Loading...
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