HomeMy WebLinkAbout17-18105 i
CITY OF ZEPHYRHILLS
- ' 5335-8TH STREET
�sis)�so-oo20 18105
FENCE PERMIT
` PERMIT INFORMATION LOCATION INFORMATION ''
Permit Number: 18105 Address: 5247 3RD ST i
Permit Type: FENCE ZEPHYRHILLS, FL. '
Class of Work: FENCE/NEW Township: Range: Book: �
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: I�
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12600-0040
Improv. Cost: 500.00 OWNER INFORMATION
� Date Issued: 1/26/2017 Name: WHITE JOAN KAY
Total Fees: 40.00 Address: 5247 3RD ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/26/2017 Phone:
Work Desc: CHAIN LINK FENCE 53' X 4'
CONTRACTOR S APPLICATION FEES �
PASCO FENCE COMPANY INC (813)788-5642 FENC 40.00
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ns ectio Re uired
FINAL
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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 erformed in accordance with Ci Codes and Ordinances
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C TRACTOR PERMIT OFFI �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR iVOTICE REQUIRED
PROTECT CARD FROM WEATHER
` ��O����Y ,,,,,A:,. Page# -of pages
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PASCO FENCE CO. _
4254 Plum Street Zephyrhills, F1 788-5642
PROPOSAL SU fITED T0: JOB NAME JOB# '
�oan White � �
ADDRESS JOB LOCATION
5247 3Rd. St.
Zephyrhills, Fl� DAT�/26/2017 DATE OF PLANS
PHONE# FAX# ARCHITECT
�
7�e hereby submit specifications and estimates for:
53 FT. OF 4' CHAIN LINK FENCE INSTALLED
1 EA . 4' X 4' SWING GATES.
�
AYIV�IV'I`-IN FULL OIV D7���(3F`-+�OIVIPLE'I'I�N--- –
- --- Bu'rl�irig-Dep�copy----- -_ — _-------�.. _
°�- �e propose hereby to furnish material antl labor—complete in accordance with the above specifications for the sum of:
�(1 fl(1 Five Hundred Twentv T�ollars Dollars
with payments to be made as followsA��utlined ah�ve
Any alteration or deviation from above specifications involving extra costs R2Sp2CtfUlly ,
will be executed only upon written order,and wili become an extra charge submitted
over and above the estimate. All agreements contingent upon strikes,
accidents,or delays beyond our control. Note—this proposal be withdrawn b �i/n� ccepted within days.
� �rre�t�r�ce of �ro�o�a ` � ` -
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The above prices,specifications and conditions are satisfactory and�are �'1���'� � � �
hereby accepted. You are authorized to do the work as specified. �j `�
Payments will be made as outlined above. Signature ,=-�-
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Date of Acceptance Signature ? _ - "
A-NC3619/T-3850 09-01
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� 813aso-oo2o City of Zephyrhills Permi#Application Fax-813-780-002't
• • Building Department
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Date Recelved - phone Contact for P�rmittin '° ��3 7�� -- J ��� _
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� Owner's Name � (J � G�'�/�' � �� Owner Phone Number
f . �Owner's Address ���? 3�!� S%�� dwner Phone Number �^
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E Fee 5imple Titleholder.Name �� � Qwner Phone Number �- �
� Fee Simple Titleholder AddressP
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� JOB ADDRESS �Z�� .,�G'-'_.,,ci S� LOT# E^___�_�
SUBDiViS10N �� � PARGEL ID#
� (OBTAItdED FROM PROPERTY TAX N0710E)
WORK�PRC}POSED . NEW CONSTR ADD7AL,T � SIGN Q Q� DEMOLISH
� INSTALL 8 REPAIR "
PROPOSED USE. Q ` SFR Q COMM � 4THER '
TYPE`OF�CONSTRUCTION Q BLOGK • Q FRAME � STEEL Q �
DESCRIPTION C1F WORK ��//�j �/�'� ��✓�j� f iG l'=6�V ���/t�•�
BUitDiPIG SIZE �- � SQ FOQTAGE S � HEI�FFT •�`!+_�
������1��' ���v, 0 d VALUATION`{}F"TOTAL CONSTRC1CTtON
QE�EGT'RICAL �;� � AMP SERVtCE Q E'ROGF2ESS ENERGY C] W.R.E.C.
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� QMECFiAi+!{CAL $ VAI.UA'ftOtU OF MEGHANICAL IIVSTALiAT14N �\�
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� Q,GAS Q ROOFiNG Q BPECtAITY � OTHER
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i FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
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� BUIIDER J_� �-�- COMPANY 1q �6 �G'���C� C`- �f✓ G
SIGIdATURE �� G/—���—�" REGISTERED / N FEE CURR�fi N
Address �I.icense# � �
- ELEGTRtG1AN C4MPANY
SIGNATURE REGISTERED Y/ N �F�e cuR�n Y/N
Address License# � ` ��
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PI:U[UISER.,; . . COMP'ANY . - I
SIGNATUR� REGISTEREO Y•/ N Fe�cuRr�n� Y/N
. Address License# � �
�' MECHAPIlCAL � COMPANY .
� '`•SIGNATURE''u � � 1 REGISTERED ; Y/ N Fe�cuw�En , Y/N -
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Add�e'ss�` License.# ��
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- OTHE$�= �"�.;- . • �C,ONIPANY
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-•=.RESIDEt�'i1AL=;,�;. Attact►A(2);Piat-.Rians:'(2}:sefs�o�=Bu�liiing-Plans;{1j°setofEnergy,Fo`rtn§;,R=O�=W;Feriii�t,foi�new.
', �, , Mmimum:;ten�(;10.)rwo,rkingidays'`afte��sutiitiittal date:"Requir'c�il'onsite;"Gonstruction Plans,`Storinvirater Plans w/Silt Fence installed,
� ��-'' �� San,itary.;Facititi,es:;&1xdumpst�r;;S�ife;Work Permit-farisubdiv3sions/la'rge,'.proJects - '-' � � �
�'COMMERCIA! Attacti°�2)�complete`sefs'of'Buit+ding�Plans plus a�Life Safety Page;(1}set of Energy Forms.F2-O-W Permtt for new construc�on.
- " - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
:*:,',_,' _ Sanitary FaciEit(es&9 dumpsier.Site Work Permit fo'r�al!nsw projects.AA commercial reguirements must meet compliance
�._;SIGN�PERMiT "Aftaoli°(2)'sets;,of;Engineered�Plans:�f:..•: � �. ' � �
� �"` "'•PROPERTY SURVEY required far„aII,NEW:coi►shuction:.
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j :tiDl,rectioris:. , >+i.-:. „ ,.- _
; _ -r��� Fill.out application completely.
� �, Owner.&Gontracta�sign back ofappltcaSon,notatized
, �% "If over$2500;,a Notiae•.of Gommencement is required. (A!C upgrades over$7500) ,_
�`'"�' Agent`(for'ttie"contractor)=or�Power ofAttomey'{fbr'tfie ovuntirj would be sameone with notarized letter from owner authorizing same
'._..},�.
i u;rOVER°:THE�COUN7ER P,ERMIT,T;ING... (copy_of contracE:required) ' ' � `
' -:'Reroofsif st�ingles Sewers Service Upgrades.A/C Fenaes(PIot/SurveylFootage)
( �` �_ ..... _�_.,....._..._.__.,. ._..,: .�. .- , . . ;,.;.. , _
� Driveways-Nat over Cour�te�lf o,n p,ybliCJ4c3ad'v�ay,s..�ne�ds ROIN�.,;,,.,.i
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� NOTlCE 4P-DEEDRESTRlCTlONS: The undersigned understands.that,.�his;permit may be•subje�t;to'.'.ae�aw� rest�ict�on�s°;��
�/si '[ah wr::�i i:•v.i:. ' .Y4��.;�iV*:Xi;,�l ry x�-��'�rt�'Ai� Y $h r•
which,may�be.mor•e-cestrictive:than�:Cou�ty:regtalations Ttie=undersigned�"assuriies��r�sponsibii�ty for�compliance with any"_�
� 'applicabie deed restrictions.. � �:,:���-_;>��,�:.`��=
,
- .. _ �,_.-.. . .�:_
UNLiCENS.ED CQNTRACTORS AND' Cf)NTRA�T4R RESP...QNSIBtLiTiES:� lf�tfie�-oinrner'-tiasX:tai"red`��ai:contcactor or, ,
cantractars fo undertake work,they,ma�r�be_,r:equired'Ea be:licensed in accordance witfi sta#e and Iocal:regulatians::;-lf�tlie�:z'<;
#� �,�._:. . . ,,
contractar is-not;licensed�as rEquired'_by`law, both��the owner:and.�contractor=may==be�=cited:�far a=misdemeanor viofafion..;,-r
under state law.� !f the owner or int�nde+d..contractoc are:unce�tain as..to what tieensing;cequiceria,ents;�rn'ay�xapply°>for,4rtt%e:4�;�
...A�1 F.-t �.."Y?w, .�
intended work,.they-are-advised to coritact tlie Pasco County Building liispectibn`D'ijiision Licensing.;Section at.727 84fi,�°.;-
8009. .Furtherrnore, if the awner=fias"hi"recl'ja'con`tractor ar contractors, he�Yis acfvised to�havey�the_.cantractor(s,).�sign,i�,'�,
partions of the contractar Block af this appfication,for which th�y�,will.be responsiblet-_�If�yo;u,,as,fhe.awner sign;as the;=;,-
contractac, that may ae an indication`ttiat he is not praperly licensed and is not'+entitfeii�ta permitting privileges in.?Pasco ,$;�
County. - - • - .. .. .. . . �.:,z ...1�. =:I:.,>;:
TRANSPORTATI�N-lMPACT/.UTtLI7fES�IMPACT AND RESOURCE RECCIVERY FEES:-Tfie'undersigned understands::�-_
that Transportation Impact Fees and Recourse Recavery Fees::may.;appty to the canstruction.of,new�buitdings,.change:ofy:�i��,
use in existing buildirigs,,:.or-ex�ansian�6f;exi�ting buildir�gs, as specified in Pasca County_Qrdinanee nurnber 8J-47���and;,;��„
90-07, as amended. The•undersigned atsa�.understands, that such::fees,=as:may�.;be:due, will���'e�.identified'ats•the+�imeY:a€�=��.�;
permi#ting. �if is fu�ther understood that Transpartation Impact Fees�and Resource�Recovery.Fees�must be paid prior_to ,.;:;�
rece€ving a "certificate of accupac�cya or final-,power release. lf the�project does not irtvolve�,a certifrcate o#ac:�upanc}��a�.z��>=�,
final.power rele.ase, the fees-must�be'paid prior to permit issuance..�_Furttiermore,.if.Pasco Gounty W;ater:lSewer.�lin�pact-%;,�=�::
fees are due,fhey must be paid prior ta-permit issuance in°accordance with°applica6le:Pasco County ordinances. � '
CONSTRUCTIC}N LiEN�LAW(Chapter 713;Florida Statutes,as amended): If valuation of wock is$2;500.OsQ,.or.moce;,t1�;=��;
certifiy that I, the applicant, have .been- provided with �a copy:rof the "F(orida Canstruction.'�Lien .Law-=.:Homeowner's�`� _,
Protection Guide° prepared by tt�e Florida Department of Agriculture and Consumer Affairs. if the applieants is someone..,-;�„
ather than the"awner�,°f-certify,that_I.have obtained a copy of the above'it'e'sc'ri6ed'dacument and.promise;in�goo.df;fai�iif;to.'l�r;
deliuer.it.to�the:'towne�':prior.;to-commencement: � � ' - � � � �
CONTRACTOR'SIOWNER'S AFFIDAUlT:-�l-.certify,that all the �nformation in this application is accurate and thaf a]!'wark ,
wiH be done in compliance with a11 applicable'lawrs regulating construction, zaning�and land-devefopment. Appticatian is
hereby made to obtain a..permit_.to .day..work-and installation..as��indicated. ! certify fhaf no�work vr insfaflation=�has
commenced prior-to issuarice of a perrriit and��#fiat all wark wiH be performed ta.meet standacds of a!! laws regulating :
canstruction, Caunty and City codes, zoning regulatbns, and land develapment�regufations"in'�the jurisdictian: ��t:also �
certify that I understand that the reguiat'rons of other gavernment agencies may apply to the intended wark, and that it is r��
my responsibility to identify what actions I must.take to be in compliance. Such�,agencies include but are not limited;ta �:,
- n Department of Environmental:Rrotection-Cypress Baylieads, Wetfand Areas and Enviranmentatly Sensitive :;�
Lands,Water/Wastewa,ter Tceatment. �
- Southwest Flarida Water Management District-Welfs, Cypress Bayheads, Wetland Areas, Altering ;i
Watercourses. � � j
- Army Carps af Engineers-Seawal(s, Docks, Navigable 1(Vaterways.
- Department of Health 8 Rehabilitative. Services/Environmental_.Health Unit Wells, W:astewater Treatment; ' :,
Septie Tanks. �� [
- US Environmentaf Pratection Agencp-Asbestos abatement. ,�;: �
- Federal Aviation Authority-Runways, �
i understand that�the foiiowing�restrict9ons apply ta the use of fill: �
- Use of fitl is nat allowed in Ffood Zone"V"uniess expressly permitted. �
- !f the fi!! materia! is ta be used in Fbad Zone °A", it is understaod that a drainage plan addressing a - ,
"compensating valume° will be,submitted at time of permitting which is prepared by a professional engineer �� .,
licensed by the State af Florida � � -
- !f the fill material is to be used in Flood Zone "A".in conriection with a permitted� building using stem waN
construction, t certify that fill will be used only to fill the area within the.stem waN.
- If fill material is to .be used in any area, t certify that use of such:`fill will not adversety ai'fect adjacent
properties. !f use of fill is found ta adversely affect adjacent properEies, the awner may be cited for violating -
the gonditions of.the 6uilding permit issued und'er the attached permit applicafian, for ioEs less than one (1)
acre which.are elevated by fill, an engineered drainage plan is requited. ,
If t am the AGENT FQR THE QWNER,=1 pramise in gaod faith to inform the-owner of-the permitting conditians set forth in
this affida�it:prior_Co commencing construction. ! understand that a separate permit may be required for electrica! work,. �'
plumbing, signs, wells, paols, air conditioning,�gas,. or�attier installatians not specifically included in the apptication. A :,'?.
permit issued shall°be construed to be a license-ta.proceed with the work and not as.authocity.to violate, cat�cel, alter, or '
set aside any provisions of the fechnical codes, nor shaA issuance af a permit prevent the Buitding Officia!from thereafter .
requiring a correction of errocs in plans, construc#ion ar violations of any codes. Every perrriit-issueii shatl-become inva(id �
unless the wrark authorized by such permit is commenced within six mon#hs of permit issuance, ar if work authorized by
the permit is suspended or abandoned for a period..af.six(6)monfhs after the time the work i�'commenced. An extension_ ;.
may be requested, in'writing, fram the Building Official for a period not to exceed ninety{90) days and w�li demonstrate
justifiable cause fo�the extension. ,If work ceases for ninety(90)consecutive days,the job is considered abandaned. �
WARNlNG TO QWNER: YQUR.�AtLURE TO REC.O;RD.A NOTtC.E OF C,QMMENCEMENT MAY RESULT IN'YOUR
PAYING TWICE FOR IMPROVEMENTS,;TQ YQUR::PROPERTY::,fF YOU�iNTEND�TO=�OB'FAiN;FIPiANCING,CONSUL.T �
WlTH YC)UR L'ENDER OR AN ATTORNEY BEFORE�REC.ORDlNG�YQUR- 4TICE�ClF�.COMMEN�CE!!+! �1T:�-------- -- ---�`
FLORiDA JURAT(F.S,117.03)_,_,_ — - - - -- "`"` "- ` .
� QWHER Oit AGENT COI�TRACTQ L-� �
Subscribed and swom to(or affirmed)before me thls Syu�,s�cribefd,.a-�nd swo�(ar aifirmed} �`me this �
by t_L0L�1-G��"Y p!' � _� .�,r��
Wha is/are personalty knawn to me or has/have produced " Who Isla�r�e,personalfy known to e or has/have produced
as identification. �,/,�/i�'�k�� r��.. � as identification.
Natary Public Notary Public
Commission No. Commission Na. t� � �
.�z"��'�} �L.�1 trtl� �L,�t�''�,t._L._
fVame of Notary typed,printed or stamped Name of Notary typed,printed or stamped� ° i
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� ;=��+*PL�,,,DEBRAElAINE RUFFELt�
,?Commission#�G OA5343 ii
;' o'Expires November7,242Q
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