The URL can be used to link to this page

Home My WebLink About00-9451 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 09451 Date S/'i/Oo ( Permit CC 30.- BUILDING EL~RICAL PL~BING Property Owner: Le.....+CAoTL Cc...r We.. s h Job Address: S S" f"i l( (lIve!. MEC~NICAL Sewer Conn Water Conn: Water Meter: T,I.F:s: Parcel LD, # Zoning: Descriotion of Work Energy Code: ,go' of I..{' 6 reQ.... Radon Gas: tJ: 1'\ \/1 , I c/( , fe-.. c.(' FINAL s:- / s:- tfJ 17 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# Permit Fee - Signature Company Address 1 ) "' Telephone# ( C, 5 G C,S- -3312- ,/ Inspector '30.~ I tLJ lA.J UIl Valuation or Contract Price I01o,~ " to USA S~e( F(l.. c~ {Q. 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 Compress r Final BUILDING Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) 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 ZEPRYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE Q E:. rJ l V ,t.'( !"S-S'~ (;.A L.. L QA.(. WAS,J 16 LVO PHONE BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ff'INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING ~OMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL :r. III S, A l. L L./ ' <!..{ L f" t!.~ e.L BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION ~THER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL ErOTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ***************************************************************** W W V ~ COMPANY 'u. S.4 3r ':<fL. f'tLJ e-6. (1 STATE CERT OR REGIST # CITY PROCESSING # >17------. I rr b OTHER Y ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ~he undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or o who has produced (type of identification) and who Ddid [}iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ,U S ~ STEEL FENCE co. "~I I;,::. 4936 Hwy 92 East. Lakeland. FL 33801-9246 I: Ph. (941)665-3312. Fax (941) 667-1921 State Ucense CRC016172 & QBOOOO823 ITEMIZED MATERIALS AND I OR SERVICES / ~ 0 ' t./' G-~ J//,,/y OJL f~~ -r- ~ 'S rs ;$.7: tJl ~ 2-~ / 80' ~ / /.J S T"4L-L. S !\, J:iJ~ p 4" late payment charge of 1%% (18% per annum) will be added to l3 ~Ily balance due remaining unpaid 30 days after due date. r! ~uyer(s) is responsible as to the location of the fence. Buyer(s) .-if .;. \ olds Seller harmless from any liability caused by an error in A ... I1e location of the installed fence. 10 .;;- cancellation fee based on 10% of the Cash Price may be charged '~ t deducted from the paid Down Payment upon notice to the Seller j~ '"'f the Buyer(s) intent to cancel this contract prior to commence- ri~ Elnt of work by Seller. 1 ~ ne Buyer(s) agree they will pay all costs of collection; including "'~ reasonable attorney's fee. in the event the payment of Balance !U~ lie on Completion is not timely paid, :JI~ lIyer(s) shall inform Seller of all UNDERGROUND OBSTRUC- I ~'ONS, whether natural or man made, BUyer(s) shall inform Seller Jfi ~ writing and also by physically marking all obstructions, The J111 ~ ;;!Ish Price is based upon only those underground obstructions 16 ~ nich Buyer(s) has informed Seller of in writing and physically :u~ qrking. Buyer(s) agrees to hold Seller harmless of any damage iJ<:>"l. ~Used to any underground obstruction. If Seller incurs under- ,i!I't '............ound obstructions which Buyer(s) has failed to inform Seller of in Jlt ~iting or by physically marking, such as rock, Seller shall have the pl~, tion to terminate this contract and be paid by Buyer(s) for the rl?, ..~tallation of the fence up to the point of termination or continue z, ~ I t,h the work after renegotiation of the Cash Price with Buyer(s), 9'{~ ~IS contract may be assigned by the Seller, without notice to the InLJ ~ '-..lyer(s), and when assigned shall be free from any defense, 3rlt ~tJnterclaim or cross claim by BUyer(s), The rights and privileges 3:):;:J ~ the Seller under this Contract shall inure to the benefit of its IL~ ~ ccessors and assigns, The duties and obligations of the Buyer(s) ,QI ~ ~ <all bind his heirs, personal representative, successors, and 19X" ~ Signs, 'II ~ ~Yer(s) is liable for all damages to materials delivered to the job ,92......, e whether incorporated in the fence or not, unless damage is '~'Q, tJsed by Seller's negligence, ;C\ %~ Office Use Only: ~e Paid in Full Date Completed Crew ~ ~~ ~5 ~ CASH ON COMPLETION CONTRACT N93_ _ 8567 c BUYER: l\!!f~E rr;-;)wner 0 Not Property Owner Date ..3, _ SS/FIN~ :-1 Buyer's Name "TV A- Y ~ w A-25 N -""..4>>,." 3 V. ~ r/- R. ~ e./L <C. y f 'j) J!JLsdlL~tJlL.l..e., _/ 3V" 0 9 Phone Number 3 S-i- ..r -, ( ~ Installation Address: ss-r L J Installed in the County of City of . Do not sign this contract before you read It or if it contains any blank spaces. . You are entitled to an exact copy of the contract you sign. . The Buyer(s) acknowledge that at the time of the signing of this contract, a fully completed copy was received. . The Seller hereby sells and the BUyer(s) hereby purchase the goods and/or services described herein under the terms and conditions stated. Price"..". ...,.....,............ ...,."'.,,,.. ....".."."..,.. $ 10 '(J.n Other Charges: ,...................,......,..........,..... $ Permit.,." .........,..........., ..,. ...,...., ....",.",...,..., 30 -at> /o9o.cro TOTAL CASH PRICE.. $ $ DOWN PAYMENT ....................................... $ Paid On ...........,.............,I:!~.......................... o Check 0 Cash 0 Credit Card BALANCE - DUE ON COMPLETION ....... $ IdqO.tfO - o YIS4' $ - $ BUYER'" DATE SELLER: USA STEEL FENCE COMPANY A FlORIDA CORPORATION 4936 Hwy 92 East Lakeland, FL 33801-9426 FIN-59- 17021 08 LJ fA) L1-() ------ SELLER'S AGENT 7-;-7 u s ~ STEEL FENCE CO. 4936 Hwy. 92 East. Lakeland, FL 33801 Ph. (941) 665-3312. Fax (941) 667-1921 State License: CRC016172 ITEMIZED MATERIALS AND lOR SERVICES If' (:: f) ~ .::'A) ,/",. I 'i' ! '-'" I(......--C r-:,.. ( IV _ ,_ ~o' I), '-1/ L ....,~ -- . .,; y (:;. 'T""~ CANDY 4 t,.~ I t~ /<JQC1/iGq I hereby acknowledge the satisfactory completion of the above described work FPL CUSTOMER DATE JOB WORK ORDER i~ I: ? --',---,r (~-; I> ,) [, CONTRACT .... .. <Li BUYER: o Property Owner o Not Property Owner Date Buyer's Name -O_E..AlTlJ l,/ ~l I W A 8JJ ~ Mailing Address Phone Number Installation Address: Installed in the County of City of '"2.; ~A '-L Ptl s eo A11'-1.. ~ SS~a/. Co mission: Gauge 9 Knuckled B'""" Corner Post Walk Gate Post Drive Gate Post Gate Frames No o 11~ 0 Reg. o Safeguard 0.0, Top Rail 0.0. Une Post 0,0. End Post 0,0. '/?,. 0,0. 0,0. Z.'1....0,0, Top Rail of Fence to Follow Ground .Ii!f"" Be level with: 0 Lowest Grade 0 Highest Grade 1_- - -r -- !- , ~ - - - -, i I I I ,._1 6LVl> DATE COMPLETED Q I ~ O' Mi\\/~(rPrI":' 2..-0 i+ ~i-l'3r?-\' L..v~1i:- ? fa:-~"^ ,?rt~pr.p:l't .~ ~, . L - ,,,?-^'l i\.Np I P(r ht-"::"f 7-' \ 'IV'