HomeMy WebLinkAbout14-15871 . i
CITY OF ZEPHYRHILLS
`~ � 5335-8TH STREET
� �' (8is)�so-oo20 1587
� FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15871 Address: 4626 KRUSEN FIELD RD
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: 13-26-21-0080-00000-0010
Improv. Cost: 8,000.00 OWNER INFORMATION
Date Issued: 12/23/2014 � Name: CITY OF ZEPHYRHILLS
Total Fees: O��Q,� Address: 4626 KRUSEN FIELD RD
Amount Paid: 6 . ZEPHYRHILLS, FL. 33542
Date Paid: 12/23/2 14 Phone:
Work Desc: INSTALL NEW 5' VINYL COATED CHAIN LINK FENCE/ P18-F-€E
CONTRACTOR S � APPLICATION FEES �--'��
ALL-RITE FENCE SERVICES (407)295-7093 FENCE 65.00,
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° Ins ections Re uired • I
FINA - �
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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 fl 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
��
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ais-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received Phone Contact for Pertnitting
Owners Name ��� B� � n �li�� Owner Phone Number "���° /d��OD�
Owners Address I �- Y'�/ C', !(�� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOBADDRESS �T !P U Qi � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSiR e ADD/ALT 0 SIGN Q Q �DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
I TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK f Y1 � � �(� � GOGt� �y I[ A.� G.�'i Gv/�
BUILDING SIZE SQ FOOTAGE� HEIGHT �J
� �BUILDING $ r D�� VALUATION OF TOTAL CONSTRUCTION
i��
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
� `S�1
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
�..-r�7-�:...��..-r�...r �.+T,...��.�.-.��,-. .-.�-i-: ..�-�-.
, BUILDER p ,/ COMPANY ��` ��1�' � '�'�'�'�' �'�'�'`
SIGNATURE ��� ���` ����`` REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
j SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 submittai date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanilary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit 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.
�b.i�:-.......-.-..�.�.�.-.-.-.-..-r�--r..-r�...r...r�...r�..-r...r�...r1..FF1..FC-.�.�.-.-.-.-.�-�.-.-r.�.��
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions:
Fill out application completeiy
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 shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
; .
NOTICE OF DEED RESTRICTIONS: Th�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 wiil 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 IMPACT/UTILITIES 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 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,WateNWastewater 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 li
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter I
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid I
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by 'i
the pe�mit 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 I
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I
FLORIDA JUR,4T(F.S.117.03)
OWNER OR AGENT CONTRACTOR �
Subscribed and swom to(or affirmed)before me this Subscribed and swo r asyr�n ed�)(before me is
by by�E,1../3'.2f�.A�2�
Who is/are personally known to me or has/have produced Who is/are gg[sonallv no to me or has/have produced
asidenfifica6on. asident�cation.
Notary Public Notary Public
Commission No. Commission
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped C.KELLEY
TIFFANY
"CpNjMISS10N#FF091558
EXPIRES 2l2412016
BONDED THRU 1-868-NOTARY'I
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' P�.7.7I�CHASE�t�ER
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VENDCII2: SHIP T4: BILL TO:
All-Rite Fence Services Inc City Maintenance Yar City of Zephyrhills
5115 Uld Wi�ster Garden Rd 39421 Sauth Ave 5335 8th S#.
Orlando,FL 32$11- Zephyrhills,FL 33542- Zephyrhills,FL 33542
VENDOR NCI. VENDOR PHONE NUMBER TE1tMS DATE REQ[)IRED DELIVERY DATE
tltlrite ( } - 0 1?lt6(2Q24
SHIPP[NG INSTRUCTIONS
(nane}
YTEM QTY U/M DESCRIPTYCIN/TASK PitD CODE ACCOI7NT UNIT PRICE AMUUNT
1 I.04 optian b chain link fence at f}I2-4100-591-6324 8,35{?.00QO 8,354.Ot}
skate padc see scan for details
SLJBTOTAL: 8,350.00
TAX: Q.Ofl
St-IIPPING: 0.00
'�'OTAL: 8,35�.04
TAXABLE: No
CONPIRMING: No
il
S/�,�"1:� � l.w..O�,,,
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, AUTHQRIZBD SIGNATURE '
SPECIAL INSTRUCI'IONS:
IMPORTANT: OU[t QRL}ER NL)MBER 1VItJST APPEAR{}N EVBRY iNV(}ICE ANI}PACKAfi.rE
This prder is givc:y upon the representation and guacaniy of the manufacturcr or seller that no breach of any State or Fedecal I.aw or Regulatioa has occittrad in
connection wi:h the manufactt:ting,processitlg,bcanding,Iabe2ing ar trnnsgartation of the merchandise herein Fnearioned. If such breach occurs or is ohatged by any
tegaiiy constituted State or Federat anthority,the buyer shall bc entitled to reseind die oniec and retum the uttused merchandise and shail also he heid harmless by the
manufachu�or seller against any pp�alty iaautred ar.d(ar the aost of defense of any proceeding designed tp penalize the buyer therefo;.
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� ZEPHYRh�IILLS KH.�PRO�Ci p�gp PROFES10N44
� S1TE PAVING ���^T�50 Kimle ��)Harn
n Z SKATE PARK GRADIIVG AND :�08 5°�0�, WAmE E.WHITE,P.E Y
� � PREPARED FOR O 2014 KIULEI'-HORN ANO tiSSOC�+:TES,ING
° � CITY OF ZEPHYRHILLS DRAINAGE PLAN DESGNED BY ,�ww nauce53cxsE nu�,: 6x�N�,��,,�,�,M,���,PLPA,R J38p2
DRAwM eY JWW VH�E:815-820•I480
WNWJ(WLEY-HORN.CON G LOODOS�'f
ZEPHYRHII.LS FLORIDA CHEtlfm BY wEW o��: na
�_, . . i iiiiii iiiii oiiii iiiii oiiii oiiii iiiii iiioi iiiii iiiii siii iiii � --
Permit Number: �$�� • 2015000525
Folio/Parcel ID#: \?�-�14.��• oQ$o.�l pC�-4�1�
Prepared by: All-Rite Fence Servi�es, Inc. Rcpt:1651497 Rec: 10.00
DS: 0.00 IT: 0.00
01/05/2015 E. M. , Dpty Clerk
Return to: All-Rite Fence Services, inc.
5115 Old Winter Garden Road
Orlando, Florida 32811 -Pau�a s o'NEIL,Ph D PRSCO CLERK & COMPTROLLER
01oR56K01913�m PG J��
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of the property, and street address if available)
4626 Krusen Field Road Zephyrhills, FL
2. General description of improvement
Krusen Field- Install new 5'vinvl coated chain link
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name City of Zephyrhills
Address 4626 Krusen Field Road-Zephyrhills, FL 33542 �
Interest in Property Owner
Name and address of fee simple titleholder(if different from Owner listed above)
Name
Address
4. Contractor
� NameAll-Rite Fence Services, Inc. Telephone�Number407-295-7093
� Address 5115 Old Winter Garden Road Orlando, Florida 32811 •�
5. Surety(if applicable, a copy of the payment bond is attached) ,
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by§713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in§713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement(the expiration date may not be before the completion of
construction and final payment to the contractor, but will be 1 year from the date of recording unless a
different date is specified)
� ��NER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
`�, (K1mN�l IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN
���.R • '�►YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
� ji P�TED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
� EI� AN ATT NEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� .1�1r EI
=�t; �rt,: _
. • • —
��;S�'qna Own��t ssee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Si tory's Title/Office
i9�'•.b'`ay�'Med thN e�;•Q.� �
'��.o •.,Po u�,a�+';• �,�.� Dl� .
�i����,�ectd►a���trument was acknowledged before me this.,��a montWy ar me of e n ' �
�'��rrirmi i��� �- for �
as
, Type of au rity,e.g.,officer,trustee,attorney in fact Name party beh o hom in ment was executed
___�'c-'L�� � � f�/l"/ �. ����??2f'✓
, Signature of Notary Public—State of Florida Print,type,or stamp commissioned name of Notary Public
Personally Known OR Produced ID
Type of ID Produce
Form content revised:10/17/12