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Home My WebLink About02-1684 BUILDING PERMIT . NO Permit - OTY OF ZEPHYRHILLS (813) 780-0020 1684 Date 1/1- dl-tJ ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcell.D. # 6 J,-he?~ sty tj V la w' /By!;C/ - , S I . Water Conn: Water Meter: T,I.F.'s: Zoning: DescriDtion of Work Energy Code: 1:J8 ,~ (p Radon Gas: A jt'\c7 reA-t{~ FINAL 1,:2.... /3 ~ 0 2- DATE 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. c.o. Inspector DATE /1;['0 City license Registration # State Certified license# /7r P . F If,....... ~ ~ ermlt ee t:/ \~ ~ignature j-"l.. '. c: Company Address x1elephone# '70e. 7 g- 9' '") Valuation or c Contract Price ---....... lie! 5h . NA10 . Breakers Ducts Insl Compr Fina BUILDING Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-M Fi PLUMBING SLB Tub Set Water Sewer 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) shaH 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 Licensed. Insured NAME :n. ,) ;..:;; JOoo/'~"_ f~4f~ Hillsborough 813-685-1349 JOB SITE " '" ,..c::..:-, ,-,," .... ~,...) 4-/;;A ~ ",- "" DATE i /J ),,~2. DATE PROMISal'"":L.<< PHONE (H) 7'9 '"'J;J~", >~ !~/;, ....... -" '~ .~,.~ -. '. ~~-), ,};. -- ADDRESS '-, , ~ ,-", SPEE:IFICATlONS '... . TYPE OF TERRAIN ErA~ HILLY FENCE BY FRANK WIRE DIAMETER (Cil'de Items) LEVEl ASHP' CONCR' ROCK _ GAUGE TERMINAL POST '_..I OTHER INSTAUERSARE t!QI TYPE OF OBSTER OLD FC I (Circle items) FTG, TREES BRANCHES SHRUBS I RESPONSIBLE. FOR , - OTHER DIAMETER DIAMETER t LINE POST TOP RAIL WHO MOVES OBSTRUCTIONS? CUSTOMER ~ WE DO _. UNDERGROUND SPECiAl EQUIPMENT NECESSARY? TELEPHONE. WATER; 'r , FOLLOW ; SPLIT HIGH DIAMETER ,\ SEWER, ELECTRIC, LINE POST CENTERS ----1- FACE il)oo'out GRADE GRADE GRADE TRENCH _ - - - GATE FRAME SPACING ., ,-' DID ESTIMATOR MARK AlL FENCE LINES? Yes ~2-~ ESTIMATOR WILL GO? Y9' No OR SPRINKLER LINES , ) ~- J - , .~~ ,~~ , }'- ~ DIAMETER ......'i"'..-._..._ \ ';- " "- ' ' #f..; , --- ..;, " ,f-: 'I BARBWIRE GATE POST ..' :--' ,...' -J'--", J "- f-- - j ,~(- .- ')~~-II':"'~".. " ,(.-ct'\_ ~...,.....~'''''' ~- ,. ,- _.' ~:., ,.'-' {'...... ./ OVERALL OVERALL lr 0tI~ LENGTH HEIGHT - -,,"; ~, -...',,\, " i - , __ c.... ,- " ',-..- ---; '.-: - ~ - " .-' r WALK DRIVE a J ,!j GATE GATE 1"'- ,lis! :s /'-" oi- J r PHONE (W) , ,( ~ '4;; < \ ~..">. ~'" . ,\-L 1 ) J'- .....:..'...,.j..-{..".. )1 .,..., e./ ~. iF ,.., f:;, '1 'J~ /., , ..",.-.-.............?(, >'"-.. ,~~~~ " ./, ',"-'" lit.....":.,,!!' "''-.-r.-.c''.;'h-~,:, '" ! I t ~.' .....-1'..( I ~.-~...... .., ...~....... . .~ ,~L,':'; J"''-'' ....-., - ;t: ' 1..... }, " r ;r :;"--2 ~ .". 7 ,::::' ,t f.fttj /,... fr6TAL SALE J, ......"....~ -r ,# :/ :>-0 TERMS: COLLECT ON DELIVER. A SERVICE CHARGE will be made on unpaid balance, Compound at periodic rale of 1,5% (Annual Rate 0118%) NOTE: The Buyer agrees that. above merchandise shall remain the property of seller until fully paid, Also agrees to pay attorney fees for coII_ if necessary, ,::;' ,I <. _>:'--' '. r ,.-rJ' FENCE BY FRANK OFFERS SUBJECT TO TH6N'PRQVAL OF ITS CREDIT DEPARTMENT AND ITS _EERING REPRESENTATIVE 10 FURNISH ALl MATERIALS AND LABOR 10 THE UNDERSIGNED CUSmMER FOR THE PROPERTY DESCRIBED HEREIN IN ACCORDANCE WITH THE PlAT AND ALl THE TERMS (INCLUDING SPECIFICATIONS AND PRICE) SET FORTH HEREIN ,.....'1' /~ -. 1 -:" ' ,'~_ ,:77 ........ ."'/ Customer Signature CUSTOMER HEREBY AUTHORIZES FENCE BY FRANK A QUALIFIED CONTRACTOR (tICEN5E0 IF REQUIRED BY LAW). TO INSTALL SAID MATERIALS ON SAID PROPERTY AS PROVIDED HERa.,. CUSTOMER HEREBY ASSUMES FULL RESPONSIBILITY FOR THE lOCATION OF THE LINE UPON WHICH SAID FENCE MATERIALS ARE 10 BE INSTALlED AND CUSTOMER AGREES 10 DEFEND, HOLD HARMLESS AND INDEMNIFY FENCE BY FRANK FROM AND AGAINST ALL ctAlUSLlABlLlTIES AND EXPENSES FOR INJURY, DEATH OR DAMAGE TO PERSONS. PROPERTY DAMAGE, TRESPASS AND ALl OTHER DAMAGE OR LOSS,AalSING OUT OF THE INSTAUATION OR LOCATION OF SAID FENCE MATERIALS; ALL EXCESS MATERIALS SHAlL REIofAlN THE PROPERlY OF AND BE RE1\JRNED TO FENCE BY FRANIC', NEITHER FENCE BY FRANK NOR I1S CONTRACl'DR<SH.tol.L BE RESPONSIIItE. OR LIABLE FOR DElAY. DAMAGE OR DEFAULT HEREUNDER WHERE OCCASIONED BY WAA. STRIKES. SHORTAGES OF lABOR. MATERIAL OR TRANSPORTATION, ACTS OF CIVIL OR~ AUTHORITIES OR OTHER CAUSES BEYOND' THE CONTROL OF SAID PllUUIES THE UNDERSIGNED CUS10UER HEREBY EXPRESS!.Y WAMNG,SUCH CUUIolS. CUSTOMER AGREES TO PAY THE CREDIT SALE PRICE SET FORTH HEREIN IN INSTALlMENTS AS PROVIDED IN THE AGREEMENT (OR OTHER CREDIT SALE AGREEMEND 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 THlS,PROI>OSAL BY CUSTOMER; THIS PROPOSAL Nm SAID PAYMENT AGREEMENT (OR OTHER CREDIT SALE AGREEMENT) IF ANY SHAlL CONSTITUTE THE ENTIRE AGREEMENT BETWEEN CUSlOMER AND FENCE BY FRANK WITH RESPECTTO THE SALE AND INSTALLATION OF SAID MATERIALS AND THE SAME MAY HEREAFTER BE AMENDED OR MODIFIED ONLY BY A WRITTEN AGREEMENT SlGNEOBY CUSlOMER AND BY OUL Y AUTHORlZEI) 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 10 CUSmMER AND THIS PROPOSAL SHALLTHERElIPON BE NULL AND VOID AND OF NO FUR1liER 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 DESCRIt;!,ED SUCH ADDITIONAL CHARGES SHAlL BE BASED ON ACTUAL ADDITIONAL LABOR REQUIRED TO COMPLETE INSTAllATION UNDER THE CIRCUMSTANCES, CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZlllPHYRHILLS, FL 33540 PhoneI813-780-~020 FaxI813-780-0021 DATB RBCllIIVED PLANS REVIEW FEE OWNER'S NAME rL/~ ~ JOB SITE ADDRESS :;;7c,/'Y /{) Z:.:::;1 S r PHONE CONTACT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 1-c;J-&> -;2/- 00/0 -Ct)SCJO~OO.rn (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: ~GL FAMILY DWELLING OMULTI - FAMILY 0# OF UNITS o MOB II,E HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ ~ 0- ~ l),l" IUti-C;j1-~ SQUARE FOOTAGE I HEIGHT & ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. {p BUILDING SIZE RESIDENTIAL: COMMERCIAL: PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL o GAS o ROOFING $ ~ALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR EI,EVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # *****************************************************************. PLUHBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER ~,1"-'7~ COMPANY / -r 'j - STATE CERT OR REGIST SIGNATURE ..J#A/fl5 r1 ICy? J/LC CITY PROCESSING # # /7t( ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS T~e 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 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". ~~~J< SI ATU E: C NTRACTOR_______________ ------ STATE OF FLORIDA ~ COUNTY OF The foregoing instrument was acknowledged Before me this _____day of 19 by (name of person acknowledged) C1ho is personally known to me, or SIGNATURE: OWNER OR AGENT 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 of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}:lid not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped