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Home My WebLink About91-1872 STATE OF FLORIDA City of Zephyrhills ;~~~ T9P~f Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 187~ Date Ii)'" ~~ -9/ , ('~~ ~AL p~'. MEC~ ~::P:~~r~:~ers Nam:f}q (;fi~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated cost:,I.;:?, ~OO' 00 - ~J, -0 Fee';r c3~ SIG~ATURE - - 1 U~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. '-~ 7 ?jt-;::y- OCCUPATIONAL LICENSE #,~ 7 .. . . l/;;Y~ a~'t4lILA~ '7J7aj'~ (~a . BUILDING PLU TRIC _~.. B Tub Set Water Sewer Final MECHANICAL Ftr. \ 0... ~ > -If , Pre SLB I ()-1..5Q I Lintel FRM, Insul.cL WL .Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. 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 will be issued to the person owning same. CITY OF ZEPHYRHILLS BUILDING DEPARTI,ffiNT '" .1 J I OWNER ~/".,;-_. ~ JOB LOCATION 5 15/ 4L- )/f L - I~~ LEGAL DESCRIPTION/SUB DIV. ELK. LOT Show all existing and proposed structures giving dimensions & setbacks. NO TE EXAMPLES 1 & 2) (j) Se.t backs fo'l" "R,1, 'R'Z, ~ f?'3 , ~orlln!l . No+e ~ Q""~1e. C;Ii' eurpQ;-t 1Y'Q"'" at/eLf JI/1u~f hc9ve /.(:S' ~...d&sc!.k.. 'u!;(,'i 6cirbfhy~ II1<:sl .:!>Iv-~ 5; -e.e < /o~{,\J- ~ :r IC>I<1 . I~ bO' I 10 . \0 Ell: f:s .ti 11 <j , 91?- sf~e'" F"ro111- /0151 ) o'p ~ '-r C(1e....yf\ \ ------ ~ Ho," e... 7(( ,0 ~I ~. 0' =1 \ ;... (] ~ ') 5 .1 r:;tJAtJ)- ;i[ rJit.5 ecPIl1 ~. j~n~E/~d ) I 'J.) 5 ~ 0 b F c v. -e v )/qb" ]lh(A P4YJS 2; 6 '3 0 11 rl /j'~1! I ) r'" 0 y...' r- If" ;,/ L..,~cFRONPROP R Y Ii E. ~ .~o~ ~, ,; Street d, '- t< 10 l' ~ rl )~ \0 /</0' J :S"/re~ ;:ron 10 rf, s+ . >1 '''''1l--...~_-v,' __ _.- .-,.,... :.. ~:-j7 :_11 ".. -- ,- PROPOSAL RJ1s ALUMINUM & MASONRY CONTRACTOR PROPOSAL SUBMITTED TO I /' / )",/~/V):L t:':J...-:'~.~. 37912 7th Avenue Zephyrhills, Fla. 34248 Phone: (813) 788-3741 _.":ZO;" ,i <_; ,.._-;, / , /1) 1:- '" . .-;". j .,..L-L.---1-~~7(. < .~..,f: / ,: .. ~~~~~~~_~ CITY / /,. I, .: ,"/h/ i'( ~~--1';,__~/vt_-;!...( / - -L___~__ STATE. r '1' ,r w. hereby submit specifications and estimates for .1 ") <""c.o JI X <,-<!"-- t- / , ) .J .' ~ I ......... J' -,{ .",. " }'" .-("'f., /'.....? '" - . ~I,./... .C '. /rl. ..';;6 ~/ I / / ,X 'J ) l../ - ....../- \ , ; j .' ,~~.<__),(.;/r.:~ ) ./ . I /(/r. .c/-I..~ . :.W'-../ /.:' j~ I~/..~..'::-i?~),-J>. [,0. ,Xlr~ ~<"~~.j"~ .1'~., I; .'r'/ /./+ //0--"'~ L / .? .'.{''? ,"-- '- '.l'---L j'j(;.'-" l<' ~\,..I " !) y; A,-1;Y~./--r:< /...... /:...d~~,(,j-L~ /A- /\- ..; . Lf'l' '5/,.' ir>.eJV (~<_/+- We hereby propose to furnish labor and materials .. complete in accordance with the above, specifications, for the sum of: u ,__~.~_~~_____._dollars (S ~.)) .___1 w,th p"yment to be made as follows: , ,: ... ,(" ./). ,(.. .'. " ,........-1 .",^" 1 " , 7 /(',f')'-/.~::~_J".:j,( ~,~.. .l.}-1.__ ! L ' ~- or v~ L ~~~ _______ .' / (' <,([-/)-1 '-- :._ ;;-;:L.... ./ ::A- t\.-.. I ._____ Ail m;~rial i~ guaranteed 10 be as spec if d. All work to be completed in a work manlike maoner according to standard practices. Any alteration or deviation from above specifications involving extra costs, will be executed only upon wrilten orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. This proposal subject 10 acceptance within 'hereafter at the option of the undersigned days and is void ..,.-) ./ ~ Authorized Signature /-1.+, ~/-f,;?l,l/ f\ //) it ,I / / .,~ V ' I ,.(;~/:::..t"A__,~ I L.- '< / , --- ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authorized to dp the work as specifi.!d. Payment will be made as outlined above. Date / -< ~ /,' /i I -(-- 4'?::'..--=r. .. Signatu e ....;:::: ;>::~ /"Lr...~) - , .' /' /,/ /.'J " /;~ / '//7 I . /l-4/~-t'" .;::..4..... _ . , ~.......... ACCEPTED: Signature . . APPLICATION FOR PEIDIIT CITY OF ZEPHYRHILLS BUILDING DEPARn-1ENT JOB LOCATION PHONE APPLICANT ADDRESS OWNER LOT SIZE~x/,25" AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ /O.''?& -,2/--DU.yO- () 0300 - D o/D WORK PROPOSED: ~ew Construction ____Addition ____Alteration _Repair ____Install ____Sign/Temp. _Sign _I.love _Demolish PROPOSED USE: ~Sing1e Family ~M/F _i~ of Uni ts ,._H/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COM1'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.*1< **COPY OF CONTRACT REQUIRED. PF.RMTTS RF.OUESTED _BUILDING $ .2,Ij?~D,f70 valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E,C. _HECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ ~ CONTRACTOR SF.~~ JHJTLDE' 1.,-,1 ~ Company . . .4J () 6 State Cert. ';r Reoist, II Signature' _, A..--l . . City License Rer.i.~tration ii 1 '}, J 1 ~ * * * * ** * * * * * **** ** ** ** * ,',~, ~r *~, * * ,',~"", ,', ,',.."", {, ,'", ,. Si!!nature Company State Cert. or Regist. 0 City License Registration n ****************************************** El.ECTRTCTAN Signature Company State Cert. or Regist, ~ City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL Signature OTHER i' iF PERl-lIT OFFICER. APPLICATION APPROVED BY CONDITIONS, OF.PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perlit lay bl sublect to "deed restrictions" which ~ay bl oore restrictive than City regulations. The undersigned assules respon51blllty~for. COlpliance with any applicable decd rcstrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor .or contractors tD undertake work, .they lay be rcquired to be licensed in accordance with state and local regulations. . If thl contractor is not licensed as required by law, both thc ONncr and contractor lay be cited for a misdeaeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zcphyrhills ~uilding Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owncr 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 Day be an indication that he is not properly licensed ~nd is nDt entitled to per~itting privileges in the City of Z~phyrhills. 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 C[,nstruction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the 'owner", I certify that I have elbtained a. CDPY of the above described de,culllent and promise in g[,od faith to deliver it to the 'owner' prior to cOI~encement. ~ 1 ." t' ~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inf~rmation in this application is accurate and that all wor~ will be done in coapliance with all applicable laws regulating construction, 20ning, and land development. Application is hereby made to obtain a per.it to'do Mork and install~tion as indicated, I certify that n~ worK or installation has COlmenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, and land devel~pment regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended w~rK, and that it is my responsibility te. identify what actions I must take to be in compliance. Such agencies include bid ~IC Il[,t lillited t~: #' I Depart&e~,t of Envir~nlllental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive Ldnds, Water/Wastewater Treatment * Southwest Florida \later' ManaQelent District - \/ells; Cypress Bayheads, Hetland ~reas, Altering Haterc~urses f ArtY Corps of EnQineers - Seawalls, Dods, Navigable Waterways f Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - W~Jls, Wastewater Treat~en~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in He,od Ze.ne "A" or "~,etc.', it is undHst[,[,d tldt a drainage plan addressing a 'compensating volume" will be subtitted which is prepared by a professional engineer regi5t~red in the State ~f Florida prior t~ permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official fro~ thereafter requiring a n,rrediH, [,f errors in plans; constructie1n, [Ir violations of any c(,de. bery perlllit isslld ~hall bee[.1t invalid unless the w(.rk authorized by such permit is ce,uenced within six months (,f issuance, (.r if \it,d; a\!tho, l.:ed by the perlit is suspended ~r abandoned for a period of six lonths after the ti~e the NDrk is commenced. One 90 day e:le~5iDII of tile, say be allowed for the per~it with fee charge of ~15.00. The extension shall be request~d in Hriting to the Building Official. An approved inspecti[,n !:lust be l(,gged during each six 1II0nth period, (Ir the pr[Iject Iii 11 be c[,nsidNed ilbol,d(.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". DATE ____lP____~~::-fj--------------.--.------- NOTARY AS TO \ --?: iOf / , ;' OWNER OR AGEN~..b1c:~ . U~'7r-'---.- MY COMMISSION EXPIRES_ __~~~_~~--L~2_~---- SIGNATURE~'~~---- CONTR~TO;---.l--r DATE_~_C2_~;r-~-~-(-------------- NOTARY AS, TO ~;;;: / .l CONTRACTOR_~~_~fL.,L?-~---- MY COMMISSION EXPIRES~=~-~rj-~~-~-