HomeMy WebLinkAbout13-14662 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sss)�so-oo20 1 62
FENCE PERMIT
Permit Number: 14662 Address: 4740 4742 17TH ST
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: 14-26-21-0010-02700-0120
Improv. Cost: 3,476.00
Date Issued: 10/28/2013 Name: MAHILUM, FLORDELIZA
Total Fees: 45.00 Address: 27 BENSON ST
Amount Paid: 45.00 BLOOMFIELD NJ 07003-2721
Date Paid: 10/28/2013 Phone: 201-341-2724
Work Desc: INSTALLATION 162' X 4' HIGH VINYAL FENCE
LOWE'S HOME CENTERS IN (407)832-8085 FENCE 45.00
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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 Ci 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
c,�.,—rv�—..��., via� v� ._vp.�������� . ..���.... .��..__......
Building Department
.
Dats Recsived Phons ontact f.or Pe ittin �1 Z.�9 — q'
Owner's Nama � '2.p A Owner Phone Number 2GU i—3H/` �7�
Owner's Address �� �d ►�rh sT Owner Phone Number �
Fee Simpla Titleholder Name � ar Phons Numbsr
Fee Simple Titleholder Addreas '�` � '�� ,S T
JOB AQDRE38 �7`�b 17 7�h ST 2�Pti�y h�1 t s 3 3 s5�'z �ot� i�
8UBA11/181�N IMoc 2�S 1 ST AC�c� PARCEL ID# �'N�-2!o- 21- Oe O--C9�7�e+ -��Z O
(OBTAINED FROM PROPERTY TAX NOTIl3E)
WORI€<PRf�O$ED B NEW CoN57R 8 ADD/ALT Q SIGN Q Q DEMOUSH
INSTALL 17EPAIR
PROR08ED.USE Q SFR �] COMM Q OTHER
TYPE OF CON87RUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP'fION OF WORK -tN sTA�r J��.' O t �{r /��� � j � FC+J�t
BUILDIN(i 31ZE SQ FOOTA(3E� HEI(iHT
�'�UILDING S ��.7�, �Q VALUATION OF TOTAL CONSTRUCTION
C]ELECTRICAL �� AMP SERVICE Q PROC3RESS ENERGY Q W.R.E.C.
QPLWMBINCi a
V LU TION OF ME HANICAL INSTALLATION l ������� ��
QMECHANICAL � A A C � (oyt, l
�,t!_L
Q(3AS Q ROOFING Q SPECIALTY � OTHER `-' -�''� � �
�L,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N��
G (��2� �l''
BUILDER COMPANY �ocw�eS Ncmt, c.e���2� �nl c.
81GNA7URE � REGISTERED Y/ N FEE CURRE� Y/N
Address o (�o� � �i�S �1'A�d° ��-�7�' uce�se# G�oG I 50 ��17�
ELECTRICIAN COMPANY
SICiNATURE REC3ISTERED Y/ N FEE CURRE� Y/N
Address Ucense#
PLUMBER � COMPANY
81�NAtURE REGISTERED Y/ N FEE Cu�tEn Y/N
Address License#
MECHANICAL COMPANY
31(3NATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# � �
OTHER COMPANY
$K3NAYURE REf31STERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuctlon,
Minlmum ten(10)w�orking days after submittal date. Required onsite,ConstrucUon Plans,Stormwat�Plans w/Silt Fence i�stalled,
Sanitary FadllNes�1 dumpster;Site Work Perm!t for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pennit far new construcUon.
Minimum ten(10)working days after submittal date. Requlred onsite,ConstrucUon Plans,Sbrmwater Plans w/Silt Fenpe installed,
Sanitary Fadlides 81 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance
81(iN PERMIT Attach(2)seb of Engineered Plans.
Ri��PROPERTY SURVEY required for all NEW construcUon.
DlrecNons:
Fill out application completely.
Owner 8 Contractor sign badc of applicaUon,notarized
If over s2500,a Notice of Commencement is requlred. (A!C upgrades over=TS00)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER P�RMITTINO (Front of ApplicaUon Only)
Reroofs if shtngles Sewers Servtce Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubNc roadways..needs ROW
NOTICE OF DEED R��TRICTIONS: The undersigned understands that this permit may be subJect to"deed"resMcti�ns"
which� er�ay be rr►o�.r�i�tfve than County regulations. The undersigned assumes responsibility for compliance with a,ny
appticable deed restrictions.
UNLIGENSED C�N'�'�i0►�TORS AND �dW'FR74CTOR RESPON$IBILITIES: If the owner has hired a contractor or
contFactors to undertake work, they may be required to be Iicensed in accordance with state and local regulations. If the
con�€actor is not (icen$ed as required by law, both the owner and contractor may be cited for a misdemeanor viot�tion
under state law. If the�owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are �dvised to co�tact the Pasco County Building Inspe�tion Division—Licensing �e�tion 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 will be respor�sibie. If you, as tt�e owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRdM'SPO�t�ATION IMPi1CTlUTILITIES IMPA�T AND RESOURC� REC�VERY FEE3: The undersigned understands
that Transportation impect Fees and Recourse Recovery Fees may �pply to the construction of new buildings, chan e of
use in existing buildin�, or �xpansion of exiati�g buildings, as specified in Pasco Cot�nty Ordinance number 89-(?�'arit�
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 further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pi`fbr to
receiving a "certifl�ate of occupancy" or flnal power release. If the project does not involve a ce�tificate of occupancy or
finai power release, the feas must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
fees-are.due,..they must be paid prior to permit issuance in accordance with applicable Pasco County ordinarrces.
CO�lgTRUCTION"LIEN LJ41IV(Chaptar 713, Florida 3tatutes, as amended): if valuation of work is$2,500.00 or more, I
certify that I, the appllaant, have been provided with a copy of the °Florida Construction Lien Lauv--HoFneow�gr�s
P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affafrs. if the applicant is someone
othe�than the"owner", I eertify that i have obtained a copy of the above described document and promise in good�aith to
deli�er it to t�ie"owner"�prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that ail the information in this application is accurate and that alw work
will�be done in compliance with all applicable laws regulating construction, zoning and tand development. Application is
hereby made to obtain a permit to do work and installatlon as ind(cated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws reguFatang
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and't�ia� it is
my responsiDe art enttof Environtmental P otect on Cypress Bayheads SW tlagd Areas and Enviro ment'atlyt3ensitive
P
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Ba�heads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departrnont of Heaith 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envlronmental Protection Agency-Asbestos abatement.
Fede�al A�iation Authority-Runways.
I understand that tl�e foliowing restrictfons apply to the use of fill:
Use of fili is not allowed in Flo�d Zone"V"unless expressly permitted.
w If the flil material is to be used fn Flood Zone "A", it is underatbod that a drainage plan addressing a
"compensating volume" will be subm(tted at tfine of permitting which is prepared by a professionai engtneer
Ifcensed 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 wali
co�sttuct�on, I c�rtify th�f flll will be used only to fill the area withfn the stem wail.
If fill material is to be used (n any area, I certffy that use of such �theilowner mayrbeicit d for vi�olatit�g.
properties. if use of fill is found to adversely affect adjacent properties,
the conditions of the building permit issued undertMe 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 F`L�)R THE OWNER�tructi nis I iu derstanid thatna�s pa�rat permit tmay be requi9r d fortlelecMcal work,
this affidavit prior to commenc g ag, or other installations not specifically included in the applicaEio�t: A
plumbing, signs, wells, poots, air conditioniw�g, g
permit issued shall be construed to�ecal codesenor shall i s afncehof a pe mitp event thehBu dirig iOfficiai from thereafter
set�aside any provisions of the tech
requiring a correction of errors in plans�rmit is otmmenced�within s zam nths of perm t pssuaince,uor�ff wolrk authoerized by
unl�ss the work authorized by such pe
the permit is suspended.or ab�ndo�he BuildingiOfficial fo6a period not to extceedtninetyr(9a) days and will demanstra e
may be requested, in w�'iting, from
just�i�bte cause for the extensior�. If�+►ork ceases for ninety(90)consecutive days, th�job is considered abandoned.
WA&�i1l�IG '�A OalVl!�: YDUR FAtLURE TO RECORD A NOTICE OF f@NlMEN�MEN'T MA� R6$�U�-T IN,1��
PAYtNG TWICE FOR IIr1iPROVEMIENTS TO YOUft PROPER�. G YOI��INTEI�TO QBTA�N�FtI+�►�N�� CONSULT
� F
FLORtt�A JUF�AT(F.S.117:0�)
CONTRACTOR
OWNER OR AGENT Subscribed and swom to(or afflrtned)before me this
Subsaibed and swom to(or afflrmed)before me this by
_______bY o is/are perso�ally known to rne or has/heve prod�eed
Who Is/are personaily known tb me or haslhave produced as IdentlficaHon.
as identlflcatlon.
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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TELEPHONE �;r:.r:. • TEi.EPHONE
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DATE LOWE'S CONTRACTOR UCEN6E NUMBER' �'�' �r�$ c�ari ,�:� e�r�c y. " �,p� x�r. ;a::':, . ,
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D—'State I:icense Number;�A�l OIt�eE.$tateS,'.-L?W9'a.Em •• .,,,r'r" .*+e: `%i±u;:.'��`f.��'�' ti,g .::-
' • �%U.,CT,FL,MA,MD,NV#�5�50 ugl�mlted,TN IN8088,'0 "`� +����.�.���r;,�`�'',�; � ."`�,. _ ,.�:•..�".�+: �':Fe''"�'- . : . ry• !
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Is Is a oontract tietween Lowe's as d�firied ii�•the,T�; a � '}�,�,- , '�!' . '•r. ;,.
Tli ( � '�Co�i¢'""`� _(`�,'�r8;�*.���e��rn►., ,,uS�F�,er'�e'�he rt�tll�tibn of goo�atthe
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3TREETADDRESB � CITY STATE f ZIP
Add�tfonal SpeciBceilons: The Environmental Protection Agency (EPA) has requested that � Mat'Is
�t:
Lowe's notHy installation customers that a lead based paEM hazard may exist In dwellings buiR ;;;.. : �'rax
prlor to7978. See pamphlet EPA 747-K-99-001 for details. , Labor
l.-aNC.3 �.�I ,n �' 1 !6z L o-f '�' �Ih i cYe-� � ��` �T�
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Work is to commence upon reasonabte avatlj�ility ot Corrtractor which Is anticipated to be t/d�f+�Y1 3_�S [�q In date].
Esdmated completlon date is�/lij�i� (� i'V�)f]�7S [flll In date].
NOTICE 70 CUSTOMER
All items Ilsted in this wntract and specification sheet(s)are to be installed under conditions agreed upon at time of purchase and at the price appearin8 on this
contract form. Thfs assumes sound existing substructures,superstructure and points of attachments. Extra labor or material incident to lnstaNation neoessftated
by defedtva substructures,superstructure,polnts of attachment,or the moving of fixtures or appliances to be billed at extra cost W customer.
DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONOITIONS CONTAINED ON THE
REVERSE SIDE OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOVYLEDOIN(3 THAT YOU HAVE READ, UNDER-
STAND AWD AGREE TO 7HE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SID�OF THIS CONTRACT.YOU ARE
ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE.
WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS �� pAY OF � ZD13 .
, /� (Seal)
Owne
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Speci o Above Spouse
PY 1. in`rtair 3o..E��xecuttoii'h`�reof. li credit is`.
Customer aclatowled of e true co of th s eoiitracE.''. icti� . • � lei�. p .^'•
- r� �°" Y by.wy'
'extbfdsd to you,you'trie buyer may canoei't[iia trahsa�tlon at eqY tiq}e'�n�o�'t��hli!d Mrsiaess.d '`after date of�I
Sae the attached notice of cancetlatfarri form tor ac►:qoipl�katR3n'cf'th'is�rl � ;: �,� ";�%.., �.,,'�,,. ;:� �Y: �t�!a s,trai�ctton.
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2013184315
Rcpt:1559385 Rec: 10.00
DS: 0.00 IT: 0.00
NOTICE OF CO�VIMENCEMENT 10/28/13 L. Korb, Dpty Clerk
Permit No.
TaxFolioNo. ty�-�(.-21 - Ca �Q �- O �?op -Ol '26
THE UNDERSIGNED hereby gives notice that the itnprovements will be made to real properiy, and in accordance with Section 713.13 of
the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
►�Q c���e. 5 ! S T /}d o( T'n �u t..i� �-� 2�Pti,e Y h,'J/s �!� i ,�9 S 7 r/.t. S o u-r�, y 6 �Z t
1.Description of properiy(lega!description): � � nl Q 1 �f Lc7- �
a) Street(job)Address: �'7 `�O �- 4' 75f� � � i� 5�f Z�P��zy!'►�"N S !=L '3 3 'V� •�- c.�./.�jQ � ----
2. General description of improvements: /=e.,e.� t.2
3. Owner Informarion � �•7 �E _
a)Name and address:__�]A.�i�c,� M C-i Z,� - ��,L�+i''T��, I T �/� S T ZQPf�r?Y h r �l 5 /=[ 3 3 S i/Z
b)Name and address of fee simple titleholder(if other than owner) °
Interest in property Owner -
4. ontractor Information
{LQ )Name and address: Lowes Home Centers Inc. P. O.Box 781993 Orlando FL 32878
b)Telephone No: y,p_ 7- Ss'�,2--�0 �' Fax No: GL
5. Surety Information `
a)Name and address�_NA PRULq S 0'NEIL,Ph D PqSCO CLERK d COMPTROLLER
b)Amount ofBond: NA 10/28/13 01:33 m 1 of 1
c)Telephone No:_NA p� BK ���� P� ����
6. Lender _
a)Name and address: NA
b)Telephone No: NA Fax No: NA
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served
a)Name and address NA
b)Telephone No: NA Fax No. NA
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(T)(b),
Florida Statutes;
a)Name and address: NA
b)Telephone No. NA Fax No. NA
9.Expirarion date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNTNG TO OWNER:ANY PAYMENTS MADE BY TIiE OWNER AF'I'ER THE EXPIRATION OF THLS NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13.FLORIDA
STATUTES CA�1 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT
MUST BE 1�CORDED AND POSTED ON THE JOBSITE BEFORE THE FII2ST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,
CONSULT YOUR LENDER OR AN ATTORNT�Y BEFORE COMMEIVCING�WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
State of Florid �
�f�,,� .�• � �
County Of 10. �
Signatu o wner ar Ownyer�'s Authorized Officer/Dirxtodpartnedlyanagu
I !•i / ��
Print Name
� i NATABHA A.BUCNANM�
The foregoin instrum t w acknowledged beFore me this day of O � 2 3 .by L� IAYCOM����
'� (type of authority,e.g.officer;trustee,attorney in fact) 'JIW 90,Z017
for (name of party on behalf of whom in ent was ecute Ba�d�diMOi�t�t91��
Personally Known OR Produced Identification� Notary Signature
Type of Identification Produced /V� �� Name(Print) _
---AP1D--
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pequry,I declare that I have read the foregoing and that the facts stated in it are true ta the best of
my knowledge and belief. '
� �_�� 0
STORE� "T�—�'� ` �/ ���� `' �
/�� � Signafure of atural Person Si 'n �
� gru g(in line 10)Above
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Jacqueline Boges
From: Jacqueline Boges
Sent: Wednesday, October 23, 2013 11:40 AM
To: 'MONICA WATSON'
Subject: FENCE BP 4740 4742 17TH ST
Monica I received permit application for 4740-4742 20th st the cost is $45.00
1 Please record and send NOC with agent.
2 We also need a copy of lowes Business Tax receipt from Orange County
(USE TO BE CALLED OCCUPATIONAL )
These 2 items needed at permit pick up.
Thank you Monica.
jackie Boges (ext 3513)
What Greater love can a man give......
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