HomeMy WebLinkAbout13-13790 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13790
FENCE PERMIT
Permit Number: 13790 Address: 5513 12TH ST
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: 11-26-21-0010-13800-0010
Improv. Cost: 2,000.00
Date Issued: 1/23/2013 Name: CARUSO,CYNTHIA
Total Fees: 40.00 Address: 5513 12TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/23/2013 Phone:
Work Desc: 6 FT WHITE PVC FENCE - 98 LINEAL FEET
PASCO FENCE COMPANY INC (813)788-5642 FENCE
40.00
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work result ng
from faulty construction c) repairs or con�ections not made when inspections called d) work not ready for
inspection when called 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 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
Complete Plans S Person owning same
, pecifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances
/'� �✓,--���--,
M� CONTRACTOR
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 A lication
. PP Fax-813-780-0021
Building Department
Date Received
� ' Phone Contact for Permittin
Owner's Name l�. L� � C � v,� � Owner Phone Number `
Owner's Address ..,3� ! '�j i �,c�/ . � •� �
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��
LOT#
SUBDIVISION � , PARCEL ID# ����� • J - � Q /G+ r l ����_ �,�! o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT �� SIGN
INSTALL � REPAIR 0 � DEMOLISH
PROPOSED USE Q SFR Q COMM [ � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK � �„I�l � � � ��'���.
BUILDING SIZE SQ FOOTAGE `�
-�"�~ HEIGHT �o
�BUILDING $
a b p p `jC VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE �
PROGRESS ENERGY _ ,E ' 2,,,.,-�
OPLUMBING $ L
.�/ �� f1�v .�,��,�
QMECHANICAL $ VALUATION OF MECHAN AL I�.Lq
��,_��� °�
[�GAS Q ROOFING � SPECIALTY
�� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER � ) � � COMPANY /�.�C �' p/_�/f/�3.�' C � r� �Y
SIGNATURE (,�J
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License#
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
Lice�se# �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
NIECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
Ucense#
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
Ucense#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faditties 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3j complete sets af Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 9ilt Fence instalied,
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 requlred for all NEW construction.
Directions:
Fill out application compietely.
Owner 8 Contractor sign back of application,notarized
If over;2500,a Notice of Commencement ls required. (A/C upgrades over s7500)
" 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/.0.,. Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: un{�gd ulations. The undersigned a's umes sponsib Ibty for c mpl ance tw th any
which may be more restrictive than Co y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or 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 misdemyan�oPyiolation
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 Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, 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
cont�actor, that may be an indication that he is not properly licensed and is not entitted to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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 p�oject does not involve a certificate of occupancy or
��
final power release, the fees must be paid prior to permit issuance. Furthermore, ff 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 "Flo�ida 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 documenk and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SlOWNER'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 ihat 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 8 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 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
prope�ties. 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 extensian. 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 R'LEND R OR AN ATTORNE BEFORE R�CORDING YOUR NOTICE OF COMMENCEMENT.� CONSULT
WITH YO
FLORIDA JURAT(F.S 117.03) •�'" / �
OWNER OR AGENT CONTRACTOR '�'- `�"' W ~
Subscribed and sworn to(�r affirmer)before me this Subscr �and sworn to(of�aftirmed) .fore e s
by ��t� .�
Who islare personally known to me or has/have produced Who isl�"personally known to m�� aslh den fl ation.
as idendficatlon. � �'
� . �' f
� �' � �` .ry Public
Notary Publlc
Commission No. Commission No.
,,.�ti�':" BOBBIE S.SWETLAND
Name of Notary typed,printed or stamped Name of � P�� ��� ��a ,2016
�
1/�,p�P,.�` Badad Thru Troy Fain Ineurmce 80Q39S7019
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--------------------------FENCE CONTRACT
-----------------------------
PASCO FENCE COMPANY
4254 Plum Street
Zephyrhills, Fl. 33542
(813) 788-5642
PROPOSAL SUBMITI'ED TO•
Mr. Charles Caruso DATE.
,�n�ss: 1/21/2013
S S 13 I 2�.St. PHONE.
CITY
Ze h hills Fl.
We hereby submit specifications and estimates for:
98 ft. of 6' White P.V.C. Privac Fence.
11-26-21-0010-13 800-0010
All materials remain the o of PASCO FENCE CO.INC.until aid in full.
We Propose hereby to funush matenals and labor-complete in accordance with the above specifications for the sum of
Two Thousand Dollars.. . . . . . Q�
Paymenttobemadeasfollows: •. . . . . . . . . . . . . ." " " " ' • •• ••••••••••••••�A2 �D0.0o
200.00 Down Pavment.
1 800.00 Balance Due Upon Com letion Of Job
All matenal is guaranteed to be as spec�fied. All work to be completed in a workmanlike
deviation from above specitications involving extra costs will be executed only upon writte�or����tbe�o��e�hazg over and above
the estimate.All agreements contingent upon strilces,accidenu or delays beyond our control.
Note:This proposal may be withdrawn by us if not accepted�yrthin'7 days
Authorized
signature e/� �'/`G�
Acceptance of Proposal- The above prices, specifications and conditions aze satisfactory and are hereby
accepted. You are authorized to do the work as specified. payment will be made as oudined above.
Si ture: � i
Date of acceptance� 1 /21 /20��
� � q�� CERTIFICATE OF LIABILITY INSU �A��MMlppyy}
RANCE 01116f13
THIS CERTIFICATE IS ISSU ED AS A MATTER OF NI FORMAT�ON ONLY AND CONFERS NO RIGHTS U PON TH E CERTIFICATE 110LDER.THI S
CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AIYIEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POIICIES
BELOW.THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETVYEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THf CERTIFICATE HOLDER.
NNPORTANT:Ifthe certificate holder�s an ADDiT10NAL INSURED,the pdicy(ies must be
to the terms and conditions of the pdicy,cartain poliaas m � °^�•If SUBROGATION IS WAIVED,su6ject
rights to the certiflcate hdder in lieu of such andorserneM(s),�reQure an endorsarner�t,q�y���t on this cartificate does not ca�r
�oouc� wracT
AcelaRa[e(A q VI57pN OF}AM Risks,LTD NAME: AeelaRrte Tsam
3��BOREfUM PLACE,SUITE 410 ON
RICHMOND VA_23236 (AfC,No,6tq; g�7,�T6�� a
� la�,wo): aes.2es�ss�
���� qWckcommertlalgy�ry�=�pn
CUSTOMBt ID:
INSURED ��l AFFOROINC COVBtAGE NAIC i
INSLI►iER A Omega US�ny�ru�e��
PASCO FENCE COMPANY INC t2sst
4524 PLUM ST �N��ER 8
2EPHYRHILLS FL 33542 �NSURERC
INSURER D.
INSURER E
COVERAGES INSURER F
CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF WSUR/WCE LISTED BELOW HAVE gEEN�SSUED TO THE INSURED NAM D ABOVE FpR.THE POLICY PERIOD
MDICATED.NOTIMTHSTANDING/1Ny REQUIREAAENT,TERM OR CONDITiON pF,NVy ppNTRACT OR 07HER DOCUMpVT yU17}�RESPECT TO IMiICH THIS
CERTIFICATE MAY BE ISSUED OR Mqy pERTqIN,TME�c��CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUgJECT TO ALL THE TERMS,
DCCLUSIONS AND CqVDITIONS OF SUp�{pp���Eg ��TS SHOIM�MAY H,4VE BEEN REWCED BY PAID CLAp1AS.
IP6R
L� TYPE OF INSLIRqNCE �� � (POI� (pp�l�y EJO+
A G9dgtAL LIABILRY �SR SUBR POLICY NUMBBt �
N N ACE�009970 01M7/2D13 LIMITS
01hN11014 EACFIOCCURREIJCE $300,000
OCOMMERCIAL GENERAL LIA&LITY
DAMAGE TO REnfTm
CLAIMSMApE OOCCUR
PREMiSES{Eaacurcente) Y100,000
� MED EXP(Any one persony SS 000
r PERSONAL&ADV INJURY Y300,000
GEN'L AG6REGATE LIMIT APPLIES PER G��AL AGGRFGATE q600,000
PRODl1CTS-COMPlOPAGG 3600,000
x POLICYQpROJECTCLOC
AUiOMO&LE LIA9ILITY 3
COMBINm SINGLE LIMIT t
�ANY AUTO (Ee actident)
BODILY INJURY(Per persm� Y
ALL OWNED AUTOS
BODILY INJURY(Per acadent) q
C MIREp RUTOS
PROPERTY DFWiAGE
�NOtdOYVNED AUTOS (Per acatlenq �
C Y
�UYBRELUI LIAB I�OCCUR 4
rEXCESSLJAg(�CLAIMS-MACE EACHOCCURRENCE q
C�EDUCTIB�E AGGREGATE q
�RETENTION$ 4
WORKHtS COMP�ISATIDN q
AhD EMPLOYERg•LIA&LRY yM �WC STATU- OTf+
ANY PROPRIETOR/PARTIVERlD(ECUTIVE❑ WA TORY UMiTS
OFFlCERM1EMgER FxCLUDED? ER
(Mandatory In 1�!{� E L EACH ACGDEPfT
If yes,descnbe under E L DISEASE-EA EMp�OYEE $
DESCRIpTION OF OPERATIONS bebw
E.L DISEASE-POLICYLIMIT
DESCRIP'i10N OF OPEftq710Ng 1 LOCqTOPl4/yg{��S�p�h ACORp 101,Atldtlanal(txn�s Scha3Na,ifmore epaq Is nqiJrstl)
CER7IFlCATE HOLDER
CANCELLATION
SHOULD ANY OF 7F�ABOVE OESCRIBED POLICIES BE CANCELL�B�ORE
CITY OF ZEPHYI2HILLS � E�an� �7E 7NBtEOF, NOTICE y1�R,1, 8E p�ygtEp IN
ACCORWINCE MII7N'IFiE POUCY PROVISIONS.
5335 8"'.STREET auniowz�rt�r��A�
ZEPHYRIIILLS,FL.33542 ''�
(CHRIS MCGOVERN)
O 1988-2008 qCORD CORPORATION.All rights reser�ed,