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HomeMy WebLinkAbout02-1036 BUILDING PERMITN~ 1036 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date ~- :21- i)~ BUILDING E~L PL~-. MEeffANiCAL Sewer Conn Property Owner: Job Address: Parcel I. D. # ~~~7.!1=~ f1:fheIL Water Conn: Water Meter: T.I.F.'s: ::~ri:t;on of ~:y-'iJ9Ji1';i l ,(&;::~~2~O FINAL 3- NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ~. J r/ / /], l.J.Q Contract Price !' 6- d:::.te ~ City License Registration # / ~ 97 State Certified License# Permit Fee ~-, c5ianatlJ~ Company Address ~;~ '7.2.7- (?S?'- 1/ /gJ ~'4fp;,CrJJ'-;;'''-' 0Ae. BUILDING ELECTRICAL -------- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PL~ __ MECHJ1.NIC':AI .. .. Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 Phone:813-780-0020 Pax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE q-r OWNER I S NAME l- U W l \'t::.. C 0 e rl--lo 1) I S r JOB SITE ADDRESS 3~~~5 5!2 e L-~() Rc I.-l Av~ut. -;gf..~~YRH eLLS PHONE CONTACT~{" "18345 7D 2- ~L. ~~5IofD LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ("-1"5TALL ~~ ()~ F~NCe. ( VI-Ilr F '7vL ___---- /~ C~GHT & (1) SET ENERGY FORMS. FORMS. " .'~.,..... BUILDING SIZE SQUARE FOOTAGE y.' " ~ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. - PERMITS REQUESTED o BUILDING $ J f t:J.. . il~ . 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 AREAD YES 0 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 ***************************************************************** OTHER COMPANY ~()~t75IJ r~o..Y"k {fJC STATE CERT OR REGIST # fHu 5~.2k177q4- CITY PROCESSING # l kA.7 SIGNATURE *************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE 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 f?r compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI'TIES 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 contractorr 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 STATUTESr 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 FINANCINGr 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 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day 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) C1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification) and who Ddid [}lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped . ~":,," "~\ '.., )"1",1 ~'I'H't;f,;'tli/t':\~,:,ll "lol\1,~'I'I'''~'''''i~ . n!,,'I"~ . " . 1I1M'~",~i!Y'~ Proposal · ..~.~:r R ~ I r:n 1900- 34lh 81""" South :. ~ ~ ~ SI. Petershurg, FL 33711 :I.~"~ ~(1: Plnellas (727) 321-1669 - ') 0 2002 Fax: (727) 327-2460 AMERICAN · fENCE EIN #59-2617794 ASSOCIATION ; Contract Contram aGO ., 1 TOTAL VINYL SYSTEMO DOATEOf'rflATOR DALUMINUM CUSTOMER I ~'t I j DwoolJ QV1NYLC.L. - t .. ,LA.... ! ~~~~~~ liNK ~vo ,.". ~JIl~ ~nREET3Vl,'3J S ~V~ ~IN" CIT::&; II ~115 ~lrATE ZIP WALK GATES DRIVE GATES ~ '1'. _ \ ... \.- 4 Y.lf' A-t {) .IO~~~TION STREET CITY PHONE ROLL GATES LATCH TYPE '~~~HONE I~,ICE .. LJr-l FAX I BEEPER LO<f~L.L Irt "}.-7tln7~ /~l.-':i(oT) I . ~h;;"" ~~'" (Y0!.,c~!>s~!\kfTPIJC,e'P~E'1r ':iUp.~.'."---"'..-:;..~...." Z'., ~ ~::... .......p......:........t........... ~p~ S~LE. I ~ ........ ...........E'ti ~'......tbO [~T ......(~4 ~.g ......... .......... ............. .......... ......m .......... .......... ................. :':. ~ h.... ..~ ~;~311 ~~5 ,~'=,:~=~~' ~=~~~~~:=z~=-=~:- ~~::-; ~~ ~ -' g "" '~=:::::: ~~=::::, I :::::::::: ,:: =:,:'::=:: - ~2:::=: ~ _:::~~~ =:= LENnTH CHAt' LINK HEIGHT L. .... /'.-... ...l, / ~ f'-,-~,.. V.... . .7 it:" .17 .z:!: 7/ It -- lflt ~ ~..,.j)" .;. V/ T- c.lL__ ......., .. ..7 II _... .--... .-...... .......-. .--.... ..-...... ........ . . .. ~/. ......:.1.. ..-.... . ..-...... .-.... ..,. ~.... .-:;'- ~~. 11 ~ .., ._... ... ....;.....;.....f-.. -:..~_ L......l:.: :.:.J::~ ,....... /r ,:"" ,~.. \ti\.J" . ,1., ...L.~"...._I'i.:. "rCll i) ;IfI i \.." II- .. ?:.i~iJ' 'n..; " ~ Ii l- Ir::'/ ..,' t): 'L h..A - -' ..-- f- . ~_L~ ----~k =~~8 ~~~J~2 ......................"., .,.............. ......- ......~..... ':, ".. ,..",,,. ........ "........ ........ .~".. .1-.... ................... ..........1--......... ".''''''. ..... :: i;~. \ ,;/" "".' ... r......__ .... - . ..,. ~ ......;.. .... r.t: --, ". I -" f-r- ,,"" .'1 '} . ~ ! -.- . ;I -- .-.- //, aJ ~ !.oJ -..:;\ ~)~ ' .I~ ~!o.:. ~ foc:rtlff"-<h1p'e!,tL 1._....---.10.._(;:L........................ /\: - . . ._ '...... _._.!... . ".6 " ... ~ /-WI ~ "h-V~+J...FRONT ~Q. \ ,~~. ',' j.J,~.. I O~I .......------ _ ~J . " g~~:M::~:::D:~_~ ~~Z2;;:: BALANCe, MUST BE PAID TO CREW WHEN JOB IS COMPLETE JOB CONDITIONS PLEASE READ AND ;E SURE YOU Note: This proposal Is valid fO. rSQd~S' UNDERSTAND THE TERMS AND CONDITIONS C ctL ~ ON THE REVERSE SIDE BEFORE SIGNING Authorized ~ THIS CONTRACT. MANY OF THEM WILL BE Signature 1;-~'1 v' 0 IMPORT ANT TO YOU. By signing this proposal, Customer Is authorizing C t G rn !.-.. 1I j, ' Ii Burton Fence, Inc. to do the proposed woll< and Is us omer , I" 1,/ 1\ ~ /7 "., , /l accepllng the prices and speclflcallons'shown SignatureX .~ II...... \'0/1 Date /'G- /'-1 a l..- above, and Burton Fence. rnc.'s standard terms 1- '"' - 1/ ~ t,' , I 15 which may be on the reverse side allached or ***010 YOU RECEIVE WARRANTYP'APERWORK? T r:!: " ... not allached. Customer may requa'st a copy 01 I ,7 terms 1.15 by calling Burton Fence, Inc. Upon Print Name acceptance and signing by customer, this becomes Clearly a binding conlract. . o Repeal Customer 0 Yel/ow Pages ,) 'Referral . fV1 11315 Hwy. 52 ~ Hudson, FL 34669 Hudson (727) 857.. 1118 Fax: (727) 856-6774 Plnellas (727) 843-0155 Hernando (352) 688-3151 Zephyrhllls (352) 780-1747 )It _.IL ,~+ C L ,...~~. '3:3$40 , '; ,:1", ':">i ,:'~~'i. (0ffI0e UM only) Candy Locale Inv.1I Crew SIBr1 Dale Complele Dele R""n1Vl81ON L01,,_ PARCEU_., __ UNl1' /. STATE ;, ZIP CITY C2rTAC1J..A f/:;l{ ,CAR, GA JOE 11 112 9 II DIAM.lOf'AAII,. DlAM.OIITEFRANE ,: \; i: p', VINYl COLOR VINYL WIRE ONLY 0 OIAM. LINE POST DIAM. TERM POST MiM- GAGE FRAM{WORK IISTR~~ o 3 II INOIJTVEAT. ..--.-...., ";'. '.'''1'1 ....,,,.. ..,_.... .......... ...;:: .. I.~ ....J.. 'i~ ~1 .L.: ~~. r--- -.. ~ '..t ['ffl \;' 1- o ALUMINUM LENGTH 08TEEL HEIGHT STYLE COLOR , ~ IN our OOMMllnOIAL TAKE DOWN LENGTH HEIGHT o LEAVE ON JOB o GOES TO BFC o GOES TO DUMP SEE DRAWINGS ON BACK IAMTO BE SET TOP STRAIGHT ~ TOP OF FENCE TO FOLLOW GROUND Note: Company not responsible for any underground sprinkler lines. o Other