HomeMy WebLinkAbout06-5769
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
Permit Number: 5769
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 3,594.00
Date Issued: 5/09/2006
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 5/09/2006
Work Desc: NEW FENCE WITH 2 GATES 268'
5769
Address: 4839 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01500-0030
Name: MILLER, HARRY & MARIE
Address: 4839 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
USA STEEL FENCE COMPANY (813)677-4411
FENCE
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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. n
&~~
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~ 13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
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Owner phone Number
Owner phone Number I
OWner Phone Numb~r I
Owner's Name
Lf -f3 9
Fee Simple Titleholder NamJ
Owner's Address
JOB ADDRESS
Fee Simple Titleholder Address I
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I
S' /h11 v
t LA ,)/ c- h 14.. $ 3 i5~ry(
LOTti
DESCRIPTION OF WORK
B
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NEWCONSTR r=J ADD/ALT D
INSTALL CJ REPAIR
SFR 0 COMM D OTHER I r&c-~
BLOCK 0 FRAME D STEEL D OTHER I
J/v~~ 2t~ / iff , /'f4ttucc,',t) ~. Wlf/J Z. 91"t-1rS
sa FOOTAGE I I HEIGHT I (, / I
PARCEL ID# I \ L\ - ';;) ~ - Q. l - 60 \ b '. 0 \ 566 .D('.)?O
(OBTAINED FROM PROPERTY TAX NOTICE)
SUBDIVISION
WORK PROPOSED
SIGN
D
MOVE
D
DEMOLIsH
I
I
I
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
...11...11...11....................11.11.11...........................1111....11..111.....11....111..11.........11.............111.....11.111..11.
0 BUILDING 1$ 3691.\- . .on I VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ I
0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
0 GAS D ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1111..........111.......11111......,11'....1111....11'....11................111...11.11.11..11........1111......................1..........1..,...
./ BUILDER
SIGNATURE
./
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
Y/N
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address I
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
Address
~-
ju/ I/E; II/Sb.
I
COMPANY
REGISTERED
vJ'1f
Y/ N I
License # I
6"/nJ ~l-L/
I Y/N
FEE CURRENT
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License #
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
. II111III J III1I1I11II ~ 1111111111. & I111I111I . ~ I ~ ~ IIIIII..~ 1111. I ~ i II . . II1111I11II11I111111 i i i III ~ I i II i 1II1 i I i 1II11 i ~ i 1I11 i 1I1I ~ III i Iii i I ~ i i i .11 i II i i
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
. which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. . .
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 Pasco County Building Inspection Division-Licensing section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contrador(s) sign
. portions of the "contractor Block" of this ~ppllcatlon for which they will be responsible. If you, as the owner sign as the.
contractor, that may be an indication that he Is not properly licensed and Is hot entitled to permittihg privileges In Pasco
County. . '" . . . . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW bUildings, change of
use in existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 and
. 90-07, as amended. The Undersigned also understands; that such fees, as may be due; will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final poWer release. If the project does hot, Involve a certificah~ of occupancy or
final power release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco CountY, Water/SeWer Impact
. fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter.713, Florida Statu.es, as amended): If valuation of work. is $2,500.00 or more, I
certify that I, the applicant, have been prOVided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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. .
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 developlTlent.Applicatlori is
hereby made to obtain' a permit to' do work and installation as Indicated. I certify that ho 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, County and City codes, zoning regulations, and land development regUlations In the jurlsdlctioh. I aiso
. certify that I understand that the regulations of other government agencies may apply to the intended work, ahd that it is
my responsibility to identify what actions i miJst take to be in compliance. Such agencies h'lclude but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
Lands, Water/Wastewater Treatment. .'
Southwest . Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aiteririg
Watercourses. .
Army Corps of Engineers-Seawalls, Docks,Navigable Waterways.
Department of He~lth &: Rehabilitative Services/Environmental HE;lalth Unit-Wells, Wastewater Treatment,
Septic Tanks.. .
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the folloWing restrictions apply to the use of fill:
Use of.fill isnot allowed inFlood Zone .V" unless expressly permitted. . .
If the fill material is to be used In Flood Zone "N, it Is understood that a drainage plan addressing a
"compensating volume" will be. submitted at time of permitting which Is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used In Flood Zone "N In connection With a permitted building using stem wall
construction, I certify that fill will be used only to fill the arE;la within the stem wall.
. If fill material is to be used in any area, I certify that use of sUch fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for Violating
the conditions of the building permit Issued under the attached permit application, for lots less than one (1)
'. .' acre which are elevated by fill, an engineered drainage plan Is required. . .. ..
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing.construction. I understand that a separate permit ml!ly be required for electrical wor~,
.' . plumbing, signs, wells, pools, air conditlorilng, gas, or other installations not specifically Included. in the application. 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 B~i1ding Official from the~eaft~r
requiring a correction of errors in plans, construction or vlolationso! any code.s. Every permit Issu~d. shall become. Invalid
unless the work authorized by such permit is commenced within SIX months of permit Issuance, or If work authOrized .by
the permit is suspended or abandoned for a period of six (6) months after the time the work Is commenced. An extension
may be requested, in writing, from the Building Official for a period not t~ exceed hinety (90) days.and wiUdemonstrate
. justifiable cause for the extension. If work ceases for ninety (90) consecuhve days, the job is conSidered abandoned. .
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMeNT MAy ~E~ULt IN YOUR
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND TO.OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT .
Subscribed and sworn to (or affirmed) before me this
. . by . .. .
Who Is/are personally known to me or haslhave produced
as Identification.
CONTRACTOR . .
Subscribed and sworn to (or afllrmed) before me this
by
. Who Is/are personally known to me or has/have produced
as Identification.
Notary Public
NotarY Public
Commission No.
Commission No. .
Name of Notary typed. prhlled or stamped
Name of Notary typed. printed or stamped
7. Persuns within lhe Sla/e of florida designaled by Owncr IIpon wholll notices or olher docllll1clllS llIuy he scrvcd as provided hy Seclion
713.1 3( I leu) 7, Florida Slulules, (uame allll al/dress)c U / ~
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I?ermit N~.
PLP~el No.
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2006095075
Rcpt : 996503 Rec: 10.00
OS: 0. 00 IT: 0. 00
05/09/06 __ Dpty Clerk
JEO PITTMRN, PRSCO COUNTY CLERK
05/09/06 03: 05pm 1 of 1
OR BK 6978 PG 876
NqTI CI~ 017 COMIVlENCEMENT
Slale of Flol"id:l
County of J>i~leJlas
TII E UN nERSIGNED hereby gives notice that improvements will be nmde
10 certain real properLy nnd in accordance with Chllpter 713, FL Statutes,
the fi.lllO\ving information is provided in this Nolice of C0l11lllencement.
I.
;"7) ~'L ~ ,c.4./7/r /11/ ;:P :fL_._.
2.
General descripliol~ of improvement
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Owner information J /
a) Name and :.I(/drcss_ff~t-"
-------.... . -
3.
tw~..z 1f-rL.~
/'J,'-<a "7JfYJ l ~"S-f-. zy;; I'd, i'/5/( g 351Z-
{)u.-1Ntb tWf. J.I. MUflj .
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Hwc f..... //1--0/ Us ,/I-)&>, t:f6.$O^/TV~ R 5'3:F'3'LI
b) fax number 5"/3 - t '7/ -"3 Z I (
(oplional, if service l>y fax is acccplahle)
h) lulcresl ill properly
c} Name und address of fCl? simple lilleholder (if olher thulI Owner)
'~-'---- ..
COlllrac(or (name allll address) US It ,":)1- e (. f
a) Phollc 1I11/lIbcr rP/a - {, '77 ~ ~I.fll
5.
Surery - u) Namc lllld address
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b) Phonc number
c) Fax number
d} Amount of bdnd
(oplional,.if service by fax is acccplilG/c)-------.-
l.e/1(l~r (fmllle lllld address)
t:J J'l.tl L-
a) Pholle /11l1l1her
b). foux number
(oplional, jf scrvice by fax is acccplable)
u) Pholle Illllllher
9/J - ~ 7 7 - 'f'f / (
b). FUl( nllmber f' /3 t 7 I - "'5 7/1
(optional, if sen-icc by fax is ;jcccpl:dllc)
In addilillnlo himself, Owncr designutes ,11/011/;:--"- or
10 Iccei,'e a copy of thc Licnor's NOlice as provided ill Sce/iOIl 71J.13( I )(b). Floridu Slalulcs.
Expiralioll dale of nolicc of C0l11mCIICCI11ClI1
llilTercIII dUle is specilied).
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Signal lire of w ICY
STATE OF FI.OIUDA
('()lINTY OF 0,4.. (0 . ~
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Owners Name Iyped, prilllcd or slalllpctl
Sllhs~rih.c" IIIl1I sworn 10 hcfure l\Ie Ihi~ CJ ~~)! of ml1 ...
kllll\\'!llli IIIC nr hm;/ha\'~._pr~.~llIced J'OUV~ U~
1\ I}"( 'mi'lIlliss'ion :~:iti'irc"s:t . ~ ",' ......I...~. . E;;:~;.P.' ~;;GE
- ' . t .;;~A%. Notary Public, ::;tete of Florida
I. 2; fIt$.. .<'.~.i;Y C(j','lrr,. expires Mar. 10, 2009
(~EAI.) . .j "'G.OD 405833 .
....!:'iz..'fll'f>m;r;"'-_'!';:''':-,:..~~,, ''''.. :::- :'-.~.' ~~~"!"! ~rt:-4fSI.';lJI,1m!f
, ~I.( ,by fv\A4vt ~ \-(
'" ;'I""in~:.:;:
. olary Puh/ic
'1\t\\L.l~'1l is/arc I'crsllll:oll),
eU6VJ- Sfhtl-Jf}L
(Name of NOlary Iypcd. prin/cd Ilr sl:ul1ped)
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Q" ..:10., i
USA Sfeel Fence Company
11201 us Hwy 41 S Gibsonton, ~.J:-.. 33534-4741
Ph. (813) 677-4411 Fax (813) 671-3211 S
State License # CRC016172 QB0000823
Customer (Buyer) Information:
Na~~: ,4tt-t:;i~ ALI~. Ii
MallIng-Address: ~cf .39 6. S' 1-.
City: ~f1 Ii ,(~II /5 State: rL Zip: 3n-1' (-
Phone: Cell: ?:F1- 22 'Ztf
Fax: Email:
Installation Address: ';' tfai v
City:
Property Owner:
State:
S~ :z..--.
Prop Id #:
Zip:
County:
The SelJer hereby selJs and the Buyer(s) hereby purchase the goods and/or services
herein under the conditions stated.
This is a cash contract. Buyer agrees to pay SelJer or SelJer's agent immediately upon
completion of the work as defined in this contract.
Buyer is responsible as to the location of the fence. Buyer(s) holds SelJer harmless
from any liability caused by an error in the location of the installed fence.
Under no circumstances does USA Steel Fence company have any
responsibility concerning property lines or in any way guarantee their
accuracy.
Buyer(s) shalJ inform Seller of alJ UNDERGROUND OBSTRUCTIONS, whether
natural or man made, in writing and also by physicalJy marking them on the
property. The Contract price is based upon only those underground
obstructions disclosed by Buyer(s)as per above. Buyer(s) agrees to hold Seller
harmless to any damage caused to any underground obstructions (examples:
plumbing, wiring. sprinkler systems, septic systems etc.) If SelJer encounters
underground obstructions which Buyer(s) have failed to inform selJer of,
including rock, etc., (whether previously known or unknown by Buyer(s)),
SelJer shalJ have the option to terminate this contract and be paid by Buyer(s)
for the installation of the fence up to the point of termination, or to continue
the work after re-negotioation of the Contract Price with the Buyer(s).
All materials wilJ remain the property of Seller until alJ invoices pertaining to this job
are paid in full. SelJer has the express consent of buyer to enter the property
and remove any portion of the fence if not paid.
A cancelJation fee based ,pon 10% of the Contract Price wilJ be charged and will be
deducted from the Down Payment upon notice to the Seller of the Buyer(s)
intent to cancel this contract prior to commencement of work by SelJer.
A late payment charge of 1-1/2% per month, (18% per annum) will be added to any
balance remaining unpaid 30 days after due date.
The Buyer(s) agree they will pay alJ costs of collection, including (but not limited to)
reasonable attorneys fees, in the event that payment(s) are not timely paid.
The Buyer agrees that the Vf;.lue for any legal action will be Manatee County Florida,
or at a place of the Sel'er's choosing..
Buyer(s) is liable for all damages to materials delivered to the job site whether
incorporated in the fence or not, unless damage is caused by SelJer's
negligence.
The duties and obligations of the Buyer(s) shalJ bind his heirs, personal
representatives, successors, and assigns.
This contract may be assigned by the SelJer, without notice to the Buyer(s), and when
assigned shall be free from any defense, counterclaim, or cross claim by
Buyer(s). The rights and privileges of the Seller under this contract shalf
inure to the benefit of it's successors and assigns.
For Office Use Only:
r Date Paid In Full
l
Date Completed
Crew
t) ~
See back for additional terms & conditions ]..... \ l7
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Contract n: 2126-G7 ,-,' .~
Ite~ized Materials and/or Services
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Cash Price:
::7"e:;Q 1/ cu
$ '-l::J / 7,
Other Charges:
$
Permit:
$
~~cv
'-" -0
Total:
$
Down Payment: $
Paid By 0 Cash tJ Check 0 Credit Card
Balance Upon Completion: $
Will be paid By 0 Cash 0 Check 0 Credit Card
9 co, co
2h 9L//<--
Credit Card Authorization:
I hereby authorize USA Steel Fence Co to charge the following i
amount(s) to my credit card:
Deposit of $ Balance of $
Card Number
~
~....-
.- -.
.-
rn rn
Month Year
DIIJ
Validation Digits
Cardholder Signature
Date:
Date: f/-!j~ - ,
Seller:
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