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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// , r .' " (~- EL~CAC'-" PJ;JJMBTN'G M E.cH1~1'~TCXC-- 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. fJ) ~A-6t ~I/S ~U(~ IJ-~ % Vrtyt.s/~6/~7' l- ,4/rn ttlArllr~ If a/II ~ @ /lVsfA1Il ~IW-P (N~0yJ~~ ~ :eM#. 6jt(3~. (j ~ ;;;jd 4vlj 1/W/IiC ;%.e tJ6rJ-/ ~ veMIJ. f/J"II- l_fWt~ tlJ~.. ~k.1t( I tA1J 1Jh1h 7f/4f /IJf/1 rl/CP ~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 .,.,. ." ",.1 r.,.I.'I".. If 'h. ",'r"',r I. ,,' l".,..d .. ,.,..r.d by I." b.lb 'h' "'" ." ",I,."" "y b. ,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-