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HomeMy WebLinkAbout94-4467 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4467 / )... /4 r II; Lr ~~ #,6 './' Date Property Owner: Job Address: Parcell.D. # ~ PL~ ~~~~T ) - ME~- Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Description of Work eLt I FF/IlCE::.=- /9;/ . /)3 ID Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE DATE Inspector Valuation or Contract Price ~~313 aQ ~- P.,m;t F.~~_ dV ~ - QQ\ Slgnature_ ~_l""{ i__ Company . '- ' ~. Address Telephone# City License Registration # State Certified License# ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. MID-FLORIDA FENCE COMPANY, INC, 7125 North Highway 98 Lakeland, Florida 33809-9324 John Farmer, Owner Phone 858-4569 For Addres JOB ADDRESS Fabric In 0 Out 0 Barb up D Down D Level 0 Step 0 I Roll D Straight D Line Posts Set \0 on center in concrete Top Rail 40'5' \ '?1h "00 Top Rail " 00 Braces No. " 00 Braces No. " 00 GATES SIZE FRAME TYPE ~x_ _" 00 _ ~x_ _" 00 ~x_ _" 00 ~x_ _" OD EXTRAS: FENCE PROPOSAL '. .!'t- Phone lx')- ~S~() Date ~)'\I~m'of1r \I \0(44 Lot. No. Blk, No. . Subdiv. Survey Stakes Visible: Yes D NoD ,,,f? .! \ ,0 \ ., \\0 'J.C i .')0 DL.. rL. TERMS: Permit Fee $ TOTAL CONTRACT $ Down payment (Date Paid_____l $ Balance due $ \~\:\ :~ 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, Interest 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 0 \\~\\\ c, ~ ......\Jf\'~ f'c\,J2L"-. _ MID-FLORIDA FENCE CO., INC. Approximate completion date Accepted Date - --....... .,--..-. -..~..._-_&_---._~-,,-_..~-,-~-~._--- ..- Phone 858-4569 MID-FLORIDA FENCE COMPANY, INC, 7125 North Highway 98 Lakeland, Florida 33809-9324 John Farmer, Owner .. €- ;-"ioi, '... ! '1/1 ... ..... ( FENCE PROPOSAL For Addres Phone]'K~. ~1S'XC) Date ~)~~mOfJr \\. \9A4 Lot, No. Blk. No. Subdiv. Survey Stakes Visible: Yes 0 No 0 " \ \&.\'5 HT, ., \ \\'1) \\D \I Fabric In 0 Out 0 Barb up 0 Down 0 Level 0 Step 9 ' Rolr 0 Straight 0 Line Posts Set D on center in concrete Top Rail L\OS' \ ~h .. 00 Top Rail .. 00 Braces No, .. 00 Braces No. .. 00 GATES SIZE FRAME TYPE _ ~x_ _"00 _X_ _" 00 ~x~ _" 00 'x_ _" 00 ~ ~IJ , /).0 ~ fL. ....., EXTRAS: .. TERMS: Permit Fee $ TOTAL CONTRACT $ Down payment (Date Paid_____) $ Balance due $ \~ ~':) ~(Y:) '- Location of all work on the property and/or damage to underground objects or utilities are the responsibil ity 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, Interest 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 C\h I \\ By ()~~ O}-.. .....jt)1}\ l~~ \.... ~ MID-FLORIDA FENCE CO., INC. Approximate completion date Accepted Date .. - ----- "'-~ ----_..--- -.._~._"---_._._------..^'--_. ...---" -- --.--. _._-~._--. ---------.- -----.---------.---- II) <. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB ADDRESS ~\e\T~D V\\m~\D 2f\\ ':1t1 L0rix\ \~r\rt \)\, 1.p0'n. \f" "'~\ \ \~ Ul~~~ \)R\\~ ~VH-\ 7:.o~~r-\-\\\~ SUBDIVISION ~\f\\-\x)'> \t, \ PIIONE l~~ ~f)S(D OWNER · S NAME OWNER t S ADDRESS LEGAL DESL~PTION: LOT(S) BWCR ~(\~ ~ \CL-::'''-, \5' ;t~c~ c) _ PARCEL I.D.' ->,. l\ \uwr\~\\) ~tJ.'::l, \a.N-C\iL d-\ E 9\1\\- C&\)~<:--\t: \\"J ~\GM-,-\ 1(0~W01L\ \o'~ s WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall ____Sign ____Hove ____Demolish PROPOSED USE: ____Single Family ____H/F ____, of Units ____H/H _eo..ercial _lndust. _Swim. Pool ___Other ____Restaurant & Health Department Approval DESGRIPTIONOFWORK:~S\f\\\Qc\ 5 ftNd ~'C-\L ~O(\\('p_ BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~LECTRlCAL AtIP Service Florida Power Corp. _W.R.E.G. --"ECHANlCAL $ Valuation of Mechanical Installation _PLUMBING GAS RQOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION' BUILDER COKPANY State Cert. or Regist. , City License Registration , .....~.................................... Signature ELECTRICIAR COKPANY State Cert. or Regist. # City License Registration , .......................................... Sianature PLUMBER. COKPANY State Cert. or Regist. , City License Registration t _____ .......................................... Signature tlECHANICAL COKPANY State Cert. or Regist. , City License Registration , .......................................... Signature !UllBR Signature ....l)"- Q :\ 0 ~I\ ~ COKPANY ffi,6 \\(JI\c\f\ to(,\~P ~() \NC' State Cert. or Regist. , Cl!\'l.JlO City License Registration t 1,0.1 .......................................... APPLICATION APPROVED BY PEmUT OFFICER. , .' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe City of ZephyrhiIls. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" 'epared by tbe Florida Departlent of Agriculture and Constller Affairs. If the applicant is sOleone otber than the "owner", I certify that I have obtained a copy of the above described docuaent and protise in good faith to deliver it to the "owner" prior to coaenceaent. E. ~ONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 otber governJental 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 lilited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRJentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, Environaental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks * US InviroDlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .colpensating volUle" will be subtitted 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 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authorized by such perlit is coaenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a pe~od of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the perlit 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 IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCBJlEU MAY RESULT IN YOUR PAYING TWICK FOR' IMPROVRJlENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORK RECORDING YOUR NOTICE OF COHKENCEHEU. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOrICE OF COHKENCRJlEU". ~ bG s~~- iili~O~ ~ f\"'{k JJ STATE OF FLORID\1 \ 'fI COUNTY OF ()\ The foregoing instrument was a~nOWledged before me this \\ - \\ , 19 by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as iden.tification an?\whO did/did not take~~c ~'Gf\"i l. 0 Q (Signature) \ \ . \ \D~\~'::::,S D0.\"l, \ \_ (Name Typed, Printed or Stamped) NOTARY PUBLIC ~..v. I>tJ THERESA HARVILL ~&~ COMMISSION # CC 32~173 oJ: . <' EXPIRES NOV 20,1997 ~{' . '7i! Atlantic Bonding Co., Inc. ~Of f\..W 800- 732-2245 who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC