HomeMy WebLinkAbout03-2307
- I
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
2307
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2307
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 5939 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
8/21/2003
40.00
40.00
8/21/2003
186' CHAIN LINK FENCE
Name: GALSTEN RICK
Address: 5939 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
. L~___~_____
REINSPECTION 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
"Warnin-g 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
Jl.efo..e recording yOU!_ no_tice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.--- ---------
_______________AU work shall be _pe!formed in acco'"9~nce with City Codes and Ordinances
PROPERTY CORNER MARKERS SHALL BE EXPOSED - CLEAR SITE TRIANGLE SHALL BE OBSERVED ----
_..._.~---._.__._-.__.._---_._._---_.._-.._,--_.,_._--,.._---~ .--------------
p~, ~.
V~~-~-----------
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~
CI'l'Y OF ZEPHYRHII~I,S PERMI'r APpr,rCA'l'ION
BUILDING DElPAR1'MEN'f 5335 sth str.eet, Z<;lphyrhills I F.'l, 33542
S13-'7S0--0020 FAX: 813-780--0021 9,/ / ~
lJA'fE RF,CE I VED-----:.;-gU'?________
PLA.tTS RI!lV111JW Fl11111
n['.Jl)F:H' S Jllll~E;__~~c:'L<___~(~L~A______________________ PllmlE ------_____hh_ _________________
,F) B A UfJ R E: S s-~2:J.rz_____/..2.z'_L_SZ_~______ ______ _________ __ ___________________ __ _ __________ ___ _______ ____
LE:G1IL IJE:Sr:rU P'l' II 'II: LrlT (S) BUlC[{ SIJBDIVI,SInll
.-------- -....--_____h_______. _____~___..___ _~_____________. __~_______.__.__._...____
trmHK P PU P.S E: D: [J fIEv,/ C'OI18'I RUe'!' J Oil
P ARC' F, r. 1 [) # ------------ --- ------------ - -_______ _____ ___n_____________ iQB~rA ULE'lli2tLEBW?.E RT'LTAX _N.Q'US;E.L_
[J l\DDITI()!J
[J ALTF, R1I'1' rr))]
[] PE PM R
~ltJSTl\rJL
Us IGtJ
rJ t'lOVE
[) IIEI"JOL[SH
PHI) pelS F;U USE: [J Sr; I, F'}1t! T L Y Dwr: LJ. lUG
rJr:()HI~F:HC [AI.,
fJ [v1l11:r 1- Fl\[-11 LY
LJ U1LJUSTRIAL
[J# OF fJ!1lTS
o S~1Jl ~lt1( tlr; poul,
[J t~() B T 1, E HOlm:
[I UTI/En
DEseRT P'l'T UU OF' WORK
[=-1 RE:STIIIJRl\!IT & IlEl\L'I'H DE:PARTHEIII' l\PPROlll\[,
-!r--=r;!!A~~_.LL;-K-___&~ ~ ~______ __ ...~.________
SQUARE FOOT1\(;E: ---Mk__'_______
,
!l E Ie; fI '1'.7.._
BUIJ.DII1G SJZE
--'.----------...-_..____4________
RJ<:S IDEI JT , llL:
CUI'JIIE:RC ll\L:
l\TTIICfI (;.>) P),I)T P1,1\118 & (2) SF.TS UE' BUUD J!lr; PLAns (, (1) SET F:tJE;PUY E'OPI1S.
11'1''I'l\('11 (3) SETS uF 8UJl,DIt1G PLlI11S I< (1) SET EllEPGY UJPJ-/S,
PRUPE:RTY S{lRIJE~Y REQUI RED FUR 111,1, 11E:l',/ COURTPrl1 ''I' J 011_
cP-- AU I LIT! IJrl
~_ERMI 'l~~.. REQUE S T~P.
$ --62..d.J_O_Q____H
\/,1\LUl\TICltl UE' T(JTl\L CUlmTPrW'['JUH
CJ ELEC'1'RTi'I\f.
------------------ At1P SERVI('E
o FLORIDA POWSR
LJ \v.R.F;.('.
f] PL(J[~8 TtJG
[_J '.!E:I :111\1 J I I J\ r,
$_______----"_ ----------- Vl\1,[I1\'[' Tutl I lE- [.JEUI1HICIAL fIlSTAL r ,l\TJ Uf-1
[J GAS
[J R()()I"Il!(;
[J SPECJl\T,TY
o OTHER
T 'i PI': elF' (:( i1IS'l'HIJI :'[' mil: [] BI,()('[<:
CI FPM1F
[J ST8EL
[] U'IHER
F Tt I J S fI F: Il f'l,l)Ofl F,LE\i 1\1'.1 OIlS
IS PPJ),JECT III FLOOll ZOt1E: I\RE:l\ [1 YF,S
U 110
["---==~=-~-----,~-=!-~~, - - ~~~~~=~~--=- :_~,~,~~,WM~~Q
:~:,:;~:~"" ~lJj~ ...... ______
'm~I:n'ON
,t!:" ~',l ;A'~t';~:~tiri;:!t::t"':: ",' '_.__:..-~~_.:....___.-:..._:..:....:__~___._........:-~_._-:...~_;_~_____~~__._.__
COI'1 PAIl Y -~g___E.t~L_l:! /..-'kLad_r:P.L:!t!- r/_~_________
STATE CF.R'!' OR RE;(;IST 1t ____________________
CIn PRor:ESSJ !.IG #-----____b____________________________
-------..----------.-..-.-..,-.-__.____.._n..__.________.____
~fJ~~~~~****~**~+~,*~~,~~+j ~*#*J*~.~+~~*~}~+*k***~*) ~4.)~***+~~~~~1 ~k~l
IELEJC'l'RICIAN
S 1 (;11ATrJRE: ________
._~. ---..-- -----.--. _._-_.._-------..__._------~-_.
r:(it1 P 1\ l J Y ___________ _____
5T1I1'E U:RT OR fU:lnST #
CITY PROCF,SSIUG #
--.' - ----...-----.---.---.--.-. "---'-,,,--,---., ----- --_.-
-.------..-..--------_____. -_0-
****~,k,A***~**~*~:***~*k**I~~~.~******~~,~~~*+**'~~*~***!~*~k*~.~Akk*.l~
, -.---~--..--.-----_____o_.________._____..
l?LUHBI!lR
__._OR.______.___ __..______..__.~____.___.__.__._.___.__.
CUr--1 P Jl.H Y ------ ----____ _______ __n______ _______ _______________
STl\TE CE:R'!' or. REG 181' If m___ _ ___________________
CrTY PRDCESSTNG #
S Il~ll1\'I'TJRE
--~---- '---"~'- .'--...- ----------.---.-
MECHANICAl,
l**~~A,*****~~.~~k~****~;~~f,~~*:l.**~*~~*'~,~**~-~~+~,:\k+,~:.~J-~+~~+~~.'.~**k~)
----...---------,-------- '-..'--p_____ .0___--
(~I itJ t' AH Y ----- --.--------- _ -_ __ ___ ___m__ ___ _ ___ --__________n____ ____
STl\TE CER'l' OR RE:r;rST # _______________._________________.
CJTY PROCESS I.lJ(~ ff
SIGNATURE:
*~~******~****~*J..k~l+*~~*.~*~h***4+,~4.L~*},*+~*k4~*-~~~.~J.*~~~kf-.~~:JL.~kk
O'rnl!lR ------__________ ________________________ ______ n_______ ('orJ I? A 11 Y__________ ___ __~
STATE C~RT OR RE(~IST #
S1f;1JlnURE; ~-------_____h_______________________~__ rTn ppnc'F:SSTlJG #
J. ~ -.\k .,J.. -L * ... ~. A. k ).. .", .1, -I. * -;1- * * -1;- ,J, -;t- f:L -k -1_ * -J.- .l_ -,\,.1. f- 4: .1: +- ,l. L ~ .. -;L :~ ~L. t -I. ../. -1- ,L -!-- -I, ,J. .L .j, -),,-,1- ~_ _.1. ,I ..,j. _~ .l }..l,. 4 _J, J.
1\. tluTICE; OF llE:E;n RE:STKICTIOllS
rhe unde1s.i<;lllEHJ understands that this permit may bE: suhject to "deed resLcic:L.i()fIS" \'IhLc:h
IlIay be lllUle restricl'iv8 than (~ity regulations, The undelsiqned aSSllllles respcJllsibiLil.y hn
c:omrJ iance l'IJtll allY applicable deed restrictiOTls.
B. lJl'lj,lCF~llSE[) t:Uln'RI\CTOBS AtlIJ COtlTRl\CTOR RESPOtlSlBILITJES
.I f the OIn1er lias hired a contractor or contractors Lo undertake \-Iork, they may he 18CJUj red
to he L:i c;ensed in accunJance Iii 1:l1 sLate and locaJregu I aLions, 1 f the corrt:JacLor is nolo
1 i cellsed as requ ired b}' 1al'" both the 01'1I1er and contlactor may be ci Led f01 a rnl sdemeaTleJl:
viulaLLcJIl \lIlder state lal'. If the (J\.mer or intended contractor are unceL'l.aLIl as Lu vlhat
licensi 119 requi reHlenLs 1I\ay apply for the intended \'lOr);, 1:lley are ael'li sed to contact. the
City of Zeplryrh.i lIs Building Departlllent, 813-78(j-0020.
Furtllennore, if the UI'Il1e1 has hired a contractor or cCJ!ltrac;tors, he is advised to have the
con t rac Lor (s) s i qn pOl't Jons 0 f the "Con t r ac.::t or Se,.::ti ons If of thi s appl i ca Lioll f 0 J vlld ch Llle y
\1111 be re:::>ponsible. If )lUll, as tile o\-l11er si';]ns as Lhe cuntractor, you ale indJcal.L\IIJ Illat
YOIl, raLhel' Ulan t.he conl:ractor, are responsible for the vlork. ] f l:lle coni.ri:lctuL \'lislreE:!
YOIJ to S11JIl as conLractor that lIlay be all indication tllaL he is no!: propelly licensed alld is
not en!:H.led to pennH,ting prllllJe':jes in the City of 7.ephYlhills.
C. TRI\IlSPOR'I'I\TfUN H'lPl\CT FEES MID UTILITY CUIHIEC"I']()II FE:E:S
rl. 1~()118TRUr:'I(JIUll LIEII Ll\f~ (CHAPTER 7lJ, FLORIDA STI\TlJ'J'ES, AS 1\1'IEll[)ED)
r certify Lllat .I, the applicanL, have been provided vlith a copy of "Florida's ('ullsl:rucLlon
J iell Lal'l HrJllleOl'llier'S Protect 1.on Guide" lJrepared by the E'lorida Departlllenl: of l\gr i cul ture
alid ConsulIIer l\ffairs. If tIle applicant is someone other that. the "o\^mer" I I cell fy that 1
have obtaLned a (:opy of Lhe abolJe dE<scribed doclllllellt. and pcornise in IJoocl faiLh 1:0 delive1
j t. to t 118 "OI'lller" prien to commencement.
E. COIJTRI\CJ'UR' S/UVJllE:R' S AFF'LDAV[']'
L cerUfy Ihat a1 I. the LnfonnaLLon in this applicaLion is accural:e and lIlat all \'lor!; \lil1
he clolle in compliance 1'liUI all applicable lal"s regulating constC\1ctioll, zoning, and land
developlIlE<lil ,
l\pplicatioll is herehy madE; to clbtain a pelmit Lo do \,/()lk and installaUoJI as i(HLlcat.ecl.
,~ertif\1 that no \-lOll: 01 illstallation has commenced prior to issuance of a permit and I'hat
aU \-Iork 1'li11. be performed to Hleet standards of all la\'ls regulal:ing constIuclioll, ('ity
cudes, zoning regll.!ations, and land development regulations ifl the jurlsclicLioll. J also
certify I'hat I Ilflclerstand I'hat the 1'egu1 al:ions of other CJovernll\ental agenc.:ies Il\dY appl y to
jllE: intended I'/ork, and Lllal: il. is IllY responsibility to identify \"haL actions I IIIUSt I:ake La
be ill ,;omplLance, Such agencieE:! include but are nol:limited to: *llepart.lIlenl. (Jf
~~llvjr()rllllE:Ill'a] Re'Jllial.ion-Cypt'ess Bayheads, vletland Areas and En'lium\l\elltally Sensitive
Lands, vJal:er/v~asLe\'later Treatment
*SOllth\1E:st F'Jorlda \'iater l"lanageJt\ent Distrlct-Ilelis, (ypress Ba\'heads, VJellallCll\reas,
AtlerlllY ItJaterclJurses
*l\UIIY Corps uf F;nyineeJ:s"Seaqalls, Docks, l'lavigable VoJaLel\'lays
kLiepartfll8fi1. of Health & Fehabilitati'le Services, EnvironmentaL Health IJnIL..f'lells,
\~asl:ellal e1: 'J'rea Lillen I , Septic Tanks
'11, S. F;IJIJ 1 J Ulllllental Protecl.i on Agency-Asbestos abaLernerJt
1 also certify t11aL, if fillmate1ial j.s to be used ill F'luod Zone "AU or "1\,81'(:.", it. is
undersl'ood t:llat a drainage plan addressing a "compensatLng UolUlileU ~Jill t)e Sllblldl.t'ed l'lhiclt
is ['Hepal eel hy a professiona] eng.i.neer legi stared ill the State uf F'lorida pI il)l l:o perllli I
issuance,
1\ penni t j ssueJ sllal.! be construed to be a I icerise to proceed I,d th tile l'lork alld IlOl. as
a u L h 0 r i t Y t 0 IJ 1 0 1 ate, can u e.1, a 1 t e r I 0 J: set a sid e any p 1 0 vis i () Il S () f the t. e Chili c ale 0 des,
1101 shall issuaflce of a permit prevent tlle BuildJnr,j Offici a] tlorn t:hereafter re'jll1L\ng a
correct. ion of errors in plans, cOflsLruct:Lon, 01.' v.lc)latiofls of any code. Every penll11
issued sha]1 become illvalid \mless the l'IOlk authorized by sllch permit is COlllll18ncecl \IILllill
Sl), Illonths of issuance, or if ",ark authorized by the perml t: is suspended or ahandoned for a
peLiod of six months after the time the l'lork is conullenced, One 90 day e>;lension of UlIle
Illay be allo\'led for I.he f>ernliL l"i1:h fee cnarr,je of $15.00, The extensiull shal l he reqllesled
in vlriUnr,j to tIle Building Official, An approved illspectiofl must lie JC)(JrJed ,jurill'] eacll sj);
month periud, or the project: 1'1111 be considered abandoned,
l'IARllHH; TO UI'iIlf,R,: 'fUIJH Fl\ILURE TO RECORD A 1l0TI(~E OF' C()J'-1l'1EIK'EIJEtn' ['Il\'f R!':SU[,'I'lll '{orJH
PI\lI Ni~ 't'vilCE F'UH H1PROVEI1ElJTS ']'0 ''-UUR PROPERTY. [F YUU III'I'EIIll 'I'D OB'I'I\lll FIIIl\lICllln, C:CltISUL'l'
voJITlI '{OUR LEIWER OR All llTTORl,lEY BEFORE REC'ORnHIG YOUR 110'l'II:F, OF COr'lIJE:tICF:rlEIJT. ,I()BS lJlltlEF,
$2,50(1 ] II VIILUE [)() 110T 11EELJ 'I'O BECORD AIm POST A "tlO1'ICE: (IF 1:'UlJJ~lEllCE:I"t~II'I"'.
SH,llATlJRE: :
I)W\'lER OR I\GEllT
S IrJllATIJB E::
conTRAI :'!'OR
STATE: OF ELOHI[lA
COIlll'l'Y OE' ----__,_ ._ _____
The fOl"egollJg instrument was acknov,ledged
Befole me tht s __._ ._ day of __,____._~_, 2ft__.
JJY .___..____ ___._ .___..... __"'_'__'_,..... ,_________.____,
(nallle of peLson acknOl'l1edged)
[) \lito 1s personally ):IIO\/l1 to lite, or
STl\TE: OF' FI,r)RI[)J\
C:OUllTY OF'm___. ..,-__._h__H'_OO.____.___..__.___
The fOlegoing j nstr\lfl\enl' \'Ias acl;nolvl ed'Jsd
Be fore me L his ... _ ___da y (J f -------'..---...---, 211
by _.__ __"______ ____ __"'m __""_m'... ..
(namE< of pe1sol1 acklloviJ edged)
[J,ho is personally knol-ln r.() me, or
[) 1,lllO has pr odllced__._u_..___.______.____
(LY[Je of icielltLficaUon)
a II d l'lllO LJ did [j d i (j n (; L t a k e an () a t h ,
[J who has prodllnsc\n._ 'nno_...___..__
(Lype uf L,hmUfi':alJon)
awl v,ho []did LJUrI not t al;e all oath
Si'Jllatll1.e ot persoll ta);ing acknov-1ledgement
---_.__.__._-~._- -- --- .-.-._-_._-~---_._._-----_.. ..- ..._---~-- --.---.--.----
Si'-:)llature of person takLIlfJ acknoldedgmellt
IIdllle L yped, pr inted or stamped
llame l.yperJ, pI i lilec! or sLallq.J8d
- -
I \
1Ioc/ ~_~
j
p - - - - - <- ..--(
.
/,\ q
I~.() [J-..;4'1
\V
t I..
~ \.
-
J7 1:.41 ~7-
~
-.
~
~
~
-
~
-
~
~
- -
~
-
~
FENCE CONTRACT
~93'9 -r~
For value received, We: Rick Galster at .th. st. Zephvrhills. Fl.
/"'1
promise to pay Karen Wilton Fence Co. With offices at 4254 Plum Street
Zephyrhills, FI. 33542 the sum of: seven hundred twenty ....ve dollars $725.00
for fence work described below.
186 ft. of 48" CHAIN LINK FENCE
1 ea. 4' X 4' SWING GATE
MOVE EXISTING GATE
LABOR AND PERMIT
TERMS OF PAYMENT:
Payment due on day of completion.
Completion on 8/08/03.
We the undersigned hereby agree to the terms listed above and Pasco Fence
Company is authorized to do the work as speci....ed.
CUSTOMER: (/2) 1J~
CONTRACTOR: J~ h~
SIGNED TIDS 8 tho DAY OF Aug. 2003.
PARCEL NUMBER
BUILDING DEPT. COpy