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Home My WebLink About95-4665 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N.C? 4665 t3 Date / -Yo -Y.s- 8 ELECTRICAL PLUMBING MECHANICAL :~~:::,~:.~e3{~Jf ~#O~ Parcell.D. # /0--;)..1:, c:J.-1- 0 (:) Yo - () LJ30 CJ- IJ O~ 'V Sewer Conn Water Conn: Water Meter: T.I.F's: Zoning: Energy Code: De,e,'.';O" of wo; A, ~ -'" ~ ~..ed\-<I1. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl2 - C?- &)-) 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 City License Registration # State Certified License# 7c2 if Permit Fee 12 (J ~. cJ"V Signature(jl, ~l~/:{~ Company Address Telepl;1one# (t/3/ q 73' 0,:.1'" ;1.(., Valuation or Contract Price ~3.2 , OD {L.~ ~ -Ii i!A'<.LL BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLL ~:~~' -rl~~ Insul. CL~ WL ~ (7{V Driveway Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. APPLICAnON FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTKENT OWNER' S HAHE J; fYl , I , e.. OWNER'S ADDRESS 3 7')1 ~ JOB ADDRESS j cx.1"Y\ e.. & {f i.) -tj. F l-\v (" . PHONE '7)(~ - 15 '-f 7 L~S H... e. t::-. CL5 r- '7'1 Fj-. '7 h .~"rt?, c t. c r ~ ;1.(' I p(;~ i 5 i BLOCK ~ SUBDIVISION 6Ha,,-,~ Li,-~ i?/cic,e... , p1J"3 f'C:.,. .1f LEGAL DESCRIPTION: LOT(S) ~+t, PARCEL LD.' J()- ,.;t~ - ~ I -' COYO .-()C3CC-OO <;"-C:' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---..Addition --Alteration ~epair -LInstall _Sign. --.JIove _Deaolish PROPOSED USE: _Single Faaily ---Ytlf, _' of Units ---YtIH _~rcial _Indust. _Swia. Pool _Other ~estaurant (( Health Departaent Approval DESCRIPTION OF WORK: h/JC c I t1 S' hi-I! c{f I () n 5h c r i...d c. u.-k.){)(j BUILDING SIZE: x Square Feet, (0 Height RESIDENTIAL: A'1"l'ACB (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. ~UILDING PERKITS REOUESTED $ Valuation of Total Construction RT.RCTRICAL AIIP Service Florida Power Corp. W.R.E.C. ---1IEClWlICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRucnON: _Block _Fralle _Steel Other FINISHED FlOOR ELEVAnORS: FT. IS PROJECI' IN FLOOD ZONE AREA? YES NO .......................................... Signature CONTRACI'OR SECTION COKPAIiY I!cMehl7ce. ~I /J J . '~y. State Cert. or Regist. . (/)'. <.!...({.~ <! ~ City License Registration . .......................................... --it- 7 d t..j R(ITT.DER RT.RCTRICIAII COMPANY State Cert. or Regist. . SiOOAture City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... tlECBABICAL COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... 0'rIID COMPANY State Cert. or Regist. . Signature City License Registration t .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this {)emit lilY be subject to .deed restrictions. which lilY be lOre restrictive than City regulations. The undersigned assU1e8 responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake lIOrt, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the IMler and contractor lilY be cited for a .isd_anar violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!ll!Jlts uy apply for the intended lIOrk, they are advised to contact the City of Zephyrhills 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 wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HoIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is so.eone other than the .ownerv, I certify that I have obtained a copy of the above described docuIent and prcmse in good faith to deliver it to the "owner" prior to co.enCl!ll!Jlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infomtion in this application is accurate and that all work will be done in cQlPliance with all applicable laws regulating construction, loning, and land developnnt. Application is hereby Iilde to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas COMeDced prior to issuance of a perlit and that all work will be perfOIJed to lIeet standards of all laws regulating construction, City codes, loning regulations, and land develop.ll!Jlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1IIeJltal agencies uy apply to the intended work, and that it is -r responsibility to identify what actions I lUSt tate to be in co.pliance. Such agencies include but are not lilited to: * Departlent of EnvirollleDtal Regulation - Cypress Baybeads, lIetland Areas and EnvirollleJltally Sensitive Lands, lIater /lIastewater 'l'reatlent * Southwest Florida lIater Managelent District - Wells, Cypress Baybeads, lIetland Areas, Altering Watercourses * lIlY Corps of Engineers - Seawalls, Docks, Navigable lIaterways * Departlent of Health & Rehabilitative Services, EnvirOllleDtal Health Unit - lIells, lIastewater 'l'reatlentl, Septic 'l'anks * US EnvirODlelltal Protection Agency - Asbestos abatl!ll!Jlt . . I also certify that, if filllaterial is to be l1$e(l in Flood Zone .A.. or 'I, etc. , , it is understood that a drainage plan addressing a .cOlPf!llSating VolUle' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. I perlit 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 petlit prevent the Building Official frOl ther~fter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beccIIe invalid unless the WOrk authoriled by such peIlit is COBenCed within sillOnths of issuance, or if work authoriled by the petlit is suspended or abandoned for a period of. sil IODths after the tile the work is coaenced. One 90 daystension of tile, lilY be allowed for the peIlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. WARRING '1'0 omR: YOUR FIILURE '1'0 RECORD I NO'I'ICE OF COMMDCEIIBH'I' MAY RESUL'I' IN YOUR PlYING filCE FOR IMPROVEIID'I'S '1'0 YOUR PROPEIl'I'Y. IF YOU IJI'I'BHD '1'0 OB'l'AIN FIIWICING, CONSUL'I' III'I'H YOUR LlJlDBR OR III AnORDY BEFORE RECORDING YOUR IIO'I'ICI OF coomNCEIIBH'I'. JOBSOHDER $2,500 IN VALUE DO NO'I' NUD fO .RECORD IIID POS'I' I "NO'I'ICE OF COIIIENCEIID'I'II. SIGHlfURB: om:R OR AGEII1' SIGHAfURB: COM'I'RAC'I'OR S'I'A'I'E OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'AfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take.anoath. 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 (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC PROPOSAL AND CONTRACT CUSTOMER _f J.," J 0... ~Q(t -1/, ADDRESS 3'77/.z 8~ Ave t..J\:..!>t. .2 \Le~'1IL""'" ~ JOB SITE _ '> Q, ....."c:::...-- ACME FENCE 31116 Eloian Drive Wesley Chapel, FL 33544 (813) 973-0826 SPECIFICA nONS b I _0.0. Total Height _ J.I _0.0. Post Spaced _0.0. Style Fence ~J Top Rail Line Post End Post Corner Post _O.D. Fabric: v' / Walk. Gate Posts _0.0. Residential Orive Gate Posts _0.0. Gate Frames _0.0. Walk. Gate Industrial Wood Privacy V' Double Orive Gate CONSTRUCTION NOTES' P ~It. t~,;+ ; l-\C- ~Jt'<f j" P~.,~~ /.. Ue-H I{ tJ (tit It 0 n J l.\.M I , .., ''J. r.,'_ DATE eX ,-~ Villi / ~ HOME PHONE '7,f' r I 5''11 BUSINESS PHONE lOG. NO. ZIP ~ ~T ~811 -*,' DIRECTIONS: ft... ~ V (\ {l.~~ t\ (' c.. -t &t'_ ;1\ stall~') 01\ Ih s,'c/t"- of CX/'t;'f-''''J J:'e nt"c -CE hc.:"", I~ V K.) THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS. THIS PROPOSAL SHAll BECOME A BINDING CONTRACT UPON ACCEPTANCE, SEE REVERSE SIDE FOR TERMS OF CONTRACT. CONTRACT AGREEMENT made this ~day of J(lt\ ,19~, by and between ACME FENCE hereinafter referred to as "Acme Fence" and E f~: \ ~ a"tl.Il.-fJ... , hereinafter referred to as "Customer." In consideration of the mutual convenants contained herein and the consideration to be paid by Customer to Acme Fence, it is agreed as follows: 1. Customer shall pay to Acme Fence the sum of $ LJ .3 .:~. ",,", for the work described herein. Payment shall be made to Acme Fence by the Customer upon completion unless otherwise specified. 2. Acme Fence agrees to furnish all necessary labor and materials to construct the improvements described herein as per the specifications and drawings, if any, shown on the reverse side. Acme Fence further warrants all materials will be as specified and that all work will be completed in a workmanlike mamer according to standard practices. 3. If this is a residential job, Customer represents and warrants that he is the owner of the property described herein. If this is a commercial job, Customer represents that he is the owner of the property described herein, or a contractor who has a contract to improve property owned by AI /6- and that part of the improvements contracted for by the owner include the work described herein. 4. Customer agrees to locate, relocate, stake and clear fence lines, and assumes full responsibility for same. Customer agrees to indemnify and hold Acme Fence harmless for any liability or damages that may result from Customer's failure to properly locate, stake and clear fence lines. Customer further agrees to advise Acme Fence of any deed, subdivision, or other restrictions which may affect construction of the fence or other improvements to be constructed by Acme Fence, and agrees to indemnify and hold Acme Fence harmless from any liability or damages that may result because of the failure to comply with deed, subdivision, or other restrictions. 5. Acme Fence does not assume any responsibility or liability for any damage of any nature to underground obstructions. Customer agrees to clearly mark and advise Acme Fence of any underground obstructions in the area of the fence line or the improvements to be constructed by Acme Fence. Customer assumes responsibility for any damage to underground obstructions caused by Customer's failure to mark or advise Acme Fence of their existence. For purposes of this Agreement, underground obstructions include but are not limited to all improvements constructed underground including utility pipes, cables, foundations, and the like. 6. It is agreed by and between the parties, that any alteration or deviation from the above specifications involving extra cost is to be perfonned by Acme Fence and will become an extra charge over and above the price stated herein. 7. Customer agrees to pay in full the price stated herein upon completion of work. Any failure to pay within seven (7) days after receipt of the invoice shall be considered a default and Acme Fence shall be entitled to recover the full amount of the invoice plus interest (finance charge) at the rate of 1 112% per month (18% per annum) until the contract price is paid in full. In the event it becomes necessary for Acme Fence to take collection action, Customer agrees to pay all costs of collections including reasonable attorney's fees and costs. 8. It is further agreed between the parties that the fencing materials shall remain personal property until the contract price is paid in full. In the event the Customer fails to pay the contract price, Acme Fence shall have the right to peaceably repossess and remove all materials installed by it on the premises. Customer further agrees that Acme Fence shall have all of the rights of a secured party, as the same is defined under the Florida Unifonn Commercial Code, and that said rights shall be cumulative and in addition to any other rights which Acme Fence may have in accordance with Florida Law. . 9. 'This agreement is the entire agreement of the parties and cannot be changed except in writing signed by both parties. There are no warranties or representations except as are expressed herein. Acme Fence specifically disclaims all EXPRESS and IMPLIED WARRANTIES, including any WARRANTY OF MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. IN WITNESS WHEREOF the parties have hereunto signed their names on the day and year first above written. ACME FENCE By: fl--I!<M'"I.- rla,~~ 4~~.e :BA~~ Customer