The URL can be used to link to this page

Home My WebLink About01-0857 BUILDING PERMITN2- " 0857 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date /J-/~-DI r----..---~ ~ ~- ~ ~L Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Zoning: DescriPtion of Work Water Meter: T,I.F:s: NO OCCUPANCY BEFORE C.O. FINAL Id-- a.r, - () DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE !<L' Valuation or 4 D / ...., - ~ Contract Price d2. I (p 0(. Permit Fee (f~) 71/ )?1l~ - . BUILDING ELEC:f,.'t:Ai:/ ...-- Company ......-Aaaress ~ (Telep~# )7J>'Z 7077 City License Registration # State Certified License# /7t/ Ftr. Pre SLB Lintel FRM. Insul. CL WL PLU~ ~ ME~ 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 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. Pasco 813-782-7897 NAME v:-'. .' "1'1 1--,-,..../'",,4:/ ,-"'~ ADDRESS .... 7 ,'--; Licensed. Insured /f.n (} ;51_ Y f~t", f~ :c~ j-~-:.. /~ "::;...-/;, ,/f_I~,''-'_''; 1'1 l": '~~- "..-' ~~.__t(~ }'.~..., 1 ;1 t .._4.~~'- e) \_...--+..---- DATE - Hillsborough 813-685-1349 / ,- " DATE PROMISED PHONE (H) '''; c.... .J-.- r "..... I '-- i .,,;>...... ''l PHONE (W) :.... ,-, -; " JOB SITE SPECIFICATIONS WIRE DIAMETER GAUGE TERMINAL POST DIAMETER DIAMETER LINE POST TOP RAIL DIAMETER LINE POST GATE FRAME SPACING BARBWIRE DIAMETER GATE POST OVERALL OVERALL LENGTH HEIGHT WALK DRIVE GATE GATE .-.'. '" , ,.t.. .... .,--- , c>il 'I ,--;r<"" ......' " 1,,\ '~'".."i i~ '''' >". ll~/ , .-- t_.__~~ ="'- 1 :-,'i ,:)~1 .'/ '~L;,!.,-;:'- TYPE o.F TERRAIN (Circle Items) TYPE o.F OBSTER (Circle items) o.LD FC FTG LEVEL 1~ILlY ASHP Co.NCR ROCK .....- "'Q'fHER TREES OTHER CUSTOMER _ WE 00._ WHO. Mo.VES o.BSTRUCTlONS? SPECIAl EQUIPMENT NECESSARY? 7 . ""'"" Fo.LLOW ,">' SPLIT CENTERS ~FACri in Out GRADE ,;L GRADE .,~ 010 ESTlMATo.R MARK ALL FENCE LINES? Yes "~; .~c> i::~)i ov1 r,~ ,':'" ,r, A.,J,) BRANCHES SHRUBS . FENCE BY FRANK INSTALLERS ARE ~ RESPONSIBLE FOR UNDERGROUND TELEPHONE, WATER. SEWER. ELECTRIC, OR SPRINKLER LINES -'0' ~j ,/ 'I;' ,L.-'~,-~~ /: ,(, J"- I ~ 4()~ U.v ""--- , I!> C) ,'1/ +=l /\ C) /" '"} " ,.\ ) ~,~ '~~;:::r~,__1.,""",~Y- "",~,..... .. i1 1,-', fl. ..~-""~~~>....~- , HIGH GRADE TRENCH _ ESTlMATo.R Will GO? ,y:~ No .-- .- ,r ,'{ ,C;:!--'~~r '" ~, '1 rp ~/~J~':4-'"'1~-'" ,,' }'f~_;....7~':'~_7 J;;'t".{~~ , t . . '-\. .,,,,... . . . , . :, " -, ,,' ,,' .. ::"'J..A.cA':..C, ._ ,.J ~ ".g-,..~ l} ~/ ~t: t ",i~- j~~,~ ".~~ "'-'~ ":..--" " "i-f.'! c,,:.... I TOTAL SAL~~; ,'. TERMS: c:~ COLLECT ON DELIVER. A SERVICE CHARGE will be made on unpaid balance, Compound at periodic rate of 1,5% (Annual Rate of 18%) NOTE: The Buyer agrees that above merchandise shall remain the property of seller until fully paid, Also agrees to pay attomey fees for collection if necessary, Customer Signature ~L, ~.h /1: ~ FENCE BY FRANK OFFERS SUBJECT TO TliE APPROVAl OF ITS CREDIT DEPARTMENT AND ITS ENGINEERING REPRESENTATIVE TO FURNISH AlL MATERIALS AND LABOR TO THE UNDERSIGNED CUSTOMER FOR THE PROPERlY 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 ASSUMES FULL RESPONSIBILITY FOR THE LOCATION OF THE LINE UPON WHICH SAID FENCE MATERIAlS ARE TO BE INSTAlLED AND CUSTOMER AGREES TO DEFEND. HOLD HARMLESS AND INDEMNIFY FENCE BY FRANK FROM AND AGAINST AlL ClAIMS LIABILITIES AND EXPENSES FOR INJURY, DEATH OR DAMAGE TO PERSONS, PROPERlY 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 OF 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 MILITARY AUTHORITIES OR OTHER CAUSES BEYOND THE CONTROL OF SAID PARTIES THE UNDERSIGNED CUSTOMER HEREBY EXPRESSLY WAIVING SUCH ClAIMS, 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 BETWEEN CUSTOMER AND FENCE BY FRANK OR IN UEU 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 CONsmUTE THE ENTIRE AGREEMENT BETWEEN CUSTOMER AND FENCE BY FRANK WITH RESPECT TO THE SAlE AND INSTAlLATION 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 IN THE EVENT THAT TliIS 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 PROPOSAL SHAlL THEREUPON BE NUll. AND VOID AND OF NO FURTHER EFFECT, FENCE BY FRANK RESERVES THE RIGHT TO MAKE ADDITIONAL CHARGES TO TliE CUSTOMER IN TliE EVENT UNUSUAl GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEDE THE INSTAlLATION HEREIN OESCRIBED SUCH AnnlTlt"WAI r::....A~("-=.l:;; !CtI-lAlI RI= RA.l:;;J:n ON Ar.TIIAl AOOITIONAllABOR REQUIRED TO COMPLETE INSTAlLATION UNDER THE CIRCUMSTANCES. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTIbINT 5335 Sth STRBBT ZBPRYRBILLS, PL 33540 PhoneIS13-7S0-0020 PaxIS13-7S0-0021 DATB RECBIVED / j - / f'-o ( PLANS RBVIBW PBB . OWNER'S NAME ~6~,4 WI? Tc"'.e S JOB SITE ADDRESS ".] ') I ;l J- ~.R'~ {II1..J...H ~ PHONE CONTACT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # / WORK PROPSED: [JNEW CONSTRUCTION G./ ZJO~ oS c!2 U (OBTAIN FROM PROPERTY TAX NOTICE) [] ADDITION []ALTERATION []REPAIR [] INSTALL []SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL []MULTI-FAMILY 0# OF UNITS o MOBILE HOME [] OTHER [] INDUSTRIAL [] SWIMMING POOL DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL (P , 'P ,e III ~ 1::::;;- SQUAR FOOTAGE BUILDING SIZE 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. ~UILDING [] ELECTRICAL PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY o OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ........................................************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY K C-LjlC{" :s-~ L) J'V'.- STATE CERT OR REGIST # CITY PROCESSING # I 7 // * * * * * * * * * ** * ** * * * * * * * ** * * * * *.* * * * * * * * * ** * * * * *,* * * * * ** * * * * * ~*oK. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ~ndersigned understands that this permit may be may be more restrictive than City regulations. The 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 .,i~f'5?a _______ STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The foregoing instrument was acknowledged The foregoing instrument was acknowledged Before me this _ day of 1!L- Before me this ---Pay of 19 by by subject to "deed restrictions" which undersigned assumes responsibility for (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoO did Odid not of identification) take an oath. o who has produced (type of identification) and who Odid [)jid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped