HomeMy WebLinkAbout17-18508 CITY OF ZEPHYRHILLS
+ 5335-8TH STREET
�sis��so-oo20 18508
• FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18508 Address: 39136 OLD MILL 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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0360
- Improv. Cost: 8,450.00 OWNER INFORMATION
Date Issued: 5/23/2017 Name: KIRBY, DAVID & COURTNEY HOWARD
Total Fees: 55.00 Address: 39136 OLD MILL LN
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542-8200
Date Paid: 5/23/2017 Phone: (813)788-2411
Work Desc: NEW WHITE VINYL FENCE 340' X 6.5'
CONTRACTOR S APPLICATION FEES
BIG DOG FENCE INC (813)907-9877 FENCE 55.00
�
� ,
�
�
�,r ����
��
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 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
"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
,befor recording your notice of commencement."
J,Comple�t�e P(ans, Specifications and Fee Must Accompany Application.
-•�/All work�i5all be performed in accordance with City Codes and Ordinances
y'• �/' ,- ' %
'f/ / �i "
�� CDNTRACTOR-��"� � 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 Departrnent
Date Received phone Contact for Pertnitting
� -f-1-TT-- -
Owners Name (/�lV(�C� K.I r N Owner Phone Number ��.T� � ! � d'
Owner's Address 39/3l� �/7 // Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple TitleholderAddress
JOBADDRESS 3 3 VL��I/ I � ' / ' L J L LOT# �
SUBDIVISION (/ �� PARCELI� rC��` ���Q��B6QQ�oJ�L�
(OBTAINED FROM PROPERN TAX NOTIC�
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � � C /! /'f'%(//�'i � �
BUILDING SIZE SQ FOOTAGE�� / HEIGHT [Q�
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
�f� O.U�
I QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY �
SIGNATURE r�GISrEr�o Y/ N F�cuwtEn Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N F�cuwtEn Y!N
Address License#
OTHER COMPANY �lG� G��fi1�.G[L.I'(G�
SIGNATURE �cls�aeo Y/ FEE CURRE� Y!N
Address �� (Q QT+ 3j License# � T�J
IIIIIIIIIIIIIIItllllllllll Illllllllllllllllltltlillllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction,
Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster,Site Work Pertnit for subdivisions/targe projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,ConsW ction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERAAR Attach(2)sets of Engineered Plans.
""PROPERIY SURVEY required for all NEW construction.
Diredions:' • • • ' • • • • • •
Fill out application completely. •
Owner 8 Contractar sign back of application,notarized
If over.$2500,a Notice of Commencement is required. (A/C upgrades over§7500) �
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unde�signed 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
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 IMPACTIUTILITIES 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 occupanc�'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 County 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—Homeowners
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"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application 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 regulations 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:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, 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 permitted 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, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the condi6ons of the building permit 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 correction 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 NOTICE OF COM ENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IiV T BTAIN FINANC G,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU O IC F COMMEN NT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
� Subscribed and swom to(or atfirmed)before me this Sub c' e swo a before me this
by / by
Who is/are personally known to me or has/have produced o is/are pers al y k to me or has/have produced
as identification. as identification.
Notary Public • L (/�� Notary Public
Commission No. Co mission No. (,I � (/ �
��x- !J l�
Name of Nofary typed,printed or stamped Name of Notary typed,printed or t
•�;�Vp��•,, GEBRAELAINERUFFELL
'�'�����`:��Commission#GG 045343
n�.��•,:�z Expires November 7,2020
�+'t,, :�;;:'� �rded Thru Troy Fain Insurance 800-38rT019
31116 ELOIAN DRIVE Date: .5 /,� / J7 Contract#: O O O `� o �
WESLEY CHAPEL, FL 33545 �3 �
TeL (813)907-9877 Hm: �/3— 7��'�.�-f!I cett: 7��—3 9 7�''
� G Fax. (813)994-7827 Bus: Fax:
EmaiL• serviceC�bigdogfence.com Emait:�U� ;d-hu �r3 �. �rG.��oo, ��n..
www.bigdogfence.com No�cut#: �3h�4?�L3
����
.�
PROPOSAL/CONTRACT
Buyer: Q�"��� � ���•J'��,, Subdivision: SV tv� I��C� l��~�•�
Mailing Add: �7�3�O p�� I�-y��( L0.Y1 2 City �v/�,;,r���/I S- State�Zip 33sy�-
Job Site Add: SQn.u.� City State Zip
Cross St: Lot# Block Property Owner:�Yes _No
Units Materials andlor Services
� �O � ���� � ,..Q�
' Z/US'f Cc.-�6 `�%b�.i � /v� r' S � c �� , �� � ,
' G�-a.�f�. A �� '
lvv,... —'/�2aW, `I��
-�- c��e, _ � sS �
� � �
D 's o � o� �.�►. • -��� -c
.-a. —� : /� �, . � � � . '
�
s -� o /� " �
Z .2 �f �Covwl`��z
.f1,C- .�l! � 2t� .
-� o (� \ x
1 �(Lc/� Y
� °�-
� Po � '� r � �—��=, -
; l st
� �.-� /6 �
`— I6.$ �
,
Visa MC_Amex_Disc _PayPal ` 5 S
D sit Balancc
I�� Price. . . . . . . . . . . . . . . . . . . . . . $ �y�U���
I . . . . . 5 Account Numher-Include all Numbers
I
- fdonth Year 3-4 Oigit Code Billing Zip Cnde
Perm�t Fee. . . . . . . . . . . . . . . . . . . .$
� 3�Credit Card Process Fee. . . . . . . _ .$ � m
Total Price. . . . . , ._ $ �/5�•04 �a��� Date
��e c:,�iEh' -
50%Down Payment. . . . . . /��� . . . $ ���.Jr,�
Credit Card
Financed Price. . . . . . . . . . . . . . . . . $ Authorized Signature: / /
Balance Due on Com letion_ . . . . . . .$ ��5'9� Signature: ���� �� �/� II
P Bu ers �
, �t I
Quote good for 30 days.This Propowl shall become a binding contract � �,�e
upon acceptance_See Reverse Side For Contract Terms. Sellers ��'w"' �
Seller: BiQ DoQ Fence,Inc. Agent: a ��'�'��''
SECTtON i2 , TQWNSHtP 26 S4UTH , RAN�E 21
I � L � MILL PASCO COU� TY , FLORlDA
N 89°55'26"E � �.�g 27. CURVE DELTA AN�L,E RAD{US AR� CHORD CHORD
_ — _
L A N E £ � c ► aa4oa•2�- iao.oa• �o.z�• �ao.00• s r
��o tPc�� �a� C 2 54° !3"57" 50.40' 47.33' �5.58' N b
akCP) Fp. � 4281 �S F .
�� J
���0��F 1
�, ��o ..
_�.—...�..—..�.. pE134i'ES 6' B�OARD EDGE OF PAVEMENT---�,,,.,:;;i "�s� rfL�ryaR
FENCE - �a$�� �s„EN�,q��„ .,
\,,,� .,''.:� �82 SF� o,o �iVj`� -
':=:r�'�::�: o.
�` ::�s.. `ir� �p
i/2' tP FQ� .�E. ��::;c.=' ��i �+ �`
v 6822 � G \y�' :::20;� h ts'
f-- 4� � � � ���9.,Q� s
� •f� �� ..�$� M
� : .
-' _ Q -'� p/::: .•p ��„/�
� � � },
� „�'y. :
� . C+ .
-- -�s 1 8 ` \k�p �2� �a�9�6 4o�r� '�p�
�y iu '��l ,�'� c�,, ``�-
4 g'Cp G� � �` �o
6 � %'.��4�y��`d� � � o
Q ' ��
7r � � nt�it CA Y(� 7.40' o . A6........ G4P�i���� . $694� � J t�6822P ED.
� - �CV j{� a:�::t_�::=�_:�'�'d Q /
lf! �•�C � i> p' '`LO• ' �
W — �Ltt ' j I� /
�J .��' �
t.l - r� ��� 3op1� �
'� LnT 3fi ��i� X
�
� � . � �� s��$ •�o. ,� :�'
o � � ��
.� ,, f � M V
W �; f�l oq JC�.
� �j�78°3g;d3' � 44,� ry�b �J Q
°a � �J�c`,�.-;'" r,� �� 'fiC
d- �.z: O
4 - �,cv� �j p
o c�"�``! v
,� ��'��' �?
DRAINAGE RETENTIQN �
� AREA EASEMENT--'—�'�j� �ry ��
f � , o
� �, �
} �-
� .�. �
� d _- /'w -...
7.34' y
� I/2' IP FD. � ��7�� ,ct $���JJ��2Q. i
---- - - --- ----- * 6822 _ � _ ra.�:s-���-'���rz�--°---;>���.-..__. ....---. � �- �4..C141 (PRM) FD.� - -
� 0.20'
+ 42$!
DEscRIPTIt3N S O tJ T H �►V IE 1�U E s.00-
LCYT 36. SUMMER HILL SUBpIVISiON. AS PER THE P�AT THEREOF RECQRDED
iN PL.AT BOON 3I. PAGES 38� AND 39. PUBL(G RECORDS OF PASCO COUNTY.
FLORIDA. �
t�4TES
i. THiS MAP REPRESENTS A BOUNDARY SURVEY. IMPRQVEMENTS LOCATED. �
2. NOT VA�lD WITHOUT 7'NE SlGNATURE AND THE {}RIGfNAL RAISEi3 SEAL ;
OF A FLORIDA LlCENSED SURVEYOR AND MAPPEE2. ADDlTlONS OR
DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER 1"HAN THE
StGNiNG PARTY t3R PARTiES iS PRQH1Bt1'ED WITHOUT WRITTEN '
CONSENT pF THE SlGNkNG PARTY 4R PARTIES.
3. NO APPARENT SURFACE ENCROACHMENTS EXCEPT AS SHOWN HEREON_
' I I IIIIII IIIII�I�II IIIII IIIII IIII�IIIII IIIII IIIII IIIII IIII IIII
201�0�6�89
' NOTICE OF COMMENCEMENT Rcpt:1865527 Rec: 10.00
Permit No. DS: 0.00 IT: 0.00
05/23/2017 K. D. K. , Dpty Clerk
Property Identification No. 7z-zs-z�-o�oo-00000-osso
THE CJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the PIOTICE OF COMMENCEMEN'T.
1. Description of property(legal description:) �2-Z6-21-0100-00000-0360 "SUMMER HILL SUBDIVISION PB 31 PGS 38-39 LOT 36 OR 4524 PG 238
8� St!'C8C Addl'@SS: 39136 OLD MILL LN ZEPHYRHILLS FL 33542-8200
2. Ci0flel"dl deSCfl}7t10I1 Of IIIIpi'OVC[T1ei1tS 6'H Whlte Ynyl Privacy Fence InstallaGon.
3. Owner Information
3� N3iT10 Blld 3ddl'BSS: KIRBY DAVID M-39136 OLD MILL LN ZEPHYRHILLS FL 33542-8200
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property ��
4. Contractor Information
S� NaIllC 3I1CI SC�CICeSS: B19 Dog Fence,Inc.-31716 Eloian Dr.Wesley Chapel,FL 33545
b) Telephone No.: 813-so�-ea�� Fax No.(Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.�Opt.)
6. Lender
a) Name and address:
7. [dentity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARIYING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CNAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,COPISULT YOUR LENDER OR AN ATTORtVEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLORIDA •Michelle Antie
COUNTY OF PASCO NOTARY PUBLiC
�STATE OF FLORIDA Sig ture OF Owner or Own 's Authorized fficer/Director/PartnedManager
� � Comrri#GG059833 �
Expires 4/21/2021 Print ame •
T e foregoing instrument was acknowledged before me this�day of 20�,by�[�,\j�
���rhUl as _ QL�`3n2�[ (type of authority,e.g.officer, tee,attomey in fact)for
(name of party on behalf of wh 'nstrument was ecuted).
Personally Known_OR Produced Identification� Notary Signatur
Type of Identification Produced('��Y\\K'�'CC \�CC�X1'� Name(print) ♦
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief. �� �
FORMSMOC.rvsd200J
Signa ure of ral erson Signing Above
PAULp S 0'NEIL,Ph D.Pq5C0 CLERK & COMPTROLLER
05/23/2017 11:38am 1 of 1
OR BK g544 P� 1023
�
�,3����� �A�, �TATE OF FLO�IDA, CDUNTY OF PAS��
� o C'� THIS IS TO CERTIFY THAT THE FOREGOING IS A
��, . �; �'� TRUE ANL��QRRCCT COPY OF THE DOCUMENT
_ �����$�� ON FILE OR OF PUBLIC RECORD iN THIS OFFICE
0 -_` � 4 �l�v��-.
� ,,,Go��,;��-,,,tt e � WITN�SS 4Y HAND AND+O�FFICIAL SEAL THIS
� �J�" DAY OF �C�,L.( 2
� ' �'�, ���� , '� PAULA S O'NEIL, CLERK� �MPTROL R
� 8�� �_ � � BY ����t.ti.
��� � e o �`��. — DEPUTY CLERK
�o����