HomeMy WebLinkAbout91-1836
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
do. L-ru 1-813-788-6611
Type of Permit
~ ELEC't1oK:AL PL~G MECi'mNlcAL
Properly Owners ~ame:;jf/ J !a T
Job Address: \....5 () -...sS""-___ ~-~.
Permit :N'~
1836 g
Date / {) - 7 - 7' I
Legal Description: Sub.Div.
Lot
Blk.
e; .a..n6
Description of Work
~ 60
Zoning CI: /!-
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Fee: 30. cJ/)
SIGNATURE ~~ m~L
/
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: ;) 7 b ;;2. c)-v
I
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #f:). 9 '/
() $~JL C/hA.-e>1 171Z~,
( BUru;;~___~ PLUM~
ELE~
MECH~
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Ins!.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fccs shall bc madc before any further pcrmits will be issued to the person owning samc.
[annef
Aluminum
and WOME GfJE8JGN
DIVISION OF ALLEN CONNER ENTERPRISES, INC A Florida Corporation
THIS AGREEMENT between Conner Aluminum and Home Design AND:
C9U~RACT SUBMITIE~TO
-Jl!!J /I1ALJ (:;) eL)(t{ E
STREET SO S5 ?ft, 5 -I-
G2
Lt; tref? L
L Ifell#1C
(j)
(j)
c>2
/J!{ /1(4 '7l1~J I
hereinafter called the Owner,
PHONE
7~2- S/~ 8
1/
JOB NAME ......
....-
JOB LOCATION
.-
I JOB PHONE
{ ~1d-
L 1-1 /I, f:>
f>LK.
/ f>1i 5~ L S- (p
I
.-zC'~
u~ VfN
~ wm-k,
L
1(- J. t:::,-?.J
[) 0 ( D -- ~Ob6 0
6050
Conner Aluminum & Home Design hereby PROMISES to furnish material and labor, complete in accordance with above specificati9rs and estimates
and the Owner PROMISES to pay the sum of:/~7/I>a-f.4N.1) 1iI,Jf.6 (/K+ '7illc:l - dollars ($ Z 96 iil ...!- )
WITH payment to be mad'l to Allen Conner Enterprises, Inc. as follows: .;; / i J ,
~ 300 ~ ~ A1 CA l~u.JC~ '2 (q (O2.!:;!. 'f) VC G)...J Lc ~'1' l.c.A./' 1-'
(All checks are to be made payable to Allen Conner Enterpris
All meterlel II guerenteed to be II Ipecifled. All Ilbor In connection with perfor.
mance of thll Ig..ement il covered by the Itteched we...nly. OWNER'S PROTEC.
TION POLICY: LABOR II< INSTALLATION, Limited We..enly, which II incorporeted
by reference to thll eg..ement. Any elteretlon or devietion from ebove Ipeclflcetionl
Involving eJCIre COlli will be executed only upon written orde.., end will become en
eJCIre cherga over end ebove the lpeclfled lum on thll eg..ement. The Owner Ihell be
liable for eny collection colt, court COlt. or ettorneY'1 fee In connection with. breech
of thll egreement by the Owner. Thil eg..ement end performencethereunder il con-
tingent upon the ebeence of Ilrlkll, eccldenll, or deleYI beyond Conner Aluminum II<
Hl)Il'Ie Delign'l control. The Owner II to cerry fire, tornedo, flood, vendelllm, end
other nlCfJlllry Inlurlnc., Our employe.. ere covered by workmen'l compenletion
Ineurence. YOU AM! l'IlOTECTED BY THE FLORIDA HOME IMI'ROVEMENT ACT,
VERBAL A EMENTS WILL NOT BE BI DINO UPON THE COMPANY.
y Iffixlng hil or h~1 ~ndenllndl the ter
(SEAL)
EAL)
Authorized
8llnetUre
ACCEPTANCE OF CONTRACT: Thil contrlct il not binding until Ie.
Clpted end ligned by the lignllu.. of Glen Allen Conner, Prelidlnt, orenluthoriZld
officer of Allen Conner Enterprisel, Ine. or upon the commencement or performance
by Conner Aluminum" Home Delign under thil agreement. It Ihall then be a binding
contract II to III plrtiel. and il not. therelfter, lubject to cancellltion except a. pro.
vided bV Ilw.
(SEAL)
Olen Anen Conner, ......ldent
or Authorized Offleer
APPLICATION FOR PERt-1'IT
CITY OF ZEPIIYRlIILLS
BUILDING DEPARTl'1ENT
:::~:::NT Y!!fJSi~ ,f~ ~j~ A ~f
OWNER _~_ ~,_-J;~:
JOB LOCATION~ <--){) 5<: 9+ ~ y
_PHONE
LOT SIZE_X
AREA SQ. FT.
~:
'.
PARCEL 'I. D. jl
BLOCK
SUBDIVISION
LEGAL DESCRIPTION: LOT(S)
WORK PROPOSED:____New construction
_Addition
____Alteration
6:pa{r
_Install
_Hove
____Demolish
____Sign/Temp.
PROPOSED USE: ~ngle Family
_Sign
..:...--M/F
-Lj~ of Units
, .____M / H
____commercial
~Indust.
_Swim.. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
Height
RESIDENTIAL:
COMl'1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OP DUILDING PLANS & (1) SET ENERGY FORMS,--
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
}ry'.RM1'fS RF.OtJES'fEn
\/BUILDING
$
J. CjG, ~ q:U
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp,
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical InsU.ll1ation
_PLUMBING
GAS
ROOFING
SPECIALTY
~t/A#1.
Other
TYPE OF CONSTRUCTION:
____Block
_Frame ____Steel
FINISHED FLOOR ELEVATIONS: FT.
Ii11t. &. f:.-z;;;,.' - ,CQNTRACTOR SJl~;; fiiili. ,~
n 011,]) F _ ,A ~nLU- . _ ^ ,.4 A4 /.M -< r Company . ~t.u1 " :M - ~ . .. - 4#i'f(t; f -:: '
~1t2 '/:~ . State cert, or Repst, it L'
Signature r (; . City License ReGistration ~F
, 'I< 1< * ** *** ** * * ***** ** 1< ** * ie ieie * ie * ie ie .:e i," ':e ,', i"," i, ,', *
******************************************
SiO'nature
Company
State Cert. or Regist. 0
City License Registrntion 0
******************************************
=
EJ.F.r.TR1r.1 AN
Signature
Company
4 State Cert. or Regist. a
City License Registrntion 0
******************************************
E-UTMBF.R
Signature
Company
State Cert. or Regist, ~!
City License Rigistration 0
******************~***********************
tlF.CHANICAT.
Signature
********~*********************************
APPLICATION APPROVED By)1 a~ .'0!r?/'t.(t\/> T .
Company
State Cert. or Regist. 0
City License Registration 0
0THF.R
PERtHT OFFICER.
CONDITIONS;OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The,underslgned understands that this perllt aay bl subject to "deed restrictions' which Nay b~ ~ore restr.ictive than City
regulations. The undersigned assumes responslblllty~for,colpllance with any applicable d~~d restrictions.
Itt'
.
" '.
UNL ICENSED CONTRACTORS AND ... CONTRACTOR RESPONS I B I LIT I ES
B.
If the owner has hired a contractor ~r contractors to underta~e work, 'they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ftay be
cite~ for a misdeleanor violation under state law.! If the owner or intended contractor are uncertain as to what licensing
requlrelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department (813)
7BB-bbll. : ',,' l '
Furtherlore, if the OWner has hired a contractor or contractors, he is advised to have the c(,ntractor(s) sign portions of the
"Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sl~n
as contractor that lay be an indication that he is not properly licensed and Is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Ci'nstruction Lien Law - Ho.eowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the
'owner', I certify that I have e.btained a, co'py of the above described d(,cu~ent and pr(,rr,is(, in gc,od faith to deliver it to the
'owner' prior to cOI~encement.
:l'i'::.: I, ;,;
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all ijork Hill be done in compliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby made to obtain a pertit to'do Mork and install~tion as indicated. I certify that no work or
installation has commenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is
ay responsibility te, identify Ilhat actions I lIIust take to be in compliance. Such agencies include bill :"Ie nc.t liftited to:
...
I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Ldnds,
Hater/Wastewater Treatment
I Southwest Florida Water ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Haterc~urses
I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, HasteHater Trcat~en~, Septic Tanks
I US Environftental Protection AQency - Asbestos abatement
I also certify that, if fill aaterial is to be used in Fl"c,od Ze,ne "A" CIT 'A,eIL', it is understc,(,d t1,~t a drainage plan
addressing a 'coapensating volume' will be sub.itted which is prepared by a professional engineer iegist~(ed in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violjte, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial frol thereafter
requiring a corrl:ction (,f errors in plans; ce.nstrudie,n, e'T violations of any code. Every per~it issucd :hall bece'le invalid
unless the work authorized by such permit is cC'llIllenced within six Nonths of issuance, c,r if w(,rk authr"l;:ed by the permit is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=te~5ioli of ti~e, aay be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspedie,n ",ust be l(,gged during each six month period, e,r the project liill be c('nsider~d dbolld(,ned.
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 YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE~~~~~{~~'~L-- SIGNATURE_~~!:~-~--------
~~ER OR AGENT ~~-- CONTRACTOR
DATE_____L/1j-7-)-. ._LJ.. _L_~. __.___',~.'..._.._.....'_...~' -./ ---- DATE_-.!.tJ) -7-/'i--L. -. -~----- J:. - . - .---- ;/
NOTARY A5 TO ~ L .,1 "',!J , / / NOTARY AS'lfO Ip ~jJ l:-./ ~
OWNER OR AGE~ ~. _ _,]d/llf!./ti' CONTRACTO~~(t --~ _{lj~JZ.f!/fo
"-
MY COMM 155 I ON EYllB$~';'--i:':'"n""~~~1.'"'~;;~lffi---__- MY COMM 155 I ON EXP If;~1~i~!''~::.~m<c;~r~Jrrdtt----
t0C;.:.lC.;:j "{hru Iroi' fain -/r,::;:.Jrc.'lce ln~..
.. .',.' (., " JlYi5
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