HomeMy WebLinkAbout21-2743City of Zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
BGR-002743-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 08/26/2021
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.
!I 111111RIffiffli WITIRVI I 1 11 11 1 1 1 1
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRAC1'6R GNATURE
1:1-1:117,112 Igo" I
PEJAIT OFFICE()
THOUT APPROVED INSPECTION
oil I
BILLING CONTACT
CHRISTOPHER DAVIS
POST a US INC
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Im
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
REFERENCE NUMBER FEE NAME TOTAL
BGR-002743-2021 Fence Installation Fee $55.00
5721 19Th Street Zephyrhills, FL 33542 SUB TOTAL $55.00
REMITTANCE INFORMATION
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
TOTAL [ $55.00
August 27, 2021 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
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<A E Acme Fence
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PROPOSAL/CONTRACT
Customer Information:
DEANNE HALSEY
5721 19TH ST
Zephyrhills® Florida 33542
Notes:
REMOVE OLD FENCE & HAUL AWAY
154' 6' WHITE PVC TONGUE & GROOVE PRIVACY
1 10 FOOT DOUBLE GATE
GATE POST W1 ALUMINUM I BEAMS
STAINLESS POWDER COATED HARDWARE
ALL POST SET 3' W/ 60#S CONCRETE
2 WALK GATES
DOC & PERMIT INCLUDED
2% FEE FOR CREDIT CARDS
ACME FENCE 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 damaged
caused by use other than which the product was
designed for. Negligence, Alteration, Misuse,
Accident, use, Vandalism or Acts Of God.
ACME PENCE shall advise the customer as to local
zoning regulations but the responsibility for
complying with said regulations shall rest with the
customer. ACME PENCE 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. ACM FWCE 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: $ 4740.00
Down Payment: 775.00
Balance Upon Completion: $ 3965.00
ACME FENCE
5844 1ST ST
Zephyrhills, Florida 33542
813-779-7795 813-973-0826 888-779-8553 fax
WWW.getfencenow. com
acmefence@yahoo.com
LICENSE # 11795
Page 1
3/24/2021
M
Job Information:
JOB OFF OF 9TH AVE
352-457-7431
DEANNEHALSEY@GMAIL.COM
M
EX PHO FENCE
GATE OFF CARPORT i
Fes, f
IT 6 t.
NOC & PERMIT
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 PENCE 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
813-780-0020
"R
Date Received
C3CX3:X3[X
Ownees Name
Owners Address=-, 2 1
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS F�7q—,
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Building Department
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=BUILDING VALUATION OF TOTAL CONSTRUCTION 44 -7 Q f)
=ELECTRICAL
=PLUMBING
=MECHANICAL
=OAS ROOFING
FINISHED FLOOR ELEVATIONS
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AWSERVICE PROGRESSENERGY = W.R.E.C.
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SPECIALTY = OTHER
FLOOD ZONE AREA =YES
BUILDER I
COMPANY
SIGNATURE
REGISTERED
AddressAddress
ELECTRICIAN
COMPANY
SIGNATURE
--------------------------
REGISTERED
Address
PLUMBER
COMPANY
SIGNATURE
REGISTERED
Address
MECHANICAL
COMPANY
REGISTERED
NO
E�Y (N�FEE �CURREII
License
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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 Servlcdpgrades A/C Fences (Plot!Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned 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 T CT AND CONTRACTOR RESPONSI ILITI 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 on intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised,o 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 Blocks 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 RESOURCERECOVERY 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'underigned 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 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 (Chapter 713, Florida Statutes, as,amended): If valuation of work is$2,500.00 or more, i
certify that 1, the applicant, have been provided, with a copy of the "Florida Construction Lien Law—Homeowner's
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! 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 government 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,WaterlWastewater Treatment.
- Southwest Florida iWater 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.
m 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.
A 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 Stag'of Florida.
R 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 conditions 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 YOUR FAILURE TO TILE OF COMMENCEMENT.MAY RESULT IN YOUR
PAYING IC FOR IMPROVEMENTS T . YOUR ., IF,YOU;INTEND TO T I FINANCING, CONSULT
TIC T.
FLORIDA JURAT(F.S.117M)
OWNER OR AGENT_________________________ CONT CTo
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or,has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped