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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 •