HomeMy WebLinkAbout96-6334
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
633413
Date
/:Z -/;;{ -9 ~
(9-;) ELECTRICAL PLUMBING
"'operty Owne" ~~ 0
Job Address: S'.7 tJ / A ...A-
Parcell.D. #
Zoning: Energy Code:
Description of Work ,,-:;hi? ~ .J2-
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL / Z
C.O.
19- 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee ~ 'eo ~ ~
Signatu~ -/'v .,:/~IC <'2/ . " -'
./ /
Company"
( //
AddtElss
Telephone#
Valuation or J? /
Contract Price -' J (:) I, Cl'"U
City License Registration # '- f.J? 3'
State Certified License#
~~W~
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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER · S NAKE
/:"l/':/I P,if /T/L/
PHONE 7f?:2 ~C~7 <
OWNER'S ADDRESS ,'?r?IJ/Y' //1/1NC//(. Ute
JOB ADDRESS 54.rl? <.::
LEGAL DESCRIPTION: LOT(S)
IL/
BLOCK
SUBDIVISION ZeD hg;Jv //I~ /ltJ.H t:Vt.
PARCEL 1. D. t ;P jf t.
P t~c c7R. / '.f It; PC / sc:rt
,
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_Deaolish
.
PROPOSED USE: _Single Faaily
_H/F
_' of Units _M/H
_eo..ercial
_Indust.
_Swta. Pool ___Other
_Restaurant & Health Departaent Approval
/
DESCRIPTION OF WORK: r::.' 1,(/6 (/ D rL::'Juc E 4.;IU",?&I.li S" /?L""""<-
/ --- // 0 /.;
,
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELEC'J"RlCAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CORSTRUC'l'ION: _Block _FrOle _Steel
Other
FIIUSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
/',
COMPANY
State Cert. or Regist. .
City License Registration t J ~
******************************************
Signatur~'F-/'
/
/'
ELEC'l'RIC~
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
SiDnAture
PLUKBER
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. t
City License Registration .
***********~******************************
Signature
OTHRR
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
'-
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat tbis perJit lay be subject to "deed restrictions" .bieb laY be lOre restrictive tban City
regulations. tbe undersigned assUJes responsibility for cOlpliance .itb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance .itb
state and local regulations. If tbe contractor is not licensed as required by la., botb tbe owner and contractor lilY be
cited for a lisdeteanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
requirelents laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
"Contractor Sections" of tbis application for .bieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perJitting 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 .itb a copy of "Florida's Construction Lien Law - HOIe01fDer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is scmeone otber than tbe
uowner", I certify tbat I bave obtained a copy of tbe above described dOCUlll!Jlt and prOlise in good faitb to deliver it to tbe
"owner" prior to coaencelent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
applicable laws regulating construction, zoning, and land developlent.
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 that all work will be perfoIJed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in tb~ jurisdiction. I also
certify tbat I understand tbat tbe regulations of otber goverDIeDtal agencies laY apply to tbe intended work, and tbat it is
IY responsibility to identify what actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to:
t Departlent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Soutbwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Healtb & Rebabilitative Services, EnvirDDleDtal Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnvirDDleDtal Protection Agency - Asbestos abatelent
I also certify tbat, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
addressing a uCOlpensating volllle" will be sublitted whicb is prepared by a professional engineer registered in tbe State of
Florida prior to perJit. issuance.
. A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl tbereafter
requiring a correction of errors in plans, construction, or violations of any code. Every PeIllit issued shall beCOle invalid
unless tbe work authorized by sueb perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after tbe tile tbe work is cODellced. One 90 day extension of tile, laY be
allowed for the perJit witb fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
approved inspection lUst be logged during eacb six IOntb period, or tbe project will be considered abandoned.
WARMING TO OWlfER: YOUR FAILURE TO RECORD A NOfICE OF COMMDCEJlENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIMIIft'S TO YOUR
PROPERTY. IF YOU INTKlfD TO OBtAIN FIHAHCING, COMSULT WITH YOUR LEMDER OR AH AftOIlHEY BEFORE RECORDIHG YOUR NOfICE OF
COMMEMCEMENT. JOBS UlmER $2,500 IN VALUE DO MOf MEED TO RECORD AHD POST A "MOfICE OF COMMEHCEJlENT".
SIGNATURE: OWHER OR AGENT
SIGHATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
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
, /1 I I/) /(',;';--;'/'(5
,) i. '/,/ nl't. r -s- 3;-{'. I ('c <-_
JIM WilLIAMS FENCE COMPANY
934 East Rose Street
LAKELAND, FLORIDA 33801 FENCE PROPOSAL
Phone 813-782-6652 081812-10-96
Work Phone Fax 813-782-9540
8M1111t. W ~U'/j -/~- 7C~~
Phone (941) 688-1194
For Mr. Paul Pattie
AddreS81Q() 1 L.. M:mnr Dr
Zephryhills. Fl
JOB ADDRESS
FENCE SPECIFICATIONS
INSTALL TYPE HT. GA. MESH
18-Sections B-o-B Cypress fence
Backrails 2.x4. x8' PT Pine
? -L? TJ-1.
POSTS NO. TYPE
19-6'x6' PT Pine posts
SIZE
.
Fabric In Cl Out Cl Barb up Cl Down Cl
Level Cl Step Cl Roll Cl Straight Cl
All Posts Set on center in concrete
Top Rail H
GATES
SIZE
FRAME
TYPE
_'x_'
_'x_
_'x_
_'x
IX)tlAA&xx
H
H
H
H
SpC'f"ionl'l
Survey Stakes Visible: Yes Cl No Cl
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......l.....l......l......r.....r.....r......r....T......l......r......t.......r.......-r......r.....f.....
$';0.00. nxn pORtR $13.32. 2"x2" Nailers
1.33. 2x4 65.00
TERMS: Net upon completion
1266.00
Tax if Applicable $ 75.96
Permit Fee $ 20.00
TOTAL CONTRACT $ 1% 1 . qfi
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 1 112% per month on past due accounts. Costs of
collection If any, Including Attorney fees, will be added.
Approximate starting date
By
WILLIAMS FENCE COMPANY
Approximate completion date
Accepted
Date