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Home My WebLink About00-9310 BUILDING PERMIT ./'" CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09310 ~o ~ Date g -9 - oD ELECTRIC.AL ---- Property Owner: ~ ~ JaL~ Job Add,... O',s-q,-rO :-/9~-~' ~) # / /- ,;2t,-- ,.fl./ - 00/0- 0 ~ d?/J ~ /J /) tJlh S- PL~' MECH~~er Conn Water Conn: Water Meter: . T,I.F.'s: Zoning: Description of Work Energy Code: /0 ~ rE"ET- Radon Gas: ;L/ F'T fIT C.l'.4/;JLIJJk jt:"'r~ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o, DATE Valuation or Z Contract Price :3S- City License Registration # / ~ 9 ~ State Certified License# ~e Company Inspector ~....~~ ~elePhon;# 1!l7- 857- 1//'0 E :L PLU 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 ($ 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S ~O ~ (:)0. Q A 1\~\ YI\ PHONE~13-/8[) - '83CJL- OWNER'S ADDRESS ,'5RtSO \~~ ~t- ZepJ.._pLkl'/ (,),P'1. 33SYo JOB ADDRESS ~ f'(Y\. 0 U. 1\ a. 'n (\-j l"-f LEGAL DESCRIPTION: LOT(S):5. (" 4--7 '" ~----............. '- P~~EL ~ "fl-!> \ . I WORK PROPOSED:_New Construction _Addition ---.ftlteration BLOCK ~ C, SUBDIVISION (OBTAIN FROM P,OPERTY TAX NOTICE) -, , _Repair -1LInsta1l _Sign --'love _Deaolish PROPOSED USE: _Single Faaily --'l/F _, of Units _Mia _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ~. e _ (\ c.., C //Jc:2 ~ l'fI-/t::N ~# Lt< BUILDING SIZE: x Square Feet. Height RESIDEJITIAL: 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 -BUILDING $ 7SS i'5:L Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. --..JIECllAliICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel Other FIllISBED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION BUTT .DER COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature RT,RCTRICIAB COMPANY State Cert. or Regist. . City License Registration , .......................................... SianAture PLmtBER COMPANY State Cert. or Regist. . City License Registration . ......................................*..* Signature KECBAlUCAL COMPANY State Cert. or Regist. f City License Registration , ****.***..**.*********.*******.*********** Signature OTRRR COMPANYj?1 t L,,'j-t rfri\ \~.QJn.(' 0 J T rY\ C- , /'s(~~~/.MJ1J1~~ ~~~eL~~~eo~e:~:~::~i:n' /~ 97 (---,- *..**.********.**************...*******..*' APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A, NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit 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 with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (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 this application for which they 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 the contractor wishes you to sign as contractor that lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D, CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, bave been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection Guide" prepared by the Florida Departlent 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 couenceaent, E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent, Application is hereby lade to obtain a permit 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 perfoned to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other governtental agencies JaY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not li.ited to: t Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "All or IIA,etc.", it is understood that a drainage plan addressing a ucOtpensating 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall becOle invalid unless the work authorized by such perlit is COlleDced within six IOnths of issuance, or if work authorized by the penit is suspended or abandoned for a period of six IOnths after the tile the work is cOlleRced. One 90 day extension of tile, aay be allowed for the perlit with fee charge of $15,00. The extension shall 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 COMMENCEMENT MAY RESULT Hi YOUR PAYING TWICE FOR IMPROVEHEllTS TO YOUR PROPERTY. IF YOU INTEKD TO OBTAIN FINAIICING, CONSULT WITH YOUR LEKDD OR AN AnORMKY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UlfnER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCKMKNT". SIGNATURE: CONTRACTOR SIGNATURE: OOER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by STATE OF FLORIDA COmy OF The foregoing instrument before me this 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC :,:~"'''N:)a::' ',"'..""""""""""".,.,."""."""",.,.""",.~"'.)!}::~;""""""""',::,:::,,:,,:::,:..,........ .'ROI>UCER COMEGYS INSURANCE CORNER ~JA==-~.:...::: ;~;;~;70'~: TillS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TillS CERTIFICATE DOES NOT Al\tEND, EXTENOOR ALTER TilE COVERAGE AFFORDED BY TilE POLlCIESJELOW. COMI'ANIES AFFORDING COVERAGE ----~______u..__._.__ ____.._..___ --......-------.----.-- POBOX 1438 ST PETERSBURG FL 33731-1438 COMPANY A CAMDEN FIRE INSURANCE CO. . ---.-------.-- ----.-.-- INSURE" BURTON FENCE INC 1900 34TH STREET SOUTH ST PETERSBURG FL 33712 COMPANY C ('OMPANY B GENERAL ACCIDENT INS CO _.._~-------_._--~--------,-- - -"---~--"--'- . -.--..-..----- --..------.-- THE FCC I FUND TillS IS TO CERTIFY THAT THE POLICIES 01' INSURANCE LISTED BELOW HAVE BEEN ISSUIlD TO TilE INSlIRED NAMIlD ABOVE H>R TilE POLICY rERIOD INDICATED, NOTWITIISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WlIICH TIllS CERTIFICATE MAY BE ISSlIED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TilE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TilE TERMS. EXCLUSIONS AND CONDITIONS 01' SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY rAID CLAIMS, COMPANY D ('II L1'It TYI'E OF INSURANCE l'OLlCY NUMIlER POUCY I""FECTlVR POLICY EXPIRATION "An: (MMIIJDIYY) DATE (~IMIODIVY) UMITS GENERAL UADlLITY X COMMERCIAL GENERAL L1AIlILlTY CLAIMS MADE [K] OCCUR OWNER'S &. CONTRACTOR'S PROT CPPl14810902 1/01/00 1/01/01 GENERAL A(;GREGATE ~~..LQ 9Q.LQO 0... $?, Q9QJQ.9Q... $J! Q.QQ.L 0 00... _$ :1" 9,.9.9 ,,' 99.9_. .~___lS2QL 00 Q... 5,000 500,000 l'IHJUlICrS CO~II'I()P A(;(; PERSONAL'" AD\' INJIIRY EACII OCClmREN('E AUTOMOIIII.R L1AIJIUTY X ANY AUTO BAC334712301 1/01/00 1/01/01 /lIlE DAMAta'_(~Il}'"IlC .'i~~)_,. MED EX), (Any olle penon) ALL OWNED AUTOS SCIIEDULED AUTOS X IIlRlil) M/TOS X NON,OWNED AUTOS COMIIINED SINOI.E I,I~II r -_._-_._-----~ --- --.------------- IlODIL Y INIlIR Y (Per pcr~ol1) .--- -..-.--.----- -.---.--- -. -----------.-.--. 1I0DII. Y INJIIR Y (Per ilt.:'ciclc Ill) ------..----.-------.. ~RAGE UAIIIUTY ANY AUTO PllOl'ERTY DAMAt;E _AI~r:!)_.9.f'1r..,.r..:..,E,~A,(TII)Er__Il:.. _L__, Q,I:I!"llJ:~I",N .!-IJI:O O~LY, EXCESS L1AIlIUTY UMIlREtLA FORM OTlIER TlIAN UMIlRELtA FORM \VOItKF.ItS COMI'~;NSATION ANI) 1':MI'1.0n:llS' I.IAIIIU1'V ---_ _-''.^~:!'-"SCII>l:Nr_ $ AGUREGA I'E $ _EA<;I!.9g:!J.I!II'-'~,c..:E A_G(alE<;-".l!~.,_ '__ $.._~-,- ..,....,- '--. ,$., ....-----.-,-..-..,., $ BURFAO-5 1/01/00 1 0'1'/1. 1m TilE 1'1101'11 IIiTOIII I' A RTNERSIIJX ECIJTIVE OFFICERS ARE: OTlIF.R INCt EXCL .l~r..,.QISE~I8'Qhl,t;,YJ,I!>I.!.I, .o. liL DISEASE..EA EMPLOYEE " ~QQ.LQ.Qg_. J_,_~OO, 000 500,000 'ESCRIPTlON OF OPRRATIONSILOCA 1'IONSIVEIIICLESISPECIAL ITEMS i!!:.ft1:!ms!,t!!::':nfmp~~~:?:':":it:(:!:!:::t::t/:((f::m'::::::'::(::::::f!(t'::::::mm::i,t:m::t:(:(:,::::~::!::i((,:,t::'t'::it:{t':i::P\1N.q~PB\1~9rft:::::(:;:::::;::,:t:::!::,:::;::'::'i:::tt'i,:::,:m:f!:{,{/)'; ... . .. ... .. :.:.....:.:.:...;.:.:~:~)))i~iiirrir!iJjj~jWttijittiijiijiiiifijiMiit .", ...................................... SIIOULD ANV OF TilE AIlOVE DRSCRIBED l'OUcms IIR CANCEI.LED IlEFORE TilE EXPIRATION DATE TIIERROF, TilE ISSUING CO~II'ANY 11'11.1. F.NDEAVOR TOIAIL ~ DAYS WRITTEN NOTICE TO TilE CERTIFlCATF. IIOLDRR NMIED TO TIlIEFT, IlUT FAILURE TO MAIL SUCII NOTICE SIIALI. IMI'OSE NO OlllJGAl'ION OR,IAIIILITY OF ANY KIND UPON TilE COMPANY, ITS "GENTS OR REI'llESENTATlVES. AUTIIORIZED REPRESENTATIVE ~..1(" Contral;t # ..~;..~ N e. ~-'~ ~ :_ _ _,,~ II ME~1IER - (AFA ASS&IATION M.u.. \ 0 Proposal - Contract ~\. ;). ~ .. ~\.. ~y 00 - 34th Street South ) M 11315 Hwy. 52 ' . Petersburg, FL 33711 lAJ Hudson, FL 34669 nellas (727) 321-~1.9 Hudson (727) 857-1118 : (727) 327-246 J,J0 Fax: (727) 856-6774 Pinellas (727) 843-0155 Hernando (352) 688-3151 Zephyrhills (352) 780-1747 2000265 ( (') I :>')~':: (Office Use only) Candy \.9Cate ~~,. ~c. .-:_ Inv. # ~1111 l' -'. ) (), - I ," -. -'.... Crew.0.[ L - E._' -- Start Date ___~_"____..__...._.. Complete Date ~_'__'_' EIN #59-2617794 o GATE OPERATOR o WOOD DaCHAIN LINK ffiEPAIR DALUMINUM DVINYLC,L Dpvc o I lOUT IIN,L1NE WALK GATES DRIVE GATES DWOOD LENGTH TYPE PICKET SIZE STYLE STRIN ER # TRANDS 036 o ALUMINUM LENGTH STYLE SCREWS IN OUT BARB ARMS 'tl OUT VERT, DSTEEL HEIGHT COLOR RESIDENTIAL XTRA 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'R TOP OF FE~CE TO FOLLOW , GROUND Note: Company no responsible for any underground sprinkler lines. FAX ~(, ",.... ...... .,. ",oJ ,! ... T ,r~~ , ,- .'....; IEx:I~ ,~P;.." !fL~?' ~ 11,1,.:"',. .. ,...... ,..,_.....',.. ::.:::: J5 [)-.l. ,.-,... ....,..,.. ,...... "...... ,....,.... ..,_.... ....... "..,.., ,..,.... ..... ..:..... 1.-1"'1" .", \ ..:::,.::. :..:::~t;~~L,rl ~~; ~ J,,_.,t{O~. .. .. .".,"""/:3' {\( .,. ,. ..."..'! ,,' I i ............. ........ ........B~., WAIf; F ~Zl~; ",..,L...", ., '" ".._1., ...".",,~t-l, PARCELM BLOCK# '____ SUBDIVISION _______~,_LOT# ---, UNIT# CITY CITY PHONE STATE ZIP BEEPER REAR ......,...., ..,.. .........'....... .................,..'.. . ~ ...-....~ ..... .~ . ....~ .t.':I.J,L,f- ....,j ( \ ....._-~~ lilt' .....~ .......~ .... ..........i .... ...........~ .{ "-c Total 73S'~ _ (1(. :>5% Deposit I ~ S '- 650 c~ Balance FRONT SPECAILTY SERVICES TOTAL PRICE INCLUDES: o VISA 0 MASTER CARD 0 DISCOVER DAME~}CAN EXPRESS ~TERlAL DTEAROOT & HAUL o FINANCE90 DAY 0 SAME AS CASH }"l. CHECK'1t I "(pO ~lAOOR )aPERMIT ,....~I~m " v .... ,..m", 'm......' ( /,. l .. \( ,.. ....m..' ....m .. __..'....m =~II j ........,."">.. ~; I: .m ml .. .......m..m.. ......... D CHECK HERE IF CUSTOMER IS ACCEPTING RESPONSIBILITY FOR GETTING PERMITS AND ANY RELATED FEES, FINES, ETC. BALANCE MUST BE PAID TO CREW WHEN JOB IS COMPLETE sal is valid for 3 (7 days. PLEASE READ AND BE SURE YOU UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE BEFORE SIGNING THIS CONTRACT. MANY OF THEM WILL BE IMPORT ANT TO YOU. By signing this proposal, Customer is authorizing Burton Fence, Inc. to do the proposed work, and is accepting the prices and specifications shown above, and Burton Fence, Inc:s standard terms 1- 15 which may be on the reverse side, attached, or not allached. Customer may request a copy of terms 1-15 by calling Burton Fence, Inc. Upon acceptance and signing by customer, this becomes a binding contract. (' ~) ~) ~(lJ.~ U RECEIVE WARRANTY PAPERWORK? Print Name f\. - Q d Clearly -rw\~ 6 ~)O,I I.J.'" o Repeat Customer o Yellow Pages o Referral o Other