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Home My WebLink About15-16171 , CITY OF ZEPHYRHILLS �;'� 5335-8TH STREET (sis)�so-oo20 1617 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 16171 Address: 38243 14TH AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-01400-0100 Improv. Cost: 850.00 OWNER INFORMATION Date Issued: 4/13/2015 Name: MAYHEW DARLENE M Total Fees: 90.00 Address: 38243 14TH AVE Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/12/2015 Phone: 813-713-1272 Work Desc: INSTALL WOOD FENCE 720 ' X 6 '=REMAINER FENCE INSTALL 38 X 6 CHANGE OWNE CONTRACTOR S APPLICATION FEES LOWE'S HOME CENTERS INC (407)832-8085 FENCE 75.00 CONTRACTOR CHANGE 15.00 � � � ` � � / �� Ins ections Re uired FINAL 1 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 properly 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 l r �� CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � ,�..,, _ - .. . - . -- -___,_ _ _. .. ._�... , .:� — . . _ - r- - . - . - . . s � CONTE2ACT# o 0 07 4 o s I.OWE'8 AU'fHdRiZEO FtHPRESE ATIVE N M ER; CUS70MEf2n �/y^� `01� ��Z ►ZO' Y��Z/6� IJA r��£'+'+C, f� �a - STORE f�� RE�J L�S /CI�� 1 J�`✓� •STtiEET AO�S�4J� !L�� . �,/ • � � �9 � S. �GITY � 57 � J�/ Ct !�V /l ✓'l1��S � � I�TE . �,��Z Yl,�)l� �► TELEPfiON6 ��,s��_ �W n1 TELEPHONE f�� 6 ��A rJu��l � C�v T CJ Q(A�TE LOWE'S CpN7RACTOR LICENSE NUMBER ' CASH 9ANK REt3 x -7 �L� Z�1 S� GGCt5484t7 Cntto . /� ctiAFioE �v .� tNSTAllATiQt+tS7REEf'ADDRES& , Ct7Y S'EATE 21P � 5 i�IY�� 1�� ✓�". ��.�.r r t..111� ,�, S��l? 3�L� a� 6' t�,r�t pn �� w�v� PncP. rv,l� ��.�! m� � ' � NOTICE TC1 CUSTOME:R—PRICE CALCULqTlONS: (n arefer to property perform ihe.lnstallation of certain Goods,the•Contraot PriCe may inc{ud'e more ' �oods tha�actuaity w113 6e instatted based on the measured square:Eootege af the Prflject Area.As a resulf,th9.parties agree that.the turxip-sum Prioe sG3ted in this Contract ie:calcui�ted upon bo#h the value of estimated Goads requlred to fulflll the'Gontract(including was#e),whlch may exceed£he�ctual sauare footage of the ProJeot Area,and the�labor which may be estimated baseci on the arriount af Goods requlred to fu{fill the Contract(including waste). ��r sEgning this Gontraet betow,Customer acknowfedges recelpf of thls notice and agrees and understands that.the Prtce Ine�udes these cos#s which may nat be refunded once the tnstallatton Services are.perforrned. , IVf)TICE TO CUSTOMER: Federal�aw requlres L.owe's to provide you wlth the . parnphtet Rdrrovafe Rtc�hL By signfng tt►is Canfract,Gustamer acknowtedges �a�f�-act Tatal havtng received a Cop)+•of this�pamphtet befare wotic began infarming Custdmer /� �'�f of the potential risk of thb lead hazard exposure from renovatton activity to be *applicable taxes included p�erFormed tn Custameu's dwe!lfng unit. NATE: If raf4ed�wood is dEscovered during instaltation add3tional charges.witi appty.You wili be given a quote anii a change order rnvst be campleted �and signec! by the customer for any addltianal charges. Customer must initlai. "Any work or rriatsrial not speclfled ts nok'lncluded In thls contracL Any changes or additlons will ba at'an addlttortai charge fot the maisriai and labor. N�3TICE Ttl OWNE:R; — ACCORDING TO FLORIpA'S C4NST`RUCTt4N Lt�N LAW (SECT(ONS 713.001•?13,37, F�L(3R1DA S d'ATU7�S�, THOSE WHO WORK ON YOUR PROPERTY QR PROVID� MAT�RIALS A�lD SERVIC�S AND ARE N4T PAIQ !N Fl1LL NAV A RIG�1T 7Q ENFORCE TH�fR CC.AIM�OR PAYMENT AGACNST Y.Ot7R pROPERTY,TH�S CLAIM 1S"KNO[NN AS A � Ci�NSTRUGTION IL1�N. IF ,YOUR CON7RACTOR OR A SUBCONTRA,GTOR �AILS� T� PAY SUBCONTR�►CTORS, SUB-SUB'CONTRAI�T�RS, QR MATERIAl. SUPPLIERS,_THOSE PEOPl.E WHQ ARE QW�D [u�QNEY MAY LQOK T�} YQUR F�FtOPERTY FOR Pa�YMENT,EVEN IF Yt�U HAVE AkREADY PAiD YOUR CONTRACTOR iN FUt�I�;iF YO.U.FA1L TO PA,Y YOUR C�NTRAC70R,YOUR CONTRACTOR MAY ALSO HAVE A LIEN 4N YOUR.PROPERTY.THIS MEANS IF�A LIEN IS FILED YOUR f�FtOPER'FY COULCE BE SOI.D AGAINST Yt}llR 1NELL TO PAY FQF2 LABt}Ri MATERIAI:Si OR OTHER.SERVICES TN1�T Y4lJR C(?MTi2ACTOR OR A SUBCONTRACTOR MAY HAV�FAtLED TO PAY.TO PROTECT YOURSELF YCIU SHOULD STIIPUI.ATE 1W THlS CUNTRACI'THA7 B�FOR��ANY PAYMENT!S MADE,YflUR Ct?NTRACTOR 1S REQUlRE�TO PRDVlQE YOU 1�VITH A V11��.tTt'EN REL�ASI:C}F L1�i� �RflM ANY PERS{�t�4R CtJMPANY THAT H�IS RRCIVIDED TO YOU A"NOTiCE TQ.OWNER." FLORIDA'a CONST�RUCTION�LIEN LAW IS COMPLEX,ANq IT IS RECOMMENDED�THAT YOU.CONSULT AN A'TTOR[��Y, PFi07'O REt,�SE.Customer grants to Lawe's and lawa's employees and indeperiderit contraott�rs•tFte�r�ght ta take photagraphs of fha Premis6s where ; Ins4allation Services will�a pertormecttand all work performed at the Premises�related to thfs Contract,�and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use In�aA markets and medla,�wortdwlde,In perpetulty.Gustomer.authorizes•Lowe's to•capydght,use and pubiist�fha phc�tographs{n print andku efecttanicaliy,and agrees that Lowe's�may use such•photagraphs•for any�aw(ul purpose;tnc(uding,but not iimited to,.marketing, advertising, publlcity, illustraklan,training�and.Web�aantent,By initialing here;Custamer agrees.to�tbe toregoing. � � [Customer to initlal to the IefQ. Sttrark �°cam e�� re onable availabll3ty af Cantraa#or andlar any speci 1 or r.•�r cy�sf m��m, Good(sj.which is anttcipated to be —��^�� '� �� [flll In date�.EstimaXed complefton•date is �• �� t �'^� T� . �[fl�l In date]. . Said:estimated substantf�i)cq p�te.ls not of the esssnce.A statem�nt•ot any conttngencies that would materiafiy change said estimated substan#3a1 compietion�date�€s as foiEows: -- . �� ('rf appllcable,insert.a statement;of such ca'ntingencles). ..� �y �. . .' .. : y � :• • `` , ' ... : i�k�:+'e }`s.. �-p�T s��cu}tiaet�prrsvk�t+�sf�hal a!l�cFair�-�ry^t�it�o��,yate°s=;W�1'-FS�.��ettv;�z�;�'y'��bt�o'�'�t�iR.�i�us'�rtiera�ici'�L-byire�'�;IVE�l'tPT�.F�IGH7` TO.GO TO CbURT ta enlforae'this Contract(EXCEPT for,smatters:that rnay•be�taken•ta:SMALL CLAIMS CUURT). t�owe's and�CustamePs�ights�vill be .de�termined•by•a NEUTFtAL ARB1TRAtOR and NOT a judge or Jury. L.owe'.s•and:Gustomer�ar$�entitled ta a �AIR-HEARiN�. But the E�cbltratton prescedaros are SIMpLEF�ADtD MORE•LIN!lTED TNAN 3211�ES APPLiCABL:E Iht COUitT..Arbitt'�tor•deCi�tons are as wnfnrr.wahiw.aa a�v rn��.s....aa��.,a S/� d « 80068£8��8 SL a��d�� 1�� 4Z oE-�0-��nz ��.� �...�....� ��...�.....,�.....r,,..�......................�............._�....__......, _.._..�-' _. -,--..._.._ ..-- ---. -_----.... _.._..,,_ ._. _ . ... . ... .. ....... �NO'�IC� 't�} {}1Nt�ER. - �ACCORDING T4 FLt1RIDA'S C4NSTRUCTIt}f� LlEN LAW �S�C31t)NS �'i3.001•7'i3,37, FLORiDA STATU7�t��, TMO:�E 9NH0 WORK 4N YOUR PROP�RTY OR PRCIVIDE MAT�RIAl,S A D SERVICES.AND ARE NQ'�'PAIp IN FULL FlAV�A RIGIHT TO ENFQRCE THEtR Cl.AINt Et�R PAYI�ENT AGAfNST YOUR PROPERTY.THIS CLAIM IS KN{�WN AS A � CO�VSTRU�fiION L{�N. {F ,YOUR CQNTRAGTOR OR A SUBCONTRACTOR FAIL.S� T�J PAY SU�CONTRACTORS, SUB-SUB�ONTRA�CTORS, OR MA'fERIAL SUPPLIERS, THOSE PEOPLE WNQ ARE OW�D M�?NEY MAY LOOK 1f0 YQUR PROPER"�'V FOR P'AY'MENT,EVEN tF YG1tI HAVE ALREAQY P�►1D YC}UR C{}NTRA"CTOR IN FULL..(�YO.U.FA1L Td P�4Y YOIfR CpN�'RAC'TOR,YOUF2 CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PRLIPERTY.TH[S MEANS[F A Lf�N IS FILIED YOUR PROPERTY CQULD BE SO�D AGAINST YQUR W�L�.TO PAY FOR E.ABflR,MATERtAIS, t}R{?'CHER SERVICES'EH�T Yt}UR Ct�(V7RA+�'�OR tJA;A SllBCONTRACTOR MAY HAVE FAiLED T4 PAY.TO PROTECT YOURSELF,YQU SHQULD STtPULATE W THIS CCINTFiACT THAT B�FORE ANY PAYM�NT IS MApE,Y{?UR CONTRACTOR(S REQUlR�D TO PROVIRE Y�?U W!'fH A V4IRITTEN ftELEA�E QF 1,1�N �Rt3M ANY PERSQN C}R CC}MPANY THAT HAS PROVlDED T4 YOU A`�NOi'IC�T0.{)ENt�ER:' F�.ORIDA9�CONSI�R�ICTION LIEN�AW!S COMPLE}C,AND IT IS RECOMMENDED�THAT YOU C4NSULTAN ATT4RNIE1(. Pli{370 REL�P+SE:Cu:�forner grants to Lowe's and�owa's employees and indepen8ent confcactors-the rtght to take photographs of the Premises where Installation Services will be perFormed�and a11 work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all•righk,Utle and interest in and to the photographs far use in�all markets and medfa,woridwide,in perpetuity.Gustamer authorizes Lowe's to capyright,use and publi;sh khe �hatographs in print andlor electronically,and agrees that Lowe`s may use such�photagraphs fas any lawtul purpose,{rtctudiag,but not Itmited to,matketing, adverpsing, publicity,illustration,Vaining and Web cantent. By lnitlaling here,Customer agrees to•the foregoing. [Customer to fniUal to the:leftj. Wark�s�,�+D}om t1Fe u�i�re onabte avalEablllty of Gontracfor andtor any spec3�i o r or e st mer rc,�acia Good{sj wbEeh is antioipate�d_tc be t"/!y r� � U L � [flil ln da#e].Estitnated aompletion�date Is i�'�" � �"'b'�7�"� [fill in date]. S<�id:est(mated substant:ial co pletlan date.is not of the essence,A statement of any contingencies that woutd materiapy change said estimaied substantial comptetEan date•is as ftrilows: ._ ' ti (ff.appllcable, insert a statement of such ca'ntingencies). �— ° -- •� ' � : • � • � . . s: • � .� � . : . -. . s T�Ps Gvr�fract°prcvides thai�ail cla�ms#�Y Ctr�'tomec�o7�{iwe's.wti!'�i�'��solued,�3Y:�13SR71tSG�31R81TFtA�'{Ot�;•GtisCbmer and Lowe's.�1VE'UP"TH�RlGNT TO GO TO COUI2T to eNforce'thts Gontract(EJCCEPT for.'�matters.that may ba taken tc SMALL CLAIMS COUI2T).Lawe's and Customer's ri��hts will be determined by a NEUi'RAL ARBITRATOR and NOT a.judge or jury. Lowe's and.Customer arQ entitled to a FAIR HEARING. But the ar.blfratfon ' procedo�res ar�SIt4lALER 1kND MORE�it�tilTED TNAN RLILES APPLECABI.E tN COUt2T..Arbitrator decisians are as enforaeable as any eoart order and a�e subject to VERY LIINITCD REVIEW BY A COURT. FOR MORE DETAILS: Review the sect[on titled ARgITRATI4N AGREEMEN7,WAIVEI2 OF JURY TRtAL AND WAIVER OF�CLASS ACTION ADJUDIGATION found in the T�rms and Conditions of this Contraot. ' CiCi NOT SIGN 7HlS 120NTRAC7 UNTIL COMPLETE AND YOU HAVE READ THE TERMS�AND GONDITIONS CONTAINED ON ALL F'A,GES O�7HlS COi�TE�AC7. BY SICNING.BELOW,YOU ARE ACKNOWL'EDGlNG 7H;4T YOU NAVE FtEAD, LINQERSTANd At1�1D AC�R�E Tfl TNEi T�RMS AND�CONDITtONS 8ET FORTH C1N ALI.F'i4GES OF THIS CONTRACT.YOU Ai2E EN7lTLED'fCi A G:OPY OF THIS CdN7R/�CT AT THE T1ME OF SIGNATURE. � NtfTNESS OUR HAND�S)AND SEAi:{S)B�L4W i'HIS �i S�t:t�AY 0�*��t`�'t1 - . , �� . : . ') �.Qwe's .N�me Genters, �LC � � awne � _ � L � ' Au riz <sentattve • Caouunerar Witness ,�Cu»tamer•acknowledges receipt•of•a true•copy of•thts�contract whlch was completely filled.in prPorto Custamer's execution�hereaf.Xou,the buyer,may Canc�el thls.tran�actlon ak any tiine prior to midnight of.the third business:day.after-ths date�of�'thfs ti�ar�sact?on..See.the att�ched��nattae�f c:�ncellaticn. II fann far an ex�sIanaffon af fhis right , � 55�06 F2EV. 12J13 FI LE.COPY ��by Lave's.�Lowe's and the gah�le deslgn are rogistared lrademarks of LF Corporatinn. � . , S/�i d « 80068£8��8 51 ��dos� 6�i� 6� 0£-*�4J-SLOZ N O � tJl Ar�Qiyr_ �G,�i�1_J o �x�sk,h � f�,l�,gl��;�� c�8 �n�.p �8"Zy3 �y�� W ', 0 �P�yr1��11s� �L 3�s�yz � �- 833 . 6Q 9�i sa � yJ� �' 0 i � � r+ � �n � � . W � w � . � 0 0 � v v � 4,�i,�._c It �sy I � �� " FA�.t' �1�-g3F��9�� ' . . { � ! �' , ..� � � ��s-is-ruv-vvzu s t„stty Ut L��lttiyrt»i�a ratT��n�r�r�va«v>> . _„_ _ __ . . ; Building Department . � )ate�R�celved { �� 7�'"J �""" ' , Ph�one.Contact f.ar Permiktin � � 3 'Z�. - zattzldt= t.7^tjtrt��rrr )wn�u's Name _�AI�.�2f�3�, ��(��` I�.) Owner Phane Number p��° � ^�'( Q� ?wnar's Address C S�r�Q � � Owner Phone Number C � (� �'ee:iimple Tit{efiotder N�ame �;� �� Owner Rhane Number C I °ee:i(rnple T(tieholder A�ddrass ; � � � ___..� ,-- �ae��r�di�ESS �,�2,'� '1'7� ,gv� °Z�eAhr�y y,�i 1 s FL '3 3�y"'Z ] �.o�e# !� �f'Z � ; 3ufs��YiStaN C:`�t t�� „�d'&!� �,s 11S � PAR�El.tD#CI -2v-Z.P-Qd�p-c`7 i Y t��} �- +B t a p � � ` i (08TAINED FRdM PROpERTY TAX NOTICE) tYOF�K.Pi30PO3�D �NEWICONS7R RDDIAGT � SIGN Q � DEMOLISH e iINS1�ALL �� F2EPAIR aftt}Pt�SfcD.U3E � #SFi�t� C� COMM OTHER (�� IYF�151�F CONSTIRUCTIGIN Q �BLC)�K �� FRAM STEE4 [�J � i � ae:;��ia�rtoN or�wt�arc �'�5i•�t/ ,�PP�o•� ° � � � �cQ �6 p�.�.�t ��v 60� d� ,� BUIL,i�INti SIZE SQ FOOl'At3E FlEiC3HT cza�a�a ��ucr��cci � �—� $�� ' ��c�"� VALUATlt7N OF TOTAL CQ1s1STRUCTION �� ( �_�ELECT�tSCAI. $ 4 AMP SERVICE � PROGRESS 4�NERGY � W.R.E.C. C�!�� ' ��. ��PLUMBINC3 $ � �'_._. �� [_�MECHANICAL $ ' � VALUATIt)N OF(uiECNAN1CAl INSTALLATION ��GAS Q lRC►t�,FiNG �� SPE�IAl.TY � OTHEft FINISHEC►FLOOR ELEVATIONS ' �� FLOOD ZONE AREA [�]YES NO C.�.�----� -��,� �1 ��.��. ��:�,.. t�t�t-r�t-t+t-rrfrt�rrn+t�rttt ;fittt�trt�t�ttrtttttti- �---- , BUtt.��Ft �/f"�) t20MPANY C.c3r.a�eS t-�ca�'+��. Cer.i��.'t� � 51GiIV�1TURE ` � /, d��j ° � REGISTERED Y/ N FEE CURRE� �Y J N r----l----"--- Aeddress �o �o� "�$i!�,`�� =��'t��' 3z�7� License# �..��, l s"� ��-t :l � � ��M�� El,�EC'tR1CtAN ' t20MPANY _�] SICi111ATURE � ' � I FtEGISTERED Y/ N FEE CURREA Y/N �.:.._ I Address C� ;_� � L(cense# C _] �.q� ; PLt1MBER ; ? # t;OMPANY 81(�WATURE i I � PtE01STERED Y/ N FEE CURRL� Y/N �—" /` __.`.. ' F�ddress � 1 i � � � L(cense# � _� �--- � f�_ ._� ME:CFIANICAt� � ` t�OMPAiVY SI(iNA1TIIRE ; ( ftE01STEREp Y/ N FEE CURRE� Y/N �iddress C,,,� � �__,_,�_,,, � � license# C � ._ -�==-�—�-- � Ot'N�R ' � j �OMPAWY 81�3NATIJRE _,,,,,_ �I�,__,,, ftE01STEREp Y/ N FEE CURRE� Y I N i�� 1 �ddress � i �_�� LEcense# C � ii�41-Ftf�ti�tiii�Fftt1tH�t 41�M�tfii-hH-M�tf-li-httii-h ++fti RE:af�ENT1AE. Attach(2}Plat Pians;(2 sets�of Bullding Pl�ns;{1}sef of Energy Farms;R-Q•W Perml#far new construcUon, Mlnln�um tan(10)workl�g dFi�s after submltkal date. Requlred onslte,ConsVucUon Plans, Starmwater Plans wl Silt Fence Instalied, — -- Sanitary Facflltfes&-1 d�lm��er;SI►.e WorkPsrmlt for_subdlvislons!large proJegts CqM�IERCtAt, A4tach(3}complete'set,of EI ildtng Plans plus a Life Safet}r Page•,(1�set of-Energy Farms.-R�O-VV Permlt for new canstnsotlan.-=--- Minirnum ten(10)workirjg d�y�s after submittal date. Requlred anslte, Constructlon Plans, Stnrmwater Plans w/Silt Fence Installed, Sanl(ary Fac111tles 8�1 dt�mps�er.Slte Work Perrnit far ail new proJects.Ai!commercia!requlrements must meet compllanoe slaN PE;RMIT Attaah(2)sets of Engln��ere�i Plans. � '""'PROPERTY SURV�Y re uired for all NEW constructlon. � ILLFILLT�II3�.'Tx.'l7�31�3 LLfi�Ct� Directions: i j � Ffq nuk application t:ompletely. � � � Owner&Cantraa#or sign back of appll�:atlan�,natarized � If aver S2S00,m Nc�tice of CommencE�men�is requlred.i (A!C upgrades ovar S7500) *• AgQnt(for the contractor}or Power of f�ttom',ey{for the c�wrj►er)would be someone with nota�ized letter from owner authorizing same O'VGIR THE COUNTE:R IPERMITTING�i '(f�rur��of�Applicatloh Only) R�eroafs!f shingias Sewers � 8arvdce i1 grades A1� i Fences(PloUSurveylFootage) ,:, j Driveways-Not owar CounEer if on publia ro dways;,nee�ds ROW .� . �-- .. _ � ,. � I . ; � � NOTlCE OF DEED RLSTRICTlONS: The undersigned understands that this permit m y b�'i subJect to"de�ed°r�strictions" which may be more restrictfve than Cvunty r.egulations. The undersignedlassumes ce �►an�ai6iiity far compii��nee with any applicable deed res#ric#(ons. ' UNLiCENSED CONTF2ACTORS AND CONTRACTOR RESPC}NSIBILITIE�>: if the owti�er has hlred a contractor or contractors fo undertak�wark, they may be requlred ta be Ilcensed in accordance wlt sta�e and lacal regulations. If tha contractor 4s not Ifcensed as requlred by law, bo#h the owner and contracta• may be rlke� for a misderne�nar violatlon under state law. !f th� owner ar lntended contractar are uncerta(n as to;wh�at Iicensl ra re�quirem�nts may apply for th� intended work, they are advised to contact khe Pasca Counfy Bullding inspection Divisi�n--El.icensing See:tion at 727-847•• 8009, Furthermore, (f the awner has h(red a confrac#or or contractors�, he► is advi �d t�o have the ctyntractor(s} sign portions of the °contractor 81ock" of fhis applicatian far whfch they will be re:apansEble� !f ou, as the oUJne3r slgn as the contractor, that may be an indiaation that he is not praperiy ilcensed an��is t�ot entltl c! to�permltking pritirlleges !n Pascc, County, � ' ` � TRANaPORTA"TlQN IMPACT/UTlLITIES lMPACT AND RESOURCE RE,COWERY FE ;S; �The undersigriecl undersfands that Transporkatlon Impact Feea and Recourse Recovery Fees may apply, to �he consf �acti�n of new bui(ciings, change of use in exfsting bufldings, or expansion of existing buiid(ngs, as specifled;in F�asco Co nfy;4rdinanee number 89-07 and 9o-p7, as amended, The unders(gned aiso understands, that such fees,j as may be �ae, �rlll be ldentifif�d at fihe tim� of permit#ing. it is fu�ther �nderstood that Transpoetat3an impact Fee:� and IRe�►ource R s;ov�ry Fees must bF� p�id p�lor ti� receiving a "certiflcafe af acaupancy" ar final power reEease. 1f the pro�ect dc�es not I volve a cer#(flcate of occupancy or finai power release, the fees must be pald prlor ta permlt fssuance, �ur�thermore, If asc'o County Wat�srlSewer lmpact fees are due, they rnus#be p.aid prfar to permit(ssuanca In accordance�with a��plicable asc;o County ordinanees, GONSTRUC'f10N I,IEN�LAW(Chapter 713, Flortda Statutes, as arnendedy. (f valu tlon�of wnrk(s $2,4�00.00 or more, I certify that i, the applicant, have been provided wifh a copy of the �F(orida Con�trucition Lfen Law—Homeown�r'� Pro#ection Guide" prepared by the Florida Department af Agriculture and Consumer f�air;s, if the appli�,ar�t I� someon� other fhan the uowner", i certify that i have obta€ned a capy of the abave descr(bed do um�nt and prornlss} En gt�od faith to deiiver it to the"owner"prior to commencement. , � CQN'fRACTOR'S1�WNER'S�►FFlDAVI7: 1 eer#Ify that all the informatio� in this appl c.atic�n is accurate ,anr� that a!I worl< wlll be done !n complfance with all applicable laws regulating construction, zoning an lar�d develapment. Applicat(an i� hereby made ta obtain a permit to do work and fnsfallat(on as (nd(cated, I cert( that no work or insfallation haa commenced prlor ta issuance af a permit and that ali work wili b�� performed to m��t s'tandards of aH laws reguiating constructian, Caunfy and City oodes, zoning regulatians, and land deveiaF�ment re uiat�ans In the jurlsdictian. i aisn certify thaf i tanderstand that the regulations of ottier gavernment agencies may apply t� #I�e finterided wC�rk, and that 1t is my responsibllity ta Identffy what actions I must take to be In compl!<<nce, �Sur,h agenc! ;� fr�elude but are not Iimiked to: - Department of Enviranmental Prote�tlon-Cypress Bayheads, UVekland A,eas�and Environm�enl;ally Sensltiv�: Lands, WaterlWastewater Treatment. � � - 8outhwest Florida Water Management Distr(ct-Wells, �ypress Ba hea�s, Wefland Araa�, Alterinc� Watercourses. � - Army Carps af Engineers•Seawalis, Docks, Naviga6le UVateruvay3�, � - Department af Heaith & Rehabllitative ServlceslEnvlronmentaE Heafth �nit,/VeHs, WaSteuvat�r Treatment, Septic Tanks. ; i - US Environmental Pro#ection Agency-Asbestos abatement. ' I Federal Avfatlon Aukhorlry-Runways. � � I understand khaf the faliowing restrlct(ons apply to fhe use of fiil:� i � ` - Use of fill (s not allowed in Flood Zone"V"unless axpressly permit#ed. ` - If the fill material is fa be used In Fioad Zane "A", it is urtderstood ��tt�t 'a dra(nage pE<�n addressing � "compensa�ing vaEume" wi(E be subm�tted at tlme of permfttlrig vrhlGh �s prep�red by a prafess�ona) engineer ficensed by the State of Florlda, - !f th� flll materlal Is to be used (n Flood Zone "A" !n connectic►n wfth a �ermitted building using stem wall construction, I certify that fill will be used only to fill the��rea with(n the ste w�ll. - , If flll material Is to be used (n any area, I cerfify that use oi` such flii wil( not adverseiy a��fect adjacent properties, 1f use af flll is found to adversely affect adJacent;prcrperkies, t�Q mwner may be eifed for violatlnq: the condlfions of the buiiding perm3t issued under the attacfied permEt a�plic�t(on, far lots ltsss than one (1} acre whlch ara elevated by flil, an engineered dra(nage glan !s required. ' If I am the AGENY FOR THE �WNER, I promise in goad faith to inform t�e �owner of th� ��ermltting eanditlons set forth in this affidavik prlor ta commenc(ng construction. I understand that a sep�rafe permft�i�y�be requlred for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or ofher InsEa(iations nof specifi a11yi inciuded in thf� applir,ation. f� permit issued shatl be construed ta be a I(cense to procead with the work and nof as <�utF�ority ta,violate, c�mcel, alfer, or set aside any pro�isions af the techniaai cades, nar shaN issuance of a p�rmit preven the�BulEdlrig Oft�cf��!fr�om thereafter requiring a correctian af errors In plans, construc#ion ar violatfans of any eod�s. Eve pet;mft lssued�shall become invali� uniess the work au#horfzed by such permit Is commenced wlthin s!x monthe, of perm�t lss;uance, or !f work auihorized by the permlk#s suspended ar abandaned far a perlod of six(8) months after th�� time the wor�k Is cammenced, An extension may be requested, in writing, fram the Building.Official for a per(od no# to exceed nlriety i(90) days and wIl! dPmonsfratE� )ustifiable cause for the exfenslan. if work ceases for ninefy(90)consecu{iv�days, #h J��b;is considered �Mb�mdaned. � WARNING TO OWNER; YOi7R FAILURE TQ RECQRD 1� NOTfCE Q� {;dMM�Nt�i�11!lENT NlAY RESl�LT !N YQUFt PAYING TWlCE FC?R IMF?RCIV�MEN7S 70 YQUR PR04�ERTY. OF YQU If+lTEND TC� 4?1�3TAlN FlNANClN�G, CONSUL'Y Wli'�YO.UR I:ENDER i�t�AN AT'['QRNEY B�FOR��ktI��RDIN(�YOU�Ft'!d0 �TI�CE �,�OE1rddMENC�MEN1_- --- -- -- ---- - FLOFtIDA JURAT{F.S, 117.03) � ,� i ! 3 -�,�� OWNE42 QR AGEN3' CONTRACTQR � _5��n� I � ► l SubsGrlbad a�b�worn to(or afflrmed)befora me this Subscrlbed and s rn ta(or affirme�)be�bre me thls . `� Who isiare personalfy known to me or has!#�avs produced Who 4s/ar ersona � nown ta me br ha,�lhave produced as Identlflcadan, _,T�,�s Ident(fication� i � I � I � _ . Natary Public _Notary Pub11e Commisslon No. Co Isslon o. ' � 1rYAr�11 I��1��1� 4Z`5 �8 18 M1&tIi ,(8 T��`R6P� ,�.�11�t� .��. ;8101'z6�aqwe� �sa�idx3 :>:° �; Name of Notary typed,printed or stamped Name of Notary ed, ��, �:�. �; , ,a,�a A�;,,. � j i CITY OF ZEPHYRHILLS 5335-8TH S7REET (sxs)�so-aozo 16 1 FENCE PERMIT PERMIT lNFORMATI4N LQCATION lNFORMATION Permit Nurrtber. 1697'I Address: 3$243 14TH AVE Permit Type: FENCE ZEPHYRHILLS, FL. ` Ctass of Work: FENCE/NEW Township: Range: Book: I Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Fe�t: Subdivision: GITY QF ZEPHYRHlLLS Est.Value: Parcel Number: 11-26-21-0010-014Q0-0100 lmprov. Cost; 850.00 QWNER lNFORMATION Date tssued: 4/13/2015 Name: MAYHEW DARLENE M Total Fees: 75.00 Address: 38243 14TH AVE Amaun# Paid. 75.00 ZEPHYRHI�LS, FL. 33542 Date Paid: 4/13/2015 Phone: 813-?13-1272 Wark Desc: INSTALL W40D FENCE 720 'X 6 ' CONTRAGTOR S APPLICATION FEES HOMEQWNER FENCE 75.00 � �. �,,�,�� / ; � �, ,��5 , � �f�2 �� Ins ections Re uired FI L REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c)when extra inspection �� trips are necessary due to any one af the following reasons: a)wrong address b)cortdemrted work resulting from faulty construction c) repairs or corrections not made when inspections called d) work nat ready far inspection when cailed e} permit nat pasfied on job site f} plans not at job site g)work not accessibte. NOTICE: In addition to the requirements of this permit, there may be additionai 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 governmentaf entities such as water management, state agencies or federal agencies. The payment of inspectian fees shall be made befare any further permits will be issued to the person awning same Complete Plans, Specifications and Fee Must Accompany Application. All work sha!! be perf rc�ed in accordance with City Cades and Qrdinances � CONTRA TOR PERMIT OFFI PERMIT EX ES IN fi MCINTHS WITHOUT APPR4VED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOT�CE REQUIRED PRCITECT CARD FROM WEATHER o��-r�U-�,ut� City of Zephyrhills Pecmit Application FaX-a�s-�ao-ao2� Building Department Date Recelved Phone Contaat for Permittin � � "l o�- Owner's Name G�� Owner Phone Number CJ�' '�r.�""Y"�� Owner's Address �� Owner Phone Number �)�� /�� 1�� Fee Stmple Titlehofder Name �T � Owner Phone Number �— � Fee Sfmple Titleholder Address JOB ADDRESS � /7�`�' L.OT# C___� BUBDIVISION �� PARCEL ID# (OHTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN C] Q DEMOUSH e INSTA�L 8 i2EPAtR PROPOSEd USE Q SFR [� COMM � OTHER TYPE OF GONSTRt1Ci10N Q BIOGK Q FRAME � STEE� C] DESCRIPTION OF WORK DQ � BUiLD�NG 51ZE � � S@i�'�'�t�y °� F��1�'�="'�'� ,` 8��"�`��' $ �°�J�G�� I VALUATION OF T07AL CONSTRUCTIQN _.J QEI.ECTRICAl. � � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. fl� QPI.UMBING $ ��, �� , �� QMECHANIGAI. $ VAlUAT10N OF MECNAiUfCAl.lNSTA�CAi'tON QGAS Q ROQFING Q SPECIALTY � OTHER °iNiSHED FLOQR ELEVATIONS �� FLOOD ZONE AF2EA QYES NO ..._ .,__.._. ._ 3UILDER COMPANY ,f�d'" � 3lGNATURE ,,. REGtSTERED Y/ N FEE GURRE Y J N Add e s License# �� ,�02..- .- eL�6L�AN COMPANY L.d W['. 'S >IGNATURE `' REGISTERED Y J N FEE CURREt� Y/N Add�ess License# � � �LUMBER COIMPANY iIGNATURE � REGlSTERED Y/ N FEE GURRER Y J N Address License# �—` ` � 4ECHANlCAL COMPANY iIGNATURE . R�Gis7�tteD Y 1 N FEE GURRER Y/(d Addrass License# �— � >'�FlER COMPANY �IGNATURE 42EG1STERED Y/ N FEE GURREE Y i N Address Lfcense# �— ^ � :ESIDEMTIAL Attach{2}Plot Plans;(2)sets of Building Pians;(1)set of Energy Farms;R-O-W Permit for new constructian, Minimum ten(10)workfng days after submttfal date. Required onsite,Construction Plans,Stormwater Plans w/SNt Fence fnstatled, Sanitery Faaitities&1 dumpster,Site Work Permit for subdivisionsAarge projects QMMERCIAL Attach{3)complete sets of BoifdEng P1ans ptus a llfe Safery Page;(t}set of Energy Farms.R-O-W Permit for new construc8on. Minimum ten{1 Q)working days after submittal date. Requlred onsRe.ConsUuction Plans,Stormwater P1ans wt Sifi Fence ins#alfed, Sanitary Facillties 8 1 dumpster.Site Work Permit fcar all new proJects.All commercial requlrements must meet compliance I�N PERMIT Attach(2)sets af Engineered Plans. '""PROPERTY SURVEY requ[red for al!NEW construetRon. Iractlans: Fill ouk applicaHon completely. Owner&Contractor sign back of application,notarized If cvsr 52500,a NatEce of Commsncement is required. (A/C upgrades ovar y750Q) Agent(for the contractor}or Power af Attomey(for the owner}would be someone with notanzed letter from owner authorizing same ' ' �, ,"''"�, VER THE COUNTER PERMITTING .,. (Erant of Application Only}: , � " "=_ti eroofs if shingles Sewers Service Upgrades AtC" Fences(PloUSurveytFootage} � � - •, = ; .. ... �;,� , . _ . Driveways-Not over Caunter if on public roadways..needs�ROW - - -- - - � °' '`` " — ��1 NOTICE OF DEED RESTRICTION�: The underslgned under.stands'that this:pqr:mit.may be subject to"deed"restrictians° wh�ch may be;mor.e�esti�ictive;than Gounty regulatlons. �The undersfgned assumes responsibiltfy for compllance with any applicable deed rest�ictions. UNLICEN$ED CQNTRACTURS ANQ CC?NTRACTOR RE$P�NSlBlL:ITIES: #f #he owtter has hired-� contractor or cantractors #o undertaice work, they may be required_ta be.licensed in accordance.with state.and�lacal regulations. If the cont�acto� is not licensed as required-by law� both the ownor and contractor rr�ay be clted for a misdemsanae vialatfon under s#ate law. If fhe owner or Intended contracto� are uncertaln as to what liaensing.requlrements maY apPfY.�for#he intended wark, they are advised to aontact the Pasco County Building Inspectton Diviston—Licensing Sectfon at 727-847- 8009. Furthermore, Jf the owner has hired a cont�ac#or or contractors, he �s advlsed to have the contractor�s} sign portions of the "contractor Black° of this appiica#lon for which they wlli be responslbte. if you, as.the owner sign as the contractor, that may be an indicatian that he is not.p�aparly Ucensed and is nat entf#led to permitting priuileges in Pasco Cvun#y. � TR�►NSPCIRTATION�IMPACTIUTILITIES IMPAGT ANa RESOURCE RECOVERY FEES; 1'he undersigned unders#ands that Tra�sportattor� impact Fees and.Recourse Recovecy-Fees may�appiy fo tFte construction of new bulldings, change af use in existing buitdings, or.expansion of�existin,g�build�ngs, as speclfied in Pasca Caunty Ordinance number 89-07 and 9Q-Q7, as amended. The underslgned also understands, that such fees, as�may_be�dus,�wilt 6e Identified at the time of permitting. lt is further unders#aod that Transportation lmpaat Fees and Resource Recrnrery Fees must be paid prior to receiving a °certificate of ocaupancy'" or final pawer release, :If the.project does not involve a certificate of oecupancy or #inal power release, the fees mus� be paid prior to permlt issuance. Furthemtore, if Pasco County 1NaterlSewer Impact fees a�e du�, they must be-paid prior to permif-Issuanee-In accordance with appliaable Pasco�County ordinances. CONSTRUCTlON LtEN �W(Chapter 71�, Flarlda Statutes�as amended?: If valuatlon of work is$2,500.00 or more, 1 cerfify that 1, #he appticant, have.been provided with a capy of the "�lorida Constructian Lien Law—Homeowner's Prokeation Guide" prepa�ed by the Florida Depa�tment of Agriculture and Consumer Affairs. !f the applicant ts someone other than#he"owne�', 1 certify that 1 have obtained a copy;af the above.described document and pcomise in,gaod faith to deliver it ta the"owner"prior ta�commencement: CQNTRACTQR'S/OWNER'S AEFtDAY1T; 1 ceii#iify that ali the EnfarmatEon 1n thls applicatlon is accurate and that all work will�be done in compliance with al� appticabie iaws regutating constructlan, zoning and land development. Application is hereby made to obtain .a permit ta do work and installatian as indtcated, 'I certlfy that no work ar instatia#ion has commenced prlar to lssuance of a permit and that.alt work will be pert'ormed to meet standards of alt taws regul�ting construction, County and City codes, zaning regulatians, and land development regulattons�in the Jurisdictio�. ( aiso certify that ( u�ders#and that the regulat[ons af other government agencles may appty-ta the�n#ended work, and that 3t is my responsibility#o identiry�what actions I must take to be,in:.campliance. Such agenales inalude but are not limited to: - DeparEmeM o# Et�vironmentai Protecti�n-Cypress'Bayheadst Wetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - Southwest Florida Water Management .District-Welis, Cypress Bay_head's, Wetland Areas, Altering 1Natercourses. - Army Corps of Engineers�-Seawalls, Docks, Navigabie Waterways. - Dapartment of Health � Rei�abilitative ServiceslEnvironmer�tal Nealth Un(t Wells, Wastewater Treatment, Septic Tanks. _ . - US Environmental Protection Agency-Asbestos abatement. - Federal Av#atlon Au#hor�ty-Runways. I understand that the fallowing.restrictlons apply to the use of flIL•� - Use of fi4#s not ailowed in Fiood Zane°V"uniess expressiy permitted. - If the fill material ls to be used in Flood Zone. "A", (t. is understood that a drainage plan add�essing a ucompensating volume" wil! be submltted at time of permitting which is prepared by a professfona! engineer lice�sed by#he State of Fiorida. - If the fili material is to be used in Flood Zone "A" in�connection�wlth.a permitted building using stem wall construct�on, t certify tha#fill<virill-6e used oniy-to f�li the area wl#hin the s#em wall. - If fill material is ta be used in any area, I cert(fy that .use. of such fill will r�ot adversely affeat adjacent properties. !f use of ffli ls found to adversely:affect adjasent�properties,,the owner may be aitecf for vloCating the aondi#ions of the building,permi# lssued under the attached�permit application, for lots less than one (1) acre which are elevated by flil,an engineered drainage plan is required. tf i am the AGENT FOR THE OWNER, I promise in gopd faith fo inform the�awner af the permitting conditions set farkh in this affidavit prior to commenoing construction. I understand that a separate perm(t may be requtred far elect�ical work, pEumbing, signs, weits, pools, a�r co.nditior�ing,.g�s,_or o#�er Installat[orts nat spec�fically included-in t#te applicatian. _A permit issued shail be aonstr,ued to be�a Ilcense to proceed wlth the work and not as,authority to violate, cancel, al#er, or set aside any provisions of the technica!codes, nor shal! Essuat�ce�of a permi#pcevent the Buildlrig O#ficia!from thereafter requiring a conec#ion a�f errors in.ptans,�constructian or violatians of any codes. Every permit issued shall become invalid unless the work authorized.by such permik is,commenced�within six mon#hs of permit issuance. or if work authorized by the permit is suspQnded„or.abandoned for a perEad af�six{6}months aftet the tlme the wortc is commenced. An e7ctensior� may be requested, in writing, from the.Building,Offictal for a perlod not to exceed ninety (90) days and�will demonstrate ' ]ust�flable cause for the extensian: If work ceases,foc nlnety{9Q}consecukive days,.th��ob�is considered abandoned. WAFtNING TO OWNER: YaUR �AILURE�TO.,R�CORD A NOTICE OF COMIVIENCEMEPIT MAY RESULT IN YOUR PAYING TWtCE.�'QR fM�ROVEMENTS TO Y4.UR P..ItOPEttTY. IF-YOU�INTEND:TQ�OBTAiN�FINANGING;�CONSUIT WITH YOU LE E O A � 7T0 N FO E-R CO �DING�YOU O � � ` � E E T F�ORIDA JURAT(F.S.917 } OWNER OR AGENT CONTRACTO Subscrtbed and swom o{o a rtned)before me t Snbscribed and'swortt (or afltrmed'before is �Y .��Y Who is/are personal known ta me oahas/have duced Who.ls/ar pe��onally known tty me or has/have-produced as IdentlflcaBon. as Ident�icaHon. f, � htatary Public . t� Notary Pubtic ,,, Com s on cr'':�""•°Y�'-. JOEL E.BACQN Ccm issi .IVa. :�: :.= ommission#FF 337473 44Mtst�� ,�OEL E.BACON :;�; �a�r Expires June 29 201$ :~"��'�Y Dy�`�'�. 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