HomeMy WebLinkAbout92-2773
BUILDING PERMIT
Permit
277~l
11- 9.- 7:1__
CITY OF ZEPHYRHILLS
(813) 788-6611
N?
Date
.~
E~ PL~-'
::~:::,~:~e' (:9#17 ! trfl/~ .
M~'Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
FINAL
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Valuation or () e)
Contract Price AOO'-
Permit Fee ~O.-
Signature ~o \. <.'J ~ ~f\S\'L;5JQ-
Company
Address
Telephone#
C;ty UcenSe Reg;s".,;on # /19 ~~
~ ~e~f;e~icense# ,7
~,';. it, JAiQ
G~ '
ELE~--
-
~LU~---
M~CAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp, Serv,
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Ftr,
Pre SLB
Lintel
FRM,
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade:
a, Wrong Address
b, Condemned work resulting from faulty construction,
c. Repairs or corrections not made when inspection called,
d. Work not ready for inspection when called,
e, Permit not posted on job site,
f, Plans not at job site,
g, Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
Phone 858-4569
MID-FLORIDA FENCE COMPANY, INC.
7125 North Highway 98
Lakeland, Florida 33809-9324
John Farmer, Owner
Phone 1>3.~ l\,SC\ d.
Lot. No,
Subdiv.
FENCE PROPOSAL
Date~i.eN"\\:x>\c; \OC\~
Blk. No
t\) ,
For ~ ~~\"'
Address . . " .
JOB ADDRESS .~<;"i\E>
Survey Stakes Visible: Yes D
NoD
"
9
u
\
~~
~~
~
/
Fabric In D Out D Barb up D Down D
Level D Ste~RolI D Straight D
Line Posts Set on center in concrete
Top Rail \\oA ' " 00
Top Rail " 00
Braces No, " 00
Braces No. " 00
GATES .\ ~IZ~ \ ~I~AME TYPE
---L- ~x~~" 00 S,~'e
_ ~x '_"00
_x
_"00
'x_ _" 00
EXTRAS:
Permit Fee $
TOTAL CONTRACT $
Down payment (Date Paid_____) $
Balance due $
56() : m=
TERMS:
Location of all work on the property and/or damage to underground objects or utilities are the responsibility of the owner.
Unless specified, quotations do not include grading brushing, or jackhammer work which are charged by the hour as need-
ed, This proposal becomes a contract when accepted by both parties and is subject to cancellation. I nterest will be charged
at 1% per month on past due accounts, Costs of collection if any, including Attorney fees, will be added,
Approximate starting date
By '-~\<J~t\ ~f\~ &\J
-
MID-FLORIDA FENCE CO., INC.
Approximate completion date
Accepted ~ (fl. ~t--"t"r'
5:>1' i ~ L p"v-J .
Date
APPLICATIOIl FOR PERKIT
CITY OF ZEPllYKliILLS
B1JJTI.DIliG DEJ"AR'i1llElNlT
OWNER'S BAKE
l'\\R\ \~~
SS~Q dJ) \-\)
~~~~ \~ ~\'\ -S~'\e(:l'\
LEGAL DESCRIPTION: LOT(S) \ c:\0.lr\ A.
OWNER'S ADDRESS
\\ ~ \,\ ~od
8neF~
1 D~"I.\'\h\\:'
BLOCK l~
P1Imm
'\ '& 'd.. 4SC\~
JOB ADDRESS
SUBDIVISION ?\n\-- ~C:()~ \ ~0.0.?
csL
PARCEL I. D.I
City of Zephyrhills Receipt N~ 70849
5335 Eighth Street. Zephyrhills, Florida 33540
(813) 788-2313 Date 1/-11) 19 9~
Lots
Block
Footage
Rate
Amount Due .,jO.ol>
RfUnll IF ~/1~ 13
(_) Paving Assessment
(_) Other
Name
Street No.
City, State, Zip
tn, () I~ fLll>t4
F{;NU
NOTICE: All assessments are due and payable within (30) thirty days after <Mlllf#lLWi#l-10-9"1IOO5
bear interest at the rate of 9% per annum thereafter, Please send postage for rMWr'n. 't\!'~M)1t. '"
$20.00:1
~
_PLUMBING
GAS
ROOFDiG
x
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FInSHED FLOOR ELEVATIONS:
Fl' .
IS PROJEC1' Dl FLOOD ZOIlE AREA?
YES NO
..*...........**...*....~......*...*...*.........*.................*...**
mHRACIOR SECTION
COKPANY
State Cert. or Regist. ,
City License Registration t
.*..**....**......***.........*................*....*...................
BUILDER
Signature
ELECTRICIAN
CO!IP.DY
State Cert:. or Regist:. l#
City License Registration I
..***...**..***...*.*...~****..........*......**...**....*...**
Si!m3ture
Signature
CO!IPANY
State Cert:. or Regist:. ,
City License Registration I
*****...***..***.******......**...*.....................................*...
PIJ:JKBER
KEClfAIIIICAL
Signature
COlIPMY
Stat:e Cert:. or Regist. f
City License Registration I
***...*******~*~*.*...**~...**......*...***............**.........
0I1IER.
. CO!IPANY '\'\\0 ,\\tJ\\~ \~~(J/ ~(') \ ~C~
r\ \ _\ \ (\(\ State Cert. or Regist. 4#
" :t'f\51>J2 U\ '~a.~~~ City License Registration , \1.\<1,
*..*~.*...*..**..**..******...********.......***
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that' this perlitlay be subject to "deed restrictions" IIhich laY be lore restrictive than Ci ty
regulations. The undersigned assules responsibility for co.plianc! with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Of contractors to undertake work, they lay 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 lay be
cited for a lisdeleanor violation under state IaN. If the ollner ~r intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611 ,
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(;) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the ollner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
I certify that I, the applicant, have been provided with a CDPY of "Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner" prior to cOltencelent.
E. CDNTRACTOR'S/DWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all NorK lIill be done in coapliance with all
applicable laws regulatit~ construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic TanKS
f US Envir~n.pntal Protection ~gPPJ:Y - Asbect~~ ab~\elent
I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.', i~ 1& un6erstooti thdL d drdil~ge plan
addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it 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 per.it prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code~ Every per.it issued shall becole invalid
unless the work authorized by such perlit is COlteneed within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced, One 90 day extension of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project lIill be considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P T A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
STATE OF FLORIDA() \~
COUNTY OF YU~I)
The foregoing instrl{ment
befelre me th i s C\ ~ ~
~b\'rl \C\sme\
who is personally known
produced \ ~ -' .
as identification~nd who did
takel\~n c,ath. -
,.,J:b.() \. Q~ -- , "
(Si~ture) \\ ^\\
~~,~- 4J~'~\~
(Name Typed~ ,Pri,'ntad OT _Stamped)
NOT ARY PUBL I C NOTARY P
~lY COMm ~~t6~ ~~:TE Nor rlORIDA
BONDED THRU GENERAL i~S,20. 1993
. UNO.
-
was acknowledged
, 199.a- by'
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ~ckn~wledged
before me this , 19____ by
(SignatUl-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC