HomeMy WebLinkAbout05-5027
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
5027
Permit Num er: 5027
Permit Type: FENCE
Class of Work: FENCE/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/10/2005
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 11/10/2005
Work Desc: 52' CHAINLlNK 6' H
Address: 6548 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: PIZZA HUT
Address: 6548 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
y,0~00
REINSPECTION FEES: When extra in ion trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) ~all be made for each trip for each trade:
(a) Wrong address (b) Condemned work rE\!sulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m e before any further permits will be issued to the person owning same
"Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com cement."
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
P RTY CORNER MARKERS ALL BE EXPOSED - CLEAR SITE TRIANGLE SHALL BE OBSERVED
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i PERMIT OFF I
~PECTION - 8 HOUR NOTICE REQUIRED
'TECT CARD FROM WEATHER
CONTRACTOR
CALL FOR I
p
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eI OF ZEPHYRBILLS PERMIT APPLICATION
BUI rNG DEPARTMENT 5335 aft St, Z~hyrhill., rL 33542
, 813-780-0020 F.AX:813-780-0021
DATE RECEIVED
PHONE CONTACT roR PERMITTING
OWNER'S NAME Pizza HJt
JOB ADDRESS 6548 Gal~ Blvd..
PHONE
Zephyrhills. FL 33542
LEGAL DESCRIPTION: LOT (sj)
BLOCK
SUBDIVISION
PARCEL 10 *
WORK PROPSED: ONEW CONS RUCTION
o ADDITION
OSIGN
o MOVE
OALTERATION
o DEMOLISH
o REPAIR
PROPOSED USE: OSGL FAMI Y DWELLING
~OMMERCI L
OMULTI-FAMILY
o INDUSTRIAL
Oli OF UNITS
o SWIMMING POOL
DESCRIPTION OF WORlt
HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
SQUARE FOOTAGE
RESIDENTIAL: ATTACH (2)
COMMERCIAL: ATTACH (3)
IF SIGN PERMIT ONLY (2
PROPERTY S
PLOT PLANS & (2) SETS OF BUILDING PLANS
SETS OF BUILDING PLANS & (1) SET ENERGY
SETS OF ENGINEERED PLANS REQUIRED.
RVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
o PLUMBING
o MECHANICAL $
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPE IALTY
:gJ OTHER
TYPE OF CONSTRUCTION: 0 LOCK
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
-'~
FINISHED FLOOR ELEVATION
CONTRAc'roaJ"'S&C'1'ION
BUILDER COMPANY
SIGNATURE STATE CERT OR REGIST Ii
*********** *~************+***************************************
ELECTRICIAN COMPANY
SIGNATURE STATE CERT OR REGIST t
*************~****************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST Ii
******************************************************************
MECHANICAL COMPANY
SIGNATURE STATE CERT OR REGIST Ii
*********** *t*************************************************~.*
/O~3(85
813-788-7641
XXINSTALL
o MOBILE HOME
o OTHER
HEIGHT
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W.R.E.C.
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OTHER COMPANY Hm Wi 11 jams H'ence Company
SIGNATURE STATE CERT OR REGIST Ii GSP 92-1026'5
N~~'M l')('i
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTR]CTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive ~han City regulations. The undersigned assumes responsibility for
compliance with any appl~cable deed restrictions.
B. UNLICENSED CONTRACTO~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a 'contractor or contractors to undertake work, they may be required
to be licensed in accord~nce with state and local regulations. If the contractor is not
licensed as required by w, both the owner and contractor may be cited for a misdemeanor
violation under state la If the owner or intended contractor are uncertain as to what
licensing requirements m y apply for the intended work, they are advised to contact the
City of Zephyrhills Buil ing Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portio s of the "Contractor Sections" of this application for which they
will be responsible. If ou, as the owner signs as the contractor, you are indicating that
you, rather than the cont actor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication ~hat he is not properly licensed and is
not entitled to permittin privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT PEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LA (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the app icant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Pr tection 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 t e above described document and promise in good faith to deliver
it to the "owner" prior t commencement.
E. CONTRACTOR'S/OWNER'S FFIDAVIT
I certify that all the in ormation in this application is accurate and that all work will
be done in compliance wit all applicable laws regulating construction, zoning, and land
development.
Application is hereby mad
certify that no work or i
all work will be performe
codes, zoning regulations
certify that I understand
the intended work, and th
be in compliance. Such a
Environmental Regulation-
Lands, Water/Wastewater T
*Southwest Florida Water
Altering Watercourses
*Army Corps of Engineers-
*Department of Health' R
Wastewater Treatment, Sep
*U.S. Environmental Prote
I also certify that, if f
understood that a drainag
is prepared by a professi
issuance.
A permit issued shall be
authority to violate, can
nor shall issuance of a p
correction of errors in p
issued shall become inval
six months of issuance, 0
period of six months afte
may be allowed for the pe
in writing to the Buildin
month period, or the proj
WARNING TO OWNER: YOUR F
PAYING TWICE FOR IMPROVEM
WITH YOUR LENDER OR AN AT
$2,500 IN VALUE DO NOT NE
SIGNATURE:
OWNER
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
Before me this _ day 0
by
(name of person
Owho is personally
o who has produced
(type
and whoO did Odid not
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to obtain a permit to do work and installation as indicated. I
s,tallation has commenced prior to issuance of a permit and that
to meet standards of all laws regulating construction, City
and land development regulations in the jurisdiction. I also
that the regulations of other governmental agencies may apply to
t it is my responsibility to identify what actions I must take to
encies include but are not limited to: *Department of
ypress Bayheads, Wetland Areas and Environmentally Sensitive
elatment
ahagement District-Wells,
Cypress Bayheads, Wetland Areas,
eawalls, Docks, Navigable Waterways
hlabilitative Services, Environmental Health Unit-Wells,
it Tanks
tion Agency-Asbestos abatement
11 material is to be used in Flood Zone "A" or "A,etc.", it is
plan addressing a "compensating volume" will be submitted which
nlal engineer registered in the State of Florida prior to permit
onstrued to be a license to proceed with the work and not as
el, alter, or set aside any provisions of the teChnical codes,
~it prevent the Building Official from thereafter requiring a
ans, construction, or violations of any code. Every permit
d unless the work authorized by such permit is commenced within
~f work authorized by the permit is suspended or abandoned for a
the time the work is commenced. One 90 day extension of time
mit with fee charge of $15.00. The extension shall be requested
Official. An approved inspection must be logged during each six
ct will be considered abandoned.
ILuRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
NtS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
O~EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
D TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
1i"ll1~ /1 Liha~
SI ATURE' CONTRACTOR
~ 0 \ "'"
as acknowledged
, 2'L-
STATE OF FLORIDA
COUNTY OF
The foregoing ins~ent was acknow~edged
Before m~ this ~ay' of ()c..~t( , 20 ~
by ~c.~~ \..\\ \\\"'~~
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
~d not take an oath
~rf'\ ~
and who Odid
<c:Jlli> i'r'\
Signature of person taking 9cknowledgement
Name typed, printed or st
Signature of person taking acknowledgment
...O"-:'V.':~B(/r, ELLEN ANN ERICKSON
Name ;~PfiMllt:GOOMlaSI~~128
..~" EXPIRES: June 11,2008
4h0F ,,0<1' Bonded Thru Budget Notary Se'lices
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JIM WILL~MS FENCE COMPANY, INC.
934 Ewft Rose Street, Lakeland, FL 33801
~ . Date Q/1F./nc;
PROPOSAL
For. Pi...." Hllr / tJpnnv Honn", Home Phone: Work: 813-788-7643
Address: 6548 Gall Blvd. Subdivision: Fax: ,727-945-9899
, 11 '" Yr. ~~c;l..? Job Address:
e
FENCESPECnnCATIONS Survey stakes visible l:I Survey provided l:I Will Send l:I
Install Type Height Gauge M ~Sh ~sting I '. -- ' -' ,
4-0' CHhI~UAJ( b' 111; , 7'~ ~.. enc.e' ." ... NeVI F mCC(
I
H07- c>,p c:no:a. \.....\J)odII,..,z...^ I I I I I I I I . I
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\1 ". .,'
Posts Type Size LenJ :th
..
;zy, ~A. -
u#(" ~ ('bq,yM.S' -
., , 1Jb.$" hJb/1 I
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~A"''' rros7'~ ,?:-~I
.f~ .L 0 - ,~
. I^ I
H07'~ ..&>..-)0 ~ALV-...v..- 2.#d - , ,
Posts set /0' o.c. in concrete. -
Top rail +0 I /~ II o.d. __ I I
Tension wire .;0 I 7 Gauge .n
, I I I -..... -- - .
~ C"I' ""ti- ~ ~" I \ ............ -- I
r/.""".^ . C-L I
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Gates Width Height Frame ~ ~.
-I- lL.' x~' ~" ~ . '" ~
'x I II
-- ---
'x I II
-- ---
'x I II
-- ---
Barb up 0 Barb down l:I
Fence is approx. II off of ground
Fence top level/rolls with ground. ~
7:-- <, ~ t.! PC>'$ Fi,"~ c, A"' -
7f.,f't~~ Ii \,& 0 14..-0. C. M/:1-- - " :,-,.-
. ~-.I- ~7l , vU-W ...._,.~ " a DIRT ~ ASPHALT . ~ CONCRETE
,
OPTIONS:,
TERMS: ~Sit-:::;;F-3r. ) On ~Pletion~ Tax.if applicable $ .:o.t(l
Permit Fee $ PI.. U> Ro~M 11 ~...5
Total Contract $'~/~%,o.?
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Approxim date lo/H- 101 r-J IDS Approximate completion date
By \" WJ~ r Accepted <..D JL rd--ll'll' hPc\.. Date~
"= I
The undersigned agrees to terms on back of contract.
cAXED~ JIM V rILLIAMS FENCE CO., INC.
Lakeland 863-688-1194/ Fax 863 rM 02 . Lake Wales 863-678-1160 . Brandon 813-643-1611 /
n I':' 'J, Sint~, 10liO . Cerlified Druv-Free Workplace
\ \ '::) TillS PROPOSAL MAY BE NITHDRAWN IF Nor ACCEPTED WITHIN 30 DAYS.
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JIM WILLIAMS FENCE CO:MPANY, INC.
934 Ea1t Rose Street, Lakeland, FL 33801
PROPOSAL ~ . Date
For: Pi "''''.. Hl1t" I W..nrlv Hnhh.. Home Phone: Work:
Address: 6'548 Gall Blvd. Subdivision: Fax:
Ze' . .,,~ FL 11'542 Job Address:
FENCE SPECIFICATIONS Survey stakes visible (J
Install Type Height Gauge M sh Existing' rlence.
4-0 . t".J.AJ M 1JAJt' h'li 1; ; 7' ~ ~ ' .c;1 ~ un ....
:,
Q/ll\/O'1
813-788-7643
727-945-9899
I
Survey provided (J Will Send (J
, I
New Fl nee(
1107- o,p ~.
',""
,
Posts Type Size Len!:th
oUHr r ('bq"VM~ '7 ~ ~~.
I , I.){,..S tI AoIIb /1
~.A 7'r ~S?'J . '7:--<; L
f~ ,l. 0
;'07"- .&>",)0 &i=.AL-V-..v",:Z-A
Posts set /0' o.c. in concrete.
Top rail +0 I / ~ " o.d.
Tension wire fo I ? Gauge
, ,
Vl.&lNtrl. " e- ~ ~'.Ln . ~~,
". . _ 7 *
Gates Width Height Frame 'Typ<;
+- ~' x~' 1!L" ~~
f , " '
__X___
\1. '. '..
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,A
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"""-i---,
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,-1-""
---
I~
".......
__Ix_t_"_
__'X
, "
Barb up (J Barb down.(J
Fence is approx. " off of ground
Fence top level/rolls with ground.
-r. - ~.. ~~! Pf)'$ Fill "" c, A"'<i
(J"I"I',~ {i)t.dIl. ~ ..-. ~ ~-_. ~I-
. '''-, 8tJ', ,,~ · '-,.. '
,
OPTIONS:,
I
~ ASPHALT
~ CONCRETE
Q DIRT
TERMS:
~sit tu,f 3t)i On ~pletion:.L Tax.if applicable $ -XN(l
-('- baPermitFee $ PLO> fiot{Mf1
I Total Contract $~.4J~%, cO
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f\
Approxim date
By ,)JlJ"\)
~
lolH- IO{,r[/o5 Approximate completion date
Accepted <....D JL n-:H.01f' htlr1 Date ~
The undersigned agrees to terms on back of contract.
cAXED~ JIM VrILLIAMS FENCE CO., INC.
Lakeland 863-688-1194/ Fax 863 ,..~ 02 . Lake Wales 863-678-1160 · Brandon 813-643-1611
~ - ~ .f;;;nn 1959 . Certified Drur-Free Workplace
TIllS PROPOSAL MAY BE NITHDRAWN IF NaI' ACCEPTED WITHIN 30 DAYS.
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