HomeMy WebLinkAbout05-4060
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
4060
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: 144' WOOD PRIVACY FENCE
4060
FENCE
FENCE/NEW
SINGLE FAMILY RESIDENTIAL
Address: 4900 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/08/2005
40.00
Name: JAMES & RHONDA KIEPER
Address: 4900 16TH ST
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. II
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
iJ1~ !bvh1~ ~ ~
. NtRACTOR PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DALUMINUM
DVINYL C.L
Dpvc
o
POSTS
IN f UT fiN-LINE
WALK GATES DRIVE GATES
. ':Xl/' (
o GATE OPERATOR
~OOD
LrCHAIN LINK
DREPAIR
ROLL GATES
LATCH TYPE
-rt1~,
I
reJJ
CKET SIZE
tf6'1~
R" 0.{5
STRINGER
~~ l( pt
TYPE TOP
~OG EAR DpOINTED
DClIP CORNER DFLAT TOP
o DOTHER
CHAIN LINK
LENGTH HEIGHT I
111/2
DIAM, TOP RAIL
POST
R
BARB ARM,~ 7
IN OUT VERZ
(
STYLE
JOB CONDITIONS
A TO BE SET TOP STRAIGHT
i3 0 TOP OF FENCE TO FOLLOW
GROUND
Note: Company not
responsible for any
underground sprinkler
lines.
eo IV 0 Proposal - Contract
O ~ ~ 1900. 34th Street South J"1.1349 State Road 52
2Du4;t. Petersburg, FL 33711 Hudson, FL 34669 MEMB'~ ~R '""
Ph: (727) 321-1669 Ph: (727) 857-1118 Suncoasl
Fax: (727) 327-2460 Fax: (727) ~56-6774 B~~~:~ ~
Tarpon Spnngs (727) 843-0155 Council
Hernando (352) 688-3151
EIN #92-0180921 Zephyrhills (813) 780-1747
Contract # 41460
2'-1-04<6(P
(Office Use only)
Candy Locate
Inv, #
Crew
Start Date
Complete Date
c~m~DJ;}- J::.fE-PUL
Sl{!iJJo /, ~ sr
~~ r - A hdlJ S~'1L ZIP 3J-:JY]t, CITY
JOBSITE UJCATION ~ JTREET CITY
c../f fl(,(rj.l- ~
I FAX ._ I BEEPER
IC) yY7'-~I- IL/lJ.
REAR
PARCEL'
SUBDIVISION
LOT#
BLOCK._ LOT SIZE __UNIT#
STATE
ZIP
PHONE
I CO NT ACT
ICAR
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..m ,-~~l~~d
3.,tlf.r
IHrME ~NE _I OFFICE
IA'I3 -70?- f)2lt
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TgJAL PRICE INCLUDES
A" )lATERIAL DTEAR-ouT & HAUL Total
ALABOR ~RMIT
D
/6 [ft. 70
25% DepositlfO (J. 0- d
Balance / (Jff6.7 ()
CHECK HERE IF C TOM 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
UNDERSTAND THE TERMS AND CONDITIONS
ON THE REVERSE SIDE BEFORE SIGNING
THIS CONTRACT. MANY OF THEM WILL BE
IMPORTANT TO YOU.
By signing this proposal, Customer is authorizing
Burton Fence of Pinellas, Inc. to do the proposed
work, and is accepting the prices and specifications
shown above, and Burton Fence of Pinellas, Inc.'s
standard terms 1-15 which may be on the reverse
side, attached, or not attached, Customer may request
a copy of terms 1-15 by calling Burton Fence of
Pinellas, Inc, Upon acceptance and signing by
customer, this becomes a binding Contract.
***010. YOU RECEIVE WARRANTY PA'75'WORK?
~r~~r~ame ~'~DndD- I,. k~ ~ 0 X
o Repeat Customer
o Yellow Pages
o Referral
o Other
,
CITY O. ZBPHYRHILLS PERMIT APPLICATION
BUILDtllfQ DJlPAltTJDwr 533! 8th SnRIIT ZDBTRBI:LLS, rL- 13540
PhoneI813-780-0020 raxI813-780-0021'
DATB RBCIlI:VJID
PLAItS RBVIIIIf "'R
OWNBR'S NAMII i2 Uo ~~ K l f 'p42.
JOB SITB ADDRBSS ~~OO \b '"!1' ~rQ.fe.r
, PHONE CONTACT~\ 3-~ 7 - S?>3 (,
WORK PROPSBDI (JNeW CONSTRUCTION
'l f-A4~R HILtS
BLOCK <:3l
PARCBL ID * '
ry\coQ.eS . ~r
SUBDIVISION ~ 0"0 I A:N:xh Df\
LEGAL DeSCRIPTION: LOT(S)
'LPO
(OBTAIN FROM PROPERTY TAX NOTICE)
(JSIGN
(J ADDITION
(J MOVE
(JALTBRATION
(J RePAIR
g--INSTALL
o DeMOLISH
PROPOSBD USBIDSGL FAMILY DWaLLING
o COMMBRCIAL
OMtn.TI - FAMILY
o INDUSTRIAL
0* OF' UNITS
,;
o SWIMMING POOL
o MOBILB HOMB
o OmBR
D RBSTAURANT & HBALTH DBPARTMBNT APPROVAL
~ '1-1I9H
DBSCRIPTION OF' WORK -~Q\\ ~, OF Ll~t--.
SQUARB FOOTAGB
F:~ L~ci 0"\ ~~
A "
HRIGHT ~
BUILDING SIZB
RESr'DBNTIALI
COMMBRCIALt
ATTACH (2) PLOT PLANS & (2) SRTS OF BUiLDING PLANS & (1) SBT BNBRGY FORMS.
ATTACH (3) SBTS OF' BUILDING PLANS & (1) SRt BNRRGY FORMS.
PROPBRTY SURVBY RRQUIRBD POR ALL NEW CONSTRUCTION.
o BUILDING
$ J0~ 11.9
PBRKITS. RBOUBSTBD
VALUATION OF TOTAL CONSTRUCTION
o RLBCTRICAL
AMP SBRVICB
o FLORIDA POWER
o
".RoE.C. U 0 ~ 0
~ \
o PLUMBING
o MECHANICAL
$
oGAS
o ROOFING
D SPBCIALTY
VALUATION OF MBCHANCIAL INSTALLATION
~THilR
TYPII OF CONSTRUCTION t 0 BLOCK
FINISHRD FLQOR RLEVATIONS
o FRAMR
D STEEL
o OTHRR
IS PROJRCT IN FLOOD, ZONR ARBAD YRS D NO
.BUILDR.
COMPANY
STATB CBRT OR RBGIST *
CITY PRoceSSING' .
,.
SIGNATURE.
~********.***************~***************.*********.**************
RLRCTRtCIAR
SIGNATURe
COMPANY
STATE CBRT OR REGIST #
CITY PROCBSSING #
***.******.*************************.*****.***********************
PLUllBRR
COMPANY
STATB CBRT OR REGIST #
CITY PROCBSSING # .
SIGNl\.TURB
MBCIlUlICAL
****.*.******.****.*****.**********.**.***.*********************.*
COMPANY
STATB CHRT OR REGIST *
CITY PROCBSSING #
SIGNATURe
OTB_ ~~R~ ..
SIGNATURB . " Lf ~ ~
*****************.******~***.***********...*....*..*.*.....*.*...
COMPANY~ ~"e
STATR CHRT OR REGIST #
CITY PROCESSING ,
...*...*......*...***.***********.******.*.*-****..******.*******
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be sub:lect to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes resprmsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIl.I'rIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in/accordance with st~te ~nd local regulations. If the. contractor is not
licensed as required by law, both the owner and contraotor may be cited for a mdsdemeanor
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, 813-788-6611. .
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Bections" 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 permitting prfvileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEEB AND UTILITY CONNECTION FEES
D. CONSTRUCTUIQN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AB AttENDED)
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 p~omdse in good faith to deliver
it to the ~owner" prior to commencement. '
E. CONTRACTOR'S/OWNER'S AFFlDAVlT
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
code~, 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
*Anny corps of Bngineers-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 ~A" or "A,etc.", it is
understood that a drainage plan addressing a ~compensatingvolume" will be s~bmitted 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 ~nd 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 Official from thereafter requiring a
corr_otion of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work a~thorized by such pe~t is commenced within
six months of iS8ua~ce, 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 NOTIC~ 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 COMMENcI!:HENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
- -----... ............,u'...... -~ I.. .G.t.ru.~l~ ~ n.c 1: }.J~.l"\.V 1--1:
~'i.~~L
SiGNATURE I 0 Ii': OR AGENT
SIGNATURE I CONTRACTOR
STATE OF FLORIDA
COUNTY OF '?Ar.5e;o
The foregoing lnstrument was acknowledged
Before me this~ day o~~e~, -;~4'
by
(name of person ackno~ledged)
'Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ~ay of
by
acknowledged
19~
o who has produced
(type of identification)
not take an oath.
(n~e of person acknowledged)
[Lho is personally known to me, or
o who has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking aoknowledgment
-g; KaRilA .. KMAiA.ky
Name typed, printed. ~ 0022212.1
~CII'~ Expires June 11, 2007
Name typed, printed or stamped
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