HomeMy WebLinkAbout93-3216
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_ 32168
.y-dtJ-93
Date
~DI~ ELECTRICAL PLUMBING MECHANICAL S,woe Conn
~. Water Conn:
PcoP'rtYown".~ .~~f2 l. ~hk;..j Wa~':M"oe
Job Address: k,_ _~~_~ei T,I.~:
Parcell.D, #
Zoning:
Description of Wor
l3.adon Gas:
FINAL ,p--/ C/ - ~
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price 47 tJ7J ~ crv
Permit Fee
~O()
l{)- A_----
City License Registration # ~ 6- ?
State Certified License#
Signature
Company
Address
Telephone# -l-1I' ~ - ~ 1 ~- 0/77
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
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Contract Order Form
Between
Woodall Sign & Crane Service
Tampa, Florida 33684
4401 W, Crest
F'hone: (813) 876-0177
Fax: (813) 879-0960
Licensed - Bonded - Insured
P,O, Box 15626 ~
Tampa, Florida 33684 ~
Manufacturers and Designers of Neon and Plastic Signs
AND Zephyrhills CinQma Six
Date
4-14-q~
Woodall Sign & Crane Service is hereby authorized and directed to manufacture the following described sign in a good
and workmanlike manner. It is expressly understood and agreed by both parties that the following specifications and
conditions are complete and under no circumstances will the be altered without mutual consent.
COMPLETE SPECIFICATIONS:
Manufacture building' sign 6'x22' & install
Price plus permits at cost(Extra)
$ 2900.00
Tax
188.50
T ota 1
$ 3088.50
CONDITIONS:
This sigQ and its accessories are manufactured for special individual use and therefore, this contract is non-cancellable
and is not subject to countermand,
Guarantees on all accessories of other manufacturers, used in the construction of or in connection with this sign or
equipment herein described, do not extend beyond the guarantees of such manufacturers.
When a sketch of this sign is furnished, it is hereby expressly understood that it is supplementary to this contract.
All mercury neon tubing is subject to change in color. This is an inherent quality of the product.
Lead wires of sufficient capacity to be furnished by purchaser to location on outside of building at sign location.
Conditions shown on the reverse side of this form shall be considered a part of this contract.
CONSIDERATION:
Price $
Sales Tax $
Total Price $
TERMS:
2900.00
188.50
3088.50
It is expressly understood the title and property right in and to the sign and equipment furnished herein shall remain
vested in Woodall Sign & Crane Service until the full purchase price of same has been fully discharged and satisfied.
The purchaser hereby agrees to and acknowledges receipt of the copy of this order, its specification, conditions, and
agreements.
One half down wi th order I 7'Ll ({ 7.. 5
1 . I
Balance due upon camp etlon
** THIS CONTRACT NOT VALID UNLESS SIGNED BY E.A. SINNES....
....NO CHANGES TO BE MADE UNLESS APPROVED BY E.A. SINNES""
By WOO~~~~E SERVICE Company
Title
Sales Rep
Signed by
Purchaser
Title
Date Signed
Billing Address
PERSONAL GUARANTY
THE UNDERSIGNED does hereby unconditionally guarantee full performance of said contract in all its terms and the
prompt and full payment of all sums therein provided for, together with expenses, costs and fees, and agrees to pay
tltlornaY'1:1 faGS nnd costs (if f:tnforcina thi~ ~or\l!~mll!nt ::!nd AorRp.A th::.t in thp. eVflnt of the noncompliance with any of the
conditions of said contract, whether or not repossession has been made or undertaken, suit shall be brougt11 in Hillsbot'"
ough, Florida, against anyone or more or all of the undersigned and without waiving any right later to repossess and
waives any and all demand or notice of nonpayment, demand, presentment or protest, and agrees that any extension or
change of terms shall not in any manner release the undersigned,
By
(SEAL)
(SEAL)
Date:
APPLIGATION FOR PERHIT
CITY OF z.E:P!innuLLS
BUILDIBG DEPARJKE'NJT
1-I!lIU2'{ l?~r,tJ--f/ PlIO"". ~5..,,;:lfZ
OWNER'S ADDRPSS ~ f:;.c<- 2Lt/o (rtf/y Jy{~~;2t?)
JOB ADDRESS L _ _C:-~ttc & vo ,
OWNER'S BAKE
LEGAL DESCRIPTIOB: LOT(S)
BLOCK
SlJJBDIVISIOINI
PARCEL LD.:f
WORK PROPOSED :_lNiew Construction _Addition _Alteration _Rep."lir _Install
VSign
_!!love
_DeJIOlish
PROPOSED USE:
Single Faaily
_KIF
_, of lJInits
_K./H
_~rcial
_Indust.
_Swia. Pool
Ot:her
_Restaurant &: Hea1t:h Deparblent Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COttHERCIAL :
ATTACH (2) PLOI' PI..OS &: (2) SEl'S OF BlITLDIlNiG PLAINIS &: (1) SET ENERGY FORKS. **
ATTACH (3) SETS OF BUILDlli1G PI..OS &: (1) SET ElfflRGY FORKS. **
**COPY OF COINITRACT RlrQmrBED.
PElmITS REQUESTED
_BUILDING
$
Valuation of Total. Construction
_ELECTRICAL
AMP Service
Plorida Power Corp.
W.R.E.C.
_HECHAlUCAL
$
Va1ua~iun ()f Mechanical Install ation
_PLlJK.BING
GAS
ROOFDiG
SPECIALTY
TYPE OF CONSTRUCTION!: _Block
_Frcmle _Steel
Other
FIl'iISBED FLOOR .ELEVATIO~S:
FI' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
,CUINITRACI'OR SECTION
BUILDER COI!tPMIIY
State Cert. or Regist. ,
Signature City License Registration ,
******,~******,' :I:**-lIc-llc*-lIc****-lIc*********-lIc**-lIc***
ELECTRICIAN 01lfPANY
State Cert. or Regist. ,
Sienature City License Registration f
*****-lIc*-lIc***~*************-lIc-llc*-lIc*-lIc****-lIc*-lIc-llc-llc**
PWHBER cmlPABY
State Cert. or Regist. ,
Signature City License Registration I
****-lIc*-lIc*-lIc-llc*-lIc-llc*-lIc-llc-llc-llc-llc-llc-llc**-lIc***-lIc*-lIc-llc-llc**-lIc-llc**iIc*iIc*
KRCllAHICAL GOMPMfi
State Cert. or Regist. I
Signature City License Registration I
***********-lIc*-lIc-llc*****-lIc-llc*iIc**iIc-llc-llc***iIc*iIc*iIc-llc*-lIc-llcilc
0I1!RR OOHPAN'l,
S taJ:e C;ert. or Regis t:. ,
Signature City License Regis~rat:ion f
***-lIc*-lIc***-lIc***-lIcilc*****iIc***-lIc-llc-llc-llc**iIc-llc-llc*-lIc**iIcilc-llc-llc-llc
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject to "deed restrictions" which say be lore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RES~ONSIBILITIE~
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 lay be
cited for a aisdeleanor violation under stdte law. If th~ owner or intended contractor are uncertain as to what licensing
reQuirelents lay apply for the intended work, ~i.ey are advised to contact the City of Zephyrhills Building Department, (8l3J
78B-bbl!.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner 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 aay 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 FE~~,
D. CONSTRUCTION LIEN LA~ (CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I ,certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida De~artlent 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 document and promise in good faith to deliver it to the
"oNner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIl
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlaenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develrplent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departaent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
i US Environ.ental Pr~tection AqE~CY - Ast~~to~ 3b3~~~ent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,', it is understDod that a drainage plan
addressing a "compensating volume" Kill be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit issued shall be construed to be a license tv 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 pertit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such per.it is cOleenced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tile, lay be
allowed for the pertit 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 will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CP;1MENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO'KENC,"ENI, 'S UN.ER . ,500 'N 'RlUE 00 NOI NEED 10 RECORD AR' ~~
SIGNATURE: CONTRACTOR
was ae knD'..,l ed'JEd
, 19~ by
STATE OF FLORIDA
COUNTY OF Hi 11 sborQugh
The for~going instrument
tefore me this 28thApri1
STATE OF FLORIDA
COUNTY OF Hill s horolJQh
The foregoing instrument
before me this ?RthApri1
was acknowledged
, 19~ by
who isLa;J;Ysc~nUa\1ny known to me Dr who has
produced nri \/pr I c; I ; c:pnsp
as identification and who did/did not
take an oath. "'C ()
~ t...> _~ ~
(Signahu-e) \
Marv S. Colson
(Name Typed~ Printed or St~moed)
NOTARY PUBLIC
LA. Sinnes
who is personally known to me or who has
pl-Dduced Dr i vpr I s I i c:pn c;p
as identification and who did/did not
t~ ~W~
(Signature) \
Mary S. Colson
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC
NOTARY FUBLIC STATE CF r:c,('i IDA
MY C0/1MISSION F;XP. APR.l1.I'l94
BONDED THRU GENERAL INS. UND.
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. APR.ll,1994
BONDED THRU GENERAL INS. UNO.
SILCOX ENGINEERING, INC.
5409 Nebraska Avenue
TAMPA, FLORIDA 33604
Phone (813) 238.9755
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