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Home My WebLink About02-1704 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1704 Date /:2- /~ -0:< I BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcell.D. , (lClJ lf7:2S- ?~lIlw .-111 roR~ Water Conn: dr, Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: ;2 ~::;.;l. / - Radon Gas: 7'1 ClJ4 ~~ ~ 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. DATE Inspector City License Registration # State Certified License# /7t/' p~m;tFee~'-~ ~Ignature M Company ./ Address YTelephone# Valuation or Contract Price ----------- 7%,) 7077 Ke /5/:'" fbYl(l Jl, &. , BUILDING ELECTRICAL PLUMBING Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Mete Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compress 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. CWINBJR I 8 11AJ:.1E__C:d':..___ELtdff ~..______. __________________ ,JOB S I'l'Ii1 ADlJRBlSSq,:!!_? L--_6_tl_E..~(i!EE- ---j)_tC______ CITY' OF ZEPHYRHILLS PERMI'I' APPldCATTON BUlr.rHN(~ DIi!JJ?ARTMElN'l' 5335 8th S'TRElBl'f ZElJ?HYRHILI.S, Fl. 33540 PhoneI81]-780-~020 'axI813-780-0021 DAtrBI RBC1Jl]IVllJn ~L2-:.l:2-JL_?-- InANS RmVIJ!lW rJJlI('---____ :".u___. PHONEl (~ON'!'AC'!'__.Z.{Q__~!rL~. JJEl<3AL DE8CRIPTIDtl: LO'I'(S) .----.------. "------.- ~...-----------.._ . _'_'_n.__..__....__ SI,OCK SlIBIJIVISIOt! --_..__._--,------~- --._-~-._-_..... -".._.__.+...._-_..-.-._.._~-...., PARCEll, ID It Ie.; -:-;; (." -.). I --:. 0;" (PO _ 0 () 0 0 (;) .JO.a:r~lf <!yOM PROPER'!'Y 'l'AX NOTICEI) ----.--/--.-.---.-------------.-----------.----U_::.J_.._...___.________.___"... ___._.......___..._.__.__ HURK PRnpSl3llJ I L1J.f(Bm CONSTRUCT ION [J A DIJ I 'rI CiN [J ALTERAT ION [) RElPA IR U INSTAL,!. [Jsnm [] ~10VE o DElI-1OI,ISH PROPOSED ti8Ell [Jsr)l, FAt-lILY DWEll,LIlm [] t1 tJ un .. F Al--1I 1. Y [)# OF lJNITS (J MOB J!,El llot11ll LJ OTHER [] cm1~'lHl R(! r A r I [J INDUSTRIAl, [J SNIMMnJG PO(Jl~ IIBJSCRIP'I'ION OF 1'10RK / ~-l~~-~__~~_:;}2:~__...~_....__ ..----..----------- SQUARE FOOTAt El .__._______ IIElII1H'r __.__________.___ C.J RMTAIJRANT & HElAlmr DElPARTt1ElN'I' APPROVAL I q Bun,nnm SIZE RHlSIDENTIAT.1 (~m.1MBlRCIAIJ : A'I"l'ACH (2) PI,oT PIJAl1S & (2) SElTS OF BtJII,DHIC~ PI,1\NS & (1) SElT EtlE1Rr~1J F'I)R~1a, A'I"l;Ac!H (3) SEl'l's OF BUtLTJ1NG PLANS & (1) SElT ENEFWY FORtIlS, PROPEiRTY SURVEY REQUIRED FOR ALL NEW CON81'RUCTION. PERMITS REQUESTED [] B lJJ J,IJ I W~ $--.-------.__._~ VALUATION OF TOTAL, COHS'I'RtJc'rIOH 101 Bll~ElC'I'RlCJAI I - -------.-.__._ At1P S El R V I eEl o FI,oRIDA POWER [J W,R,E,(l. [] PI.tJt1BING U HHlCHANW1\L [] GAS rJ ROOFIN(3 . , $-----7----.-- VAI,UATION OF MECHANCIAr, 1118'1'AL1,A'1'TON [JVSPEC1AUI'Y [) OTHER TY'PEl OF C!ON8TRUCTlON; [J BLOCK [] FRMIIEl (J STEEllJ [J OTHER FIlHSHElII Fl,OOR BlI,EVATIONS ------------ IS PRO,fECT IN FLOOf) ZONE AREA n YI!lS o Ho Bt1IJ~nJ!lR ****************************************************************** Cot1 PAN Y _._ ____._.___________ .___ _".. '_'_'_" _ .__"__ __~____. ._ STATE CElRT OR RElI1IS'I' ## .___________.________..,_.~_.__ CITY PROCElSSING tt---.-___________n_~_...___ ____...__..__. 81lJllA TtJR El _...._._.~~-~.------~.._---_._----_._------- J!II.JlIC'fRIdIAH S JmlATlJRE __".. ..... --------. ...---.-.--.... --'-'-'-'--- .'__~'__"_n_._____._ Cm1PAHY_________u ---------- -.---- STATE CERT OR REGIST # CITY PROCESSING # _..------~......-.~ '--.,--- -.---..--. .-.--...-. .-.---...----...-...-..--...--.. _. --- ****************************************************************** -.-- -.._--._._...~..~--_. -.....-..--. _.~--_._..__..__..._-_.- PI.t1MBER ..._---...._-_....._~...._....._-_.-.._._- (~(JM PAN Y ---..--..----.-----c-- ____________.. ..__......___._________.._. STATE CERT OR RElGIST # --------.--__._u___._._. CITY PROCESSING # SWH/\'l'l1RE MBlC!HANICAT, ****************************************************************** -..-- ,..- .-._---~-_._-- ----._--~--._~._---- ---------------_._-~-_._.__....--_._.~--_.- CO~.1PANY --..----___u. ._ ..__.... ___._______._ .____... _ __.___..._._._ 8TATE ~ERT OR REGIST # CITY PROCESSING # SIGNA'l'tJREI ***************************************************************** -------.._-_.._-----.-.._.~_._._- -- - .__. ._--,,-~ ....,-- - O'TIIER -- --7...--- (~()111PANY J~EJ- ,;vf~~E (SLt{,~.___.____.______. .k_ .I''''A'I;JR~~ /" 2-2~ ~____ ~;'~~. P;~~:8~~N~.Z':#1Z~_~::=-_::===: / ***************************************************************** CONDITIONS OF PSRMI~ AFFIDAVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be sllbj eet 1:0 "deed restrictions" which may be more restrictive than City regulcltions. Th,= llndersi9ned assumes responsibility for compliance with any applicable deed rest:rictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to under.take 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 Inay 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 Iuust 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". 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) [1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Pasco 813-782-7897 Licensed. Insured NAME cd /2lcf/rc/Z '-j' ),,;.. J- LA /:::" c1'1'l- Co c- F~/'~ F~ HiJlsborough 813-685-1349 PHONE (H) DATE l;/r/o z- DATEPROMISE~ ;V~ - /..2.//8 7f'o u1fJ ;1.1) 31St' ,c;..... dJ ADDRESS JOB SITE PHONE (W) BARBWIRE SPECIRCATlONS WIRE DIAMETER GAUGE TERMINAL POST ;21j "'- DIAMETER TOP RAIL I 3 LINE POST SPACING /01 DIAMETER GATE POST J- t; k- lEVel <9 OLD FC FTG TREES HillY ASHP CONCR ROCK OTHER BRANCHES ~ OTHER CUSTOMER ~ WE 00_ 9' .4 DI TER LINE POST jF DIAMETER GATE FRAME J Yr WffO MOVES OBSTRUCTIONS? SPECIAL EQUIPMENT NECESSARY? , f FOllOW V SPLIT CENTERS ) 0 FACQout GRADE 12- GRADE DID ESTIMATOR MARK ALL FENCE UNES? Yes e HIGH GRADE TRENCH _ FENCE BY FRANK INSTALlERS ARE NOT RESPONSIBLE FOR UNDERGROUND TELEPHONE. WATER. SEWER. ELECTRIC. OR SPRINKLER LINES ---- pc~ -Ff 17'-';"rv-)., I-O)...&O-OCCCO-CC/O l-A FtJt!.ce ia~~ I -4~~~ "..... pr"6(.~ . .;./~ OVERALL OVERAll ~ LENGTH HEIGHT .;2.).,.2;- , Y ') .t, WALK DRIVE ,~ GATE GATE v\ 0/' I(Y [] J.. ^-.~ 1J..vbt-- j hre I vU- 2. 3)1 crf, /Ylc5// ~= .,/~ ~_ - 4' 0~ ~ ~ 1- /0 ~ ,/ ~ /;tj.1~ /.?(1FT~ ~. W iYU- . I 4 I3R~ ;) 11 ~ l.~ /"'7/NJ TERMS: COlleCT ON DelIVER. A SERVICE CHARGE will be made on unpaid balance. Compound al periodic rate of 1.5% (Annual Rate of 18%) NOTE: ~rees that above 7ndise shall remain the property of seller until fully paid. Also agrees to pay aUomey fees for collection if necessary_ ~ ,/ rr-a< ~(_" ( 0-0 ~ 3> )..3 . c><O b('"~"",.~ 7 s: - ; I TOTAL SAL/.)., ,-/)..j- ~ CUslomer Signature CREDIT DEPARlMENT AND ITS ENGINEERING REPREsEN TO FURNISH AlL MATERIALS AND lABOR TO THE UNDERSIGNED CUSTOMER FOR THE T AND ALL THE TERMS (INCLUDING SPECIFICATIONS AND PRICE) SET FORTH HEREIN . FENCE BY FRANK OFFERS SUBJECT TO THE APPROV/U. , PROPERTY DESCRIBED HEREIN IN ACCORDANCE WITH ~ CUSTOMER' HEREBY AUTHORIZES FENCE BY FRANK A QUAUFIEO CONTRACTOR (lICENSED IF REQUIRED BY lAW). TO INSTAlL SAID .....TERIAlS ON SAID PROPERlY AS PROIIIOED HEREIN CUSTOMER HEREBY ASSUMES FULL RESPONSlBllIlY 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. PROPERlY DAMAGE. TRESPAsS AND ALL OTHER DAMAGE OR lOSS ARISING OUT OF TIiE INSTAlLATION OR LOCATION OF SAID FENCE MATERIAlS. AlL EXCESS MATERlALS SHAlL REMAIN THE PROPERlY 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. SHOR1JU;ES OF lABOR. MATERIAL OR TRANSPORTATION. ACTS OF CIVI.. OR MIlITARY AUTHORITIES OR OTHER CAUSES BEYOND THE CONTROl. OF SAID PARTIES TIiE UNDERSIGNED CUSTOMER HEREBY EXPRESSlY WAIVING SUCH ClAIUS. CUSTOMER AGREES TO PAY THE CREDIT SAlE PRICE S€T FORTH HEREIN IN INSTAlLUENTS AS PROVIDED IN THE AGREEMENT (OR OTHER CREDIT SAlE AGREEMENT) IN EFFECT BETWEEN CUSTDUER AND FENCE BY FRANK OR IN LIEU THEREOF CUSTOMER AGREES TO PAY THE CASH PRICE SET FORTH HEREIN AT TIiE TIME OF THE ACCEP1l\NCE 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 AUENoED OR MODIRED ONLY BY A WRITTEN AGREEMENT SIGNED BY CUSTOMER AND BY DULY AUTHORIZED REPRESENTATlVE OF FENCE BY FRANK ~R~~EN~~~~~.i.=~~ =-g"E::g:=:=ENTATlVE AND (IF CREDIT SAlE) OUR CREDIT DEPARTMENT. ANY PAYMENT MADE HEREUNDER SfW.L BE REFUNDED TO CUSTOMER AND THIS FENCE BY FRANK RESERVES THE RIGHT TO MAKE ADDITIONAL CHARGES TO THE CUSTOUER IN THE EVENT UNUSUAL GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEDE THE INSTAlLATION HEREIN DESCRIBED SUCH ADDITIONAl CHARGES SHAlL BE BASED ON ACTUAL AODITIONAllA8OR REQUIRED TO COUPlETE INSTAlLATION UNDER THE CIRCUMSTANCES.