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