HomeMy WebLinkAbout19-21299 r ,
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21299
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21299 Address: 3003 MOULDEN HOLLOW DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: HIDDEN RIVER
Est. Value: Parcel Number: 25-26-21-0100-00000-0520
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 6/18/2019 Name: GORMAN,DOUGLAS &TANIA ROXANNA
Total Fees: 55.00 Address: 3003 MOULDEN HOLLOW DRIVE
Amount Paid: 55.00 ZEPHYRHILLS, FL 33540
Date Paid: 6/18/2019 Phone: (813)624-3010
Work Desc: INSTALLATION 60 FT X 4 FT & 128 FT X 6 FT WHITE PVC FENCE
CONTRACTORS APPLICATION FEES
POST R US INC (813)779-7795 FENC 55.00
t
o� 6 I
FINAL Ins ections Required
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
1'�� -&1 f"O�
CONT TOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
$13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
/ --
Owner's Name Gl G b0/0"e Owner Phone Number f3 —301(l
Owner's Address 3603 /74bG ld6l 0/1ok--� Owner Phone Number
Owner Phone Number
JOB ADDRESS 3 /'i dot lde' q LOT#
SUBDIVISION ►'/l�011�1 I0(K PARCEL ID# 2-S Z ,h'o�)-00GO.SZo
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF'CONSTRUCTION 0/ BLOCK 0 FRAME = STEEL Q
DESCRIPTION OF WORK 6 d-L l ' �4 r (- Ave A,14r-e /0 ' �-v 6'
BUILDING SIZE OOOTAGE[� HEIGHT
=BUILDING $ L) VALUATION OF TOTAL CONSTRUCTION_
=ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I� /) .✓
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY ��/✓►C ��e
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address /�v �G�l�/a �-'E°� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
Ir
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"`"PROPERTY SURVEY required for all NEW construction.
iiiiiiiiiff
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of.Commencement is required. (AIC upgrades over$7500)
(for the owner)would be someone with notarized letter from owner authorizing same
_Agent(for the cont�actor)or Powq�(?f Attorney .
OVER THE COUNTER:PERMITTIN'G`•= (copy;,gf,contract required)
Reroofs if shingles ' Sewers Service:;Uggrades=A(C: Fences(Plot/Survey/Footage) '
Driveways-Not over Couriter`if'on public'roadways.:need,s.ROW
NOTICE OF DEED RESTRICTIONS: The undersig ied 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 CONTRAC OR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be require 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 contract r are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasc County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a con ractor 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Rec very Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing b jildings, 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 Transportat on 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 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—Homeowner's
Protection Guide" prepared by the Florida Departm nt of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained 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 hat all the information in this application is accurate and that all work
will be done in compliance with all applicable laws egulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and nstallation 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 government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take o be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protectio -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 Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-As estos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to th a use of fill:
Use of fill is not allowed in Flood Zone" " unless expressly permitted.
If the fill material is to be used in FI od 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 adve sely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit iss ed under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engin ered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in 3ood 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 hall 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 ORD 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 NOMEDF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this S bscGrn ed and swo o a armed)before me this
by fp e,—q by
Who is/are personally known to me or has/have produced Who is/are per a ly kno n to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commis io O.
,,�„� dACAUELINE BOGES
Name of Notary typed,printed or stamped -Name of Notary prjd, pteS�C�emet 12,2022
°•' 80MB6.7019
a+ Abe•' go 1WuTmyFa1nWumTae
Acme Fence Aster FENCE
ACME 5150 Halstead In.
FENCE Zephyrhills, Florida 33541
"Your PVC Specialists" 813-779-7795 813-973-0826 888-779-8553 fax
acmefence@yahoo.com
LICENSE # 11795
PROPOSAL/CONTRACT 05/0 6/2019
Customer Information: Job Information:
DOUGLAS GORMAN JOB LOCATED IN HIDDEN RIVER
3003 MOULDEN HOLLOW DR CROSS ST IS KRESTERBROOK
Zephyrhills, Florida 33540 813-624-3010
GORMANDOUGLAS@YAHOO.COM
g12
s:
6' WHITE PVC TONGUE & GROOVE PRIVACY a' SOLID PRIYACYso,
4' PVC TONGUE & GROOVE PRIVACY LAST PANEL ANGLED s' TO a•—"`
1 5 FOOT WALK GATE 64. sa
GATE POST W/ ALUMINUM I BEAM Q
ALL POST SET IN CONCRETE
Ion
s� s
LIFETIME MANUFACTURE WARRANTY HOUSE
LIFETIME LABOR WARRANTY „
5+.
ACME FENCE agrees to guarantee above fence to be job and adjustments for labor will be charged or
free from defects in materials and workmanship for credited at the currently established rates.
one year. Additional charges for any extra work not covered
ACME FENCE shall advise the customer as to local in this contract that was requested by the customer
zoning regulations but responsibility for complying will also be added. The full amount of this
with said regulations and obtaining any required contract along with any additional charges will
permits shall rest with the customer. ACME FENCE become payable upon completion of all work whether
will assist the customer, upon request, in or not it has been invoiced.
determining where the fence is to be erected, but A finance charge of 1 1/2% per month (or a
under no circumstance does ACME FENCE assume any minimum of $1.00), which is an annual percentage
responsibility concerning property lines or in any rate of 18%, shall be applied to accounts that are
way guarantee their accuracy. If property pins not paid within 10 days after completion of any
cannot be located it is recommended that the work invoiced. All materials will remain the
customer have the property surveyed. property of ACME FENCE until all invoices
ACME FENCE will assume the responsibility for pertaining to this job are paid in full. The
having underground public utilities located and customer agrees to pay all interest and any costs
marked. However, ACME FENCE assumes no incurred in the collection of this debt.
responsibility for unmarked sprinkler lines, or any
other unmarked buried lines or objects. The
customer will assume all liability for any damage
caused by directing ACME FENCE to dig in the
immediate vicinity of known utilities.
The final billing will be based on the actual
footage of fencing built and the work performed.
Partial billing for materials delivered to the job
site and work completed may be sent at weekly
intervals. Adjustments for material used on this
Approved & Accepted for Customer:
Contract Amount: $ 3954.00 Customer Date
Down Payment: $ 954.00 Accepted for ACME FENCE:
Balance Due: $ 3000.00
Salesperson Date
INSTR#2019090289 OR BK 9913 PG 1122 Page 1 of 1
05/29/2019 12:28 PM Rcpt:2058624 Rec: 10.00 DS:0.00 IT:0.00
Paula S. O'.Nei4 Ph.D., Pasco County Clerk& Comptroller
Permit No. Parcel ID No Z 26-Z I-010d'00000"10S2�
��/ / NOTICE OF COMMENCEME
State of 1 1iq/it County of R S�y
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 7 31)�F9e.lorida Statutes,
the following Information is provided in this Notice of Commencement 2S=Z6-Z t-G 1 -��6`dS-.2 1 4d'ewea
1. Desaipfim of PmpwW..Parcel Identification No. 4)),AS ate, Q P�7L �� O'71 � ,n
StreefAddress: 3003 AICQ004T f(Ifl4r l�r 2fy/l 9,4 l�
2. General Description of Improvement
3. Owner Infornatlon or Lessee information if the Lessee contracted for the improvement
w I45 O�i1n.0�n
Addrasa�OO Nam t tIO� • Z / 1"d-111/r
stow
Irderest In Property.
Name of Fee Simple Titleholder.
dp(ifI'different
rfrom
—Owner
Jf.s�ted above)
Address
state
4. Contractor /emj-e Fnl C WSIAVS
Names_/a ck&j L1)
Ad City State
Camacfa's Telephone No.: /S. Su
ma
Address city State
Amount of Bond: 8 Telephone No.:
6. Lender.
Name
Address City. State
-- L•ender's Telephone No.:
7, Persons within the.State of Fodda designated by owner upon whom notloes or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address ty State
Telephone Number of Designated Person:
6. In addition to hbnsetf,the owner designate's of
to receive a copy of the Lienoes Notice as provide Section 713.13(1)(b),Florida Statute.
Telephone Number of Person or Entity Designated by Owner
g. Ex netlon date of Notice of Commencement(the eWration dale may not be before the completion of cons d feral payment to Ore
contractor,but will be one year from the date of recording unless,a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1;SECTION 713.13, FLORIDA STA D CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT ST BE
RECORDED AND POSTED ON THE JOB'SITE.BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, LT
WITH YOUR LENDER OR AN'ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA l �a
COUNTY OF PASCO
of Owner or Lessee,or cr essee's Authorized
cer/Director/Parmer/Manager
F>wn er-
Signatory's Title/Office /1��//��f �//� 1
The foregoi instrument was aclmadedged beftir me this�!day let 20 by / VQ1Av1S 1- y-
Y Cl as et (type of authority,4.officer,trustee,adomey in fact)for
u $ 60�fVIQ1!1 (Warne of party ann behalf of whom instrument was executed).
Personally Known O 9B Produced Idanti0catkme< " Notoy Signature
Type of tdertitication Produced Ricci dJ4 Dr4dQc 4G" °` Name(Print) 1A 1(
ClatxHa Escobar
Notary Public
State of Florida
My Commission EWM
October 27,2020
wpdataromhwUceeanmencemempco53048 Commission 1 No.GG-42M
STATE OF FLORIDA,COUNTY OF ASCO ®Ic �®
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN T1iIS OFFICE
�WDAYOF
Y HAND AN OFFICIAL SE LTHIS Ir.SotYve9 ust °
2� ^e'.,•,, a �
PAULA S.O'N _IL,CLERK& OMP R_OLLfF °
J DE UTY CLERK 49
a88�
BY •