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CITY OF ZEPHYRHILLS
5335-8TN STREET
(si3)�so-oo20 14037
FENCE PERMIT
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Permit Number: 14037 Address: 37900 DAUGHTERY RD LS 60
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: 1,354.00 ;::���t�<::�Y;. , .�. ,q
Date Issued: 3/28/2013 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 37900 DAUGHTERY RD LS 60
Amount Paid: �/ � ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
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Work Desc: INSTALL 6 ' BLACK CHAINLINK FENCE - 60 LF - FOR LS 60 - P.O. 19606
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POST R US INC (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 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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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�§-�so-ooza City of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
Date Received
Phone Contact for Permittin _
Owner's Name / � C �l l� �f Owner Phone Number
Owner's Address S�33S" 8`� S , Owner Phone Number
Fee Simple Titieholder Name —� Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �/ 7 �� ��J /L ,D 6 v ��
LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FR�OM pROPERTY TAxOHOTicE1�EMOLISH
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN
INSTALL 8 REPAIR
PROPOSED USE [� SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � , ,Br4 C�� Q�� L�.�k
BUILDING SIZE �— SQ FOOTAGE b� L-� 6 �
HEIGHT
OBUILDING $ ]�su VALUATION OF TOTAL CONSTRUCTION
/ !
QELECTRICAL �� AMP SERVICE
Q PROGR�NERGY O �fV.R.E.C.
QPLUMBING $ `
�MECHANICAL $ VALUATION OF MECHANICAL INSTA TION 1 �,3�
/ �
QGAS Q ROOFING Q SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY — ---�
BUILDER ' COMPANY � 4Ce
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address �,,r� C/ 7nl' �
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 Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans wl Silt Fence installed,
Sanitary Fadlities&1 dumpster;Site Work Pertnit for subdivisionsflarge 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 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
'""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,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 PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTION Count reyulatgons. The undersigned a'ssumes spons b Ity for compl a„nce tw th any
which may be more restrictive tha Y
applicable deed restrictions.
UNLICENSED CONTRACTORheAma beN qu/ired o be E ensedSiBacicoEdance th s ate and local egulationsc Ifrthe
contractors to undertake wo , y Y
contractor is not licensed as�oq�ntended contactorhare uncerta n asnto what�licens ng r qu�emen'ts may apply'foatthe
under state law. If the owne
intended work, they are advise�d e° has h�edea contractor orBcolntrac tors, he'is advi ed to I have he contractor(s) sign
8009. Furthermore, if the o
portions of the "contractor Bndicat of n that heI is n'ot prope ly I censedlla d is not enttled t permitting pr v leges9n Pasco
contractor, that may be an
County.
TRANSPORTATION IMPACTfUTILITIES IMPACT AND RESOURCE RECOV�ER onstEStion of neweb 9de gsnchange of
ihat Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion °Iso un'dersta'nd'sgthat such fees,1asPmay be duety Olabe dentfied at the-fimenof
90-07, as amended. The undersigned a
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, 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 "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 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'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 �i9{oa�he ntended�work! and that it is
certify ihat I understand that the regulations of other government agencies may app y
my responsibility to identify what actions I must take to be ess Ba11 heads SW tland Areas and Enviro ment'a lyt Sensitive
- Department of Environmental Protection-Cyp Y
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
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 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 fil�he'owner mayrbelcit d for vaolatng
prope�ties. If use of fill is found to adversely affect adjacent properties,
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, � cti nIS I'u derstandhthatna�sepahat permit may be req u ed for lelectr cal work,
this affidavit prior to commencing constru
plumbing, signs, wells, poots, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed to be a ��CaeSenor sh II ssualncehof a pe mitprevent thehBui ding Off ceal from thereafter
set aside any provisions of the technical co , ermit issued shall become invalid
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work authorized by such permit �S e od of six(6) mhonths a er the t me thetworkas commenced Anhextension
the permit is suspended or abandoned for a p
may be requested, in writing, from the Bui�e1aseso orininety(90)consecutive days,the job is�cons de ed balndonedstra e
justifiable cause for the extension. If work c
WARNING TO OWNER: YOUR FAILURE T�UR PROPERT1f.TIF YOU INTEND TO BTA N F NANCING, CONSU L
PAYING TWICE FOR IMPROVEMENTS TO Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT F COM E CEME T.
FLORIDA JURAT(F.S. 117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and s o(or afflrmed)before me this
Subscrlbed and sworn to(or affirmed)before me this bY
bY Who is�are personally known to me or has/have produced
Who is— /a�e personally known to me or has/have produced as identification.
as iden8ficadon.
Notary Public
Notary Public
Commission No.
Commissfon No.
Name of Notary tyPed,printed or stamped
Name of Notary tyPed.Printed or stamped
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PURCHASE ORDER
City �f Zephyrhills , �� � ' 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
UMT PWCE AMOUNT
1 �� 6'bl vinyl chain ik 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 charged 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 hamiless by the
manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding designed to penalize the buyer therefor
P8ge: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
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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 manufachuer 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 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 designed to penalize the buyer therefor