HomeMy WebLinkAbout03-2142
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
2142
Permit Number: 2142
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/06/2003
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 6/06/2003
Work Desc: 223' FENCE
Address: 5610 6TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
ACME UNLIMITED INC
5610 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEC1l0N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
. 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
PROPERTY CORNER MARKERS SHALL BE EXPOSED - CLEAR SITE TRIANGLE SHALL BE OBSERVED
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-y lV@4f- cSLi)~ ~.
I '- CONTRACTOR PERMIT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
aUILDING DEPAR1~NT 5335 8~h Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECE IVED
PLANS REVIEW FEE
OWNEfti S Nl\ME ~ ~ LlIlI~;\.~+('J J/lC-
,JOB ADDRESS S(.;,to C:, f /., 5+'
PHONE Iff) 1?:J -002'
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
11- <. rO- <"1- 0 d 0:5>006 -OJ g-O
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
OS1G[,1
PROPOSED USE: OSGL Fl\MILY DWELLING
~~1MERCIAL
o ADDITION OALTERATION o REPAIR 4hISTl\LL
o 110VE 0 DEMOLISH
Ot.1ULTI - FAt1IL Y 0# OF UNITS o t10BILE HOME
o INDUSTRIAL o SWIMtlING POOL o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTt1ENT APPROVAL
f(/\c<-
L{,tJ .~....~
5QP7\RE FOOTAGE
22..3 (
HEIGHT
b (
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
l\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
ATTl\CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICl\L
AMP SERVICE
o FLORIDA POWER
o vLR.E.C.
o PLUMBING
o MECHANICAL
$
Vl\LUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
o OTHER
FINISIIIW FLoOR ELEVATIONS
IS PROJE:CT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******~*******************~***********~***************************
ELECTRICIJ\N
SIGNATURE
COHPAtly
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGtlATfJRF.
MECHANICAL
******************************************************************
C0l1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**~**************************************************************
OTHER
SIGNATURE;
COtvlPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************+***************************'*******
CONDITIONS OF PERlYJI'I' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CbNTRACTORS Al'W CON'l'RACTOR 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 ovmer and contractor may be cited for a misdemeanor
violation under state laH. If the oHner or intended contractor are uncertain as to what
licensing requirements may apply for the intended Hork, they are advised to contact the
City of Zephyrhills Building Department, 613-766-6611.
Furthermore, if the OHner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for Hhich they
Hill be responsible. If you, as the OHner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the.work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. 'rRANSPORTATION H1PAC'l' FEES AND U'rILI'I'Y CONNECTION FEES
D. CONSTRUC'l'UION LIEN LAvl (CHAPTER 713, FLORIDA STA'rU'rES, AS AMENDED)
I certify that I, the applicant, have been provided Hith a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide<< prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other .that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application is accurate and tllat all work Hill
be done in compliance Hith all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a ~erndt to do work and installation as indicated. I
certify that no Hork or inOitallation has conunenced prior to issuance of a permit and that
all work will be performed to meet Oitandards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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: J'Department of
Environmental Regulation-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-SeaHalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-WellOi,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 technici:tl 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 code. Every permit
issued shall become invalid unless the Hork authorized by such permi t is cOllunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00.. The extension shall be requested
in writing to the Building Official. A11 approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WAffi~ING TO O~~ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMl?ROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO OB'I'AIN FINANCING, CONSUL'!'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOrrrCE OF COMMENCEMEN'I"'.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknoHledged
2Q_
STATE OF FLORIDA
COUNTY OF
rrheforegoing instrument vias acknoHledZhed
Before me this _day of ,_
by
(name of person acknowledged)
C1ho is personally known to me, or:
STATE o If' ~~LORI DA
COUNTY OF
The foregoing instrument was
Before me this _ day of
bYe
(name of person acknowledged)
CIHho is personally known to me, or
of identification)
take an oath.
o Hho has produced
(type of identification)
and Hho Ddid Diid not take an oath
OHho has produced
(type
and HhoD did D did not
Signature of person taking acknowledgement
Signature of person taking acknoHledgment
Name typed, printed or stamped
Name typed, printed or stamped
ACME FENCE
P.O. Box 1744
Zephyrhills, FL 33539-1744
(813) 973-0826
DATE
HOME PHONE
BUSINESS PHONE
FAX NO.
PROPOSAL AND CONTRACT ZIP
CUSTOMER
,1
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ADDRESS
JOB SITE
11-2~-21-o() ~{)O-.O(YC)
32
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THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED ~YS.
THIS PROPOSAL SHALL BECOME A BINDING CONTRACT UPON ACCEPTANCE
SEE REVERSE SIDE FOR TERMS OF CONTRACT
QUANTITY
"') ,7 ? J ,,/ r-
A<') r 1-1 .. /''7/' C ,
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1----- .-
SPECIFICATIONS
Top Rail 0.0. Total Height
Line Post 0.0. Post Spaced
End Post 0.0. Style Fence
Corner Post 0,0. Fabric:
Walk Gate Posts 0.0. Residential --
Drive Gate Posts 0.0. Industrial
Gate Frames 0.0. Wood Privacy --
Walk Gate Roll Gate
Double Drive
Gate
CONSTRUCTION NOTES:
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DIRECTIONS: _.