HomeMy WebLinkAbout11-11936 � ' CITY OF ZEPHYRHILLS
5335 - STH STREET
(sis)�so-oo20 11936
FENCE PERMIT
Permit Number: 11936 Address: 6616 WIRE RD
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0010-04500-0000
Improv. Cost: 6,670.00
Date Issued: 6/01 /2011 Name: SLEEPY HOLLOW
Total Fees: 50.00 Address: 6616 WIRE RD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/01/2011 Phone:
Work Desc: 6 HT PRIVACY FENCE-259 LINEAL FT-APPROVED BY TODD VANDEBERG 6/1
PASCO FENCE COMPANY INC (813)788-5642 FENCE 50.00
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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 any one of the following reasons: a) wrong address b) condemned work resulting
from fauity construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when cailed 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �l 3 ���`i ^ �� Z
` � Phone Contact for Permittin
Owner's Name �L�'��Y d�L� ��/p�h� 4 L✓� f Owner Phone Number
Owner's Address �v ,�� �✓/ £ � j� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �v (� �� L,// ,L � � LOT # �
SUBDIVISION PARCEL ID# �� '�� -.�/- Oo/U -U �50U - C> O G O
(OBTAINED PROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
/ r ,(� /- `
DESCRIPTION OF WORK !v l' I�� I �/✓ C� "" � 9
BUILDING SIZE � SQ FOOTAGE / HEIGHT �(
�UILDING $��.� � U G, VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBWG $ �J�1�`��� �� �
r �.
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' 0 7• D � � �/ �I y�
, C�r � %s 1�' '< < -/
�GAS � ROOFING Q SPECIALTY � OTHER � ��u� ��'' �,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO . U��i./�/��
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BUILDER � COMPANY ��7 -�C� ��/✓ '��e � //✓C'
SIGNATURE �`L REGISTERED Y N FEE CURRE� Y N
Address �Z s� tr'< <// S" �� ���/ s License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"*"PROPERTY SURVEY required for all NEW construcGon.
Directions:
Fill out application completely.
Owner 8� Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades over;7500)
'* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 requi�ed to be licensed in accordance with state and Iocal 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 wiil be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly ficensed and is not entitled to permitting privileges in Pasco
Counry.
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 speci�ed 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'SIOWNER'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 t 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, 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.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan add�essing 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 fitl 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 apptication, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this a�davit 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.
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 OTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) �'
OWNER OR AGENT CONTRACTOR //v ` �
Subscribed and swom to (or afflrmed) before me thls Subscribed and swom to (or affir ed) before me this
by b Y
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as Identlflcation. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
CITY OF ZEPHYRHILLS -
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TODD H. VANDE BERG
Director o f Deuelopment Seruices
vandeberg(«�ci.zephyrhills.Fl. us
5335 Eighth Street Phone (813) 780-0006
Zephyrhills, FL 33542-4312 Fax (813) 780-0005
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� - ,- ��D�JD��� Page # of pages
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�'ASCO FENCE COMPANY
4254 Plum Street Zephyrhills, Fl 33542
788-5642
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SLEEPY HOLLOW # 1
� -> �� ; ���16 WIRE ROAD ,�, �_�,��r���, - - - -
� Zephyrhills, F1. " 5/27I2011 ': �'''��'`, �
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259 FT. OF 6' WHITE P.V.C. FENCE.
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Down Paym�nt of $2,500.00
Balance Due� Upon Completion of Job.
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� We propose herE�by t�� fu�nish rnat�rial an�� 1=iho! ' c�_�mplete in accordance with the above specifications for the sum of�
� Six Thousand Six Hundred Seventy Dollars ...... ...... ...... ..... ...... ..$6 670.00 Dollars
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i W�th F ,�� y �„F.�,c c� .�, �r��,�,. �, T�����>>5 as outlined above. _
I, � Respectfully ��J��
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, , , : �,� .�E�i<,y� submitted -- _
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�\ ��� NotF -- this proF,osai may !,e withdrawn by us i' not accepted within ___ ___ days
1 ��c��r����cc of �io�o�'��C ____�
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2011083933
Rcpt:1370363 Rec: 10.00
NOTICE OF COMMENCEMENT D5: 0.00 IT: 0.00
06/01/il C. Cook Dpty Clerk
Permit No PRULA S O�NEIL,Ph D PASCO CLERK & COMPTROLLER
06/01/11 09:2 1 of 1
Properiy Identification No. �� -02� -,� �- c7o / O _ ��.S�oU - U p o O OR BK ���� PG 1404
THE iJNDERSIGNED hereby gives notice that improvements will be made to certain real properiy, and in accordance wrth Section
713 13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1 Description of property (lega[ description :) � ��$S� /� ��/ ,S'£CTi �ic/ .2 i ot,Jn�S.�,i.f� �G So u : H .4%Fi✓S"s � / r � �'T
a) Street Address. �, � jG W j,e� /�. � �:� ?r�s� � c. ,.-:. ,,. T�
2 General description of improvements� �, � V L� �/� ///.4 C�., ��NL`E
3 Owner Information �/
a) Name and address: � C.. �'� p�! /-/v i'ro l.✓ �olo �� ��2 �' �I� Z h' i��.� Fl _
� b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4 Contractor Information
° a) Name and address. Pl�S'Cv F�i✓Cc Cu. //✓L', y�,2S'� ,�Gv��i ST. � iS�i//S`,, �L ,3,�.5 ��
b) Telephone No • �j � - �g� — ��, �2_ Fax No (Opt.)
. Surety Information
a) Name and address
b) Amount of Bond:
c) Telephone No • Fax No. (Opt.)
6 Lender
a) Name and address.
Phone No "
7 Identity of person withm the State of Florida designated by owner upon whom notices or other documents may be served
a) Name and address
b) Telephone No . Fax No (Opt.)
8 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided m Section
713 13(1) (b), Florida Statutes:
a) Name and address
b) Telephone No. Fax No. (Opt.)
9. Expiration date of Notice of Commencement (the expirahon date is one year from the date of recordmg unless a different date is
Specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA di - ,/
COUNTY OF PASCO _L!���� .�• II�e S � G(Pl�� �H, ��.
Sig ature of O r or Owner's Authorized Officer/Director/PartnedManager
�UJI ��i4e c+� c� -,C�1'e o c.v N
Print Name
The foregoing instrument was acknowle ed before me this ,�f5f day of ( , 20�, by �i.���t'!?X Q� •.� •�(J�L�Ci,�l�,E
as �.ILQ S� � L�` (type of authority, e g. officer, trustee, attorney
in fact) for .5��? �i �p �i' ; -fk' (name of party on behalf of whom mstrument was executed)
Personally Known ✓ OR Produced Identification Notary Signature �� -� �� 1 a-�20:�
Type of Identificahon Produced Name (print) % 1 P l-e N � � ` � � `� �< �� �
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
S T 0 LORIDA, CO NTY OF PASCO
�� �'��a.,,� NELEN E. MOSIUI �gnature of atural e
FORMS/NOC,rvsd2007 ;� s Noary Puoi�c - sw� of Farwa R A D ORRECT COPY OF THE DOCUMENT
° •a My Comm. Expira M�y 2d, 2013 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
Commi:aton # DD a9429t �dITNESS MY HAND ND OFFICIAL SEAL THI
�''��4;��'�•�`�� Bonded Throu�h N�I Nct�rr Aan. �
� DAY OF 2 D/ �
P LA S O'NEIL, I.,�RK & COMPTROLLER
B � GEPUTY CLERK
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