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Home My WebLink About16-17082 � _� CITY OF ZEPHYRHILLS � 5335-8TH STREET ' - � �si3)�so-oo20 17082�� FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17082 Address: 5855 FOREST LN Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: , Range: Book: Proposed Use: NOT APPLICABLE . � Lot(s): Block: Section: Square Feet: Subdivision: FOREST VILLAS Est. Value: Parcel Number: 10-26-21-0110-00000-0160 Improv. Cost: OWNER INFORMATION Date Issued: 3/01/2016 Name: HERNANDEZ FRANK Total Fees: 45.00 Address: 5855 FOREST LN Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/01/2016 Phone: Work Desc: INSTALL FENCE 123 x 6' VINYL CONTRACTOR S APPLICATION FEES BIG DOG FENCE INC (813)907-9877 FENCE 45.00 ` ` � , � Ins ections Re uired FINAL REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. 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 "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." 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 � . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department � `Date Received Phone Contact for Permitting Owner's Name f � C6�C��1 1 Owner Phone Number J`S� Z� �/ � Owner's Address V (/ �f �/'�1�4s �f Owner Phone Number _ Fee Simple Titleholder Name Owner Phone Number �, � Fee Simple Titleholder Address JOBADDRESS � /' t S LOT# � SUBDIVISION (1 V� � PARCEL ID# � '� Q `�(� d (OBTAINED FROM PROPERTY TA%NOi10E) WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN Q MOVE 0 DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER DESCRIPTION OF WORK (� , [CL �I ' I�1V1C / BUILDING SIZE SQ FOOTAGE IZ L HEIGHT Q�!BUILDING $ µVALUATION OF TOTAL CONSTRUCTION Y Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. Q PLUMBING $ , Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE �cis�a� Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License# OTHER COMPANY f� G M . SIGNATURE REGISTERED /N FEE CU ENT Y/N Address �d � License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns Minimum ten(10)working days after submittal date. Required onsite,CansWction Plans,Sanitary FaciliUes&1 dumpster COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Fanns. Minimum ten(10)working days after submittal date. Required onsite,Canshuction Plans,Sanitary Facilities R 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWdion. Directions: v Fill out application completely. Owner&Contrador sign back of applica5on,notarized if over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIT'fING (Front of Appliqtlon Only) Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) DrivewaysNot over Counter if on public roadways..needs ROW ) • , 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 CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the I 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 conVactor 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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY 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 Counry Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with 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"owne�'prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this applicatlon 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 regula6ons in the jurisdiction. I also certify that I understand that the regulations of other govemment 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: - Departrnent 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 ServiceslEnvironmental Health UniRWells, 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 pertnitted 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, 1 certify that use of such fill will not adversely atfiect 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 pertnit issued under the attached permit application,for lots less than one (1) ' acre which are elevated by fill,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 corcection 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 N0710E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscri6ed and swom to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as iden6ficaGon. as identification. Notary PuWic Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �� Iilllllllllllllllllllllllllllllllllllllllllllllllllllllllill � � � 2016030903 � , Rcpt:1751357 13ec: 10.00 � DS: 0.00 IT: 0.00 ' 02/29/2016 B. M. , Dpty Clerk �� '�r� PAULp S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER' ---- i �2/29/201�� pm 1 ��1 Fermit Nn. OR BK �� p� � Property IdeniificationNo. I D"'Zrs'`2 t ��()Q '['Q�6 D '�!� � .. "tT-IE iJIQDERSIG:`TEI11�ereby give informs you that the improvement ts�ill be made to certain r�l proPerty,and�accordance wi;h Sectinn 713.I3 ofthe Floxida Statutes,tha fu7Pnwing informativn is provided in this Pt�TIC;%;flF�O .1Hi4'i-f�NC�MEi�'T. 1.Descrietion ofproperty(&�;nl descriptian)�o Ili II�S G/tf,�$G l,la� �� ! �d a La(.J' °�l a}St�et Address: • - a 'j'J��P,��°�L_____ ^_ 2.C3eneral descriQtion ofimproveme ��,�irdh�t�i 3 Ou�ner Information / --- S�tll �-�t i1�'� .� a)Name and address: �t.�t� ��'t�lra.eJR� ��.�.r��' �.� ,��'��_-- b)Name and address offee:szmple ritle6oid.er:(if otber than ow�mer)�.__._,,__ c)Interesf iu FsrapertY.��le_._._..---: ._ _,._,« 4.Cor.tractor Information p�/� - .•/ /� / a)Nasne and address: � /� �G tet/eC�dl �`�/Qd'l,B�,��t��g�` �.��.� h)Teteptione No.: - __'�-�K' Pax No.(Opt} � -+i—�7� ___._ .. S.Surety Information a}Alame a�id address: _ __.__ �__.___________... b}t�rnoimt of.7�ond: _.__.__ _,__ �� _y c}'1"e1e�!ione No.: _ Pnx TQo.(Opt.)� 61,entler � a)Name and address:�,.__ ___ ,____ �_ PIIURe NO_ 7.Identity�of persan witkin the 5txte of F(orida desigiatad by owner upon v�hmm�otices or oYher do�iamnnis znay be se�ved: al Name and address: b)Telephone No.: -______.._�_. ___ T Fax No.(OpL)------ � R.In adci9tion to himseI�ovJner designates ihe follaa�in�person to raceive a copy o£L�e Lienor's Notioe as provided in SecYioil 7t3.13(4)(b),Floci&a Statutes: a)Name and address: � _T___� b)"Felephone No.: � _ Fax Ne}.(Opt.) 9.Expiration date of I�Totice of Commencement(the expiration date is one year frc�m the'date af record'uxg unless a different date is speci�ed): V�IAI2N7NC T��WNE12: F�IlTT.'PAl'M�N�'S t�IAT)F�I3Y'CfIIs�fllxlNF'R.e1Y'TP•.R T.H��'IR.41'I(9Id QF T'�E I4t9TILT ON CtDM�I�vCENL�N1`ARE C01�ISIDEREF3[MC'&t4}PER PA'YI�TL�NTS IJNLT�;Ft C4IAPTER 713,PA�'C I,SECTIf1N?13.53, FL(3it7a?A SCATI7fiE8,hieIT)C�'�`IZI:SUI,T 3Fd�'f)iJT2!'�YI1�IG�'iA'IC�I'FSt2 FMPR47'�1:111-1�CtTS 3'O YOTJIt PI8€?�'�R'FX_ A NO'T3fC�t3T+'C()M2V1�:N4:1?PUI�id'i`i'V1(JST$�ItEC43R�3L�U ANI)1'�STI<;D C3T�7t3��O$3 SIT��EI��RE 1T1iI�FI125T INSPECTIO\. IF Yd7CJ 1?VT�N7R TO(133'd'A.Ii+I 3±iNAN'Cl?'tG,��AfSULT Y€DfIId LLiNDER C@RA1V AT`a0 T' }2�I�t3RE CC)IbIM�NCIN�WflI2T�plt It�:�Ob'YDT�G'YOU�t Nd37['ICT E�t�Oi�f -_ ��. �F,.V'I`. srn•rr o�rc,oar�n ----,- COi;TYTYOF�O}.�(U�S�� _. _ � Ss amre of - or Uwnc-'s Au �oilzed Ofi:cul:Iiicdcr/Purfnec(Mausger .�� " '�•,-��-a(�;� Print;�tame ' The f'oregning instrument was ackn:�a�tc lgct3 bePore me this�day of_��-.�,}2U�,b,:� rl U�2 _ ss�(��/�1��. _,�_.__.l��of authcriLy,c.g.oflicer;�usce::,ationzey in tact)for ____ , (name of parfy nn l�ehalf of whom instnunent w exe• {ed). .J ?'crsoually I{no�vn___---OR Produced Tdeniifica'ion� Notary 5ignatnre,_^l`^�1�I__�I. -- - - 'C}�se a£Identificatian Producet��.��2�� Name(print) �� T``��' L � .� � �� Veaificarion pursuant to Sec:tion 92.525,Flarida 5tatutes.Under penatties af perjury,l decltue 8iat T lztive xead ihe fareg�sing and tltat the facfs stated in it are true to the bsst p#'my lrnowle3ge and bslicf, .�tPR��'bg� S aNreofNati�ra]I'crsonSip�ingAbove �� oehssr��c,�r t==°s .`c': LINDY HENLEY = + . : Notary Public-State of Florida z,+ aY;My Comm.Expires f�1ay 21,2017 �'o;;�f F�q;�� Cammissian#FF 020396 „�� 31116 ELOIAN DRIVE Date: / /2015 Contract#: WESLEY CHAPEL, FL 33545 � -- TeL (813)907-9877 Hm: � �i�' �p�— ��`C�� C�S 6'Z�`' B ' �G; Fax. (813)994-7827 Bus: Fax: � �) {�t . Email: serviceC�bigdogfence.com Email:�v: a��b,�.s (,�' �:#.x-t.4 �Cc: �� www.bigdogfence.com r,o�c�t�: a3 q t..�i 3R S . � � � t �`" � � PROPOSAL/CONTRACT , � ,': ��"�"�,��'�� Buyer. � ��• C ��' � Gi / ' � �;.� Subdivision: � Mailing Add: �� '��6� C�� T �=c-Gi � City��,Q ��ci'G�"�' State��Zip ��r� � - Job Site Add: City State Zip Cross St: �kvl /l�LGr Lot# Block Property Owner.�Yes _No Units Matertals and/ar Services � � { y�.�� ; , � " ��'.� �-�-=--� �� 1� �,�, ;� � _ �.' --c�+^^"`�.�f�'r �� ` ��?�� x:� ) � y� )/ • Q.� �� [irC:'� g . r, ,� � ��. � a - �� ` ` , � •Q �,�� '2 fs �.- � , a �'s�� C `V 1ib � � `�S' Z. y F _ 1�, 3 �1 I7 FN' '� ��`� 1 ''• � � _ . e / l 5 '1 _ _ . �yf !-,/� 1 �[' � - '_Amex_Disc _PayPal 5; $ . _ , . � � � Aamunt Number-lixluds aU Num6ers ��/ Ymr 3-4 Digit Code � � i � m �rtation Date Credit Card � Authorized Signature: / / - oate Buyers Signature• _ �' �/ li /�� `� -/wc� f,,•� Selle � �/J� � Seller:BiQ Do�Fence, Inc. 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