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HomeMy WebLinkAbout00-9847 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09847 I D /1 '1/00 , , Date ')~, ~ BUILDING ELEC~AL PL~ING ME~ANICAL Sewer Conn Water Conn: Property Owner: S-t. J ;,;) e S (~h.t.v- J" Job Address: C'1{ to ll~) t. ParceII.D.# Il-J(,~.)I'c)O{O. 17/00- 0(00 Water Meter: T.I.F. '5: Zoning: Energy Code: Descriotion of Work ?~ I "'.( '-I' /-I:<t L.. Radon Gas: c;~~d~ bo)C .-te-cQ FINAL 10/2"'> 100 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. DATE Inspector s62 City License Registration # State Certified License# Permit Fee lPS,~ ~~ Signature .1" U\ J~ 'q~-~ Company/ - Address Telephone# It J.. -; r'i ') Valuation or Contract Price Jb6 - ~(j K:tl < k~ "\ BUILDING {')'/ ELEC~ RICAL PLUMBINI MECHANI rAL Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts Insl. \ Lintel Meter Can Water Compressor \ FRM. Const. Pole Sewer Final Insul. CL Pool Final WL Pre-Meter 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 ($ 25.00) 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 PEEWIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT C} ~Y7 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME 'So r SO~ e~ yrt, JOB ADDRESS $""'31 (" / I' d .s r ,. c ~.ec~ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # //- r9 (p - ;1-1 ~ 0 CJ 10 - /71-000 I 0-0 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~CONSTRUCTION 0 ADDITION o ALTERAT I ON 0 REPAIR 0 INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ;if' oj' I' '-/ 5//;f.J>~ ~o--K ~- SQUARE FOOTAGE HEIGHT '1~ BUILDING SIZE 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 $ ;;2{PY~ VALUATION~OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANI CAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MEC~CIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA 0 YES o NO BUILDER SIGNATURE COMPANY STATE CERT OR REGIST #- CITY PROCESSING # ****************************************************************** 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 ***************************************************************** OTHER SIGNATURE "'1 "1:--- <':"--_ .~ /V1?~ ___ /' - _..~._.....~--....~...- COMPANY STATE CERT OR REGIST # CITY PROCESSING # .~., ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT .-A. NOTICE OF DEED RESTRICTIONS The 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: OWNER OR AGENT SIGNATURE: CONTRACTOR 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 (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Pasco 813-782-7897 Licensed. Insured NAME .Ji ~ c-L4 :r 3/4c> I{ '?;/ F~4F~ e.;~L Hillsborough 813-685-1349 t: /'! 7'-/~1 DATE / 0-/ ~- o-c.;l ADDRESS C::T, DATE PROMISED JOB SITE PHONE (H) PHONE (W) 7f,..1.. '2 3~ ~ SPECIFICATIONS I . TYPE OF TERRAIN FENCE BY FRANK WIRE DIAMETER (Cirde Items) LEVEL EARTH HILLY ASHP CONCR ROCK _ TERMINAL POST OTHER INSTAllERS ARE ~ GAUGE TYPE OF OBSTER OLD FC (Circle items) FTG TREES BRANCHES SHRUBS RESPONSIBLE FOR - OTHER DIAMETER DIAMETER WHO MOVES OBSTRUCTIONS? CUSTOMER _ WE DO_ UNDERGROUND LINE POST TOP RAIL SPECIAL EaUIPMENT NECESSARY? TELEPHONE, WATER, DIAMETER LINE POST FOLLOW SPLIT HIGH SEWER, ELECTRIC, CENTERS _ FACE in out GRADE _ GRADE _ GRAOE_ TRENCH _ GATE FRAME SPACING OR SPRINKLER LINES 010 ESTIMATOR MARK ALL FENCE LINES? Yes No ESTIMATOR WILL GO? Yes No < (,? .,,,-1 ~~ <, DIAMETER /' .?- ':;;.1 BARBWIRE GATE POST 11 ::=L ~r" OVERALL OVERALL .' I ~. I · I l LENGTH HEIGHT , / t"6~\ WALK DRIVE fl. - GATE GATE I' .,...H 5/""" - - // ..- '" ,~ .~?-. Y C/-t " /' 4' ,1/ ~ _,L.~/. -'-~ ) .- v .' ,- '- - .1''' . ./ c.\.-(-~ ~ /f '" ~ - I TOTAL SALE j /: r ..c l-J,..'" 1',;- G~ TERMS: COLLECT QN..OELlVER. A SERVICE CHARGE will be made on unpaid belance. Compound at petiodic rate of 1.5% (Annual Rate of 18%) NOTE~ 11>il Buyer ag~~ that above merchandise ~I remain the proparty of seller until fully paid. Also agrees 10 pay attomey fees for coIlecllon if necessary. /' - / // ~,. -i " II.,,t" (.U-.fJ ;,"_\. ....';9 '" _ '" .". ~ ..-J ..c ,c " '.,.. i Customer SI9 / ;' ... FENCE BY FRANK OFFERS SUBJECT TO THE APP,kOVAl OF ITS CR DEPARTMENT ANqjtTs ENGINEERING REPRESENTATIVE TO FURNISH AlL MA'rERIALS AND LABOR TO THE UNDERSIGNED CUSTOMER FOR THE PROPERTY DESCRIBED HEREIN IN ACCORDANCE ,^,TH THE PlAT AN :<ILL THE TERMS (INCLllDING SPECIFICATIONS AND PRICE) SET FORTH HEREIN CUSTOMER HEREBY AUTHORIZES FENCE BY FRANK '',;;- ED CONTRACTOR (LICENSED I~ REQUIRED BY LAW). TO INSTAlL SAID MATERIAlS ON SAID PROPERTY AS PROVIDED HEREIN CUSTOMER HEREBY ASSUMES FULL RESPONSIBILITY FOR THE LOCATION OF THE LINE UPON v\lttICH SAID FENCE MATERIALS ARE TO BE INSTAlLED AND CUSTOMER AGREES TO DEFEND. HOLD HARMLESS AND INDEMNIFY FENCE BY FRANK FROM AND AGAINST ALL CU\JMS LIABILITIES AND EXPENSES FOR INJURY. DEATH OR DAMAGE TO PERSONS. PROPERTY DAMAGE. TRESPASS AND AlL OTHER DAMAGE OR LOSS ARISING OUT OF THE INSTAlLATION OR LOCATION OF SAID FENCE MATERIAlS. ALL EXCESS MATERIAlS SHAlL REMAIN THE PROPERTY aP-AND BE RETURNED TO FENCE BY FRANK. NEITHER FENCE BY FRANK NOR ITS CONTRACTOR SHALL BE RESPONSIBLE OR LIABLE FOR DELAY. DAMAGE OR DEFAULT HEREUNDER WHERE OCCASIONED BY WAR. STRIKES. SHORTAGES OF LABOR. MATERiAl OR TRANSPORTATION. ACTS OF CIVIL OR MIUTARY AUTHORITIES OR OTHER CAUSES BEYOND THE CONTROL OF SAID PARTIES THE UNDERSIGNED CUSTOMER HEREBY EXPRESSLY WAIVING SUCH CU\JMS. CUSTOMER AGREES TO PAY THE CREDIT SALE PRICE SET FORTH HEREIN IN INSTALLMENTS AS PROVIDED IN THE AGREEMENT (OR OTHER CREDIT SAlE AGREEMENT) IN EFFECT BE'TWEEN CUSTOMER AND FENCE BY FRANK OR IN LIEU THEREOF CUSTOMER AGREES TO PAY THE CASH PRICE SET FORTH HEREIN AT THE TIME OF THE ACCEPTANCE OF THIS PROPOSAL BY CUSTOMER THIS PROPOSAL AND SAID PAYMENT AGREEMENT (OR OTHER CREDIT SAlE AGREEMENT) IF ANY SHALL CONSTITUTE THE ENTIRE AGREEMENT BE1WEEN CUSTOMER AND FENCE BY FRANK WITH RESPECT TO THE SAlE AND 'NSTAlLATION OF SAID MATERIAlS AND THE SAME MAY HEREAFTER BE AMENDED OR MODIFIED ONLY BY A WRITTEN AGREEMENT SIGNED BY CUSTOMER AND BY DULY AUTHORIZED REPRESENTATIVE OF FENCE BY FRANK 'N THE EVENT THAT THIS PROPOSAL !lY FENCE BY FRANK ENGINEERING REPRESENTATIVE AND (IF CREDIT SALE) OUR CREDIT DEPARTMENT. ANY PAYMENT MADE HEREUNDER SHALL BE REFUNDED TO CUSTOMER AND THIS PROPOSAL SHAlL THEREUPON BE NUU AND VOID AND OF NO FURTHER EFFECT. FENCE BY FRANK RESERVES THE RIGHT TO MAKE ADDITIONAl CHARGES TO THE CUSTOMER IN THE EVENT UNUSUAl GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEDE THE INSTAlLATION HEREIN DESCRIBED SUCH ADDITIONAL CHARGES SHALL BE BASED ON ACTUAL ADDITIONAL LABOR REQUIRED TO COMPLETE INSTAlLATION UNDER THE CIRCUMSTANCES.