HomeMy WebLinkAbout08-7823 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 7823
FENCE PERMIT
Permit Number: 7823 `
Permit Type: FENCE Address: 5331 23RD ST
Class of Work: FENCE REPLACEMENT ZEPHYRHILLS, FL.
Proposed Use: NOT APPLICABLE Township: Range: Book:
Square Feet: Lot(s):16 Block: Section:
Est. Value: Subdivision: ZEPHYR HEIGHTS
Parcel Number: 12-26-21-OO3O-OO6OO-016O
Improv. Cost: 5,24O.OO
Date Issued: 5/02/2008 Name: DEBEER, DANIEL
Total Fees: 40.00 Address: 5331 23RD ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/02/2008 Phone:
Work Desc: REPLACEMENT OF 247FT OF 6' VINYL FENCE
ACME UNLIMITED INC. (813)973-0826 FENCE
40.00
LZ ( Cry
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(co 2 c when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b) n condemned work resulting
n
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
may be found in the public records of this county, and there may be additional permits required from other governmental
that
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
pe
Complete Plans, Specifications and Fee Must Accompany Application.rson owning same
All work shall be performed in accordance with City Codes and Ordinances
r
CONT OR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
May 02 08 10:45a Shelia Richards
813-315-6785 p.1
�ry CERTIFICATE OF LIABILITY INSURANCE =DAT9
PRODUCER8
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CONMRCIAL SPECIALTY INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9422 Balm Riverview Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Riverview, FL 33569
813 671-5400 INSURERS AFFORDING COVERAGE
INSURED Acme Unlimited. Inc NAIL
INSURER A ANRNlooiatad Industries Znaliranc
INSURER B. Travelers
5610 6th St INSURER C:
Zephyrhills, FL 33542 INSURER D:
813-973-0826 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wr1 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
nlsR
LTR Saab TYPE OF MURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXP$RATION
DATE MNIDWYY DATE MIND LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE : 1 000 000
CLAMSMADE CI OCCUR I PREMISES Ixarglae I Z 100 000 MED IL&
$ NA
660-8307L979-07 12/14/07 12/14/08 PERSOLADVINJU i$ 1000 5 000
o00
GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i s 2 000 OQiiJ
X POUC PR°°IxTs-c°MProPAGG i$ 2,000,000.
IEcD_ LOC `---
ALITOMOBILE LIABILITY
ANYAUTO OMBI SINGLE LIMIT
' ) I
ALL OWNED AUTOS —
SCHEDULEDAUTOS BODILY INJURY $
(Parpalaall)
HIRED AUTOS
NON-OWNEDAUTOS (BODIL PecaCDdsURY $
I
PROPERTY DAMAGE
(Peracodwt) IS
GARAGE LIABILITY
ANYAUTO I AUTO ONLY-EA ACCIDENT i
OTHERTHAN EAACC -._....,-._._.-...._..._-.. _..
AUTOONLY: E
EXCESSAJMBRE.LA LIABILITY
OCCUR CI CLAI $
MSMADE EACH OCCURRENCE
AGGREGATE $
DEDUCTIBLE $
$
RETENTION S
WORKERS COMPENSATIONAND i
EMPLOYERS'UABXRY g TORYtAMIMUTS ER
ANY PR0PWETORIPARRN 3bDIECUAVE 1000339
09
A OFFICERIIIENER gym, 1/17/08 1/17/ EL_EACH ACCIDENT a__ 10 000
�— —
dejbeundeq
SICI E.L.DISEASE-EA EMPLOYE S 100 000
SPECIAL PROVISIONS bNaw
OTHER EL.DISEASE-POLICY LIMIT i 500 000
DESCRIPTION OF OPERATIONS IOOCATOONS IV HICLES I EKCLUSIONS ADDED BY BNOORSEMEKf/SPECIALPROVISIONS
CERTIFICATE HOLDER
CANCELLATION
City Of Zephyrhllls SHOULD ANY OF THE ABOVE DESCRIBED POLICL�ESBECEED BEFORE THE EXPRATION
5335 8th Street DATE THEREOF,THE ISSUING INSURER WILL AIL 30 DAYS wH,I5335 'rhi 11s FL 33542 NOTICE TO THE CERTIFICATE MOLDER NAMEDT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY INSLIRER, ITS AGENTS OR
813-790-0021 REPRESENTATIVES.
==;i�z
ACORD25(20
o1/08)
®ACORD CORPORATION 1988
ACME t)NLIMITED, INC.
FACMEEE Acme Unlimited, Inc. 5610 6TH ST.
Zephyrhills, Florida 33542
"Wc C'ov'rAll YourFclicii,,'Needs" 813-779-7795 813-973-0826
LICENSE # 11795
PROPOSAL/CONTRACT 04/04/2008
Customer Information: Job Information:
RITA DEBEER JOB LOCATED IN ZE'PHYRHILLS
5331 23 RD ST CROSS ST IS
Zephyrhills, Florida 33541 779-0619
NEWYORKIE22C j/`Qr,z,---
Notes:
247' 6 FOOT PVC TONGUE & GROOVE W/ LATTICE
1 10 FOOT DOUBLE GATE
ALL POST SET IN CONCRETE 70•
EE
7S' 78.
HOUSE
ADD 250.00 TO REMOVE CHAINLINK & HAUL AWAY e
10
ADD 800.00 TO USE BIGGER RAILS
ACME UNLIMITED, INC. agrees to guarantee above site and work completed may be sent at weekly
fence to be free from defects in materials and intervals. Adjustments for material used on this
workmanship for one year. job and adjustments for labor will be charged or
ACME tNLIMITED, INC. shall advise the customer as credited at the currently established rates.
to local zoning regulations but responsibility for Additional charges for any extra work not covered
complying with said regulations and obtaining any in this contract that was requested by the customer
required permits shall rest with the customer, will also be added. The full amount of this
ACME UNLIMITED, INC. will assist the customer, upon contract along with any additional charges will
request, in determining where the fence is to be become payable upon completion of all work whether
erected, but under no circumstance does ACME or not it has been invoiced.
UNLIMITED, INC. assume any responsibility r A finance charge of 1 1/2% per month (or a
concerning property lines or in any way guarantee minimum of $1.00), which is an annual percentage
their accuracy. if property pins cannot be located rate of 18%, shall be applied to accounts that are
it is recommended that the customer have the not paid within a.0 days after completion of any
property surveyed, work invoiced. All materials will remain the
ACME UNLIMITED, INC. will assume the property of ACME UNLIMITED, INC. until all invoices
responsibility for having underground public pertaining to this job are paid in full. The
utilities located and marked. However, ACME customer agrees to pay alt interest and any costs
UNLIMITED, INC. assumes no responsibility for incurred in the collection of this debt.
unmarked sprinkler lines, or any other unmarked
buried lines or objects. The customer will assume
all liability for any damage caused by directing
ACME UNLIMITED, INC. to dig in the isswediate
vicinity of known utilities.
The final billing'will be based on the actual
footage of fencing built and the work performed.
Partial billing for materials delivered to the job
Approved & Accepted or Customer:
Contract Amount: _ c
$ 5240.00 /(ixstomer Date
Down Payment: $ 2240.00 Accepted for ACME UNLIMITED, INC.:
$ 3000.00 CHRIS DAVIS '
Balance Due: -Orcd.ow wvs.c.us.o.wc�maaO
Oro saan�.a icfnxam
Salesperson Date
813-780-0020 City of Lepnyrnnls rerfnlz HNNnLauvii
Building Department
Date Received
an Phone Contact for Permittin .i. ,.t. - .1.1.1)1,..,.1, .,,,
lyII 11111111
111111.1,
ow s"RariteUt�, G e ' Owner Phone Number I ' 7? O /�/ 9
Owner's Address S33/ 23 Sfr zr 7i/G 33 1/ I Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address O
JOB ADDRESS sGfv -e
LOT#
SUBDIVISION I PARCEL ID# / Z-2 ,6 2 ) O 036 O0 600-D 16o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR C>
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK UL �f tie-
� �(A O
BUILDING SIZE
�ElFOOTAGE HEIGHT I
= BUILDING $
VALUATION OF TOTAL CONSTRUCTION (�
= ELECTRICAL $ AMP SERVICE _ ' PROGRESS ENERGY = W.R.E.C.
= PLUMBING $ �
= MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
11111111111 11111111111 1111111111111111111111 111111111111111111111111111111111 IIIIIIIIIIII 1111111111111111111111111111111111111111111 IllIllIllIll I-I-
BUILDER COMPANY C / _ (,f/Vf'/rr. r
SIGNATURE REGISTERED / N I FEE CURRENT Y/N
Address O (� — S7 License# J r '7 cjj-'
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT [ YIN
Address
License#
PLUMBER L COMPANY
SIGNATURE
REGISTERED I Y/ N I FEE CURRENT J Y/N
Address
License#
MECHANICALL 1
COMPANY
SIGNATURE
REGISTERED IY/ N FEE CURRENT Y/N
Address
License#
OTHER
SIGNATURE 1 COMPANY
REGISTERED [xi N I FEE CURRENT Y/N
Address
-I-ill IlIllIlIlIll IllIllIllIll IlIlIllIllIl IIIIIIIIIIII IllIlIlIllIl IllIllIllIll IlIlIllIlIll 11111 11111 IlIllIlIlIll IllIlIllIlIll lIlIlIllillI 1111111111
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 onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL 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&I dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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 A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned
regulations. The undersignedassumes
dg responsibility
this
for compliance restrictions"
any
which may be more restrictive than County
applicable deed restrictions.
UNLICENSED CONTRACTORS AND b
D CONTRACTOR
licensed RESPONSIBILITIES:
NS B danc ILITIEe with state and local regulationsd a .C Ifr or
the
contractors to undertake work, they may required to be
oth tractor ay be d for a sdemeanor ion
contractor is not licensed as required by law, tactor the
uncertain as licensingwhat m
censingtre requirements may applyiforrtthe
under state law. If the owner or intended SectiOn at
intended work, they are advised to contact the Pasco contractor torBcolntrae tors, he 11 is Division—Licensing
dvised to 1 have s he contractor(s)s sign
47-
8009. Furthermore, if the owner has hire
portions of the "contractor Block" of this application for
Iicensed will
and is not enttled to you,
mitting the
pr vilegessign
in Pasco
contractor, that may be an indication that properly
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY
to the on FEES:
ion of new de build dings,gundersta of
s
that Transportation Impact Fees and Recourse Recovery Fees may apply
use in existing buildings, or expansion oalso
xisting buildings, as understands, that such fees,ecified Ias Pasco
may be due, will Ordinance
be identified at 89-07 and time of
90-07, as amended. The undersigned
permitting. It is further understood that Transportation release.a If the project ct Fees and Resource Recovery
nvolve a certificate must
of occupancy or
receiving a "certificate of occupancy" or final power
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(Chapter 713,(t issuance in accordance Florida Statutes, as amenided)th PIicable If valuation of work is$2,asco County 1nances.
500 O0 or more, I
CONSTRUCTION LIEN LAW(Chap
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's is someone
Protection Guide" prepared by the Florida Departmobtained a copy of thet of ure and Consumer Affairs. If the abovedescribed document and promise intgood faith to
other than the"owner", I certify that I have )
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
is
will be done in compliance with all applicable laws d rlegulang construction,nstallation as indicated oningert� (and that no velopmen work ortinstallllalti tnohas
hereby made to obtain a permit to do work anlaws
ating
commenced prior to issuance of a permit and that all work llland development regulations in the jurl be performed to meet standrds lisd ction 9 I I also
construction, County and City codes, zoning regulations, andI to the intended work, and that it is
certify that I understand that the regulations of other government agencies may applyto:
my responsibility to identify what actions I must take to- be Such Wetland Areas and Environmentallyt Sensitive
Department of Environmental Pro
YPess Bayheads,
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-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. e plan
a
If the fill material is-to be used in Flood Zone
n of it permitting g which is prepared rby agprofessionalrengineer
"compensating volume" will be submitted at t P
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in
a on ectio the htem wall.
with
permitted building using stem wall
a withiconstruction, I certify that fill will be used only to fill that use of such ell will not adversely affect adjacent
If fill material is to be used in any area, I certify may be cited
for violating
properties. If use of fill is found to adversely affect
permit acent t application, for lots less than one ( )
the conditions of the building permit issued under the
acre which are elevated by fill, an engineered drainage plan is required. forth in
the AGENT FOR THE OWNER, I promise in good faith to inform
f or separate permit may permittingbe required for conditions
elect�electrical set
I work,
If I am tricaon. A
this affidavit prior to commencing construction. Ior understand tr installations not specifically included in the app'
plumbing, signs, wells, pools, air be aiocing, g
with not as ority to permi
t issued shall be construed to is a license top issuance
the of a pemit prevent the Building Official from theetnvali r
, cancel, alter, or
set aside any provisions of the technical codes, nor shall issued shall become requiring a correction of errors in plans, construction or violations of any codes. Every permit
rmi or if work auth orized by
unless the work authorized by such permit is commenced within six months
a thetwo k is commenced. An extension
the permit is suspended or abandoned for a period of six(6) months
the time
days and will demonstrate
may be requested, in writing, from theceases
lng O for Official
(90)rconsecutive days,the jobiod not to exceed ninety (90 is considered abandoned.
justifiable cause for the extension. If work ase
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICF YOU INTEND TO OBTAIN FINANCING, CONSULT
E OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU TIC OF CO ENC_EMENT
FLORIDA JURAT(F.S.117.03)
CONTRACTOR before me this
OWNER OR AGENT Subscribed and by m to(or affirmed)
Subscribed and sworn to(or affirmed)before me this y
by Who is/are personally known to me or has/h Identification.
Who is/are perve produced
sonally known to mes ides/havroduced
oen
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed.printed or stamped
Name of Notary typed,printed or stamped
FROM
(WED)AUG 23 2006 23:56/ST• 23:55/NO. 6344811071 P I
NOTICE OF COMMENCEMENT
r
State of I"�o�j�q
County of_ oft_ v
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713,Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. _j - oo 6 oo---0/6 Q
�- �-2 0030-
(Legal description of the property and street address if available} O
2. General Description of Improvement P VC- /(,1r
3. Owner Information: Name Gt✓t t ��, e�ee% p
Address 5331 i 3 QO /
Sf" City 2 l�[� State /7
Interestin Property: F—�s____
33syz (iiflfl
Name of Fee Simple Titleholder:
O mm;
(If other than owner) oo m J
J
Address
L'ty State
4. Contractor:Name CML rl f/;1.d.J �, w
Address �i G
City ZtO/t /A //l .. ..
State_ ►� pm
5. Surety:Name
Address
City State
Amount of Bond: $
6. Lender:Name
Address City
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) o0
(a)(7),Florida Statutes: o cAv
Name W m�
Address
City State____ �m a
8. In addition to himself,Owner designates OD z
of Nw"V
provided in Section 713.13(1)(b), Florida Statut receive a copy of the Lienor's Notice as0
0
9. Expiration date of Notice of Commencement(the expiration date is I year from the date z
0
of recording unless a different date is specified.) C
I :cjr
♦ te
Signature of Owner: C1 Z(; (� m
Sworn to and subscribed before me this ��t day
of
�i'�6�c 20
Notary Publics
My Commission Expire 1 � C 0
•�.`Y•° Lind
PC93053048/A ;a: ; Commission#= Expires June 15,2008
l,,,l`• Bonded TroyFdn.inwrona,mc.BW.il67
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FQREGONG IS A'
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY
HAND AND OFFICIAL SEAL THIS1=-.DAY OF
JED PITT CLERK(OF CIRCUIT COURT
DEPUTY CLERK