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HomeMy WebLinkAbout08-5969 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 FENCE PERMIT 5969 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: 5969 FENCE FENCE/NEW SINGLE FAMILY RESIDENTIAL Address: 6137 19TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: ZEPHYR BREEZE Parcel Number: 02-26-21-0190-00000-0340 4,761.12 7/25/2006 40.00 40.00 7/25/2006 FENCE PT PINE BOB Phone: r c)0 (~ \~--:I€~ J 5P- ~fv'I cJ ~()I REINSPECTlON 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. II w~~~~J f~~ RACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Fee Simple Titleholder Name Sl'Imi.. IJ-S ~/3 1 rr - fS"O ?> (!/~) 7~lf-3~9J' ~I I I ~1J'IrlJ;/!J ,/F'-. '9?5V'L I LOT# I ~.'/ I PARCEL 10#1 ~ a -~"... ~ / - () /9 t) - ~~ ...oal~b (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D Owner Phone Number ~er Phone Number I Owner Phone Number I Owner's Address Fee Simple Titleholder Address I .s /tin -l. I1s I l;/9:J? /9~ ,S.::f-raf- 17lfhy,..hi/ls I;rllzL I n NEW CONSTR I'7f [k3- INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK 1.::r1l51.4iL ,c~Ut!tE I "'AIL! ~rl SQ feOl'AGE OTHER 1131J~ 'Pr..- -;j.--UJI'-' ... STEEL D OTHER I JOB ADDRESS SUBDIVISION BUILDING SIZE I 11111'11111111111'1111'1111111111'1111"11111""11111rlllll)II'IIIII'.'III"'III""I"IIII-IIII))I"""111""111111111111"111"'11111'1111111 D m D ?r?t n l.. IB() ~ /1f1 I ADD/ALT REPAIR COMM FRAME DEMOLISH WORK PROPOSED HEIGHT 70" 1$ 1./711;' IL I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNa 11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111 ::::~~~RE I~ ~~~ I ;.c::."= I 7- '/ttl,j,ill5 02f BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION I I I I I I I I I License # I I 111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111I11111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, 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 onsite, 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, II,IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC 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 NC #- II?1..t... I1u-rt.f/J I Y / N I FEE CURRENT Y/N Address -c st-/llf . ~Y'Z- License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT 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 IMPACT/UTILITIES 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. 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 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 performed 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-Seawalls, 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 ~nstallations not specifically in~luded. in the application. A permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft?r requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become. invalid unless the work authorized by such permit IS commenced Within SIX months ~f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed n1n~ty (.90) da~s and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS 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. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affinned) before me this by Who isfare personally known to me or has/have produced as identification, Notary Public Notary Public Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed, printed or stamped FENCE.DIAGRAM Key: _'. Fence line to X Tie ons (get be erected permission) 'note which side of fence rails should face "indicate proper direction o Termi~~I~~ost * Existing fence [_J Buildings ;i? ,iT' .. ,,/ . } ~~~!oq;,. I '4= 0: 'A , \Gl(;(.~\ i:>- t , , ',.' .,.~ :~ ~--~~"": 'X' ~ B:) ~. "1-. "f- 'I- >C . t,., , 'f.. ~, . X <-~ts4-1('r' '(... .. <!\. , , . 'f.' ,. S~\l~:' 'f:.. '. ')()( ..:--' I' . X. ...."_~..~ , . ..,. , , .... ,l, .T 5'Z r" ~: ~. X' '~; ,~, U ''''''li'''.;~'''' . /' . " , I \ J \ , " _".!,._"A'''~~ , . ,. 71 ( j, . 'J' r" ~ ~ -1 L ... ~. I 1 " .~. tirJ1'7if .~ . 1 'I l1u ~ / :1 i .. :i }. --- Special instructions: /7 r/Jp/7.{//} ;; r- \4j"\t- ,.. ~ i.,. J.~I . M " i , acknowledgment: (Please initial) You Agree that neither Home Depot nor Installer are responsible for identifying property lines or any easements, covenants or other I gal encumbrances Your service address may be subject to, nor are Home Depot or Installer, except to the extent required by applic~6le law, responsible for identifying any underground or overhead utility lines. Installer will obtain any required permits and provide th pe "t nymbers if required or if otherwise requested by You. ---.., 1"'; (.-.......' You Agree that following discovery of previously undisclosed/unidentified legal encumbrances on Your premises, building/ zonin ode violations, or hidden/unforeseen physical/hazardous conditions such as the presence of. underground or overhead utility - lines, roots, rocks, buried debris, mold, asbestos, lead paint, or any other conditions differing from what You represented, Home Depot may immediately ask for a Change Order or discontinue Installation without further obligation to You. If You declin_~ a Change Order request, You or Home Depot may terminate thisf--greement as set forth below. GDX-689 (11/03) i\ -.~ DISTRIBUTION: White-Home Depotllnstallation Professional Copy Yellow-Customer Copy DISCLOSlJ'RE STATEMENT FOR OWNER CITY OF ZEPHYRBILLS Bt1J:LDING DEPARTMENT I, '~rlHJ'-lU 7"j-/p,.J lIJi~h1~ agree to the p:fovisions of this instrument. have read and ful~y understand and The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing hi~or h own domicile~, that he or she actually occupies, or will occupy by .said domicile, and same is not for rent, lease or sale, That he or she shal comply with the following conditions.: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2, That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.. 4, That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion wili call for a reinspection before proceeding with the 'building, 5 , That the oWner shall assume ful~ responsibi~i ty for the construction and will not expect supervision of his Work from the City of Zephyrhills Building Department. 6, That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall .constitute an official notice, to pay additional fees, 7, That the owner shall comply with all City, State and Federal laws' in: regard to social security, workman's compensation, lien laws, etc., where applicable. 8, That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or imprC?Ve.a one-family or two-family residence or a far.m outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000, The building or residence must be for your own use or occupancy, It may not be built or sUbstantially improved for sale or lease, If you seJ.l;or' lease a building yotihave built or substantially improved yourself within: 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building, It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done, Any person working on your building who is not licensed must work under your d:l.rect supervision and must be employed by you, which means that you must deduct 1".I.C.A, and withhold:l.ng tax and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comply with all appli.cable laws, ordinances, building =:s:~~~ r~~~uJ .. DATE 1-fjS--()~ ' :~:SS C1J~~/7~t _ ~; ~1Sf;~~~~~r2::f5~/. q,'5~2'- WJ:TNESS cr1t^ ~ PElUC:T # Home Improvement Agreement: Fence Ir;blflf/11tl/7 -5-1all~ I I I cusz;;er;s Last Name, Firsl ~ -+ C/ Order No. I /31 / } S ' I ~Iddress f . p\ i }'"' . ~ 3-- ~. / \ 5--\- 1133~.)t ~ ~ I ~m~~ony(-nl)\S I Billing/Mailing Address (If different from ServiJe Address) I II II I ~l;?'~J~i5' - 32.Cl5 Ilc"""m." '''"'"g To! N' I Ic"",m." co..,,':: N, ~ S: ldo",,","'" J CUSTOMER'S INITIALS: BY INITIALING, YOU AGREEE THAT BY YOUR SIGNATURE BELOW, HOME DEPOT, ITS AFFILIATES, OR AN AUTHORIZED REPRESENTATIVE MAY CONTACT YOU BY PHONE, FAX OR E-MAIL ABOUT OTHER SERVICES THAT,MAY"BE OF INTEREST TO YOU, YOU MAY ALWAYS CHANGE YOUR MIND LATER; JUST LET US KNOW, IIY\ State Primary Payment Method: Primary Account Number: Home Depot CardlHome Improvement Loan 0 AMEX 0 Discover 0 MasterCard VISA Expiration: I 071 i D Secondary Payment Method: 0 Check/Money Order Dl:lome Depot CardIHome Improvement Loan 0 AMEX 0 Discover 0 MasterCard 0 VISA Secondary Account Number: I I Expiration: I 1 I Payment Schedule: You agree Your payments will become due on the dates indicated below and, if You are paying other than by check or money order, may be automatically charged or debited (as applicable) to Your designated account(s) when due, Down Payment: $ Due immediately , Your down payment is NOT an installment payment under this Agreement. Final Payment: $ Due on finish date (see below) of installation. Sales Tax: $ If applicable. Total Amount of Sale: $ Includes all applicable discounts, rebates, and taxes, Excludes finance charges: * Anyinterest payments or other finance charges will be determined by your separate cardholder or loan agreement, to which Home Depot is NOT a party, Please see this Agreement's General Terms and Conditions for more details as to other charges that may apply. Anticipated Installation Schedule Please note that neither Home Depot nor Installation Professional are responsible for delays resulting from events beyond Start Date: _/----1_ their control including, but not limited to, Change Orders, incorrect information You prollide, legal encumbrances on Your property or its nonconformance with building code or zoning requirements, Your credit/financing, acts of nature, government Finish Date: ---1----1_ or any third parties,labor strife, hidden/unforeseen physical/hazardous conditions, including, but not limited to, epvironmental hazards such as mold, asbestos and lead paint, or Your noncompliance with this Agreement. , Definitions: "You"f'Your" means the customer identified above. "Installation" means the installation services specified in this Agreement.l'lnstallation Professional" or "Professional"means an independent contractor authorized by Home Depot (licensed and insured as required by Horn. Depot and applicable law) and the contractor's employees, agents and subcontractors. "Agreement" means this Special Services/Home ImprovemenVAgreement between You and Home Depot U.S.A., Inc. (interchangeably referred to as "Home Depot" or "EXPO Design Center"), which includes this page, the General Terms and Conditions following this page, the'State Supplement, the Invoice or Specifications and any other documents expressly made a part of this Agreement. Please see this Agreement's General Terms and Conditions for additional definitions. Acceptance and Authorization: By signing below, You authorize Home Depot to (a) arrange for Installation Professional to perform Installation and! or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. You understand this Agreement constitutes the entire understanding between You and Home Depot and may only be amended by a Change Order signed by Home Depot (or by Installation Professional or its authorized representative on Home Depot's behalf) and You. This Agreement expressly supersedes all prior written or verbal agreements or representations made by Home Depot, Installation Professional, You, or anyone else. Except as set forth in this Agreement, You agree there are no oral or written representations or inducements, express or implied, in .any way conditioning this Agreement, and You expressly disclaim their existence. Do not sign if blank or incomplete. (Installation Professional'sl permitting information may need to be provided to You later.) By signing, You acknowledge that You have read, understand, and accept this ';Z,A~reementi.n its entirety. You further acknowledge receiving a complete co~y. Keep itto protec~ Your legal rights. . . Accepte .13Y /. ,', ~ . /1" / '.. 4.(. h J -! ;. c ~lr & PrdessionaI'sFulElusi1essfrrade Name,Altiessand l.X;ense No. or Nos. asAppk:able: '. ,..../.,.::-6 fL... JL GC,LU11, /J// I ~ () J , Customer's Signature / Date Custome~s Initials: BY I IALlNG, YOU AUTHORIZE OELlVERY OF MERCHANDISE TO SERVICE ADDRE S PROVIDED ABOVE WITHOUT OBTAINING DELIVERY AGENT'S SIGNATURE AND AG rt TO INDEMNIFY AND HOLD HOME DEPOT HARMLESS FROM ANY RESULTING CLAIMS. Submi.tted by:_~;;tliomeDAAot Associate Cl Professio'~aUAuthorized Representative on Home Depot's Behalf AssociatelRepresentative: Please PRINT Your Name in Full and Check Applicable Box Above / GDX.689 (11/03) DISTRIBUTION: White-Home Depot/Installation Professional Copy Yellow-Customer Copy