HomeMy WebLinkAbout15-15992 CI OF ZEPHYRHILLS
5335-8TH STREET
� (sis)�so-oo20 1599
' FENCE PERMIT
., PERMIT INFORMATION LOCATION INFORMATION
, Permit Number: 15992 Address: 5308 19TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Cl�ss 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: 11-26-21-0010-17600-0010
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 2/09/2015 Name: COLEMAN CECILIA & SCHNEIDER DAVI
Total Fees: 50.00 Address: 5409 TIMBER RIDGE DR
Amount Paid: 50.00 WATAUGA TX 76137-4739
Date Paid: 2/09/2015 Phone: 727-389-2314
Work Desc: INSTALL VINYL WHITE FE CE 231 ' X 6 '
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
� � � � �� S
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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 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 perform d in accordance with City Codes and Ordinances
�
�CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
s�s-�so-oo20 ' City of Zep yrhills Permit Application Fax-813-780-0021
. uilding Department
Date Received Phone Co tact for Permitting
, I L
Owner's Name ��� 1��� Owner Phone Number o� � °�?j� I
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ��
JOB ADDRESS ���1S � J� � �`� "'�r�"'���S �!- 3��y LOT# �
, � - - . - -- -
SUBDIVISION � _CEL ID#
� (OBTAINED FROM PROPERTY TAX NOTICE) �
'I WORK PROPOSED �NEW CONSTR B A D/ALT � SIGN Q Q DEMOLISH
INSTALL R PAIR
PROPOSED USE [� SFR Q C MM 0 OTHER
' TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q i� �
DESCRIPTION OF WORK —��Ta�1Ct..'Gj Dl�l ��I" (,��I,T� �J i v� 1 i �q
BUILDING SIZE SQ FOOTAGE � � LN HEIGHT
�O �
QBUILDING $ ��oD VALU ION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP S RVICE � 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ a�
QMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION � ``,�
QGAS Q ROOFING Q S ECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
��l.
BUILDER � i COMPANY �El�Z� �j�2U�tAYI�
SIGNATURE -�i�� REGISTERED Y/ N FEE CURRE� Y/N
Address 3D `�h �� „.� L 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 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 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:r.equired. {A/C upgrades over$7500)
:._�-.. -,.,,,...
" Agent(for the contractor)or Power of Attomey(forth�.owne�)w•uld be someone with notarized letter ftom 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 CONTRACTORS AND COPIYRACTOR RESPONSIBILITIES: If the owner has hired a contracto� 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 IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of newr 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 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. ,
CONTRACTOit'SlOWNER'S �►FFIDAVIT: 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. f 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 EnviFo�mental 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 flll, 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 Buildirig 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) months after the time the work is commenced. An extension
may be request�d, in writing, from the Building Official for a period not to exceed ni�ety (90) days and will demonstrate ,
--justifiable-cause for the extension. If work ceases for ninety(90)consecutive days,—ttie job-is conside�ed abandoned: -
WARNIiVG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT BIIAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COiVSULY
Vi11Tli YOUR LENDER OR�►N ATTORNEY BEFORE RECORDING YOUR NO'TICE OF COMMENCEIWENT.
FLORIDA JURAT(F.S. 117.Q3) /
OWNER OR AGENT CONTRACTOR � i� '� ����'��'�
Subscribed and swom to or affirmed before me this Scubscribed and sw afx med) efore m,f-this ,-
by ( ) f�41 by ✓iL - � -!J
Who is/are personally known to me or has/have praduced Who Islare personall own to or has/have produced
as IdenUfication. as iden�fication.
•� o•''i�' EL Notary Public I�
Notary Publi - •
-*; :.: ommission#FF 137073
Commisslon No. Commission No. �' .. . '.�= Expires June 29 ��
onded Thru Troy Fain Insiaa�rce gpp.3g5•7018
Name of Notary typed,printed or stamped Name of Notary typ ,printed or stamped
, • Q � � v����`'' �dG.°�r� �5��° UC� `'�a O�G�`'o
. J,� � 2149 SUGARB 5H DR�#�� HOLIDAY FLORIDA 34690
Voice (727) 8 7-5544 — Fax (727) 940-7465
SEC il TYPP 265 ftNG�E
,Certified TO: PASCO COUNTY, FLORIDA
�EREK COLEMAN �
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12.6' 1�5 _,� (Block 176) V�a Fence Line �I
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Lot 5
_ v v (Block 176)
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^ d Specia/ Surveyor's Note:
N cv 7his Boundary Survay was prepared without the benefit of a
tif/e report. There sti// cou/d exist other easements,
����gyy�� rostrictions, encumbmnces, etc., fhot were not piesented
FlR � Z• � ���'� this surveyor/Frm when preparing this report. These
(No c p) I particu/ar i:ems moy possibly be prosenf et th.e PaY:o
Caunf;% Court�nuse.
�E nd• � Surveyors Notes:
PSM = Profeasional Surveyor and Mapper F.T. = Feace 'tie to propertp line 1. Lego/ Description provided by client.
RIS = Registered Iand Survepor C.H.S. = Co crete Block Structure 2. Bearings are based on the East Right—of—Way /ine fo
FCM = Found Concrete Monument ¢,= Center' e 19fh Street. Soid line bears North. Assumed.
FCIIt = Found Capped Iron Rod S/W = Sidebvalk Tie 3. Benchmork Surve s lnc. mokes no re resentations or
SCIR = Set Capped Iron Rod S/P = Scre ned in Porch l' • P
FIP = Found Iron Pipe STY = Sto guorontees as to easements, rights—of—woys lrnes. set
FPP = Found Pinched Pipe Res. = Res ence bock lines, �eservotions, agreements or othe� similar
FII2 = Found Iron Rod H.T. = Buil ' g 4Ye matters.
LH = Licensed Business C." _ �aess Coraer 4. Per the Notional Flood /nsuronce Rote Mop, City of
Ff F = FYnished Floor = Wood Utility of Light Pole zephyrhi//s, Posco County, Florido, Community Panel
P = Plat Measuremeat /S = �Poo Shed
= FYeld Measuremeat M/S = Me 1 shed Number 120235 0005 C Mop Revised 12/17/1991, this
D = Deed Measurement C/C/S = C vered Concrete Slab property oppeois to be located in Flood Zone X".
C = Calculated Meaeurement P.O.H. = Po t oP Beginning 5. No underground utilities or improvements or roof
8eD = Set nail & Disk P.O.C. = Po t of Commencement
E�o �d�.�. ,IGT VALiD �VITHOUT THE SIGNA RE AND THE �� �� �� '�
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. � gl Descri tion: �
l HEREBY CER]7fY THAT 1NlS SKE7�CH OF SURVEY OF THE HERE�N DESCRIBED PROPER7Y g p
HAS BEEN MADE UNL�ER ��IY pi�?ECTI , ND TO THE BEST OF (JOWLEDGE AND BELIEF, lT Lots 1 through 4, Block 176, EXCEPT the Eost
lS A TRUE ANU ACCUfrATE RENk N ON OF A SURVEY THAT WfEETS THE M/N/MUM 90.00' feet thereof, TOWN OF ZEPHYRHILLS,
CHNICAL STAND S o R . _THE FLORIDA BOARD OF f#I�OFESSIONAL SURVEYORS according fo fhe map or plat thereof as
S DESCR/B N ,.TF'i? 7 THE fLORIDA ADM/NISTRATII� CODE. recorded in Plat Book 1, Page 54, of the
Public Records of Pasco County, Florido.
#2014.026 DATE.• 02/16/2014 Drown By = GT
THO N. GAZ�LL PSM N0. 5387 Checked By = Tg
STATE OF FLORIDA - LB 6869 FB# ln file Crew: tg,dy
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