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.