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Home My WebLink About96-5605 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit )Jt (813) 788-6611 '~5~(jG $ Date ;)- ;;L()-9~ ~ Property Owner: E~ PL~' OeJ- a.h/~;'~{.J c~ &' S ~5 - c2 ~ a/~-' //- 4~-...a 1- OOJO -/tl/JDO- 0/,://) Ene,gy Code, ~ -ao~ G." tP I Q'/L. c ~~v~~(..jd ~ Sewer Conn Water Conn: Water Meter: Job Address: Parcel 1.0. # T,I.F.'s: Zoning: l4;41/'~ Description of Work NO OCCUPANCY BEFORE C.O. FINAL Z- - 7- "2 - 7' DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature,/"(7I. ifI ~- ~ L ~ "- Company Address Telephone# ,/ ELECT.BJ.GA'( --- PLU~ ~ MECH~ Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL 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. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT OWNER t S NAME ~CA-J DQh I e,{ l) PHONE -17~ ? / JJ oZ c2b/io OWNER t S ADDRESS JOB ADDRESS 33526 :J..!1l fJve. .< / ~,' 11 s + I (A . :33~YO LEGAL DESCRIPTION: LOT(S) //- ~/.,-~ I PARCEL I.D.' OOliJ.~ ICJe. OD - 0/:50 BI.OCIt--SUBDIVISION (OBTAIN FROK PROPERTY 'rAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..Alteration -..Repair ~Insta1l _Sign ---.JIove _Deaolish PROPOSED USE: _S~leF~ily _KIF _, of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: -lNsfCl.ll c~~).'\ L.'\~ Pe..V1C~ I / J J ' , ~ H'C~" I 0' BUlLDUIG SIZE: x Square Feet. Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING PERKITS REOUESTED Valuation of Total Construction _ELEC'l'RICAL Florida Power Corp. W.R.E.C. --.JIECIIAIi1CAL $ Valuation of Kechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF COIISTRUcnOIl: _Block _Fraae _Steel Other FDIISBED FLOOR ELEVATIOIIS: FT. IS PROJEct III FLOOD ZOIlE AREA? YES NO .......................................... COIITRActOR SEctIOII BUTT.DER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature F.1.RC'l'RICIAII COMPANY State Cert. or Regist. . City License Registration . .......................................... SignAture PLlDlBER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature MECHANICAL COMPANY State Cert. or Regist. . City License Registration f .......................................... Signature Signature COMPANY /lc /71e- f:ence. State Cert. or Regist.' ~ 190 City License Registration , .......................................... OTRF.R APPLICATIOII APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit laY be subject to .deed restrictions" wbieb lay be lOre restrictive than City regulations. the undersigned assUJeS responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake wort, 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 _y be cited for a lisdl!leallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8leDts laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthenore, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections. of this application for whieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that JOU, 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 the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Plorida's COnstruction Lien Law - HoIeow.ner's Protection Guide" prepared by the Plorida DepartJent of Agriculture and COnsUller Affairs. If the applicant is SOJl8Ol1a other than the .owner", I certify that I have obtained a copy of the above described docuent and prOlise in good faith to deliver it to the "owner" prior to COIIeDCl!l8llt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlBtion in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has CDlenced prior to issuance of a perlit and that all work will be perfoIJed to I188t standards of all la1I8 regulating construction, City codes, loning regulations, and land develoPleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYl!I1IIeDtal agencies laY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in coapliance. Sueb agencies include but are not liJited to: I Departlent of EnvirollleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater !reatJent I Southwest Florida lIa~er Manag8leDt District - lIells, Cypress Bayheads, Wetland Areas, Altering lIatercourses I AIIY Corps of Engiheers - Seawalls, Docks, Xavigable lIatenays I Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - lIells, Wastewater !reatlent, Septic !anD I US EnviIOllleDtal Protection Agency - Asbestos abateleDt 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 .COIpeDSating volllle" will be subaitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 reguiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becme invalid unless the work authoriled by sueb perlit is COII8Ilced 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 COIIeDced. One 90 day extension of tile, laY be allowed for the perlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned. WmUG TO OWRBR: YOUR FAILURE 'f0 RECORD A XOfICK OF aJlMBRCBIID'f MAY RESULT IX YOUR PAYIXG !IIICK FOR IMPROVBIIII!S 'f0 YOUR PROPBRn'. IF YOU III!BIID !O OB'lAIIf FIWCIIIG, COIfSUL'f WITH YOUR LBIIDBR OR All AftORIBY BEFORE RBCORDIXG YOUR 1f00ICK OF COMMEIfCBllD'f. JOBS UKDER $2,500 U VALUE DO IO! NEED 'f0 RECORD AID POST A .XO!ICB OF C<JIIDCBIID'fu. SIGlAruRB: OIRIER OR AGO! SIGKATURE: COlilRAC!OR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STA!E OF FLORIDA CDUm OF The foregoing instrument was acknowledged before me this , 19_____ by wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oath. wbo is personally known to me or wbo 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 ACME FENCE \ (' 31116 Eloian Drive \' . , , " Wesley Chapel, FL 33544 (813) 973-0826 DATE ~/Io/ }0 I HOME PHONE 76" ~ ~~/(, BUSINESS PHONE PROPOSAL AND CONTRACT CUSTOMER -AL.E A rum; h (.., W\ ADDRESS 38'6:Z 5 ..;; ~ Iwe '2 f h;II,s fi ().. JOB SITE S 4m ~ LOG. NO. .335S1o ZIP QUANTITY , ?-'1J ~w & ;l. ;). 0 \ W(;..\\ ,,\ '1'''\ I 16 ! 5 J ,~)", ,&.I I' 75 (. ~. ~-_.-- .----.. _.~- - _. -- ,~ ~ , I .'1 SPECIFlCATIONS I ~O.D. Total Height ~ I'&"O.D. Post Spaced /0 ~l"')( Top Rail Line Post End Post \ ~- -LO.D. ,J..-. '~O.D. Comer Post Style Fence elL 'I I . Fabric: I, 2. &- "-, 70 I Walk Gate Posts y O.D. Residential / , J ,~ Drive Gate Posts ~O.D. ~/O" Gate Frames I ~O.D. Walk Gate $ Double Drive Gate 1'-/ I / Industrial ./ Wood Privacy_ DIRECTIONS: CO J'l../A. e.. vt.. ,}. d Ave -I 7,ib- sf-. :z IA,'!I ~ CONSfRUCI10NNOTES' ~e~..~; f 1/ TA-x ;',,-c./udt:.d ;'^ P,e,'c~ THIS PROPOSAl MAV BE WITHDRAWN BV US IF NOT ACCEPTED WITHIN 30 DAVS, THIS PROPOSAL SHAu. BECOME A BINDING CONTRACT UPON ACCEPTANCE, SEE REVERSE SlOE FOR TERMS OF CONTRACT, CONTRACT AGREEMENT made this _day of t'e.b ,19 ?& ,by and between ACME FENCE hereinafter referred to as "Acme Fence" and ,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 ?~ iI,..5.. 0 for the worK described herein. Payment shall be made to Acme Fence by the Customer u ~ __ ess 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 manner 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 IJ. L E Ii/v"'" 11-1 (.I W'l ' 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 nabJre 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 performed 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 10.% per month (18% per annum) until ~ 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 oj 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 Uniform 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 MERCHANTABll.ITY 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 J--1~),n da,~, a~ Oh l~b~~ Jt..? j€ c.::A: (, J ~'v{ It.c...h 1 0)'\ +o.b((, / c t:-Ito t.." h~ a ." (,.1 J:". c 'Tdlt. C By: Customer ~. ~. FEE 1~~ - .~E '-'I 111."11["111"1 - "3E:, [1:3_:3..;f=1('1 H'__ _H,-_ -:.'__,____. Ao...- , T ----- ... ~ . P~l/l;;';' ~ - A . ~nc.s NOTES 1. ~o yftd.rgroyftd '"ltlJJetfo.. e uelft as noted. f. 110 1.I~r_,1t1 ot rec:ord ",n. , 'nd Ir ownership we', tur.ll~ 3, t"I. surYl!l -.. prePt'.c1 wlUle \ 11~e.' 6. r\ /' -0 v' ,-~ /~~Ck ~er ~.vJ' KQ, () ~ ~ t:-t j' \ \ ., IV 1')\ \'"' ., .......~.... i I I t ,I" " ~~ .~ en ~ -c ? '/ \~OX' ~ ,z. ".,. .' ~ ~ '"'"$ (j) ~ -"" .~ \~~ , \ ~UEl & ASSOCIATES. INC. I GALL BOULEVARD IIllS. FLORIDA 33541 813) 182.,5717 f1I L - 1__ I') t /1')'/' ) cr 0 /$ (; 9;2 oc}-- D % - ) -A