HomeMy WebLinkAbout15-16117 CITY OF ZEPHYRHILLS
, ' S335-8TH STREET
�' (813)780-0020 16
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16117 Address: 6407 FORT KING RD
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: 03-26-21-0010-07900-0050
Improv. Cost: 1,550.00 OWNER INFORMATION
Date Issued: 3/26/2015 Name: FELLOWSHIP BIBLE CHURCH OF ZH
Total Fees: 45.00 Address: 6407 FORT KING RD
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-2537
Date Paid: 3/26/2015 Phone: (813)780-9123
Work Desc: INSTALLATION 199 X4 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 f) 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
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CO RACTOR 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 FENCE CO. .
PROPO���,`�r�� ��eet Zephyrhills, F1788-564�,ORKTOBEPERFORMEDAT: DA� 3/18/2015
NAME ADDRESS
FELLOWSHIP BIBLE CHURCH
ADDRESS
6407 FORT KING 1ZD.
Zephyrhills, Fl� DATE OF PLANS
PHONE N0. � � � • ARCHffECT
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We hereby propose to fumish the materials and perforfn fhe labor�ecessary for�e oor�ple�on of '
199 ft. of 4' Chain Link Fence.
1 ea. 4' x 16' Double Drive Gate.
Labor and Permit
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' 'All�naterial is guaranteed to be as speci#'ied,and t�e above wwrk to be pertormed in aceoFdanae with t�e drawings and specifications submitted for above work and
' ' compieted in a substan#ial wo�rnanli�e manner for the sum of Fifteen Hundred Fi Dollazs.........:.........
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� �! DoNars ($ 1,550_00 )with payme�ts to�e r�ade as follours.
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� Payment Due Upon Completion Of Job.
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My atteration or devia6on from above specifications involving exha costs � �(,��/l�''/d/ -
will be executed only upon written order,and wAI becrome an extra charge RespectfuNy
over and a6ove the es6mate. All agreemeMs contiogent upon strikes, submitted
' accidents,ar delays beyond aur control.
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Note—this proposal may be wi�drawn by us if not accepted within days.
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`The above prices,specifications,and conditions are satisfactory and are hereby accepted:You are authorizetl to do the work as specified. Payments will be made as
! `ouUined.above. � . ; - , ,_ - ' ,� ` �;G����4-�'
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'.�'Date., _ - � .. . Signature
-;'�/,�,,adams�D8118 3-12
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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Building Department
Date Received Phone Contact for Permitting p ` � ��� - - �(p �-
Owner's Name f��V L.�c�'�� /- � /QL� Cr-1'�� � Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simpie Titleholder Address
JOB ADDRESS Cv'TD� �O 2•� ,�//�� �i,, LOT# �
SUBDIVISION - PARCEL ID# �� � �ro�r�J '�0�O � C�79�C� "�0��
(OBTAINED FROM PROPERTY TAX NOTICE) •
WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q • SFR Q COMM•�• � Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK T tC�I/�J%/✓ L/�U/G r�/J��
BUILDING SIZE SQ FOOTAGE ��o t HEIGHT �
�BUILDING $ /���a o � VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (_ �f �
I�(/ 1
OGAS Q, ROOFING Q SPECIALTY [� OTHER � /�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO f b �
BUILDER , � p� D COMPANY / �� _O ��✓v�'G L° v �i✓C,
SIGNATURE �/"M� REGISTERED Y N FEE CURRE� ^/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 date. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed;
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _ —
, COMMERCIAi_ - -p,�zch(3)-�r.;p;�te sats a�B���ding-Fians pius a'�ife Safery Page;(1)se4 of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanftary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY�required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING � (Front of i4ppHcation Only) `
Reroofs if shingles Sewers ; Service Upgrad'es`A/C � Fences(Plot/Survey/Footage)
Driveways-Not over Counter if.on putilic roadways..rieeds ROW
NOTICE OF DEED RES'�RICTIONS: The undersigned understands that this permit may be subJect to"deed"restrictions"
wh�ch rnay be more restr.ictive than Cbun#y regulatlons. The undersigned assumes respansibility far campliance with any
appHcable deed restrictions.
UNLECEMSED Ct�NTRACTQRS AND CONTRAGTOR RESPQNStBILITIES: If the awner has hlred a cantractor or
contractors #o undertake work, they may be required ta be licensed in accardance with state and•local regulatians. If the
contractor is not licensed as required by law. both the owner and contractor may be cited for a mtsdemeanor viofation
under state law. if the owner or Intended contractor are uncertain as to what ticensing.requirements may appiy for the
inlended work, they are advised to cantact the Pasco County Butiding Inspection Division—Licensing Section at 727-847-
80Q9. Fu�thermore, 1f the owner has tilred a conf�actor or contracfars, he Es aciv3sed to have the cantractor�s} sign
portians of the "cantractar Black" of this appllcakian for which they will be responsible. If yau, as .the owner sign as the
contractor, that may be an indication that he is not praperly (icensed and is not entitled to permitting privilsges in Pasco
County.
TRANSPORTATICIN IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Tcanspo�#ation lmpact Fees and.Recourse Recavety.Fees may`apply to the canstre�ction o#new bulidings, change of �~ �
use in existing bulldings, or expansion of existirig buildings, as specifled in Pasco Caunty Ordinance number 89-07 and
90-07, as arnended. The unde�sfgned also understands, Ehat such #ees, as may be:dt�e,.wll! be tdentifred at the time of
permitting. it is further understood that Transportation impact Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate af occupancy" or final power release, .If the projec#does not involve a certiflcate of occupancy or
final pawer release, the fees must be paid'prior to permtt issuance. Fu�thermare, i�Pasco Caunty Water/Sewer {mpact
fees are due, they must be paid prior to permit Issuance�in accordance with applfaable Pasco County ordinances.
CONSTRUCTION l.1EN t.AW(Ghapter 713; Ftorlda Statutes�as amended): ff valuatlon of work is$2,500.00 or more, t
certify that i, the appiicant, have been provided with a capy of the "Florida Construction Lien Law—Homeowner's
protection Guide" prepared by the Florida Departmenk of Agrtculture and Consumer Affairs. !f the appiican# [s someone
other#han#he"owner", t certify that i have.ci6tained a copy o�fhe above.described document and promise in goad faith to
deliver it to the"awner"prior to commencement.
CQNTRACTOR'SlOWNER'S APFIDAVIT: 1 certtfy thaf all the Infarrrtation In this applicatlon is accurate and that all work
will be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obta(n .a permit ta do work and installation as indlcated. 1 certlfjr that no wock or installation has
commencad prior to issuance af a permit and #hat.atl work will be perfarmed #o meet standards of a0 laws regulating-
construction, County and City codes, zoning regulatio.ns, and land developmenk regulatfans in the jurisdiction. ( also
certify that 1 understartd that the regulatians of othe�.government agencies may apply to the intended work, and that it is
my responsibility ta identify what actians 1 must take to be;in.compllance: Such agencies include but are not limited ta:
- Depanment of Environmentai Protection-Cypress Bayheads, Wefland Areas and Enviror�mentalEy Sensitive
Lands, WaterlWastewa#er Treatmen#.
- Southwest Flarida Water Management Ristrict-Wells, Cypress. Bayheads, Wetfand Areas, Altering
Watercaurses.
- Army Corps of Enginee�s-Seawalls, Docks, Navigable Waterways. '
- Depa�#men# of Health & Ref�abll�tative ServlcesJEnvironmentaf HeaEth Unit-1NelEs, Wastewater Treatment, '
Septic Tanks. .
- US Environmental Protection Rgency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply ta the use of flll:�
- Use of fi111s not allowed in Flood Zone"V"unless expressly pecmitted. a
- If the fill material is to be used in Flood Zone "A", It. Is understaod #hat a drainage plan addressing a !
°compensating volume" wiii be submitEed at time of permittirtg which Es prepared by a professional engineer
licensed by the State of filortda. ,
- If the fiN materia! is to be used in Flood Za�e "A" �n:connection with a permitted building using stem wall
� construction, t certify#hat fi11 will.be used anly ta fill the area within the stem waii. -
- If fili materlal is ta be used in any area, I certify that use .of such fill will not adversely affect adjacent
propertles. If use af frN is found to adversely.affect adjacent prope�ties, the awner may be clted for vial"ating
the conditions of the building.permit issued unde� the attached permit applicakian, for lots less than one (1)
acre whfch are elevated by fl!!;an engEneered dralnage.plan is required.
If 1 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 wark,
plumbing, signs, wells, paols, alr conditiontng, gas, ar other Installa#Eons not spectfically included in the apptication. A !
permit issued shall be canstrued to be a license tv.praceed with the work and nat as.�uthority to.vialate, cancel, alter, or
set asfde any provisiuns of ihe technlcal codesT nor shali issuance of a.permft prevent the Bulidirig Of#�cial from the�ea#ter �
requiring a correction-of errors in plans, canstruction or violations of any codes. Every permit issued shall became invalid
unless the�+�vork authorized by such permit-is commenced wikhtn six mon#hs of permlk tssuancet or if wark ae►thorized by
the permit is suspended or abandoned for a period of six{6}rnanths after the#ime the work is comrnenced. An extensian
may be requested, in writing, from the Building,Official for a period not to exceed ninety (90) days and will demonstrate
just�f�able cause for:the extensian: If work ceases foc n�nefy{90)consecutive.-days,.the job=is consldered abandoned.
' WARNING TQ QWNfR: YOUR FAILURE t0 RECQRD A NQTICE OF COMMENCEMENT MAY RESUlT IN YOUR
PAYtNG TWiCE�OR iMPRaVEMENTS Tt�YG1UR PROPERTY. tF YOU�tNTEND TO OBTAIN FINANGiNG�CONSULT
�1'��1fl�!-'+I�UR L�ENDER.t'�R AN A�'TAFlNEY�� F�1Ft�- ��9 I]IMG YOL1Et.NOTICE'.OF COMMENCEIVI�NT:_ - ---_--- ,
F�ORlDA JURAT(F.S.1.97.03) _ ��4�j ,
OWNER OR AC3ENT CONTRACTO
Subsccl6ed and swom to(or affirrrtedj befare me thls Subsc�'Ibed and swom�to{or aflirme }`be€ore me this
by =-26- — � .
Who Islare personally knovm to me ar haslhave produced Who e personaily k ttr me or has/have produced �
as iden�flca�on, as Sden��catiart.
Notary Publla . �-2. � Notary Pubiic ,
Commission No. Com 4ss Na. ,� �,:.
, �.= Commission#FF 150422
Name of No#aty typed,printed or stamped Name of Notary er ,
..„��t. ndsd Th�v ray Fein tnsuranca 8W�385-7079
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