HomeMy WebLinkAbout14-15542 CITY OF Z PHYRHILLS
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FENCE ERMIT
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Permit Number: 15542 Address: 6135 18TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0180-00000-0360
Improv. Cost: 4,250.00 �; ;.�;��.�.�°�°°„��',��O.WNERY�INF�O.RM�i�iTION '�`�
Date Issued: 8/05/2014 Name: GOSSAGE GARY D &TERESA
Total Fees: 45.00 Address: 6135 18th Street
Amount Paid: 45.00 Zephyrhills FL 33542
Date Paid: 8/05/2014 Phone: 813-323-0532
Work Desc: 6' PVC FENCE
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�POST R�US INC (813)779-7795 FENCE 45.00h
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REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following_re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site t� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther 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 managemen , state agencies or federal agencies.
The payment of inspection fees shall be made before an further permits will be issued to the person owning same
Complete Plans, Specifications an Fee Must Accompany Application.
, All work shall be performed in accor ance with City Codes and Ordinances
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�3Pd�rtRA TOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATH.ER
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C� �ot � � . C�,r`'� �cr� �racE
���� ����1� �� ���� °� °a � 5150 Halstead Ln.
f'E�iC� Zeph�rhills, Florida 33541
"Ynttrl'f C.Sl�c�ciali.s�ls'" 13-779-7795 �13-973-0826 888-779-8553 fax
acmefence@yahoo.com
LICE2dSE � 11795
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Customer Informatioa: Job Information:
GARY & TERRI GOSSAGE JOB LOCATED IN ZEPHYRHILLS
6135 18TH ST CROSS ST IS NORTH AVE
Zephyrhills, Florida 33540 323-0532
Notes: ___ ___—_ _ _
- 208' 6 FOOT PVC TONGUE & GROOVE PRIVACY -
1 5 FOOT WALK GATE � 79'
1 10 FOOT DOUBLE GATE �
GATE POST W/ ALLUMINUM I BEAM �
61' S0'
5 X 5 X 9 FOOT POST SET W/ 60#S CONCRETE
POCKET RAILS HousE
4' 6' �
LOCKING TONGUE & GROOVE PICKETS
5� �' 10'
H
FEDERATION CAPS
S�N
LIFETIME WARRANTY ( WESTECH )
ACME FENCE agrees to guaranto� above fence to be ob and adjuatmenta for labor will be charged or
free from defects in materials and workmanship for redited at the currently establiehed rates.
one year. ditional charges for any extra work not covered
ACME FENCE shall adviee the cuatomer as to local n this contract that was tequeated by the cuetomer
zoning regulationa but responsibility £or complying ill also be added. The full amount of thia
with said regulations and obtaining any required ontract along with any additional chargee will
permita shall =est with the cuatomer. ACME P'ENCE ecome payable upon completion of all work whether
will assiat the cuatomer, upon sequest, in r not it has been invoiced.
determining where the fence is to be erected, but A finance charge of 1 1/2� per month (or a
under no circumstance does AQ� FENCE asaume any 'nimum of $1.00) , which is an annual percentags
responsibility concerning property lines or in any ate of 18�, shall be applied to accounts that are
way guarantee their accuracy. I£ property pins ot paid within 10 days after completion o£ any
cannot b� locatod it is recommended that the �ork invoiced. All materials will =emain the
cuetomar have the property eurveyed. roperty of ACt� FENCE until all invoices
ACME FENCE will asaume the responaibility for ertaining to this job are paid in full. The
having underground public utilities located and uatomer agreea to pay all interest and any coata
marked. However, ACME FENCE aseumea no 'ncurred in the collection of this debt.
responsibility for nnmarkHd sprinkler linea, or any
other unmarked buried lines or objecte. The
cuatomer will asaume all liability £o= any damage
caused by directing ACME FENCE to dig in the
immediate vicinity of known utilitiea.
The final billing will be based on the actual
footage o£ fencing built and the work performed.
Partial billing for materiala delivered to the job
�ite and work completed may be sent at weekly
intervals. Adjustm�nta for material used on thia
pro�red & Accepted for Customer:
. - �la--�L��-
Contract Amount: $ 4100.00 Customer Date
Doarn Payment: $ 1000.00 c p d f r A FE
Balance Due: $ 3100.00 � � '�tJ �( �
---'--"'-- � al sper Date
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a,3-��u-oozo City of Zephyr ills Permit Application Fax-813-780-0021
Buil ing Department
Date Received
Phone Contact for Permittin __
Owner's Name �C(5� .SSp e Ovuner Phone fVumber p �� ���—��,j Z
Oevner's Address � � s� Ovener Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �-3S ~ ( � sl LOT# ��
SUBDIVISION PARC L ID#
-- -- ---=_---=-=-- -- - - - (OBTAINED FR�OM PROPERTY T�TicE)DEMOUSH '
WORK PROPOSED e NEw CONSTR 8 ADD/A T � SIGN
INSTALL REPAI
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION 0 • B'LOCK Q FRAM 0 STEEL Q
/ r r
DESCRIPTION OF WORK (7 ��� 1� t�C�
BUILDING SIZE �FOOTAGE 2D HEIGHT 6
QBUILDING $ � �� � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E [� PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
`��1�
QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION �C � J
QGAS Q ROOFING [� SPECIA TY C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY C'(�/I� �C L-C'
SIGfVATURE REG TERED Y! N FEE CURRE� Y/N
Address ��1,�� Gt .SJ/Ce L/U License#
ELECTRICIAM CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PAMY �
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
MECHAfVICAL CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working'days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for su divisions/large proJects
COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Sa ty Page;(1)set of Energy Forms.R-O-W Permlt for new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Faciflties&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'""PROPERTY SURVEY required for all NEW construct n.
Directtons: ,
Fili out application completely.
Ovmer 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgra es over S7500)
.�. 'J'•.:t-=�-.._. -,. _.. ._ ..J�_..J
•' Agent(for the contractor)or Power of Attomey,.:(f6r the owne�):-1iVauld.be omeone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING` ';;.�(Front of Application Oniy);�;?
Reroofs if shingles Sewers�� ,,,-..Sejvice;Upgrades:.ALC���� �,Fences( IoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW~
NOTICE OF DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed"restrictions"
whictt may be more restrietive than County regutations. The undersigned assumes respansibility for compliance witFt any
applicable deed restrictions. .
UNLICENSED CQNTRACTQRS AND CC1NTFtACTUR RESPONSIBfLIT1ES: If the awner has hired a contractor or
contractors #o undertake work, they may be required to be iicensed in accordance with sfafe and locai reguiations. if the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under sfate law. If the awner or intended contractor are uncertain as fo what licensing requirements may apply for the
intended work, they are advised to cantact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
8009. Fu�thermare, if ttis awner has hired a cantractor or contractars, he is advised to have the cantractar(s} sign
portions of the "contractor Black" of this application for which they will be respansible. If you� as fi�e awner sign as fhe
contractor, that may be�an indication that he is not properly licensed and is nat entitled Y� permitting privileges in Pasco
County.
TRANSPORTATION IMPAC7/UTILITIES IAAPACY AND RESOURCE RECOVERY FEES: The undersigned understands
that Tcanspartatian Impact Fees and Recourse Recovery Fees may apply to#he constructian af new buildings, change of
use in existing buildings, or expansian 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, wii! be identified at the time of
permit#ing. It is further understood that Transportation Impact Fees-and Resource Recovery Fees must be paid prior to
! receiving a °certificate of occupancy" or final pawer release. If the project does not involve a certificate of occupancy or
final pawer retease, the fees.must be paid prior ta pertnit issuance. Fu�thermore, if Pas,co County VltaterlSewer Impact
, fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco�ounty ordinances.
CONSTRUCTION L1EN LA1�l(Ghapter 713, Flarida Statutes,as amended): If valuation a#wark is$2,500AQ or mare, !
certify that I, the applicant, have been provided with a copy af the "Florida Canstruckion Lien Law—Homeowner's
Protection Guide" prepared by #he Fiorida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than the"owner", i certify#hat 1 have obtained a copy of the above described document and promise in good faith fo_
deliver it to the"owner"prior ta commencement.
CONTRAGTOR'S/OW�1ER'S AFFIDAVIT: 1 certify thaf a41 the information in this application is accurate ancf that all work
will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to ab#ain a permit to do work ancf installation as indicated. 1 ce�tify that no work ar installatian has
commenced prior to issuance of a permit and that all work will be performed to meet sEandards of atl taws regulating
construction, County and City codes, zoning regulatians, and land development regulatians in the jurisdiction. ! also
certify that 1 undersfand #hat the regulations of other government agencies may apply to the infended work, and fhat it is
my responsibility#o iden#ify what actians I must take to be in compliance. Such agencies include but are not limited to:
- Depa�Ement of Environmental Protection-Cypress Bayheads, Vlletland Areas and Environmentally Sensitive
Lands, WateNWastewater Treatment.
- Sauthwest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depar#ment of Health & Rehabilitative Services/Environmenfal Flealth Unit-Wells, Wastewater Trea#ment,
Septic Tanks.
- US Environmental Pratection Agency-Asbestos abatement.
- Federal Avia#ion Authority-Runways.
1 understand that the following restrictions apply to#he use af fil1:
- Use of fiil is not altowed in Flood Zone"V"uniess 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 submitfed at fime of permitting which is prepared by a professianal engineer
licensed by the State of Florida.
- If fhe fi41 material ts to be used in Flood �one "A" in connection with a permitted building using stem walE
construction, I certify that fill will be used oniy to fill the area within the stem wall.
- !f fill material is ia be used in any area, ! certify that use of such fill will not adversely affect adjacent
properties. if use of fifl is found to adverseiy affect ad)acent proper#'res, #he �wner may be cifed for v9olating
the canditions of the building permik 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 gaad fai#h to inform the owner of khe permitting conditions set forth in
fhis affidavlt prsor to cammencing construcfian. I understand that a separate permit may be requirec4 for electrical wor4c,
plumbing, signs, wefls, pools, air condifioning, gas, or ofher installations not specificaliy included in the app(icafian. A
permit issued shall be canstrued to be a licenss to proceed with the work and not as authority to.violate, cancel, alter, or
set aside any provisians of the#echnical codes, nor shall issuance af a permit prevent the.Builcfirig Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless fhe work aufhorixed by such perm�t is commenced wittiin six months of permlt issuance, or if work authorized by
the permit is suspended or abandoned fo�a period of six(6) months after the time the work is commenced. An extension
may be requested, in wrEting, from the Building t"�fFicial fa�a period not to exceed ninety (9Q) days and wi!! demonstrate
jusfifiable cause for the extension. If work ceas�s for ninefy(90)consecutive days,the jab is considered abandoned.
WARNING T� OWNER: YOUR �AILU[2E TO RECORD A NOTICE OF CCIMMENCEMENT NIAY RESULT IN Y{3U12
PAYING TWICE FOR IIIAPROVEMEIVTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT
V111TH YOUR LENDER C!R AN ATTQRNEY BEFORE RECQR�ING YOUR NOTI MMENCEI�t1ENT.
FLORIDA JURAT(F.S. 117.Q3)
OWF1EFt OR AGENT CQNTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and s o{or a�rmed}before me this
by by
Who islare persc�naHy known to me r�r haslhave produced Who islare person !ly lcnown to rrie r haslE�ave produced
as identlfication. as identifica6on.
Notary PUbIiC " `'" •�'�'�qu'•., E. ON Not�ry PubliC
..: :,.�
Commission No. Co mfs io �; Expires Sune 29,201$
����,;,
Name of Notary typed,printed or stamped N �of Notary typed,printed or stamped
I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
• '' 2014123854
Rcpt:1620807 Rec: 10.00
DS: 0.00 IT: 0.00
08/05/14 D. Bonilla, Dpty Clerk
NOTIC OF COIdIMENCEl�'IENT
Permit No.
Property Identification No. V�—� w V z� ` �� O"'(JV��U v�3��
T'HE UNDERSIGNED hereby gives notice that improve ents will be made to certain reai property,and in accordance with Section
713.13 of the Florida Statutes,the following information s provided in the NO ICE OF COMM 1�10E1VIENT.
�a�K l-�`�l S�r6 u�i�t �/.� l�f �G 70
1. Description of property(lega[description: 3 � D� � f 3 I z
a) Street Address: S` � Z h L 33,5— Z
2. General description of improvements v k�H � UL' CZ
3. Owner Information
a) Name and address: ��f R GoSSq � �i/�S� /�f� S�' � < < ;���� �C 335�-
b) Name and address of fee simple titleholder(if ot er than owner)
c) Interest in property
Contractor Information /� r / /
a) Name and address: f'�L'/Y1 C I_�. C e � U �7��I�tsTp� �-/v z `i J�j�� F� 3�y�
• b) Telephone No.: l3° — ?�.5� Fa�c No.(Opt.) — � S" 3
5. Surety Information
a) Name and address:
� b� AII1011Ilt Of BOrid: PRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
c) TelephoneNo.: 08/05/14 10:58am 1 of 1
6. Lender OR BK ��6� PG 1740
a) Name and address:
7. Identity of person within the State of Florida design ed by owner upon whom notices or other documents may be served;
a) IVame and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the followi person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the ex iration date is one year from the date of recording unless a different date is
specified):
V6'AktNI1VG TO 0��6'NEkt:�4.NY PAYMEPTTS 1dIADE�Y Tk�E OWN]EAi AF'd'E�t'B'�EXPIRA'h'ION OF'I"�E 1010'TICE OF
COMMIEI°IC]EMElVT ARE CON�IIDEYBEI)IMPItOP R PAYNfiENTS U�TIDER CF�AP'I'ER 713,PAR'�1,S1EC'TIO1V 713.13,
FLOI3][DA 3TATUTES AND CAN RESULT IN YO R PAYING 7CWICE EOR IPxtOVENYENTS'II'O 4'OiJR PItOPERTY.A
tVOTICE O�'CONdM1ENCEME1oIT 1VIUST BE RECO EI)AND POS'TED ON'I'�E JOB SI'TE�EFORE THE FIktST
IIVS�ECTION.dF 3COiJ YNTEND TO OBTAIN FIN CING,CONS�JJL'd'YOUYd LENDER OIt AN t1T'I'ORNEY BEFORE
CO1VdMENCIING WORK OIt ItECO1�ING YOU I�I TICE OF CO1�N[ENCEIVIENT.
STATE OF FLORIDA
COUNTY OF PASCO �' '�
Signature Owner or Owner's Authorized OfficcdDirector/ParmedManagcr
��� �a��
Print Name
The foregoing instrument was acknowledgcd before me this day of �..J�' ,20�,by Cj�-a��S-.s�
. � (type of authority,e.g.o�cer,trustee, orney in fact) o
(na e of parry on behalf of whom in me t was executed).
Personally Known�OR Produced Identification_ Notary Signature �
Type of Identification Produced Name(print) �(��,5� �
Verification pursuan . Ities of perjury,I d claze that I have read the foregoing and that the facts statcd
in it are true to the b t qo,'��" Xvledge and���§A6E
Fo�srtaoc.�azoo� ',r �,= Noi�ry Publie-St�te of FI W�
•� � �Ciofl1111.E�plret Fe�2� �e Sip�anm oCNatuni Person Si�ing Abovc
:s� ��
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