HomeMy WebLinkAbout14-15275 .l
. CITY OF ZEPHYRHILLS
5335-8TH STREET
�� (sispso-oo20 1� 5
FENCE PERMIT ;
PERMIT INFORMATION ' LOCATION INFORMATION � �
Permit Number: 15275 Address: 7959 MERCHANTVILLE CIR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESNIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-0550
Improv. Cost: 5,150.00 OWNER INFORMATION
Date Issued: 5/14/2014 Name: HART EDWARD J JR
Total Fees: 50.00 Address: 7959 MERCHANTVILLE CIR
Amount Paid: 50.00 ZEPHYRHILLS FL 33540-2074
Date Paid: 5/14/2014 Phone: 813-845-8726
Work Desc: INSTALL PVC FENCE 227 LINEAR FT 6 FT H
CONTRACTOR S APPLICATION FEES
FENCE OUTLET OF TAMPA IN (407)851-6660 FENCE 50.00
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Ins ections Re uired
FINAL
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 f� 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 properly 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
�u��� � �
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
: :._ ,
AUTHORIZED AGENT _
- AFFIDAVIT
I �2'� ��1V10(� hereby grant authorization to.. S"�lU e, NGll.l�f'OC�LI
(Contractor) (Authorized Agent)_
to act in my behalf with the Hernando County Development Department while conducting activities
related to obtaining permits. These activities specifically include signing all documents requiring
signature of"contractor".
, . �� �Q 1�,1�i =is to be considered an agent of my business and
(Authorized Agent)
therefore the signature of said agent is binding and causes me to assume all responsibilities
connected to or associated with the signature as they may relate to my contracting business.
I t��f �(��'1� relieve the Hernando County Development of,
. (Contractor)
and agree to hold the Hernando County Development Department harmless from, any and all
responsibility, claims or other actions arising from or related to the DepartmenYs acceptance oF the
above agent's signature for permit-related activities. I,further understand that it is my sole
responsibility to grant and terminate any such authorization and to ensure that the Department
rece' e timely no ic of any such grant or termination. 1
�n.e � o �\`�2.>>v.��A
i ure of Contractor Signature of Agent
C � oas 2, �-{�R�`�1���I �
=State Certification or Registration Number
County Certification Number(if applicable)
**PLEASE NOTE: BOTH SIGNATURES MUST BE NOTARIZED'*
Notary for Contractor's Signature: Notary for AgenYs Signature:
State of � County of � � O State of �' L County of . e`�Y1q��V
The fore ing was acknowledged before me this 2 The foregoin was acknowledged before me this �'f'"�
d of Dl ,by day of � �/ , by�.�N��roc k i�
� p ,yyhp izparcnna���gyyn who person Ily known to me,or
to me,or who produced as who produced ` � as
identification. Identification. .,�0 q�
. �..�
ota P�tt�� ��nature pENNY F�RNANDQ tary Public Signature ���a��pr,,4 TERRI L.STOKES
'�'� �'' MY COMMISSION#FF 0600G0 `' �-- •'`� � '
�; .
:,: _ ;;: - `�-; No4ary Publlc-Siate ot Florida
�:, ;;; EXPIRES:October3,2017 =• •"e M Comm.Explres Aup 27,2016
Print, °� • Print,Type,or Stamp Name of N �,,� �,��;.�` CommissloR#EE 830572
� �'��°����`� � Bo ded h ational Notary Assn.
' � *The originaf of this affidavit should be kept in the possession of the above designated"Aut • ` �
need only be produced to Hernando County when signing documents in the presence of a permit representative. When you
sign a permit application be prepared to produce this affidavit,it will be copied and placed in the appropriate permit
application.*
x"The Departn:ent,at its discretion,may require a contractor or license-/rolder to personally apply for or obtain a building permit
notwillrstanding any aut/iorizntion a!lowing a�:otlier perso�r to apply for or obtain any permit on be/rqlf of a contractor,7ualifier,or
license-/�older. ,
Revised 08/21/00 contauth.sop
_...
I —
� ��� ��- -^ - � ������ � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllll � � � �
NOTICE OF COMMENCEMENT 2014076710
Permit No. ��Pti:1602891 Rec: i@,00
DS: 0.00 IT: 0.00
TaxFolioNo. 05/14/14 E. Munguia, Dpty Clerk
THS UNDERSIGNED hereby gives notice that improveme�s witl be made to certain real propeth',and in accordance with Section
713.13 ofthe Florida Statutes,the following informa2ion is provided in this NOTICE OF COA�NCEMENT.
1.Description of PmPertY�legal description):CCP�!/i C�., �/.y� Pa s� PG ia� �v 1 S'S-O f�-�73� P�- 6 3'Z �
a)Street(Jnb)Address:
� 2.General description of impmvements: t rt WI I G.'tt��• p gh
3.Owner Infom�ation
a)Name and address: ��4.,uNLsD N�� �79sg �e,���,a�,��//� C�¢ 2 CQ�cr�:/!J F!�3 S�/�
b)Name and address of fee simple titleholder(if other than owner) '
c)lnterest in ProperlY C�HG� •
4.Contractor I�'ormation • � � �
� a)Nameandaddress: �ev.[t o�.�.i�� �-ol S hal�Cf1A��EtG- �.� 7J�f�.�►} F/�J(o%
b)Telephone No.: � - �s'J�.'�ba.] Fax No (Op�) /3-b s/-�6sJ`
S.Surety Information �
a)Name aad address: ' �
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender •
' a)Name and address•
P6one No.
7.Identity of person within the Stat�of Florida designated by owner upon whom notices or other documents may be served:
'I a)Name and addre,ss: .
� b)Telephoae No.: Fax No. � '
� 8.In addition W ltimsel�owner designates the followiag pe�son W receive a copy of the�>or's Notice as provided in Section
713.13(I)(b),Florida Statutes: ' �
a)Name and address• '
b)Telephone No.: � • Fax No.(Op�) �
9.Expiratio�date of Notice of Commencemert(the esplratton date is one year ti�om the date of recording�uiiless a different date
is speci6e�: •
WARNWG TO OWNER ANY PAY1I+�NTS MADE BY THE pWNERTAFTER TSE EXPIRATION OF THE NOTICE OF
C011�NCEIVIENT ARE CONSIDERED IlVIPROPER PA,'YMENTS UNDER CHAPTER 713,P.ART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYII�TG TWIG'E FOR IIVIPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF CONIlViENCE1VIF,NT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE TTBEE FIRST
INSPECTION. IF YOU INTEND TO OBTAII�i FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
C011�VIENCING WORK OR RECORDING YOUR 11iOTICE OF COMIV�NCEMENT. •
sra�oF�.ouID� 10� �',r��/a"'��� .
cournvog�
S�gaadue of Ownet or Owoe�s Authorbed O�icer/Directpr/PettnerlManagcr
� � ..��v�t��l , 1�i4� j
Pnut Neme
Tfte foregoing instrumem was acimowledged before�e tlris �day of J�1 J�y 20�by
� � (type of aathority,e.g,o�tcer,trustee,
attomey in fact)for (name oi party b�liaV of whom instrument was ezecated).
Personally Known_OR P[oduixd IdentiScation� Notary SignaUu�e U�i-
� Type of Identification Produced_���•liC'� �i G�f-C. Natne(print) IJA.�,-� (fi- s���
OR .
Veref cation pursuam to Section 92.525,�loride Statutes.Und�penalties of perjury,I declare that I have read the foregoing and that �
the facts stated in it are true to the best of my lmowledge and belief. . .
fowHSrtuoc,.��uoio ' �: 7� i'� // �- `�� .
igpature ofNatusal erson Si�ing(in lina q IOJ Above -
: �'�►�� Nofary Public State o}Florida .
►/r David A Spence �
c�, '� MyCommianionFF087155 PRUCA S.0'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
�or�nd� ��,..o����o�e 05/14/14 01:13`m 1 of 1
. . OR BK 90�2 P� 1769
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BU�YER_EDNARD J Hr.R i �Yt '�:� '���- ' — �;
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° 63161
, F�E N C E O U T L E'T Pro posal/Contract �9671 S.Orange Blossom Trail•Orlando,FL 32831
Tel(407)857-6fi60•Faz(40'�49&3181
wuvw.fenceoutletonline.com ❑1724 West Broadway St.,Suite 100•Oviedo,FL 32:
� n /� � Tel(407)759-9092•Faz(407)3fi&2335
CUSTOMER NAME elti� �� F7�T•� ZOt S.Falkenberg Road•Tampa,FL 33619
� Tel(813�657•3623•Faz�813�fi51-3655
ADDRESS �rC �h �:�lc C�!' DATE IU�%71�1�
7 �–�r� l' F ��i ��� PHONE: HOME#
WORK
OWN PROPERTY7 YES NO❑ MOBILE � � -
� OWNERS NAME F/U(
PVC ��'7 WOOD ALUMINUM WELDED STEEL CHAIN L1NK
PVC Feet� Wood Feet Aluminum Feet Steel Feet Chain Link Feet
Height 4'❑ 5'❑ 6' Cypress�PT Pine❑Pres lus❑ Height 4'❑ 5'❑ 6' Height 4'❑ 5'❑ ' Height 4'❑ 5'❑ 6'
T8G Priva BOB❑ STKD❑ VS
�y Style p203❑ #300 #303❑ Style Classic❑M ' stic❑ OtherHeight
Domed❑ Scallo d❑
�� Other Style Montage❑Mont e Plus❑ Residential 0 Co erdal❑
Other St le Ofher Style
Y Height 6'❑ '❑ Residential❑ ommercial❑ Black❑ Bro ❑ LT Comm❑ I ustrial❑
Gate1 Size . � � p�cket 112'x 4' 1'"x 4'❑ Black❑Whit Industrial❑ Gate_Siz Galvanized Biack Vnyl ❑
Gate�� Size � U
Runner 2° "❑ Post Size Gate_ ze Green Vn
Gate_Size Gate_ ize Gate ize Gate Size Gate Size
Flat Ca ❑ Bal Ca I ❑ Gate S¢e Gate Size
P P Gate Size
�othic� New Eng. ❑ Ga _S¢e G Size G e_Size
Coachman❑ TearDrop❑ thicTop❑ TraditionalTop❑ —
Other❑
Good Side In C�Out� �0/ . i —�e i�'pL
ca_i,
0 ow on our o r un �
FerttZsio�eCe"4�t'C� �rr.i l-� 7�
' Remove existing Fence Ft. No � �� �
Qy� i
Fence Line to be Cleared by Fence Outlet ❑ . /,�
Fence Line to be Cleared by Owner � �0� l�
Comer Lot Yes ❑ No I� (��
u�
Permit Needed Yes l�No ❑ �
,lurisdiction �S�o�Z�iC'i�;l�/ ��� HOUSE
I - �, � 4. � 7 ,�
Speciallnstructions: h,1k,��D �;�G�;/���
I.�.Ci(rccw�Y oµ ?[�� A�4,�C�;G.�- � .�'�'G 1'�.
1�ctt� Lal�o� [.�c��ra►��Y ? � ' .�.�p.-- 0 �c�a� QYSN:�/�G
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� Fence Outlet wlll auistthe eustomer,upan request,tn detertnlning where Ihe fenee Is to be erected,6ut under no clrcumsWnces dces Fence OuUet assume any responsibility wncemtng property lines or fn
any way guarantee lhefr accurary.If praperty pins cannot be lowted,It is recommended that the customer have the property surveyed.
Fence OuGet wlll assume the responslbftity for lowtlng undergraund wbles and utilities,however,Fence Outlet Is not responslble fa anv aorinklera oi other unmarked buded Iinea or o6Jacts
Payment is due at the tlme ol eompletion of work,and a flnance charga of 1 1@X per monlh shall be applied fo ali aecounls not pald In(ull within 10 days ot wmpletlon.All material wlll remain the property c
tence oullet until payment ts received in full.Right ot access and removal Is granted to Fenca Outlet In lhe event of nonpayment per the terms otthls contract The customer agrees to pay all Interest and an�
eosts incurred�fn the collection of Ihls de6t Ineluding reasonable attomey fees. � '
M fhe buyer refuses lo allow tha sellerto begin work or complete work atready begun,or to aecept malerfais contrac�ed for,Buyer agrees to pay Seiler Iiquidated damages of a sum equal to 331l3%otentire
� , contract priee,plus cost ot materials and labar aiready Pomished or in progress. Wartanty may be voided 11 slgn ts removed.
' Customerasaumes full resoonslhlllty for obtalnlny homeowners assoeiatlon aonroval forthe tvpe and locadon otfenca
GCCOR�InG 10 fIORIDA'S COnS1flUC110n LIEn IAIU(SEC110nS TI3.001•113.31,fLUflIDA S1A1UiES),iNOSE UJHU WO�N Uh VOUR PROPENN Ofl PflOUIDE mG1EflIGl
GnD AflE n01 PGID In fUll HWUE G RI6NT TO EnfOflCE 1NEIfl Cl�lm FOfl PAVmEni AGAInSi YOUfl PROPEfliV. 1NIS Cl�lm IS Nn01�n AS A COnSiRUC110n LIEn:
YOUR COniRAC10R OR G SUBCOniRAC10fl fAILS TO PAY SUBCO�iflAC10RS,SUB•COnTNAC10flS,OR mA1EfllA�SUPPIIERS Ofl hE6LfCiS i0 mANE OiHEfl lE6Al
HEQUINEU PAVmEniS.TNE PfOPIE�INO ANE OU1E0 mOnEY mAY 100N 10 VOUR PROPERIV FOR PGVmEni;E�En If VOU NRUE PGID VOUfl COn18ACi0N In fUIL If VI
fGIl10 PAV 40UR COhiHACiOB,VOUB COnTHACiDB�IAY AlSO NG�E A IIEtl Oh 90UR PflOPEfliV. TNIS mEAnS If A LIEn IS fllf D 9�UR PNOPERiP COULD Bf S01
AfiAItlSi YOUR I�III i0 PAY f08 I�BOR,mAiEflIAIS,OR 01NEfl SEfl�ICES iHAi VOUR CO�1RACi0R OH A SUBCOniBRCiON mpY HA�E FAIIED i0 PAV. FLOHIDG
COhS1RUC110n IIEn LGW IS COmPIEN AnD 11 IS flECOmmEhDE01HG1 WHEnE�ER A SPECIfIC PflOBIEm AflISES,YOU COnSULi�tl AiiOflnEV.
� NOIICETO PURCHASERS OF WOOD FENCES:
Wood fence materials are rough mfll cut pieces.Wood fence has e tendency lo shrink and warp in hot,humid wealher and small gaps will appear hehveen boards.Cracks In the waod are a common and
aceepted oecurrence.Fence Outlet will oniy guarantee the workmanship on wood fences for one yeac '
I HAVE READ AND UNDERSTAND THE ABOVE CLAUSE: �'� ��h� �
CONTRACT AMOUNT: $ S.I SD.� APPROVED AND ACCEPTED FOR CUSTOMEI2
! l � �,�s � ��''� � s���
DOWN PAYMENT: �j $ I.�b 0, � CUSTOMER DATE
BALANCE DUE Z U �
UPON COMPLETION �3$ _r S�G CUSTOMER onre
A�PTED�R�NCE UTLET
`r'� S�
DATE STARTED DATE COMPLETED SALESPERSON DATE
L
INSTALLER u�eoe QUOTE VALID FOR � DAYS
�„-��0-UU1U City of Zephyrhills Permit Application FaX-e�a-�so-oo2�
Building Department
Date ReceivPd ���� �� Phone Contact for Permitting ��� � G -_ 31�
Owner's tdame � Ovbner Phone Idumber `�- �-D�o?
�Q Ctls�� n ' � �
O�ener's Elddress � v� � O�nmer Phone Rlumber
Fee Simple Titleholder Name Owner Phone Idumber
Fee Simple Titleholder Address
JOB eADDRESS �`"�FJa Q-(' � � �'(' LOT# C�
' sueoi�tsio� � PARC@!.Ib# � 1 -d1 ZO-OC�C�C�- pS�
(OBTAINED FROM PROPERTY TAX NOTICE)
NNORE(PROPOSED � NEW CoNSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
7'VPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF lMORK \ � � t � � � (0
BUILDIMG SIZE SQ FOOTd1GE HEIGHT �� � ��x�
�]BUILDING $ �
� 1S��� VALUA710N OF TOTAL CONSTRUCTIOfV
QELECTRICAL $ AMP SERVICE Q PROGRES�ENERGY Q W.R.E.C.
L��
QPLUMBIfVG $ CO������\. Co���� �
�����`�'bo�DJ� . _ ^��
�c �/
�MECHANICAL $ VALUATION OF MECHANICAL IfVSTALLATION `�( `�
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FIRIISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ���, � COMPANY -Q�CSZ. Q]�C �Q
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address o��S ��y.�1� �� ,��, `��c �� License# -� `Q�
ELECTRICIAN COMPANY
SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUIMBER COMPAMY .
SIG(dATURE RE�ISTeREO Y/ N FEE CURRE� Y/fV
Address Ucense#
f�IECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDERITIAL Attach(2)Plot Plans;(2)sets of Bullding 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 Facilit(es 81 dumpster,Site Work Permit for subdivistons/large projects
COIIAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, '
Sanitary Facilities&1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance
SIGId PERMIT Attach(2)sets of Engineered Flans. ,. :
•"'PROPERTY SURVEY required for all NEW consVuction. '
Directions:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgrades over�T500)
•" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with nbtarized letter from owner authorizing same
ONER THE COUNTER PERNIITTING;.,..,;, (Front of Appilcation Only)
Reroofs if shingles Sewers ,::: .`Service Upgrades A/C:- � Fences(PIoUSurvey/Footage)
Driveways-Not over Counter�if.on;public roadways.:needs ROW