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HomeMy WebLinkAbout04-3619 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 FENCE PERMIT 3619 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: 187 FT OF CHAIN LINK FENCE 3619 FENCE FENCE/NEW CHURCH Address: 38635 5TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15000-0090 3,250.00 11/22/2004 Name: UNITED METHODIST CHURCH Address: 38635 5TH AVE ZEPHYRHILLS, FL. 33542 Phone: 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 "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 ,1 ~_~ l/3~7 0 J c:~..- ~- EbNTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER'S NAME ,r::/ /2. ~' 7' '7"'">1 1- Vi V , ! 't -\ 71,1;';- u ~ I j I L':/I</r/I e/'/PHONE JOB ADDRESS "'7 V./ ? ,'- ..::;)<.j ,:> 5> i '-...(// A,~ <.' ! .. /7 ,/,' v c: LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: ,~NEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERAT ION o REPAIR I2i INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME DCOMMERCI~ RESTAURANT ~:::ST:R::ARTMEN~::"p:~~;;~R DESCRIPTION OF WORK /0 Ch~~ L-/lv Ie.' PtE"...JCt!.- 19~v~~iv'l~ 13(1)J:::t'1)J/:J(.L <!vut!-;- BUILDING SIZE SQUARE FOOTAGE HEIGHT . 0 f jZlBUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION & (1) SET ENERGY FORMS. FORMS. -u.9- 4~'~ /., " (-{ 3 (p II RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY tV I C. rv,..J E NrE~ flj?-/ S' E' '.;. SIGNATUR~ f&,1 }~ STATE CERT OR REGIST I ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST * SIGNATURE ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsU 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 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor SectionsU 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 contractor that may be an indica~ion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhil1s. 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 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 commencement. 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 permit 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 *Army Corps of Engineers-Seawalls, 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 "AU or "A,etc.u, 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 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who 0 did D:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 11/16/2004 10:37 AM FROM: Fax TO: 779-7633 PAGE: 001 OF 001 ~- e ATT. PATRICK --------------------------------- PIt()P()~A~------------------------------------ PA~CO FENCE COMPANY 4254 Plwn Street Zephyrhills, FL 33542 (813) 788-5642 PROPOSAL SUBMITTED TO: First United Methodist Church ADDRESS: 38635 5 tho Ave. CITY: Zephyrhills. Fl. DATE: PHONE: 11115/04 782-5645 We hereby submit specifications and estimates for: 187 ft. of 10' X 9 ga. Chain Link Fence arOlmd basketball court with 1- 7' x 3' gate. SET BACKBOARD POSTS CONSISTS OF: 10' x 9 ga. Chain Link Fabric. 1 5/8" x 16 ga. top & Bottom Rail. 2 3/8" x Sch. 40 Line and Comer Posts. 3" x Sch. 40 Gate Posts. We Propose hereby to furnish materials and labor - complete in accordance with the above specifications for the sum of: Three Thousand Two Hundred Fifty Dollars........................................... .$3.250.00 paymcm. to be made as follows: $900.00 DOWN PAYMENT. $ 1.750.00 SECOND PAYMENT AFTER POSTS ARE SET. $600.00 BALANCE DUE UPON COMPLETION OF JOB. All material is guaranteed to be as specified. All work to be completed in a workmanlike /1llIlIIlCf according to standard practices. Any alteration or deviation from above specifications involving extn costs will be exccutcd only upon written ordcr.;. and will become an extra charge OV1:f and above the estimate. All agrccmetU contingent upon strikes, accidents or delays beyond our conlroL Note: This proposal may be with(hwn by us ifnol accepted within ~days. Authorized signa/llre ~ ~ Acceptance of Proposal- The above prices, 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. Signature: Pabi L,j, ~L C~tZrL Date of accepmnce: II /11104. CITY OF ZgPIIYRHIl.LS BUILDING OWNER F//Zj'i C/v/'tz:j f1('7/1vd/..J;- JOB LOCATION Ift']')'/ ..> /r/ ,,4~ DEPARTMENT {' r-/ '" ~(j d PARCEL LD.' # snow ALL EXISTUIG & PROPOSED STRUCTURES GIV LNG D.lHENSIONS & SETBACKS. rsp~-)1 L----r-- ~ I r- .iL" I~ ,.?' -6f'Jt;J !~ i J /,_. ' ---.--.-----] ~tf{) C------ /. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ,--.--.-.--. .... '-'-"'-'''-'---1 / JJ.(jJ~{( ! L.---.-....... ......... _.._._._....-\ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREEtI' 1. SETBACKS FOR RI, R2 ZONING 60' ') L. . SETBACKS FOR R3 ZONING 60' 10' p E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE CONDITIONS OF PERMIT 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 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 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor Sections" 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 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. 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 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 commencement. 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 permit 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 lnay 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 S.?nsitive 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-Wel:~s, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood ZODe "An or "A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be sub~litted 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 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 COMMENCEMENT. JOBS UNDER ".'''' VACUE 00 NO',. UE D ~O" A "NO"" 0" NO'"'"'". ~_ ATE OF FLORI COUNTY OF The foregoing instrument was acknowledged Bef07 me thi~ day of /-!>OV' . 2rel! by eLV'rv ~e;J'1" (name~of person acknowledged) ~who is personally known to me, or ST OF FLORIDA COUNTY OF The foregoing ins~rument was ac~wledged Before L this I day: of ~d ,200L by ~",y /Vc Z>C'* (name of person acknowledged) ~o is personally known to me, or o who has produced (type of identification) and whoodid ~d not take an oath. ~~~~f~~~ement 1., I ~/a .5 2?k 7/~'7.6"'''''''p'''''r Napl'9,,"pltl(,Ped, print:.ed. <i>I:....at..D.lIl=J. . ....~~~..~~" Llnaa~. Dtunell~yt:1 i:f{h;."f;: MY COMMISSION # 00169413 EXPIRES ~~~{rf December 3, 2006 -,r,i'0'i' ;\,~" BONDED THRU TROY FAIN INSURANCE. INC """"~' owho has produced (type of identification) and who odid ~id not take an oath ~-,~ ...,P ~~~4-'-'- Signature of person taking ackn, ledgment )./67/<>-. S :5k.ife~tr""~~'- Name t~lMll. printed or stamped " ,...~\,!\V.f~~ Linda S. Blattenberger ~*:"{h;.\*~ MY COMMISSION # 00169413 EXPIRES ~~~'~"'i December 3, 2006 "",:Cir:I~~"''' BONDED THRU TROY FAIN INSURANCE. INC.