HomeMy WebLinkAbout03-1976
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1976
Date
'f~-<- 0 3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I.D, ,
1{eM.V-
550q
~~
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
02. '15 t' reA-'\. ~
Radon Gas:
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#
17V
Pe<m;tFee ~5 ~
~ignature _/9 /""
CompalJY/ --------------
Address
yrelephone#
Valuation or
Contract Price
)( e 15 b ~.e4-\.G2.
BUILDING
Tp. Serv,
Rough In
Meter Can
Const. P e
Pool
Pr
Fi al
PLUMBING
MECHANICAL
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compress r
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
f~t4f f~
Hillsborough
813-685-1349
L ..
NAME
;~!-. ,-e..... .
ADDRESS
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DATE
7,.1>-,.4 ~ ?
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Pf-IONE (H)
DATE PROMISED
7;p J 7(P6/
JOB SITE
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SPECIFICATIONS IlYPE OF TERRAIN . ALL WOOD PRESSURE
WIRE DIAMETER I (Circle Items) LEVEL EARTIi HILLY ASHP CONeR ROCK 0'illER TREATED PINE
GAUGE TERMINAL POST
TYPE OF OBSTER OLD FC . CUSTOM WOOD SERVICE
,. (Circle items) TREES BRANCHES SHRUBS
( . , FTG
-,~'~ r. '.-"-- - OTHER . BUILT ON JOB SITE
DIAMETER DIAMETER WHO MOVES OBSTRUCTIONS? CUSTOMER _ WEDO_
LINE POST TOP RAIL . FENCE BY FRANK
..- J;j- SPECIAL EQUIPMENT NECESSARY?
, -:/<'l' /, INSTAllERS ARE NOT
DIAMETER LINE POST FOLLOW SPLIT HIGH
CENTERS_FACE in out GRADE _ GRADE - GRADE - TRENCH _ RESPONSIBLE FOR
GATE FRAME SPACING
.. / DID ESTIMATOR MARK ALL FENCE LINES? Yes No ESTIMATOR WILL GO? Yes No UNDERGROUND
. . ." \ TELEPHONE. WATER,
- SPECIFICATIONS OF WOOD
DIAMETER ISEWER, ELECTRIC,
BARBWIRE GATE POST HORIZONTAL
POST \
STRINGER ;/JiZ) lOR SPRINKLER LINES
.-------- ;/1- I
- --.i } ~r~
OVERALL OVERALL WALK DRIVE . /
LENGTH HEIGHT GATE GATE qy 'f
, ~ "JI!! 4- D ~ '"
'.;>- , ,,'.,
I ~
WALK DRIVE PICKET GATE i fl i ~\
GATE GATE POST
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l
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PHONE eN)
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TOTAL
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TAX
TOTAL SALE
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: The Buyer agrees that above merchandise shall remain the property of seller until fully paid. Also agrees to pay allomey fees for coHection if necessary_
Return check policy: $50.00 or 20% or effect of returned check for any returned check marked non sufficient funds or stop payment for any reason_
b~n~'lati~ policy: Unl~~lten notice~s i~ 72 h~~ P"1 to canceHalion for any reason customer agrees 10 pay 5Q% of total. sale.
Customer Signaturel --"-V'...._ '--<:; /.~ ..1, .' -. Parceu 1.0. #
FENCE BV FRANK OFFERS SUBJECT TO ll-iE APPROVAl OF ITS CREDIT DEPARTMENT ANO ITS ENGINEERING REPREsENTATIVE TO FURNISH ALL MATERIALS AND LABOR TO THE UNDERSIGNED CUSTOMER FOR THE
PROPERlY DESCRIBED HEREIN IN ACCORDANCE WITH THE PLAT AND AlL THE TERMS (INCLUDING SPECIFICATIONS AND PRICE) SET FORTH HEREIN
CUSTOMER HEREBY AUTHORIZES FENCE BY FRANK A QUALIAED CONTRACTOR (LICENSED IF REQUIRED BY LAW). TO INSTAlL SAlO MATERIALS ON SAID PROPERlY AS PROVIDED HEREIN
CUSTOMER HEREBY ASSUMES FULL RESPONSIBILITY FOR THE LOCATION OF THE LINE UPON WHICH SAlO FENCE MATERIALS ARE TO BE INSTALLED AND CUSTOMER AGREES TO DEFENO. HOLD HARMLESS AND INDEMNIFY FENCE BY
FRANK FROM AND AGAINST ALL CLAIMS LIABILITIES ANO EXPENSES FOR INJURY. DEATH OR DAMAGE TO PERSONS, PROPERTY DAMAGE, TRESPASS AND AlL OTHER DAMAGE OR LOSS ARISING OUT OF THE IN5TAI.I.ATlON OR
LOCATION OF SAID 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 HEREUNOER WHERE OCCASIONED BY WAR. STRIKES. SHORTAGES OF lABOR. MATERIAL OR TRANSPORTATION. ACTS OF CIVI\. OR MILITARY AUTHORITIES OR OTHER CAUSES BEYOND
THE CONTROL OF SAlO 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 ANO SAIO PAYMENT AGREEMENT (OR OTliER CREDIT SALE AGREEMENT) IF ANY SHALL CONSTITUTE TliE ENTIRE AGREEMENT BETWEEN CUSTOMER AND FENCE BY FRANK WITH RESPECT TO THE SALE AND
INSTALLATION OF SAIO MATERIALS AND TliE SAME MAY HEREAFTER BE AMENOED OR MOO'FIED ONLY BY A WRITTEN AGREEMENT SIGNED BY CUSTOMER ANO BY DULY AUTHORIZED REPRESENTATIVE OF FENCE BY FRANK
IN THE EVENT THAT TliIS PROPOSAL BY FENCE BY FRANK ENGINEERING REPRESENTATIVE AND (IF CREDIT SALE) OUR CREDIT DEPARTMENT. ANY PAYMENT MADE HEREUNDER SHAll. BE REFUNDED TO CUSTOMER AND TliIS
PROPOSAL SHALL TliEREUPON BE NULL AND VOID AND OF NO FURTHER EFFECT.
FENCE BY FRANK RESERVES THE RIGHT TO MAKE ADDITIONAL CHARGES TO TliE CUSTOMER IN THE EVENT UNUSUAL GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEOE THE INSTALLATION HEREIN DESCRIBED SUCH
AOOITIONAL CHARGES SHALL BE BASED ON AClUAL AOOITIONAL lABOR REQUIREO TO COMPLETE INSTAUATlON UNOER TliE CIRCUMSTANCES.
ONNElR I S l1M1El _~/__ _ (" (f M #~ t _~_ ______________. _____ __ PHONE r'ON'l'J\(~'!'____ ___
, 1)
,TOB BITE ADl1RBl8S_.L~()_~_____ ---ol3___~___~_L_______ ____ -___u _________________
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIWING IHlll?ARTMElNT 5335 8th S'fREE'r ZEPHYRHUIJS, P'L 331540
Phober813-780-Q020 ra~1813-780--0021
DATBl RllIellIVJlID
.:..-....__,.;..__~ h_'" .... ...::;..;;
PI,ANS RlIIVIBlW 1I'Jl\1li
__'__"'__n__. __
IJBlOAL DBlSCRTP'rIOt): LOT(S} Sf,OC!K SUBIJIVIS]()t! ___.____.___.
-~-~'-_.._-_._.._---- ------.-----.-
PAR""I, III ffjiJ- i.lIQ~~~4oo/ D~______!O~TAII'!ROM~P~~P"~'~\,TAK~~:~T':,,!__
WORK PROPSElrJI %N W (iONS'l'RtJC'fION [] ArmnION o AUl'ElRA'rION [J RBlPAIR LJ JN8TAT,I,
[JSIml 0 MOVEl 0 DElr10I,I811
PROl?U8FJIJ USE: ~8GII' FANny nWELl,I1m r.-lt1tJt.1'I - FA1"iU,Y [J# OF mUTS [J MOBTI,El IInr1e
C1Cm1MElRCIAT, [J I!1DUS1'RIAf, [)SNIr.1MING POUL IJ OTHER
IlEJ8CRIP'I'ION OF HURK
o REl8'l'AtJRAN'I' & IIEAl,TJ1 DHlPARTt.1ENT APPROVAfJ
---~~--.-~/PJ /.~__ '- .J,y <- I'--c~.r..'_ .______.___"
~/fV'lI_R.. /
'K)U1\REI FOOTAGE _I?! 9 F______
.- ________M_.________., ___.._____. _.__._,.~._
BUILDING S 1 ZEl
-~----~.----..__._--_._-
HEJIGHT ---;t.-----.----
RElSHHllNTTAT'1
(JO~1MBlR(!IAIJ :
A'l"l'ACH (2) PI,OT PIJAl1S & (2) 8El'I'8 OF BtJIJ,DIW] PI,ANA & (1) 8ElT I!JNEJRrno FDR~1S,
A'I"l;ACH (3) SE'I'S OF BUtf,D!NG PI,ANS & (I) 8BlT ElNBlR(N FORMS,
PROPERTY 8URVEY REQUIRI!JD FOR ALL NEW CONSTRUCTION.
~ERMITS REQUESTED
[] 8lJII,IJING
t._________.-.; VALUATION OF TOTAl, CONS'fRlJC'l'ION
U EI,ElC'l'RWAf,
--------__,__ MIP ~ERVICEl
o FLORIDA POWER
[J W . R . EI . (! .
[] PWr18INr.3
LJ HBJUHANH!Af,
,
$__.________.._. VAl,UATION OF ttlECHANCIAI, 1I-18'I'AI,I,AT10H
r] GAS
LJ ROUFING ~ SPEJetAUl'Y
TYPE OF CON8'l'RtJC'fWN: [J BLOCK
[I O'J'HER
[J FRAMEI
[] STEEl,
[J OTHER
FINIBHHllJ Ff,r)OR Ell,EVATION8
18 PRO,TBlC'f IN Ff,OOfl ZONEl AREA [] Vllls 0 NO
BUILtl!lR
-"'..~_._-,.__._-------.._----_._-~-----_._---_.__._---
COt1 P AN Y ___ _. ______.___ __________ _______ ___ .. ___ ____________ __
STATE CElRT OR REGIS'!' #_
CI'rY PROCESSING L-----..-------_____u___.__.._u._._.~_
81rJNATtJREl
*****'**************'**'**'*"**********'**'*********"*""'**"'**"
1It.1lICTRICIAN
SlGW\'l'I1RF!J un_..
--..-- ..... ._.-._- --.--.--.---------.- '-_._-._~ ."--. --..---------.-
Cot1PANY __.___.________ _____ ....---__.__h.
STATE CERT OR RE~IST <<
CITY PROCESSING #
. ---.-..- _. -~.-.,.- ~ --_.-..._ "__0.- .. . _. __..__ .. .. _. . ._.
'* '* *'" * '* *** * *' **"* *," '" *"" "'** *' **** * "*,,***" *" ** * "'*'*""
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pr,tIMBJlIR
_._.._.~.__._......~- ....--....--.... -'-~
(!Ot.1 PAN Y ---..--.-----------__,-_____. ___h.....____.___._______________._
STATE CERT OR RElGlST # _________,__..._.______..
CITY PROCESSINO #
SIGN A'1'l JR EJ
MECHANICAl.
"*******"**"'**'''''**'''''*'''*'**'''''''''''**'****''*******'**"**'****'
--.--.....-- -~._-~~-_._---..- ._--.._--------_.._-~
-----._-_.__._-.._-_._..__.._~-_._.---~."..,--_.,._------
COI'1PANY --.-------.---._____uu___________. ___.
STATEl r~IllRT OR RIllGI8'r #
CITY PROCESSING #
~-_._--_..__..__...... ---- ._-----. .,.---- -.-._.-_.--~.---
SlGNA'l'tJ!Ul
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-- .'--- '----.-----.. ---_.__._._-~ - .._,. --~-,--
OTHIlIR
J1'I K /~ J'/L~-
~2~'-------------
COltlPANY
-----_._--------_.------,~. -...-. '-"'~'-
STATE CERT OR REGrST #
CITY PROCESSING # j---------------.---.-_______
-J.--'Y- ---------_____ .._..__.. ____
*****,**.,*********,,****.****..***
S IrJlIA'l'tJRE:
CONDI'rIONS OF PERNI'l' AFFIDAVIT
A. NOTICE Of DEED RESTRICTIONS
The undersigned understands thijt this permit may be subject to "deed restrictionsU which _
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliiHlce with any applicable deed restricti.ons.
B, UNI,ICENSED 'CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'I'IES
I f the O\vner has hired a contractor or contractors to undertake work, they nlay be required
to be U censed in accordarlCe with state and local regulations. If the contracl:or is not
licellsed as required !Jy law, botb the owner and contractor may be cdted for a misdemeanor
violation under state law. If the owner 01: intended contractor are llllcel:l:ain as to what
]j censing requi rement.!:l may apply for the intE:!nded work, they arE:! advised to contapt the
City of Ze~hyrhills Building Department, 813-788-6611,
Furth_HlnO!-e, if the owner has hired a contractor or contractors, he is advised to have the
contractor-Is) sign portions of the "Contractor Sections" of this application for whiell they
.lill be Lesponsible, If you, as the owner signs as the contracto!:" YQI,! are indioating that
you, lather than the oontractor, are responsible for the work. If the contractor wishes
you to sign as contractor: that mi:lY be an indication that he is not p!'operly 11 censed and is
not entitled to ptHmitting privileges in the City of Zephyr-hUla.
c. TAANSl>OR'l'A'rION IMPAC'!' jJ"'EES AND U'I'ILI'I'Y CONNECTION FEES
D. cONS'rRlIc'ruION LIEN LAW (CHAP'l'ER '713, FLORIDA S'l'ATUTES, AS AMENDED)
1 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 Consume:r Affaiu. If the applicant is SOllleone othe:r that the "owner", I ce:rify that I
llave obtained a copy of the above described ~ocument and promise in good faith to delive:r
it to the "owner" prior to conunencement.
E. CONTRAC'l'OR' a/OWNER'S AfFIDAVI'I'
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating constnlctioll, zoning, and land
development,
Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
ce~tify that no work or installation has conunenced 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 j\lrisdiction. I also
certify that I understand that thl;: :regulations of other governmental agenaJet;l 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 tOI *Department of
Envi:ronmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally 8ensttive
Lands, Wate:r/Wastewater Treatment
*Southwest jj'lorida Water Management District-Wells, Cypress Bayheads, Wet.land Areas,
Altering Wate:rcourses
'Army Corps of Engilleers-Seawalls, Docks, Navigable Waterways
*Department of Health IX Rehabil.itative Services, Environmental Health UnJt-Wells,
Wastewater 'I'reatment, Septic 'l'anks
'U.S, Envi:ronmental i:rotection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~Au or "A,ete,", it is
unde!stood that a drai.nage plan addressing a "compensating volume" 'wiLL be submitted whioh
is prepared by a professional engineer registered in tile State of florida prior to pennlt
Jl:Jsuance.
A per-mit 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 Of{icial from thereafter requiring a
co:r~ection pf errors in plans, construction, or violations of any code, Every permit
i.s/JUc;ld shall become invalid unless th~ Hork authorized by such pe:rmi t is oOllunenaed within
.six months of issuance, or if Hark authorized by the permit is suspended or aballdoqed f~r a
period of six months after the tilue the work: is conunenced' One 90 day exteneion of time
may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
ill writing to the Building Official, An approved inspectJon mUllIt be logged during each six
month period, or the pr'oj ect will be considered abandoned,
WARNING TO OWNER: YOUR FAIWRE TO RECORD A NO'rrCE OF COMMENCEMENT MAY RESUW' IN YOUR
PAYING '!'WJCE FOR IMPROVEMENTS TO YOUR PROiER'I'Y. IE' YOU IWI'END TO OB'l'AIN FINANGIN(j,~qNijUL'I'
Wl'l'H YOUR LENDER OR AN ATTORNEY BEIfORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I', . JOBS UNDER
$2,500 IN VALUE DO NOT NEED 'I'O RECORD AND POST A "NO'I'ICE OF COMMENCEMEN'I"I.
)j'~' ~l'O"
STA'l'E OF FLORIDA
CO\1N'l'Y OF
'l'he fo:regoing instrument WqS acknowledged
Before me this ._--pay of-----, 19 _..:..._
by __._________._
(name of person acknowledged)
[1ho is personally known to me, or
SlGNA'l'URE: OWNER OR AGEN'I'
~
STA'n Of FLORI DA
COUNTY OE'-
The foregoing instrument was acknowledged
Before me this ___ day of ______, 19_
by _______._
(llame of person acknowl~dged)
Owho is personally known to me, o:r
o who has produced
(type
and who[J did []did not
o .~ho has produced _____
(type of identification)
and ~~ho Ddid [}.Ud not t,ake all oath
of identificatJon)
take an oath.
Signature of person taking acknowledgement
Signature of person taking aoknowledgment
Hcune typed, printed or stamped
Harne typed, printed or stampt:H.l