HomeMy WebLinkAbout13-14038 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14038
FENCE PERMIT
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Permit Number: 14038 Address: 39146 OTIS ALLEN RD LS #37
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: 1,743.00 =, .,>���;����}�:;,a a
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Date Issued: 3/28/2013 � Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 5335 8TH ST
Amount Paid: � � ZEPHYRHILLS, FL 33542
Date Paid: Phone:
Work Desc: INSTALL 6 ' HT- PVC FENCE - 78 LF - FOR LS#37 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
CON RACTO 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 Permittin
Owner's Name ��� O'T Z i", /ry Owner Phone Number ~
Owner's Address ,3� / � ,S Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS .3 9/y /,f ,�I t61 R,I�
LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O
DESCRIPTION OF WORK b ! C F��c e
BUILDING S12E �- � gq FOOTAGE 70 L�
HEIGHT �_�
OBUILDING $ 17�� VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE O PROGRESS ENEI3GY Q W.R.E.0
�,.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION ,� ��D
GAS �'
0 Q ROOFING Q SPECIALTY �� OTHER `--.----'�.,'�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY C'�►C �f'J'JC'�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas V 1,S � Q ,f" �G �,�/
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 For.ns;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 FaciBtles 8 1 dumpster;Site Work Permit for subdivisfonsAarge 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 Plans.
""PROPERTY SURVEY required for all NEW construction.
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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 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 Oniy)
Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The u ed ulat9ons. The undersigned a's umes esp ns biity for compl a„nce tw th any
which may be more restrictive than County r g
applicable deed restrictions.
UNLICENSED CONTRACTORS AND bONe�►ed too be E en�sedsiBac'coEdance th s ate and local egulationsc Ifrthe
contractors to undertake work, they may Q
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif�lat{he
under state law. If the owv sed to oontact the Pasc�o Counry Buadingslnspectioni D v s'on—L cfens ngtSeci on at727-847-
intended work, they are ad
8009. Furthermore, if the owner has' haedli ationtfor wFi'ch theyrwill be espo s bleelftyouaas the owneasign assthe
portions of the "contractor Block" of t pp
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privi�eges in asco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ER onst ustion of new b 9de gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of�existi�erstalndls9that such fe'es,IasPmay be dueywO'�Il�be dentified at the_Omenof
90-07, as amended. The undersigned also und
permitting. It is further understood that�n�S owerl eleaseaClf the p ojecRdoesrnotRnvolve a certificatetof occ pancy o�
receiving a "certificate of occupancy" or p
if Pasco County Water/Sewer Impac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be paid�p�a rter 713,IFlorida Statutes, as amen'ded)p'If valua on of work is $2,t500 00 or more, I
CONSTRUCTION LIEN LAW( P of the "Ftorida Construction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by that Ilhave obta ned ancopy of'thetabove d scr bed documlent and prompseantgood fa th to
other than the"owner", I certify t
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIc ble law's regulatingeconst uction,I zoning anld land developm ntn A pli altion is
will be done in compliance with all app
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 Pe Zoninn�rehulafions�and'lland development egulations an thef jurlisd ction 9UI aalso
construction, County and City codes, 9 9 I to the intended work, and that it is
certify that I unde�stand that the regulations of other government agencies may app y
my responsibility to identify what actions I must take to be ess Ball heads SW tland A eas and Ernironmentlallylt Sensitive
- Depa r tmen t o f E n v i r o n mental 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 & 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: ermitted.
Use of fill is not allowed in Flood Zone"V" unless expressly p
- If the fill material is to be us submitted at t me of permitting wh ch�s p eparedrby a9professionalrengi eer
"compensating volume" will be
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 wa
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 anYdve sell affect adjacent propertiesf Ithe'lowner mayrbe�cit d for vaolating
properties. If use of fill is found to a Y
the conditions of the building permit issued under the attached permit application, for lots less than one (1
acre which are elevated by flll, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise �understanld thatna�s pahat permit may be r q u d for'etectr ct I work�,
this affidavit prior to commencing construction. I
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application
permit issued shall be construed to be a license tor shall ssua'nce of a pe mitprevent the Bu Iding Off cial from thereafter
set aside any provisions of the technical codes, no
requiring a correction of errors in ptans, construction once�d within s za onths of perm t pss a'nce,uo aif wo'rk authorized bn
unless the work authorized by such permit is comme
the permit is suspended or abandoned for�Id nerioOd�ial fosa per od not tohexcleedtn netyr(90) days and wil) demonstrate
may be requested, in writing, from the Bu 9 consecutive days, the�job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)
WARNING TO OWNER: YOUR FAILURE TO RECROPER7'Y.TIF YOU INTOEND TO BTAIN F NANC NGTCONSU L
PAYING TWICE FOR tMPROVEMENTS TO YOUR P
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT C MMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and s to(or atflrmed)be ore me this
Subscrlbed and sworn to(or affirmed)before me this by
by Who isjare personally known to me or has/have produced
Who is/ ear p re sonally known to me or has/have produced as identification.
as idenBficadon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,printed or stamped
Name of Notary tYPed,Prinled or stamped
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'��� PURCHASE ORDER
Citp �f �ephprhills � f�� 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 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 viny]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 a�y
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
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
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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 occurred in
connection with the manufacturing,processing,branding,labeling or hansportation of the merchandise herein mentioned. If such breach occurs or is charged by any
legal]y constituted State or Federal auffiority,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 incmred and/or the cost of defense of any proceeding designed to penalize the buyer therefor.