HomeMy WebLinkAbout17-18282 CITY OF ZEPHYRHILLS
� ' 5335-8TH STREET
(813)780-0020 18282
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18282 Address: 38015 LAWANDA LOOP
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0360 ,
Improv. Cost: OWNER INFORMATION ,
Date Issued: 3/20/2017 Name: FOSTER, EDWIN
Total Fees: 50.00 Address: 38015 LAWANDA LOOP
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2017 Phone: (813)782-8872 ',
Work Desc: INSTALL FENCE CHAIN LWK 157' X 6' 51' X 4'
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 50.00
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Ins ections 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
ONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTI�CE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, , Bullding Departrnent
Date Recelved ' ., , .,:�:P.hone'-ContacY,for Permlttin - — ' •
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Owne�'s Name � (,(J cn �aS'1''"�7� Owner Phone Number ��3 � `d 7��`
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Owner's Address � � v 5 � A �-o o. ' Owner Phone.Number�
Fee Simple TINe6olderName • T� Owner Phone Number � �
Fee Simple Tltlehold�r,Addresa S w�2, -
JOBI�DDRESS S 100V� LOT# �
SUBDIVISIOFI • PARCEL ID# �
• , (OBTAlNED FROM.PROPERT1f,TAX NOTICE)
WORK PROPOSED .••.NEW CONSTR ADD/ALT Q� SIGN' 'Q Q �DEMOLISH
>B� INSTALL � :f,.REPAIR -•
PROPOSED.U$E ,. - Q , - SFR. �]_ COMM . Q •OTHER _ ' �
TYPE OF CONSTRUCTION"-� Q' �r-'BLOCK " [] FRAME ` '[� 'STEEL 'Q
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DESCRIPTION OF WORK' � `ey�L� �2 UJ b r -2, � /�/'o�� p�0& � �e IiZG,/�
, ,. , . , . . � ,. , x... .- Z
BUILDING SIZE • � �'SQ�FOOTAGE�. , _HEI,GHT . �
�BUILDING �$ s OD� ' y/�,UATION'OF`.70TAL.COySTRUCTION -
QELECTRICAL $ s ' AMP SERVICE. � ~�Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $ -� '
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QMECHANICAL $ ` � - VALUAI'ION OF;MECHANIC�4L IN$TALLA'i'ION.
QGAS � ROOFING ,Q ;,_ SQECIAL.74Y�:Q=___,;OTHER,. ,�• , _
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO
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BUILDER COMP�NY:, _ � ....-, _ . , -; . , - .
31GNATURE REGISTERED Y/ N , ' °.:��FEE CURRFKti '' '"Y`d N`' ` � -
Address �. :,: . •t�i� �`� �;License,#f�: ,,�; _ ,', � ,s .—�
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ELECTRICIAN; -- , . , � • . , i_�COMPANY'°` .. .'r==i;��:. ;'r � _ " - _ ,
SIGNATURE� � `REGISTERED u Y/ N FFE:cuRrtEf��" _'Y/N , - '
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Address� ._ .. . .,_ � . -� ,_.: a . � - • 'a� � :Llaensei#v� .. -- - , . �,
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SIGPIATURE'� .' - , . , - � . . ' L•
'REGIS.TERED .,Y./,-N,� ,f�:cuw��: Y=/.N.
Address - ' . , � , . '`' " ' ;License#r �`. _ . .- -c �_
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MECHANICAI:� - . , ' • ., ' �'' � �COMPANY ' " ' ` ' � � - . , _ • i
SIGNATURE.- ,: �°s; �� LL ,. ,. � _ . ;,>� ��:.' � ., ; .. ,
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GISTERED Y:/,N ,',�� E�cuRaEn:. �Y./-N:.
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Address�'.. :�� . . .,,ra:'; ::,�.°. , r: .. _ .. � , _ ,. .,- . ,,, � - ;L , , - , , �
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,C`OMPANY . . ,... . _
SIGNATURE•_ . - ,�' _. .. _ -�.., . , .t. _ �;>,.,. _. , -
�REGISTERED� Y/ N�.,.. ��e'Cuw��'• Y%N
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"Licen§e#'�
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RESIDEN7IAL„�;,';;;AttagFi'(2)aPlot;Pians',�2 sef§�<of.�Bu�ld(n`: w F �,'`'�' � ,'` '`' � . f.`'� ,'� � � . �;� � '. " �
;:( ) g''Plans;'(.1�)set'of�Energy=Forms;�R-`a1N'Per"mlffor=new�construcfion,
�Aflinimumf�en�(=,1A)�wo,rl4ingyde�ys�after„submittal:d"eCe{;;;Requlred onsite;�Constiuc8on�l?lans;Stormwater Plans w/Silf Fence inslalled,1 '
�y ��Sanilary FedllU,es;&'s1„dur,��pster•�„Slte��Worir�Pertnit�for,sutidivislons/Iarge�proJectsr=�.•>� ' �iz• '-' - - ,� _. -�w �
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COMMERCIAL Attech(3)`coinplefe�sets`of'Building"Plans'plus a Ufe§afety Page;(1)set of Energy Forms.R-0-W Permitfor ne�ticonstruotlon.• � '
Minimum ten(10)waricing days after submlthal date. Required onsite,ConsUucNon Plans,Stormwater Plans w/Silt Fence Installed,
. Sanitery Facilttles 81 dumpster.Site Work Permit for all new:pr�ojbefs:All commerc(al.requlrements_must meet compllance'"4J ,
SIGN PERMIT AttaccFii'(2)sets ofEnginearedsPlans:,,::v.,;;�sr;-::::::;�... ..: . _ ..- •.. •_ • - �
"••PROPERTY SURVEY requlred fQr ali NEW constructlon._ _. -
Dl�ections: ...��;���.,.,� , - ,,.�
FIII out applicadon wmpletely.
Owner 8 Contractor slgn back.of appltcaUon,notarized
If over�500,_a,Notice_of:Commencement la requlred. (A!C upgeades over 57500)
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" Agent(for the contraictor)or Power of Attoiney'(for Uie o'wner)��vould be soriieone wlth notarized letter from owner authodzing same
DVER-THE:COUNTER=PERMITTING�••�--�;-(FronEof-AppllcatiomOnly) --- " " " - " �
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlvewaya-Not over Counter if an public roadways.:iieed`s ROW � ,;.,,:,,t...�,,.�,..:�,:,:.;_..-.:,� -..�.,.�.__ _.�...
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��.T�►A.BLE PC���ER {QF �.TT�RNES�
KNOW ALL MEN BY THESE PRESENT, THAT I,
�
E v�`l�. F+� ��� �
� of Clexmont, Florida
do her�eby mak�, constitute and appoint
�a�mes T�or.�ton
as rny Attorn�y-in-Fact.
For me in my name, place and stead, I hereby authoriz�e my Attarney-in--Fact:
To make, do and transact everyr kind of business of whatsoeuer nature or kind,
granting to said at�orney the powe�to t�ansact an�and �lI business with any
financiai institution;
To deposit and withdraw moneys in my said attorney's name ar my name or
jointly in our names;
To draw, sign, e�ecut+e, endorse and accept checks, withdrawal slips,
promissc�ry notes and aIl other forms of com.mercial gaper;
To �emand, co�lect, compromise, adjust, sefitle and receive any and�ll
di�ider�ds, interest nr other m+ane�s due or hereafter ta b�come due on any
account whatsoever, and upon receipt of the same tc� make, execute and
deliver rec�eipts or releases;
To make and receive gifts, bequests, legacies;
Ta sell, assign, quitclaim, exchange, lease, mortgage, �ncumber and to make
�'I2Lav+r.com }�a�e 1 Of$ initial: ��
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contracts involving any of my°real or personal property, including without
limi�ation, stocks, bands and s�curiti�s of any kind ar descriptian, upon such
terms a.s to credit or otherwise as my attarney shall d�termine;
To give �ptions;
To renounce or disclaim pr�aperty or int�erests in praperty, including gifts and
bequests;
To execute deeds, mortgages, transfers, leases, certificates af titie and other
instruments of any l�nd;
To bor�ow money in my name and to execute notes, bonds, security
agreements, waivers, disclosure state�nents, clo�ing statem�nts an�l any other
documents required in connection th�erevvith;
To eject persons from and xecover passession af my.property by all lawful
rn.eans, and to maintain, insure, �epair and improve the same;
To release dower;
To invest and reinvest any of my funds in an� stocks, whether common or
preferred, bonds, obligatic�ns, secured or unsecured, securities, mortgages,
interests in the far�egoing a�nd an� other real or personal property�of any kind
Qr natu�e, to act as m�pro�or attorney in respect of an� of the foregoing
whatsoever, it being my intention to give my attorney t�e same power of
inv�estm.ent and r�einu�stment which I possess in th�management of the my
property;
To give general or special proxies or powe.�s of attorney for acting in re�pect to
seeurities vvhich may be discretianar�and vuith powers af substitution;
To open and close or transfer assets to and from depasitory and bro�erage
accounts;
To deposit securities with or transfer to grotecti�re committees or similar
bodies, to join in any reorganiza�ion and to pay assessm�ents ar subscrip�ions
c�lled for in con�.ection with any of my securities;
To emplc��, retain a�d disCharge such in�rest.�nent counsel, brc�kers, e�gert
witnesses, professional peaple and ag�ents as m.ay be required for my best
�nterest in the judgment of m�attorney, and to determ�ne and pay the
re�sonable compensation and expenses af such persons;
� 12La�.cam P��e 2 Qf 6 initiai:��
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To act Qn my behalf in resgect to all taxes, federal, state and municipal,
including withaut limitation, the prep�ratiar�, �xecution and filing af all
returns, declarations, clair�c�.s and other documents in relation theretv, to sign
my nam� to all pc�wers of attorney and consents and to appear on my behalf
before any agents, boards or officers in relation to such taxes;
To institute, prosecute, defend, campromise, arbitrate and dispose of legal,
equitable �r administrative hearings, aetions, Slll�S� 1���C�311T�I1�S� arrests,
distresses or other praceedings, or otherwise engage in litigation for me or on
my beha�f;
To enter any safety d�posit box which I may rent alone c�r in cannectian with
athers, and to place or remove property to or from said box;
To pa�, compromise, settle or adjust at any time and from time ta time, any
and all�ebts, claims and demands in�curred by me or hy my attorneys for me,
or fQr�nrhich I may be liable;
iTo re�oke, create or modify a trust; �
To transfer t� the trustee �f any trust which I have heretvfore or ma�
� her�eafter estabIish, any part or all o�my property, real or personal;
To take charge o�my person in case of sickness �or disability of any kind;
I To rema�ve and pl�ce me in such hospitals or other places as my at�torney may
deem best far my personal care and expend any of my funds ar asse�s; and,/or
To authorize and to consent to, in my name and on my b�ehalf, any m�edical,
surgical, dental and/ar any othex medical�or health care procedures which m�
sai� attarney, using uncontrolled discretion, ma.y deem necessary for me and
in m�name, and c�n my b�eha�f, tc� e�ecute any and all requir�ed cQnsent�
and/ar releases in connection therewith.
Tl�e above specifieally enumerated powers are in aid and exemplification af the
camplete power herein granted and not in limitation or definition thereof.
Giving and granting unto my said�ttorney full paw�r and au��c�rity to dc�and
perform all and every act and thing v�thatsoever requisite, necessary and
proper to be done in and abaut the premises, as fully, to all intents and
purposes, as I might or could do, if personally present, with full pc►wer of
substitution an�revacation, hereb�r ratifyring and confirming alI that rny said ,
attorney, or the substitute of my Attorney, shall lawfully do or cause to be ;
�t't ZLa�.com Pa�e 3 of 6 initial:—�r�
�
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done, by virtue hereof.
This Power af Attorney shall not be affected by disability of tl�e undersigned
Principal ar b�lapse of time.
A pl�otostatic cc�p�of this Povuer c�f Attorney, as e�ecuted, given by me c�r m�
attorn�ys to any third party shall be conclusive to such third garty as t+a the
authc�rity of m�Attc�rne�tc� act for me a� grovzded herein.
� � d'�'��
Edwin Foster, Principal
�TITATESSE�
On /"� a�.�^ .��� , 20 � 7 , before us, the
undersigned attesting witnesses, agpeared the Principal, Edwin Foster, wha '
signed, published and acknawledged, in aur presen�e, sight and hearing, this
ir�strument to be the Principal's Povt�er of Attorney.
Signature of First�►Uitness: Signat e of Sec�ond�GUitness:
_
�
" t n . �. irst�Titness here. Print name af Second�itness here:
��.r� �.,�c��k�'3 �r�f °���
Re�idence Address of Firs�t t�Titness: Resid�nce Addr�ss of Second Witness:
i �� �D� � � �"��-• ,�
_
��I`��`,�,d�- '� C.- ��"� �j �`��u�` ���'� �'�"7/!
� 12LaN�.cam Pa�z 4 Of 6 Initial:_���'..�7
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ACKNOVITLEDGEMENT
sT�� aF�-1��3c�w
COUNTY�F:�� -
The foregoing instrument was acknowledged before me on
��cJi.c,@,, �,� , zo J� ,
b �dl.c..�(� � �D S�✓
Y
Not P lic Sign ture
;
(�1�Ld-� �v�5
Notary Public - Name tTyped, Printed, or Stampedj
(NOTARY SEAL} ;S��P�a LINDA L.FUCHS
:`r°. �`�; Notary Public-State oi Florida ?
�'' ;•=My Comm.Expires Jun 25,2017
%9, P�`,.� Commission#FF 031140 ''
�'°���"° Bonded Through National Notary Assn.��'
.z,,
Personally Known; OR
s� Produced Identification; Type of Identification Produced:
�� ��
�12La�v.cam Page 5 Of 6 initial: ��
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Tlus page is an Amendment to the atta.ched Power of Attoruey a�.nd is for
the soul�urpase of real property listed below:
38015 Lawanda L�op
Zephyrhills, FL 3 3 541
And can not be revoked or dismissed do to health or mental capacity �r
death and is to reinaiu u�affect.
§12Lav�r.com P2ge 6 of 6 initial:—��-s`
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DISCLOSURE ST�TEM�NT FOR OWNER
CITY OP' ZBPHYRHIZ,LS BIIILDSNG �LPART�7T
=r �0�.�,�2,$ t �.'b �Vl�p+-. h�ve read aad fully uaderstaud aad
agree to the pravisioas of �his instrument.
The und�rsigned statee aad af�irm� that he or she is deairous of caastructiag,
reaovatiug, addiag to cr reroa�iag hi.s or her own clomiaile, that he or she
actual3y `oecupies, ar will oecugy by said domie3.Ie, aad same is nat �ar
reat, lease ax sale, Tha� he or she sha11 comply vrith the followiag caaciitions:
1. That the owaer aad he or she alone sh�l]. act as the builder for all phases of
canetsuctioa.
2. That �he oaTn�r wiZl comply w3.th ali pravisiaas of the City of Zephyrhi2ls
ordiaaaees azid codes pertiaeu,t ta the buildiag.
3. That ia the eveat various phases of caastruct�aa are subcontraated, he will
eagage aaly properly licea�ed subcontractors aad will persoaall.y supervi�e
such work.
4. That ia the eveat the Buildiag Inspector s]�.a11 require carrections to be made,
the ocva.er will assum� fulZ responsibility to iasure they are made, and upon
completion will ca11 far a r�inspection befare proaeediag with the buil@iag,
5. Tha� �he o`vaer ahall assume �u11 re�poasa.b3lity for the constxuati.oa and will
not escpect supervss3on o£ his work from the City af Zeph}�rhills Suilding
Departmeat.
6. That gsior ta final inspeetiaa aay additioaal fe�s, iacludiag reiaspectioa
feea, must be paid ia full. A writtea request trom this affice shall.
constitute aa o�f3.cial notiae to pay additioaal fees.
7. That the ovaner shall comply with all City, Stat� and Federal laws ia regaxd to
sacial security, workman's compeasation, lien l�ws, etc. , whete applicable.
8. That the awaer shall compZy witTn aIl the sa�ety codes iseued by th� Florida
Irtdustria3 Commissioa.
9. 3�ate 1aw reguire� coaatruction to be cioae by lieeased aautzaetars. You have
applied �or a permit uader aa exempt3on to that 1aw. The eacemption allows
you, as �he own�r of yaur property, to act as your owa coatractoz wi�h certaia
restrict3.ons even though you do aot have � Ziceaee. Yau must provide direct
' onsite Supervis3.on af th� aanstruetiaa yausself. You m�y'build or improve a
oa�-family or two-fa,xni2y resideaee or a farm autbuildiag. Yau m,ay also bztild
or improve a commercial build3a�, grovided your coats da ao� eacceed $75,40Q,
The bu3ldiag ar reeideace mus� be for your owa use or cccupa�acy. xt may aot
be built or �ubstaat3ally improved fos sa.1e or lease. Tf yau se11 or lease s
builc�isa,g ya�u have buil� or substantiaTly impsaved yoursel� withia 1 year a�ter
the cons�ructiou is comglete, the 2aw will presume that you buiZt ar
substaati.ally irnproved i£ for sa1� or lease, whiah a.s a violatian af this
exemption. Yau may aot h3re aa ua].icensed perso�o. to act as your contractor ar ,
to supervise people workiag oa yaur buildiag. It is your respoaeibility to
make sure that people emgsloyed by you have licenses required by state law and
by couaty or muaicipal lieeasiag ordiaances. Yau may nat delegat� the
r�spozisibility for supezvi.siag work to a licea�ed cantra�etor wha is aat
liceszsed to pezform �he work beiag doa�. Aay pexsan s,rorkiag on yoax buildiag
who is aot licenaed must work under your direct supervisioa sad must l�e
emplayed by you, which meaas tha� you mus� deduct F.I.C.A. aad withholdiag tax
and provide workers' compensatian for ttiat emp3oyee, alI as presaribed by Zaw.
Your ccnstructioa mu�t comp3y wi� all app�icable I.aws, crdiaaaces, buildiag
codes, aad zoaing re lat3on ,..,�---���--
OWNER'S SI6I�TATURE DATE �� I
RDDR88S
PHONS
WITNESS P8RMIT # �
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