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BUILDING PERMIT 0-
CITY OF ZEPHYRHILLS permitN.
(813) 788-6611
-:-~51~~J?
Date
/{-~h -7~-
~
~...
Property Owner: (]~~~, i/..?~ 07- "jlJ~6
Job Address: ~ <? f? -::{ -9 - ~-r..lt.. 4~
Parcell.D. # I.~R..;'~ 1/- ~6 -:J-/ ./)0/0 - /'16(')0 - OJ ;LD
~.
M~~er Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
FINAL .~ --,. <1 ')'
DATE
'NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O. -
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or ~ ~ - -0 ' iJ i)
Contract Pric ..6 c-4
.
Permit Fee
Signature .
Company
Address
Telephone# ~8'/ 3 -~7?- WI/
o~
City License Registration # J/ !3 ~ ~<L r
State Certified License# fZ k!l1J / ~ I 7 ~
I[ ~ 11 --1!.fi;J7 J-.b77r!~ (k ·
G'LD'NG) .-:>EOAK:1\L
PL~'
-
-
MECH.AAUCAL --.
-
Ftr.
Pre SLB jJ f'lV
Lintel p {; <
FRM. .t~' I
InSUI.~?', \ ,,'
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.001 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.
USA STEEL FENCE COMPANY
11201 South U.S. 41
Gibsonton, FL 33534
(813) 677-4411
Fax (813) 671-3211
SINCE 1971
2800 Placida Road
Englewood, FL 34224
(813) 697-3345
(813) 493-0105
Fax (813) 697-7715
1209 44th Avenup, East
Bradenton, FL 34203-3629
(813) 756-8727
Fax (813) 753-2109
4936 Highway 92 East
Lakeland, FL 33801
(813) 665-3312
Fax (813) 667-1921
July 26, 1995
TO: CITY OF ZEPHYRILLS
BUILDING DEPARTMENT
TO WHOM IT MAY CONCERN:
Glasgow, do hereby authorize Ben Little,
, to pull permits on my State Licence,
eRC 016172, competency #3758, for work to be completed by
USA STEEL FENCE COMPANY.
Sincer.ely,
c~
Loyd H. Glasgow, President
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Before me did personally appear Loyd H. Glasgow, who, by me
being first duly sworn, did acknowledge that he is the President
of USA STEEL FENCE COMPANY, and as such, has the authority to
execute this document and that the facts stated herein are true.
Dated this 26th day of July, 1995.
~/($7-
Notary Public ,
Linda K. Worley
NOTARY P\BJC. STATE OF FLORIDA AT LARGi
U't~ g~aes DEC. 30. 1995
dIDED~~es
CHAIN LINK. SECURITY FENCING . GATES · OPERATORS · WOOD FENCING · FARM FENCING · RENTALS
USA STEEL FENCE COMPANY
11201 South U.S. 41
Gibsonton, FL 33534
(813) 677-4411
Fax (813) 671-3211
SINCE 1971
2800 Placida Road
Englewood, FL 34224
(813) 697-3345
(813) 493-0105
Fax (813) 697-7715
1209 44th Avenue, East
Bradenton, FL 34203-3629
(813) 756-8727
Fax (813) 753-2109
4936 Highway 92 East
Lakeland, FL 33801
(813) 665-3312
Fax (813) 667-1921
July 26, 1995
TO: CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
TO WHOM IT MAY CONCERN:
I
ow.do hereby authorize Bob Barton,
, to pull permits on my State Licence
1 172, competency #3758, for work to be completed
STEEL FENCE COMPANY.
by
#
USA
Sincerely,
Loyd H. Glasgow, President
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Before me did personally appear Loyd H. Glasgow, who, by me
being first duly sworn, did acknowledge that he is the President
of USA STEEL FENCE COMPANY, and as such, has the authority to
execute this document and that the facts stated herein are true.
Dated this 26th day of July, 1995
~1<~7
Notary Puo11c
My =::'~~QF..fl.ORIOA AT LA_
___. :t9Ettao.l_
-- "n_ A8H1'ON AOEHCv.INc,
CHAIN LINK. SECURITY FENCING . GATES. OPERATORS · WOOD FENCING · FARM FENCING · RENTALS
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S RAHB CJJ9rkS /1T~~
OWNER'S ADDUSS 3 ~ q 39-- t)7Ji /f,.e.
~~
PHONE
JO~ ADDRESS
BLOCK/fr;rsOBDIVISIollG;~[j f1~;f-~-
(OBTAIN FROM PROPERTY TAX NOTICE)
LEGAL DESCRIPl'ION: LOT(S) !c1..f /3
PARCEL I. D. f
WORK PROPOSED:~ew Construction .--.Addition .-Jlteration _Repair _Install
_Sign ~ve _Deaolish
/ ---Yt/F _' of Units ---Yt/H
PROPOSED USE: _Single Faaily
_~rcial _Indust. _Swia. Pool _Other
--Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:~s/;H1 9r/PJ ~ 7e IJ({) ~
BUILDING SIZE: X Square Feet, Height
RESIDEHTIAL: 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.
PERKITS REOUESTED
~UlLDING
$
~/)50. t:,o_
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida Power CQrp.
W.R.E.C.
----"ECllAlfiCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fraae _Steel
Other
FlllISBED FI.OOR ELEVAnONS:
Fl.
IS PROJECt IN FLOOD ZONE AREA!
YES NO
..........................................
CORTRAC'l'OR SEC'l'ION
COMPANY
State Cert. or Regist. f
City License Registration f
..........................................
BUTT.DER
Signature
RT.RCTRICIAR
COMPANY
State Cert. or Regist. f
City License Registration ,
..........................................
Siooature
COMPANY
State Cert. or Regist. f
City License Registration f
..........................................
PLUMBER
Signature
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration f
....***.**......*........*.....*..........
OTRF.R ?f~N(e. COMPANY a~ ~I 7f:~' .
~,M State Cert. or Regist. f 'l!.eJlb/'77~
Signatur [}[)f;it6- City License Registration f 4;8::;'
.......*........*.....*..*......*.........
APPLICAnON APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!'be undersigned understands tbat tbis pemit JaY be subject to .deed restrictions" wbieb .y be lOre restrictive tban City
regulations. !,he undersigned assUIeB responsibility for COIpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake wort, tbey lay be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor .y be
cited for a lisdeJeanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
requireteDts .y apply for tbe intended work, tbey are advised to contact tbe City of Zephyrbills Building Departtent, (813)
. 788-6611.
FurtbeIlOre, if tbe owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
RContractor Sections. of tbis application for wbieb tbey lIill be responsible. If you, as tbe owner sign as tbe contractor,
you are indicating tbat you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
as contractor tbat .y be an indication that he is not properly licensed and is not entitled to pertitting privileges in tbe
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, tbe applicant, bave been provided witb a copy of .Florida's Construction Lien Law - HOIl!01Oler's Protection
GuideR prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant is sOleone otber than tbe
.ownerR, I certify tbat I bave obtained a copy of tbe above described docUJeDt and protise in good faitb to deliver it to tbe
"owner" prior to COIIenCeteDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all tbe infoIJation in tbis application is accurate and tbat all work will be done in cDlpliance witb all
applicable laws regulating construction, zoning, and land developtent.
Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or
installation has co.enced prior to issuance of a pemit and tbat all wort will be perfoI'led to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developtellt regulations in tbe jurisdiction. I also
certify tbat I understand tbat tbe regulations of otber goveIDJental agencies JaY apply to tbe intended wort, and tbat it is
If responsibility to identify what actions I lUst tate to be in colpliance. Sueb agencies include but are not lilited to:
* Departtent of EnvirollleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirol1JeJltally Sensitive Lands,
Water/Vastewater !'reattent
* Soutbwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, liavigable Waterways
t Departtent of Healtb , Rebabilitative Services, EnvirOllJelltal Healtb Unit - Wells, Wastewater !'reattent, Septic !'ants
t US Envil'Olllental Protection Agency - Asbestos abatetent
I also certify tbat, if fill laterial is to be used in Flood Zone NA. or RA,etc.', it is understood tbat a drainage plan
addressing a .COIpeIlBating volUte' will be sublitted wbieb is prepared by a professional engineer registered in tbe State of
Florida prior to pemit issuance.
A pemit issued shall be construed to be a license to proceed witb tbe wort and not as autbority to violate, cancel alter, or
Bet aside any provisions of tbe technical codes, nor sball issuance of a pemit prevent tbe Building Official frOJ tbereafter
requiring a correction of errors in plans, constructiOn, or violations of any code. Every pertit issued shall beCOll! invalid
unless tbe work authorized by sueb pemit is COIIenced witbin six IOntbs of issuance, or if work authorized by tbe perlit is
suspended or abandoned for a period of sillODtbs after tbe tile tbe wort is co.enced. One 90 day !!Itension of tile, .y be
allowed for tbe pertit with fee ebarge of $15.00. !'be !!Itension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sillODtb period, or tbe project lIill be considered abandoned.
WARlfING 'fa 0IIlfER: YOUR FAILURE 'fa RECORD A liO'fICE OF CCJlHDCEllEII! HAY BESOL!' Iii YOUR PAYIliG !lflCE FOR IHPROVEHEII!S 'fa YOUR
PROPER'fY. IF YOU I.N'lElfD !'O OUIII FlKAHCIIG, COISOL!' wlm YOOR LllDER OR 11 AftORDY BEFORE RICORDIliG YOUR lfO!'lCE OF
COHHEICEMEN'f. JOBS OlDER $2,500 IN VALUE DO 101' HEED 'fO RECORD AID POS!' A UNOI' ICE OF C(JfHEHCEMmu.
SIGIfA!'URE: OWNER OR AGEJI
SIGlfA'fURE: COIl'fRAC'fOR
S!'AR OF FLORIDA
coum OF
The foregOing instrument was acknowledged
before me this , 19____ by
S'fAR 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 an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an o~th.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.,'
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11201 South U.S. 41 . Gibsonton, FL 33534-4741
(8 t 3) 677 -4411 · Fax (813) 6-'1-3211
State License CRC016172
---.-- -, -..----------.-.----- . ,....--.--.-' ,_.__._----_._._._-----_._~-- -. ._------,---~---
ITEMIZED MATERIALS AND / OR SERVICES
,"i /' ." ,/
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I;' Jj' {I.. 1
tv t f'lr.t ,.'1 ~.
/. 'I'VL ,< ;" f (~
f ,_ ;
X .5 a-' JI) { '/'n i:
/
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L.
_._._._,--~-----_._-_.--_.-.- .-...- .------_.._--_.~_.._-------
A late payment charge of 1 Y2% (18% per annum) will be added to
<lny b"I"llctJ due remaining unpaid 30 days after due e1ale.
Bl!yer(:ii) Is re..pon>llble as to thelocaUoli olthelllnCtl. Buyer(l>)
holds Sullel harmless from any liability caused by an enor In
the locaU;;n of the Installi:ld fence.
A cancellation Ibe based on 10% 01 the Cash Price may be charged
ordeducted from the paid Down Payment upon notice to tile Seller
of the Buyer(s) intent to cancel this contract prior to commence-
ment of work by Seller.
The Buyer(s) agree they will pay all costs of collection; including a
reasonable attorney's fee, in the event the payment of Balance
Due on Completion is not timely paid.
_ Buyer(s) shall inform Seller of all UNDERGROUND OBSTRUC-
TIONS, whether natural orman made. Buyer(s) shall inform Seller
in writing and also by physically marking all ob~lructions. The Cash
Price is based upon only those underground obstructions which
Buyer(s) has informed Seller of in writing and physically marking.
Buyer(s) agrees to hold Seller harmless of any damage caused to
any underground obstruction.1f Seller incurs undelgrolmd ob:;truc'
tions which Buyer(s) has failed to inform Seller of in writing or by
ph)'si.:.llly Iil..ll king, such as rock, Sulk" :;hall have tho opltOIl to
termincllt; this contract and be paid by Buyer(s) for tho installation
of the fence up to the point of termination or continue with the Walk
alter renegotiation of the Cash Price with Buyer(s).
This contr;:lct may be assigned by the St:ller, without notice to the
Buyer(s), and when assigned shall be free from any defense,
counterclaim or cross claim by Buyer(s). The rights and privileges
of the Seller under this Contract shall inure to the benefit of its
successors and assigns. The duties and obligations of the Buyer(s)
shall bind his heirs, personal representative, successors, and
assigns.
_ Buyer(s) is liable for all damages to materials delivered to the job
site whether incorporated in the fence or not, unless damage is
caused by Seller's negligence.
.-------
For Office Use Only:
Re". 12/94 3rd Page. 8uyer ~7.' ,1..../ I1I1 I.: /",-
//'u/i ':)
CASH ON COMPLETION
CONl RACT
(' (,
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'! 'Jil.~ir
BUYER: IU Prrpe~!y Owner U Nut PrOfJ"lty aNnur
. ( 'II "I i
Date I. "..' SS/FIN .~_._n._.n______'_,...
-----.-r--t7'-r- I /
Buyer's Name ,/),1./ /!_~_~L':"""'..:-!.-------.-
--------.--.-- --~____;::-----._..-. rr-'--j-' .-------------.-
MailingAddress --1i"\j'L~~..:..!...-.--.,_._--_.-
.. I CC ),' ,
_.._______.____.__~~~.:!.-__l {j '''t' ..____
Phone Number
----,.,._---~--_._~---_.._-_.._.__.,--------_.._-
,:( \' .' h J
,),1.1 J i____~-'-.~__,_,__
Installation Addr",,,,s:
._________._..1_..,____.___.____--.--..-..--
Installed in the County of _..__.L:.i2"-~-----..
"') I I
Cityof._.____.__,:; .d' /, I
. Do not lilgn this contract bar-Jle yuu read It Ul' It It contalflll any
blank spacClii.
. You are entitled to an exact copy 01 the contract you sign.
. The Bllyer(~) acknowledge that at the time 01 the signing 01 this
contract, it lully comlJleted copy wa" I'\:lc"ivbd.
. The Seiler hereby sells and the BUy.HI:>) hereby purchase the
good" and/or services descrlblld herein UIH.ter the tarrllll Ci"d
conditions stated.
(t
I,'
-..; .. ... "
Price ............................................................. $
Other Ch::lIye:,: ........................................... $
Permit ..........................................................
$ .---.-.-.-----
TOTAL CASH PRIGE
"1.,(
DOWN PAYtw\E11l..::..................................
. .",' I) i ,'/."1 R#
Paid On.. /..../- ..;......................................
.~ Check 0 Cash 0 Credit Card
BALANCE - DUE ON COMPLETION ......
,:'....) ")1 J '.,
$ _. _---'-.._.L~____.._
$ -------- j (~~~----
/ 'j,'f '<:
.. .' >l/
$
u.
-
VISA $
......-.
---$
o
DP BAL
-~IIIr-II[.-IT..'--rJ'--].-_.
_l-. I ..l__.LJ._L_-. __ .-1_-1-...-__._.1__1.-
.Account Number - Plea~le include all digits.
M~e.] --I-~l~J
Expiration Date
Authorized Signature X' ....:". .'
/
BUYER C~\\\;': I'>:, l ':.~ i, .
\:
J. \ " ~'\ \
DATE
DATE
SELLER:
USA STEEL FENCE COMPANY
A FLORIDA CORPORATION
11201 South U.S. 41 · Gibsonton, FL 33534-4741
FIN 59-1760708
SELLER'S AGENT
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DATE