HomeMy WebLinkAbout04-3046
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
3046
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/05/2004
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 5/05/2004
Worta)esc: 358' FENCE-
3046
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
Address: 5029 MEMORY LN
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: SUMMERHILL
Parcel Number:
Name: GEORGE BALL
Address: 5029 MEMORY LN
ZEPHYRHILLS, FL. 33542
Book:
Section:
Phone:
BURTON FENCE OF PINELLAS, IN (727)857-1118
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_L_________L_______________
1 REINSPEcrION 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 (9) Work not accessible
. ~~a~~~~:~~ ~&~~~~~it~~~~-~~:::r~~o~:~~~ ~frt::~:::::n~~~~~~l~:fnP~~tqipo~i~: :~~ for -~J
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney I
_,!~o_~ reco..~lin~tyo.....!-I1()~~~;=t~()~Ws~~~-:;c~~;:ns andFee- Must Accompany-ApPlicafi6n:------------ --'1
::-= 'Z:RTY co~~~l!:'~~~r:~EiEX-=b".'i'.;!~~~~~~n:~ill-~~RvED .,..
.1t_?1()C~f::rt.CT5f/U ~ ~MIT OFF'-
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZBPHYRHILLS PERMIT APPLICATION
BUILDING! DBPARTIOmT 5335 8th 8nBBT ZBPRYRBILLS. JrL- 33540
PhoneI813-780-0020 JraxI813-780-0021
DATB lUICBIVBD
PLANS RBV.IBW FBB
OWNER'S NAME q €:o~t.
JOB SITE ADDRESS SO 2.~
LEGAL DESCRIPTION: LOT(S)
""'E:>At.L-
M~,4,oQ.'1
~
LA "-it
I
PHONE CONTACT8(3 .1~ '~b45
~~~~ lU-S ~t.. ??5&f'2-
SUBDIVISION SJJA.kt.e WUl
BLOCK
P~CEL ID # I ~. 2(,. Z I . O( co . ODOO6 . OD4D
WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR ,)f INSTALL
DSIGN
D MOVE
D DEMOLISH
PROPOSED USE:OSGL FAMILY DWELLING
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOMB
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
o RESTAURANT &: HEALTH
1"1'5rAL.L ~~
DEPARTMENT APPROVAL
. :?5'~ I P I ~CL7
/
J c A~~;~J/~/:-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESI'DENTIAL :
COMMERCIAL:
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRID FOR ALL NEW CONSTRUCTION.
PERMITS, REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
o FLORIDA POWER
D
L.I~
.( /LO
W.R.E.C. }t ')
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
DGAS
D ROOFING
o SPECIALTY
D OTHER
TYPE OF CONSTRUCTION I D BLOCK
D FRAME
o STEEL
o OTHER
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE ARRAD YES' 0 NO
! ' ,~ I " , ' ,;,,:, " ',', \':
. ~ - - -. . '" J.
BU.ILDBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
..................................................................
BLBCTRICIAR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
.......***********************.**......*..*..*.......*.*.........*
PLUllBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MBCJlAHICAL
..*............*..*....**....******.******.*......*..*..**.*******
COMPANY
STATE CERT OR RBGIST #
CITY PROCESSING #
SIGNATURE
..*.*..............*..~...*..............*....................
,
OTRBR
SIGN~TURB .
COMPANYEv~(~t.... &~ r,f-.(tLl-~~
STATE CERT OR REGIST # '1'1. OI8Dq~1
CITY PROCESSING #
......*......*...................................................
~. NUTICE OF DEED RESTRICTIONS
The und~rsigned understands that this permit may be subject to ~deed restrictionsn which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with st~te 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. It the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN of this application for which they
will be responsible. If you, as the owner 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 contraptor that may be an indication that he is not properly licensed and is
not entitleq to per.mitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guiden prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerN, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~ownerN prior to commencement. j
E. 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 per.mit and that
all work will be performed to meet standards 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: *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
*Aony Corps of Engineers-Seawalis, Docks, Navigable Waterways
*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
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 "An or "A,etc.n, it is
understood that a drainage plan addreSSing a ~compensatingvolumen will be s~bmitted which
is prepared by a professional engineer registered in the State of Florida prior to peonit
issuance.
A per.mit issufi!d 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 permdt prevent the Building Offic~al from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the wo~k authorized by such pe~t is commence~ 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 commenced. 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. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
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 COHMENCI!:MENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCEMENTN.
t(J~:l...I1(1JW1</M( ,
SIGNATURE: ER OR AGENT
dJw~ Ibkt?rC1VYJ /
SIGNATURE: CONT TOR
STATE OF FLORIDA
COUNTY OF ~~
The foregoing instrument was acknowledged
Before me this..2fL-.- day of Af'Ru. , 'a~
by
(name of person ackno~ledged)
~WhO is personally known to me, or
o who
of identification)
take an oath.
STATE OF FLORIDA
COUNTY OF ~Q:)
The foregoing instrument was acknowledged
Before me this ~ay of~"-. , ~
by
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
not take oath
Signature of person taking ack owledgement
edgment
Name ~_~amped
'\~J Expif8I Jwle 11. 2007
~~l~
Name typed,. lIP t;~f.;ve'l
TYPE TOP
ODOG EAR OPOINTED
OCLlP CORNER o FLAT TOP
o OOTHER
CHAIN LINK
. LENGTH I ~.. r
".:'e- l,~ I ~
E
9 6
D'Ai31;AME
Note: Company not
responsible for any
underground sprinkler
lines.
KECE\Veo Proposal - Contract
o 1900 - 34th Street South 0 11349 State ROad 52
~tersburg, FL 33711 Hudson, FL 34669
LJIiIIt!I'l'/27) 321.1669 Ph: (727) 857-1118
Fax: (727) 327.2460 Fax: (727) 856-6774
Tarpon Springs (727) 843-0155
Hernando (352) 688.3151
Zephyrhills (813) 780-1747
Contrac't it'" 42188
t4-ori'
(Office Use only)
Candy Locate
Inv. #
Crew
Start Date
Complete Date
PARCEL.
SUBDIVISION
LOTI
BLOCK._ LOT SIZE
UNIT*
CITY
STATE
ZIP
CITY PHONE
FAX
BEEPER
REAR . Sou:f!,C4e of !ne.iJfCl Lh .
__;-__ .......... ...._...[".._..... .......... ...__....'!'....mh .......... .......... _._..._/-...... ..........
. :: I
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.....-. .--.-.--..- -.-. .......-........- .......... .....-....-....... ..........
. . .
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.. .
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i ~
<(i!.. ....+.
. .
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-........-...... ......-.. ...............
SPECAIL TY SERVICES
o VISA 0 MASTER CARD 0 DISCOVER
o FINANCE 90 DAY 0 SAME AS CASH 0 CHECK
.. T9TAL PRICE INCLUDES:
~MATERIAL OTEAR-QUT & HAUL
!llABOR PPERMIT
Total 32 / /. S5
, ^ --0
25% Deposit ~ 0 () u .
Balance z.. Z I I, So
D CHECK HERE IF CUSTOMER IS ACCEPTING RESPONSIBILITY FOR
GETTING PERMITS AND ANY RELATED FEES. FINES, ETC.
BALANCE MUST BE PAID TO CREW WHEN JOB IS COMPLETE
PLEASE READ AND BE SURE YOU .' .. u~ 5
UNDERSTAND THE TERMS AND CONDITIONS Note. ThiS proposal IS valid fo~ days.
ON THE REVERSE SIDE BEFORE SIGNING ~~
THIS CONTRACT. MANY OF THEM WILL BE Authorized
IMPORTANT TO YOU. Signature'
By Signing this proposal, Customer is authorizing
Burton Fence of Pinelles, Inc. to do the proposed Customer
work, and is accepting the prices and specifications Signature X /'. ~~ 7/ Date ~/~;J.,$'-Oc.
shown above. and Burton Fence of Pinellas. Inc.'s ~ ~
standard terms 1-15 which may be on the reverse ..0010 YOU RECEIVE WARRANTY PAPERWORK? .
side, attached, or not attached. Customer may request
a copy of terms 1-15 by calling Burton Fence of p' t N
nn amJr- nb~ //
Pinellas, Inc. Upon acceptance and signing by Clearly ('TrZJ~ ~
customer, this becomes a binding Contract. .....,.---
Date q-/();, l
o Repeat Customer
o Yellow Pages
o Referral
o Other
~
Pl:nnit No.
\ \"\1' \\'11 ,,\\\ "1\\ '1'\\ "1111"'1 \,\\, '11'\ '\1'\ \1'1 \1lI
2004078651
Parcel 1.0. No. LC?:_~~_~~l:QJ O~:~9-~_~(tC "-/.0
SIll I.: of Florida
County of _~____._
NOTICE OF COMMENCEMENT
Rcpt.: 778418
DS: 0.00
04/30/04
Rec: 6.00
IT: 0.00
Dpty Clerk
T1H! UNDERSIGNED hereby give. notice thai improvementJ will be made to certain real property and in accordance with
Chaplcr 713, Florid. SlRtutCll, the roUowing inronnation il provided in thil Notice or Commencement.
I.
- -
DClcriplion or property (le&AI description of the property and Itrcct addreu if available) ~~~~_U",l,____~_e____H__
J~r_I:L___?~1 i).tJ 1-~:_~_:1L~~~.0i:!.:._~~:..f)Qlf~__-2~~___!2~~!Jl~'=t___{J~L-1_~EAV~H~lh
Gencl"1l!1 de.criplion of improvem(".nt ._--~t----------._-----------_..---_.___.____.._.___________...______..__m________
2.
3.
Owner inlormalion a ,. I '
II) Name and liddre.. _~~M_..__.w1itJTL-A:.N l)-l~_mA-J}'\O~J,!J___?:.~_f!h'-BtiU.-/;>
:: :::::: ::~:: O=:P'PIC tit\c~older ~~ other than owner) ~~~~~15"A8r23: rl~:~O !~Ni61;
-1.VA----
-------_._------------------_._._-~_...._._-_.__..._--..~--_._._...._.-._.._-
5.
Contractor (name and addrell) :f>URfDrJ ~A.' of p'A~...J~C
.) P~lone number 1?-:.U_~J-=-.!.L( B ____
Surety - a) Name: and .ddreal ___. ~L1._______
I II ~--~2---4_l:~~~~JL-~t.t-
b) Fax number J27-ft5b..:..!:l?'(____
6.
b) . Phone number ~/A. c) Fu number _$..___________ d) Amount of!Jond $___~~_____.._______________
Lender (name and addrell) ___' Nf ~_ ______ <( UJ >- U. ~
~ - --------------------------------------------.--.--.-----.-----..~~-~--e---------.---
a) Phone number -----N.-iA------------- b) Fax number -------~~~----i!~ ~______>=_
Pl'nlona wlthln the State of Florida delignilll'A by Owner upon whom notice. or olher documenly nlllY be ftervedi;~-.~
~:~:".~:3;~~:~.\.)~~. F~lal.I~A. ,,---,-,df11~
d/A <(O~~~;i
a) Phone number __...:lij8. b) Fax /lumber _______~-~--g-~-
In addition to him.elf. owner delignata of it IL ~ ~ 0 -
10 rf-eeive a copy of the Lie.nor'. Notice III p~~;dcd il1-S~i~n 713. 13(j)-(b) , F)-orid; StJlt~tcii~---------f:5 ~ ~ * ~--
II) Phone number ___.._____t:!JA__________ b ~ t; ~ u ~ :i
) Fax number ---------<i.J!1...-- _~_
t'8 a:a::i
D .. <; ~5J~o:;:t7Z ~eer Prom ~l~ e~
~-~---------_._.__..
Si&n~lure of Owner
7.
B.
9.
Expiration daID of notice or commen<<:ment
recordlne; unloll . different dale I, .pe4:lfied~--'--'
(Name of Nolll/)' typed, printed or stlllllpcd)
~ ~ ~ * J ~ -i ~
Burton Fence of Pinellas, Inc.
11347 SR 52
Hudson, FL 34669
Phone (727) 857-1111 Fax (727) 11I...77.
~ =I 1 I: -t It ~ m
~~ ~,.J is to be considered an agent of my
business, and ther ore authorized to sIgn any necessary paperwork for permits.
Burton Fence of Pin ell as, Inc.
'if) K8rWl L ~
. . Mv 'CommIIIilln 00222121
~ ~ e.lqlirlaJuM11.2007
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