HomeMy WebLinkAbout08-7765
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7765
Permit umber: 7765
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,915.00
Date Issued:
Total Fees: 67.50
Amount Paid: 67.50
Date Paid: 4/18/2008
Work Desc: INSTALLATION 10 X 16 SHED
Address: 5447 11TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13700-0010
Name: CHENKIN, RICHARD W & PAULA K
Address: 5447 11 TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-1583
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SHEATHING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 ur notice of mmencement. n
TRACTOR SIGN URE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"
City of Zephyrhills
BUILDING PLAN REVIEW COMIvIENTS
Site:
Coo I< skJ
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Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: 0
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Wt!/
Tills oonuni(]e ~ Mili ilieP=ri:;orP1V r2/~
Kalvip. witzer - Plan xaminer Date Contractor and/or Homeown~
(Required when comments are present)
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I I LOT# I I
I P~RCELlD#l1..l....~t:,-.:J..1 --cx:::>/CJ -/37<::O-<::lCD(ol
I (OBTAINED FROM PROPERTYTAX NOTICE)
D NEW CONSTR E3 AqD/AL T D SIGN D MOVE D DEMOLISH .
D INSTALL RlPAIR
PROPOSED USE D SFR D C~MM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FFf'ME D STEEL D
DESCRIPTION OF WORK I I
II t? X /(p I SQFOOTAGEI / ~O I HEIGHT I
I 'r I I . I . I I . . r . I I I I . . . I " . . I I . . . I I . . I I . . . I I I I . . . . I I . . . I I I . . . I . . . . I I . . . I . I . ~ . . I I I . . . . I I . . . . I . . . . f I I I . . I . .. I I I . . . . . . . I . I I I . I . . . . I . . I I I I I I I I I I r I I I I I I I . . I
[g;) BUIWING 1$ ~ I 915. c:e. I VALUAtiON OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
D PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D S~ECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLFOD ZONE AREA DYES
1.1"","'1111111,...111111111111111,...,11"1.",.,111'1111'111..QIIII'IIIII'III'I'IIII'f"""""'IIIIIII1".."'..11,....'..,..........,.,11
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Owner's Name R ,e;, Aye fI e..J{ k" f J/
Owner's Address I 5 tl Y 7 J I ~l( ~-r:
Fee Simple Titleholder Namel
City of Zephyrhihs Permit Application
Building Department
I
Phone Contact for Permitting
Fax-813-780-0021
813-780-0020
Date Recei~ed
Fee Simple Titleholder Address I
JOB ADDRESS
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SUBDIVISION
WORK PROPOSED
OTHER I
BUILDING SIZE
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W.R.E.C.
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BUILDER
SIGNATURE
COMPANY
REGISTERED
r7I ~ fortAVt<.. S ReDS
I Y I N I FEE CURRENT I Y I N I
License # I
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED Y/N FEE CURRENT
I License #
I I COMPANY
REGISTERED Y I N FEE CURRENT
I License #
COMPANY
REGISTEkED YI N FEE CURRENT
I License #
COMPANY
REGISTERED YI N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
Y/N
Y/N
Y/N
COMMERCIAL
Driveways-Not over Counter if on public roadwaysooneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned unders:tands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The uhdersigned assumes responsibility for compt.ance WIth any
applicable deed restrictions. I
UNLICENSED CONTRACTORS AND CONTRACTOR RESfONSIBILlTIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iicersed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the ownerl and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncEfrtain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County ~uilding Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or Icontractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly Ihi:ensed and is not entitled to permitting privileges in Pasco
County. I
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fee~ may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, a specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impac Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. f the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit iss ance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in acc rdance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a co y of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agri ulture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of he above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all th information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating onstruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installatiorn as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work till be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governm nt agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in c mpliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
Southwest Florida Water Management Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
_ Army Corps of Engineers-Seawalls, Docks, Navigiilble Waterways.
Department of Health & Rehabilitative serVices~tEnVironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
_ US Environmental Protection Agency-Asbestos a atement.
_ Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
I
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood zonel "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. 1
If the fill material is to be used in Flood Zone" " in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fil the area within the stem wall.
If fill material is to be used in any area, I cert fy that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affe t adjacent properties, the owner may be cited for violating
the conditions of the building permit issued unde the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drai age plan is required.
If I am the AGENT FOR THE OWNER, I promise in good fai~ to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand ~hat a s~parate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded.1n the application. A
permit issued shall be construed to be a license to proce~d Ith the work a~d not as authorl~y ~o. vlol~t:, cancel, alter, or
set aside any provisions of the technical codes, nor shalllssu~nce of a permit prevent the BUIlding OffiCial from thereafter
requiring a correction of errors in plans, construction or violat~b~s o~ any codes. Eve'!' ~ermit issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authOrized by
the permit is suspended or abandoned for a period of six (6) fl onths after the time the work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a eriod not t~ exceed nin~ty (90) days and Will demonstrate
justifiable cause for the extension. If work ceases for ninety ( 0) consecutive days, the\Job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE~TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTI F C MENCEMENT.
FLORIDA JURAT (F.S. 117.03) 1
OWNER OR AGENT CON RACTOR
Subscribed and sworn to (or affirmed) before me this S,u s ribed nd ~Wyo
by
Who Is/are personally known to me or has/have produced rsonally. known to e
as identification. ~
Commission No.
Commissi n
I
NamelOf Notary typed: " "
I
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Notary Public
Notary Public
Name of Notary typed, printed or stamped
111111111111 1111/111111"" ''''1 I11II 1"" "II' 11111 """"
2008053950
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Rcpt: 1173~1~ Rec: 10.00
DS: 0.00 IT: 0.00
04/11/08 Dpty Clerk
: the improvement will be made to certain real property, and in accordance with
information is provided in this NOTICE OF COMMENCEMENT.
~~~/1V~~~{(~ pel Ro%"(o~ I~-< f51=f:I3'1
J ~ .,/1 'JI'1, III>', ~
(DIU t?F 'J4- 5h@ /~
a) Name and address: R; c..J1/Dr Y" D cJt eN 1< ~ it! Sit LIt
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property . .
4.Contnl<:tor Infonnation ~ /., h 5 3 / t ( 8
.~. ' 0) Name and address: 6) k... ~C!? ~ A ( e... 5. Q..L);; H <.L' ... "1 <0 I
".. b) Telephone No.: <g' -7 <3f? -. ~ Fax No. (Opt.) ~/'1l!2..---
5.Surety Information .
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
JED P IT T/'l AN
PASCO COUNTY
CLERK
Apr II, 20@8 @8:34am
Receipt ff 1173515 Drawer DC-2-DRAWR
COOK SHEDS
Ope'rato'r: burnsh
ADlOunt 12.50
Instrument ff 2808-053950 Type 8117
Book n 7808 Page ff 1715 Time 08:34
Recording Fee 10.00
DC-COPIES/RECORDE 1.00
DC-CERTIFICATION 1.58
Reference: COOKS SHEDS/813-788-5459
Cash 28.80
Refunded 7.50
CEOFCOMMffiNCEMENT
JED PITTnANA PASCO COUNTY CLERK
04/11/08 00:34am 1 of 1
OR BK 7808 PG 1715
- rcolD--/3 /00_ 00/0 [(2.(1 r'i? C-<!::> ( <::> ;:='OOJ)
I I fl, '"5-,/, Zeflhl'rJ,i(fs
<:~/Ohl/f'J(. IlLS
'3~5~o
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8Jn addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(l)(b), Florida Statutes;
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECoRDING YOUR NOTICE OF COMMENCEMENT. ~
STATE OF FLORm" VI'. n /J ~
COUNTY OF PASCO i'''''!I~ JUNE C BLEDSOE ~ ev& ~ ....
~ MY COMMISSION # DD46262E
~~v:,$ EXPI RES: Aug, 17, 2009 Signature of Owner or Owner's Authorized OfficerlDirectorlPar1nerlManager
(~~~9B.(J153 Ronda No1ary Service. com C-IrR.L. tV 45 T7: Ai
Print Name
Type of Identification Produced
l\
The foregoing instrumeqt was acknowledged before me this 10 day of It P IZI L ,20~by CA-R.J.... AJ
. Cfr5>TEAJ as (type ofauthority, e.g. officer, trustee, attorney
m fact) for (name of party on behalf of whom instrument was executed).
Penonally Known L OR Produced Identification _ Notary Signatore (j, ~. C- ~
. C--
Name(print)_ 0UN~
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Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have readJhe fqre~oi~~:!6i~'~~
!he fact..tated in it .... trne to the best of my knowledge and belief. 0 .' (.' :,: "00:" .., ';;, "':
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STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PULLIC RECORD IN THIS OFFI;g:f' ITNESS MY
HAND A FICIAl. AL THIS, DAY OF
2m __
JED ,LE F CIRCUIT CO
1\Jv EPUTY CLERK
BY
Pasco County Parcel: 11-26-21-0010-13700-0010 001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Of:
Weekly Archive - Saturday, April 05, 2008
11-26-21-0010-13700-0010 (Card: 001 of 001)
01 - Single Family
Assessment (totals)
Ag Land
Land
Building
Extra Features
$0
$44,184
$56,470
$164
Parcel ID
Classification
Mailing Address
CHEN KIN RICHARD W & PAULA K
5447 11TH ST
ZEPHYRHILLS, FL 335424313
Physical Address
5447 11TH ST
ZEPHYRHILLS, FL 33542-4314
Total Assessment
Save Our Homes
Homestead Exemption
$100,818
$52,795
- $25,000
Legal Description (First 4 Lines)
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 1 & 2 BLOCK 137
OR 4493 PG 944
Taxable Value $22,795
Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
A/C
Above Average
Gable or Hip
Wall Board or Wood Wall
Asphalt Tile
Electric
Central
Stories
Exterior Wall 2
Roof Cover
Interior Wall 2
Flooring 2
Heat
Baths
None
Asphalt or Composition Shingle
None
Ca rpet
Forced Air - Ducted
1.0
Line
1
2
3
4
5
Description
BAS
UST
UEP
FEP
FUS
Sq. Feet
932
32
64
128
330
Repl. Cost New
$53,590
$748
$1,840
$5,175
$17,078
Line
1
Extra Features (Card: 001 of 001)
Year Units
1996
2
Value
$164
2000
1992
12
09
Sales History
CHEN KIN AUDREY R TRUST
Book/Page Type
4493 / 0944 WD
3069/ 1073 WD
Amount
$0
$0
Previous Owner
Year Month
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
http://appraiser.pascogov.com/search/parce1.aspx?sec= 11 &twn=26&rng=21 &sbb=OO 1 O&bl... 4/9/2008
CIT:t-~O.FZEPIIYRHILLS BUILDING DEPARTHENT
OWNER
JOB LOCAT.ION
PARCEL I.D.off
SIIOW ALL EXISTI..IG & PROPOSED STRUCTURES GIVINGDIHKNSIONS& SETBACKS.
D.l.~
\9 SA f D
r-----
\
t\ QUS"E
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
, 'j
,I
l'
~D/
i
FRONT PROPERTY LINE
(NO.TEEXAMPLES 1 & 2)
STREET
~4L17 "/ /'11t 5"T.e..e.~
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
la' EXISTING la'
1~0
PROPOSED
20'SGL FAM 30' DUPLEX
FRONT PROPERTY LINE
FROHT PROPERTY LINE
COOK PORTABLE WAREHOUSES ORDER FORM
DATE: 4/7/2008
BUSINESS NAME:
VISTA MARKETING
(UJ-I-ILt: U::>t: UNLY)
SALES PERSON:
CARL CASTEN
DEALER PHONE #: 813-788-5459
D~~R~X#:813-788-5459
ACCOUNT:
E-mail orders to:
orderentry@cookstuff.com
DEALER LOCATION:
USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT
LOCATION OF BUILDING: THIS SALES LOT
BACK
STYLE SIZE COLOR SHINGLE METAL
BARN X DARK NEW XX
BROWN
ECONO X BLACK
LOFT BAR 10 X 16 WHITE XX
CHARCOA XX
UTILITY X
LEFT RIGHT L GRAY
GARAGE X LIGHT
BROWN
LOFT GAR. X
CABIN X RED
FRONT
Y CODE FOR OPTION PLACEMEN- D SINGLE DD DOUBLE S- STEEL F- AIC G- GARAGE W=
DOOR DOOR DOOR FRAMEOUT DOOR WINDOW
MISCELLAN EOUS
RICHARD CHENKIN
CUSTOMER NAME(S)
CITY
STATE
ZIP COUNTY
HOME
WORK 813-782-1583
CELL
HOME
WORK 813-469-8696
CELL
HOME
WORK
CELL
NAME OF EMPLOYER CF INDUSTRIES
SOCIAL SECURITY
NUMBER
DERS
DRIVER'S LICENSE C525-759-50-307
NUMBER
)ATE OF BIRTH 8/27/1950
5447 11TH STREET
ADDRESS
ZEPHYRHILLS FL
CITY
STATE
33542 PASCO
ZIP COUNTY
DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS
E-MAIL ADDRESS
SALES PRICE
$2,915.00
SALES PRICE
SECURITY DEPOSIT
DISCOUNT
DISCOUNT
SERVICE FEE
OPTIONS TOTAL
OPTIONS TOTAL
DELIVERY FEE
SUBTOTAL
$2,915.00
SUBTOTAL
TAX ON DELIVERY
STATE TAX _0/0
OPTIONAL DOWN
PAYMENT
LOCAL TAX _0/0
$204.05
TAX ON DOWN
PAYMENT
TOTAL DUE FOR DELIVERY
TOTAL DUEl
INGLE USE TAX (TN)
MONTHLY RENT
SERVICE FEES
MONTHLY STATE
SALES TAX
OPTIONS
PRICE
DELIVERY FEE
$135
MONTHLY LOCAL
SALES TAX
TOT ALr----------------------------------m---------i
TAX ON DELIVERY $9.45 MONTHLY RENT1..____________________________________________.!
TOTAL DUEl $3,235.00
OPTIONS TOTAL
AMOUNT RECEIVED BY
DEALER
$3,235.00
CHECK NUMBER OR
REFERENCE NUMBER
#4312
COD AMOUNT
HWY 301 NORTH TO 9TH AVE. TURN RIGHT. TO 11TH STREET. TURN RIGHT.
FOR DELIVERY STATUS, LOG ON TO COOKPORTABLEWAREHOUSES.COM
HOW TO LOAD THE DOORS?
TOWARDS THE CAB XX
BACK OF THE TRAILER
DRIVERS SIDE
PASSENGERS SIDE
ALL WEATHER DELIVERY?
YES HARD SURFACE XX
NO SOFT GROUND
FOR CUSTOMER
(PLEASE PRINT)
These questions must be answered for all orders!
1 Is there clear access to the desired delivery location?
(i.e. is the area clear of trees, overhead wires,
ditches, and enough room for a 30' trailer, etc.)
Yes
No
~
@]
D
2 Will driver need to cross property other than your own?
(If Yes, the adjoining property release form must
be completed before delivery can be scheduled.)
3 Do you own the property where the building will be placed? @] D
(If not, do you have owner's permission to place
building on the property?)** D D
** A signed document from the property owner granting Cook Portable Warehouses or
its agent access to his property to deliver and/or retrieve the portable warehouse must
be obtained before delivery will be scheduled.
4 Is there a fence** around the property? D ~ ~ _
** Unless there is a gate wide enough to accommodate our truck and trailer as well as
the width of the building, the customer is responsible for removing the fence to allow for
> How wide is the gate opening? I I D.. /"1,
5 Will the customer be available to sign for delivery? ~ D ~
(If not, the customer must add an authorized person to the account before delivery will
be available.)
D
[gJ
-2C
(
~
A Delivery includes a one time building placement and leveling (up to 6 inches).
B If the customer requires the delivery driver to perform duties that make the delivery longer
than 45 minutes, the customer agrees to pay a charge of $40.00 per hour.
C The customer may incur an attempted delivery fee if the answers to questions 1-5 above
prove inaccurate and the driver is dispatched but cannot deliver the building.
D The customer must pay all deposits, fees, delivery costs, and applicable taxes before the
scheduling of Lease with option to purchase orders.
E The customer must pay a non-refundable deposit (amount to be determined by
management) on special built buildings prior to the order being processed for construction.
F Cook Portable Warehouses carry a lifetime warranty against termite damage and decay.
Therefore, it is not necessary to place them on blocks. However, at the customer's request
at the time of placing this order, the driver will block the buildings no more than 1 concrete
block high provided the customer has the blocks on hand at the time of delivery. There is a
charge of $30.00 for buildings up to 16' and $40.00 for buildings up to 24'. Buildings
longer than 24' must be placed on level ground.
G The Lease with option to purchase program has been explained. The customer understand
that the term of the agreement is for 36 months and that 55% of each rental payments
(excluding taxes, fees and other charges) will be applied towards the purchase price if the
option to purchase is exercised.
H The customer understands that all rental payments are due on the last day of each month.
Also, if the building is delivered between the 1st and the 15th of the month, the first rental
payment is due by the last day of the same month. If the building is delivered between the
16th and the last day of the month, the first rental payment is due by the last day of the
I Any permits and/or compliance of local or state regulations, as well as the anchoring of the
building, are the customer's responsibility.
J The customer releases Cook Portable Warehouses and its agents or employees from any
and all claims of damages to property (e.g. shrubbery, trees, lawn, fences, driveways,
septic tank, overhead, underground utilities, vehicles, children's toys, etc...), and any other
personal property associated with moving a portable storage building on-and-off the
K In the event that the delivery driver attempts to install the portable building and becomes
stuck, the customer agrees to pay any and all associated costs, including, but not limited to
I have read and understand the above items and have reviewed the diagram on page 1 of this order
form for correct placement of all options including door(s) an . dow(s).
1/ --c7 -(02"
Lj ----7.,.-~ Customer Signature
Page Dealer
Date
Print Name
-.e....-lt:::'. ~
Date
CARL CASTEN
Revision 108
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NATIONAL DESIGN, INSPECTION & ASSOCIATES, INC.
P.O. BOX 627
RUSSELL VILLE, ALABAMA 35653
PHONE: 256-332-4157
FAX: 256-332-2806
EMAIL: NDI@CHARTER.NET
RE: Manufacturer: Cook Portable Warehouse
Occupancy: Storage
NO' Plan #: 3R495-002
To Whom It May Concern:
This is to certify that the plans for the referenced modular building have been
reviewed and approved as being in compliance with the 2004 Florida Codes and
Standards, with 2006 supplement, subject to the following limitations:
1. Approval covers factory-built structure only.
2. Items installed at the site are subject to review, approval, and
inspection by the local authority having jurisdiciton.
3. The Chapter 633 Plan Review and Inspection shall be
conducted by the local fire safety inspector.
4. Signed and sealed plans shall be on file with NOI, Inc.
5. Not approved for High Velocity Hurricane Zone (i.e., Broward
and Dade Counties).
Sincerely,
National Design, Inspection & Associates, Inc.
:jg./ '2\:./ ~2ICl,? .l. :~j~ 31
81332 'j ;~:;(5 2'~
,:;iJLEH iPi=C> ,
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FRED S. CARDWELl.. Profllssional Er,llineu If Land Sl.lr'i'~or
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i 000 S Rei,:!'.t", ,(oao. "B\dg A., u;-;;li-:" L.....:rgc Flo/:t<1;;. 3'j771 .. Ph,,\!.!' (i?7) ~24-190~ .. FM (7'27) 52t.- ~ ::199
.It:l) ~!, 2006
C)QK Portable WarehcJUsc
100 Douglll.5 ST,
Vilidcsta, GA 31603
TO ,"VH011>,1 IT M,.<\. 'j( C();";C::E.R.l';;
I Fred S. (-a:~:;',l\JdL FE- :>,pD.~)Vf [be uptlon of c;-1s:<:ibng (1) Simpson H.3 Hurrica:;e; C:lr' or
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ffynu hav,= ",11Y qu~:S[;':ac r:C::l.S:O: fc!~:1 fr::": to ea.H me
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