
- Southwrest 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 Heatth 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�II, 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: YOU1t F141LURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUFt
PAYING TVVICE FOR IIVIPROVEflfiEN7'S TO YOUR PROPERYI(. IF YOU INTEND TO OBTAIN FONANCING, CONSUl.T
VUITH YOUR LENDER OR�►N�►TT NEY�EFORE RECORDING YOUR NOTICE OF C NIMENCEfYIENY.
FLORIDA JURAT(F.S 117.03)
01M1INER OR AGENT 1. .0 COPITRACTOR
Subscrfbed and swo 0 or a med)before me th(s Subscribed and swo to r �rmed)before me this
by bY
Who islare personally kn wn to e or haslhave produced Who Is/are personally no to me or has/have produced ,
as Idendficatlon. as identification.
•ti��e%'.. JO .BACO
E . A 0 Not Public � Notary Public
' ';:: Com sion :�: :;; Expires June 29,2018
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Commi n ,;. �= Ex ires June 29,2018
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