HomeMy WebLinkAbout21-2542City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
BGR-002542-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 07/22/2021
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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
Mnr•-�- =
............ . . . .1 PUR
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
PEfIT OFFICE()
INSTR#2021164463OR BK10408 PG1 060
08/04/2021 10:22 AM Rcpt: 2335002 Rec: 1000 DS: 0.00 IT: 0.00
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'<Acm Acme Fence
FENCE
, our P V( , Specialists
Customer Information:
SARAH FORKELL
6489 PADEN WHEEL ST
Zephyrhills, Florida 33541
Notes:
- 85' 6' WHITE PVC TONGUE & GROOVE PRIVACY
1 5 FOOT WALK GATE.
82' 4' WHITE PVC CLOSED TOP PICKET FENCE
1 WALK GATE
GATE POST W/ ALUMINUM I BEAMS
STAINLESS POWDER COATED HARDWARE
ALL POST SETB 3' W/ 60#S CONCRETE
LIFETIME MANUFACTURE WARRANTY
LIFETIME LABOR WARRANTY
2% FEE FOR CREDIT CARDS
NOC & PERMIT INCLUDED
ACME PENCE agrees to guarantee above fence to be
free from defects on workmanship of installation
for life to the original owner, Manufacturers
guarantee products for lifetime to original owners.
Warranties do not extend coverage for damged
caused by use other than which the product was
designed for: Negligence, Alteration, Misuse,
Accident, use, Vandalism or is Of God.
ACME FENCE shall advise the customer as to local
zoning regulations but the responsibility for
complying with said regulations shall rest with the
customer. ACME FENCE will obtain any required
permits. ACME FENCE under no circumstance assumes
any responsibility concerning property lines or in
any way guarantee their accuracy. If property pins
cannot be located it is recommended that the
customer have the property surveyed.
ACME FENCE will assume the responsibility for
having underground public utilities located and
marked. ACME FENCE assumes no 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.
ACM FENCE requires a 25% deposit with signed
contract. The final billing will be based on the
Contract Amount: 3995.00
Down Payment: 995.00
Balance Upon Completion: $ 3000.00
ACM FENCE
5844 1ST ST
Zephyrhills, Florida 33542
813-779-7795 813-973-0826 888-779-8553 fax
WW. getfencenow. com
acmefence@yahoo.com
LICENSE # 11795
Page 1
3/19/2021
Job Information:
JOB IN SILVERADO
813-727-7579
SE'ORKELL@GMAIL.COM
actual footage of fencing built and the work
performed. Adjustments for material used on this
job and adjustments for labor will be charged or
credited at the currently established rates.
Additional charges for any extra work not covered
in this contract that was requested by the customer
will also be added. ACME FENCE RESERVES THE RIGHT
TO ADJUST PRICING ON MATERIAL DUE TO INDUSTRY
CAPACITY OR PRODUCT SHORTAGES. The balance of this
contract along with any additional charges will
become payable upon completion of work.
A late fee of $25.00 will be applied to the
balance if not paid within 2 days after completion
of work, and every 2 days after until paid in full.
All materials will remain the property of ACME
FENCE until balance is paid in full. The customer
agrees to pay all interest and any costs incurred
in the collection of this debt.
Credit Card Convenience fee 3% on Mastercard,
visa. 4% on AMEX/Discover.
Approved & Accepted for Customer:
Customer Date
Accepted for ACME FENCE:
Salesperson Date
t,13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADD/ALT
B
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
FRAME
DESCRIPTION OF WORK i��
SIGN DEMOLISH
BUILDING SIZE SO FOOTAGE HEIGHT
I'" .........................................
=BUILDING n:V=6--5- VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=PLUMBING
=MECHANICAL
= GAS
W
ROOFING E]
F77=
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE!, Y/N
Address L�5xy Ll License#
ELECTRICIAN COMPANY E
SIGNATURE REGISTERED ;;;;; FEE CURREN
Address License #
PLUMBER COMPANY E
SIGNATURE REGISTERED �Y / �N�FEE C�URREN Y/N
Address License #E====
MECHANICAL COMPANY E
SIGNATURE REGISTERED :Y / N FEE C�URREN
Address E========= License #E=====
OTHER COMPANY E
SIGNATURE REGISTERED FEE CU�RREN
Address License#
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.
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)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
szamm".i ,Q
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
in
il 'In -01;4 f rol--brsl Fa�* 0 y
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understand•
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
-----------
MITI& MGM& WAA•••• J11011 "1101
, - r•III&I JiMilMl 11 "I'lll�illillW*I
lllliial Ilomi'mil
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 perrnit 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.
4JA411
JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed �beforem e this
b
Notary Public
Subscribed and sUmrwfo (6'r affirmed) before me this
b
. 11.
Name R -Notary typed, printed or stamped Name of Notary typed, printed or stamped