HomeMy WebLinkAbout95-5103
BUILDING PERMII-
CITY OF ZEPHYRHILLS Permit N'~
(813) 788-6611
~~510~
Date
7-11)"-9~
~
E~~C
PL~
~. Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. #
Zoning:
Description of Work
Water Meter:
T./. F.'s:
)~c,f,~~
NO OCCUPANCY BEFORE C.O.
FINAL ~'~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or i 9 Z i)tJ
Contract Price b ~ .;:....--
Permit Fee
Signature
Company
Address
Telephone# / r H - (.JZ' '7 - (, '2 3 <..
/)'"
City License Registration #
State Certified Lic nse#
,
BUILDING
E~L
...-
Pl~-
~
M~""ANICAL
Ftr.
Pre SLB/ \ ~I ./
Lintel 11 f"'-lt . :/
FRM. ~," l
Insul. CL :' H (.
Wl IV
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,
JIM WILLIAMS FENCE COMPANY
934 East Rose Street
LAKELAND, FLORIDA 33801
Phone 9b4 -56'7-{{II Z. Date
Work Phone <;;J., 7- t' II 'S
$
$
TOTAL CONTRACT $ 1 fo CJ ,<.,.0
WARNING - Installer assumes no lIabllllty for any Injury resulting from misuse. such as climbing, scaling, under-passage, or other activity
- related to this fence,
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 Clearing work which are charged by the hour as needed, This proposal becomes a contract
when accepted by both parties and Is subject to cancellation. Interest will be charged at 1 1/2% per month on past due accounts. Costs of
collection If any, Including Attorney fees, will be added, Fa'I>Y-IL'
Approxifuate startin date -F'N' <H wi .~ roximate completio
/ j ;.; .:J1l L'f 2~'
B 1l..L1AMS ;ENCE COMPANY Accepted ~ "'~I~ '''':.
Phone (813) 688-1194
For C HMI.VTle::" NEILAN
Address b f'tJ3 CAe c-4? r"$:7 ty A.Y
.33-5'~
JOB ADDRESS
FENCE SPECIFICATIONS
INSTALL TYPE HT, GA.
MESH
/22.' - ,5H/A)'iJwi3i:N. b f-fl(;.h, F"l..o.., - 700'"
~ ~ t"t:'lcl<n.5, 24 f~e(,<.u\I<\ P T f>/Nt:
1-7' - CHAIAJ lWK- 4- I - 111. z 3/e, I'
POSTS NO, TYPE SIZE HT.
\J.;t)(,)j:> L./N E:" Pos -rs (~4-'<.8 .
01\.7E: rvs r$ 4<.t;t/o
,if{) etA. Prvss;v~ 'fl!rc..ll'1> (> INt'
(' I'iV N LI oJ.:::. /.-I/\.Ie:- I'>05~ 151;1<.$ 'Ie I.
'tE:JeM I NAI.- ()ostr Z~'~ b
1AIN
YJr<.
Fabric In Q Out Q Barb up Q Down Q
Level Q Step Q Roll Q Straight Q
. Posts Set ( 0' on center in concrete
Top Rail 4-7'~"
GATES SIZE
--L- ,,3'b ;, 'x-L '
-L- JJL'x~'
FRAME
2><3
I 3./'0
TYPE
" WOO"
" C, L''''~
'X
"
'x
"
EXTRAS:
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5t..b.,:;S 8 Y Zllh-4"~.s.
... J).'f' ('oN C1'<.l"'T1
#39-5..S(.
TERMS:
"ltT
CN
COllA PLE7i 0 I.,J
FENCE PROPOSAL
'7//0/9r
Subdlv, OAJ<c~..-; 1 to.-;; rb.. [<:oj
l - G""-tfl.'r,.J
Survey Stakes Visible: Yes li! 4No Q
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I , . _'r- .::::::::
Tax if Applicable
Permit Fee
/'/Vr" /,. t",q-~
/ N c.1 L G.-',~):-~
I
Date
JIM WilLIAMS FENCE CO.
934 East Rose St,
LAKELAND, FLORIDA 33801
Phone 688-1194
7.5'
-
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f'- C/Y,A,,v ~
.;t1A/K ("~'" 17(
Pt"'-Vc... (V
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:,;( 30'
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= ..s,Pe- oUT
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JOB
L 1""J:>.,.IL(pJ-r~_
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE
NE"! /...Po.H
OF
DATE
_ DATE
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APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAttE
c;".-;>/.J. (.C7-77e' 4, L."""'AI
PHONE 904--. 567- Cf 7/2
OWNER'S ADDRESS
0YOJ' OA<C~s7 t~/
JOB ADDRESS
..sA/lf'?
LEGAL DESCRIPTION: LOT(S)
fO
BLOCK
SUBDIVISION OAf':- C:'P-7"'>! b7A7r..s .Lr- )
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL 1.D.' f" B s ~ . PIr'" .oV7 I- 4-.?
WORK PROPOSED:_New Construction _Addition -Alteration ~epair _Install
_Sign
----Hove
_Deaolish
PROPOSED USE: _Single Faaily
----HI F
_' of Units ----HIH
_ec-ercial
_Indust.
_Swia. Pool _Other
~estaurant & Health DeparbDent Approval
DESCRIPTION OF WORK: ..7 N 5 7/.1/
i
7't"'A b ,tVcJtJD "q-,-vr;
W7PA2/'O~
? ~/(' /'7-/l/L'r::"
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~~
$
PERMlTS REQUESTED
90;/}' 100 Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_HEGllAlfICAL
$
Valuation of tlechanical Installation
_PLUHBING GAS ROOFING
SPECIALTY
TYPE QF COBSTRUC'l'IOB: _Block _Fraae _Steel
W06P ., CHAltJ Other
\,/..;<.
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
..........................................
YES . NO
CONTRACTOR SECTION'
BUILDER GOtIPANY
State Cert. or Resist. .
Signature City License Registration .
..........................................
RJ.F.CTRICIAN COMPANY
State Cert. or Regist. ,
SignAture City License Registration ,
..........................................
PLUHBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
tlECBANlCAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
COMPANY *.... d/' t.. L. /,~.-$ %..y''-''- C;;, IAh
State Cert. or Regist.' 6.5,1> .92- /0265
Signature City License Registration' 7" .2 7
..........................................
APPLlCATIOB APPROVED BY PERHIT 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 assDles responsibility for cOlpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or 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 law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents laY apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Contractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for tbe work. If the contractor "isbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 - HOIeOMDer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is SOIeODe other than the
"owner", I certify that I bave obtained a copy of the above described docuIent and prOlise in good faith to deliver it to the
"owner" prior to cOlleDcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance "ith all
applicable laws regulating construction, loning, and land developleDt.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
installation bas cOllenced prior to issuance of a perlit and tbat all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended worl, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t Departlent of HnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health i Rehabilitative Services, BnvirODlental Health_Unit - Wells, Wastewater !reatlent, Septic ranks
t US BnvirODleDtal Protection Agency - Asbestos abatelent
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 'cQlPeDsating volDle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per~it issued sball 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 fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
unless the work authoriled by such perlit is COll8llCed within six IOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day utension of tile, laY be
allowed for the perlit with fee cbarge of $15.00. !be extension sbal1 be requested in writing to the Building Official. An
approved inspection lUst be logged during each sil IOIlth period, or the project "ill be considered abandoned.
WARNING TO OIftfER: YOUR FAILURE to RECORD A NO'I'ICE OF mtHElCBIIBfIf MAY RESUL! IN YOUR PAYING ""ICE FOR DIPROVIIIBIfS to YOUR
PROPERTY. IF YOU IIft'BHD 10 OBTAIN FINANCING, COMSULT WITH YOUR LErmER OR AJllnoRRBY BEFORE RECORDING YOUR NO'I'ICE OF
COHHENCEHlIf1'. JOBS UlfDER $2,500 1M VALUE 00 NOt MEED to RBCORD AIfD POST A INO'I'ICE OF COMHBBCBIIBIff".
SIGNAtURE: OIftfER OR AGBIfJ
SIGMATURE: COIfJRACTOR
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STAtB OF FLORIDA
COURTY 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 an oath.
who is personally known to me or who bas
produced
as identification and wbo did/did not
take an oatb.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC