HomeMy WebLinkAbout21-3223City f Zephyrhills
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5335 Eighth Streetvt
zephyrhills, Ft_ 33542
BGR-003223-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
issue Date: 11/1912021
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04 26 210120 00000 0700 6293 Bradford Woods Drive
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Permit Type: Building General (Residential) Contractor: PASCO FENCE COMPANY
Name: STEVEN & ROSEANN TRAWICK
Class of Work: Fence INC
Address: 6293 Bradford Woods Dr
Total Valuation: $2,300.00
ZEPHYRHILLS, FL 33542
Total Fees: $55.00
Amount Paid: $55.00
Phone:
Date Paid: 11/19/2021 11:02:22AM
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INSTALLATION BLACK ALUMINUM FENCE 101 FT X 4 FT
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Fence Installation Fee
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entities such as water management, state agencies or federal agencies.
Complete Plans, Specifications
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE
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PEFPIT
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ITWOUT APPROVED INSPECTION
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
bate Received
Phone Contact for Permitting
Ml�= 11-11-y
Owner's Name Owner Phone Number
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Owner's Address L�- - �9 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
7—
JOB ADDRESS L �- �2,4 3 �7 " �11E , �, �,L J' L LOT #
SUBDIVISION
PARCEL ID#
4-� / �21J
>,�.t
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONITR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR E] COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
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BUILDING SIZE = SQ FOOTAGE HEIGHT L--2 ------------ J
1r1r"T-rmr "r1r1T1T1r1T"" T-r-rlrlr"rmr T-r1r"r-r"r"
UILDING $ -- VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E,C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER jr COMPANY
,
SIGNATURE REGISTERED y6N FEE CURREN N
Address License #
Y/N FEE CURREN
ELECTRICIAN COMPANY ;;;
SIGNATURE ` REGISTERED
Address E========= License #
PLUMBER COMPANY E
SIGNATURE REGISTERED ;;;;�FEE C�URREII
Address License #E====
MECHANICAL COMPANY E;;� FEE CuRREN
SIGNATURE REGISTERED
Address License #
OTHER COMPANY E
SIGNATURE REGISTERED YIN FEE �CURREPI, �Y
Address License #E:====
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 & I 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. (A/C upgrades over $7500)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
#VER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades 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 CONTRACTORS AND T CTOR 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 contractor 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 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 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/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 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, 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-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 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 TOOWNER: YOUR ILU E TO EC D A NOTICE OF COMMENCEMENT AY RESULT IN YOUR
PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO T 1 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGYOUR TI OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)b ore 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
Fence Contract
PASCO FENCE CO.
4254 Plum Street Zephyrhills, Fl 788-5642 11/19/2021
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6293 Bradford Wood
Zephyrhills,
OY-A4�'ql -c>0<noo-0'76C
10 1 ft. of 4' Black Aluminum Fence.
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All in e above work to be pgrfonned
in accordance with the dr above work
And completed in a substantial workmanlike manner for the sum of $2,320.00
Two Thousand Three Hundred Twenty Dollars. With payment as follows:
Submitted by: "O-zm'
Date: 11 / 19 / 2021
ACCEPTANCE OF PROPOSAL
The above price, specifications, and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Payment will be made as
outlined above. Any changes to above work will be at an additional charge. I
Accepted by: Date: //