HomeMy WebLinkAbout13-14039 CITY OF ZEPHYRHILLS
- ' S335-8TH STREET
(sis)�so-oozo 14039
FENCE PERMIT
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Permit Number: 14039 Address: 37719 NEWAL AVE LS27
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCElNEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 1,780.00 .,:��_ �� � °;�.. ` ,;,��µ�,�,�;���.,.,�::�:
Date Issued: 3/28/2013 Name: CITY OF ZEPHYRHILLS �
Total Fees: � , Address: 37719 NEWAL AVE LS 27
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
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Work Desc: INSTALL 6 ' HT PVC FENCE - 80 LF - FOR LS #27 P.O. 19606
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POST R US INC :�� .,� ; .���`�_�.�.�r���.���:��r
(813)779-7795 T
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REINSPECTlON 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
/
CO RA 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
d'ate Re'ceived
Phone Contact for Permittin
r`� �
Owner's Name ( o Z �j,l j f
Owner Phone Number
Owner's Address �� �� 5�" Z 7 /� ,��/i r�j Owner Phone Number
Fee Simple Titleholder Name �
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � / /�9 f�Cl.tJ(",� (��. Z�
LOT# �]
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK � pl`" � ��j���
BUILDING SIZE �9Q FOOTAGE �v �F HEIGHT '
OBUILDING $
f 7�(? VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.0
QPLUMBING $
[�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J � �
/�
OGAS Q ROOFING Q SPECIALTY [� OTHER -'"
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES
BUILDER
SIGNATURE COMPANY r �(��'�
REGISTERED Y/ N FEE CURRE� Y/N
Address ,s'0 q f rq�/�,v ---�
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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit 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 consUuctlon.
Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,StoRnwater 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of appiication,notartzed
If over 52500,a Notice of Commencement is requlred. (A/C upgrades over;7500)
" 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 ApplicaUon 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 DEED RESTRICTIONS: The undeia�9ons. The undersigned afssumes espons b Ibty for c mpl a„nce tw th any
which may be more restrictive than County regu
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONe�►edOo be E ensedSiBac'coEdance th s ate and local egulationrsc Ifrthe
contractors to undertake work, they may be q
contractor is not licensed as required by � contactorhare unce ta n as to what licensingte qu�emen'ts may apply'fortthe
under slate law. If the owner or intended
intended work, they are advised to contact thea contractor torB ontracto sP he'�s advi ed tolhave the cotntractor(s) sign
8009. Furthermore, if the owner has hired
portions of the "contractor Block" of this aPe'is n'ot roperly I censed�Iand is not enittled t yper�mittingepr v leges9n Pasco
contractor, that may be an indication that h P
County
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERc nstrEustion of new b ude gsnchange o�f
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existi�nerstandlsgthat such fees,1asPmay be duey�I abe dentifiedbatrthe t�'�me of
90-07, as amended. The undersigned also un
permitting. It is further understood that T ais o°Ner'eleaseaClf the p ojecRdoesrnotRnvolve a certificatetof occ pancy or
receiving a "certificate of occupancy" or fi p
final power release, the fees must be paid P��is uance n accordance�w th applicable Pasco Cou ty ordinanceser Impac
fees are due, they must be paid prior to permit
500.00 or more, I
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a ofmhe aF o,rida Clonstrucfon L en L aw—Homeowner's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Floave obta nred a copy of'thetabove descr bed document nd prompseantgood fa'th to
other than the owner , I certify that I h
deliver it to the"owner" prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT� le lawl s reaulating const uction!zoning an'd land developmentn Applicaltion is
will be done in comptiance with all applicab 9
hereby made to obtain a permit to do W and thatlalltwork will be perFoemed to m ettstandards of all Iawsllaegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development ��g�oathe ntended,work! a d thatat is
certify that I understand that the regu1ations of other government agencies may app y
my responsibility to identify what actions �I Protecfon Cyp ess Bayheads SW tland A eas and Ernironmentallyt Sensitive
- Department of Environmenta
Lands, Water/Wastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Sou t hwes t F l o r i d a W a t e r Mana gement District-Wells, Cyp
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
_ Department of Health 8� 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�mitted at time ofpermitting wh ch�s p eparedrby a9professionalreng neer
"compensating volume" will be su
licensed by the State of Florida.
_ If the fill material is to be used in u�ed onl�to filAthe area w'th nnthetstem w mitted building using stem wa
cons t r u c t i o n, I c e r t i f y t h a t f i l l w i l l b e Y
If fill material is to be used in any area, I certify that use o f suc h f i l l w i l l n o t a d v e r s e l y a ff e c t ad jacent
properties. If use of fi l l is foun d t o a d vsu d under the,attached per�mit�applicati nr for lots less t ha nV O n e'( )
t he con di ti o n s o f t h e b u i l d i n g p e r m i t i s
acre which are elevated by fill, an engineered drainage plan is require d.
If I am the AGENT FOR THE OWNE R, I promis e �� de°stan'd thatna�s pah at permit may be req g e d for Ie lec tr ct I work�,
this affidavit prior to commencing construction. I un lication
si ns, wells, pools, air conditioning, gas, or other installations not speafically included in the app
plumbing, 9
P
ermit issued shall be construed to be a license to p hal�essua'ncehof a pe mitprevent thehBu ding Off ceat from thereafter
set aside any provisions of the technical codes, nor s
requiring a cor�ection of errors in plans, constructionencedl within s zamonths of perm pssualnce,uo aif wolrk authorized by
unless the work authorized by such permit is comm gp days and will demonstrate
the permit is suspended or abandoned for a perioOd�c al fo6a per ohd notttoh xcleedtn n�{yr�is>commenced. An extension
may be requested, in writing, from the Building consecutive days,the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)
ARNING TO OWNER: YOUR FAILURE TO RECORD RTM T�F YOU INTOEND TO BTA N F/INANCSNGTCONSULR
W N EM NT.
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE
WITH YOURT ENDE ROR AN ATTORNEY BEFORE RECORDING YOUR N TI
FLORIDA JURA (
CONTRACTOR
OWNER OR AGENT Subscribed and swo or affirmed)before me this
Subscribed and sworn to(or affirmed)before me this bY
by Who is— /are personally known to me or has/have produced
Who is/ ear p re sonally known to me or haslhave produced
as identification.
as identification.
Notary Public
Notary Public
Commission No.
Commisslon No.
Name of Notary typed,printed or stamped
Name of Notary tYPed,printed or stamped
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t�' �� PURCHASE ORDER
City �f �ephyrhilis 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'b]vinyl chain]k 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 manufachuing,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 shail be entitled to rescind the order and retum the unused merchandise and shall also be held hannless by the
manufacturer or seller against any penalty incurred and/or the cost of defense of any proceeding designed to penatize 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 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 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