HomeMy WebLinkAbout91-1942
STATE OF FLORIDA
City of Zephyrhills
,/'
:;7
Type of Permit
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~
1940'
Date //- Qo- C//
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PJ;JJMBTN'G
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Property Owners Name:
Job Address:
~ ~ Cl
~(-J~r ~_$p(~
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
,.---
/'
~ ~
iJ
"J
L}1J26-<7 LAU/~"
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: /1> ~.3 '%S-. ~
'" ",~-- .1::2-.
Fee:! c.L . ~
SIGNATURE - /~~~-'--...
or .---.
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
c?-6 {J.,O J./ u C; y~
og.cvPA T10N~ICENSE # .::?9 "I
~~~~
(,' BUILDINg; ~.~~
Ftr. SlB
Pre SLB Tub Set
Lintel Water
FRM. Sewer
Insul.CL Final
WL
~C'A[
_.JA[CIIMH~^l
Tp.Serv.
Rough In
Meter Can
Const Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspections: 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.
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~Eannl!r
Aluminum
and WOMB CVB81GN ,
DIVISION OF ALLEN CONNER ENTERPRISES. INC, A Florida Corporation
THIS AGREEMENT between Conner Aluminum and Home Design AND:
,
tV
2806 Drane Field Road · Lakeland,
Telephone: (813) 647.1
~ 6Jt;:,}C04
hereinafter called the Owner.
PHONE
JOB NAME .:s;-
JOB LOCAT~
I JOB PHONE
(, t!f..L_
~f - /).1- ;2 2. ()C/U10
r13-( - P1 set
"- Afi1&_
~~(\ \ ~k's
IN ~
~r ~
~+lw{.{OtJ
tJ
-
. (All checks are 10 be made payable 10 Allen Conner Enterpris
All meterlel I. gua"nt..d to be a. .peclfled. All labor In connection with perfor.
mence of thla agreement I. covared by the "tach ad warranty, OWNER'S PROTEC-
TION POLICY: LABOR 1Io 'I'STALLATION. Limited Warranty. which I. Incorporatad
by reteranca to thl. agreament. Any al\eratlon or deviation trom above .peclllcatlon.
Involvtng .xtr. COI" will be executed only upon written order., end wilt become In
axtra charga over and abovetha .peclfled .um on thl. agreement. Tha Owner ahall be
n.bl. for .ny collection coat. court COlt. or .ttorney', fee In connection with. breech
of thl. Igr..ment by the Owner. Thla .gr..ment end perform,nee thereunder II con.
tlngent upon the aMence of IIrlke.. accldanll. or delay. beyond Conner Aluminum 1Io
Homa o.algn'. control. Tha Owner I. to cerry fire. tornado. flood. vandall.m. and
other n_.ary In.urane.. Our employa.. are covered by workmen'. compen.atlon
In","nc., YOU AM! l'IIOT!CnO ay THI FlOlllOA HOME IM....OVEMENT ACT.
VERIIAL AOREEMI!NTS WILL NOT BE IIINDINO UPON THE COMPANY,
,.'
-r
(SEAL)
(SEAL)
Authorized
Ilgnatll,
ACCEPTANCE OF CONTRACT: Thi. contract i. not binding until ac.
cepted end signed by the slgnatur. of Olen Allen Conner. Pre.ident. or an authorized
officer of Allen Conner Enterprise.. Inc. or upon the commencement or performance
by Conner Aluminum It. Home O..ign under this agreement. It shall then be a binding
contract a. to all parties. and is not. there.fter. .ub;ect to cancellation ..cept a. pro.
vided by law,
(SEAL)
01... An... Conner. ,.,..ldent
or Auttlorlzed Ofllee,
APPLICATION FOR PEIDIIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnmNT
APPLICANT atQt.N\ CrM~~ ~tA~n;~!~'~
ADDRESS ~lO~ <r;)~~Jbrf i2-1 ;f.,.a~'/.
OWNER ~ 0 f.k (1' tlM..L b
JOB LOCATION S S- (I to afk~ .
LEGAL DESCRIPTION: LOT (S)..J,J 'fI-.J)....
l' ~ - LYec511
PHONE &1./ 7- is&, I
~.
LOT SIZE
x
AREA SQ. FT.
BLOCK ~~
SUBDIVISION
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install
____Sign/Temp. _Sign ____Hove ____Demolish
PROPOSED USE: ~Single Family ...:...-M I F -~~ of Units ,._M/~
_Commercial _Indust. _Swim. Pool ~.
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~ILDING
$ 137S'~
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 Vl~
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
/l Ll /J-r- CONTRACTOR SECTION
BlnLDER (J/Lh1 Cc/)'ftY1L/l)OAI,j</JfJ./1./LlI~ -::z;::;;., t' Company
~ r/Ut1.4A. 2!;:::- State Cert. or Rcgist. iF t!/$I'/JI../(Jfa?fo
Signature ~,.A '// /y-;,:; .. ' City License Regi~tration iF
******************************************
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
ELECTRTCIAN
Company
State Cert. or Regist. n
City License Registration U
******************************************
,PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration U
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. 0
City License Registration 0
OTHER
Signature
**
PERl'lIT OFFICER.
APPLXGATION APPROVED BY
CONDITIONS~O~,PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
lb. .",dm.,..d ",dm'"d' 'b., 'hi, por." "y b. "blOC' " 'd..d ",,,.".m' ,hi ,b "y b' "" m ".," in "00 City
rl!guhtlons. ihe undersigned aSSUles respDnslbllitf:..~Dr;..cDlp1iance lIith any applicable deed restrictions.
'.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If 'b. ",., b., h.,.d . """",r ,r ",'r.,',r, ., .,d,r,.k' "rk,'h,y "y b. ,.,..,., I' h, li"".d " .""d.'" ,"b
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,i,.d f,r . ..,d...."r ",I."" .,d.r ,..,. I...; If 'b. ""r ,r I".,d,d ",'r."" .r. ",.,1." ., I. ,b., I.,."."
",.i....'" "y .,,1 Y for tho .,'"d.d .ork, th.y or. .d,."d " ,..,,,, tho my ,f l'pbyrb.1I, ,.. ld'" D.por ,''',, "'"
788-bbll. . . ",>
F,r'b.r..r., if 'h. ",.r h., hir.d . ",'r,,',r ,r ",'r"'.r,, h. " .d,.,.d I. b.,. 'b. "",.,',r',1 ,'g' p""'" ,f 'h.
'C,.'r,,'.r ,."..,,' ,f 'bl, .ppli'...,. f.r .hl,b 'b.y ..11 b. r.,p.,,'bl.. If y", ., lb. ",'r "g' ., Ih. "",.".r,
y" .r. i,d".'.'g 'h., Y", r.'h.r .h.. .h. ".'r.,',r, .r. r.,p..,'bl. f.r 'h' .,rk. If lb. ",Ir."" ..,b.' y" ,. ,Ig.
., ",'r.,',r 'h., "y b. ., ',dl'...,. 'h., h. i, ." pr,p.rly I.,.".d .nd ., ", .,'.'I,d I. p,r,,""'n, p",'I.g.' ." 'h.
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I ,.r"fy 'b.' I, 'b. .pp.'c.n', h.,. b... pr"id.d ..'b . ,'py ,f 'FI,r'd'" c."lr.,"" L'.' L., - ,....".r" pr.'.c""
..Id.' pr.p.r.d by 'b. FI'r'd. D.p.r'...' ,f Ag.i,.I'.r. .,d C..,.... Aff.lr', If 'b' ."I'c.,' " "..". .Ib., lb., 'b.
,,",,,', I cor ti fy th., I bm ,b to i ,,' .. "py ,f the .b'" ,,,,r ib.d 'oc.,,"' ,,' p'" i" ., g""' f. II b " d.1i '" II " ".
'owner' priDr to COI!enCelent.
: \ "t ,~~~_. \. 1 : :' .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I [.r.ify lb., .11 'h' l,f.r..II,. ,. Ihi. .ppl.[.'i'. i. .[,.r'" .,d .h.' .11 .,r' .111 b, d'" ., c..pl"'C' ,"h .11
applicable lalls regulating construction, zDning, and land development.
Applic..iD' .. b.r.by ..d. 1D ,b,.i. . p.r.il '0." .,.1 .., 1,.,.11".., ., ',d,[.I,', I ","fy lh., n. ,.,1 ,r
...,.".",. b.. "...".d p.iDr I' ..,...C. ,f . p.r..' .., lb.' .11 .,,1 ..11 b' p,rf,r..d I. ..,1 .,.".rd' .f .11 I."
r.,.I""9 [",'"c"'" C'ly "'eo, ".,.g r.,.l.II..., .,d I.., ",.I,p"" ",.1,1'", ,. Ih. I.,',d'["'" I .1..
,.r'ify Ih.1 I .,'.r.,.,d 'h., 'b. r.g.I.'i'.. ,f "h.r g.,.,...".1 .g.,,'" "j .,ply ,. Ib, ',I"d.d 'Drk, .,d 'b.' I' ,.
'y ",p'''' hi 11 I Y I. id'" if Y .h.' "Ii ,no I ,eo' tok. " b. i, coop 11 "CO, ,. ct, .,,,,ci" ,"e1. d. b," '" ." Ii. II.' ,,,
...
. D.~.r'.'~' ,f E.,'r;,..,;.1 R.,.I.'I,. - cypro" B.yh..", R.II.., Ar." ." E"I,.,."I.lly s,",'i'" L.,d',
Water/Wastewater Treatment
. S,.lb,." FI,rld. R.'.rM.,.,....1 DI,'rl[1 - R.II,; Cypr..' R.yh.,d., R.II.,d A",., Al,.r"g ,.'.rc,.r..'
I Arlv Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
. D.,.r'..,' ,f ,..11b , R,b.bll.,.'i,. S.r,i[.. E"'r,...".1 ,..llh U", - R'II., ".,1""" T".I"", '.pl'[ T.,I.
I US Environaental Protection Aqencl - Asbestos abatement
I .110 ",Ii fy th.l, if Ii 11 ..lor,.1 I. " b. .se' ., Hood 1,,, 'A' or 'A ,.t,,', II " "der' ,,,d 11,,1 · d," r,'g' pi"
.d'r.,"" . 'c,.p.,..I"g ",..," .ill b. ..b.I"" .h'cb .. pr.p.,'d by . pr,f".,.,.1 """" ro",',rod ,. 'h. 51." ,f
Florida prior to permit issuance.
A p.r." I..." ~.II b. [".'r..d " b. . I'c,'" I, pr,c..' .i'h 'b. ,.r' .,d ,,' ., ,.'b.r", " ..,1.", ,.,c.1 ,I',r, ,r
..1 ...d. ,'y pr.,""" .f 'b. '.cb.i[.1 ",.., .,. .b.11 1.."'[' ,f . p,r.il p",." lb' '.ildi,g Uff,,',1 f'.' Ib.,..f'.,
r.,.'r,'g . "r,.,"" ,f .r.,r. .. pl.,.; "..lr.,'I", ,r ,.,1.'"" ,f "y c,d" "~"~V p".'l .,..,d ..,11 b'c," .".I.d
",I... tho ..r k "lbor I ,,' by ,,[h pm i' .. co....,,, .ithi. . h ..' ". D f ,,,. "co, or if ",' I '" \I,.,,, ,,' by ". p'" it ,.
".p"d.d or .b "don.d f" . p'" ,d ,f ,i. ...lb. . "er the .;.. lb. ,or' " '"''''' ,0 . ,,,' qt, d. Y "I"'; i,,, ,r ti.., ..y b.
.,,"., f.r 'b. p.r.ll ,.'b f.. cb.rg. of '15,00. Tb. .".,.." ,h.11 b, r'q.,.I,d i" ,.il", " Ib, ",Id"g Dffi".I, A'
."ron' . ",poc ti on ..., b' I'qq" ,.,; 'g ",cb .., mth por..d, or lb. pro j ,e1 ,,' 11 b. CO" id er ,d ,b, "d, "d,
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 DR 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",
SIGNATUR~~-OR~------- SJGNATURE_~~~~
DATE_____-Jl)Af2-J-cz.1-~- c__________~___ DATE____1L)M/-1.Z--------------
~~~~~y o~s A~~NT ____~I-- _ ___------------ ~g~~:~C~~R~~__--~ ~ I.~ ----------
--., ~-
MY COMMISSlON EXPI S_~~::~:;~-~--- MY COMMISSION EX IRES.a::::~.1IR-