The URL can be used to link to this page

Home My WebLink About91-1837 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ 183713 /A _ -1_ 0'/ Date / u' L L _ ~ ~/ EL~ prOperIYOWnersN:me:f~'" D~ flIdr- Job Address: l? <f-7~ 5' 21 p-1 n PL~ ME~AL Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application (!!/ Estimated Cost: ~ c/O, 177-':> Fee: c2CJ - u-o SIGNATURE ~ ~;Jj~ ./" , All work shal! be performed in accordance with the above and all City Codes and Ordinances. COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE #$91f t:/rjd;u1(J (~~arz/~ BUILDIN ~ING -------- Ftr. SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL ELE~AL '---- ME~ICAL "'-- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins I. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) 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 fees shall be made before any further permits wi1\ be issued to the person owning same. ,/ r .-..... [annef Aluminum and WOME c[)E81GN ~ if) r <u Iou) r (u~t6 2806 Drane Field Road. Lakeland, Flo Telephone: (813) 647.1561 (Lie. # CBC 04068~ \C}; DIVISION Of ALLEN CONNER ENTERPRISES. INC A Florida Corporation THIS AGREEMENT between Conner Aluminum and Home Design AND: ~ ~ ~o/lV~eretnafter called the Owner, CONTRACT SUBMITTED TO PHONE 788,"'" 2?? DATE 1/56/9/ I /J~, JOB NAME , JOB LOCATION -- --- I~OB PH~___ cD -f.(l'~.hJ ~ Ui1C .s I1>E or! fA" checks are to be made payable to A"en Conner Enterprt All matarlal is guarantaad to ba II specified, All lebor in connection with perfor- mance of this agreement Is covered by the ellached warranty, OWNER'S PROTEC- TION POLICY: LABOR 80 INSTALLATION, limited Warranty, which is incorporated by referance to this agreement, Any alteretlon or deviation 'rom abova speclfic.tlons Involvtng extr. COlt. will b. executed only upon written order., end will become an .><tr. ch.rge ov.r .nd .bov. the speclfl.d .um on this .gr....ment, The Owner sh.1I be liable 'or any collection COli, court co.t, or .llorney's fee in conn.ctlon with. br..ch 0' thl, Igreement by the Owner. This agreement end performance thereunder I, con- tingent upon the att.ence of Itrike., aCCident.. or dellYI beyond Conner Aluminum &I Home o..'gn'o control. The Ownar Is to carry flra, tornado, flood, v.nd.llom, .nd other neee...ry Inlur.nee. Our employ..s .r. covered by workmen'. compensation Inourance, YOU ARE I'ftOTECTED IIY THE flORIDA HOME IMPROVEMENT ACT. ERII L OREEMENTS WILL NOT BE BINDINO UPON THE COMPANY, ) Authorized Signature ACCEPTANCE OF CONTRACT: Thi. contr.ct i. not binding until .c, espted and signed by the signature of Glen Allen Conner, President. or an authorized officer of Allen Conner Enterprises, Inc. or upon the commencement or performance bV Conner Aluminum & Home Delign under this agreement. It shall then be II binding contree. I. to all p.rtles. and i. not, thereafter, lubject to cancelhltion except as pro- vided by law. (SEAL) Olan A"an Conner. ,","ldent or AutlMlrlzed OfIIcer (SEAL) (SEAL) APPLICATION FOR PERN'IT CITY OF ZEPHYRHILLS BUILDING DEPARTt-iENT JOB LOCATION PHONE Co l{t ~ l '5 & I APPLICANT ADDRESS " OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ WORK PROPOSED:____New Construction ____Addition ____Alteration ~~pair ____Install ____Sign/Temp. _Sign _~love ____Demolish PROPOSED USE: ~ingle Family ~M/F il~ of Units ,.____M/H ____Commercial ~Indust. ____Swim., Poo 1 Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COilltERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. r.P.RMITS REOUESTED ~UILDING $ ~ Oo-cxJ valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** SECT~ & ;:;.,) t;p. , ( Company A1 'Y1tYU.J... 1 .A.J J Lf) State Cert. or Regist. # City License Registration j/ ****************************************** T1tV- t' signature Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** f,T.ECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. a City License Registration 0 ****************************************** MECHAN1CAI. Signature Company State Cert. or Regist. 0 City License Registration 0 PTHER APPLICATION APPROVED BY ****************************************** 71 /f /11./ d . _..,fj _/t J;tv,~ PEmlIT OFFICER. CONDITI0NS;O~,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,underslgned understands that this perlit lay bt subject to "deed restrictions' Mhlch Nay b~ ~ore restr.ictive than City regulations. The undersigned assumes responslbility:;for"colpliance with any applicable deed restrictions. "u"-,,,-.,., . , B. If the owner has hired a c~ntractor ~r contractors to undertake work, 'they lay be required to be licensed In accordance Mith state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ftay be cited for a misdeaeanor violation under state law.: If the owner or intended contractor are uncertain as to what licensing requirelents uy apply fe,r the intended work, they are advised to cc>ntact the City e,f Z~phyrhills Building DepartmHlt, (813) 7BB-bbll. :' ld Furthermore, if the owner has hired' a contractor or contractc>rs, he is advised to have the contractorls) 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 sign 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 ~MENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's C~nstruction Lien Law - HOleowner's Protection Guide' prepared by the Florida D~partlent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the 'owner', I certify that I have e,btained a, copy of the above described de,culllent "nd pro~,isc; in ge,od faith to deliver it to the 'owner' prior to co.~encement. ~ t _'; : -~ ~. ': I ; : . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in 1his applicatic>n is accurate and that all work will be done in compliance with all applicable laws regulating ce,nstructiecn, zc>ning, and land developllent. Application is hereby !lade tCI (,btain a perlllit to'do Mork and in;,tal1~tic>n as indicated. I certify that no Mork or installation has cC>llenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laMS regulating construction, City cod~s, zoning regulatic>ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern~ental agenci~s ~ay apply'to the intended work, and that it is .y responsibility tel identify \'Ihat actions I lIlust take to be in compliance. Such agencies include bid ~I e Iie,t liaited to: . J.~ . o' f Departlent of Environmental ReQulation - Cypress Bayheadsf Wetland Areas and Environmentally Sensi live Ldnds, Water/Wastewater Treatlllent I Southwest Florida Hater' ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses f Arey Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways f Departeent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Waste\'later Treat~tn~. Septic Tanks f US Environsental Protection AQenct - Asbestos abatement I also certify that, if fill latHial is to be used in FlMd Zone WA" or 'A,etc,', it is underste,(,d t1"t a drainage plan addressing a 'compensating volume' \'Iill be sublitted which is prepared by a professional engineer reqist~(ed in the state of Florida prior to permit issuance. A pereit issued shall be construed to be a license to proceed with the \'Iork and not as authDrity to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a ce,rredion e,f errors in plans; ce,nstructie,n, e.r violations of any code. Every pN~it issll~d "hall bece.le invalid unless the work authorized by such permit is cOJmenced \'Iithin six months of issuance, or if HOI'k authol lied by the permit is suspended or abandoned for a period of six lonths after the ti~e the work is co~menced. One 90 day e:tensioll of tile, say be allowed for the permit with fee charge of $15.00. The extension shall be request~d in Hriting to the Building Official. An approved inspectie,n oust be le.gged during each six Ilonth period, or the project lii11 be c(,nsidered dbollde.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 DETAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOES UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE4~-~~#=--- SIGNATURE_4!{~ DATE -----1/2):1.1'11-------------------- NOTARY AS TO ^' ~ OWNER OR AGENT_~~-~-~c1------~~~~~- MY COMMISSION EXPIRES t V~. -~~~------------------ ":; ~Qry Ft:;'~t~(, !?tI,fto G~ ~:tJ~tf!5 ~ Cn;j~I;,':::',;-, -------- DATE____~L2;C~~~------------------ ~~~~~~C~~R~~--~~~~~-~:~- "' MY COMMISSION EXPIRES__________________ r t' ,:, eJ..'!, ~:.?~ l(j?~ p,. ~.j::iC: J i::-:: 'h':. i ~-"..j,: ~ jn~:J::m.;;~: !11':. ~ ~ ".",. , _'~ '<h,