HomeMy WebLinkAbout21-32875335 Eighiil Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003287-2021
Issue Date: 11130/2021
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.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
SIGNATURE
E3
ACME Acme Fence
FENC
Customer Information:
BRENDA LOPEZ
5633 6TH ST
Zephyrhills, Florida 33542
Notes
97' 6° WHITE PVC TONGUE & GROOVE PRIVACY
1 5 FOOT WALK GATES
2 10 FOOT DOUBLE GATE
GATE POST W/ ALUMINUM I BEAMS
STAINLESS POWDER COATED HARDWARE
ALI, POST SET 3 ° WI 60#S CONCRETE
10' 4° BLACK 3 RAIL FLAT TOP ALUMINUM
1 4 FOOT WALK GATE
NOC & PERMIT INCLUDED
regulationsACME FENCE agrees to guarantee above fence to b
free from defects on workmanship of installation
for life to the original owner. Manufacturers
guarantee products for lifetime to original owner
Warranties do not extend coverage for damaged
caused by use other than which the product was
designed for: Negligence, Alteration, Misuse,
Accident, Abuse, Vandalism or Acts Of God.
ACME FENCE shall advise the customer as to loca
zoning regulations but the responsibility for
complying with said
customer. ACME FENCE will obtain any required
permits. ACME PENCE under no circumstance assumes
any responsibility concerning property lines or i
any way guarantee their accuracy. If property pin
cannot be located it is recommended that the
customer have the property surveyed,
ACME PENCE 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
ACHE FENCE to dig in the immediate vicinity of
known utilities.
ACME FENCE requires a 25% deposit with signed
contract, The final billing will be based on the
Contract Amount: 4098.00
Down Payment: $ 898.00
Balance Upon Completion: 200 a 00
FENCEACME
544 1ST ST
Zephyrhills, Florida 33542
13-779-7795 813-973-082 585W779-8553 fax
WWW.getfencenow.com
acmefence@yahoo.com
LICENSE # 1175
Page 1
8l18/2021
Job Info tion e
JOB OFF 12 AVE
813-217-1029
BRENDALOPEZLCSW@AOL,COM
N
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 ADTUST 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,
Approved & Accepted for Customer:
Customer Date
Accepted for ACME FENCE:
Salesperson Date
813-780-0020
Date'Received
Owner's Name
Owner's Address 175
AJA LOOeZ
Fee Simple Titleholder Name
City of Zephyrhills Permit Application
Building Department
11J
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONITR
INSTALL
PROPOSED USE
SFR
TYPE OF CONSTRUCTION
BLOCK L_J
DESCRIPTION OF WORK
=+!]M
-60,00-01"I'll Oil
LOT #
PARCELID#
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN DEMOLISH
OTHER
STEEL
BUILDINGSIZE Sod FOOTAGE HEIGHT
rlrv-rlr-rr
=BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
PLUMBING
=PLUMBING
MECHANICAL
GAS
=GAS
--
ROOFING 0
E=
AMP SERVICE PROGRESS ENERGY W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
BUILDER COMPANY MA
SIGNATURE 10( REGISTERED Y/ N FEE CURREN Y/N
Address 'y A License #E:ZZZH==
ELECTRICIAN COMPANY E;;� �FEE CUR�REN����
SIGNATURE, REGISTERED
L � I IAF
Address License#
PLUMBER COMPANY E
SIGNATURE REGISTERED �Y ! N�FEF �CURREN
Address License #E====
MECHANICAL COMPANY E
SIGNATURE REGISTERED ;;;��FEE �CURREN
Address License #
ANEOTHER COMPYREGISTERED ;Y/ ;N;�FEE C�URREN �Y / N
SIGNATURE
Address License #E=====
RESIDENTIAL Attach (2) Plot Flans; (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 Fomns. 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. (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
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
r �
NOTICE OF DEED E T ICTI : 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 CONT T 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 IMPACT/UTILITIES 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 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 tatutes, 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 inaccurate 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,WaterMWastewater 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.
- I₹ 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 , 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.
WARNINGTOWNER:O YOUR FAILURE T RECORD NOTICE COMMENCEMENT MAY RESULT IN YOUR
U
PAYING TWICE FOR IMPROVEMENTS
T. TO YOUR PROPERTY. IF Y INTEND TO T IN FINANCING, C ULT
WITHYOUR LENDER OR AN ATTORNEY BEFORE RECORDINGICE OF COMMENCEMENT
FLORIDA Jt3 T(F.s.917.03)
OWNER OR AGENT______________________ CONTRACTOR
Subscribed and sworn to(or affirmed)before me this subscribed ands to(or affirm 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.bon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2022109243OR BK10614PG1121 P,g,l,fl
05/16/2022 10:27 AM Ropt: 2456274 Rec: 10.00 DS: 0.00 IT: O00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
ZZ;f 7, JF
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BEVERLY J. HILTON f
I of Florida]
Notary Public - State
9? 86 State
Commission :-GG '9586'
vy Comm. Expires Apr ' 6, 2022
t' I t�' S, �n
Bonded through National Notary Assn.
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of a Sate Of Florida, County, f Pasco
This is to certify that the foregoing Is a
®' true and correct copy of the document
on file or of public record in this office,
' W't ss my hand nd official seal this
x ,a� day of
ikki Alvarez-Sowles, q., Clerk & Comptroller
a
Pasco Col Flonda`-
Fay Deputy Clerk