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HomeMy WebLinkAbout01-0465 BUILDING PERMITN~ 0465 CITY OF ZEPHYRHILLS (813~7fO -[)lJ:2{) Permit Date 7- $/-D ( BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn P,op.rtvown.'~~~~~~,. . Job Address: _ _ ...l~~ - U~ Parcel l. D, # Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ~rgy Code: 2 Radon Gas: tlL!' fr/C# ~I.. u/!(1Ef( F-qu,-E ($/f/J,q)FT) NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE DO Inspector !f'.L""" oel Permit Fee- ..::;;} ... - ~ ~ . j ~ ! . ,;I;,~'-" Company ~..,,~ C--TelePhonV !ir]. - <j 0"7 - '7J>'7 '7 Valuation or xh 1 Contract Price IF /J 5'10 /- City license Registration # ~ ~ II State Certified license# ~~~ . UI~DIN- - __. ELECT.~'C ' ---- PLU~-" - ~I'IICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 31116 ELOIAN DRIVE WESLEY CHAPEL, FL 33544 Date: .2. ~ T,-, I 7 0 I Home Phone: ,~- Bus. Phone: 7 'j" 9 - 5 J:) 3 4 Tel (813) 907-9877 Fax. (813) 994-7827 Mobile Phone: F N b 7i3~-f.:,7bu ax. urn. er: 7- PROPOSAL AND CONTRACT CUSTOMER: D \'L (.. k) H u d, ~ ;- V"\ S ADDRESS: 3 'i <<-I 5 '?:J F-;' +:th It V e., I '2,-,0 h "'I p-..h; l \ S I ~ l. ~ '3 5 '-10 JOB SITE: QUANTITY 7" [ ~ ~.:l:'~ c~.) ;;;h i ~ Co \ II . ~ I 8"' Total Height Post Spaced Chain Link: Fabric Tension Wire Top Rail Line Post End Post Comer Post Gate Posts Walk Gate Posts Drive Gate Posts Gate Frames Walk Gate Opening: 36 in. 42 in. 6 ft. ~/ (I) Drive Gate Opening: Single Swing Double Drive Roll Cantilever 0,0. 0.0. 0.0. 0.0. 0.0. 0.0. 0.0. P , , 'i """... 10.$ ~-tL ~ Wood Privacy: Board on Board Shadow Box Stockade Runners Pickets Line Post Gate Post Vinyl: Style YR.\'IIA5:' Line Post '6 It End Post ? iX.. f:> ;, Comer Post 5~~ i. Gate Post 6~~il Aluminum: Style Line Post End Post Comer Post Gate Post Permit Included: Yes ./ No , ;tt., .1 Constmction Notes: --9 C....i' e... p 0$ f :se.,,-r (A,~ J ~i t , ~,J t.j; tk CDl'Jew?..JL,Te- ~ 4-L1 Po~ f $, e+ i '^ (DI'\ {' "le:i1 Parcel LD. ## Folio ##: Cross Street: TIllS PROPOSAL MAYBE WlTIIDRA WN BY LANIER FENCE IF NOT ACCEPTED WITHIN 30 DAYS, TIllS PROPOSAL SHALL BECOME A BINDING CON1RACT UPON ACCEPTANCE. SEE REVERSE SIDE FOR TERMS OF CON1RACT. s". r;,~ G~_ CONTRACT AGREEMENT made this ;2 Cv 1J- day of J v '1 ' 20 -.f!L by and between LANIER FENCE hereinafter referred to as "Lanier Fence" and, hereinafter referred to as "Customer." In consideration of the mutual covenants contained herein and the consideration to be paid by Customer to Lanier Fence, it is agreed as follows: . 0 d 1. Customer shall pay to Lanier Fence the sum of$ ~ 5 /c; / . for the work described herein. Payment shall be made to Lanier Fence by the Customer upon completion unless otherwise specified. 2. Lanier Fence agrees to furnish all necessary labor and materials to construct the improvements described herein as per the specifications and drawings, if any, shown on the reverse side. Lanier Fence further warrants all materials will be as specified and that all work will be completed in a workmanlike manner according to standard practices. 3. If this is a residential job, Customer represents and warrants that he is the owner of the property described herein. If this is a commercial job, Customer represents that he is the owner of the property, described herein, or a contractor who has a contract to improve property owned by ~ .;.. and that part of the improvements contracted for by the owner inc ude the work described herein, 4, Customer agrees to locate, relocate, stake and clear fence lines, and assumes full responsibility for same. Customer agrees to indemnifY and hold Lanier Fence hannless for any liability or damages that may result from Customer's failure to properly locate, stake and clear fence lines. Customer further agrees to advise Lanier Fence of any deed, subdivision, or other restrictions which may affect construction of the fence or other improvements to be constructed by Lanier Fence, and agrees to indemnifY and hold Lanier Fence hannless from any liability or damages that may result because of the failure to comply with deed, subdivision, or other restrictions. 5. Lanier Fence does not assume any responsibility or liability for any damage of any nature to underground obstructions, Customer agrees to clearly mark and advise Lanier Fence of any underground obstructions in the area of the fence line or the improvements to be constructed by Lanier Fence. Customer assumes responsibility for any damage to underground obstructions caused by Customer's failure to mark or advise Lanier Fence of their existence. For purposes of this Agreement, underground obstructions include but are not limited to all improvements constructed underground including utility pipes, cables, foundations, and the like, 6. It is agreed by and between the parties, that any alteration or deviation from the above specifications involving extra cost is to be performed by Lanier Fence and will become an extra charge over and above the price stated herein. 7. Customer agrees to pay in full the price stated herein upon completion of work, Any failure to pay within seven (7) days after receipt of the invoice shall be considered a default and Lanier Fence shall be entitled to recover the full amount of the invoice plus interest (finance charge) at the rate of 1 1/2% per month (18% per annum) until the contract price is paid in full. In the event it becomes necessary for Lanier Fence to take collection action, Customer agrees to pay all costs of collections including reasonable attorney's fees and costs. 8. It is further agreed between the parties that the fencing materials shall remain personal property until the contract price is paid in full. In the event the Customer fails to pay the contract price, Lanier Fence shall have the right to peaceably repossess and remove all materials installed by it on the premises. Customer further agrees that Lanier Fence shall have all of the rights of a secured party , as the same is defined under the Florida Uniform Commercial Code, and that said rights shall be cumulative and in addition to any other rights which Lanier Fence may have in accordance with Florida Law. 9. This agreement is the entire agreement of the parties and cannot be changed except in writing signed by both parties. There are no warranties or representations except as are expressed herein. Lanier Fence specifically disclaims all EXPRESS and IMPLIED WARRANTIES, including any WARRANTY OF :MERCHANT ABILITY or FITNESS FOR A PARTICULAR PURPOSE. IN WITNESS WHEREOF the parties have hereunto signed their names on the day and year first above written. (1) Year Warranty on Labor only, by Lanier Fence. Vinyl Product Manufacture Warranty ill Number, / ilia.., La. ",.,' e. 0<- LANIER FENCE By: ~~- 4.. .. ~rl Additional Information t..: c~ ..,-;...... <.. t,.) ItA..rl t:\. ~ +", ..,.., ~N U Pc...;'. -I- v r"t... e..... f',7.:....,t.kA b, (ENc.lUie.t'S ) Customer: CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 Phonez813-780-0020 Paxz813-780-0021 DATB RBCBIVED JI JJ'1 0 I PLANS REVIEW PBB OWNER'S NAME Df2.e ~ /-lu d'7 I'^ .5 3~Lf5 '3> 5 f~ Ail e. '7 LEGAL DESCRIPTION: LOT(S).B '" 11.;l..(O .2.i 00 10 15 PARCEL ID # I WORK PROPSED~TRUCTION '2 c.pAy Jf...h," ds [:/, 153 BI.J)~.~j' 3. SUBDIVISION 30.0 - Qr:J[jo -0070 PHONE CONTACT 7?- f -55' 3 'I 3 35'10 JOB SITE ADDRESS (OBTAIN FROM PROPERTY TAX NOTICE) DADDITIG>N o ALTERATION o REPAIR ~INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING 0'COMMERCIAL DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER o INDUSTRIAL o SWIMMING POOL D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK _F-~C<e... J./Js-fa....t l~+~o,J 1- +=. BUILDING SIZE 5eHARE FOOTAGE 3/ f-f HEIGHT h I 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 AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPfoNY STAT~ CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. \TOTICE 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 1!L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this -----pay 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) [1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped