HomeMy WebLinkAbout02-0991
BUILDING PERMIT ~~
0991
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
~ - ~-:r- Or:L
G~IIII~
~.~.
P<aperty Own., 1flsu:ti~ h41e-R.
Job Address: 10 - q ~ c"5 -t: .
Parcell.D. # (),2 - ::Lb - ~ 1- 0/ Ie 0 - D Z) -:u; 0 - C) 0 90
M~r~ICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
~L~ ~ ~ II
Radon Gas:
t> IL,Pit. OJ jP.-67!7 t /7fr' ~
FINAL - ~~
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
'fCJ
Valuation or
Contract Price
5;2:27
c...!:!....
Permit Fee
I~
Company
Address
CTel~~ 72-7)5')7-I/fK'
City license Registration #
State Certified license#
1(,97
~l ~~~.
~U'l~' . _ . ElE~TR~
PLUM B tbLG---'
~
.--fvn::CHANICAl
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.
APPLiCATiON FOR PERMiT
CITY 01' ZlI:PRYRHiLLS
BUiLDING DEPARTMENT
"-IS-o ~
DATE RECEiVED oL ----
PLANS REViEW I'BE
OWNER'S NAME
~ u\\-{
"(2'5
~Re.~(.{
q~ STREf. r
PHONE 8r~ -It&- 213~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID It OZ-Z".ZI.OI-bo- t)C>2oo -60'10
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION
[J ADDITION
[JALTERATION
[J REPAIR
I5-INSTALL
[J SIGN
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
[J1t OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .f"t:. NCe....
s-e:, / rT
BUILDING SIZE
SQUARE FOOTAGE
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
[J ELECTRICAL
[J PLUMBING
[J MECHANICAL
PERMITS REQUESTED
$ .s; ~r2'7 -
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
[J
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
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
*****************************************************************
SIGNATURE
COMPANY Bcttcf{Y\/
STATE CERT OR REGIST
CITY PROCESSING #
Fevc.b -::r/0~
# S9-2~/779<-j
Itpql
OTRBR
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A: NOnCE 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 contract9rs, Qe is advised to have the
contractor(s) sign portions of the "Contractor Sections" of' this ap~lication 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 i~ 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 $1g.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 COMMENCEM
SIGNATURE: OWNER OR AGENT
acknowledged
, 19_
STAT OF FLORIDA "7:>
COUNTY OF \~SCO
The foregoing inst~ent w~ acknowledged
Before me this I? day of ~~lJCW2~ ,~
by -=r--. ~t! ~ '7
~ /'(name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Owho is personally known to me, or
Owho has produced
(type
and whoO did Odid not
of identification)
take an oath.
o who has produced
(type of identification)
and ~id not take an oath
Signature of person taking acknowledgement
acknowledgment
Name typed,
"h Mal';' l tlllelt
pro ~ . ~:rc~~_66b0s078
'\'",'1 Exptff,.; March 04,2005
Name typed, printed or stamped
. ,~i MfM~e; ,r~ -Proposal -
- · Jf. Bu.~,.." ~ I ~o _ 3<1111 Street South
~ C,,,,,, " 't5 SI. P'I.""",urg, Fl33711
it~.. MEMadAN 3 0 2002 Pinellas ~')7) 321-1669
~AFA Fax: (72/\ \27-2460
~ AI," RICAN
. "~ICE
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IN'L1N9 .........
~ GATES-
\-~'t-.4- I
LA TCH TYPE
I Hla'...
,
aRavc
HEIGHT
'72."
STYLE
TYPE TOP
o oPOINTED
o o FLAT TOP
o oOTHER
CHAIN LINK
t::il\' , 4EfT '(
GAUGE
\l.,1 '!:P 9 6
DIAM, TO!' RAIL OIAM, GATE FRAME
J ak;" \ ?ft "
IOTAL VINYl ~YSTEMO
--
VINYL Wlnf <1NL Y 0
DIAM, UNI POST
I f::./r:; II
GAGE rnM1FWORK
~iiND~
036
o ALUMINUM
LEN(; "'
STYlE
~
IN \'\1\
VINYL COLOR
DIAM, TERM POJ)T
2V~((
~(
IN OJr ~~~~,
08TEEL
HEIGHT
COLOR
~li^l 'It't'M
\'I'~IMtlh'I~1
-fAKI IlOWN
LENGTH HEIGHT
105'" _,-\\,I
k'LEAVE ON JOB JOB CONDITIONS
tfGOES TO BFC
o GOES TO DUMP
SEE DRAWINGS ON BACK
~ TO BE SET TOP STRAIGHT
TOP OF FENCE TO FOLLOW
GROUND
Note: Company not
responsible for any
underground sprinkler
lines.
itOM~ PH.2NE 1S"11~ /OFfiCE
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PLEASE READ AND BE SURE YOU
UNDERSTAND THE TERMS AND CONDITIONS
ON THE REVERSE SIDE BEFORE SIGNING
THIS CONTRACT. MANY OF THEM WILL BE
IMPORT ANT TO YOU.
By signing this proposal, Customer is authorizing
Burton Fence, Inc, to do the proposed work, and is
accepting the prices and specifications shown
above, and Burton Fence, Inc.'s standard terms 1-
15 which may be on the reverse side, anached, or
not allached, Customer may request a copy of
terms 1-15 by calling Burton Fence, Inc, Upon
acceptance and signing by customer, this becomes
a binding contract.
o Repeat Customer
o Yel/ow Pages
itoe1, '
Conlr~t
Contract
~111315 Hwy, 52
AI I tudsDn, Fl 34669
Hudson (727) 857-1118
rax: (727) 856-6774
Pinel/as (727) 843-0155
Hernando (352) 688-3151
lephyrhills (352) 780-1747
BLOCK'
2"20 'cl~1~
(Otllen U~n only)
CAndy LOCAle
Inv, #
Crew
SIArt DAle
Complete DAte
~, 'IH)IVISION
1t11!1
(:I~CKR r:; I
\..UfI \ ny 4:T\
'; rr~'7~ Q,", ~L
~'Vr,
('~r7~\\~ f-L ZIP ~l)
IOBSITE LOCA nON <::' rwt~
~T IZ..
/FAX '
PARCELotlk2<'.,2J. OI~-=-~'~_ ~ 11 0
ZIP
CITY
CITY
PHONE
Print Name
Clearly__________ _______
STATE
CONTACT
,CAR
o Referral
o Other
- -----~--- -'-~~----------,---_._--_.
y !l/ Permi~ No.
Parcel J.D. No.
~,
NOTICE OF COMMENCEMENT
111111111111 1111I 1111111111 111111111I 1111I1111111111111I1111
2002023562
S~~ofA~ri~~?\
County of ~
TIIB UNDERSIGNED hereby livea notice that improvemcnta will be made to ccrtain ral property and in accordance with
Chapter 713~ Florida S~tutCa, the foUowin, infonnation ill provided in thia Notice of Commencement.
1. Dcacription of property (Ie,al dcacription of the prOlfi{;~~ci atrcct addrell ifavailable) \ ~'\"\tkB I
~id ::it 02.-2.b-21 ~ ~o-tn2ro.J.-(:::.f:lio
2. Ocncral dacription ~f improvement ~, \ ~ \k:UbV\
3. ~~:."=':.....~~ I (h\?1) -~I.J'2.-bl\l~ I 2S5'ln
b) Inlcrat in property OWNER'';{y..J~;'j~t_,;" ,
~) Name and addrca of fee .imple titleholder (if other than owner) ~r/ N-I A.' .'
:.~."""''':'
",t:ontnctor (namo and addrell) BURTON FENCE, INC., 11 31 5 HWY. 52 HUDSON, FLA 34669
a) Phone number 857 -111 5r:;t*~i::'..{,. ' , b) Pax number 856 - 6 774
.t'~idt1/ i"
5. Surety - a) Name and addrcaa N / A .... ...._..;.,
.
b) Phone number N / A
6. Lender (name and addrca.) N / A
a) Phone number N / A b) Pax number N / A
,-*"
7. POnona within tho Slalo of PIonda deal,naled by Owner upon whom nollc" or olher documenll may be aCNed .. prDvided by
Section 713.13(1) (a) (7), PJorida S~tutea. .
(name and addrca) N / A
c) Pax nU~ber N / A
N/A
d) Amount of bond S
a) Phone number
N/A
N/A
b) Fax number
8. In addition to him.clf, owner dai,nalCl N / A of N / A
to reccive a copy oflbo Ucnor'. Notice u provided in Section 713.13 (I) (b), Florida Statut".
a) Phone number
N/A
N/A
b) Pax numbcr
9. ExpiratJon dale of notice of COIIUIIOnocmcnl
rccordln. unlo.. a difrercnl dale II Ipccirled).
(lho expiration date ia ono year from tho date of
fiath i. Vi:-. ~ Q
Siln,ture of Owncr
STATE Of FLORIDA ()
COUNTY Of rl\-5 <:'0
SublCrlbed and .worn to before me thia ~ day of Ff.8fi!.U~
who Ware pcnonaUy known to- me or "'~roduccd
~L ~ SJ-
, tg)~. by
aa identification.
f- Lf1J..-'7f3,
My Cornmilaion Eapira:'
(SEAL)
.'
~ORM.NOTICEOfCOMMENCEMENT
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