HomeMy WebLinkAbout13-14668 . CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 146
FENCE PERMIT
Permit Number: 14668 Address: 7142 LANDOVER 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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0600
Improv. Cost: 3,004.19
Date Issued: 10/25/2013 Name: MERCADO MAYRA
Total Fees: 70.00 Address: 7142 LANDOVER DR
Amount Paid: 85.00 ZEPHYRHILLS FL 33540-1407
Date Paid: 10/28/2013 Phone: 813-516-4952
Work Desc: INSTALL 70' x 6 PVC PRIVACY FENCE
DANIELLE FENCE MFG CO INC (863)425-3182 FENCE � � 40.00
CONTRACTOR ERTIFICATE ��� 30.00
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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 coirections 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
C NT OR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� 'I� Result Report p �
10/25/2013 10:49
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Addressee Start Tfine Tf�e Prints Result Note
918634255676 10-25 10:48 �:00:43 002/002 OK
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Note M : Mixed Orsginai TX CA�• Manuai T�t. CSR�s CSRC FWD: Fo�u�a�d. PCe pC-Fax.
BNDs uibyle-s'ded Binding irection. SP: Specie1 or'ginal. FCOpE s F-code RTX: Re-TX.
ILFAX�Internet�Fax��identiai. BUL: Builetin. SIP: S�IP Fax. IPADR: IP Address Fax.
Result 01(: Communication OK, S-OK: Stop Cor�nunication, Pw-OFF: Power Switch OFF,
TEL: Rx from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M-Fu11:Me�norY Full,
LOVR:Receiuing length Ouer, POVR:Receiuing pa9e Ouer, FIL:File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
City of Zephyrhills: ��
Building Dopart:aent
�
Phone: (813)-750-0020
Fax: �813)-780-002t
------------------------------------------------------------�
: TO: Daaielle Foncc FROM: Jackia
� FAX: 863-425-5676 FAX#:813-780-0021
� DATE: 10/25/13 #OF PAGES: 2
� MESSAC�E:
� Ploaso fill out w9 and fax bacic to my attaitaon. I n�d to hava informarion in order to
: proceas claeck for reRund for Mayra MGrcado Q 7142 I,andover driv�over paid$15.00 on
parmit oost_
"I'1'isalc you
Jackie Boges SCSS
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �, �Gr / /G C u
Phone Contact for Permittin� � �� p
T fT-1-�Tf- -��--r-�
Owner's Name L(, �lrL� Owner Phone Number �,/-,s s
Owner's Address � ��{� L(,�,//� �/'�(/' ��- Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �y� LQr�,U V�y^ � LOT# ��
SUBDIVISION �I � (/� PARCEL ID# ,/S-� l-a�- ('Q — ODOpU--U/p0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL �
DESCRIPTION OF WORK 7U� O� ��'���( � (f�(j g (_ ((�" ��
BUILDING SIZE � SQ FOOTAGE� HEIGHT `�d ! ��� d�yu-J�
�T
�BUILDING $ ,nN (' '� VALUATION OF TOTAL CONSTRUCTION
liLJ`--�
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0
�PLUMBING $ '
�����
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS � ROOFING � SPECIALTY O OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
�'-F-1-1-'.--i�'�--'�T'-��: i �,'--C�'-���'-'-'.--T--ri-i�r4-1-�1-:--ri-T�.--�-�-r-'r-'�' i-���-�-i �
BUILDER COMPANY �aG�f
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# -�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y!N
Address License# -�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �- -�
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# r-
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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 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
�{�I�I�I���I�I�I�L��I�L��4:w�i�C��'�"�i�iT'��'�� .�� � � � � � � � � � ���T�����i..'^'w' '�'
Directions:
Fill out appiication completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (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 Application Only)
Reroofs if shingies Sewers Service Upgrades A/C Fe�PIoUSurvev/Footaqe)
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 restrictive than County regulations. The undersigned assumes responsibility 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 uncertain 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 will be responsible. If you, as the 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
TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES The undersigned understands
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 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'S/OWNER'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 instaflation 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
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.
- 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, I promise in good faith to inform the owner of the permitting conditions set forth 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(cr 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/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
From:Danielle Fence 8634255676 10/25l2013 12:59 #640 P.001/002
Fron: 10/25/2013 10:49 #513 P.001/002
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Phome: (813)-?80-0024 `<.'�
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Fax: (813}780-0021
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� TO: DaaielleFence-------�---_____FROM:Jacacie ----------------------i i
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� FAX: 863-425-Sb76 FAX#:813-780-0021 ; �
� DATfi: 10/25/13 #OF PAGES: 2 '
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� Please fill out w9 a�nd f�c back to my attention.I need to have information in order to �
� process check for refund far Mayra lViercado @'714?L�ndover drive over paid$15.a0 on �
; peamit cost. ;
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; Iaclde Boges SCSS ;
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Personally Known
Or Produced Identification
Type of Identification
October 17, 2013
Building/Permitting
City of Zephyrhills
ATTN: Permitting Department
To Whom It May Concern:
I would like to authorize the following people to apply for and pick up Danielle Fence
Mfg. Co., Inc. Building Permits (this letter will replace all previous letters):
Thom Simon Alan Salvo Mark Caldwell Doug Hall
Paul Miller Hannah Glogower Trish Standard Todd Weihmeir
Dan O'Connell Cheri Glogower Kristin Wood Celeste Thornton
Bill Johnson Mike Gomez Don Padgett Jeana Allen
If you have any questions or concerns; please call our office, 863-774-0030 or 863-425-
3182.
Thank you,
` ..i-'��—
i
;� M Glo wer
/ resident
STATE OF FLORIDA
COUNTY OF POLK
The foregoing instrument was acknowledged before me this ��S�day of
��f- ��', 20 �`3 by (,�al�- for �-M,�.�
HEATI�IER MILLER
NotarY PubNc.3hb of Florids
MY Comm.Expins Jun�a 2015
Commhtion No.EE fS6096
Print T e or Stam name of Notar
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DATE: —( � Sales Order #: I'_-Code:
Name: ' �'g�,. "
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Jobsite Address: j..�
City, State, Zip: � '' S �,
Billing Address:
" City, State, Zip:
Email: Jyl � �� �G1 � � Work Email:
` Home Phone: Work Phone:
, Cell Phone 1: j�—�l6— � Z Cell Phone 2: ,
ir' °�' Fax #: '
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Project Description TOTAL $
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SUB TOTAL �
3%Cash Only Discount(NO CC) $ � �
``',r TOTAL : «�, ''�• !�
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Project Options
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OPTIONS TOTAL : ,$` '. �O
CONTRACT TOTAL : $ . , �
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BALANCE : $
Notes
ACCORD�16 TO FLOR�A'S CONSiRUCTIOM LIEN LAW[SECi�NS 113.001-113.31,FLORIDA STAIUTESI.TNOSE WNO WORK ON YOUR PROPERTY OR pR0Y1DE
MATERIALS AND ARE NOT PAID IN fllll NAYE A RI6NT TO ENfORCE THEq11xAIM FOR PAYMENT A6A�IIST YOUR PROPERTIf.THIS CLAIM IS KNOWN AS A
CONSTRUCiION IJEN.If YOUR CONTRACTOR OR A SUBCONTRACTOR fAla TO PAY SUBCONiRACTORB,SUB-CONTRACTORS OR MATERIAL SUPPLIFRS OR
NEGLECTS TO MAKE OTNER LE6ALLY REQII�PAYMENTS.TNE PEO�f WHO ARE OWm MONEY MA1f LOOK TO YOUR PROPFRT1f FOR PAYMEMT,EVEN ff
YOU HAVE PAID YUUR CONTRACT�l fULL I�YOU FAII TO PAY YOUR CONTRACTOR,YOUR CQNTRACTOR MAY ALSU IIAYE A LIEN ON YOUR PROPBtTY.THIS
MEANS IF A LIEN IS FIL�YOUR PROPBtiY COIN.D BE aOLD A6AINST YOUR WILL TO PAY fOR LABOR,NUTERIALS,OR OTI�R SERYICES TNAT YOUR COMTRAC-
� TOR OR A SI�CONTRACTOR MA1(NAYE fA�ED TD PAY.TO PROiECT YOINiSELF,YOU SNOULD SiIPULATE IN TNIS CON�fRRACT THAT BEFORE ANY PAYMEIIff
- IS MADE,YOU�CQ�M�ICIQ6 I�I�QUIR�p_Tp_�Rpy�IF YQO WIiH A WR[iTEN RELEASE OF LIF1!FROM MIY PER�ON OR COMPAMY THAT HAS PROYIDED TO
YOU A"NOTICE TO OWNER."FLdRIDA'S I�N$TR16CT�W LIEN LANI�$�CUI�NI�:FX,�NAIU�I�1S R�ONqi��DED�Il�3;1i�NE�iP�R=1k��'�lFt!'r�RQ�LEM�Il�l�ES:
YOU CONSULT AN ATTORNEY.
A� '..r
We hereby propose to furnish labor and materials completely in accordance with the ab ve p cifications for the sum of:
Total price (includes tax) $_�j �r � �, z, � Deposit $ � �. �'�
When permit is required, permit fees and a $35 service e will be to c pcted price listed above.
;; Danie!!e Fence authorized representative ° Npm2 �printed��d�? o
,' ACCEPTANCE OF PROPOSAL/CONTRACT PLEASE NOT : price valid for�_ days.
The above prices, specifications a d con ' e ereby ACCEPTED. See back for contract terms and conditions.
CUSTOMER: Date: �
,�
�Polk: (863) 425-3182 Hills: (8i3) 681-6181 Mailing Address: 4855 S.R. 60 W. Mulberry, FL 33860
�Polk Fax: (863) 425-5676 Hills Fax: (813) 676-1109
Design Center: 4855 State Road 60 West Mulberry, FL 33860 `�`�`Nw•daniellefence.com • sales@daniellefence.net
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WARNINO TO OVWER: qNy PAYMENTS �C«��a����h sped�yx .
ME.CONSIOEREO,IMFRaPER.P.A MADE Bl�TFIE OVN1gt AFTER 7F�EXPIRATION OF THE NOTICE OF CO �
RESULTIni �TS'•UNDE7t-CFfAP7FR�7iT-RART�1, �RAEkf � uDi
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tiECORd£D AND POS��D ON THE JOB SITE BEF�TO YOl1R PR�r. A NOTICE OF COM�N(,`�MEM AIIIST� r+o
WITH YOUR LENDER Gt2 AN AT70RNEY BEFpqF��F�T��E�T��.�YOU INTENp TO OBTAIM FNANC�N(i��7 � �
CW�yIENCW(i WORK OR N01'OINt NOTICE OF(�MtitE1VC�I�IENT.
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