HomeMy WebLinkAbout01-0117
BUILDING PERMIT t42
0117
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
:) J1Z/O
,
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BUILDING
ELEC~CAL
PL~NG
ME~NICAL
Sewer Conn
Water Conn:
Job Address:
Property Owner: ~f c.. .re/\CkJ L-J"'-ee \er
~'io~o ~~{- _t..JC~~ Leo"J,;t1:5
Parcell.D,# (\.{-2b~21' Ol(,u' (}oOOO' 0'100
Dr.
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Descriotion of Work "2 ~ --, I nC- '-fe", Gf'
Radon Gas:
FINAL
C.O,
2-2/-~J
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
5'
City license Registration #
State Certified license#
Permit Fee
JSignature
Compan
Addr ss
7' Telephone# 7J>"2-~ 705 "')
Valuation or
Contract Price
12 (.. 7. ~
~
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BUILDING
ELEC RICAL
PLUM ING
MECH NICAL
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 Twenty Five and 001100 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.
NAME
ADDRESS
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Pasco
813-782-7897
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Licensed. Insured
(0
Hillsbomugh
813-685-1349
DATE
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DATE PROMISED
JOB SITE
PHONE (W)
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0"
SPEClFICATIONS
WIRE DIAMETER
GAUGE TERMINAL POST
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fl. l- ',"'~7
DIAMETER DIAMETER
LINE POST TOP RAIL
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.i V
DIAMETER
GATE FRAME
~/,.
/~F
BARBWIRE
,----
OVERALL
LENGTH
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WALK
GATE
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~A~~
/ //p'
LINE POST
SPACING
c'
/e
DIAMETER
GATE POST
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~
DRIVE
GATE
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PHONE (H)
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TYPE.OFTERRAlN
(Circle Items)
TYPE OF OBSTER
(Circle items)
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--
HillY ,ASHP CONCR ROCK OTHER
FENCE BY FRANK
INSTALLERS ARE 1':!.QI
RESPONSIBLE FOR
UNDERGROUND
TELEPHONE, WATER,
SEWER, ELECTRIC,
OR SPRINKLER liNES
OLD FC
FTG
TREES
BRANCHES SHRUBS Jc
OTHER.
CUSTOMER L- WE DO_
WHO MOVES OBSTRUCTIONS?
SPECIAl EQUIPMENT NECESSARY?
FOllOW !/
CENJERS /, "I FACE in out GRADE A-
DID ESTIMATOR MARK AlL FENCE LINES? Yes No
SPUT HIGH
GRADE _ GRADE _ TRENCH_
ESTIMATOR Will GO~ No
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TERMS:
COllECT ON DELIVER. A SERVICE CHARGE will be made on unpaid balance, Compound at periodic rate of 1,5% IAnnual Rate of 18%)
NOTE: The Buyer agrees that above men:handlse shalf remainilfi, properlY, ~t seNer until fully paid, Also agrees to pay attomey fees for collection it necessary,
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Customer Signature
FENCE BY FRANK OFFERS SUBJECT TO THE APPROVAl OF ITS CREDIT DEPARlMENT AND ITS ENGINEERING REPRESENTATIVE TO FURNISH AlL,MATERIAlS AND LABOR TO THE UNDERSIGNED CUSTOMER FOR THE
PROPERTY DESCRIBED HEREIN IN ACCORDANCE WITH THE PlAT AND AlL THE TERMS (INCLUDING SPECIFICATIONS AND PRICE) SET FORTH HEREIN
CUSTOMER HEREBY AUTHORIZES FENCE BY FRANK A QUAlIFIED CONTRAcTOR (LICENSED IF REQUIRED BY LAW), TO INSTAlL SAID MATERIALS ON SAID PROPERTY AS PROVIDED HEREIN
CUSTOMER HEREBY FULL RESPO~IUIY FQll.1jHjI'LOCATION ~ THEU~. UPON WHICH SAID FENCE MATERIAlS ARE INDEMNIFY FENCE BY
.F RANK FROM '. L,.' .~ ~~SES FOflINJ.!ofI\Y. P OR ., E, TRESPASS AND AlL OTHER DAMAGE OR LOSS ARISING OUT OF THE ;w.ATION OR
LOC6lI6N:OF . CESSIATERiALs SHAlL ~E R . AND BE RETURNED TO FENCE BY FRANK. NEITHER FENCE BY FRANK NOR ITS CONTRACTOR SHAlL
OR ~O~ DELAY. EO, AULT HEREUNDER WHERE OCCASIONED BY WAll, STRIKES, SHORTAGES OF LABOR, MATERIAl. OR TRANSPORTATION, ACTS OF CIVIL OR MILITARY AUTHORITES OR OTHER CAUSES BEYOND
THE CoNTRO,f OF SAID PARnES THE UNDERSIGNED CUSTOMER HEREBY EXPRESSlY WAIVING SUCH ClAIMS. ,
CUSTOMER AGREES TO PAY THE CREDIT SAlE PRICE SET FORTH HEREIN IN INSTAUMENTS AS PROVIDED IN THE AGREEMENT (OR OTHER CREDIT SAlE AGREEMENT) IN EFFECT BElWEEN 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 BElWEEN CUSTOMER AND FENCE BY FRANK WITH RESPECT TO THE SAlE AND
'NSTAlLATlON OF SAID MATERIALS AND THE SAME MAY HEREAFTER BE AMENDED OR MOOIFIED ONLY BY A WRITrEN AGREEMENT SIGNED BY CUSTOMER AND BY DULY AUTHORIZED REPRESENTATIVE OF FENCE BY FRANK
N THE EVENT THAT THIS PROPOSAl BY FENCE BY FRANK ENGINEERING REPRESENTATIVE AND (IF CREDIT SAlE) OUR CREDIT DEPARTMENT, ANY PAYMENT MADE HEREUNDER SHALL BE REFUNDED TO CUSTOMER AND THIS
'ROPOSAl SHAlL THEREUPON BE NULL AND VOID AND OF NO FURTHER EFFECT,
'ENCE 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
\D0IT10NAl CHARGES SHALL BE BASED ON ACTUAL ADDITIONAL LABOR REQUIRED TO COMPLETE INSTAlLATION UNDER THE CIRCUMSTANCES.
-. I""- 04:49P
:- .-eb-12-01 ARM INC 813 783 2945 P.01
II - ' ~ . . , .-
.- ~CORD.. CERTIFICATE OF LIABILITY INSURANCltigc~l I DATE IMMIODfYVI
.. 02/12/01
. .
. JUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Douberley , Associates, :Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Insurance Store HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5518 7th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Zephyrhills FL 33540 INSURERS AFFORDING COVERAGE
Phone:813-7BB-7777 Fax: 813-783-2945
INSURED INSURER A: Zurich :Insurance Svcs
INSURER B: --
F~~k 's Fence
d ~ a James Kalske INSURER c:
~eph~r~t~;~~3541 INSURER D:
I INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
AHY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AHD CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
"rfC ,-
TYPE OF INSURANCE POLIcY NUMBER DATE"'MMIDDIYY DATE IMMIDOIYVj- UMITS
OEHERAL UA8lUTY EACH OCCURRENCE $ 100 . 000
~
A X COMMERCIAL GENERAL LIABILITY ZRT052648 03/22/00 03/22/01 FIRE DAMAGE (Any one lire) S 50,000
1 CLAIMS MADE [K] OCCUR MED EXP (Any one person) $1 000
- I PERSONAL & ADV INJURY s100.000
- I GENERAL AGGREGATE $200,000
~.L AGGREnE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 100,000
PRO. n
POLICY JECT LOC
AUTOIlO8lLE UABIUTY COMBINED SINGLE LIMIT
~ S
N-IY AUTO (Ea 1ICCidInl)
f-
f- ALL OWNED AUTOS BODILY INJURY
S
SCHEDULED AUTOS (Per person)
f-
- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per ec:cidenl)
-
- PROPERTY DAMAGE $
(Per 8CCICIenl)
GARAGE UA8lLITY AUTO ONLY - EA ACCIDENT S
~- ANY AUTO OTHER THN-I EA ACC $
AUTO ONLY: AGG $
EXCESS LlABIUTY EACH OCCURRENCE $
o OCCUR 0 CLAI~ MADE AGGREGATE S
$
q DEDUCTIBLE $
RETENTION S $
WORKERS COMPENSATION ANO I- TORY LIMrrS I IOlH.
ER
I EMPLOYERS' UA8/UTY E,L, EACH ACCIDENT $
E,L DISEASE ,. EA EMPLOYEE $
E.L DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERA TIONSlLOCATIONSll/EHICLESlEXCLUSIONS ADDED BY ENDOflSEMeNT/SPECIAL PROVISIONS
Fence Erection Contractors
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER lETTER: CANCELLATION
BLDGEEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTeN
City of Zephyrhi~~8 Bui.ldinq NOT1C2 TO THE CERTIFICATE HOI.DER NAIlED TO THE LEFT, BUT FAILURE TO 00 so SHALL
Dept, IMPOSE NO OBLIGATION OR UABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS Oft
788-1516
REPRESENTATIVES.
'CORD 25-5 (7/97)
ClACORD CORPORATION 1988