HomeMy WebLinkAbout14-15758 , CITY OF ZE� HYRHILLS
� � _ " 5335-8 ��I STREET
� ' (sis)� 0-0020 157
FEN�CE I ERMIT
' PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15758 Address: 6130 RIDGEWAY 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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0390
Improv. Cost: 3,200.00 OWNER INFORMATION
Date Issued: 11/03/2014 Name: JENSEN TODD & KIMBERLY T &
Total Fees: 75.00 Address: 6130 RIDGEWAY DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/03/2014 Phone:
Work Desc: WHITE PVC FENCE 6' X 180'
CONTRACTOR S. � � � APPLICATION FEES
PASCO FENCE COMPANY INC (813)788-5642 FENCE 45.00
CONTRACTOR CERTIFICATE 30.00
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Ins ections Re uired
FINAL
REINSPECTION FEES: Reinspection fees will eomply 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 f� 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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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS � ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAItD FROM WEATHER
813-780-0020 City of Zephyr �IIIS P@�fTllt ApPI1C8tlOfl . Fax-813-780-0021
Build ng Department
Date Received Phone Contact or Permitting --
Owrner's fName �/ G,� v �,J��S U,�`� Otnrner F'hone tduenber
O�rner's e�lddress �o/�� ✓�/!���l✓ff� Ouvxner F'hone Idumber
Fee Simple Titieholder Mame Ow►ner Phone iduPnber
Fee Simple Titieholder Address , -
.D�e ADDRESS lo l3 U 2/U�i ��� LOY# �
�dl'3DB'd!5!C[d Z�J°/�,��'/L/�'./(���� PARC LID# �
(09TAIMED FROM PROPERTY TAX MOTICE)
HHOEtl�F'ROPOSED NEW CONSTR ADD/AI T � SIGN Q Q DEMOUSH
� INSTALL B REPAI y
�EtOPOSED U�E Q SFR Q COM� 0 OTHER ' •
�PE OF COMSTRUC'TIOId Q BLOCK Q FR/`,M � STEEL Q •
.
ID�SCRIPTIOM OF MIOEZK � ` �.l'.�f i�� ���G 0
ISUILID9�G SIZE SQ EOOTAGE / �� HEIGHT � (
�BUILDING $��U � `� � VALUATIO OF TOTAL CONSTRUCTIOfV
DELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION ���
���
OGAS Q ROOFIfVG Q SPEC ALTY 0 OTHER
FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
IBUI�DIER / l ` C IlAPAR1Y �G' � ����� GCl � �/--✓ C�
�IGMATURE —° !�J � R GISTERED Y/ I� FEE CURRE� Y/(�
�4ddress License#
IELECTitICIAfd C flflP�LIVY
SIGtdATURE R GISTERED Y/ N FEE CURRE� Y/N
llddress License#
PLUAfl�EFF C RftPAtdV
SIGidATURE R GISTERED Y I P�l FEE CURRE� Y/IV
Address License#
MIECFINfdICAL OAAPAidY
$ICaPt��iTURE R GISTERED Y/ fV FEE CURRE� Y/M
Address License#
o����a o��e�bv
SIGMd�TURE EGISTERED Y/ N FEE CURRE� Y/IJ
64ddress License#
RESIDIEfd'TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t 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 Facliities 8�1 dumpster;Site Work Permit fo subdivfsions/iarge projects
COilARAERCIAL Attach(3)complete sets of Building Plans plus a Lif Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo ali new projects.All commercial requirements must meet compliance
SeG6d PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW cons i uction.
Directtons:
Fill out application completely.
Ovuner�,Contractor sign back of application,notarized
Iff over Sa500,a�dotice of Commencement is required. (AIC u grades over�7500) -• _. - ,
"" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same
ONER THE COUfdYER PERMIITTIMG (Front of Application Only) - , �
Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage) �� � ,
D�iveways-Not over Counter if on public roadways..needs ROW
�
�!O'TIC�O� �1f�ED f�fE�'Y'�IC�"IORI�: The undersigned understands that this permit may be subject to"deed" restric#ians"
which may be more restrictive than Caunfy regulations. The undersigned assumes responsibility far complEance v�rith any
applicable deed restrictions.
�9�l�.IC�tdS��! CaNYR�+C1fO�S �RlI� GQb�11Y����� 1��5�0�lS1�IL1�`I��: if the owner has hirsd a contracfor or
eontractors to undertake work, they may b� required to be licensed in accordance �rith sfate and local regulations. If#he
contractor is not licensed es required by law, bokh the owner and contractor may be cit�d for a rnisdemeanor violation
under state la�. if fhe ouuner or intend�d contrac#or are uncertain as to what licensing requirements may apply for the
intended work, they are advised #o contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
800�. Furtherrnore, if th� ov+rner has hired a cantractor or contractars, he is advised to have fhe car�fractor(s} sign
partions of the "contractor Block" of this application for vuhich th�y=will be responsible. If yau, as the ovvner sign as fhe
contractflr, that may be an indication #hat he is not properly licensed and is no# �e�titled to permikting privileges in Pasco
� Caunty.
� YB�FV�POk�"�T90iV'i�ifi��,C�1lJ�'ILIY'll�� 9i�1��C1f l��f� �t���U�CI� ����ll�f�Y����: �"he undersigned understands
that Transporfafion tmpact Fe�s and Recourse Recavery �ees may apply.to the construction aF ne.wr buiidinc�s, change:�f: �
use in existing_6uildings, or ex�ansiar� og-existing uuildirigs; as specified it� Pasco County Ordinance number 89-07 and
9Q-07, as ams�ded. The undersign�d aiso undersfands, thaE such f�ees, as rnay be due, uvil! be identified af the time of
permitting. It is further understood that Transpo�tation fmpact Fees and Resource Recovery Fees must be paid prior fo
receiving a "^ertificate of occupancy" or fina! pov�rer release. (f the project does no# involve a certificate of occupancy or
ftna{ power rei�ase, the fe�s must be paid prior to perrrtif issuance. Furthermare, if F'asco County WaterlSewer Impact
fees are due, they must b� paid prior ta permif issuance in aecqrdance with applicable Pasco Counky ordinances.
C0�1S7@�t1CTIQ�3 �1��9 1.�1fil�{C�apd�r 7��, �l�et�9�����t����, �� �e�ra��d�z9}: !f vaSuation of work is $2,500.00 ar more, �
certify �ha9 I, the applicant, have been provided with a capy of the "Florida Consfructian Lien Law—Homeov�rner's
h�rotection Guide" prepared by the Florida Depactment of Agriculture and Consumer Affairs. Ef the appiicant is someone
ather than the"owner", i c�rtify that i have abtained a copy of the above described document and promise in goad faith to
deliver it to fhe"owner" prior to commencement.
C€��T���Tt3(R'SIClit�3���2`� ��F1�6�V1�': I certify that aii the informafion in this application is accurate and �hat ali work
will be done in compliance with all applicable la�rs regulating construction, zoning and land development. Application is
hereby made to ob#ain a permit to do vuork and installation as indicated. 9 certify that no work af installation has
commenced prior to issuance af a permif and tha# all work will be perfarmed to meet standards of alI laws regulaking
construckion, Counky and City codes, zoning regulatians, and land development regula#ions in the jurisdictian_ I alsa
certify thaf i understand that fhe regulations of ofher government agencies may apply to the intended vvark, and that it is
my responsibility to identify what actions I must take 4o be in compliance. auch agencies include but are not limited to:
- C?epartrrtent af �nvironmental F'ro#ection-Gypress �ayh�ads, Wetland Areas and Enviranmentally Sens9five
l..ands, VVaterNVastewrater Trea#ment.
- Southuvest Fforida 1tVater �/lanagemer�t Districf-Wells, Cypress Bayheads, �Ve#land Areas, Altering
Watercaurses.
- Army Corps of Engineers-S�awalls, [7ocks, Navigable 1f�afierwrays.
- Deparfinent of Heaifh � Rehabilitafive Services/�nvironmental Flealth Uni#-V1/e11s, Wastewater Treatment,
Septic Tanks.
- US Enviranmen#al Protection Agency-Asbestos abatem�nt.
- �'ederal Aviation Authority-Runways.
i understand thaf the follovtring restrictsons apply to the use of fill:�
- Use of fill is not ailawed in Ftood Zone"V"unless expressiy permitted.
- If the fill material is to be used in Flood Zone "N", i# is understood that a drainage plan addressing a
"campensating volume" �vill be submitted at time of petmitting vuhieh is prepared by a prof�ssianal engineer
licensed by the State of Florida.
- If fhe fill matsrial is to be used in Flood Zone �A" in conr�ec#ion with a permiffed building using stem vtirall
canstruction, I certify that fill wrill be us�d only to fill the area wi#hin the stem wall.
- If fill mater'sal is to be used in any area, ! certify that use of such fil! will not adversely affect adjacent
properties. 1f use af fill is �ound to advers�ly affect adjacent properties, the awner may be cited far vioiating
the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre which are elevated by�11, an�ngineered drainage plan is required.
If I am-the�►G;�R9Y �OR�'�iE C�F�il�t��t, I promise in good faith #o infarm the owner of the permitting conditions set forth in
this affidavit prior to camrnencing construc4ion. O understand thaf a separat� permit may be requirec! for �tectricat uvark,
plumbing, signs, vuells, pools, air conditioning, gas, or other installations not specifical(y inciuded in the application. A
permit issu�d sha!! be construed to be a licer�se ta proceed with the vvork and not as authority fo.violate, cancel, aHer, or
set aside any provisions of the technical codes, nor shal( issuance of a permit prev�nt the �uilding O�cial from thereafter
requiring a correction of errors in plans, construction or violations of any codes. IEvery permit issued shall become invalid
unless the woric authorized by such �srmit is commenced virithin six manths af permit issuance, or if wark aufhorized by
the perrrtit is suspended or abandoned for a period of six(6) monfhs after the time the uvork is commenced. An extension
may be requssEed,�in writing, from the �uilding Offiiciai gor a period nat to �xceed ninety-�90) days and vuill demonstrate
juskifiable cause for the extension. (f wark ceases for ninety(90)consecutiv�days, #he job is considered abandaned.
t�ARR91Rl� YC) O�litliE�: Y{}LI�2 ��IL��� "T� �t��Q�2D � �Z�T�G� �� ���Hii�i��9C��H�iV'� �fi�,Y E���UL�' ��i Y�IU�
�AYIN1,� fi1�lI�E FO�d OIIidP�ROi/�NVd�f�`C'� Y��O191R.�f�C11��F�"II'�. I{F YOII 9f�Yl€W13 7�I O�Y�IN� �VWk�PY�'rR��, �13R��fl�ILlf
�fid'11FH V�E���.�(�6C?�F��?Y�2�N!�a'��'�}{f�(��1(l�����i� �'(�CO�lDi(�9�Y{}t1IR R101'1���}�C��ff�lfiE[�lC�Ei�I(��11T.
FLORIDA JURAT(F.S. 117 03)
t)1N�fEi2 t}F2�G��t7 �-"'-`.�__� C�611T�C'i��
Subscribed and swom to(or affirmed)before me ihis 5ubscribed and swom fo(or afflfined)before me this
by by
Who istare personally kr�awn to me or haslhave produced Wha tslare personally known ta me or haslhave produced
� yas dentification. as identification.
„�„�,,,
•µ�Y PY J E.
:� '..= ommis ' ry public Notary Public
'�r P� �S Ut18 , ��
Cammissi �P��°''� 8ondedTlwTroyFainlnauranceBIX}3g$.7018 Commfssion No.
Name Notary typed,printed or stamped IVame af Notary typed,printed or stamped
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, ' PROPOSAL N0. 41
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SHEFf RtO. I!
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DATE ��
PROPOSAL SUBMf7TED T0: ORK TO BE PERFORN�ED AT: 10/2 8/2014 I''�
�`�� 1VI-r. Todd Jenson oR�ss
�°�E$s613t1 Ridgeway �
� Zephyrhills, F , TE OF Pl.AtdS j;
i PHONE N0. CHtTECT � ��
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We hereby propose to fumish the materiats and perform the labor necessary fw the o fe�on of �
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ea. wzng ate. �;
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kll�rateriaf is uaranteed to be as s eciFed,and t�e above vuork to be erforme i1�ac rdan��.�vithth�d►a n s.a�d s cifications submitted for above work and p
9 P �hree�riaus c1 1 wa Hun�ea llo�ars...................
completed in a substantial workmanti�e manner for the sum of j�
Dollars ($ 3�20a.a0 )with paym �ts to be r�ade as follows. t
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�1,5�0.Q0 Down Payme�t. ��
$1,700.00 Balance due upon completion. !:;
My alteration or deviation from above specifica#fans lnvolving e�ra costs � ����
will be executed only upon written order,and will become an e#ra chazge RespectfuNy ���
ouer and above fhe estimate. i�t agreements conlir�gerxt upon strikes, SUbiiii�8d
accidents,or delays beyond our contral. '
P�r '
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Note tk�1s proposal may be wit�drawn by us'rf not accepted within days. �
_ ,. _ . ,.
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� ACCEPT,4fUCE QF ROPOSAL �;
the above prices,specifcations,and conditions are satisfactory and are hereby accepted You are authorized to do the work as spec�fed. Paymen#s wall be made as �
�utlined above. ,��,,..—
� � �-1� �:
Signature (;
Date �`�' � � � "" � � Signature ��
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%adarses D8118 3-12 �,
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C.�'� /�j�rJ�''� �'�' G�y�'/�-. 9c L���C ! � � 'O %� 7a "�� G. O % ;�� O/�' %CY Z/
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NO��CE OF Ca����E�N� I I11ill II�II IIIII IlIII4IIIi IIIII Iflll IIIII Ilill IIIII illl II�I
Permit No. 201�4175981
Property Identification Na. d '� �'�� ��l -� '-j��� ,° " `� i,'� -J � �g�
TI�UNDERSIGNED hereby gives natice that improvements wi I be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following infarmation is provid d in the NOTICE OF COMMENCEMENT.
1. Description of properiy(legal descriP tion:) �.� �- =2-�� / ' ���� " �'a°��' - �% 3 9�
a) Street Address: c'�l'�'c� /��(��'�'G-✓��
2. Generat description of improvej�ents �
e'v `G..J � N�/C. � �,."r, .
3. Uwner Information
a) Name and address: ''�r��� cJ�l✓�'v.J �./,�a s�i�l �',f � �/'�i51 .r2is�i%'/ ��.,�
b) Narne and address of fee simple titleholder(if other than wner}
c) Interest in praperty
4. Contractor Informatian
a} Nameandaddress: �t'�S�o ��/'�C:�C-a !N �.�:� ��C.+'/r� �'% � iyi//S .�-
b) Telephone No.: �/`3 ~ 7�;1''— S�'"a � �... F�No.(Opt.)
5. Surety Information
—�
a) Name and address: r'
b) Amount of Bond: Rcp4.:1640159 Rec: 10.00
c) Telephone Na.: Fax No.{Opt.) DS: 0.00 T T: 0.00
— 1i105/14 S. Peters, Dpty Clerk
6. Lender �
a) Name and address:
7. Identity of person within the State ofPlorida designated by o� er upon whom notices or other documents may be served;
a) Name and adciress:
b) Telephone No.: Fax No.((Jpt.)
8. In adc3ition to himself,owner designates the following person to receive a capy of the Lienor's Notica as provided in Sectian
'713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.{{�t.)
9. Expiration date of Notice of Commencement(the expiratian ate is one year from the date of recording unless a different date is
specified):
WA�tNING TO()W110TTER: AN�''�AYMENTS MADE BY 7C OWNER.AFTE][i THE EXPIRATION OF xHE NOTICE OF
COMIVIENCEi4�ENT A�RE CUNSIDEREI}IlYYPRCiPEI�PA NTS I�ER+CHAPTE€t fi1.3,PART l,S�CTIUN 713.13,
FLORIDA STATUTES A.ND CAN R�SUd.T IN 4'OUR PA G TWICE FOR IPROVEIV�NTS TO Y4UR P1�OPEItTY.A
NOTICE 4F COMMEIOTCENiENT MUST BE RECQRDEiQ �'1 PQS�'ED QN THE JOB SI'FE BEFORE T�EE FIRST
INSPECTION.IF YOU INTEND TO OBTAIlV FINANCING,CONSULT YOLJgt LENDER OR AN ATTURNEY BEFO�
COMIlqENCING WORK OR RECOItDYNG YOU NOTICE F COMMENCEMEN7C.
STA'1`E OF FLORIDA �r w Notery Public State of Florida �_�
COUNTY OF PASCO ��� Michelle Antle
°S` � My Gommisslors FF 4t061d Si a re OF er or Owner's Authorized t}f6certDireetorlPartnertManager
p�4F{io ExpifeS 04/21/2017 e��� `�
ame
The foregoing instnument was acknowledged before me this,�day o ����� ,20�,by��
��� as "� {type of autharity,e.g.offtcer,trustee,attorney in fact)for
����� ., (narne of p on behaif of w m instrument w execut
Fersonally Known�OR Produced Identificatian� Na Signature
Type af Identi�cation Produced����,����'C��1� N e(print)
Veri�cation pursuant to Section 92.525,Florida Statutes.Under 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 knowlecige and belief.
�
FORMSMOC.rvsd20D7
, Sip�nve of Natuml Person Signing Above
p �qU q 5 0'PJE1L,Ph D PASCO CLERK & COMP7ROLLEK
110R BK ���� �PG� ����
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