HomeMy WebLinkAbout13-13967 CITY OF ZEPHYRHILLS
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5335-8TH STREET
� (sis)�so-oo20 13967
FENCE PERMIT
Permit Number: 13967 Address: 5034 17TH ST
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: 11-26-21-0010-21400-0240
Improv. Cost: 2,490.00
Date Issued: 3/11/2013 Name: NEWELL RICHARD & CAROL
Total Fees: 40.00 Address: 5034 17TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL 33542-2148
Date Paid: 3/11/2013 Phone: 517-403-4818
Work Desc: INSTALL PVC 155 X 6 FENCE
POST R US INC (813)779-7795 FENCE 40.00
G�.
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 resuiting
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
; �� , '`,
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l C NTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receive�
` Phone Contact for Permittin
� f I 1 �
Owner's Name < <'v�w�( t Owner Phone Number S� ?" -7�!�- �;c�j�7
t t �Owner's Address .� `-� �� ;f� �` `�� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS ...J �%� �LI � �''� .5'7" LOT# C�
SUBDIVISION PARCEL ID# ��` �� �-1 -C(,�/�-��fQi1�-(�`yC
(OBTAINED F�PROPERTY T�TicE)DEMOLISH
WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEI Q
DESCRIPTION OF WORK �' / ���L � ;�S
Lr�
BUILDING SIZE .8A�FOOTAGE I.5 � HEIGHT
OBUILDING $�y��,/ �� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( ' � ��� �
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER /' � „'�� . � COMPANY ('fyl( lY- '✓f[:z
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address �� ��c!� (p,� Ls7j 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
31GNATURE 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 submfttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary FaciliUes 8�1 dumpster.Site Wor1c 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 consUuction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A/C upgrades 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 Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DmE�DRes TRi QT�ON County r gulat'�ions. The undersigned a�ssumes sp ns b Ityefor compl an eStwithQ ny
which may b
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 misdem�anPoP yiolation
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. 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that T�ansportation 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, Florlda 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 ce�tify 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 ju�isdiction. 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 actio�s 1 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, Attering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental P�otection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of�II 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
ucompensating 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
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for vio�ating
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 (NTEND O OBTAIN NCEM NT.� CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDlNG YOUR NAT ��
FLORIDA JURAT(F.S.117.03) J � •'�
. � � ,����
OWNER OR AGENT CONTRACTOR_�
Subsc�ibed and sworn to(or affirmed)before me this Subscribed and swortr-to(or affirmed)before me this
by 3 ��—t�___bY
Who is/are personally knovm to me or has/have produced Who islarP�R�onallv known to me or hasRiave produced
as IdentlficaUon. as Identifiqtion.
� 9� Notary Public
Notary Public +
'" '*:"'.� JA S
Com ion ��
Commission No. ;,r.
peoember 12 2014
Name of No . ��`"-1C°�3��' ��
Name of Notary typed,printed or stamped £'^°'�°�
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ar,r� ����� �(����� ��'�'��� 5150 Halstead LnE
't`ENC� Zephyrhills, Florida 33541
'}i,i�� 1'(7 � �'�'<< '��ll`�` ' 813-779-7795 813-973-0826 888-779-8553 fax
acmefence@yahoo.com
LICENSE # 11795
PROPOSAL/CONTR.ACT Page �
2/18/2013
Customer Information: Job Information•
RICH NEWELL JOB LOCATED IN ZEPHYRHILLS
5034 17 TH ST 517-403-4818
Zephyrhills, Florida 33542 AROLNEWELL@COMCAST.NET
Notes: 1 I ��. b .Z�'�� ��' Z����--C�,Z�U
- 155' 6 FOOT PVC TONGUE & GROOVE PRIVACY �
-------- ------- ----------�
GOTHIC CAPS
� i
2 6 FOOT WALK GATES i I
I 69' I
I
ALL POST SET W/ CONCRETE � �
, sa� I
5 X 5 X 9 FOOT POST I
POCKET RAILS / NOT RIPPED RAILS j
LOCKING TONGUE & GROOVE PICKETS � s� �
ALLUMINUM BEAMS IN GATE POST , I
LIFETIME WARRANTY ( WESTECH ) i 6� I
HOUSE E
I H� I
H s
I
l—_'__—_
ACt+� E�ENCE agrees to guarantee above fence to be job and adjuatmenta for labor will be charged or
free £rom defects in materials and vrorkmanship for credited at the currently establiahed ratea.
one year. Additional chargea £or any extra work not covered
ACME FENCE ehall advise the customer as to local in this contract that was requeated by the cuatomer
zoning regulations but responaibility £or complying will also be added. The full amount of this
with said regulations and obtaining any required contract along with any additional chargea will
permita ahall reat with the cu$tomer. ACt� FENCE become a able u
will assiat the cuatomer, upon request, in p 1' P�n complation of all work whether
determining where the fence is to be erected but or not it has been invoiced.
� A finance charge of 1 1/2� per month (or a
under no circumstance does ACME FENCE asaume any minimum o£ 1.00
reaponaibility concerning property linea or in an $ ) � Nhich is an annual percentage
way guarantee their accurscy. If propert ins y =$te of 18�, ahall be applied to accounta that are
cannot be located it is recommended that the not paid within 10 days after completion of any
work invoiced. All materials will remain the
cuatomer have the property aurveyed. property of ACME FENCE until all invoices
P+CME FENCE will asaume the responsibility for rtainin to this
having underground public utilitiea located and � g job are paid in full. The
marked. However, ACME FENCE assumea no �atomer agrees to pay all intereat and any coata
responsibility for unma=ked sprinkler lines, or an1. incurred in the collection of thia debt.
other unmarked buried lines or objecta. The
cuetomer will asaume all liability for any damage
caused by directing ACME FENCE to dig in the
immediate vicinity of kno�vn utilitiee.
The final billing will be based on the actual
footage of fencing built and the work performed.
Partial billing for materiala delivered to the job
site and work completed may be sent at veekly
intervals. Adjustments for material uaed on this
Approved & Accepted for Customer:
Contract Amount: $ 2490.00 ------cusromer----- -- -- -- -- --
-------- f Date..
Down Payment: $ _ - _500.00 Accept(ed'fo�r A�CME �FEI�E:
; - ,. ,
Balance Due: $ 1990.00 t, �`. ' '. ,
, :
- - -- --�- --- ---;---�=- --
Salesperson Date