HomeMy WebLinkAbout15-15985 i
CI OF ZEPHYRHILLS
j 5335-8TH STREET
(sis)�so-oozo 15 5
ENCE PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 15985 Address: 5020 5022 6TH 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: 11-26-21-0010-19100-0130
Improv. Cost: 1,250.00 OWNER INFORMATION
Date Issued: 2/05/2015 Name: PHILLIP MICHAEL INC
Total Fees: 45.00 Address: 6951 GALL BLVD
Amount Paid: 45.00 � ZEPHYRHILLS FL 33542-2586
Date Paid: 2/05/2015 Phone: (813)788-6661
Work Desc: INSTALL 4 ' 5 'X 109' CHAI LINK FENCE
CONTRACTOR S APPLICATION FEES '
PASCO FENCE COMPANY INC (813)788- 642 FENCE 45.00
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In ections Re uired .
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fo lowing reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site� 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 coun , 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, Spec ications and Fee Must Accompany Application.
All work shall be perfor ed in accordance with City Codes and Ordinances
U�`�
CO RACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
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' PROPOSAL N0.
SHEET 1V0.
PASCQ FENCE CO. �A-�
PROPOSa�����r�m. Street Ze h rhills FI 7g�—S�TOBEPERFORMEDAT 2��2�2�1
NA@![E AD[�RESS
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. • • DATE OF PLAPlS
PHONE N0. ARCHffECT
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We hereby propase ta fumish the ma#eriais a�rd perform the labor necessa fa'#�e comp(efion of
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Ail�taterial is guaranteed#o be as speai�ed,and t�e above work to be p armed in aceordanae with fhe drar�ings and specificafians submitted for above work and
completed in a substantia!woffl�manli�e manner for the sum of
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DoHars ($ )w"t#h payme�►ts to be made as folloaas.
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$'75Q.04 Balance due upan com letion of job.
My atteration or devialian from above specficaaiions involving extra costs (�'
will6e exewted only upan written order,and wili become an extra charge ReSpecEfuHy / C��,
over and abaue the estimate. AII agreements con�ngent upon sUikes, SUbTfllf�@d r�
accidents,or delays beyond our cor�r41.
P�r
Note—this pvaposal may be withdrawn by us if not accepted within days.
� - . - , . . ACCE.TANCE OF PROPOSAL
.ilie above.prices;;specifcations,and coriditions are satisfactary and aie ereby accepted. Yau are a�thorized to do the�rorEe as specified, Payr�ents wil[be made as
�outlined above: � � _
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�Date , , Signature
�;edamr D8118 _ 3-12
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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
Da7e Received Phone Con act for Permitting —
Owner's Name �U ,$' Gr� j��/�- Owner Phone Number
Owner's Address Owner Phone Number
I Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS ��ya� �3��ZJ� aNc� /�d � �O 2(���O Z Z� �7"/�l.f'r' LOT# �
' SUBDIVISION P
CEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
' WORK PROPOSED NEW CONSTR A D/ALT 0 SIGN Q Q DEMOLISH
� INSTALL B R PAIR
PROPOSED USE 0 SFR Q C MM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q
� DESCRIPTION OF WORK 'S` L�l'�%�/i' Gs�v� � �— Cs4�i9�i✓ Lliv��
' � ��- `
BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ VALU TION OF TOTAL CONSTRUCTION
f.�s4, o 0
I DELECTRICAL $ AMP ERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ /
Sc�qs
OMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION �
�
OGAS Q ROOFING Q S ECIALTY � OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
BUILDER / // .� COMPANY /Ts�° F�NG'G� C c /`./ C
'I SIGNATURE �i��^-e�L?j--- REGISTERED Y N FEE CURRE� N
Address 2,S L u�� S � 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 ate.�Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, -
Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisionsAarge 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 ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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:
Fill out application completely. ,
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. ( C upgrades over$7500)
"" Agent(for the contractor)or Power�of Attomey'(fdP tHe"owner)` ould.be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIiTING , (Front of Application 0 ly)
Reroofs if shingles Sewers : S'ervice Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs R � I
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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
applicabie deed restrictions.
11NLICENSED CONTRACTORS AND CONTIZ�►CTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance virith state and local regulations. If the
contractor is not licensed as required by lav+r, 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.
TRAIVSPORTATION IMP�4C7/UTILITIES INIP�►CT APVD RESOURCE itECOVERY 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 the 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 v+rith applicable Pasco County ordinances.
CONSTRUCTION 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.
CONTR�►CTOR'SIOWNER'S AFFIDAVIT: 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 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 permifted 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
-PAY!!M��ICE FOR 119APROVEI!lIEfVTS TO YOUR PROPERTY. -I�.YOU-ItdTEldD TO OBTAIN FIRl�NClN�,-COPlSUl�7' -- -- --
1fi11YH YOUR LENDER OR AN�►7TORNEY�EFOFtE RECORDING YUUR OTICE OF COMMENCEf1AENT.
FLORIDA JURAT(F.S. 117.03)
OlRINER OR AGENT COIVTRACTOR '"' ` —'��--
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirme before me this
by bY
Who is/are personally known to me or hasJhave produced Who Islare personally known to me or has/have produced
as ldentlfication. as identification.
Notary Public Notary Public
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Commisslon No. Commissi � =�• �
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Name of Notary typed,printed or stamped Name of N