HomeMy WebLinkAbout15-15978 CI OF ZEPHYRHILLS
' 335�`8TH STREET
� ,_(sis��8o-oozo 159 8 ,
- ENCE PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15978 Address: 38750 HENRY DR
Permit Type: FENCE ZEPHYRHILLS, FL.
iClass of Work: FENCE/NEW Township: Range: Book:
I Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
� Est.Value: Parcel Number: 02-26-21-0180-00000-0150
Improv. Cost: 1,990.00 - OWNER INFORMATION
Date Issued: 2/02/2015 Name: HODGES PERRY& NICKENS INA I
Total Fees: 45.00 Address: 38750 HENRY DR
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-2681
Date Paid: 2/02/2015 Phone: (813)363-2891
Work Desc: INSTALL 164 ' X 4 ' CHAIN L NK FENCE
CONTRACTOR S APPLICATION FEES
FENCE OUTLET OF TAMPA INC (407)851-6 60 FENCE 45.00
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,� � - . Ins ections Re uired
FI AL
REINSPECTION FEES: Reinspection fees will omply with 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 corre ions not made when inspections called d)work not ready for
inspection when called e) permit not pos ed on job site� plans not at job site g)work not accessible.
NOTiCE: In addition to the requirements of this p rmit, 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 m nagement, 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 cations and Fee Must Accompany Application.
All work shall be perform d in accordance with City Codes and Ordinances
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER �
813-780-0020 Cify of Zeph ilis Permit App(ication Pax-813-780-0021
Bu Iding Department
Date Received �, ap Pttone Canta t for Permitting –
Owner's Name QyY� ot� 2. Owner Phone Number u l�J ��� ' �'}��
Owner's Address 3� �b e� 1�r. Owner Phone Number � �
Fee Simpie Titlehotder Name Owner Phane Number � �
Fee Simpie Titteholder Address -•
JOSAdDRES8 3$ C7 �� r, LOT# �_u�
-suso�tf�s��r� —-- Yk- ,t — --��e.R ��r� -t�`k--. =-� = � 80--. � �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORiC PRQPOSED e NEW CdNSTR 8 ADD Ai.T �� S1GN � Q DEMO�ISN
1NSTALL REP IR
PROPOSED USE Q SFR Q CO Nt �] QTHER
TYPE QF CONSTRUCTiON CJ BLOCK [� FRA E �� STEEL Q
DESCRIPTtON OF WORK `�',k-rng��` er� � i Ct^ayh �,v+k. ��ce �� t � 6.w� orr� L` (� a .
BUILDIN�SIZE � ] SQ FOOTAGE HEIGHT ��_____�
�B���Q»C' � VA�UATI N OF TOTAL CONSTRUCTiQN
�' � 0•ov
QELECTRICA� � � ANtP SE VtCE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBiNG �� � ,6
L. �
OMECHANICAL $ VAl.UATI N pF MECHANICAL INSTALLATlON ��4a
QGAS Q RQQFING Q SP IA�'fY 0 QTHER
FINISHED FLOOR ELEVATIQNS r`� FLO D ZONE AREA QYES NO
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BUIlDER i � � COMPANlt �23'iC2.. '
SIGNATURE � ,. ,, �"'�`1 REGIS7ERED Y/ N FEE CURRE� Y/N
Address �u} S. �p, e�b tlt,t. ttR �{.. License# �— ^�
ELECT121CIAN CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �` �
PLUMBER COMRANY
SIGNATiJRE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ��
MECNAldICAt. COMAANY
SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �i �
OTHER COMPANY
StGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
RESlDBNTIAL Attach{2)Piot Plans;(2)sets of Building Plans;{1) e#of Energy Famas;FZ-O-NI perm9t for new canstrucfion,
Minimum#en(10}warking days after submittat date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties&1 dumpster;Site Work Permit r subdivisions/large projects
G4MMERCIAI. Attach{3}complete sets of Building Plans plus a t�i e Safety Page;{1}set of Energy Forms.R-4-W Permit tor new cons#ruction.
Minimum ten(10)working days�after submittal date Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
Sanftary Facilities&1 dumpster.Site Worlc Permit or all new projects.All commercia!requirements must mest comptiance
51GN PERMIT Attach{2}sets of Engineered Ptans.
""PROPERTY SURVEY required for all NEW can truction.
�Irections:
Ffii out application complekely.
Owner&Cantractor sign back of application,notarized �
!f over�250Q,a Nottce of Gommencemenf is required. (AtC pgrades over$7540j �
"" Agent(for the contractor)ar Power of Attomey(for the awner)wo Id be someone with notarized letter ftam owner autha�izing=same � , '� '�
�VER THE COt1NTER PERMI'iTING (Front af Application Only} .. � �
2eroofs ff shingles Sewers Service Upgrades A/C Fe ces(PIaUSurvey/Footage) `
Driveways-Not over Goun#er if an pubtic roadways..needs ROW -�_ � .. _ , -
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NOTICE OF DEED RES'TRICTIONS: The undersigned understands that ihis 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 CONTR�►CTOR RESPOIVSIBILITIES: If the owner has hired a contractor or
cont�actors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
cont�actor 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 contractor.s, 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 IMPACTIUTILITIES IIVIPACT�►ND 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�nal power release. If tFie project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. �'uYthermore, 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.
CONTttI�CTOR'SIOWNEFt'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 fo identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Departmerit•�o#�Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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.
- Fede�al 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 OIn11VER, 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT IVIAY RESULT INI YOUIZ
PAYING TWICE FOR IMPROVEflAENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIfV FINAfVCINC, CONSULT
WITH YOUR LENDER OFt AN AT'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. _
FLORIDA JURAT(F.S.117.03)
OWNER OR�i�Ef� i � l�"'r'l CONTRACTOR
Subscribed an�'s�m to(or affirmed)before me this Subscrlbed and sworn to(or affirmed)before me this
by by
o is/are perso Ily known to me or has/have produced Who Is/are personally known to me or has/fiave produced
as Identlfication. as identification.
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;,,, := Commission#FF 137073
Com 1 oP;. =o: Ex ires June 29 2018 Commtssion No.
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Na e of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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.. ; Fen e O�tlet of Tampa Inc.
_ 2� 1 S. Falkenburg Road
ampa, FL 33619
O fice (813) 651-3623
ax (813) 651-3655
AUTH RIZED AGENT FORM
I, Jeffrey Tinnon, of Fence Outlet of Tam I c having personally appeared for identification, do hereby
authorize the following to act as my Agent(s in submitting Permit Applications in the area of City of
Zephyrhills.
(1 l
Ana King K520- 12-87-710-0
—�
�2� _���
Garret King K520- 90-82-334-0
(3) � T
Daniel Paniagua P520- 74-91-258-0
I UNDERSTAND THAT I AM THE LICENSED Q ALIFIER RESPONSIBLE FOR THE APPLICATION AS
SUBMITTED BY MY AGENT(S),AS REFEREN ED ABOVE. I FURTHER ACKNOWLEDGE THAT THIS
ORIGINAL AUTHORIZATION FORM IS IN MY ICENSE OR QUALIFICATION FILE FOR LEGAL REFERENCE
PURPOSES.
x Januarv 23, 2015 C10252
C nt acto Sig ure Date Registration/Certification/License Number
NOTICE: THE LICENSED CONTRAC OR'S SIGNATURE IS TO BE NOTARIZED
State of Florida
County of Hillsborough
The foregoing instrument was acknowledged befor me this 23 day of January ,2015
By Jeffrev Tinnon ,as Vice President of F ce Outlet of Tam a Inc. and is personally know to me.
JU l�+'�-- �v,•�., PENNY FERNANDQ
N tary's Signa ure �::4� ��� MY COMMISSION#FF060060
�,��y:;; EXPIRES:October 3 2017
%�OF fl�P�` Bonded Thru hbtary Pu61ic Undetwriters
Commission Expires: October 3,2017
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��`��� Q U T L ET Pro p sal/Con tracf � 96�1 S.Orange Blossom Tratl•Orlando,FL 32837
Tet(d07}85i-6664•Fax{407}A38-318i
www.fenceoutletonline.com / � 1724 West Broadway St.,Suite 100•Ovledo,FL 32765
CUSTOMER NAME. 2r!t t y tt �{t-C.°� 3ei(4QT)359-9092�Fax(4Q7)36&2335
1� /� 20i S.�atkenberg Road•Tampa,FL 33619
ADDRESS� .',��7,Sa f1'�h � V � � Tel(813)651 3623•Fayc(813)651-3655
? ) 11507 US[iwy t9•Fart Rlchey,FL 34668
� � J S�f G.� Tei(72�857-7'590•Fax(72�.857-7591
� 12984 Tamtami Trali S.•Narth Port,FL 34287
Tet(94f}3d6-6800�Faic{94f}346-6801
PHONE: HOME# MOBII.� � ' ��j ' �� E-MAIL
OWN PROPERTY? YES� NO❑ py�ERS AME �A� f �� f� %
PVC WOOD ALU lNUM 3 Rail FlatTop GHAtN 1.lNK ''
PVC Feet Wood Feet A�urni.um Feet � Chain Link Faet ��tl ,.
PvC COLOR Cypress.p PT Pine p Pres. us❑ Heig 4'C� .Fi'❑ 6' � Height 4'� 5'❑ 6'❑ �
Height 4' ❑ 5' f� 6'.❑ BOB❑ STI{Q D VS �{y,�� �03❑ #3�Q �030 3 Rail Box Spe p}��r Heigfit
TB�G Privacy ❑ Domed❑ Scallo L7 _ -Resi n6al p Co mercial-p. Residential- Commereial p-- � - - --
Privacy With La ' e �` Other Style ❑ �
Other Sfy1e Height 6'I� '❑ Muni ipa3 CI ndustrial ❑ �T Camr�� Industria!❑
Gate S' e Picket 1/2"x 4" 1'"x 4" ❑ Black C]Whit Other: a aai ear Tap Galvanized�Black Unyl ❑
Gate� ize Runner 2" "❑ Post ize Gree�Vinyl❑ ,
Gate Size Gate_ ize Gate Size � Gate,1. S¢e Y������°
Gate Size
Ffa p❑ Bal CapE C7 �� gn� Gate Sizs 2 Ra3t Pool Code Gafe,� Size
� — G e Size Gate._ Size
thic� New Eng. ❑ thic ToP ❑ Traditional Top ❑ ❑ �
Coachman❑ i'ear Dro ❑ Other❑ ��{� .,� ��
Good Side In ❑ Out E�
' Fence to Fo(low Contour of Ground I�
Fence to be L.evel O ��,
Remave existing Fence�Ft. No 'F�'
Fence l.ine to be Cleared by Fence Outiet ❑ l�
Fence l.ine to be Cleared by Owner 1� �� " ^�---1����1���
Comer Lot Yes o ❑ ��
� �,�,��
Permit Needed Yes� No ❑ �,,��USE �b�`�'
,�+ / _/t� t j �
i .�UTtS{�IC�fO(I i��7 Ua!"" ��{�t�ti+f�i/�� �iQ ��il
Speciat Instructlons: ��,�Yt i h\�-.��" ���
�t..c�cr��.�.,'-c'u ��n Chc.�+n�...',r(� . I
�+�W t �.G,��� 4..Yrtt�rn-'t`y
�' 1f �°�" .S� t�'1 Go�,G.�X�- � CA�ti,{.; �¢;,,;� (,��o�ti �r-h� �f�A�vv�G,
Fence Outiet wlll asslst the customer,upon request;in determSning wliere the fence is to 6e ,but under no c.lrcumstances does.F.ence Ouutl�et assume amr respansibiCity concem3ng propeRy Ilees or in
anyway.guarantee thelr accuracyr.tf propertp pins canriotbe located;it Is rccommended Uia the customer hove the p�opertysuriieyed.
Fence Outlet vrill assume the responsibility.tor IocaNng.undergrourid cables and utllitles,ho 'ver,F�na�Outlet is not nsfz4nelble tor a�y�p�or atlm unmarked 6urbd Hnae or obj,�ts.
Payment Is due at the tlme of eomple8on of work;and a flnertce cAarge:of i!!2°!o pe'r inontli. haU be apptted to all accoanb'not pafd lo full wiUdn 10 d�ys of campfettoa.1111 materfa!wif!temafn the propecty af
fence cu�et antit Paymerst!s recelVed in full.Rtght of atxess attd remaval is graMed to Fen 'dutlet In tite evEAt oi nanpayment per the terms af th3s•cor�h�act The eustamer agrees to pay atI interest aed any
costs Incurred In the sallectlan af lhls debf Including rea4anatile attortiey fees:
H the bpyer refuses to allowdhe sellertobegtn.work or complete worlc already begun,or to a matedals contracted(oi;Buyer agrees to pay Seller Ilquklated damages of a sum equal to 33113%of en8re
contract pdce,ptas cost ot matettaEs and la6or atready furislsried dcin progress.:Warr�=sty ay be volded[i sfge Is remaved.
uatame u es 0 rsa na II " r obtat 1 t�c rs rava � i of
�CCORDln610 fIQ�D�'S GQnS��UG1lOn L1E�I��(SEG1101lS 113:OQ1= 3.31:E�O�ID�5�110t�S1;1�OSE�l�0l�O�K 0�Y�II�P�OPE�]1r 0�P�081DE I�I�EE�L�
AnD pflE n01�P�a(n�Ull NpUE�A R16N1:10 EnfOflCE iHEI�:CIAImfOfl �VI�En1�6AI�Si YOUR P�OPE8111: iNIS�lAllq IS fl�9�p AS A COnS�RUCiIOn LIEn. IF '
' �0��C�i��1C10R��a S�BCO��R�CIOR��IES 10 P�Y S�BC01��aC �S;S�B•CO�i��C1�RS,OR i��1E�11�L SOPP�ERS��E6�S1S 10 ma�E�iNEB iE60lEY
REQUlRED:P�YmEI�S: 18E�OPl�I�NO�ft�U4�ED mO�EY��Y:L00�i YOUB P�OPEfl1Y�0�P�YmEn1;E�f�lf Y0U N�UE P�ID YQU�C0�1�lGiQ��I fUlL If 90U
F�IL 10 P�Y�VOUR C0�18pC10R;-V0UR CO�iR�C1Q�I mAY�tSO H�UE Q En:On YOUR PI�PERIV: TNIS mEp�S IF p LfE�1S FILED YBUR PROPERIY COUI�BE SOLD
��i�1�S1 ll���:1�111[O:PaY�O�I.���,�I�E�I�l�;:0�01NE�SE�01 E�iN�1 YD1i�CO�T��G10R OR�SDBC0�IRI�C10��I�Y N��E f�li�D t0��1C FLQ�1D�'S
COaS1RUCilOn llEn lAU1 IS COmPtEM�AIID li!S REC8I��IEI(DE�1��i: . E�EUE��SPECIEIG P�OBLE�!��lSES,��U CO�SULI An�11��11�lI;
N0710E 7 PUi2CHASERS OF WOdD FEAICES:
Wood fence materials are rough mfll eut pleces.Woad tence has a tendency!to shrlrik and rp iri hot;humld we8ther and sm II gaps.will appear between.boards. Gracks In the wood are a common and
accepted occurcence.Fence Otitlet wlll only guarantee the workmanshlp on.wood tances to o�year.
I HAVE.READ AND UNDERStAND THE ABOVE CLAUSE + �
CONTRACT AMOUIdT a . �� �9�'�� . PPROVED.AND ACCEPTED FOR CUSTOMER
1/ .-� �°c, � I-�b�3S°- .
DOV�I PAYMENT: � $ �Io5� O CUST ER o��
11F N CQMPL�TION ��$ 1�u�s'p� cusro��R DAr�
fPTED F4R E CE OUTLET
t�� j.jt�, r�'' ,
DATE STARTED DATE CON1Pl.ETED SACESPERSON DATE
INSTALLER u�eoR QUOTE VA1.1D FOR�I` DAYS