HomeMy WebLinkAbout15-15944 CI OF ZEPHYRHILLS
5335-STH STREET
._ -, �$�,t����o-�ao2o 1594
ENCE PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15944 Address: 38720 8TH 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: 11-26-21-0010-11500-0000
Improv. Cost: 1,000.00 OWNER INFORMATION �
Date Issued: 1/23/2015 Name: HARTLEY LAWRENCE C & GAYLA ��
Total Fees: 50.00 Address: PO BOX 1723 I
Amount Paid: 50.00 ZEPHYRHILLS FL 33539-1723
Date Paid: 1/23/2015 Phone: (813)779-0899
Work Desc: INSTALL WIRE &WOOD F NCE 5 'X 213 '
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
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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 corre ions not made when inspections called d) work not ready for
inspection when called e) permit not pos ed on job site t� 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 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, Speci cations and Fee Must Accompany Application.
All work shall be pertorm d in accordance with City Codes and Ordinances
CONTRA OR PERMIT OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPEC ION - 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 �j -�`j
� � Phone Con act for Permitting —
Owner's Name � C� C• �� �}� Owner Phone Number g13—���— �
Owner's Address g7� � %C�� ' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address � � _
,_
JOB ADDRESS � p�h �� � LOT# �
- -SU9QIVISIOR! P CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� A D/ALT 0 SIGN Q Q DEMOLISH
INSTALL R PAIR
PROPOSED USE � SFR Q C MM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME �' [�] STEEL Q
DESCRIPTION OF WORK �S�� �• �,ui�'2 -4— 6G'f� — � fiQ�,�
� BUILDING SIZE SQ FOOTAGE HEIGHT
I �BUILDING $ , D�o VALU ION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C.
� a`�� (� 2��i�
OPLUMBING $ .y �j I �^ ?,
�� I.f'•'
�MECHANICAL $ VALU ION OF MECHANICAL INSTALLATION ���
' � �
.�
GAS ROOFING S ECIALTY OTHER
0 � � 0 �
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
BUILDER � COMPANY �� Ol� {r
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;( )set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsflarge projects
-CO�dMERCIAL- 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 da e. 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 nstruction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the wntractor)or Power of Attomey(for the owner)w uld be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Onl )
Reroofs if shingles Sewers Service Upgrades A/C F nces(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs RO
,
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.
UNLICENSED CONYRACTORS AND CONTRACTOR RE3PONSI�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
cont�actor 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 appiy 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 wh�ch the� 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.
T(tAIVSPORTATION IMPACT/UTILITIES IMPACT AND RESOUFtCE 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 6uildings, 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 the project does not involve a certificate of occupancy or �
final power release, the fees must be paid prior to permit fssuan�. 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.
CONSTRUCTION LIEN LAIIV(Chapter 713, Florida�tatutes, 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"owne�'prior to commencement.
CONTI2ACTOFt'SlOWNER'S�►FFIDAVIY: 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; zbning 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, Water/Wastewater Treatment.
- Southwest 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 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 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.
ff 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 pe�mit 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: YOUR FAILURE �O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYINC TWICE FOR IMPFZOVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT
lAIITH YOUR LENDE02 O!��1N I�TL'ORtdEY BEFORE FaECORDINfa V011R NOTICE OF COMMENCEIIAENT. - - _
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT COIdTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by bY
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlficadon. as identification.
Notary Public Notary Public
Commisslon No. Commission No.
Name of IVotary typed,printed or stamped Name of Notary typed,printed or stamped
. ; :� lH �
• DISCLOS STATEMENT .FOR OWIQER
CITY OF ZEP 2I�L5 SU=I.DIl�7G DEPARTMENT
_� -Q, have read and fu11y understasid and
agree •to the provisions of 'this in trument.
.The undersigned .states and affirms that he or she is desirous of constructing,
renovating, adding to os seroofing his or her own domicile, that he or she
actually occupies, or will occupy said domicile, and same is not for
rent, lease or sale. That he or s e sha11 comply with the followiing conditions:
I
1. That the ovmer and_he or she one sha11 act as the bvilder for a11 phases of
constsuction. •
2. 2`hat the ownes will comply wi a11 provisions of �t�e City of Zephyrhills
ordinances and codes pertines�t to the building.
3. That in the event vasious phas s of construction are subcontracted; he will
en�age only •proppsly licensed ubcontractors and will personal�y supervise
such work.
4. That in the event the Building Inspactor shall re�,;re corrections to be made,
the ownps will assume full re onsibility to insvre •they are made; and upon
co�pletion will ca11 for a re' ection before proceediiig with the building. �
5. That the owner sha11 asst�e f 1 responsibility for the constzzict3.on and wi11 '
aot expect_ supesvision of his ork from the City .of Zephyrhills Buildirig ,
Depart�eat. � ° , _..
6. That prior to final inspectio any additional fees, including reinspection ,
fees, must be paid in full. vtritten request from ttiis office sha11• ,
constitute an official notice o pay additional fees.. °
7. That the ownpr sha11 comply w'th a11 City, State and Federal laws in regard to
social seaurity, workman's c ensation, lien laws, etc. , where applicable. I
8. That the owner sha11 comply w'th a11 the safe.ty codes issued by the Florida
Iadustrial Commi.ssion. •
9. State 1aw re�,;res constsucti n to be done by licensed contractors. You have
applieii for a perm3.t undps an exP�ptioa to that law. The exemption allows
you, as the owner of your pro ty, to act as your own contractor with certain
restrictions even though you o not have a license. •You must .provide direct
onsite supervision of the con t-suction yovrsel.f. You may build or improve a
one-family or two-family resi ence or a farm outbuilding. You may also build I
or improve a commescial buil g, provided your costs do not exceed $25,000.
, The building or resid�ce•mus be for your own use or occupancy. St may nct
be built or substantially i� oved fcr sale or lease. If you sell or lease a
building you have bvilt or s stasitially i�proved yovrself within 1 yeas after
the construction is complete, the law will prest�e•that you _built or
substantially improved if for sale or lease, which is a violation of this
P.]Cemption. You may not hire unlicerised person �to act as your �ontsactor or
to supervise people working o yovr 2�uilding. 2t is your responsibility to
make sure that people P�ploye by you have licenses rez,;red by state law and
by county or municipal liceas' g ardiaances. You may not delegate the
responsibility for supervisin work to a licensed contractor who is not.
licensed to perform the worh eing dnne. Arsy pesson working on your building
who. is not licensed must work uncies your diract supesvision and must be
'�'�sIIployed by you, which means t you must deduct F.I.C.A. aad withholcling t=Y
and provide workess' compensa �on for that e�ployee, a11 as presoribed by law.
Your constsuction must comply with a11 applicable 1aws, ordisiances, building
codes, and zoning regulations.
r
o�R-S Sz�� __ ' DATE I- Z,U-a��_
�D�SS E. �
PHONE l --- '�Q_
w2TNESS PEFIL�T #
�.�F.�.r� -'`�- `"�°`'BDUN�IARY SURL'f_-�'
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