HomeMy WebLinkAbout02-1612
BUILDING PERMIT
Permit N!
1612
CITY OF ZEPHYRHILLS
(813) 780-0020
BUILDING
ELECTRICAL
PLUMBING
~
Property Owner:
Job Address:
Parcel 1.0. /I
Zoning:
OescriDtion of Work
Date /1)-;'29- tJ:<
MECHANICAL
Sewer Conn
. Water Conn:
;:2J::1'" ~ W~e' Mete"
. J?J 3 ;;J., 8. /1~,F.'s:
Energy Code:
cZ'Jl(/,- y/
-.-~don Ga!i: .
C-I'1~~ /~4-
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.
Valuation or
Contract Price
City license Registration #
State Certified license#
17Y
DATE
Inspector
Perm;' Fee :}f' 0 0
~ignature '0 J'o't
Company _
Address
~Iephone# 7 f .l.
?~~
-------
7r-Y7
felvcR-
BUILDING
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Po
Pool
Pre-
Final
Driveway
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl,
Compress
Final
REINSPECTlON 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.
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A'I"I'Ami (:3) SE'rs OIi' BUILDING PLANS & (1) Slil'l' ENIilR(3Y it'OHMS,
PROPERTY SURVIil\, REQUIRED FOR ALL NIilW CONS'l'RUC'I'ION,
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CmI)I?AI~Y _____~_.. ___..'..._,._..._.___~._
STATEI CE!W!' Ok REloTS'!' #I ,....__..,.._..___.___~___"
CITY PROC~SSING #
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STATE CERT OR RE~rST 1/
CITY PROCESSIN~ H
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CITY PROCIilSSING #
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CITY PROCESSING #
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SIGNA TURE
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CONDITIONS OF ?SPYI:. AFFI~AV:.:.
A. NOTICE OF DEED RESTRICTIONS
- The ~ndersigned understands that this permit may be subject to ndeed restrictions" which
may be more restrictive than City re,;plations. '1'1:1,= 11nd'=1:si<:rned assumes responsibility for
compllance with any applicable deedr,=st:rictions,
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 oHner and (~ontractor 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
corttr~ctor(s) sign portions of the nContractor 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 (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of nFlorida'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 nowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the nowner" 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 rOUR 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
S TE 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_
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 DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
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10-01
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Pasco
'813-782-7897
NAME
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ADDRESS
Licensed. Insured
F~4F~
Hillsborough
813-685-1349
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DATE
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DATE PROMISED
JOB SITE
PHONE (H)
PHONE (W)
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SPECIFICATIONS
WIRE DIAMETER
GAUGE TERMINAL POST
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DIAM TER DIAMETER
LINE POST TOP RAIL
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LINE POST
SPACING
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DIAM TER
GATE FRAME
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DIAMETER
GATE POST
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OVERALL
HEIGHT
/
4
DRIVE
GATE
BARBWIRE
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OVERALL
LENGTH
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WALK
GATE
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TYPE OF TERRAIN
(Circle Items)
TYPE OF OBSTER
(Circle items)
HILLY ASHP
CONCR ROCK ~
OTHER I
SHRUBS
,<"
~~~EARTH
O~~C TREES
BRANCHES
WHO MOVES OBSTRUCTIONS?
SPECIAL EQUIPMENT NECESSARY?
J /) .r-...... FOLLOW v'
CENTERS~FAC~t GRADE ~
DID ESTIMATOR MARK ALL FENCE LINES? Yes
OTHER
CUSTOMER _ WE DO_
SPLIT HIGH
GRADE _ GRADE_
ESTIMATOR WILL GO?
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FENCE BY FRANK
INSTALLERS ARE NOT
RESPONSIBLE FOR
UNDERGROUND
TELEPHONE, WATER,
SEWER, ELECTRIC,
OR SPRINKLER LINES
or:!
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TERMS:
COLLECt ON DELIVER. A SERVICE CHARGE will be made on unpaid balance, Compound at periodic rate of 1,5% (Annual Rate of 18%)
NOTE: 'ihe Buyer agrees that above merchandise shall remain the property of seller until fully paid, Also agrees to pay attorney fees for collection if necessary,
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Customer Signature
FENCE BY FRANK OFFERS SUBJECT TO THE APPROVAL OF ITS CREDIT DEPARTMENT AND ITS ENGINEERING REPRESENTATIVE TO FURNISH ALL MATERIALS AND LABOR TO THE UNDERSIGNED CUSTOMER FOR THE
PROPERTY DESCRIBED HEREIN IN ACCORDANCE WITH THE PlAT ANO 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, PROPERTY DAMAGE, TRESPASS AND ALL OTHER OAMAGE OR LOSS ARISING OUT OF THE INSTALLATION OR
LOCATION OF SAlD 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
LIEU 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 CONSTITUTE 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 THIS 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 THE CUSTOMER IN THE EVENT UNUSUAL GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEDE THE INSTALLATION HEREIN DESCRIBED SUCH
ADDITIONAL CHARGES SHALL BE BASED ON ACTUAL ADDITIONAL LABOR REQUIRED TO COMPLETE INSTALLATION UNDER THE CIRCUMSTANCES,
~_.__._._.----_.~--_.,.__._-_._-,._--.~-----~---_.._----'-- -----....~._-~._-_.__._._--._...,_._-~_. --._--._~--_._---------
TWO YEAR LIMITED WARRANTY ON CYPRESS
All Materials used in the construction of this fence are fully guaranteed for a period of two (2) years from date
of installation, and materials are guaranteed against abnormal rot and decay for two (2) years from date of installation.
CONDITIONS ARE AS FOllOWS _ Normal checking of wood is to be expected. (Minimal cracking, splitting, and
warping), direct sprinkler contact, acts of God, misuse or neglect void this warranty.
TWO YEAR LIMITED WARRANTY ON PRESSURE-TREATED PINE
All Materials used in the construction of this fence are fully guaranteed for a period of two (2) years from date
of installation, and materials are guaranteed against abnormal rot and decay for two (2) years from date of installation.
CONDITIONS ARE AS FOllOWS _ Normal checking of wood is to be expected. (Minimal cracking, splitting, and
warping), direct sprinkler contact, acts of God, misuse or neglect void this warranty.
5 YEAR LIMITED WARRANTY ON CHAIN LINK FENCE
This will certify that the named party has purchased a FENCE BY FRANK, erected at the named address.
FENCE BY FRANK warrants that all materials, specifications and erection are in accordance with our
standard practice as described and stated in sales contract. All Materials used in the construction of the fence are
GUARANTEED against red rust and corrosion for a period of five (5) years following installation. CONDITIONS ARE
AS FOllOWS _ Discoloration caused by sprinkler contact, acts of God, misuse or neglect void this warranty.
All labor carries a two (2) year warranty on all Wood, Chain Link, P.V.C., Ornamental Aluminum and Steel
Fencing. Acts of God or vandalism not covered. All Access Control System carry a one (1) year labor and ninety (90)
days on electrical parts, Power surges are not covered under warranty.
All Commercial products carry one (1) year labor and material warranty.
NOTE: Manufacturer Warranty are available upon request. Each Manufacturer Warranty may vary from One - Life
Time. The Manufacturer Warranty must be recorded to the manufacturer by customer.
Common concerns not covered under warranty. Mildew growth is not covered under either Cypress
or Pressure-Treated Pine.
Twist
Cup/Warp
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