HomeMy WebLinkAbout15-15911 �
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C . O ZEPHYRHILLS
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5335-8TH STREET
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` , ENCEIPERMIT
PERMIT INFORMATION � , � LOCATION INFORMATION
Permit Number: 15911 Address: 6044 6048 9TH ST
Permit Type: FENCE i ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: _ 'ryS bN S'va.
Est. Value: Parcel Number: 02-26-21-0160-00100-0051
Improv. Cost: 1,345.00 OWNER INFORMATION
Date Issued: 1/13/2015 Name: FAIRLEY, MERLE
Total Fees: 40.00 Address: 6044/6048 9TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/13/2015 Phone: (309)360-2426
Work Desc: INSTALL 80 ' X 6 WOOD F NCE �
CONTRACTOR S � APPLICATION FEES
POST R US INC (813)779-7795 FENCE 40.00
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In ections Re uired
FINAL
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REINSPECTION FEES: Reinspection fees will omplylwith Florida Statute 553.80 (2)(c)when extra inspection
� trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
�, from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site� plans not at job site g)work not accessible. �
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NOTICE: In addition to the requirements of this p rmit, 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 anagement, state agencies or federal agencies.
The payment of inspection fees shall be mad before any further permits will be issued to the person owning same
Complete Plans, Speci ications land Fee Must Accompany Application.
I work shall be perfor ed in accordance with City Codes and Ordinances
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CONTRACTO ; PERMIT OFFI
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE IONi- 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
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Date Recei�ed� Phone Con act for P�ittin -
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Owner's Name ` � � �//2 Owner Phone Number �� ��Z b
Owner's Address ��T � -S/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
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Fee Simple Titleholder Address
JOB ADDRESS - LOT# �
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SUBDIVISION P CEL ID#
~ � � I (08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR B A D/ALT_ i0 SIGN Q Q DEMOLISH
INSTALL R PAIR � '
PROPOSED USE Q SFR Q C MM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME ;0 STEEL Q
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DESCRIPTION OF WORK S c1 d� � ,
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BUILDING SIZE �FOOTAGE HEIGHT
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QBUILDING $ � �r Q� VALUA ION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
MECHANICAL �a�`
0 $ VALU ION OF MECHANICAL INSTALLATION � ,
QGAS Q ROOFING Q S ECIALTY � OTHER
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO
BUILDER COMPANY �� P �7 Ce
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 7�
License# ��
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License# �
PLUMBER COMP I Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMP I Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPAINY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;( )set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a ife SafetylPage;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days'after.submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. i
'*`"PROPERTY SURVEY required for all NEW co struction.i
Directions:
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Fill out application completely. ,
Owner&Contractor sign back of application,notarized\ '
If over$2500,a Notice of Commencement is requireti. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey:(for the.':own2`r, w uld be someone with notarized letter from owner authorizing same
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OVER THE COUNTER PERMITTING (Front of�Ap'plication Onl ). . :'�:
I Reroofs if shingles Sewers , S,eryice Upgrades A/C , F nces(PIo�Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW I
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed" restrictiojls"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRAC7'OR 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 owrner 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 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
I 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 LAVY(Chapter T13, 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.
CONTRACTOit'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 pertormed 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 fo�identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
- Departm�nt ,of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterNVastewater 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
' 's ed under the attached ermit a lication for lots less than one 1
the conditions of the building permit i su p pp , � )
acre which are elevated by fill, an engineered drainage plan is required.
ff I am the AGENT FOR THE OWNE12, 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 correction 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.
- iiil�RWiPIf� TO-OWNER:Y�UR FAIL-d1RE-T� RECOl2D A-NOTICE_OF COMMENC.EMEN_T_M�►Y RESULT IN YOUR__ _ _
PAYING TWICE FOR IMPROVEIIAENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANGING, CONSULY
1AlITli YOUR LENDEIt OR�►N ATTORNEY BEFORE RECORDING YOUR TICE COMMENCEIVIENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR �L--
Subscribed and swom to(or affirmed)before me thls Subscribed and wom or affirmed) efore me this
by b
Who lslare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlfication. s identification.
1110��,' C
Notary Public ?iR�" F• Noiary Public
� : Expires June 29,2018
Commisslon No. Commissi
Name of Notary typed,printed or stamped Name of No typed,printed or stamped
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� ��C�� ��11C� ' Ac� �NCE
p��g 5150 Hal�tead Ln.
F�II��B Zephyrhills, Florida 33541
"Your PVC Specialists" ,813-779-7795 813-973-0826 888-779-8553 fax
� acmefence@yahoo.com
LICEN3E # 11795
PROPOSAL/CONTRACT� sl�ipigol4
Customer Information: Job Information:
MERLE FFAIRLY JOB LOCATED IN ZEPHYRHILLS
6044 9TH ST CROSS ST IS NORTH AVE
Zephyrhills, Florida 33542 309-360-2426
Notes:
- 80' 6 FOOT BOARD ON BOARD PRIVACY . -
1 4 FOOT WALK GATE
ALL STICK BUILT , SHED
4 X 4 X 8 FOOT PT POST EXISTINO FENCE
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2 X 4 PT RUNNERS
5/8" X 5 1/2" PT PICKETS �
HOUSE
HOT DIPPED GALV. RING SHANK NAILS
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' �. 4'
1300.00 FENCE �°
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45.00 PERMIT
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ACME FL�NCE agreea to guarantee above fence to b job and adjuatments for labor aill be ch�ged or
Pree from defeata in materials and workmanehip fo credited at the currently eatablished ratea.
oae year. Additional charges £or any estra work not covered
ACME FENC& ehall adviee the customer as to loc in thie contract that wae requaeted by the customer
zoning regulationa but zesponsibility for complyi g �vill alao be added. The full amount of thia
xith �aid regulations and obtaining any required contract along with any additional chargea will
permita ahall reet with the cuetomer. ACME FENCE become payable upon comQletion of all work Whether
erill aseiet the ouatomar, upon r�guest, in or not it haa been iavoic�d,
determining xher� the Eenc� ia to be erected, but I A fi.nance charge of 1 1/2� per month (or a
undes no circumstance doea ACt� SENCE asaume any minimum of $1.00), which is an annuai percentaqe
responeibility concerning property linea or in sate of 18$, ehall be applied to accounts that are
�vay guarant.�e their accuracy. I£ property pina not paid srithin 10 days after compl�tion of any
cannot be located it is reco�snded that the iaork iavoiced. All materiala will remain the
customer have the p=operty eusveyed. property of ACt� FENCE until all invoicea
ACt+� FENCE aill aesume the reeponeibility for pertaining to thie job are paid in Pull. The
having underqround public utilities located and 'cuatomer agreea to pay all intareet and any coats
marked. Hoaever, ACt� FENCE assumea no �incurred in the collection of thia debt.
responeibility Por ++nTSrkAd sprinkler lin�e, or y
othes unmarked buried linea or objecte. The ,
cuatomer will aseume all liability for any dama
caused by direating AC2�? FENCE to dig in the
�+�+�+���ate vicinity of known utilitiea.
The final billinq aill be based on the actual
footage of fencing built aad the Work performsd.
Partial billing for materiala d�livered to the j
�it� and mork complated may be aont at vraekly I .
intervala. Adjustmente for matesial uaed on thi i •
; Appro Accepted for Customer:
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ContraCt Amouat: $ 1345.00 ' custome Date
Doarn Payment: $ 400�.00 Acce e f CN� � �P .
Salance Due: $ 945.00 -
Salespe son Date
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