HomeMy WebLinkAbout16-17639 i
i
j CITY OF ZEPHYRHILLS
, i 5335-8TH STREET
(sis)�so-oozo 17
� FENCE PERMIT �
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� �I _ PERMIT INFORMATION . � - - � LOCATION.INFORMATION ' ',
Permit Number: 17639 Address: 5611 6TH ST �
Perm�t Type: FENCE ZEPHYRHILLS, FL.
Class o�f Work: FENCE REPLACEMENT Township: Range: Book: �
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squar�e Feet: Subdivision: CITY OF ZEPHYRHILLS I
Est'} Value: Parcel Number: 11-26-21-0010-05900-0050 I
Impro; . Cost: 1,075.00 - OWNER INFORMATION
Date�ssued: 8/05/2016 Name: PERRY SHIRLEY
Tot�l Fees: 40.00 Address: 5611 6TH ST
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-3409
Da�e Paid: 8/05/2016 Phone: (813)782-1233
Wor,',k Desc: INSTALLATION 58 X 4 CHAIN LINK FENCE
�I CONTRACTOR S - - APPLICATION FEES
U S A FENCE COMPANY 813)677-4411 FENCE 40.00
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� - Ins ections Re uired � �
FINAL I
REINS ECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC�: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may b�found in the public records of this county, and there may be additional permits required from other governmental
Ientities such as water management, state agencies or federal agencies.
Th� payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Wa'ning to owner: Your failure to record a notice of commencement may result in your paying twice for
imprbvements 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 rk shall be pertormed 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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� ����=_ FENCETM Contract �� 22039Q
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' .'_`.���-' Itemized Materials and/or Services
� 200.1 N 40th Street•Tampa, FL 33605-4547
(813) 677-4411 • Fax (813) 671-3211 ���,��f�� �'�'r�,L z,�'/�va��Q
(800) 741-1715
� www.myusafence.com //��T
State License CRC 016172•CCC014577 f /j�� �ef7fJ �`���
Charlotte County License AAA0010138 ;>�� '7 ��
�ustomer Info i�nation: � %���l,•l/,�LS.
�Taine: .(�1 ul r}� �vctlf�LL
3illing Address�: ��/ � S� / � � r �� ��� 9�^�
"" � � �/S �State: L Zi 9:�.��� �_ l�/J �l�-�
..ity: .�=•1?�i 1//' 1� p' ����'/ /�i�
�hone��-i17�"/?-�3 Cell:v��i,Z- �j�Iy', 7���
rax: � II
Email. ��
[nstallation Ad�� ress: �i�`1'►2 � `
�i�,: � S ate: Zip: '
Property Ow �r: S�r/�'�-`�' f.-/'� cv
County: l'/lSeD Prop Id#: Cash Price: � �u 75`
The Seller hereby�ells and the Buyer(s)hereby purchases the goods and/or services Other Charges & Credits: �
herein undii r the conditions stated. rj���,
This is a cash contract. Buyer(s) agrees to pay Seller or Seller's agent immediately permit: � �
upon com�letion of the work as defined in this contract. �l�
Buyer(s)is respon'ible as to the location of the fence. Buyer(s)holds Seller hannless Total Sales Priee: � �/��`
from any I iability caused by an error in the location of the installed fence.
Under no�circumstances does USA Fence Co. have any responsibility
concernin�property lines or in any way guarantee their accuracy. Pay�pgnf�Pt1017S
Buyer(s) sl�all inForm Seller of all iJNDERGROUND OBSTRUCTIONS, whether
nariiral or man made, in writing and also by physically marking them on A1 Cash/Check: �G
the prope ty. The Contract price is based upon only those underground ��i G�7c
obstructions disclosed by Buyer(s)as per above. Buyer(s)agrees to hold Seller Pre-Construetion Down Payment � �`
harmless i o any damage caused to any underground obstructions (examples: �'��
plumbing� wiring,sprinkler systems,septic systems,etc.)If Seller encounters Completion Balanee Due �
undergro�nd obstructions which Buyer(s) have failed to inform Seller of,
including�rock,etc.,(whetherpreviously know orunknownbyBuyer[s]),Seller B) Credit Card ineludes bank fee:
shall hav� the option to terminate this contract and be paid by Buyer(s)for the
installati�n of the fence up to the point of termination,or to continue the work Pre-Construetion Down Payment �
after re-n�i gotiation of the Contract Price with the Buyer(s). COfilplet1011 Ba1817Ce DU@ �
All materials wil�remain the property of Seller until all invoices pertaining to this job
are paid i full. Seller has the express consent of Buyer(s)to enter the property
and remove any portion of the fence if not paid. Credlt Card Authorization:
A cancellation fe�e based upon 10%of the Contract Price will be charged and will be
deductedl from the Down Payment upon notice to the Seller of the Buyer(s) I hereby authorize USA Fence Co to charge the following
intent to Icancel this contract prior to commencement of work by Seller. amount(S)to my credit card:
A late payment c�arge of 1-1/2%per montli,(18%annum)will be added to any balance Balance of$
remaining unpaid 30 days after due date. Deposit of$
The Buyer(s)ag�ees they will pay all costs of collection,including(but not limited to)
reasonable attorneys fees,in the event that payment(s)are not timely paid.
The Buyer(s)agi�ees that the venue for any legal action will be Manatee County Florida,
or at a p ace of the Seller's choosing.
Buyei(s)is liable�for all damages to materials delivered to the job site whether incorporated Card Number v�
in the fe ce or not,unless damage is caused by Seller's negligence. m �
The duties and obligations of the Buyer(s)shall bind his heirs,personal representatives, �
successdrs,and assigns. Month Year Validation Digits
This contract m�y be assigned by the Seller,without notice to the Buyer(s),and when '
assigne shall be free from any defense, counterclaim, or cross claim by
Buyer(s�. The rights and privileges of the Seller under this contract shall inure Cardholder Signature
to the b nefits of its successors and assigns.
For ottice us�on�y: ALL SCHEDULING MUST COME FROM OFFICE
Date Paid in iull Dote Completed Crew ppproved and Aceepted�
Buyer: (�1/�f't�� � ��,,✓�-c.�� Date• �, 3- /�
See b�ack for additional terms & conditions Selle
r��,�/ ��'�;N Date:�� �.
. j www.myusafence.com
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a�s-�'ao-oo2o City of Zephyrhills Permit Application FaX s�a-7eaoa2�
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� Buliding Depattmen#
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Date Recelv�d �/� j�, � t'� tL '�'�— t�1:
f � . _� Phone-Gontact far-Pe�rilt#in
Owne�'s Namd ��1- 1 Owner Phane Numbar ���J "7��" 1 �3�
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Owner's Addr�s �� Owner Phone Number
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Fee Slmpl�Tikleholder Plame s�"�'�'t-�"" Owner Phone Number
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Fee Simple TI leholder Address °
JOBAGDRES ���-� LOT# ��°77 � f �
SUBDIVISION �_ �� PARCEL ID# �l '�'� �"! b�16 C�.�� �� G���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP ED � e NS.TALI.�R 8 REPAIR • � StGN' Q �C] DEMOt,tSH
PROPOSED?IISE Q 5Fit. Q �COMM C� OTH�Ft —�N
TYPE OF COM�STRUC710W Q�' BLOCK ` [] FRAME [_� STEEG 'Q
� DESCRIPTIO OF WORK ' I �M.O✓£. 7�J t Wl�v4'J �,/C£. ,�MS�-t,{� � �G� � G`�''�C'�'�-7/�/ Lf W
BUILDiNG SI�E' �^ �`SQ FOOTAGE ' � � : . HEIGHT�E__�_�
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QBUt DlNG $ ` "'j�r�� VALUATION�fJF T01'AL CONSl Ftt1CTiO1V l`���'��
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QEL CTRICAL $ - AMP�SERVICE Q PRt�GRESS E[+tEF2GY Q W.R.E.C.
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QPL�MBIN{3 �� � _. �
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QME HANtCA� $ VALUATION OF'MECHANtGA1.INSTALIATIQN ���
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Q� � ROOFING Q SPECIAI.TY � t7THER • ��'"7�
FINI$HED FL OR ELEVATIONS FLOOD ZONE AREA [�]YES NO
BUFLDER COMPi4NY` � '
31GNATURE REOISTERED Y/ N FEE CURRE� Y/N _
�ddres LiCense# � �
. � �
ELECTRtCt. ; � COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� ' 'Y/N
Addres � - License#.�� * �
PLtlMBER ' GOMPANY '
SIGNATURE " � , REGISTERED Y./..N FEE CURRE� ' Y/N.
Addre � � , ;License# ��� , .��
. NIECHANIC `� � . ` COMP_�N1C
SIGNATUitE ' '" � ' REGISTEREp Y/ N „ FEE CURRE� Y/-N
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Addres '' ' . - ' � , . .
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as�ER � `,co�P,ar�Y t1 S � �'v��CEi C.�� -�-�G'
SIGNATUR -� ` ' �� REGISTEREO' Y/ N:,.. FEE CURRE�' Y/N
Addre� * .`,z,G�,I=^lf�i �{U�'S� t/tr�►l�l�= YC- 1�3��5 `` ' ' ticense# ��� t?�� t 7`7i
RESID�AIT1 �AL:;; Aitacti;{2),Plat�.Rlae`s;.(2•}sef�:oftBull�Ing4Flans;'(1}sefoF�Ener�y�Faims;:R=O=W=Peiiciitfo�newc;oasbucfion, � �
,.,
g� .Mlnimum;tern(.1,0)�working;days:aftec„submittal dat'e.r Required onsite„�Const"ruc8on:Rlans;�Stomnwater Plans w/Silt'Fence installed,
.
�:�`"Santtary Facllittes:&,;I;,du�^npste,r,,Slte Worlc�P.,errnit for�subdiVlslonsAarge projects _ �.:°.<,- ' , �� '
GOMMERCIl41. Attach{3)�comptete sets of 8uitdirig Plans plus a INe�Safefy Page;(1}set of Enerc,}y Forms.ft-O�W Permtt for new constructton.
Minimum ten(10)working days after submtttal date. Required anslte,Construallon Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Factlitles&7 dumpster.8ite Work Persntt for a8 new;prcJec�:.All cammerclal requlrements.must meet compliance
81Gt�PERMIT Attacfi(2)sets of`Eng,i`neored=Pians:,,,. :�- � -
""""PROPERTY SURVEY requit�ed for_all_NEW consVuction.
Directtons: • -� ;- '
Fill out�pplicaUon completely.
Uwner Contcactor stgn back of apptication,natartzed
If over I 500,a Notic�of Commencement is requlred. (A/C upgrades over�7500j .
'" Agent(�) r the cantractor}`or Power of Attoiney"(for Uie awner)would be someane with notarized letter from owner authorizing same
OV�R THE CQU�ITER.PERMITfiNG - - •(Front of-Appiication Oniy)
Reroafs if shi�ngles Sewers Service Upgrades A/C Fences(F'IodSurvey/Faotage)
Drivew ya-Not over Caunter if on pubiic roadvirays..need"s RQW
NATtCE Clf DEED RE�TRICTION5: The undersigned undersE�ands°:th�#.this.��rmit.may:be.sub)ect ta"deed"tesfric�ions°
whioh may be<mare.re►�t�Ictive�tha�Counky fegulaQloros: �The�undersigned��ssumes�responsftillily for�campllance witii"any
� �FPllcable deed rest�iations. .. , . .
UMLICENSED GONTRACT+URS AND GONTRACTOR RESPONSI�IL:ITIES: If the owner has hired �� contractor or
�� con4ractors to undertake wark, they may:be.cequtred•=to.;be;ltaensed In accordance.with state.and�loca!regulations. If the� �
�ontractar is not ticensed a� required-by law, both #he awner and contractorrmay be�cited�far a misdemeanor viotatian
under state law. If the owner or Intended con�ractor are,;uncertaln as ta what Iicen�ing.tequireKnents.may�apply:�'ar the
fntende�urork+they are advlsed to contac#the�Pas�o Courtty Buitding Inspection Dhrlslort--l:lcensing�Sectian a#T2T-8�7-
�009. Furthermore, 10' the owner has hlred-a contr�ctor ar contractors, he is advlsed toa have the aont�actor(s) sign
portlons af the "contrac�or Blocic° of thls appltcatton for which #hey wil( be r.esp�nsfble.. If you, as.the awner�'stg� as t9ie
contractor, that tnay be an 3ndic�tian t#�at Fie is n�t.prop�rly licensed and is nat enti�ed ta permitting priv}i�ges in Pasco
County.
-- g�.�!�5�:����'�y'���*�:3����'*!#�T��.1V���_���,��'���"�-�t�������R��S��l���t•��E�:'�'�a��a��e�#��a�-s������Q��d�
lhat Transpo�tatlon Impact Fees and.Recaurse Recove.ry.Fees rnay�:�pply�to�the constn�ction of r�ew buildtngs,�change�of
use In existing buitding�, or:expar�si�n=•af-ezfs�ii�,g�tiuildte�gs� as speclfled.tn Pasco County Ordlnance number 89-07 and
90-07, as amended.._'GNe undersigned aiso,understands, fhat:such fees,-.as,�nnay�be��due,�wfll•6e tdentffied at the time°of
permitting. It is furtFier understood that Tra�sportatlan Impaet Fees and Resource Recovsry-Fees must be pald prfor to
receiving a"cerE�icate�of�ccupancy" or fina9-powee release. :4fi the.project..daes.a�ot;lnvolve.a=.certifica#e of�ccupancy.-o�
final power rele�se, the fees must be pat� priar to permit issuance. Fu�thermore; If Pasco County�lN�ter/Sewer Impact
�ees are da�e}they.mus#b�-p�ld prlor ta permlt:lssuan�ce°ln accordance wlth�appltcabi+a Pa�co'Co�anty ardlnances. �
CONSTRUCTiClN LIEN`LAW(Cfi�pter 713� FMorlda Statutes,as amended): If vaiva�on af work is$2,5�0.00 or more, i
certify thaQ I� the �pplicant,. have�been provided with a c�opy af the °Florida� �onstructfon Llen Law Homeownee's
Peo#�etla�c� Guide" prepared by.tlie FIoHd� Dep�rtment of AgetcuEture �nd Consr�mer�Affairs. tf the appticant is someone
other than 4he"awner", I cer#tfy that I�have,obtalne��a-copy;of:th�;above..described_docuri�ent�and.p.r.omise�In,guod faiQh-to
delivec it ta,the."owner"'.pHor�to�commencement. � . _ .
CONTRACTOR'SIOWNER'S AFFIDAViT: I certlfy,.th:at�all#he�,lnformatlgn In•thl� applicatlon is accurate and that a0 work
will'be done in campliance with ail applicable laws regulaNng constructlon� zoning and�•land�development. Appllcatio� is
hereby made to obtaln .a permit .ta .dt�, wark�.�nd in�talla#1on as Indicated:. `I certtfy that no work or tnstaltaf#on has
commenaed priar to issuance of � permit and that.aQ work will be performed to meet standards of all Eaws regulating,
canstn�ctlon, County and City �odes, zoning regulatiQns, and lar�d deuebpment r�gulaflos�s�ln the Jurisdictbn.- ! al's�
certify that I uaderstand Qhat the regulatlons of other government agenci�s may�apply�to the 0ntended work, and that it is
my responsibility to Identify.what.actlon�!must•teke:to betinMcampl4ancs: Such,agencies Enciude bu#are.no#iitnl#ed to:
- Department of �t�vironmeratal�Pro#ection-Cypress�Bayheads, We#land �lreas and Environmentally Sensittve
L�nds, WaterMlastewater Treatment.
- Southwe�t Flor�da Wafer Management� .Dfstrict Welts� C%YPress...Beyh�ads; �itetland Areas, AI#erfig
Wa#ercourses.
- Army Corps of Engtneers-Seawafls� Qocks, Navlg�bie Waterways.
- D�partm�nt of Health� � Rehebilltative 5ervicesJEnV3ronmental 1-lealth Unit Welts, Wastewater�Treatment,
Septtc Tanlis. ,
- US Ernlronmental Protection Agenay-A�bes#os abatem�n�
- Federal Avletivn.Authorl,ty-Runwrays. .
t understand that the foilawing..restrtctions appiy#o the us�of flll:•
- Use of flll is not allowred in.Fload.Zone"V"unless expressly permitted.
- If the fil! material !s ta be use�.=�in �fload Zone. "A", (t !s understood that a dralnage pl�n addressing �
°corripensatdng volume"wi#1 be subm#tted at t3rne of,p�rtrtifting wli�ch is prepared by a prafession�l engineer
Iicen�ed by the 5tate of florida.
- If#he �11 mat�rtal is to be used In Ftood �or�a "A" in>cortrtectlon�wlfh�a permifted building �sing stem wall
� constructian, I certify that flll�:w�ll�b.e used only.to.fill the area within�th��stem�wall.
- !f fill materia! fs to be used #n any area� i �aettlfy that .use of such fIN wiil n�t acfv�rsely affect ad�acent
properties. if use of fill i_s f�und to adversely.�ffect adjacen#�properties,.#he owner may be cited ior vloC�ting
the cond�ians of the buildtng:permft issued under the �ktached__�iermit �pplicatlon� foc lots less than.one (1)
acr$w►hlcii ar�elevated�by fli1,art engine�red dralnaga plan 1s requlred.
If I am the AGENT FAR THE OVIFNER,.I�promise In good falth to I�form the�owner of�the permttting condittons set farth in
thts affidavit�p�ior ta camrr�enctng constructlon. i uni�ersfand that�a-separate permit r�ay be requirec9 io�etectrlcal work,
plurrabing, signs, we0s,.pools, air conditioning,..gas,--ar otMer. install�tions nol,spec�icai�y Included�in.#he application. �A
permit issued shalf be cons#rued ta be a°Ilcense to�praceed wikh tlie work and,not-as-authodty:,to,violate��cancel, alter, or
set aside eny provlsfans of the tecFtnfcal codes; nar sha111ssaance}of a.permit.prever�t th�Bulldirig�#'iiclal f�om�hereafter
requlring�conection af errors in,plans, constroiction or violatlons of-any cod�s. fvery permit�issued shall became invalid
unfess the work authorized.by such permit.°fs-commer�ced�withEn sGc.months af p�mtlt Issuance� or[f work authorfzecf by
the permit.is suspended_or.ab��doned for a:peri�d,:of six�f8)�montfis:after the time the�wotk�is commen�ed. An extension
may be requested� In wrifing,.�#rom the_�uild(�g,Officlal for a pertod��not..to exceed nlnety(90}-days a�d-wl!!'demonstrate
justi3iabie c�use for.�the extensior�. If work ceases.for ninety{90)consecutive.days,..the job�is cansidered aba�doned.
WARMINC TO QlNNER: Yt�UR_�A11.E1RE TtI.�,R�E.�.Q�tD A.NQT��E:CiF�CC?M�ENCEM�t�T.NtAY RES[1LT IRI�YO�lR
PAYING TWIC�.FOR iMPRO�/EMEN.�S�T�YfJlJ�;PR�P�RYY. IF�YO.EIrIN��'�D�'�TQ`OBTAIN��FIPFAf��1NG;'CONSULY
1t11PIT Y 6 � �O. A T1"O �t?RE�i � C- RQ G�° OU ` �C ,C? `� ���' ' � E :1..
FLORIDA JUFtAT:(F.S.1.17.03) . .- . . _ - - • -
�WNEti OR At3ENT CONTRAGI"OF�„ '" ' �
3ubscdbed and swam to{or afflrmedj before me this Subsalbed and'sworn (or afftrmed)�before m�thi�
by •by
Wfio lstare psrsonalty knowrt to-ms_ar h�sthave groduced Ydho.istare p.ersonailyknowrrto,me,or hasfiave produced �
a�IdendRca��n. as idenBflcaUon.
Notary Publia . Notary Public
Commisslon No:` Commt�ston.No.
Name of lVotary typed,printed or stamped Name af Notary typed,p�inted or stampad