HomeMy WebLinkAbout14-14911 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14911
FENCE PERMIT
Permit Number: 14911 Address: LS 54 EAGLE RANCH C
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:
Date Issued: 1/21/2014 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 5335 8TH ST
Amount Paid: ZEPHYRHILLS FL 33542
Date Paid: Phone:
Work Desc: INSTALLATION 6' BLACK CHAIN LINK FENCE LS 54 SEE BP 14909
U S A FENCE COMPANY 813)677-4411
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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
� N
NTRAC PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 �ity of Zephyrhills Permit Application Fax-813-780-0021
Bui�ding Department
Date Received Phone Contact for Permittin /3 � 7 7 __ �t f( /
Owner's Mame 7 �" Ot= � �l /�{�t 4 ��s Owner Phone Number �! ?J— 7�f� �OD� ,�' 3 �
Owner's Add�ess Owner Phone Number
Fee Simple Titleholder Name �— � Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �cS 7� C !� y�yt/ci� —C/�"�/� � �c� r� ,rj�� LOT# ��
SUBD�VISION � —� pARCEL ID#
(OBTAtNED FROM PROPERTY TAX NOTICE)
1NORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Ce '�� ��7� L!'?/� -�—�NG(`/
BUILDING SIZE SQ FOOTAGE� HEIGHT �.
OBUILDING S VALUATION OF TOTAL CONSTRUCTION `C���_ ��
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �
OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY CJS 1� ��e� �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
Address 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# --1
MECHANICAI. COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 Pians w/Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,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 consVuctlon.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over sT500�
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application 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 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
cont�actor 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 Transpo�tation 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 Const�uction 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
wilt 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
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 restriciions 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�II 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�II, 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 cor�ection 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, CONSUL7
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(or affirmed)before me this Subscribed and b om to(or affirmed)before me this
by y
Who is/are personally known to me or haslhave produced Who(s/are personally known to me or has/have produced
as Identlfication. as identification.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� L S # 54 N
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Address:
� Eagle Ranch - C Ave & 16th st
Latitude / Longitude
28°13'34.79"N / 82°10'32.83"W
� � ���� . Ul /17/2014 08: 13 #076 P. 002/004
:� � � ��< PURCHASE ORDER
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City �f �eph�rhills N�. 00022611
VENDOR: SHIP TO: BILL TO:
USA Fe��ce Company Wastewater Ptant City of Zephyrhills
2001 North 40th St 39825 Alston Avenue 5335 8th St.
Tainpa, FL 33605- Zephyrhills, FL 33542- Zephyrhills, FL 33542
VENDOR NO. VENDOR PHONE NIJMBER TERMS DATE REQUIRED DELIVERY DATE
USAFence ( ) - 0 01/17/2014
SHIPPING [NSTRUCTIONS
(none)
ITEM QTY U/M DESCR1PTlON/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
1 1.00 LS 13 - 144'of 6'ht chain link, 041-3500-535-6322 1,763.0000 1,763.00
14'doubie gates. Not to exceed
total cost of PO based on quote
dated 12-19-l3.
2 I.00 LS 31 -78'of 6'ht chain link, 041-3500-535-6322 1,0�8.0000 1,078.00
14'double gate.
3 1.00 LS 46-72'of 6'ht chain iink, 041-3500-535-6322 1,Q37.0000 i,037.00
14'double gate.
4 [.00 LS 54-76'of6'ht chain link, 041-3500-535-6322 1,093.0000 1,093.00
14'double gate.
IMPORTANT: OU[Z ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
This order is given upon the representation and guaranty of the maeiufacturer or seller that no breach of any State or Federal Law or Regulation has occun�ed in
connection with the manufaeturfng,processing,branding,labeiing w•hansportatiwi of the inerchandise herein mentioned. If such breach occurs or is charged by any
legaily constituted State or Fedeial authority,the buyer shall be entiUed io rescind the order and return the unused merchandise and shali also be held hannless by the
�nanutacturer or seller against any penalty incuned and/or the cost of defense of any proceeding designed to penalize the buyer therefor.
� � ����. U1 /17/2014 08: 14 #076 P.003/004
Page: 2 Purchase Order No. 00022611
ITEM QTY U/M DESCR{PTION/TASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
S UBTOTAL: 4,971.00
TAX: 0.00
SHIPPWG: 0.00
TOTAL: 4,971.00
TP.?�ABLE: No
CONFIRMIt�IG: No
�,��M�.n�,�----�--�
AUTHORIZED SIGNATURE
SPECIAL TNSTRUCTCONS:
IMPORTANT: OUR ORDER tVUMBER 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 Pederat Law or Regulation has occuired in
connection wi[h the manufacturing,processing,branding,labeling or hansportation of the merchandise 1�erein mentioned. If such breach occurs or is charged by any
legaliy constituted State or Federal authority,the buyer shall be entitled to rescind the order and reium the unused merchandise and shall also be held hannless by tlte
manufacturer or seller against any penalty incuired and/or the cost of defense of any proceeding designed to penalize the buyer therefoi.