HomeMy WebLinkAbout99-8888
BUILDING PERMIT
/'\,.. ~ . J, CITY OF ZEPHYRHILLS
;;J -r-~f';"(/'~O J1. 0 ~ (813) 788-6611
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Permit
8888
Date
9-;7-7,9
Job Address:
~
Property Owner: (!/!A.~&; ~ '-3..gn~)
~9;;0 - ?9JI ~~~ .
Parcell.D. # .2 (- ,2{g- Jt.( - 00'0-- 00 t) S D ,- c.J i'l'i'J
IVIECI-lI1I1.J1CAL
"'Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
:: ;~~OjZfr ) {}./h~;:)tJc,i V~A?U
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
9, 27...- <p
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation o~ ~ t. 0 ~:3 ~ !..JJ...
Contract Price .
Permit Fee
~~;~
Company
City License Registration # / (p 9 7
,
State Certified License#
&~tn ~A1~
~.~ ~
,.~ elepho~# {1J..7 85'7-/11 g
BUILDING
ELEORlCAL
./
PlUMa"fNG
-
~~
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 Ins!.
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 ($ 25.001 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.
APPLICATION FOR PERtIIT
CITY OF ZEPHYRHIu.s
BUILDING DEPARTHENT
U -, J
' '. ---'
~~7'/m. / #/./k'.<; 7d PHONE
~.7YO 9'm --5TtC.EE r
~ t:.-. As .4cv €-,;
LEGAL DESClUPTION: LOT(S) /.3 ~ /y B~SUBDIVISION
OWNER'S IIAHB
R /3 - 71:'-" LJ fn.2.. ...-
OWNER I S ADDJUlSS
JOB ADDRESS
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:--Jlew Coaatruction ~ition --..Alteration ---..Repair _lDatall
-5i8O --.JIove ->>e-G1ish ~~
PROPOSED USE: -5iD&le F..ily
--lf/F _' of Units --lf/B
_ec-ercial
_Indust. _Swia. Pool _Other
---..Restaurant 5: ~~~t Approval . ,
DESClUPTION OF WORK: ' ~ / _ ~a...~
BUILDING SIZE: ~.
Square Peet.
Height
RESIDENTIAL:
COIIItERCIAL :
ATTAQI (2) PLOT PIAIIS 5: (2) SETS OF BUILDING PLANS 5: (1) SET EHERGJ F01I!IS.
ATTAQI (3) SETS OF BUILDING PIAIIS 5: (1) SET EHERGJ FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
-BUILDING
$
PERtIITS REOIJR.'>TED
/t!JR3 . 00 Valuation of Total CoDBtruction
RI RCJ'RICAL
AIIP Service
_Florida Power Corp.
_W.R.E.C.
-.JIEQWIICAL
$
Valuation of tlechanical lDataUaUon
-J'UIIIBING GAS ROOFING
TYPE OF CONSTRUCTION: -Block _Fr_ _Steel
SPECIALTY
~
Other
FIIIISIIED FLOOR ELEVAUONS:--T1'.
******************************************
IS PROJECT IN FLOOD ZONE AREA! _
YES 11I0
Sifplatur
CONTRACTOR SECTION-1)
COtIPAIIY~ '/:)...l/L1()v
State Cert. or Regut. .
City License Registration .
..............................
P&K~L
~97
IIlU.IlII.
SiDft.t.ur~
COHPAIIY
State Cert. or Regist. .
City License Registration .
..........................................
EIoIImII
COtIPAIIY
State Cert. or Reaist. .
City License Registration .
..........................................
Sifplature
NRCRAUICA.I.
COtIPAIIY
State Cert. or Regist. .
City License Registration .
..........................................
Siguature
JD1III
COtIPAIIY
State Cert. or Regist. .
City License Registration .
..........................................
Siguature
APPLICAUON APPROVED BY
PEIlHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undenigned Ulldlntanda tllat tIIh penit u, be eubject to 'deed restrictiClll8' lIhich u, be lOre restrictive tIIaa Cit,
regulltiClll8. Ibe lIIldereigaed ...... rl8pODlibilit, for COIpliaace witll aa, applicable deecJ restrictiClll8.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tile -- .. bired a CIIItractor or contractora to IIIICIerWe IIOrt, tbey iii' be raquired to be liceued in accordiDce witll
atite aad local regulatiClll8. If tile CIIItractor Ie DOt liC8llled u raquired by I., botll tile __ aad CIIItnctor ., be
cited for a lledeleaDor ,iolatiOD under etite law. If tile OII08r or illtended CIIItractor are UIICIltaia u to IliIat liClll8iag
requin.uta u, appI, for tile illtended IIOrt, tile, are advieed to COIItact tile City of Iep/lyrUHe IuilcUag Deparbeat, (813)
788-6611.
Furtllenore, if tile 0II08r .. Ured a COIItractor or CIIItracton, be ie advieed to llave tile COIItractor(a) aiga portiGua of tile
'CoItrlCtor SectiClll8' of Wa applicaUOD for lIhich tile, will be responsible. If rau, u tile __ eiga u tile COIItrlCtor,
rou are indicatiag tllat rau, ratber tIIan tile COIItractor, are responeible for tile IIOrt. If tile COIItractor wiallea JIIU to aiga
u COIItractor tllat u, be an indicatiOD tllat lie ie DOt Properl, liceaeed and Ie DOt eatitled to penitUag pri,ileges ill tile
City of Iep/Iyrbille.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tllat I, tile applicaat, llave beea provided witll a capy of 'Florida'e ConatrucUIII Lien IaI _ .....'a Protectilll
Guide' prepared by tile Florida DeparUeut of Agriculture and Coaaaer Affaira. If tile appIicaat ie --. otber tIIaa tile
'-', I certify tllat I llave obtiilled a copy of tile above described cIocu.eot aacI pnlliae ill gond faitll to deliver it to tile
'OIIIIlIr' prior to -q~t.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certif, tllat all tile iDforaaUIII ill tIIie applicatilll Ie accurate aacI tllat aH IIOrt will be doae ill COIpliaace witll all
applicable I.. regulatiag COIIItructilll, lCIIIiag, aacI laacI de7eIO(llent.
ApplicaUIII Ie IIerebr .. to obtaill a penit to do IIOrt aacI installatilll u indicated. I certif, tat DO IIDrt or
iDltallatilll .. ~ prior to iuuaace of a penit aacI tllat aH IIDrt will be perfoned to ..t ataadardl of all 1_
regu1atiag COIIItructilll, Cit, codea, lCIIIiog regulatiOll8, aacI laacI develO(llent regulatiClll8 iD tile jurildictilll. I also
certif, tllat I UDderataad tbat tile regulatiClll8 of otber gDVerJlleDtil ageaciea u, appl, to tile iDteDded IlIIrt, IIIll tat it ia
., responsibilit, to ideatif, wllat actiOll8 I I118t We to lie ill COIpliaace. SucIi aguei.. iDclude but are lilt lilitecJ to:
t DepartMat of lD,irGllElltil IequlatiOll - Cypress Baybeads, lletlaacl Areas aacllDrircllllllltally Sealitive Laada,
Ilater/WUtellater rreaUeut
t Soutlllleat Florida !later IlaaaQHeat Diatrict - IleHa, Cypresa Baybeada, lletlaacl Areas, Alteriag Ilatercouraa
t Any CorDa of Ilngiaeen - SeawaHa, /loeb, lavigable Ilaterwap
t !leJan-t of 8eaitll , lellabilititive Senicea, IDvinm.ntil BeaitllllDit - llella, Ilaatewater freaUeut, Septic r_
t US IDrirGllElltil Protectilll AgIIICY - Aabeatoa abat_t
I allo certif, tbat, if fill uterial ia to be uaecJ ill Flood loDe 'A' or 'A, etc. " it ia undentood tbat a draiDage phil
ilddreaiDg a 'CllIp8Daatiag voIlIII' will be aublitteclllllich Ie prepared by a professilllll eagiDeer regIetered iD tile State of
Florida prior to penit iaUlllC8.
I penit iuued IllaHIIe ClIUtrued to lie a liceaae to Proceed witll tile .t IIIll DOt u autllorit, to 'foRte, caucelllter, 01'
at uide iIIIf proviaiOll8 of tile teclIIJical cocIea, OIIr lllall i8lUlllCe of a penit preveat tile BuildiDg Official fnll tllereafter
reguiriDg I correctiOll of errore iD plaua, COIIItructiOll, or ,iolatiOlll of auy Cllde. IYerr penit billed allaH becme malid
UIIlw tile IIOrt autborIeed by auell penit Ie cc.eac:ed wiWD ail _tile of iuuaac:e, or if IIOrt ~illllllJ tile penit ie
IU8peDded or abaadoaed for a period of eil _tile after tile tile tile IIDrt Ie a.eaced. l* 9D daJ eateaei.. of u., ., lie
allOllld for tile penit witll fee charge of '15.00. !be atailll allaIl be rllQUeated ill writing to tile IuHdillg Officill. Ia
apprDVlll illlpectilll _t be logged duriag each eil _t11 period, or tile project will be COIIIidend abaadoaed.
IlAUIIG 10 lIIIII: lID FAILlIU 10 IIClIIIl A IIOrICK OF ClIIlDCIIIUr lIAr IIISIILr II IIIlIl PIfIlG IIIICK PII IIIPD-.q 10 IlXII
PIOI'Im. IF YOU IftIIlD 10 lIIrlll '11UC11G, allSULr IlIra YOUI ~ IIlftIIIIr BIPIIU IlICIIID IIIlIl DICK or
aMIICIIar. JlIS lIIDII '2,500 II VALUlIlD lOr IUD 10 AID 'DI or aMIICIlur'
SIGIIIIIIII: lIIII ~ IliIIIr
Brill OF FLlmDl
amn or
The foregoing inatru.ent wa. acknowledged
before lie this , 19_ by
BrAII or FLlIIDI
aum or
The foregoing instru.ent was acknowledged
before lie this , 19_ by
who i. per8Clllillly known to _ or who bas
produced
es identification and who did/did not
take lID oath.
who is per_ally known to lie or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Nae Typed, Printed or Stllllped)
NOTARY PUBLIC
(Signature)
(Nue Typed, Printed or Stllllped)
NOTARY PUBLIC
COMIGYS :tNlURAHeJ CORNIR
r
POBOX 14)8
ST PlCTBU801.G
FL 33731-1'3
-
.......
BURTON nHO: INC
1900 3~TH IT SOUTH
IT PITIRIIVRC3 1fL 33712.'
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OAMI'JIIN I'I,RB ...%NIDItANC.!8 CO.-
PBNN GENB~ 'ZHSURbCS. cq."
WM,Nn'
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.,.. · 'ID nmw ....NI'1M ~ UITID ~.IIAYI_ ..,IIIU'IV TMI....UIlD IAMID AIDVIl... TII NI.Ift 'IIJOD
'NnICA_. NCINIlIIIT,.... . 'raM 01 CXIIIDITIOIf .W AMY ~ DI 0111. UUCVIlllNT wnu "PET 1ft) WIt",. 'nUl
Q6.~,.. MAY · IIIUIn 01 MAY · TIll "'''.A~'I MPGIDID ty TIll PGI..IeIICI ....... ..... . IVllIar 'IV AU. Tn TIIMa.
...... ~ .~ "IUCU 1I&ICIiIi. I....".. IJIOWIf MAY IlAW" JUSUut'ID IY PAID eL4*t.
.. .. " .. " , , .. ...
I. 'mI......ua ...en..... '=I"~ a..,.l.DIn, .....
CP 1148 1 0 99 1 01 00
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o GATE OPERATOR
Ed
AINlINK
REPAIR
OAlUMINUM
o VINYL C.L.
OPVC
o
I ~ 1)\)
OWOOD Dpvc
LENGTH HEIGHT
TYPE S~YLE
PICKET SIZE STRINGER
UGE
9 6
DIAM. GATE FRAME
I'I~
TOTAL VINYL SYSTEM 0 VINYL COLOR
o ALUMINUM DSTEEL
LENGTH HEIGHT
STYLE COLOR
SCREWS RESIDENTIAL XTRA
IN OUT COMMERCIAL
TAKE DOWN
LENGTH HEIGHT
o LEAVE ON JOB JOB CONDITIONS
o GOES TO BFc
o GOES TO DUMP
SEE DRAWINGS ON BACK
A 0 TO BE SET TOP STRAIGHT
B 9"TOP OF FENCE TO FOLLOW
GROUND
Note: Company not
responsible for any
underground sprinkler
lines.
.,.
~~~ \iJe. - \\\t'roposal' - \,;ontraCt tjl~
r 110 - 34th Street South ~315 Hwy. 52 ql'1
St. Petersburg, FL 33711 dson, FL 34669
",,~as (721) 321.1669 Hudson (727) 857-1118
.-,--" Fax: (727) 327.2460 Fax: (727)'856-8774
AMERICAN Pine lias (727) 843-0155 - New Port Richey 843-0155
~~~IATION Hernando (352) 68':;.3151 Zephyr Hills (352) 780-1747
CUSTOMER fA c.W.J \ 7/ Ucz.. '1 #fA.lS'1''',.j PARCEL'
STREET ~~1 c/o 1 'f'rl 51 r BlOCK'~LOTSIZE
CITY Z'tltLL<;" STATE ZIP 3 3S~ CITY
JOBSITE LOCATION SAJt, ~ STREET
~?ME~ HONE ..../-8FFICE
l ~"3 7/S-0l,;lS,
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Start Date fiTE.
u,. A T 11.
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trAV 6-~ l!:tJ .3
Complete Date
SUBDIVISION
UNiTt
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STATE
ZIP
CITY
PHONE
I CONTACT
I ,CAR
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BEEPER
REAR
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FRONT
SPECAIL TV SERVICES N.TAL PRI~ INCLUDES:
!:.VISA 0 MASTER CARD 0 DISCOVER DAMERICAN EXPRESS if MATERIAL DTEAR-OlJT&HAUL
o FINANCE 90 DAY 0 SAME AS CASH 0 CHECK ~ ~RMrr
D
CHECK HERE IF CUSTOMER IS ACCEPTING RESPONSIBILITY FOR "
GETTING~PERMITS AND ANY RELATED FEES, FINES, ETC.
BALANCE MUST BE PAID TO CREW WHEN 49B IS "
PLEASE READ AND BE SURE YOU Note: This pr(l;;p I is valid for 15- days.
UNDERSTAND THE TERMS AND CONDITIONS ~
ON THE REVERSE SIDE BEFORE SIGNING Authorized tf 1 ~
THIS CONTRACT. MANY OF THEM WILL BE Signature rn ~5 0 t f)"O"
IMPORTANT TO YOU. _ a e t. __
By signing this proposal, Customer is authorizing C \ ~ (If .
Burton Fence, Inc. to do the proposed work, and is ustomer ~ : ,
,,,,p"ng 'h, ph". .od .p"m,,"on. Phooo Si"",,.,,, X Jt!. : '. _ : _ 'l]"".. ~ -10- 9'9
above, and Burton Fence. Inc.'s standard terms 1- UOCl .
15 which may be on the reverse side, attached, or ***010 YOU RECEIVE WARRANTY PAPERWORK? -r"'~
not attached. Customer may request a copy of .' . .
terms 1-15 by calling Burton Fence. Inc, Upon Pnnt Name
acceptance and signing by customBr, this becomes Cle~rly
a binding contract.
o Repeat Customer
o Yellow Pages
o Referral .
o Other
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60' R/W
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