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