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Home My WebLink About02-1455 BUILDING PERMIT Permit N2 CITY OF ZEPHYRHILLS (813) 780-0020 BUilDING ELECTRICAL PLUMBING MECHANICAL P'operty OW"", ~~.r !llIo/~ ;.Iur 51:'11 ~ Job Address: 3 g.- ') tJ 11 t /jv<... . Parcel 1.0. # 1455 Date 9-lv~o ;( Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: OescriDtion of Work Energy r,de: IOf) f ~CJL Radon Gas: 12 -€-flOr. CI2~ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price Lf ( lfll ~ efJ--O .. ~~ Permit Fee ~gnature -n.--' companyu Address ~'ephone# City license Registration # State Certified license# /6~ F~UL FINAL C.O. - ~-#,2 DATE Inspector DATE Hero ~ Q5/-0l.2-J BUilDING PLUMBING Ftr. Pre SlB lintel FRM. Insul. Cl Wl Tp. Servo Rough In Meter Can Const. Pol Pool Pre- F SlB Tub Set Water Sewer Fi al Driveway MECHANICAL Breakers Ducts Insl. Compress Fin.al 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. ~~~\oast Proposal- . . ../ ~ .... .... E m J;i1O\.. 34th Street South .::II"~_ ~ ~~.~tersburg,FL33711 MEMBER Pinellas (727) 321...1669 -<;_ ~ SE p. 0 6 2002tx: (727) 327-2460 AMERICAN . FENCE EIN #59-2617794 ASSOCIATION OGATEOPEAATOR o ALUMINUM OWOOD ~NYL C,L o CHAIN LINK vc o REPAIR 0 PO lTl'l INIOU IN-LINE '\ WALK GATES DRIVE GATES 3 - ~')( t:, ROLL GATES LATCH TYPE il.. ~~ t-d" OWOOD 1Qpvc LENGTH HEIGHT ~ 'f 7tp (~ TYPE STYLE P\jC TI>I'4L.C~N -:::i-.I" A ./), t A J \4.. PICKET SIZE STRINGER TYPE TOP 0 o POINTED 0 o FLAT TOP 0 OOTHER CHAIN LINK LENGTH HEIGHT GAUGE 1U/2 9 6 DIAM. TOP RAIL DIAM, GATE F~E ~ " TOTAL VINYL SYSTEM 0 VINYL COLOR VINYL WIRE ONLY 0 DIAM, LINE POST D1AM, TERM POST .':;x s-' Il v< "c ,"AGE FRAMEWORK ;}'oO a~T # STRANDS BARB ARMS 0 3 6 IN OUT VERT, o ALUMINUM o STEEL LENGTH HEIGHT STYLE COLOR S SCREWS RESIDENTIAL XTRA IN OUT COMMERCIAL TAKE DOWN LENGTH HEIGHT JOO ~ ~ LEAVE ON JOB JOB CONDITIONS GOES TO BFC o GOES TO DUMP SEE DRAWINGS ON BACK I A Jg. TO BE SET TOP STRAIGHT B 0 TOP OF FENCE TO FOLLOW GROUND Note: Company not 1 responsible for any t underground sprinkler lines. 11=+fJ40~[~~ ~~u<t ..,'. 1"4\Jl,t 'ti ' j ....! ., ...J..l ",,,,01 : i ...............". ........f .m....f .... .......i [ : ! ...........,.,......1 ...........1 ........"'j i ........+ i ..t , ........f.. r ! "\bY m....~......h..~__ . mi. .. ....i.......... nom....l.. ; 1 .........,1...,,1 I i ......r... ....:.......... -........t un.. n. .". ..i.. I I I""" ~ ""~'.:', .,~"~.~:O'''.'''''"'''''..~~:' ,",.. ~.....-~~,';',..-...-,,.'n;,,. ""! Contract q;/D Co~tract fVl 11315Hwy. 52 QjzIP 2,01 ~ Hudson; FL 34669 . q Hudson (727) 857...1118 Candy Locate Fax: (727) 856-6774 Inv. # (.-<)7, j::{I?e / Pinellas (727J 843-0155 Cr_fJG/ ~C i Li Hernando (352)688-3151 ,Start Date Zephyrhills (352) 780-1747 Complete Date 1-1": is' ~K# 2282930 SUBDIVISION LOT# PARCEll; UNIT# I CITY ZIP STATE CITY PHONE BEEPER 'c!'R REAR ! ! ! ~ ...tom_. . , I j, ..........t .... . i_ ..,....J,.., .........j....,,..........., '..,...... ....,L_......1..,...... .........., ......0..1......... FRONT PECAIL TY SERVICES TOTAL PRIC~ I~CLUDES: o VISA 0 MASTER CARD 0 DISCOVER OAMERICAN EXPRESS :l(MATERIAl JI(rEARooT & HAUL o FINANCE 90 DAY 0 SAME AS CASH 0 CHECK )IvooR ~PERMIT.f,.N oC D Total 'I ~ 7 'l ~ 25% Deposit CHECK HERE IF CUSTOMER IS ACCEPTING RESPONSIBILITY FOR GETTING PERMITS AND ANY RELATED FEES, FINES, ETC. Balance BALANCE MUST BE PAID TO CREW WHEN JOB IS COMPLETE Note: This proposal is valid for 3Q. days. 1-4~ ~ Auttlori d < ~-~r' D." Cu&omer y c7 Signature Date PLEASE READ AND BE SURE YOU UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE BEFORE SIGNING THIS CONTRACT.. MANY OF THEM WILL BE MPORT ANT TO YOU. By signing this proposal, Customer is authorizing Burton Fence. Inc. to do the proposed wor1<, and is accepting the prices and specifications shown above, and Burton Fence. Inc:s standarcllerms 1- 5 which may be on the reverse side, attached, or not attached, Customer may request a copy of erms 1-15 by calling Burton Fence. Inc, Upon acceptance and signing by customer, this become$ a binding contract, '..DID YOU RECEIVE WARRANTY PAPERWORK? Print Name Clearly Permit No. ~ 111111111111 1111I1111111111I11111111111I1111I111111I11111111 Parcel J.D. No. 2002143364 AFTER RECORDING, RET( .. NOTICE OF COMMENCEMENT TO~' BURTON FENCE . INC. S~~ofRori~ Q R~ 11315 HWY 52 HUDSON Co",", oC -1 1\-<)(0 . . Ii FLA 34 669 (?2? -8 5 7 -111 THe UNDeRSIGNeD hereby lives notice that improvementa will be made to certain real pmperty and in accordance with Chapter 713, Florida StatutCll. the foUowinl information ia pmvided in thi. Notice of Commencement. 1. DClcription ofpmperty (Jelal description oflhc pmperty and Itrect addrclI ifavailable) -12S0 If- ftv6 F ( 'Sf- tJ PR:it; "1J -0 C) C x~~~:~ SJln,ture of Owner Q OJ ~ 2. 3. Owner infonnation a) Name and addrea. b) Interal in pmperty ad~~ A . A ;;t] A ~ ;, ~) Name and address of fee simple titleholder (if other than owner) N / A 4. Contractor (name and addra.) BURTON FENCE, INC. 11 31 5 HWY. 52 HUDSON, FLA 34669 .) Phone number 857-111 5 s. Surety - a) Name and addra. N / A b) F b 856-6774 ax num er b) Phone number N / A 6. Lender (name and addra.) N / A a) Phone number N / A c) Fax number N / A N/A d) Amount of bond S N/A b) Fax number 7. -DO ,.;,........... oCFIorida -........, "- upoa....... aotic.. a'............... ma'he....... DO pm."",., Section 713.13(1) (a) (7), Florida Statu~s. (name and addra.) N / A a) Phone number N/A 8. In addition to him,elf. owner dCligOltCll N / A of N / A to receive a copy of the Lienor'. Notice a. pmvided in Section 713.13 (1) (b), Rorida SlAtUlCl. N/A b) Fax number .) Phone number N/A b) Fax number N/A 9. expiration da~ of notice of commencement recordinl un Ie.. a different ~te ia 'pccified). STATE OF PLO~DA COUNTY OP V a. .1LI n Subscribed and SWOrn to before me thi. q~ da,. of ~~e-~(" who i,/are penonall,. known to me or hallhavc produced 2..0\)~ ( ,~, by ~ o..ro., \Vi ~, ~I\L~ as identification. '0 My Commia.io~..~: Bev ~=7 EXPIRES f~'lf\>>"~.,. .:-- MYCOMMISSlO 2003 . =.::*1 u ust 1, C. (SD Ad) ,.... .~: A 9 F....1NilPJRANCf, IN ~ ~'" DTHIl\J11lOY ..... ~t."'..n." .' BONDE ',Rr..., ~ SIFORM . NOnCE OF COMMENCEMENT ?rY /? fll'f..15 ~L SS~'" ~ CSl 0% (Ocnn ....... " " mCSl:' ....... (g(Jl CSlCSl... N Ql Ul Ql N ::u ....11 -in CSlcn c. . " CSl CSl ~ CSl CSl n ftI ., >t" o CSlc... ::u (Om ,0 OJ m-v ~ ,.... CSl-i U1N~ (S)CSl~ en-- .. Ulg>>~ 3~ C CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME Zf!Pri'lR HA"e.N 'iJ()RSI~ ~k~ JOB SITE ADDRESS ~i'2S-o A\ AVf:;f.JO~ 1 ZePJ. WLt+ PHONE CONTAC~13. 7ft -SS"Q~ FL ~?S"'f ( LEGAL DESCRIPTION: LOT{S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK rt;tJC~ ~~~14 \" 1<00 ( BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & {I} SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ t.{~7<{~ 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 AREA 0 YES o NO BUILDER COMPANY "'9vR \O~ .F~c~ t \.Ie STATE CERT OR REGIST # S''j. Z b 11 '1 ~ L/- CITY PROCESSING # *************~**************************************************** 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 STATE CERT OR REGIST # CITY PROCESSING # 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 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.l~censed in accordance with state and local r~gulations., 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 ineended 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. ( 1 :/ C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES v D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Flo1ida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Depart~ent of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownei", 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 bime the work is commenced. One 90 day extension of time may be,allowe~ 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 , 19_ STATE OF FLORIDA-r> COUNTY OF 't"~CO The foregoing instrument was acknowledged Before m is I day f)f ~~ ~-r a.ao...z... by nam of p r on acknowledged) ~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 of identification) take an oath. o who has produced (type of identification) ~id.not take an oath Signature of person taking acknowledgement Name typed, printed or stamped ~ MSF\j L Cll10tt Name typed, \'-!f:"; ~ e~m~s~~gio78 '\~ ,..:of ExpIres March 0., 2005