HomeMy WebLinkAbout12-13275 CITY OF ZEPHYRHILLS �'
5335-8TH STREET
(si3)�so-oo20 13275
FENCE PERMIT
Permit Number: 13275 Address: 39041 PARK DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0030-00100-0050
Improv. Cost: 2,200.00
Date Issued: 7/23/2012 Name: BRIDGES, DAVID
Total Fess: 45.00 Address: 39041 PARK DR
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/23/2012 Phone:
Work Desc: INSTALLATION 127 X 6 FT WHITE PRIVACY FENCE
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
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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 inspectlons 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 property that
may be found in the public records of this counry, 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 rtormed 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 Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin d� 3 �c� — s� �
Owne►'s Name t IQ! c i� Owner Phone Number
Owner's Address � �� l� � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number � —1
Fee Simple Titleholder Addreas
JOB ADORESS LOT# ��
SUBDIVISION PARCEL ID� l�— lrs -' J -UO,�O -- � 'O� — O SC�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �j� NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
�rap1 INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPEOF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DESCjtIPTION OF WORK d� t �i�/IT / '�4 (�L`. �� fa''
BUILDING SIZE 3Q FOOTAGE�� HEI(iHT lp ��T
�BUILDING S VALUATION OF TOTAL CONSTRUCTION
��� � d0
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
��
QPLUMBING a , � �� i/
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� (
OGAS Q ROOFING Q SPECIALTY 0 OTHER -
FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY SC"O /"� �d � �
SIGNATURE � REGISTERED N FEE CURRE� N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP 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. Requfred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisions/large proJects
COMMERCIAL Attach(3)comptete 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 instailed,
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 construcdon.
Directtons:
Fill out appifcation completely.
Owner&Contractor sign back of application,notarized
If over S2S00,a Notice of Commencement Is required. (A/C upgradea over 57500)
" 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 Applicatlon 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" restri�tions"
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. FurtMermore, 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation 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, wilt 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 flnal power release. If the project does not involve a cert�cate 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 T13, 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 Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant 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 appiicable 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
ce�tify that I unde�stand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibiliry 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 Environmentaliy Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avfation Authority-Runways.
I understand that the following restrictions apply to the use of�II:
- Use of fill is not allowed in Fiood 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, 1 certify that use of such fill wili 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 iots 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 technicat 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 NOTICE OF COMMENCEM� I�T.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or afflrmed)before me thls Subscribed and swom to(or afffrmed)before me thls
by by
Who Islare personally known to me or has/have produced Who Is/are personally knovm to me or haslhave produced
as Identlflcatlon. as idenafication.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,prfnted or stamped Name of Notary ryped,printed or stamped
---- � ��O 1—O�/`1� — Pa�_e#__ ol___�pagcti
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PASC��'EN�'� COMPANY �
4254 Plum Street Zephyrhills, F133542 i
788-5642 j �
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�Pr��potial Suhmitted T�r Juh Name Job# I
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i,���r��,9041 Park Dr. — '°h�°```t'°° — - .
��t� Date of Plans f
Zeph rhills, FL __ _ 07/21/2012 _� �
Phi�ne# Fax fJ — —
Architect
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We hcrehy tiuhmit�pecificati<,nti and estimates tiir
127 Ft. of 6' Whi�e P.V,C. Privacy �en�e.
2 ea. 6` X 4` Swing Gates.
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Parcel LD. # 12-25-21-0030-QQ100-Q0�0
$400 Down Paym�n�,
$2,340.00 Bal�nc� Due U�on Com�le�ion �f Job, �
Checks made pa�able to Tommy Wilton.
We propose hereby to furnish material and labur—complete in acc<,rdance�vith the above specitications for the sum ot` 1
�_Twent� Two Hundred Dollars _ $2 200.00 �
-�- - -- D<�i�.�z-,
�vith paymeiits tci be made;ts ti�llo�vs. _ AC (ll lt�111P(� Ab�Ve .
any al[rra[i��n or deviation frcint ahov� specifiuituinti inv��I�ing extrn cutits��ill Respectfully submitted.
h� e�ccute�l iml�'upun�vritteu order,emd��ill become an exh'a rhnrge c�ver and —
ah�i�e the e�i�mate All a�reement�contmgent upon strikr�,accidents,or delay, -- J ��
Licycmd uur ciintrcil •��`--- — —
N��te—this pruposa]may be�vid��lra�vn bv us if nut:iccept��within_ d;i��
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ACCEPTANCE OF PROPOSAL
The abo�-c ��rices �peciticat�e�ns :tnd conditions arc �atititactory and �u-e
hrrcby aiccpte�l. l'uu are authori�ed to dc�[he work as,peri�icd. Paymentti Stgnature
��ill he ma�ic ati uutlineel aho�-e --
Date of.4cceptanre _ Si�=nahare
A-NC3819 i'1'3K>0 — -
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