HomeMy WebLinkAbout12-12979 CITY OF ZEPHYRHILLS
5335-8TH STREET ,r.f
(ai3)�so-oo20 12979
FENCE PERMIT
Permit Number: 12979 Address: 39209 7TH AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-002A-01300-0020
Improv. Cost: 7,388.00
Date Issued: 4/17/2012 Name: OBERHOLTZER, WILLIAM
Total Fees: 55.00 Address: 39209 7TH AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/17/2012 Phone: (813)505-0645
Work Desc: INSTALLATION OF 6 X352 FT VINYL PRIVACY FENCE
BIG DOG FENCE INC (813)907-9877 BUILDING FEE 55.00
` �_
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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 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� 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
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i=,'°� --' ,�,
B1G DOG FENCE INC. �ate: �!� /3 � I Z
31116 ELOIAN DRIVE �
WESLEY CHAPEL, FL Home Phone:
33545 � Bus. Phone:
Mobite Phone: 8'/3 — 5oS —CJ(�Y5
Tet. (813)907-9877 Fax. Number.
- Fax. (813j 994-7827 Email: K G i�5e� ol z�r (� Natid o ron-,
,:;_x* ... .
Email: service@bigdogfence.com EmaiL-
No/Cut#:
PROPOSAL AND CONTRACT
CUSTOt�ER: �G.-���► �be.��Al�'zzr Subdivisian:
aau�ss: 3 q z o°l 7� au�e, c�� Z�Q!�w�-�„1 I s . �F I . zip coae 3 3 5y�-
.�oe strE: Sa.►�,�.- ccy zip code
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rotat rfe;gnc 4•-5• �-r -8• wooa.Pres�.re rr•eared ..�
Post Spaced 6��'-8' - -1Y _Board on Board: -W/Lat 34 �2.5(a�
tt�Link Shadow Box: - WlLat '
Cotor. Galv Bm Blk Gm _Stockade:Cornex-Concave O�
Fabric: Mesh x ga. _Picket:Spaced_DE-PT �,.�
Tension Wire: 14ga 9ga No Runners: 1-1f4° - 2x4"
B/Wire_ 3-6 strd: 15.5ga 12_5ga Pkts DE: 1/2x4"-5/8x-4°-6"
Top Rail: 1-3/8"-1-5/8" _�a. Line Post: 4�c4-4x6
Line Post 1-5/8" - 2" �a. Gate Post� 4x4-4x6-6x6
EndPost: 2-i12" - 3" �a_ DecoPost= _Gothic_Nliter Cautrvctio�Notes• �p.v�vL ��GLC,O� o/� c�J`o✓v�l�.
C/Post: 2-1/2°- 3" _�a r,,.,��: - tan
Sgt/G Post 2-1/2" -3" �a Style i e. Bot�t�nm of Fenoe_fotlaw grade�g straight w/grade_Level w/grade
Dr/G PosL 2-1/2"- 3" �a Style � Post tied to concrete w/9ga galv.wire"prevents sinking"
Gate Frames: 1-3/8°-t-5/8°-2" Line Post: 4"Pkt-5"Pkt 5" � � Gate Post Set in Conuete,a00 tbs bell st�,aped at bottom
Waik Gote C)oeninQ End Post: 4°Pkt-5"Pkt 5°P ' � Gate Hinge Post{PVC}_Neavy Walt �1-Beam Alum. Insert
36°w 42°w C/Post: 4"Pkt-5"Pkt- � � Line Post set in 50 tbs yoncrete
�"w G/Post: 4"Pkt-5"Pkt- Hardware 55{PVC'� ✓white _black
�°w Alumira�m Gm - BrrQ _ Hardware Steel{Wood}btack painted
7Z"H+ Wht - Btk - Brn - Tan C� �athic _New Eng _Balt
Dri+'e C�1�OveRinQ 5tyle �/Ext _Int _Solar
Line Post 2" -2-1/2° Cross StreeC
Sir�le Swir�_ /_h.x_w_ End Past 2" -2-9/2" SEC /`L TyVS a� RNG al � Lot# Btock
OouMe Drive:�/�(Lh.x iQ, w. C-Post 2"- 2-t/2" THIS PROPOSALMAY BE WITHDRAWN BY BIG DOG FENCE INC. IF NOT
Roil_ _/_h.x____w_ S/Gate Post 2"- 2-1/2"- ACCEPTED WITNIN 30 DAYS. THIS PROPOSAL SHALL BECONIE A
Cantitever. /—��h_ —w. Dr/Gate P�t 2"-2-1/2"- BINDING CONTRACI'UPON ACCEPTANCE.
Permit 1ncluded: V�Ye;/_NO SEE RfVERSE SIDE FOR TERMS OF CONTRACT.
�j-ri(ot Required s o�+�, r ao' — r�G��- �3
CONTRACT
AGREEMENT made this !��day of _�-Pr i 1 .2012,by and between BIG DOG FENCE INC.hereinafter
refemed to as"BDF"and,hereinafter refen�d to as"Customer."
In consideration of the mutual covenants contained herein and the consideraiion to be paid by Customer to Big Dog Fence
Inc.,it is agreed as follows:
1.Customer shall pay to Big Dog Fence Inc.the sum of$ 73�F 8�." for the work described herein.Payment shall be
made to BDF by the Customer upon completion,unless otherwise specified.
2.BDF agrees to fumish all necessary labor and materials to cons�truct the improvements described
herein as per the specificarions and drawings,if any,shown on the reverse side.BDF further wazrants atl materials will be as
specified and that all work will be completed in a worl�anlike manner according to standard practices.
3.If this is a residential job,Customer represents and warrants that he/she is the owner of the property or Renter described
herein.If this is a commercial job,Customer represents that he/she is the owner of the property described herein,or an
Authorized Representative,or Agent representing tt�e following Business(es)or Organization,titled as,
or renter/contractor who has a contract to
improve property owned by
and that part of the improvements contracted for by the owner include the work described herein.
4.Customer agrees to locate,relocate,stake and ciear fence lines,and assumes full responsibility for same.Customer
agrees to indemnify and hold BDF harmless for any liability or damages that may result from Customer's failure to properly
locate,stake and clear fence lines_Customer further agrees to advise BDF of any deed,subdivision,or other restrictions which
may affect construction of the fence or other improvements to be consiructed by BDF,and agrees to indemnify and hold BDF
harmless from any liab�lity oi damages thai may resutt because of the failure to comply with deed,subdivisioq or other
restrictions.
5.BDF will call the local Urility Locating Service for public urilities only.BDF does not assume any responsibility or
liability for any damage of any nature to underground obstructions not mazked or flagged by customer.Customer agrees to
dearly"mark"any�mderground obstruetions other than public utilities in the area of the fence line or the improvements to be
constructed by BDF.Customer assumes responsibility for any damage to underground obstructions caused by Customer's
failure to locate and mark accuraiely with paint or flags,their existence.For purposes of this Agreement,underground
obstructions include but are not limited to all improvements constructed underground including utility pipes,sprinkler pipes,
cabies,wires,foundations,and the liice.
6.It is agreed by and between the parties,that any alterarion or deviation from the above specifications involving extra cost
is to be performed by BDF and will become an extra charge over and above the price staied herein.
7.Customer agrees to pay in full the price stated herein upon completion of work.Any failure to pay within three(3)days
after completion of work,excluding Sundays and Holidays shall be co�sidered a default and BDF shall be entitled to recover
the full amount of the invoice plus interest(finance charge)at the rate of 1 1/2%per month(18%per annum)untii the contract
price is paid in full.In the event it becomes necessary for BDF to take collection action,Customer agrees to pay all costs of
collections including reasonable attomey's fees and costs.
8.It is agreed between the parties that BDF will retain$125.00 from deposit if said contiact is cancelled by customer and
castomer further agrees to a 25%restocicing fee plus return freight cost for all special orders.No return for custom orders.
9.It is further agreed between the parties that the fencing materials shall remain personal property unril the contract price is
paid in full. In the event the Customer fails to pay the contract price,BDF shall have the right to peaceably repossess and
remove all maxerials installed by it on the premises.Customer further agrees that BDF shali have atl of the rights of a secured
party,as the same is defined under the Florida Uniform Commercial Code,and that said rights shall be cumulative and in
addition to any other rights which BDF inay have in accordance with Florida Law.
10.If Credit Cards are used to pay total,or any amount toward totai,the amount charged through terminal will be assessed
an extra 3.5%processing fee.Credit card checks will not be assessed the extra fee_
11.BDF is not responsible for warping or cracking of wood products.
12.BDF will warranty labor for installation of residentiallcommercial for a period of 1 years.
13_BDF wiil wamanty labor for installation,(residentiallcommercial gate operator)for period of 90 days.
]4.This agre�ment is the entire agreement of the parties and cannot be changed except in writing signed by both parries.
There are no warranties or representations except as are expressed hereia BDF specifically disclaims all EXPRESS and
IIt�IPLIED W��ZRANTIES,including any W��1E2RANTY OF MERCHANT ABILTTy or FITNESS FOR A PARTTCIILAR
PURPOSE.
IN DJITNESS WI�REOF the parties have hereunto signed their names on the day and year first above written.
Additional Information 2�t.,,�vic ex;s�,,,c C/[;,,C BIG�G FENCE INC.,Alan Lanier,Mgr.
� �
C° 3s�,:� — ihstct� y�� t �i�'� C: 7�3(�." BY= c'�.,,.��11�..�� t1`/3 /Z
Down Payme 50° . 3.(�`��. °° Customer.
Batance Due Upon Completion:$ 3(� 4�/. °� Print:�_�/, ��r�d�717�°j—
Tifle:
Lega/ Description
The South 160 feet of Tract 13, LESS the Eost
109 feet thereof, ZEPHYRH/LLS COLONY COMPANY I
LAIYDS (common/y called Y1NGL/NG S ADDI710N TO ''
Q
ZEPHYRHILLS) being o subdivision in the Southwest a
1/4 of the Northwest 1/4 of Section 12, Township REMAlNDER �
26 South, Range 21 Eost occording to map or TfZ,qCT 13 �
p/at thereof recorded in P/af Book 2, Poge 16,
Public Records of Pasco County, Florida.
� ��2. 84.12' D. 85.20' M. �, 3'x3'
iR ��o� a2� S8939'07"E 00� GM 'o�
0.4' "— �oso' QII
Community Number. 120235 Panel: 0005 Q+• �
Suffrx: C F.I.R.M. Dote: 12/17/1991 F/ood Zone:
Fe/d Work: 4/4/2007 Completed.• 4/6/2007
Cerfified To: � �
�lliam Oberholtzer, Florida Abstroct & Tit/e, LLC,•
Stewart Tit/e Guoranty Compony. �ZZ•
SOUTH f60' °'
Property Address: � TRACT�3 0
39209 7th Avenue o
Zephyrhil/s, f7orida 33542 o s•� p
o Z :�;r.: � .
Survey Number. 0-168211 O o �i' �
p � LESS E. 109'
TRACT 12 � a'•X A�� m TRACT�3
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� � GM B.R. 85.16' M. �M
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T}PE OF SURVEY.•BOUNLf ARY
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GENERAL NOTES• �
fl cK�CU�raiNaROVr�veron� -
7� 71�[AA�SSHON7v/�pNK�MDTABSTRACrIDFaR6ASeI�YTS GRAPffiC SCAI� (In Feet)
AR017�RRECQRq�@�BRMIL�4NOTSfIOWNQNTIfPlAT. 1 inch = 40 R.
al ��a�r�nn�oFFOOnv�Faa�aon�arron+m NOTE.-
o- r,�wao�'aarrsw�,vnrcoca� BEARINGSSHOWNAREBASEDUPON
N 4� wuc n�s,����01�",�"�`�9°° RECORD PLAT OR DEED DESCR/PT/ON
,wenrorroeeus�ro�aa�srau�cr�rca�s aore
a 5J QA[YVJSBCEHY�QqaNBY1SLOCrVBA �YG01�1lAqK:EN7)NRQROCI4STATUESB1G17-0[OtlDI(5f(EI��LOGTXJVA°
6J MOLI6YT�X'A7KWfOGMQ1lPRA°&PIYA0.�FRSGIHESSOTiERWISESHONK 64SEA6V13014/�G7/T-0iFWAYQFIPELI(Xt�07fIBt71LW77�EANRHa014D
op �l ��A�PLATAIImAFA�UMESS07�RW�E�y1! PUT,/S�QIN?�71i5�RIN77QNANSTBEfU➢P11�7a
u'� BJ FBYCEON9Y�fS/�NOTDE7� TF�Sf+91VEYQRMDApPPER
.- e) HEyA1Kk�S/F�rnN7yql�Eeq,SEp�payyMQYD�SO��F/yp� FpRREFERENCEONLY
�r tol e�vvwos��tauEn�n�s�
� »� n�ssu�ro�rcr��r�s�cca�ocE'�e�c� NO DW/THEMBOSSEDSEAL
� 'Z� "p�u+�a�►'�nsa+�avsrnun�s UNLESSTHESURVEYOR'SELECTRON/CSEAL/SAUTHOR/ZED.
������0��� PHOTOCOPYJNGFORB/ODEN.COPYR/GHTEDMATER/AL.�
O 13J ALLTLWMBJAAK�E80W(�VFSARE3f�OWN7U1F1ECH0Ym01STANCE
N u/ n�tssrxvvFr�sr�r�n�aaxc,ar�usEanoee�ra�n� LEGEND nc �v� se.� sEreAarc,�
PAR�lEBLlST61F�4Ff77W.LIABRITYTi77f�PAR1�SAl4YNOT� ABB/dEVTA7101KS ME M�NTHYAhCEEASBI�M S+W
7RAIVSFERRFUOR�LSSdC,�D. �
� f5J f�l0710ETHISARAWMOAfAYApT�7t7SGALEWE7D8EC1RA4r�TRWSfER B.IL BEAI�AlOR�l7bNCE /YdD 1WILdD13C 7EL 7H�IH�HEFAL�JI�S
16) MOTX�TNISfNPAWmIK;PI�ARIDOVCQCQ2SLRVFYIRaEDlFNOTBIfL101LQR � CAtQLiATED MGV.D. /WTJLYWLG�'AGE77CV8171CALCHIUN T.O.d 7i7WAFAN�9C
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I Ililll illll IIIII IIIII IIIII IIIII IIIII IIII I IIIII lIIII IIII IIII
2012063594
Rept:1429009 Ree: 10.00
DS: 0.00 IT: 0.00
04/17/12 D. Bonilla, Dpty Clerk
PRULR S 0'NEIL Ph D PRSCO CLERK & COMPTROLLER
NOTICEORCOMMElHCEMENT 040R BK2 ���"1' PG� ����
Permit No.
PmpertyIdeirtificxtionNo. /Z"Z(t'2�'d 6 Z�—Q�.30����'L�
1T3E tJNDERSIGNED hereby give informs you that the itnprm,ement will be made to certain real property,ead in accordance with
Section 713.13 of the Florida Stahrtes,the followmg information is prov�ded in this NOTTCE OF CO N��g� ,` ftl v�
I.Descriptionofproperty(lega[desaiptlo y Y�^ I'�+,1t' '¢ddr tios, to trPtiyrl,;�
a)Slreet Adthess: � S
2.Qenerat description of improvements. 2
�G N
3 Owner InTormaqon .
a)Namt and address: fAI;ll�n. Oberh�1 fi��r-�9Zot �'�A✓e -�i��iy{k;l4 .2t 13 Z
b)Name and address offee srmple Mleholda(if other ffian owner) ''—�
c)I�erast m property
4.Cantracior Iaforma[i�
a)Name and eddress; _ �
b)Teleph�e No._ Y S f
S.Surety Information / — — Fa�c No.(Opt)
a)Neme and address:
b)Atnomu ofBond
c)TelephoneNo.: FaxNo.(OpL)
6.Lender
a)13ame and ad�ess:
Phone No.
7.Idemity of pason wrt}vn tha State of Florida desi�sted by owuer vpon whom notiees or other docamaRS msy be served:
a)Name and addru�s:
b)TelePhoffiNo•: Fax No.(OpL)
8.In additim►to hroisei�oWmei designates tke foltflwing penon i�o receive a copy of the Lienor's Notice as provided"v�Section
?13.13(Ixb�Florida Stawies:
aj Name and addtsss:
b)Telephone No: z FaxNo.(Opt)
9-FxPiration date of Naticg of Co�en�at(the expi�etion date is one year fiom the date of record"mgmless a diffei�t date is
specified):
WARNINtG TO OWNER ANY PAYA�NCS MADE By TH6 flWNER pFTLtR��g,gp�TTOW OF THE NOTICE OF
COMMENGTsME1VT AR8 GpPISIDERED p4ip'ROPER PAYMENI'S UNDEIt CHAPT'Eg 713,PART I,SEC1701Y 713.23,
FLORIAA STATUTES,AHiD CAN RESULT IN YOUR PAYING TWIC6 FdR IbI£ROVEbISNiT3 TO YOUR PROPERT'Y.
A N07'ICS QF COMMENC�MENT MUST BE RECORDED AND M)SI'SD ON TH8 JOB S1TE BEFORS TBE FIRST
P,�ISPECTIOiV. IF YOII IIYTEND TO OBTAII�i FINANCING,CUNSULT YOUIZ LBNDER OR A,N ATTORNEY BEFORE
COMMENCING FVORK OR RECORIIING YOIIR PTOT[CE OF COMMELYCEN�I+iT,
STATE OF FLORIDA �
COUNTY OF PASCO
Si ofO�waor s ��
.
'rrt nme F
E
T�foregoin insuumenttyas aelmowled ed b fore me this,��y nf 20�by
�l�t C � 8�1� C1F' G (type of authority,e.g.o$cer,uvste�,s�mey •
u'fact�f'°r e ( of parry on behalf of w ent was executed). � ��
/� a
Personally I{nown_OR Produced Identification �Notary Signature l.,
p�p (� �.p /=� '2�, � � �
Type ofIdentification Produced j�l V 1.���,, Name(print) `J�-t`-���C�—(.,/► U '+�. ��
�� .
Verification pursuaat to Section 92.525,Florida Statutes.Under penalties of perj�vy,I declare thai I have read the foregoing and that � ���
the facts stated in it are true to the best of my imowledge and belief. , + �
�
�/ �� $��
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sigouureofNatu�al crs �
FORMSINOC,rvs�I �
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a�s-�ao-oo20 . City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting -
Owner's Name Q tr '�' C r' Owner Phone Number -,fh -O�o ,(`
Owner's Address 2�9 �� e Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION � � PARCEL ID# Z-ZG " �D� 2A `OI3UC�-U�Z O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q MOVE 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM Q OTHER A�tt
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER
DESCRIPTION OF WORK LIf�C�C�, Dy CJ � 1/h � �/'/(/,j�(
BUILDING SIZE SQ FOOTAGE L HEIGHT G�
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C,
Q PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS � ROOFING � SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURRENT Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
OTHER /_� CaMPANY � �G
SIGNATURE (�C REGISTERED Y/ FEE CURRENT Y/N
Address 3 �p � � 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/Sift Fence installed,
Sanitary Facifities&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 8 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 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 55000)
" 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 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 indicativn that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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'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 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 atlowed 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 vofume" 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 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
WITH YO R�LENDER'OR N ATTORNE YBEFORE RECORDING YOURNO ND F COMMENCEMENT.' CONSULT
FLORIDA JURAT(F.S. 117.03) -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed nd s m to(or affirmed)before me this
bY �`��"�Z bY
Who is/are personally known to me or has/have produced Who is/are pers�known to me or has/have produced
as identification. as identification.
/ 1 -
Notary Public � % � Notary Public
: ,•«�r„yy�,� JACQUFI.INE ES
Commission No. Co iss .
� � Expires I�acemh�12,2014
Name of Notary typed,printed or stamped Name of
Apr 1712 07:57a Big Dog Fence 813-994-7827 p.g
Pas:o County Parcel: 12-26-21-002A-01300-UQ20 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, April 14, 2012
Parcel ID 12-26-21-002A-013a0-0020 (Card: 001 of 041)
Classiflcation 01 - Sin le Family
Maiiing Address Property Ya1ue
OBERHO�TZER WILLIAM Ag land �p
39209 7TH AVE ��d $15,536
ZEPHYRHILLS FL 33542-5805 Building $33,684
Physical Address Extra Features �2,439
39209 7TH AVE
ZEPHYRHILLS F� 33542-5805 )ust Value ;Sl,559
Assessed(Save Our Homes) $51,659
Leaal Descriotion (First 4 Lines) Homestead 196.031 - $25,000
YINGLUVG'S ADDITION TO Nort-School Addidonal Homestead Exemption -�1,659
ZEPHYRHILLS PB 2 PG ib SOUTH Non-Scbool Taxable Value �25,000
1fi0 Ff OF'fRACT 13 LESS EAST �pp� p��rict Taxable Value $2�,g,,g
109 FT TFIEREOF Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Laad Detail (Card: 001 of 001)
Line Use Description Zoning Ur�ts rype pri�e Condition Value
� 0100 SFR OOR3 7.500.0a SF �1.94 1.00 $14,550
�� 0100 SFR dOR3 2,900.OQ SF $0.34 1.Q0 $9B6
Additionaf Land Intormation
Acres 0.24 Tax Area 30ZH FEMA Code X Residential Code ZHLG�P2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1964 Stories 1.0
Exterior Wali 1 Contrete or Cinder Blotk Exberior Wall 2 None
Roof Structure Gable or Hip Roof Cover Suilt-Up Tar and Gravel
Inberior Wall i Drywall Ir�terior Wall 2 None
FbDring 1 Terrazzo Monolithic Flooring 2 None
Fuef Electric Heat Radiant Electric
A/C Window Unit Baths 1.0
Line Description Sq.Feet Repl.Cast Maw
1 BAS 936 $42.728
2 ��P 288 �9,221
3 UOP 42 $274
Extra featuras {Card: 001 of Q01)
I.ine De�cription Year Units Value
1 D:VSVJC 1974 177 $146
2 UDJ-M 1974 1 �38
3 � 1974 1 $90
4 UD'J-M i993 i $�,430
5 CLFENCE 2000 1,840 $735
Sales History
Previous Owner ELLIS SYLVESTER C
Year Month Book/Page Trpe Amount
20D8 05 7845/0638 � �q
2007 04 7482/ 1125 VJD $130,000
2005 07 6524/ 1462 WD $130,000
http://www appraiser.pascogov.com/search/parcel.aspx?sec-12&twn=26&rng=21&sbb�... 4/16/2012