HomeMy WebLinkAbout12-13735 . CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 35
FENCE PERMIT
Permit Number: 13735 Address: 7918 MERCHANNILLE CIR
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: CRESTVIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-1390
Improv. Cost: 3,125.00
Date Issued: 12/31/2012 Name: DOMALIK, NEIL & HEATHER
Total Fees: 45.00 Address: 7918 MERCHANTVILLE CIR
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33540
Date Paid: 12/31/2012 Phone: (813)783-8034
Work Desc: INSTALL 126 X 6 VINYL FENCE
GULF TO BAY FENCING INC (727)533-8105 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 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 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
�
C TRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
' Building Department
Date Received
Phone Contact for Permittin _
Owner's Name e� ��i .��� r Owner Phone Number ��.?�"'Q/.��
Owner's Address Gl �� /�J r .^G p Owner Phone Number �
Fee Simple Titleholder Name � � Owner Phone Number C
Fee Simple Titleholder Address
JOB ADDRESS C ( � /�l( � � , �, LOT p C�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER ^ s� <2_
TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q (—
DESCRIPTION OF WORK I�ZC � C y�' G � �I C�G� �/. � �� l�'N�t -��S'f�l,�lEqrr I�rr,t���
BUILDING SI2E SQ FOOTAGE�� HEIGHT � ]
QBUILDING $ �%� 5 �� VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING $
OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ,�� COMPANY C�a, I Y� � Gr ��o.-v G(�°
SIGNATURE REGISTERED Y/ N FEE C RE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# C
PLUMBER � COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# � —�
MECHANICAL C�MPANY
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 Wo�ic Permit for 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 all NEW construction.
Directions: .
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over=2500,a Notice of Commencement is►equired. (A/C upgrades over;7500)
"` Agent(for the contractor)or Power of Attomey(for the awner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatinn 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 misdemyanpopyiolation
under state law. if the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
intended work, they are advised to contact the Pasco County Buiiding 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 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 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, will be identified at the time of
permitting. It is fu�ther 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, Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, 1
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 Ag�iculture 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
ce�tify 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 fitl:
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 professionat engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a pe�mitted 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�II 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 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: YOVER`FENITSTO YOUR PROPERT1f.TIF YOU INTENDETO BTAINnFI�NANCSNG C'O SULT
PAYING TWICE FOR IMPRO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
CONTRACT �''2'
OWNER OR AGENT Subscribed and swo t r afflrm d efore me thi
Subscrtbed and swom to(or afflrmed)before me this �Z_3� �Z by -
bY Who islare personally known to me or haslhave produced
VYho islare personally known to mas idenUficatlonroduced �r,�� �i�,�� as identification.
����,� Notary Public
Notary Public
Commi sio o. •��°
Commission No. '� �pry�jggjpll#EE 040520
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, Lo1 /39. CRESTVIEW HILLS, according to the pla� thereof, as "'�{---, --"- �-'��'��— �--
recorded in Plat Book 53, Page(s) 114 thoagh 119, of rhe Public �z�4 ;� • ,,a�.a �; � ;;p^''$ i;�� �
, Recards ojPasco County,FL. 5' j� � g ; ';'""`"' ' ;`�-'� i��
I i � i i � i i {t � � � i i � �u I
', Cnmmunity nuntber:120130 Pane[:0295 � �_ ��' ; � �� _ � �_ � � �
I Sujfix:D F.I.R.M.Dale:9/30/1991 Flood Zone:X w - � �- �
�---- --� r- ,��- -�i i
�I Dnle ojfreld work:2/26/1010 Coinple�ion Date:2/26/Z010 � J a ����e ��;� ;i i
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!Nei!S. Dornalik; Heather L. Domalik;Alday-Donalson Tr11e Agencies �T � ---� �--�� ----� - - � I
�� ojAmerica,/nc., Slewart Title Guaranry Company; Wells Fargo Bank, '�; ; �
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I N.A.,r!s'successors and/or assigns. - / > °�—
i , e /i�`�_ �TK.LE CIRCLE E I
LOGAT/ONSKETCH
I LOT 125 ,�,aa�y I
��I N.0079'19'W. 63.00'(P)
LOT 124 N.007417'W. 6296(M) II
_ J � � LOT 126
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�, `��o-- v+'�P� MERCHANTI/ILLE CIRCLE� I
50' R/W(lMPROVED) i
� Property Address:
' 7918 Merchantville(�ircle
I Zephyrhills,FL 33540
, , S:rrvey number•SL l08620
s, ��------- ---
LEGI?ND G�NERAL NOTES �
-tt- Wnutl��nc�� W M W�ler Meter N T S NoI!a Sc21e 1 Legal tlescnpuon providetl 6y others 12 FLOOD ZONE DI_TERMINATIONS
�i- Wi�c�ciir.c i[L Telephone Fanlities O R Othr,ial Hec�rtls 2 The lantls shown he�eon were not ARE PROVIDED AS A COUR7ESV
:;L� Cli.iin Linn Fence � Coveretl Ama O H B Oniciai Reco�tls Book ahsVactetl Ioreasemenlsorother recordetl ONLV, AND ARE C)ERIVED FROM
I n f u�ntl N�i'� B fi Beariny Relerence PC P Permanent Conlrol Point umOrances nol shown on the pla[ THE BEST SOURCES AVAILABLE TO
�ONC Conccele CH Cl�ortl PR M Permanent Relerence Monument 3 Untlergiountl por�ions o� �oolings, THE SURVEVOR.THIS INFORMATION
A.1 Fii�ItlMeasui��J IIAO fiao��l PG Page tountlabons or oNer improvements were SHOUL�NOT BE REI_IED UPON FOR
t;lrar N(; Air Contlilion�nq PvMT Pavement nol localetl FLOOD INSURANGE PUflPOSES,ANO
FNCR Cncroac�meni G M HCnch M�rk E O P [tlge ol Pavemen� 4 Wall lie5 are lo Ihe�ace o�tlte wall fAAY DIFFER FROM INFORMATION
4 CCrilP�line C Calculated PB PI,VI BOOk 5 Only visible encrOdGhmenis loGaled F�1 1 BV OTHER�.
6 NO i0entifiCation fountl on o ert cornr,rs 1,1$�; C entl/or drairhel0 loCanons are
I--=1 Cunc:eir Z7ZZ Blo��k Wall PO G Pomt oI Beginning ��P Y P
I� P�openy Lna [� Cei�val Angle/Oella PO C Po�nt o!Commencement unless nOletl NF a� ^ a�0 r,AUST Oe verAietl by
('M Cnnereie Mon�rnen� D E3 Deetl Rook PO� Point on��ne 7 Dimensions shown are plat antl ma?sur2d , p pn uG:iiy,��c&�icn compan�es
F i�i �ound iron�od t) Descny��on�r DeeJ PC Po�n�cl Curva:uie unless otherwise noied _ I a ng is s"�wn per plal unless
��p ���unn lion f'i��c n H Dnn Hole PAC Po�nt ol Fe�erse Curvalure 8 Elevations it shown are b2 a Don he �se w�
�'W IaiyM1i�I W�y D/W �riveway PT P�inr ol T�ngency N G V D 1929 un1e55 01112nvi5 flOt¢�1 '.N IS ¢fllE^.CC]nly uf11E55 Slgn¢tl
N5U N,���,R Disx ESMi' Easemeni R fiad�us fRadial� 9 Ad�oining lots are wnhin the a e 01 ,k a�a alee londa Regisiere��and
I;F f;i,�in;�ge F.�seineni Ei Flevalion R O E Rool'Jverhany Easemenl uniess ollte/wise noled m 5�'v� n a
ll L Ulnity[asrm��ni f F Fin�shed Flocr S I R Sel Iron Roa&C�p �0 This�s a BOUNDARV SUR EV unle s � li I.:i nol r�di:+l unless otrerw�5e
�� f-nund FC M Fauntl Concreie Monument S/W Sitlewalk o�herwi5e notetl ot tl
11 Nol valid unless sealed wilh 1 e sigi n 1 e rtifi does �ol in�icate n
V' PI.�I I PK Fountl Parke•-Kalon Nail TO 8 lop o�Eanh 5uiveyors embo55ed seal tl'- �
ci H U Ov��me��1iln�iie5 L Len9m TvP 'ypica:
1'1' cr!'ule LB L�C SetlBUSinesS WC WifnPSCOr nee�ymrl�tyinarfnissu�rey�sanuennuo yore0•���'tl��nne.myyirxiior
7 X T��:ns�oime� L A F limi�etl Access Easemenl 10 05 ExiSUng Elevation � j _- L 8 7132
CA'V C.�I�Ie�isPi -�� Line�reak Nol Io Scale F O W Edge ol Water
C;I3 ('hoi�)�t�annq M H Manhole PC;C Pcm�ol Compountl Curve I�_�/
-1,^ �ni�nd Cross'Cu� U f-ound PI Pcinl ot Intersection �
� I i��ld C)HL Ov��rhe.�d I inrs T;3 M ieinporary Her�ch Mark � /�� RaIpM1 Swertllo�l Regise�eo�ano5u�veyo .
�� _i—� Louis F Rami�et P�oiess�onai..urveyor.ina Ma�per No G:+0.:
CITY OF DUNEDIN
� "Dedicated to Quality Service"
�
tPA P.O. BOX 1348
DLJNEDIN, FLORIDA 34697-1348
(727) 298-3210
GULF TO BAY FENCING INC
3341 LAKE SHORE LN
CLEARWATER FL 33761
The following must be posted in a conspicuous place
CITY OF DUNEDIN LOCAL BUSTNESS TAX RECEIPT
Conduct of any business subject to zoning restriction. The issuance of this Local Business T'ax Receipt does not
authorize the taxpayer to operate in violation of any City ordinance, law or regulation. Any change in location or
ownership must be recorded with the City's Local Business Taac Section. Issuance of the Local Business Tax Receipt is
in no way intended as an approval or disapproval of the taxpayer's competence or skill. POST IN A CONSPICUOUS
PLACE. NON REFUNDABLE.
Business Name: GULF TO BAY FENCING INC Phone Number: 727-543-3434
Location Address: OUT OF CITY LIMITS Control Number: 0008765
CONTRACTOR: PENCE (R)
License Nbr/Class: 13-00010344
Issue Date: November 20,2012 Expiration Date: September 30,2013
DBPR: BFM 09/30/13
PCCLB: NA 09/30/13
License Fee: 10.00
Total: 0.00
Comments:
__������--
FOLD HERE
THE FOLLOWING APPLIES TO BUSINESSES THAT ARE LOCATED IN THE CITY OF DUNEDIN:
TRANSFERS:Many Local Business Tax Receipts aze transferable from one owner to another or from one location to another If you wish to transfer this
Local Business Tax Receipt to another ownedlocation,please contact the City's Local Business Tau Receipt Section for infortnation.
CHANGES:Changes in business name or address or mailing name or address,as well as changes or additions to the business,ac�ivity,service or work may
require additional applications and/or fees and taxes.Please contact the Ciry's Local Business Tax Receipt Section for information prior to making changes.
PENALTIES:All Local Business Tas Receipts are due and payable before October 1�'of each yeaz and expire on September 30'"of the succeeding year
Those Loca]Business Tax Receipts not renewed by October 1"are considered delinquent and are subject to a delinquency penalry of]0%for October,plus
an addi[ional 5%penalty for each month thereafter until paid,but not to exceed 25%of the Local Business Tax due.
A 25%penalty is imposed on any person engaged in any new bus�ness,occupation or profession without first obtaining a Local Business"I�ax Receipt
Any person who engages in any business, occupation, or profession whose classificat�on is required to pay a Local Business 7�a�c, who does not pay the
required Local Business Tau within 150 days after the initial notice of tax due,and who does not obtain the required Local Business Tax Receipt is subject
civil actions and penalties, including court cost, reasonable attorneys' fees, additional administrative cost incurred as a result of collection efforts, and a
penalty of$250 00
A �'� �' DATE(MM/DD/YYV`�
�`�R'� CERTIFICATE OF LIABILITY INSURANCE IZ,ZB,z�l2 09 5� AN.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TFiIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORI2ED REPRESENTATIVE
OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certicate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,
subject to the terms and conditions of the policy,certain policies may require an endorsement.a statement on this certificate
does not canfer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT NM1E
HiqhpOint Risk S2rViCes LLC c�wne uvc,ra,��; (800)728-0623 FNI(A�C,NO� (972)404-0380
5501 I,BJ Freeway, Suite 1200 E#IA1L1100RES5:
Dallas, TX 75240
INSURERS AFFORDING COVEflAGE NAIC#
INSURERA.�o.TPa�,o� Proper[y a��„as,:aicy i�.s��a�.�e comPa�y 12157
INSURED: �yS 1/c/f: INSURERB:
GULF TO BAY FENCING INC INSURER C.
3391 LAKE SHORE LANE INSURER D:
CLEARWATER, FL 33761
Phone (727) 593-3439 Fax (72'7) 533-8105 INSURER E.
INSURER F
COVERAGES CERTIFICATE NUMBER: AC12-38300002-1169654 REVISION NUMBER:
NOTW ITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF'ICATE MAY 8E ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POIICIES DESCRIBED HEREIN IS SU&IECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL ueR pOLICV NUMBER POLICY EFF POLICY EXP
LTR INSR wvo DATE MM/DD Y DATE MM/DD Y LIMRS
GENERAL LIABILITY EACH OCCURRENC;E $
COMMERCIAL GENERAL LIABILITY
OAMAGE TO RENTEO $
CLAIMS MADE ❑ OCCUR ❑ ❑ PHEMISES(Ea occurrer�)
MED EXP(Any one person) $
PERSONAL 8 ADV INJUfiY $
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CERTIFICATE HOLDER CANCELLATION
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CITY OF ZEPHYRHZLLS BUILDING DEPT
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AUTHORRED REPRESENTATIVE �,.� �„�y:ly._,_�
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