HomeMy WebLinkAbout15-16338 CITY OF ZEPHYRHILLS ��
� y 5335-8TH STREET
(sis)�so-oo20 16338
FENCE PERMIT �
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16338 Address: 38320 9TH AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposeci Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10000-0200
Improv. Cost: 1,290.00 OWNER INFORMATION
Date Issued: 6/04/2015 Name: CORNERSTONE BAPTIST CHURCH OF
Total Fees: 45.00 Address: 38320 9TH AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/04/2015 Phone:
Work Desc: INSTALLATION 148 X 4 CHAIN LINK FENCE
CONTRACTOR S APPLICATION FEES
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
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Ins 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 following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g) work not accessible.
NOTiCE: In addition to the requirements of this permit, 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 management, 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, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
�/ �
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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. PROPOSAL N0.
SHEET N0.
PASCO FEIVCE CO. �
PROPOS���� Street Zephyrhills, F� 7gg-564�RKT0BEPERFORMEDAT: DA� 6/03/2015
NAA�IE ADDRFSS
Cornerstone Ba tist Church
ADDRESS
38320 9th. Ave.
Zephyrhills, 1'�� DATE OF PLANS �
PHONE N0. AACHffECT
We her�by propose to fumish t�e ma#erials aFltl perform the labor necessary for the completion of .
184 ft. of 4' Chain Link Fe�ce.
1 ea. 4' x 12' Barr�er Gate.
11-26-21-0010-1000Q-0200
All snaterial is guaranteed to be as spec�ed,and the above work to be performed in acaordance with the drawings and specifications submitted for above work and
' compieted in a substantial woFl�rnanfi�e manner for the sum of �rt�en I�undred ' Dollaes...................
DoHars ($ �,3�nn )with paymeFlts to be made as folfows.
Tota� due on day +�f completion. �
My atteration or deviation from above spec�cations invoiving exha costs � 'N�/-G��
will be executed oniy upon written order,and will become an extra charge RespectfuNy ���
� over and above the estimate. All agreements contiragen#upon strikes, submitted
accidents,or delays beyond our control.
P�r
Note—this proposal may.be wilhdrawn by us'rf not accepted within days.
� " ACCEPTANCE OF PROPOS
The�above prices,specifications,and conditions are satisfactory and are hereby accepted. You are orized to do the work as specified. Ra}rments witl be made as
outlined above. •
� Signature
Date Signature
:'�,c,�.adams D8118 3-12
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• e�s-�8o-oozo . City of ZephyrFiills Permit Application � FaX-s�s-�so-ooz�
Buildfng Department
+ J g
p�te ReceieecB Phone Gontact for Permitting �l� 7�d' -- J���
Ouvner's Riame c d�iNE�2's/p,r'✓� �,�f�j f�S',� �I�cJc.1G , O�ner Phone fduenber ,
Otn►ner's�4ddress Owner Phone Number
Fee Simple Titleholder Mame Owner Phone Rlumber
Fee Simple Ti4leholde�Address
JO�A►DDRIESS �(S V �� ILOT# �
SU�DINISIOId Pe4RCEL ID# �l o�� —�,(-- ,�O/V-- /O D U �}--O Z�6
a (OBTAINED FROM PROPERTY 7AX NOTICE)
lMOREC PEtOPOSED � NEW CONSTR e ADD/ALT � SIGiU 0 � DEMOLISH
INSTALL REPAIR
�ROPOSED USE Q SFR Q COMM � OTHER
NPE OF COMSTRUCTiOfd Q BLOCK Q FRAME 0 STEEL Q �
D�SCRIPTIORI OF HlfORK '�" t C pQ//� L/ �/, �'""��N��
� ' A
BIDIILDIfNC�o 51ZE S(d FOOYAGE HEIGHT
�BUILDING $/ e �a��� VALUATION OF TOTAL COIVSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.0
OPLUMBIIVG $
i �
QMECHANICAL $ VALUATION OF MECHAMICAL INSTALLATION ��
�GAS Q ROOFING Q SPECIALTY � OTHER � !��
l
FIfVISH�LOOR ELEVATIONS FLOOD ZONE AREA DYES NO
� sui�.n�R ,, ¢� connPe�NV � C � �'� C'�� � c; i,�C
SIGfdATURE � �c�, REGISTERED / R� FEE CURRE� 1 N
�ddress License#
ELECTRICIARI COflAPAMY
SIGMG�TURE REGISTERED Y/ I� FEE CURREA Y/N
e4ddress License# �
��d11MBER COIlAPAfdX
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/fV
�lddress L(cense#
IMECHAMICAL COAAPARlY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/IV
Address License#
OTFdER COMPAfdY
SIGPdATURE REGISTERED Y/ M FEE CURRE� Y/M
,A,ddress - License#
E2�SI�IEMTIAL 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities d�1 dumpster;Site Work Permit for subdivisions/large projects
COAIIMEFtCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGM PERAAIT Attach(2)sets of Engineered Plans.
' ••••PROPERTY SURVEY required for all NEW constructlon. '
Directlons:
Fill out applicatfon completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Motice of Commencement is required. (AJC upgrades over§7500)
°• Agent(for the wntractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
ONER THE COURlTER PERIlAITYITlG-.,:,.,(Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C��-�"�, Fences(Plot/Survey/Footage)
. - . ,
Driveways-Not over Counter if on�public roadways..needs ROW
NOTIC� O� D�ED R�ST�ICTB�lR➢�: The undersigned understands that this permit may be subject fo"deed" restrictians"
which may be more restricti�e than County regulations. The r,td�rsigned assumes responsibilify tar campliance vtirith any •
applicable deed restrictians. '��� �
!1�lL.00fER4SED CI�idTRA�7C�P�� /a1�IID ���elY�►�'�'�ff� I�f���0�15l�lLQYG��: If the awner has hired a contractor or
contractors to underkake work, they may be requir�d ta be licensed in accordance writh state and local regulations. If#he
cantractor is not licensed as required by lawr, both the ovun�r ancl�cantracfor may b�e cited for a misdemeanor violatiQn
under state law. If the owner or intended contractor are unc�rtain as ta what licensing requirements may apply for fhe
intended work, they are advised to contaG#the �'asco County �ui(ding Insp�cYian Diuision—Licensing Section aE 727-847-
8009. �urthermore, if the owner has hirec! a contractar or contractors, he is advised to have the contractor{s) sign
parkions of the "contractor Black"' of thfs applicakion for vvhich they will be responsible. If you, as the owner sign as #he
contractar, that may be an indication thaf he is not properly licensed and is not �ntitled to permitting privileges in Pasco
County.
i'�►NSF��31�Y�►�IOtV ��i��,C�'Il7'�'�LiYI�� ��il�,��'��i�Y�➢����H3��� �i�C��/l�RY Fi��s: The undersigned understands
that T�ansportation im�act Fees and Ftecourse Ftecaver1r Fees may ap�ly to �he construction of new buildings, change of
use in existing buildings, or expansion of ex'tsfing building5, as specifed in Pasco County Ordinance number 89-07 and
90-47, as amended. The undersigned also understands, that'such fees, as may be due, uvill be identified at the time of
permitting. It is further understood that Transportakion Impact Fees and Resource Recovery Fees must be paid prior to
rec�iving a "certificate of occupancy" or final povuer reiease. If the project does not invoive a certifica#e af occupancy or
finai power re(ease, the fees musf be paid prior to permit issuance. Furtherrrtore, ifi �'asco County Water/Sewer Impact
fees are due, they must be paid priar to permit issuance in accardance r�rith applicable Pasco County ordinances.
CC?FVS��t�J�TlO�! L.8�P1 ��,1tlt(Cfi��t�r�'93, C�I�eida����gc�4��, �s �ert�r�d�d}: !f valuation of wark is $2,500A0 or more, !
certify that I, the applicank, �avs b�en pravided v�rith a copy of the "Flarida Canstruction Lien Lauv—Hameowner's
Proteckion Guide" prepared by fhe Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other fhan the "owner", I certify that I have obtained a copy af the above described document and pramise in good faith to
deliver it to#he"owner"prior fo commencemenf.
CC}�#TRl��TO�'SIOif�fFi�i�'� �IF����Vi�': { c�rtify thaf a11 the infarmafian ir� this applicafion is accurate and that al!�vork '
wil! be done in compliance with a!f applicable lavus regulating consYruction, zoning and lantf development. Applicatian is
hereby made to obtain a permit to do uvork and installation as indicated. I certify that rto work or insta!lation has
commenced prior to issuance of a permit and 4hat all vvork �nrill be perFormed to meet s#andards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdicfion. I a(so
certify thaf 1 understand that the regulafions of oth�r governmenf agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be in campliance. Such agencies include but are not fimEted ta: ,
- Department of Environmenfal Protection-Cypress �ayheads, W�tland Areas and Environmentally Sensitive
�.ands, VVaf�rNVastetnrater Trea#m�nf.
- Sauthwest Florida Water li�anagement District-Wells, Cypress Bayheads, UVetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, �tavigable Wa#ervvays. -
- Department of Health � F2ehabilitative Servicesl�nvironmenta! �ealth llnit-VhJeNs, Wastewater Treatrr�ent,
Septic T'anks. Q
- US E�virc�nmental Pratection Ngency-AsbesEos abatement.
- Federa!Aviation Author'tty-Runuvays.
I undersfand that the following restrictions apply to the use of fill:
- Use af fill is not atlowed in Flood Zone"V"unless expressly permitted.
- lf the fi(I mat�rial is to be used in Flood zone "A", it is understood that a drainage plan addressing a .
"compensating vo(ume" will be submitted at time ai` permifting uvhich 'ss prepared by a professiona! engineer
licensed by th�State of Florida.
- !f the fill material is to be used in Flood Zone "A" in connection v�rith a permitted building using stem uval!
canstruction, ! c�rtify that fil!wiU be used only to fil!khe area within the stem r�all.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
praperties. If use of fill is found to aduerseiy affec# adjacent properties, the owner may be cited for viola#ing
the condi#ions of the bui(ding permit issued under #he attachecf permit application, for (ots less Ehan ane (1)
acre which are eievated by fill, an engineered drainage plan is r�quir�d.
If I arrt the ACIENT �QR TH�0��4�1�, t promise in goad faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. Y unders4and that a separate permit may be required for electrical vuork,
plumbing, signs, w�ells, paols, air conditioning, gas, or other installa#ions not specifically included in the apptication. A
permit issued shall be construed to be a license to proceed with the �nrork and not as auEi�arify ta vialate, cancel, aifer, or
set aside any provisions of the technicai codes, nor shall issuance of a permit prevenf the Building Officia!from fhereafter
requiring a correctian of errors in plans, construction ar violatians af any cades. �very permit issued shali became invalid
un{ess the work autharized by such permit is cammenced vuithin six months of permit issuance, or if vuork authorized by
the permit is suspended or abandoned for a period af six{B) months after the time the uvork is commenced. An extension
may be requested, in writing, from the Building Official for a period not to �xceed ninety (90) days and will demonstrate
justifiable cause for the extension. If wark ceases for ninety(90)cansecutiv�days, the job is considered abandoned.�
v�,���o�� -ro or����: �au� ����u�� �c� ������ � �o��c� �� c�������c���� ���r �.��u�.� �� �ou►�
��1YtN�TVNI�E lF��2 ��F�R�7►VE�fiE�l�� 7Q YCit�� I�F20#�fE�tlY. B�'S(OtJ D�lTE�tf�T� t��YAtP1 �1�l1�t�Y�lf��, �OP�St!!L�"
lfiitlYN Y�2t��t�.�Nt��l��[t�HI a�i'�QIRP1fEY I��l���tl� �lE����9(r�➢�Z'OMJ�P10T'!C���'��l��i���lCf�f�i�P�Y.
FLQRIqA JURAT(F.S. 117.03) ��
OUVid�R 4f2 AG�P1T COAIT�CTO� � �—
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed) efore me this
by , �.,,�-b}r"--�....
Who tslare personaily known to me or has/have produced Who[s(,at'e sona p-k�a n to me or haslhave prdduced �
as Identlfication. / as identification.
tVotary Pubiic t Rtotary Pubtic
Commissfon No. Com is
_*�Y+ '::__ Commissian#FF 150422
Name o1 Nokary typed,prfnted or stamped PVame of ' ,y
''��P�,,., � 9 8 ns Tray f��s��§`800assaoi9