HomeMy WebLinkAbout05-4412
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
FENCE PERMIT
4412
Permit Number: 4412
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/09/2005
Total Fees: 35,00
Amount Paid: 35.00
Date Paid: 6/09/2005
Work Desc: 37' CHAINLlNK
Address: 39327 5 HAVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: SANDRA KIMBALL
Address: 39327 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
nWarning 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
~~
CTO PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME S4AJ,,'\ kL?J..b'\lI
JOB ADDRESS 3q'$7- r-J :~..J AIJ(L
PHONE
771,$'10
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPSED: D NEW CONSTRUCTION
D ADDITION
(OBTAIN FROM PROPERTY.TAX NOTICE!
o ALTERATION D REPAIR ~NSTALL
PARCEL ID #
D SIGN
D MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
DOTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
che<.,'1\ G;'.I< PC/lC.G-
BUILDING SIZE
SQUARE FOOTAGE
37LP
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
D BUILDING $ (;oS OU VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL AMP SERVICE D Progress Energy 0 W.R.E.C.
D PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
D GAS D ROOFING D SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
SIGNATURE
ca~
jJc/IA ~ U/lJ1 IA-I,-J .:0tc-~. tIf.( f/4ce
COMPANY
BUILDER
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 po~tions 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 indica~ion 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" prepaied 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 conunencement.
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.
Appliqation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has conunenced 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-Wellst
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 "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 conunenced within
six months of issuance, or if work authorized by the permit is suspended or a?andoned,for ~a
period of six months after the time the work is conunenced. One 90 d~y extenslon of tlme
may be allowed for the permit with fee charge of $15.00. The extenslon shall b~ requeste~
in writing to'the Building Official. An approved inspection must be logged durlng each SlX
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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
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)
C1ho is personally known to me, or
o who has produced
(type of identification)
and whoO did Odid not take an oath.
Owho has produced
(type of identification)
and who 0 did [}:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
~ A~~:ve~/~~,~:~~::::ee~~C'
ACME UNLiMITED, mc,
Zephyrhi11s, F10rida 33542
~
5610 6TH ST.
813-779-7795
813-973-0826
PROPOSAL/CONTRACT
Customer Information:
05/31/2005
Job Information:
SANDRA KIMBAL
39327 5 TH AVE
Zephyrhills, Florida 33542
At -S'~1)
\~ 0.)
JOB LOCATED IN ZEPHYRHILLS
CROSS ST IS 23 RD AVE
779-0840 H
312-3405 CELL
Notes:
37' 4 FOOT CHAIN LINK
1 14 FOOT SWING GATE
ALL POST SET IN CONCRETE
~ {ill'"
ACME UNLIMITED, mc. agrees to guarantee above
fence to be free from defects in material.s and
workmanship for one year.
ACME UNLIMI'.rlm, mc. shal.1 advise the customer as
to 10ca1 zoning regu1ations but responsibi1i ty for
comp1ying with said regu1ations and obtaining any
required permits shal.1 rest with the customer.
ACME UNLIMI'.rlm, mc. wi11 assist the customer, upon
request, in determining where the fence is to be
erected, but under no cirCIDIIStance does ACME
UNLIMI'.rlm, mc. assume any responsibi1i ty
concerning property 1ines or in any way guarantee
their accuracy, If property pins cannot be 10cated
it is recODllll8nded that the customer have the
property surveyed.
ACME UNLIMI'.rlm, me. wi11 assume the
responsibi1i ty for having underground pub1ic
uti1ities 10cated and marked. Bo_ver, ACME
UNLIMITED, mc. assumes no responsibi1i ty for
unmarked sprink1er 1ines, or any other unmarked
buried 1ines or objects. The customer wi11 assume
al.1 1iabi1ity for any damage caused by directing
ACME UNLIMI'.rlm, mc. to dig in the immediate
vicinity of known uti1ities.
The fina1 bi11ing wi11 be based on the actua1
footage of fencing bui1t and the work performed.
Partial. bi11inq for material.s de1ivered to the job
Contract Amount:
$
604.B4
Down Payment:
6
400.00
~~ c.,tJ!- \oS"
~lorIlll5' $ ~ -sP-
204,84
Balance Due:
+
EXISTING FENCE
si te and work comp1eted may be sent at week1y
interva1s. Adjustments for materia1 used on this
job and adjustments for 1abor wi11 be charged or
credited at the current1y estab1ished rates.
Additional. charges for any extra work not covered
in this contract that _s requested by the customer
wi11 a1so be added. The fu11 amount of this
contract al.ong with any additional. charges wi11
become payab1e upon comp1etion of &11 work whether
or not it has been invoiced.
A finance charge of 1 1/2% per month (or a
m; n;"l'I11" of $1.00), which is an annua1 percentage
rate of 18%, shal.1 be app1ied to accounts that are
not paid wi thin 10 days after comp1etion of any
work invoiced. A11 materi&1s wi11 remain the
property of ACME UNLIMI'.rlm, mc. unti1 al.1 invoices
pertaining to this job are paid in fu11. The
customer agrees to pay &11 interest and any costs
incurred in the c011ection of this debt.
~roved & AcceZfor Customer:
LJ a,trJ tfAp b~ & / 51 c:c;
Customer Date
INC. :
Date