HomeMy WebLinkAbout13-14035 ' ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14035
FENCE PERMIT
Permit Number: 14035 Address: 7788 GALL BLVD
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:
Improv. Cost: 1,421.00 � �-,�-�
Date Issued: 3/28/2013 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 7788 GALL BLVD
Amount Paid: Nl� ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: INSTALL 6' HT- 63 LF - BLACK CHAINLINK FENCE FOR LS #62 P.O. #19606
POST R US INC (g�3)779_7795
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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 res It ng
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
Complete Plans, Specifications and Fee Must Accompany Application. �rson owning same
II work shall be pertormed 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
a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received (��.,
13 Phone Contact for Permlttin
Owner's Name � z�( n. �j��� Owner Phone Number
Owner's Address �-3.3.5 S . Owner Phone Number
Fee Simpie Titleholder Name �
Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �lJ� �ct�( �lV � 6 Z
LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN
INSTALL 8 REPAIR � � DEMOLISH
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTtON OF WORK � ( �I4 cIC j� (���
BUILDING SIZE SQ FOOTAGE bJ L� �
HEIGHT
�BUILDING $
�� �Z VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PI��2ESS ENERGY Q W,F�.E.C.
,/
QPLUMBING $ ���
QMECHANICAL $ � �
VALUATION OF MECHANICAL INSTALLATION �
[�GAS Q ROOFING Q SPECIALTY w
[—� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER _ COMPANY �M t {✓/C�
SIGNATURE REGISTERED Y/ N FEE CURRE�
// Y/N
Address s�,S� /']�4 �Q L,/�
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. 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. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuctlon.
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 8 Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A/C upgrades over E7500)
"' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMI7TING (Front of Application 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 unders�9ons. The undersigned alssumes sp ns bil yefor compl annce tw th ny
which may be more restrictive than County regulat
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONgRAeaOo be E ensedSiBacicoEdance th s ate and local egulationfsc Ifrthe
contractors to undertake work, they may be r q � for the
contractor is not licensed as required by law, bot�h�ohare uncerta n asnto what li ensengte q��emenits maYaaPP Yiol 847
under state law. If the owner or intended contra
intended work, they are advised to contact thea contractor orBcolntrac torsp hef�s advi ed to I have tFhe contractor(s) sign
8009. Furthermore, if the owner has hired
portions of the "contractor Block" of this applican'ot ro e ly I censedlla d is not enittled t permitting pr v leges9n Pasco
contractor, that may be an indication that he is p P
County.
TRANSPORTATION IMPACTIUTILITIES IMPAC co eD R ees�may applEY�toVh R�struction of new b 9de gsnchange odf
ihat Transportation Impact Fees and Recourse Re ry
use in existing buildings, or expansion of existin9rstandfs9that such fees,1asPmay be duey OI abe dentified at he tme of
90-07, as amended. The undersigned also unde
permitting. It is further understood that Trans OWer'eleaseaClf the p ojecRd esrno Rnvolve a certificatetof occ pancy or
receiving a "certificate of occupancy or final p
final power release, the fees must be paid priors ance n accordanceFwith applicable Pa co County ord nanceSer Impac
fees are due, they must be paid prior to permit is
500.00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, a ofrthe aF orida Clonstruct on L en L aw—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Florida Department of Aof the above desc ibed document and prompseantgood fa ih to
other than the"owner", I ce�tify that I have obtained a copy
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: le Iawl s reaulating const uction!zoning anld land developmentn Appli a'tion is
will be done in compliance with all applicab 9
hereby made to obtain a permit to do wand thatfalltwork will be perfoemed to meettstandards of all lawsl'aegulating
commenced prior to issuance of a permi
construction, County and City codes, zoning regulations, and land development �i9to the ntended�worki and thatat is
certify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions I must take to be ess Bayheads SWetland A eas and E viro mentla lyt Sensitive
- Department of Environmental Protection-Cyp
Lands, Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Southwest Florida Water Management District-Wells, Cyp
Watercourses
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
_ Department of Health 8 Rehabilitative ServiceslEnvironmental 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 te°�°at tme ofpermitting whch is p eparedrby a9professionalreng eer
"compensating volume" will be submit
licensed by the State of Florida.
_ If the fill material is to be used in F�ed onl�to filAthe area w th'n thetstem W mitted building using stem wa
construction, I certify that fill will be us Y
_ If fill material is to be used in any aresell affect adjacent propertiesf Ithe'�owner mayrbelcit d for v�oleti g
properties. If use of fill is found to adve y
for lots less than on (
the conditions of the building permit issued under the alan se equ�at application,
a c r e w h i c h a r e e l e v ated b y fi��, an engineered drainage p
If I am the AGENT FOR THE OWNER, I promise in goostand hthatna�sepa h at permit tmay be req 9 ed for Ielectr cal work�,
this affidavit prior to commencing construction. I under lication
wells, ools, air conditioning, gas, or other installations not specifically included in the app
plumbing, signs, P roceed with the work and not as authority to violate, cancel, alter, or
permit issued shall be construed to be a license to p ermit issued shall become invalid
se
t aside any provisions of the technical codes, nor shall iss�ons of any codesPrEverytpe Building Official from therea ter
requiring a correction of errors in plans, construction or vio a
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authonze y
the ermit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
P y da s and will demonstrate
consecutive days,the job is considered abandoned.
may be requested, in writing, from i hWO k ce'ases�or1ninety(gp�riod not to exceed ninet (90 Y
justifiable cause for the extension.
WARN
ING TO OWNER: YOUR FAILURE TO RECORD A►TM T�F YOU INTENDETO OBTAINnFINANCSNGTCONSULR
PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPER p EN EM NT.
WITH YOUR LENDE ROR AN ATTORNEY BEFORE RECORDING YOUR OTI
FLORIDA JURAT(F
CONTRACTOR
OWNER OR AGENT Subscribed and swo (or afflrmed)before me this
Subscribed and sworn to(or afflrmed)before me this by
by Who is personally known to me or ha asedentification.
Who Is/ era p re sonally known to mas d ntificab nroduced
Notary Public
Notary Public
Commission No.
Commission No.
Name of Nolary tyPed,printed or stamped
Name of Notary tyPed,printed or stamped
� PURCHASE ORDER
���Y �f �ephprhills No• 00019606
VENDOR: SHIP TO:
BILL TO:
Post R US Inc Wastewater Plant City of Zephyrhills
dba/ACME Fence 39825 Alston Avenue 5335 8th St.
5150 Halstead Ln
Zephyrhills, FL 33541- Zephyrhills, FL 33542- Zephyrhills,FL 33542
VENDOR NO. VENDOR PHONE NUMBER TERMS DATE
REQUIRED DELIVERY DATE
ACMEFenc ( ) - 0 02/13/2013
SHIPPING INSTRUCTIONS
(none)
ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT
UNIT PRICE AMOUNT
1 0.00 6'bl vinyl chain ik fence,9 041-3500-535-6322
gauge material installed at LS 7,925.0000 7,925.00
60,61,62 w/leachl4'dble gate
at @ LS and 7gauge bottom
tension wire installed on each
LS fence.6'tongue&groove pvc
fence installed @
LS27,37,12"dble gate,9'gate
posts.ALL posts set in
concrete.
IMPORTANT. OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upon the representation and guaranty of the manufacturer or seller that no breach of any State or Federal Law or Regulation has occurred in
connection with the manufacturing,processing,branding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any
legally constituted State or Federal authority,the buyer shall be entitled to rescind the order and return the unused merchandise and shall also be held harmless by the
manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding des�gned to penalize the buyer therefor
Page:2 Purchase Order No. 00019606
ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT
UNIT PRICE AMOUNT
SUBTOTAL. 7,925.00
T'�� 0.00
SHIPPING: 0.00
TOTAL: 7,925.00
TAXABLE. No
CONFIRMING: No
�f-��^,-----�
AUTHOWZED SIGNATURE
SPECIAL INSTRUCTIONS.
IMPORTANT. OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upon the representation and guaranty of the manufacturer or seller that no breach of any State or Federal Law or Regulation has occurred in
connection with the manufacturing,processing,bcanding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is charged by any
legally constituted State or Federai authority,the buyer shall be entitled to rescind the order and return the unused merchandise and shall also be held harniless by the
manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor