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HomeMy WebLinkAbout11-12075 CITY OF ZEPHYRHILLS 5335 - 8TH STREET ✓' (si3)�so-oo20 12075 FENCE PERMIT Permit Number: 12075 Address: 38122 HENRY DR Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0080-OOA00-0070 Improv. Cost: Date Issued: 6/30/2011 Name: CITY OF ZEPHYRHILLS Total Fees: � ��� Address: 38122 HENRY DR Amount Paid: ?�� ��•�� � � � ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: INSTALL 226 X 7 CHAIN LINK FENCE- FEE WAIVED CITY PO#13943 THE FGS GROUP (813)623-1557 _ ,. � /r .� ��� � f � l/ 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 called e) permit not posted on job site � 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 properly 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 ONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER u,.�-�uu-uu�•:, City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting _ Owner's Name � �`t � 7 e (� ��( (' � �,,5 Owner Phone Number � � � r Owner's Address Owner Phone Number Fee Simple Titleholder Name �— Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � � t �--�— `� e Y� � " � (�- � LOT # SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q DESCRIPTION OF WORK 1�'E�`�����e� �-a^(� �r D� 7 C-� `� �i �� I��C_(\CC BUILDING SIZE SQ FOOTAGE � HEIGHT [�BUILDING $� u 6�� oq VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ A,O 11AC �- � ��. QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���� s QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY �^� � � G'{B �'� SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N Address � �- � �- �� � � r- � � • 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 wl Silt Fence installed, Sanitary Facilifies & 1 dumpster; Site Work Permit fo� subdivisionsAarge 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 ali NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application, notarized If over Sz500, a Notice of Commencement is required. (A/C upgrades over i7500) *` 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 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 responsibie. 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 aiso 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. c�rtificate 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 othe� 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 ali the information in this application is accurate and that ali 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, 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 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 fi�l 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. 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 WITN YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR'✓' ` Subscribed an bswom to (or affirmed) before me this Subscribed and swgyn�o (qr a rmed) befo�re rqe this y �-30 b � Ot�2ck-S- �� Who is/are personally known to me or has/have produced Who islare personally known to me or haslhave produced as idendficatlon. 4�Ct'i?� as identification. Notary Public ����� Notary Public Commission No. Commission :�` ::� Commission # EE 04�20 � ���;p,:��.� _ BoMedlMiTroyFainlrrourance800385�7019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stampe " PURCHASE ORDER No. OOO1.3943 ��ity (�f Z-ephy"rhills i � VENDOR: SHIP TO: BII,L TO; FRS Environrnental Remediation City Maintenance Yar City of Zephyrhills 120 E. Dr. MLK Jr. Blvd 39421 South Ave 5335 Sth St. Tampa, FL 33603- Zephyrhills, FL 33542- Zephyrhills, FL 33542 VENDOR NO. VLNDOR PHONE NUMBER TERMS DATE REQUIItED DELNERY DATE FGS Grp (8I3) 623-1557 0 OS/26/2011 SffiPPING INSTRUCTIONS (none) ITEM QTY U/M DESCRIPTION / TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT 1 1 00 Install fencing per quote 041-3300-533-4600 3,468.0000 3,468.00 SUBTOTAL: 3,468.00 TAX: 0.00 ' SHIPPING: 0.00 TOTAL: 3,468.00 �. TAXABLE: No CONFIRMING: No S /��� � t�av � AUTHORIZED STGNATURE SP�CIAL INSTRUCTIONS: � I � IMFORTANT: OUR ORDER NUMBER MUST APPSAR ON EVERY INVOICE AND PACKAGE This order is given upon the representation and guaranty of the manufacWrer or seller that no breach of any State or Federal I.aw or Regulation has occurred in connection with the manufacturing, processing, branding, labeling or transportation of the merchandise herein menNoned. If such breach occurs or is charged by any iegally constituted State or Federal authority, the buyer shall be enUtled to rescind the order end retum the unused merchandise and shall also be held harmless by the manufacturer or aeller against any penalty incurnd and/or the cost of defense of atty pr�eeding designed W penalize the buyer therefor.