HomeMy WebLinkAbout07-6584
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
6584
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:
6584
FENCE
FENCE/NEW
NOT APPLICABLE
Address: 5019 4TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1,820.00
4/17/2007
35.00
35.00
4/17/2007 Phone:
INSTALL 88FT OF 6' BLACK VINYL CHAINLlNK FENCE WITH GATE
Name: CITY OF ZEPHYRHILLS
Address: 5019 4TH ST
ZEPHYRHILLS, FL. 33542
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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."
~.
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
MRR-27-2007 21:35
WILLI RMS FENCE CO
CI'n' or UPBDHILLS
Dtnu):DIG DEl'AP.'DaDrr .
1 863 683 6402
P.02/05
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DAD IIBCZIWD
PloaRS ~ nm
1YbS~t{;
OWNER'S NAME C:d)~ nf:2p rk,r~1I1 h
JOB ADDRESS ,C;-f\1 q L..f.-4:... ~-+
PHONE
LEGAL DESCRIPTION: LOTrS)
BLOCK
SUBDIVISION
PAACEL 10 II L 1- ~fe- .:::l.l- Flf'll J<\.- I ~"'I').. F'>nl n
IORTATN ~RnM PROP~R~Y ~.y NnTT~F.'
WORK PROPSED: DNEW CONSTRUCTION
o 1\.DDITION
1>. .
OALTER1\.TION
D R!:'PAIR. ~ INSTALL
DSIGN
PROPOSED USE: OSGL FAMILY DWELLING
~COMMERCIAL
o HOVE
o DEMOLISH
OHULTI-FAMILY
EI INDUSTRIAL
O. OF UNITS
o SWIMMING POOL
D HOBILE HOM
1t'f0THER
DESCRIPTION OF WORK
CJ RESTAURANT , HEALTH DEPAATH~T APPROVAL
T ,..,4\11 '%'ij" L j I ~ <<Ft I Blnttv V; "II' (' hr\.... r. ....Il
SQUARE FOOTAGE
q..4. r....-rl n
HEIGHT Lo'
BUILDING SIZE
............
RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETs OF BUILDING PLANS , (1) SET ENERGY FOaMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
PERMITS REQUESTED
D BUILDING
$ l ~~.()I'
VALUATION.OF TOTAL CONSTRUCTION
o PLUMBING
o MtCHANICAL
S
DGAS
o ROOFING
o SPECIALTy
VALUATION OF MECHANCIAL INSTALLATION
rt OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
MOTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YE:S 0 NO
..,.~~~'
Q. ~ '.. . ".' ~'"' ....' ... . . ~:,: ,.
8UILtlER
'-..../. SIGNATURE
ELECTRICIAN
SIGNATURE
PLOHBEI\
SIGNATURE
MECHANICAL
\....; SIGNATURE
O'l'HEll
COMPANY
STATE CERT OR REGIST .
CITY PROCESSING .
............ .1IlW:'\.......... *.*.. ......... ...... ,......,....... ......... .......~.. ...,....."..... >It
.'-
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING .
....~....~.....~~.......................~..~~~~7~-:~..~~~.;~_ -. ,~
. .' "---. ..... ". -'--'-~ -:--.;...,=~-
COMPANY.
STATE CEar OR REGIST .
CITY PROCESSING .
.......9...*..............*.........**..........*...~.........*...
COMPANY
STATE CE:RT OR REGIST #
CITY PROCESSING II
...~........~....................................................
COMPANY j (n>'\ I .?~ Ilu\",< i=e.'\c:.t ~.
STATE CERT OR REGIST jj G::.pq~ I O~la..!;""
CITY PROCESSING II
.................................................................
MAR-27-2007 21:35 WILLIAMS FENCE CO
..v.......... v.&. .,......u n.&:.l"',n",,"",,,LVI,.,
The undersigned undeuunds thilt thb p~~t ~Y!b~subject to "deed restrictions" which
may be more restrictive than City requlatlons. Tbe undersigned ass~es r.sponslblU.ty for
compliance witb any applicable deed r~strictions,
B. UNLICEHS~D CONTRACTORS AND CONTRACTOR R~S'ONSIBILITIES
If the owner ha. hired A contr.ctg~ or contractors ~o undertake work, they may be req~ir.d
to be licensed in accordance with state and local regulatlons. If the contractor 1s not
licensed as required by lAW, both I;h. ol~er and contractor ~y be cited fo~ a ~sdeme.nor
Violation under state law. If the owner or intended con~ractor are uncertain a. to what
licensing requirements may apply for the intended work, they ace advised to contact the
City of Zephychills 8uilding De~artment, 8l3-788~6611.
FurtherMOre, if the owner has hired a contractor or c~ntractors, he is advised to have the
contractorls) .ign portions of the "Contractor Sections- of this application for which they
will be responsible. If you, as the owner signs as the contr.cubr. you a,e indicating that
you, rather than the contractor, are responsible tor the work, If the contractor Wishes
you to sign as contractor that may be an indication,that he i. not properly licensed and is
not entitled to pe~ttinq privileges in the City of zephyrhills.
C. TRANSPORTATION IMPACT F!:!:S AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS MENDED)
I certify. that I, the applicant, .have bee~provided with a copy of "Florida's ~onstruction
lien Law - Homeowner's Protection Guide- prepared by the florida Department of Aqriculture
and Consumer Affairs. If the applicant is someone other that the .owner", I cerify tha~ I
have obtained a copy of the above described document and promise in good fa1th to deliver
it to the "ownerW prior to commencement.
E. CONTRACTOR' SiOWNER' S AFFiDAVIT.',
I certify that all the information in this application is
be done in compliance with all applicable laws regulating
development.
Application is hereby made to obtain a permit to do work and in.tallation as indicated. I
certify that no work or installation has commenced prior to i.suance of a per.it 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 alsv
certify that I understand that the regulations of other qovernmental agencies may apply to
the intended work, and that it is my responaibl1ity to identify what actions I mU$t take to
be in compliance. Such agencies include but are not limited to: .Oepartment of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Hanagement District-Wella. Cypr.s. Bayh.ads, Wetland Areas,
Altering Watercourses '
*ArNyCorps of Engineers-Seawalls, Docks, Navlqable Waterways
.Depart..nt ot H.alth 6 Rehabilitative Services, Environmental Health Unit-We~ls,
Wastewater Treatment, Septic Tanks
.U.S. EnvironmRntal Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AN or "A;etc.N, it ~s
understood that a -drainage plan addressing a "compensating volume- will be subMitted which
is prepared by a profess10nal engineer registered in the Stat. of ~lorida prior to p.rndt
issuance.
A permit issued shall be construed to be a licerose to proceed with the ~rk and not a.
authority to violate, cancel, alter, or set a.ide any provisiona of the technical codea,
nor shall iSSUance of a permit prevent the Building Official from therealter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work autborized by such permit is commenced within
six months of issuance, or if work authorized by the perndt is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
m.y be ~llowed for the permit With fee charge of $15,00. The extension shall be requested
in writing to the Building Official. An approved inspection muse be 109ged dur1ng each six
month period, or the project will be considered abandoned. .
WARNING TO OWNER: YOUR fAILURELTO RECORD A NOTICE OF COHHENCEHEHT HAY RESULT IN YOUR
PAYING TWICE FOR IHPROVEMENT=-' ~'~ YOUR PRClPEI\TY. IF YOU INTEND '1'0 08TAIN FINANCING, CONSULT
WITH YOUR LENDER OR IVf ATTORNEY 8!:FORE RECORDING YOUR NOTICE OF COHHENCEMENT. JOBS UNDER
$2.500 IN VALUE: DO NOT NEED TO R!:CORD AND POST ^ "NOTICE OF COMMENCEMENT-.
1 863 683 6402
P.03/05
J
accurate and tha~ all work will
construction, zoning. and land
-....
J
.J
"7I "IOA-tURE: :
OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
_~he_!.ore,oin9 in-!.trUlllent wa.!!. _~ck"c;!,,!l_'!5!g~.!i _
",..toee me t1l15_ day of , lL
by
(name of person acknow~edgedl
Owho is personlllly ~nown to me, or
Owho has produced
(type of identificationl
and whoOdid Odid not. take an oath.
STATE OF FLORIDA 0
COUNTY OF \ 0 \ "'-
_The .fore9C!1nCJ._iIUI~u_nt wa. i1cknowl.eclqed
8efore II" th~s ~day of...m~~~. adJ;1.:fJ
by ~,",'1: ~... ^
~ (name of person acknowledged)
~ho i5 personally known to me, or
.OWho has produced
(type of ider.tifioation)
~ld not take an oath
~~
NaMe 'yped. printed or st~mped
and who Ddid
): lh N""')
S1qnature of person takinv ackl,owlec!c;'c~nt
...,~1.~~ !W!NAHNEIIICICSCN
.~ _ IoIYCIIIII!l!IIW'IlO311121
Na.ne t... P~Jl,"'lltped
..... "V ..... '"""...... -,.....
Siqnature of pereon taking acknowledgement
MAR-27-2007 21:36
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WILLIAMS FENCE CO
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1 863 683 6402
P.04/05
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MAR-27-2007 21:36
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WILLIAMS FENCE CO
1 863 683 6402 P,05/05
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City of Zephyrhills, Florida
5335 EIGHTH STREET
ZEPHYRHILLS, FLORIDA 33542
PURCHASE ORDER
,.., _r.
ef II>,.LI v I
SALES TAX EXEMPTION: 85-8012740166C-4
To: WILLIAMS FENCE CO
934 EAST ROSE STREET
LAKELAND FL 33801
Ship To: City of Zephyrhills
Building Department
5335 8th Street.
Zephyrhills, FL.33542
Quantity Description
1 REFUND TO PERMIT 6584 - CITY PROJECT
Date: 4/18/2007 Number: 22187
Ship Via: BEST WAY Delivery Date:
Terms: Buyer: SWETLAND
Bill To: CITY OF ZEPHYRHILLS
5335 8th Street
Zephyrhills, FL 33542
Unit Price
35.00
Total
Amount
35.00
35.00
"';)
Cost Distribution
001-322.0000
35.00
FederallD #: 59-6000455
BY:s~ ~.
'EL- "'?- ~~
City Manager/Fina e
4/17 J07
16Uvv--
Accounts Payable (bobbiel _ 51 X
start I = ~ T'" ~. -'~ if rr:;1~
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City of Zephyrrr~.l._". ,
"/ Cash Recelpt
4/17/2007
TR ~~RT-IWIL! -CK-1996
COIl '"... " >I _
BP-65B4-CAilH
$20.0D
$35 If 00
Total Received
$55.00
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W;I (r'~T 10: ~
q84 - d 4-L 33801
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Page 1 ofl
Karen Miller
From: Cathy Familo
Sent: Tuesday, April 17, 20072:44 PM
To: Karen Miller
Subject: RE: Vendor Setup for Refund
WILLFENC
From: Karen Miller
Sent: Tuesday, April 17, 20071:58 PM
To: Cathy Familo
Subject: Vendor Setup for. Refund
Cathy:
I need the below set up as a vendor so I can refund them money obtained for a City
permit. Thanks.
Williams Fence Company
934 East Rose Street
Lakeland, Fr 33801
Px: 863-688-1194
Thank you!
'l(aren
4/17/2007