HomeMy WebLinkAbout13-14036 � CITY OF ZEPHYRHILLS . /
5335-8TH STREET //
(si3)�so-oo20 14036
FENCE PERMIT
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Permit Number: 14036 Address: 37741 EILAND BLVD LS 61
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: 1,625.00 •°.�:�.:a:;��; �", �
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Date Issued: 3/28/2013 Name: CITY OF ZEPHYRHILLS
Total Fees: � Address: 37741 EILAND BLVD LS #61
Amount Paid: J� ZEPHYRHILLS, FL. 33542
Date Paid: � Phone:
Work Desc: INSTALL 6' HT BLACK CHAIN LINK FENCE-72 LF - LS #61 - P.O. 19606
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POST R US INC '. � .>,. .,z� .��,, .:� :;�-_ ';�'}�{�;v;
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(813)779-7795
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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 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 pertormed in accordance with City Codes and Ordinances
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CON RAC R 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 Zephyrhills Permit Application Fax-813-780-0021
" Building Department
Date Received
Phone Contact for Permtttin
Owner's Name O-� d�� r�t( (j
Owner Phone Number
Owner's Address �3S S , Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � / ��I FI G� /V �
LOT#
SUBDIVISION PARCEL ID#
(OB7AINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL �
DESCRIPTION OF WORK G ( �q�� � p�'� ���L/
BUILDING SIZE _ SQ FOOTAGE �Z L� HEIGHT �
OBUILDING $ / ��
d VALUATION OF TOTAL CONSTRUCTION
�]ELECTRICAL $ AMP SERVICE Q PRO SS ENERGY Q W.R.E.C.
OPLUMBING $
I��-��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON
�GAS Q ROOFING Q SPECIALTY
0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER -1 COMPANY , Cf'YI� CQ CC'
SIGNATURE " � REGISTERED Y/ N FEE CURRE�
Y/N
Address 5��� „s /Cj �
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
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# �- --�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fo►ms;R-O-W Permit for new constn�ction,
Minimum ten(10)v�ro�lcing days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large 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 8 Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (A/C upgrades over a7500)
"" 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(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unders'igons. The undersigned alssumes resp ns bilty for compl a„nce tw th any
which may be more restrictive than County regula
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CON@RAe�Tto be E ensedsiBac'coEdancef th s ate and local egulationsc Ifrthe
contractors to undertake work, they may be q I for the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vio a ion
under state law. If the owner o toncontact the Pasc�o County Bu IdingSlnspection'D v s on—L c'en ngtSect on at 27-847-
intended work, they are advised
8009. Furthermore, if the owner has hiredlicationtfor which theyrwi I�be espons bleeaftyouaas the owntea sign as the
portions of the "contractor Block" of this app
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACQ A�ND R eeO may ap ECOV�ERc n EES�'o of newe b 9di gsnchange of
that Transportation Impact Fees and Recourse R rY
use in existing buildings, or expansion of �existin9rstand's9that such feles,'asPmay be duey 011�be dentif ed at the tme of
90-07, as amended. The undersigned also unde
permitting. It is further unde�stood that Trans OWer1 eleaseaClf the p ojecRdoesrno Rnvolve a certificatetof occ pancy o�
receiving a certificate of occupancy or finat p
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
fees are due, they must be paid priorter 713,iFlorida Statutes, as amen'ded)Pllf valua on of work is $2,'500 00 or more, I
CONSTRUCTION LIEN LAW(Chap of the "Florida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Florida Department of Aof'thetabove d scr bed documlent and prompseantgood fa th to
other than the"owner", I certify that I have obtained a copy
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVI able laws regulating const uction,'zoning anld land developmentn Appl cation is
will be done in compliance with all applic
hereby made to obtain a permit to d�wa d that'alltwork will be perfoemed t m ettstandards of all Iaws�Iaegulating
commenced prior to issuance of a pe
construction, County a�d City codes, zoning regulations, and land development ri 9{oa{�°e ntended�work1 and thatat is
certify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions � P otect on Cypress Bayh ads,SWetland A eas nd Erni o mentallyt Sensitive
- Department of Environmental
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
_ Sout hwes t F l o r i d a W a t e r M a na gement District-Wells, Cyp Y
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 fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
_ If the fill material is to be used �� �tte°d°at time ofpermitting wh ch�s preparedrby a9p ofessionalreng neer
"compensating volume" will be subm
licensed by the State of Florida.
_ If the fill material is to be used in sed on1°to filAthe area w'th nnthetstem W mitted building using stem wa
construction, I certify that fill will be u Y
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 advere� under the,attached pertmit pplication, for Iots less thanvonet'( )
the conditions of the building permit issu
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in 9 e�stan'd that a�s pah at permit may be req 9 ed for'electr ct I work�,
this affidavit prior to commencing construction. I und lication
wells, ools, air conditioning, gas, or other instaltations not specifically included in the app
plumbing, signs, P
P
ermit issued shall be construed to be a license to P hall essua'tncehof a pe mitprevent the Bui ding Officeal from thereafter
set aside any provisions of the technical codes, nor s ermit issued shall become invali
requiring a correction of errors in plan er�'�Ssrcotmmence'dl within si amonths of perm t ssuance, or if work authorized by
un less t he w o r k a u t h o rized b y such p gp da s and will demonstrate
the permit is suspended or abandoned for a perio�c al fosa per"od not to h xc leed tn netyr( �s�co ymenced. An extension
may be requested, in writing, from the Building O
'ustifiable cause for the extension. If work ceases for ninety(90)consecutive days,the\job is considered abandone YOUR
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WARNING TO OWNER: YOUR FAILURE TO RECROPERTY TIF YOU NTEND TO BTA N F NANC NG, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR P p MEN E ENT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N T
FLORIDA JURA ( � •
CONTRACTOR
OWNER OR AGENT Subscribed and sw (or afflrmed)before me this
Subscribed and sworn to(or affirmed)before me this by
by Who is'— �a p onally known to me or haslhave produced
Who is! era p re sonally known to mas identificab�roduced
as identification.
Notary Public
Natary Public
Commission No.
Commission No.
Name of Notary typed,printed or stamped
Name of Notary tYPed,printed or stamped
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'"`� '• PURCHASE ORDER
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City �f Zephyrhiils '� � N�• 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 DELNERY DATE
ACMEFenc ( ) - 0 02/13/2013
SHIPPING INSTRUCTIONS
(none)
ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT
UNIT PRICE AMOUNT
1 ��� 6'bl vinyl chain]k fence,9 041-3500-535-6322 7,925 0000 7,925 00
gauge material installed at LS
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 chazged by any
legally constituted State or Federa]authoriry,the buyer shall be entitled to rescind the order and retum the unused merchandise and shall aiso be held harmless by the
manufacturer or seller against any penaity incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor
Page:2 Purchase Order No. 00019606
ITEM QTY U/M DESCRIPTTON/TASK PRD CODE ACCOUNT
UNIT PRICE AMOUNT
SUBTOTAL. 7,925.00
T'°'X• 0.00
SHIPPING• 0.00
TOTAL: 7,925.00
TAXABLE. No
CONFIRMING. No
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AUTHORIZED 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 occwred in
connection with the manufacturing,processing,branding,labeling or transportation of the merchandise herein mentioned. If such breach occurs or is chazged by any
legally constituted State or Federal authority,the buyer shall be entitled to rescind the order and retum 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 designed to penalize the buyer therefor