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HomeMy WebLinkAbout96-5824 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 , 582~ g Date 6-/S -7~ ~~ ELECTRICAL PLUMBING MECHANICAL ~operty Own., J;d?J1~A--- Job Address: ~" - '/ ? __ Parcel 1.0. # /1-;1...6 -rJ-1 - 0 CJ/ D - .;J... D30 D '- C; l) Yo Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy_ Cj>de: CL ,1-~lL - Radon Gas: ~"""I NO OCCUPANCY BEFORE C.O. FINAL b Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# /fD Permit Fee 02. CJ. o-D Signatur~. {'.1 ~.:u---~{.~~ Company Address Telephone# Valuation or Contract Price ~.3 t::, ~ c:>-D ~~LAAIO BUILDING 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. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME J e...n n,' kr b-('<^-hQYY\ OWNER'S ADDRESS 5 J 31 11 ~ S ,. JOB ADDRESS S (J..,IVI e. PIIONE '7 g lS - ~ C{ <-f J- LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I. D. . / I - d ta - ;)., I - 0 0 '0 .- Ol. 0 :i (') 0 .- 00 'f 0 COBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair -Jl-Install ____Sign -.-Hove ____Deaolish PROPOSED USE: ____Single Faaily ----1'1/ F ____, of Units ____H/H ____C~ercial ____Indust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: Fence.. 1 n Sh--- \ I o....h ' 0 (I 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, _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ____MEGBANICAL $ Valuation of Mechanical Installation _PLtJHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fr8lte ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE ~? YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY . r:!.I . ~ < State Gert. or Regist. . 07'. ~ ~ oY~ City License Registration . ..... .................................... Signature /90 F.I.RCTRICIAN COMPANY State Cert. or Regist. t Simwture City License Registration . .......................................... , PLmtBER COMPANY State Cert. or Regist. . Signature City License Registration , ....................................*****. HEGHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . .................................**.*..**. ornER COMPANY State Gert. or Regist. , Signature City License Registration . ..........*............................... APPLICATION APPROVED BY PERKIT 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 cOlpliance with 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 witb 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 reguirelents lay apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building DepartleRt, (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 tbis application for wbich tbey 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 tbe contractor wishes you to sign as contractor that lay be an indication tbat be is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to cOllenCelent. 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 developlent. 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 perforled 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 ofotber goveCDIental agencies lay apply to tbe intended wort, and that it is IY responsibility to identify what actions 1 lust take to be in cOlpliance. Sucb agencies include but are not li.ited to: * DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater !reallent * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater !reatleRt, Septic Tanks * US EnviroDlental 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 tbat a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A 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 perlit prevent the Building Official fCOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit,.issued shall beCOle invalid unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after tbe tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the perlit with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHKNCEHBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNHY BEFORK RBCORDING YOUR NOTICB OF COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCKKENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLOQIDA COUNTY 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC :~~t~.~-~~>: ,;:_,..._;...~..':l:,_:; I\) Q CABLE BOX POWER POLE 5 ., (f) OJ ~I 07\ nl o :". q 6' fD. 5/8" IR ( .pr"., ",~-. ,'/4~.., "'.' ALLEY 10' DIRT DRIVE :0' ,~ "0 [~: ',111: '" ',~:~: ~ , :.: .~ 10' 54.00'5" 2~ C \~ '1l o r nl 30' rn o o o " r ~p ,CD (J1 q I ; ~ l~i ~l ~ L 10 7.5' ...... ..... .... .;....:.:..:..: :':~....:~.::! I .,.......,', ~ i n?~:m : ,~!.{j ~ :~:.!t , :: .::-,! ::'-::.: 12' ~ ~ ~ 16' 111 en :uej ...{:l:u (11--< lJl _O~ ~~1% Q 00 1112 :u -< 24.7' ,; :,:...,'~;:: NORTH T:~ ~'~/ .....m ;'. .:....:...:. .:.,:.::, :: 54.00' ~f +l.-....,....."C' . .. I_:"'~'}.-""""",,~.~. ~ :> "Tl !=' ~ :u co in Q ~ ~ 8.5' ~ "Tl0 111:I: 2~ 02 fTlr 2 ^ o ro OJ I\) Q EDGE OF'PAVEMENT " 60' RIGHT-Of-WAY 20' ASPHALT 17TH STREET ~ lJl 90.00' tll "Tl g !=' ^ (,01 8 :;. :u t~ :u lJl Q en rrJ () -f o Z ~d 8~ en C):r: 0'"'0 Crv zen ..~ en o C "..~ r 0;0 ;0)> -z 0(;) >rrJ rv rrJ )> en -I PROPOSAL AND CONTRACT CUSTOMER 0 ""n~ r_.GLa....h CLm_______. ,~ ADDRESS .2L31_0 - ST. JOB SITE _ 6~.me. '.3. 3 o . O~ I __LiLf Lt.. I' f") '-- ," n 1<- -- . 1(1 --JL__LC::,d~ln I f) (1 - OS I- ---1._ McJ Ie &v.-.+c:. _-1_ J1y ble Dr,' Y'c.. /d-. J SPECIFICA TIONS I Top Rail . 4, ~O.D. Total Height ~ Line Post t Olf 7 l.!i1.0.D. Post Spaced -1.J:L-. End Post - olf 7 ;)~ 0.0. Style Fence cJ.tAJ'nL-I~J:... . tl Comer Post cO'l7 2.Lk.O.D. Fabric: I j · 047 Walk Gate Posts .l fl.... 0.0. Residential . It/~-o-/ J I' Drive Gate Posts _0.0. Gate Frames _0.0. Walk Gate -'-, Double Drive J _, I -. I Gate .~ CONSTRUCfION NOTES' , I -p::. i I... ;:J, (., - .:.J I - 001 C .. -L U.:!> UO - <.XYt-O . ~, ACME FENCE 31116 Eloian Drive t }' Wesley Chapel, FL 33544 (813) 973-0826 ,i \ o/R /1f, / HOME PHONE 7 I g - dl <f ~ ~__ DATE BUSINESS PHONE_____ LOG, NO. ZIP $ 35 <..fD LCp h'fl'" ILl )).5 I 6 (I I c? (9 " 5~~ .' I q1" tR I J.. t ~ 3~ ~ 7 '5;' Q ?,YeoS 'l\ > 0r~ 3 q II 1/ ,/ z. j' -L (i) -- M Industrial DIRECTIONS: r;!-oJ L:> , 7' ~ I-a..t l 1) I '&L1 rCl..rY) Wood Privacy_ -_._~_. ------_._-----~------- THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN JO DAYS THIS PROPOSAL SHALL BECOME A BINDING CONTRACT UPON ACCEPTANCE SEE REVERSE SIDE FOR TERMS OF CONTRACT CONTRACT ,~ ' AGREEMENT made this ~day of f4 ~y , 19~, by and between ACME FENCE hereinafter referred to as "Acme Fence" and H r'i. G- rGt.hcu'Y'\ . 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 $ Y 3 ~. 0 '& 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 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 tIus is a commercial job, Customer represents that he is tJ1p owner of the property described herein, or a contractor who has a contract to improve property owned by )/ fA and that part of tile improvements contracted for by the owner incfude 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 hannless from any liability or damages that may result because of tile 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 pUIpOses 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 tile 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 o(the invoice plus interest (finance charge) at the rate of I 1/2% 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 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. TIus agreement is tile entire agreement of the parties and Carulot 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 tIleir names on the day and year first above written. ACME FENCE By:d/ rJLa.~~;;(~..':'... i}m~ y ~ .1:ft~111nL- sto er I year- (,JtLr;'(1I1-fy On Lct-b()r Ll:LJFf>JlI' _uJa.rral\'fli () 1\ fY) €A f cr,'t.,-' ,-- /