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HomeMy WebLinkAbout05-5027 I I' 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 ~-. i PERMIT OFF I ~PECTION - 8 HOUR NOTICE REQUIRED 'TECT CARD FROM WEATHER CONTRACTOR CALL FOR I p '. J,I' 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 (~~~ CsJi-']\ if J^ I )-=' / ~J1- W.R.E.C. ~,- fz., .,-<:, OTHER COMPANY Hm Wi 11 jams H'ence Company SIGNATURE STATE CERT OR REGIST Ii GSP 92-1026'5 N~~'M l')('i ?1J~' ~~::.Z?- D"''$? ---- ...---- 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 I I' 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 $15.00. The extension shall be requested Official. An approved inspection must be logged during each six ct will be considered abandoned. ILuRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR NtS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT O~EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER D TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 1i"ll1~ /1 Liha~ SI ATURE' CONTRACTOR ~ 0 \ "'" as acknowledged , 2'L- STATE OF FLORIDA COUNTY OF The foregoing ins~ent was acknow~edged Before m~ this ~ay' of ()c..~t( , 20 ~ by ~c.~~ \..\\ \\\"'~~ (name of person acknowledged) ~o is personally known to me, or o who has produced (type of identification) ~d not take an oath ~rf'\ ~ and who Odid <c:Jlli> i'r'\ Signature of person taking 9cknowledgement Name typed, printed or st Signature of person taking acknowledgment ...O"-:'V.':~B(/r, ELLEN ANN ERICKSON Name ;~PfiMllt:GOOMlaSI~~128 ..~" EXPIRES: June 11,2008 4h0F ,,0<1' Bonded Thru Budget Notary Se'lices . ft'. ~~' ., I': I I JIM WILL~MS FENCE COMPANY, INC. 934 Ewft Rose Street, Lakeland, FL 33801 ~ . Date Q/1F./nc; PROPOSAL For. Pi...." Hllr / tJpnnv Honn", Home Phone: Work: 813-788-7643 Address: 6548 Gall Blvd. Subdivision: Fax: ,727-945-9899 , 11 '" Yr. ~~c;l..? Job Address: e FENCESPECnnCATIONS Survey stakes visible l:I Survey provided l:I Will Send l:I Install Type Height Gauge M ~Sh ~sting I '. -- ' -' , 4-0' CHhI~UAJ( b' 111; , 7'~ ~.. enc.e' ." ... NeVI F mCC( I H07- c>,p c:no:a. \.....\J)odII,..,z...^ I I I I I I I I . I I . \1 ". .,' Posts Type Size LenJ :th .. ;zy, ~A. - u#(" ~ ('bq,yM.S' - ., , 1Jb.$" hJb/1 I I ~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 , . .' , .. I ~ 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 $'~/~%,o.? f' Approxim date lo/H- 101 r-J IDS Approximate completion date By \" WJ~ r Accepted <..D JL rd--ll'll' hPc\.. Date~ "= I The undersigned agrees to terms on back of contract. cAXED~ JIM V rILLIAMS FENCE CO., INC. Lakeland 863-688-1194/ Fax 863 rM 02 . Lake Wales 863-678-1160 . Brandon 813-643-1611 / n I':' 'J, Sint~, 10liO . Cerlified Druv-Free Workplace \ \ '::) TillS PROPOSAL MAY BE NITHDRAWN IF Nor ACCEPTED WITHIN 30 DAYS. z )0- I- - ~ cr w a.. 0'~ <X'~ \. "-.." . ft- - ~<- I j1 JIM WILLIAMS FENCE CO:MPANY, INC. 934 Ea1t Rose Street, Lakeland, FL 33801 PROPOSAL ~ . Date For: Pi "''''.. Hl1t" I W..nrlv Hnhh.. Home Phone: Work: Address: 6'548 Gall Blvd. Subdivision: Fax: Ze' . .,,~ FL 11'542 Job Address: FENCE SPECIFICATIONS Survey stakes visible (J Install Type Height Gauge M sh Existing' rlence. 4-0 . t".J.AJ M 1JAJt' h'li 1; ; 7' ~ ~ ' .c;1 ~ un .... :, Q/ll\/O'1 813-788-7643 727-945-9899 I Survey provided (J Will Send (J , I New Fl nee( 1107- o,p ~. ',"" , Posts Type Size Len!:th oUHr r ('bq"VM~ '7 ~ ~~. I , I.){,..S tI AoIIb /1 ~.A 7'r ~S?'J . '7:--<; L f~ ,l. 0 ;'07"- .&>",)0 &i=.AL-V-..v",:Z-A Posts set /0' o.c. in concrete. Top rail +0 I / ~ " o.d. Tension wire fo I ? Gauge , , Vl.&lNtrl. " e- ~ ~'.Ln . ~~, ". . _ 7 * Gates Width Height Frame 'Typ<; +- ~' x~' 1!L" ~~ f , " ' __X___ \1. '. '.. .. ,~ , ,A I I I """-i---, I ; I ,-1-"" --- I~ "....... __Ix_t_"_ __'X , " Barb up (J Barb down.(J Fence is approx. " off of ground Fence top level/rolls with ground. -r. - ~.. ~~! Pf)'$ 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 I 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. I )0.. \ \ ':) I ~-5 f- - ~ cr W Q 0.~ o:~ \.. ~'