HomeMy WebLinkAbout03-1782
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1782
(813) 780-0020
Date
/-02/- 03
.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
",operty Own., tv/.;4'lf1..0 ? MAJ
Job Address: (P ,;;LO tj / l, vA-. 5 T .
Parcell.D. II
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
J '7 ~ I..., L{ / 11-;)),
Radon Gas:
r /1cu'n ,tin k
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-;Lf,-o 3
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
V d-/?L
City License Registration #
State Certified License#
393
P~m;t Fee~"V ~
,xS.gnature
Company
Address
)(relephone,[~fo3) ~.g~ --11<1 I.{
-
Valuation or
Contract Price
1AJ.' III~ ~ FQ4.(~ Cc.
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Po
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sew r
Fi I
L
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
.
o ALTERATION
o RE'PAIR"
rn INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBI LE HOME
Q OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
.
DESCRIPTION OF WORK
Install 4'h chain link fence and gates
/"-'8 I reM~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
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 AREAO YES
o NO
"':.:. '''>', l~'\':i'~-.-,'.';,",-<J"',';"",,- _,.,..-:.",-.,,,,.,~)~~? 'iI" "'" ,. "".." '.",: <'::::.' ';'~
C;Q~gt:!;~g!~S!:q~+p~
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************.***********
~~-.
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SrGNATURE
MECHANICAL
*******.********************************************~*************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
OTHER COMPANY Jim Williams Fence Company
STATE CERT OR REGIST # GSP92-10265
SIGNATURE CITY PROCESSING # 393
**********************************************
************ ***************************************~***********
CONDITIONS Or PERMIT J'.FFIDAVIT
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 respoasibility for
compliance with any applicable deed r~strictions.
B. UNLICENS~D CONTRACTORS AND CONTRI\CTOH f{]~;SPONSIBILITIES
If the owner has hired a contractor Dr 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 olmer 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 tile 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify tha't I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT r
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 alRQ
certify that I understand that the regulations of other governmental agencres may apply to
the intended work, and that it is my responsibility to identify what actions I rnust 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 T~eatment
*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 "AH or "A, etc.", it is
understood that a ,drainage plan addressing a "compensating volume" will be submi tted whrch
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permi t issued shalJ be construed to be a license to proceed with the w~Hk and not as
authority to violate, cancel, alter, or set aside any provisions of the techni~al codes,
nor shall isstlance of a permit prevent the Building Official from thereafter requiring a
correction of errors in pJ.ans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit i.s commenced within
six months of issuance. or if work authorized by the permit is suspended or abandoned fO.r a
period of six months after the time the work is commenced. One 90 day extension of tl.me
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
PAYING TWICE FOR IMPROVEMeNT:: :'J YOUR PROPERTY. IF YOU INTEND TO OBTA
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO E
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM N
RESULT IN YOUR
FINANCING, CONSULT
EMENT. .JOBS UNDER
acknowledged
19_
~}'
SIGNATURE: CONT TOR
ST~.TE OF FLORIDA V~ ~tl :
COUNTY OF ~...........-----
The foregoin? i.n; rU!J1ent wa~'UI~Filw~~ledg"f..i")..
Before rn hrs (<>la of,)J.Y.lli1..U~ , ~J.d
by - ji; i:\.: (}"'\'. l
(name of person acknowledged)
'tl,ho is personally Known to me, or
SIGNATURE: OWNER OR AGENT
S'TATE OF FLORIDA
COUNTY OF
The for€going instrument was
Before me this _ day of
by
(name of person acknow~edged)
Owho is personally ~nown to me, or
Owho has produced
(type of identification)
and whoO did Odid not. take an oath.
.Dwho has produc
Signature of person taking acknowledgement
Name typed, printed or stdmped
Name typed,
JOB
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone (863) 688-1194
SHEET NO.
OF
CALCULATED BY
DATE
CHECKED BY I
SCALE~..+-n [!{ f1, u
DATE
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D PRODUCT 207
*~
JOB
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone (863) 688.1194
SHEET NO.
OF
CALCULATED BY
DATE
CHECKED BY U
SCALE~..+n ~ fA fJ
DATE
,
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D PRODUCT 207
JIM WILLIAMS FENCE COMPANY, INC.
934 East Rose Street, Lakeland, FL 33801
/'
. r. .\- /\:\j~
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PROPOSAL
For:
Address: 6204 16th St
Zephyrhills. FL
FENCE SPECIFICATIONS
Install Type Height Gauge
I , 'I
/78 CHAIL.l I INK 4 HIM' II 2.GI1.
Wendy Packard
33540
Mesh
23/8
~/OT D,PPED GAL VIIN/2EO
~5 \/R. CO(<eC>510/oJ V\JAR.T?A/o./TY
,
Posts
L IN'=-
Type Size
ils rs / 51,g ,. JI 5 '- I;. "
I tel<!,..... UU) ~ rOS.5 2.'/2.")1 {n'
Length
CC- 5 'MALL
. ul:-5v...IIILL
I
A tL H~ST5 1-/('1' D,PPED GAL v. INStlJE f 6 U T
?l5 ,/R. C.6~Ru51"N WA/<fJRNTY
Posts set /6 '1-/,.1;( o.c. in concrete.
Top rail / 7e /3~" o.d.
Tension wire Gauge
Gates Width Height Frame Type
~' x~' IJ/8 "5WINt~
~ x~' /3/8 "DOU81-(:-
/
-L
x
"
---
x
Barb up 0 Barb down ~
Fence is approx. - 6 - "off of ground.
Fence top level /~with ground.
OPTIONS:
Home Phone: 813-783-9162
Subdivision:
Job Address:
Survey stakes visible 0 5
Date
Work:
Fax:
01-08-03
1-727-455-8105
Survey provided 0 Will Send)'l'
,
.
,
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o ASPHALT
ftt CONCRETE
,.,
TERMS: 'I L
Pk(,'I'D~f'l I~'" CCSi
Deposit BPL
IF t-'t;E DEn
On completion. Tax if applicable $
o Permit Fee $
Total Contract $
/I'ICLU{)Ef)
~
I) /.95..04:
.3 -I.{
2 -3 D"YS
A..'1cepted Date
T~~~e~fgrt~d)ak~~X. CfbqerJn~~~~a~{ of contract.
JIM WILLIAMS FENCE CO., INC.
Lakeland 863-688-1194/ Fax 863-683-6402 Lake Wales 863-678-1160
WEF:~5
\.fl-t .___'---...--
~~~.
Approximate completion date
Servin V Central Florida Since 1959 · Certified Druv-Free Workplace
Brandon 813-643-1611