HomeMy WebLinkAbout15-15917 „ CI OF,z�PHYRHILLS
5335-STH STREET
' (sis)�so-oozo 159
ENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15917 Address: 5111 19TH 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: 11-26-21-0010-20100-0090
Improv. Cost: 300.00 OWNER INFORMATION
Date Issued: 1/15/2015 Name: LOPEZ ANDREW C
Total Fees: 40.00 Address: 5111 19TH ST I
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-2168 �
Date Paid: 1/15/2015 Phone: 813-312-7971
Work Desc: INSTALL WOOD FENCE 4' 60 '
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 40.00
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In 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 fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corr ions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 anagement, state agencies or federal agencies.
The payment of inspection fees shall be mad before any further permits will be issued to the person owning same
Complete Plans, Speci ications and Fee Must Accompany Application.
All work shall be pertorm d in accordance with City Codes and Ordinances
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
. uilding Department
Date Received Phone Con act for Permitting _
Owner's Name ���� w G � E'Z Owner Phone Number S�� 312�9 7 1
Owner's Address �� �q �k 5T Owner Phone Number
Fee Simple Titleholder Name /�w�w C ��(�'� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� I y TH �T ^ - ' •- _ LOT# �
SUBDIVISION P CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B A D/ALT. 0 SIGN Q Q DEMOLISH
INSTALL R PAIR
PROPOSED USE Q SFR Q C MM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME C] STEEL Q
DESCRIPTION OF WORK � t � `��� �^�i°'°� ��`��� �o�� C-i�a✓- /=�-�- j''o�q �
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ ���Q oa VALU TION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP ERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�Sa�?
QMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q S ECIALTY � OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA �YES NO
SIGNATURE �� COMPANY / `�'�'�' r'� w C L o e 'Z
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 d te. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Pe it for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW nstruction.
Directions:
Fili out application completely.
Owner 8 Contractor sign back of application,notarized � "� �
If over$2500,a Notice of Commencement is•requ7red.:;(A/ _upgrades over$7500)
" Agent(for the contractor)or Power of Aftomey,(fo�tfi'e owner)=�oulii be;someone with notarized letter from owne�authorizing same �- ��._� -
OVER THE COUNTER PERMITTING (Front:of Application O ly,)' '� : - �
, Reroofs if shingles Sewers Service Upgrades A/C en�es(PIoUSurvey/Footage) a , _
Driveways-Not over Counter if on public roadways..needs RO , M'y ��
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NOTICE OF DEED RESTRICTIONS: 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.
UPILICEIVSED CONTRACTORS �►ND COiVTR�►CTOR 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 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 identifled at the time of
permitting. It is further understood that Transpo�tation Impact-Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the pt`�oject 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.
CONSTFtUCT'ION LIEN LAW(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.
CONTI2ACTOR'SIOWNER'S AFFIDAVIT: I certify that all the informativn in this applicafion 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 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 Watenrvays.
- 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 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 ihe 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 Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the�►GENT FOR THE OWINER, 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.
INAFtNIiVG TO OWNE1�: YOUR FAILi1RE TO RECORD A NOTICE OF-COMMEfVCEf�iENT NiAY RESUL'P-IN YOUIZ
PAYING TWICE FOR IMPROVEnAENTS TO YOUR PROPERTY. IF YOU IPVTEND TO OBTAIN FIN�INCING, CO�ISl1LT
{{�IIITN YDUR LENDER OR AN�►TTOR(VEY BEFOftE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT � CONTRACTOR ��� �
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before m this
by by
Who is/are personally known to me or haslhave produced Who(s/are personally known to me or has/have produced
as Identl cation. as identification.
otary Public ����Y�P � E.B Notary Public
,.,,,,,,.,, -• ;,:� ':;: Commission 201 B
Commis �i�����" Commission i3y. :;° Ex ires June 29,
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Name of ped;•�rinted srstamped '• Name of Notary ed,printed or stamped
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l, of C1TY OF ZEPHYRHILLS, according
; recorded in Plat Book l, Page 54
o Counfy, Florida.
LOT $
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