HomeMy WebLinkAbout07-6542
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6542
Permit Number: 6542
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 6,765.37
Date Issued: 3/12/2007
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 3/12/2007
Work Desc: FENCE - VINYL 200'
Address: 6220 10TH ST
ZEPHYRHlllS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHlllS
Parcel Number: 02-26-21-0080-00200-0280
Name: SHOULTS, DORIS
Address: 6220 10TH ST
ZEPHYRHlllS, FL. 33542
Phone: 813783-1444
c&/
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."
'iLtk Cilo-'~ ~~ ~
v CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780.Q020
City of Zephyrhills Permit Application
Building Department
Fa:<-<l13-780.Q021
I ~ -(2-07
OwneJ'sName!D>RIS 5 HOU LTS I
""'",....... 1\0 2-ZD I D -+jo .st Z~pory i-J,lls I
Fee Simple Titleholder Name I
Phone Contact for Penmting ~ ~ -- ~-::2l
Owner Phone Number ~783 -1#'/1
Date Received
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
1(02:2--0 10 -rb S+ Ze.phr~ /.I;/Is fl 33stJ;2.
I TY SO tJ I PARCEL 10.1 OJ.. -;Jlo-.;JI- ro~()-
E3 NEW CONSTR D ADD/AL T D SIGN
INSTALL 0 REPAIR
PROPOSED USE D SFR D COMM D OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME D STEEL
DESCRIPTION OF WORK IV, (\j~ I FENCE :CNs+A II A-+'~N
I SQ FOOTAGE I .:1..00 I I HEIGHT
JOB ADDRESS
LOT #
u
SUBDIVISION
(xj 2.00 - DZttO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
D
MOVE D
DEMOLISH
I f- e:. N C'E -:+: NS+<:" II
o OTHER c:=
BUILDING SIZE
D BUILDING 1$ c.,..-, (pS. '?>., I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
D
W.R.E,C.
~OL ./
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER FeNcE Ji ~, 7 &5, 31
DYES DNO
BUILDER
SIGNATURI!
COMPANY
REGISTERED
Y/N
FEE CURRENT
L~
Address
ELECTRICIAN I
S1GNAT1JRE ,
Address I
PLUMBER I
SIGNATURE
I
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
L~
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
L~
Address
MECHANICAL I
SIGNATURE
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
L~
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SICN PERMIT
DIrections:
Fill out application completely,
o...ner & Contractor sign beck of application, notarized
If over $2500, a Notice of Conmencement Is required. lAIC upgrades over $5000)
Agent (for the contractor) or POIN9r of Attorney (for the owner) lM:luld be someone wrth notarized letter from owner authorizing same
OVER THE COUNTER PERNlTTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (plot/Survey/Footage)
Driveways-Not over Counter if on public roadways.needs ROW
. 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 contractor(s) sign
portions of the "contractor Block" of this application 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 not entitled to permitting privileges in Pasco
County ,
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 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 not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. FurthenTIOre, 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 Statutes, 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 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 perfonTJed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps of Engineers-8eawalls, Docks, Navigable Waterways,
Department of Health & Rehabilitative Services/Environmental Health 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 is not allowed in Flood Zone "V" unless expressly permitted,
If the fill material is to be used in Flood Zone "A", 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 "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area 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 may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, 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 Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued 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 to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
. I.
CONTRACTOR'''1,
Subscribed and swom to ( r a
I L mar Olby
Wh9J~are ~rsonallY kno'M'l to me or has/have produced
r' c..... as identification,
t--(lL~ )~
Notary Public
Commission No,
'7, c.\...G-r-d- ~ M.~.--+" "-
Name of.~~a;1W.~..~~ P[I~I"""'I'''.~ ~
: RICHARD S. MARTIN ;
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Commission No.
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Name of Notary typed, printed or stamped
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: RICHARD S. MARTIN :
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: """'II'!!.rJ.~ FIortdINaIMr~., Inc :
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ITEMIZED INSTALLED SALES FENCE CONTRACT
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T~i~ a contraot ~n lowe's {as ditfined in the Terms a~ Condiliortsl ("Lowe'l1"l. and !he allov9-named Customer for ~ mtalIalion of goodsattl1e
C~r's rnsldq1tllll premises (11I6 "Premil;esi at Iho IoIIowing itt$IallIIliOn ~:
li/fEET - CITY J..
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AUach copy of ~'s Vinyl Fence Estimate Sheet and write-in cont:nIet t.
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AcIdftioItIrI SpeeificatJons: T1\e Emii~1 ProWC~ Agen~ (EPA) has I'lIqUeSWd that Mat'Is - '1, r) I)" .,;; ~ ",
lJ:tWe'. notify lnstalllltlon -.omore that II iliad b.-d paint hIard InIIY eaist in dwellingllllluilt __,,-:: ) ....~. '.
prior to 1978. See pamphlet EPA 747-K-89-001 tor cNdails.
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ttre_ """"ndP.r, ~ ~ IIlaI CUomm<!r..llOiolIf1....-Inr!!1t Il!adian aI me IeJlCll cIII8lriled in _ _L Cw10merwll also~, i10kwnnIty
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wIll1 flIIYcIaim, slklgBd orOlllarwlsG. _byanyonsaboutlhe _ion aleaid*-- ~isl'llSpOl1SlblefarallYspedaI_describedinltllsAgreement, 2.. CUslmler
Il!l- 1O_any ~ legal permlbllorlhl8 rence NlaIaIIon. orCW8lome/..,,.- Lowe'" orllasu_"', wIII1 a MIgal ~ a copy 01 1Ilo*'owvcy
8nd llIIy DtI1er ne_ry llDCUmOnIs /8QUired by _1lUIhDriliIo& a11.Dwu'" or it$ subconlraclOf 10 obtain tJe Ie\JIlI pemW1.
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N011CE TO CU$TOMER
All items lislcd in this contrm:t:and spedlicaijOfl Aheet(a) .are 10 bIl insIaIad undBr comliIicns II\lfIIIId ~ at tirml of pl.Il'Ohase and 1I1 the priCe appearlnO an lhia
catlIlllCIlotm. Thill AllIllIIl'I<lS samd ClCi9Iinllllubslructures. SUpet$lnlOllml and pointB of allDChmonhl. Elclra IIfbor onnalerlallncldenllo il1lllallalion l1eC8lI8llIIIed
by deIec1ive aubslrualureol, ~llJGtIJI'e. palms of ~1. <<'the mewing of flxtU/'8S or appIiIIncQa \'0 be bIled at 8X11a _lD CII8I<lInlIr.
DQ NOT SIGN THIS CONTAACTUN11L COMPLETE AND YOU HAVE READ THETERIIS AND CONDmONSCONTAlNED ON THE
REVERSE SIDE OF THIS CONfRACT. BY SIGNING BELOW, YOU ARE ACICNOWL5JGING THAT YOU HAY!! READ, UNDI!R-
STANO AND AGREE TO THE TERMS AND OONDmONSSET FORTH ON THE RE'IERSE SlOE OF THIS CONTRACT. YOU ARE
&NTIlLED TO A COPY OF THIS CONTRACT AT THE TIllE OF SIGNA.."TURE.
WmlESS 0UfI HAND(S) AND SEAI..(S) 8ElOW THIS _;l. U' DAY OF' \-=-~ (:.. \0,
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eDended to JQU. 1'OUth81qw IMp ~ IIIh trml8Mlon at CIY lime prlorto mitIaight ~ Ihltlhinl___ .,.,..... .. otllllsldllladloll.
s.. tha.u.:holcl natiae 01_.......... fGrm far _ ~ Qf Ihis right.
RLE copy
~~~~~~~~lW'IIIII 11111111111111I 11I111111111111111
RDcPt: 1081367 R 1
$: 0.00 ec: 0.00
03/12/07 IT: ~p~~ Clerk
NOTICE OF COMMENCEMENT
State of FLORIDA
County of
PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No.
2. General Description of Improvement
VINYL FENCE INSTALLATION
R
3. Owner Information: Name DORIS SHOULTS
Address 6220 10TH STREET
Interest in Property: RESIDENT/OWNER
Name of Fee Simple Titleholder (If other than owner):
Address City State
4. Contractor: Name CHELADYN ENTERPRISES, INC.
Address: 17041 ~!!.D~5~1 RD City NROOKSVlllE State
Phone No. 3527549222 Fax o. 3527549184
City
ZEPHRYHILLS
State --..!.kip
33542
Zip
Fl Zip 34614
Zip
Zip
6, Surety: Name
Address _
Amount of Bond: $
City
Phone No.
State
Fax No.
6. Lender: Name
Address
Phone No.
City
Fax No.
State
7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1 )(a)(7), Florida Statutes:
Name Address City State
Phone No. Fax No.
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1 )(b). Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a
different date is specified.)
,
The recording of this Notice of Commencement does not constitute a lien, cloud or encumbrance on the described r
real properly, but gives c~n ctive no;jfe that claims of lien may be filed under Chapter 713 of the Florida Statutes.
Signature of Owner: X I ~~ t / (DORIS SHOUL T8)
STATE OF FLORIDA COUNTY OF PASCO
Sworn to (or affirmed) and subscribed before me this ' L. day of (Y/art-A. ,20 0'7 . by
who IS U personally known to me or U produced
as identification,
=fl}:~ ~ (J{~
NOTARY PU Ie .
Notary Seal:
..............n.......... ....................
f' RICHARD S. MARTIN E
_ c:an..I~2:
&pna4l2l2010 :
: ~ . landed by (800)432-4254 E
: (Jf FIarIdiI ~ AIan.. /nc !
...ttTlIT --........
JED PITTMAN, PASCO COUNTY CLERK
03/12/07 01: 55Je1 1 Jf l..
OR BK 741~ PG 19laS