HomeMy WebLinkAbout13-14380 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 14380
FENCE PERMIT
Permit Number: 14380 Address: L.S. # 28 BRENTWOOD DR
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: 1,519.00
Date Issued: 7/22/2013 Name: CITY OF ZEPHYRHILLS L.S. 28
Total Fees: 60.00 Address: 5335 8TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: CHAIN LI K FENCE 448 LINEAL FT (16 X 28) L.S. #28 P.O. 20980
U S A FENCE COMPANY 813)677-4411 FENCE 60.00
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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
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8�3-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received "�
�� � Phone Contact tor Permittin ��✓� � �7-__`% L�� �
Owner's Name j G� �" �� j y(� � / 11.5 Owner Phone Number
2 •�,�.
Owner's Address �✓ % � � ��� Owner Phone Number
Fee Simple Titleholder Name �— —� Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS LOT#� �
SUBDIVISION PARCEL IDN
(OBTIVNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q [� DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
� �
DESCRIPTION OF WORK .�•�•'��j'�1/ �•17� L.i w�C /�,trc i l�,�✓f T � C,•7-�'�,S
BUILDING SIZE �---� gp FOOTAGE� HEIGHT �C' � �
OBUILDING S ��L��i �i� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING Z
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
...�---� �,y
BUILDER � � � ' ---� COMPANY L�5 /� .'t�'LG�- C�'�/�f'I'W�
SIGNATURE � � . � REGISTERED Y/ N FEE CURRE� Y/N
Address License# "����/� l 7�-
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 Buflding Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
e�s-�eo-oo2o City of Zephyrhilis Permit Application Fax=813-780-0021\
Building Department ,
Date Received � /�i /j Phone Contact fo�Permittin �"�.� � ��?—__`71��� �
Owner's Name � L� � �� y!� / 1( •S Owner Phone Number
Owner's Address �3 3 �� �` � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee 3impte Titleholder Address
JOB ADDRESS LOT i� ��
SUBOIVISION �— PARCEL ID#
(OBTAINED FROAA PROPERTY TAX NOTICE)
WORK PROPOSED � 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 Q
DESCRIPTION OF WORK •-L�'���� `h'�"t� �-�wK /�_�1/Ct, G��/fj � C:9-�-S
� , :
BUILDING SIZE SQ FOOTAGE� HEIGHT �["
QBUILDING S j���-�J` �� VALUATION OF TOTAL CONSTRUCTION
!
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � ' � COMPANY 1/5 �� f�G�' �-C�H'tl�4t'w i'�
SIGNATURE t� J�GV-��� REGISTERED Y/ N FEE CURRE� Y/N
Address License# "�����/�v l 7�'
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
PLUMBER COMPANY
SIGNATURE REGtSTERED 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 Facllitles 8 1 dumpster;Site Work Permlt for subdivisionsAarge projects
Ct7MMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
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 constructlon.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over=2500,a Notice of Commencement Is required. (AIC 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 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 RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more �estrictive than County regulations. The undersigned assumes responsibiliry for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are unce�tain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wiil be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is fu�ther understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate 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 applfcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amendedj: If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Fiorida 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'SIOWNER'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 regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercou�ses.
- 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 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 fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set fo�th in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,
the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FO R'OR AN ATTORNEY EFORE REPORDING YOUR NOTICE OF OAtN FICENCNT, CONSULT
WITH YOUR LENDE
FLORIDAJURAT(F.S. 117.03) �_--- -- � t ����LG�
OWNER OR AGENT .�.OI�t7'RACT
and m (or aHirmed)before me thls
Subscribed and sworn to(or affirtned)before me this bY
bY Who Islare personally known to me or haslhave produced
Who islare personally known to me or haslhave produced as idenUfication.
as IdentlflcaUon.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped
Name of Notary tYPed,Printed or stamped
rage i or i
bob.barton@myusafence.com
From: Tom Shotts [tshotts@ci.zephyrhills fl.us]
Sent: Monday, July 15, 2013 9 47 AM
To: BOB.BARTON@MYUSAFENCE.COM
Subject: City of Zephyrhiils— USA Fencing Bid from 6/12/13 has been Accepted—$5507 00
Attachments: 2013_06_12_08_48_50 pdf
Hello Bob,
The attached bid that your company submitted to install fencing for the cost of$5507.00 at the City of
Zephyrhills lift station locations 28, 29,40, and 58 has been accepted. If you could please,give me a call so we
when you are ready to begin or if there is any remaining information you will need from me.
Please make sure to acquire permits from the building departm.Qnt b�f�re beginning.
Once completed we will be charging this wor ' at$5507.00 to PO#20980. �
Location Approximate Address Fence Fence Gate Sizes/Types Latitude Longitude
Dimensions Material
e,; L/S#28 6260 Brentwood Dr. 16'x 28' Chain-Link 6'H x 14'W Double 28° 82°
��/� ✓ Gate 14'S7.73"N 12'15.79"W
j 3vJ.
cv L/S#29 0 North Lake Dr. 12'x 20' Chain-Link 6'H x 14'W Double 2g° g2°
✓ Gate 15'6.15"N 12'9.61"W
f35� �� L/S#40 6941 North Lake Dr. 14'x 25' Chain-Link 6'H x 14'W Double 2g° 82°
✓ Gate 15'32.36"N 12'8.82"W
� L/S#58 Links of Silver Oaks- 12'x 24' Chain-Link 6'H x 14'W Double 2g° g2°
13�� ✓ Simons Rd Gate 15'23.24"N 12'23.72"W
My cell phone number is 813-714-5470 and it is the best way to get in touch with me during business hours
(Mon-Fri 7am-3:30pm).
Thank you for your time,
Thomas Shotts
Supply and Purchasing
Utilities Department
Citv of Zephyrhills
39825 Alston Ave.
Zephyrhills, FL. 33542
O: 813-780-0000 Ext. 3566
C: 813-714-5470
F: 813-780-0613
Tshotts@ci.zephyrhills.fl.us
"Live as if you were to die tomorrow
and learn as if you were to live forever."
�Mahatma Gandhi
7/15/2013
PURCHASE ORDER
�ity �f �ephyrhills No. 0oo2o9so
VENDOR: SHIP TO: BILL TO:
USA Fence Company Wastewater Plant City of Zephyrhills
2001 North 40th St 39825 Alston Avenue 5335 8th St.
Tampa,FL 33605- Zephyrhills,FL 33542- Zephyrhills, FL 33542
VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIRED DELIVERY DATE
USAFence ( ) - 0 07/12/2013
SHIPPING INSTRUCTIONS
(none)
ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
1 1.00 LS28 88'of 6'ht chain link, 041-3500-535-6322 1,519.0000 1,519.00
14'double gate,7ga bottom
tension wire. Not to exceed
total cost of PO based on quote
dated 6-12-13
2 1.00 LS29 64'of 6'ht chain link, 14' 041-3500-535-6322 1,301.0000 1,301.00
double gate,7ga bottom
tension wire. Not to exceed
total cost of PO based on quote
dated 6-12-13.
3 1 00 LS40 78'of 6'ht chain link, 14' 041-3500-535-6322 1,351.0000 1,351.00
double gate,7 ga bottom
tension wire. Not to exceed
total cost of PO based on quote
dated 6-12-13.
4 1 00 LS58 72'of 6'ht chain link, 14' 041-3500-535-6322 1,336.0000 1,336.00
double gate,7 ga bottom
tension wire. Note to exceed
total cost of PO based on quote
dated 6-12-13.
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 designed to penalize the buyer therefor.
Page:2 Purchase Order No. 00020980
ITEM QTY U/M DESCRIPTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
SUBTOTAL. 5,507.00
T�: 0.00
SHIPPING: 0 00
TOTAL: 5,507.00
TAXABLE: No
CONFIRMING: No
/�'����^—."„
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 Fedeial Law or Regulation has occurred in
connection with the manufactaring,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 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