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HomeMy WebLinkAbout91-1956 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1956R C=&I~~ BUILDING ~.~. Properly Owner~ Name: ~ ~ ~@r~~ Job Address: ~ :;J.... :5 I'Y-'i Date ,/1- ~?-? / M~L Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work O~/~~<"~A~ -dttr/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: l. 7 o-z? .. u-v Fee: ..2~~ SIGNATURE ..... ~1~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # J 9~ ~/ flJI COMPANY ADDRESS TELEPHONE # .~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final PLU -~LB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL Wl 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 shaH be made before any further permits will be issued to the person owning same. - [anner Aluminum and WOME CJJE81GN DIVISION OF ALLEN CONNER ENTERPRISES. INC A Florida Corporation n ~ WJ 3354D We hereby submit specifications and estimates as follows: ~ J.-~ 2806 Drane FIeld Road e Lakeland. Florida 33811 Telephone: (813) 847.1561 I 00 ~ V~lJ/rJ aJ t--"- 1 ( aD ~ Uc. # cae 040188 f> It.,. /114~ hereinafter called the Owner, PHONE 7g07-~~ JOB NAME JOB LOCATION I JOB PHONE ~~I p~'fc5 72.P1-_ L04 "lAl, "~~o;f}E.-I'f '/ Vl>>JL tf~L,.4J ~. /Y" '5li:/~IJ, f1J1h<< IYro fLyUROj&l/VsI/!1! , ! / CD 1~',k pour.> ~+15 ON 9hn;4// I- 'J tj \\U 0~ ~~/ U-Id1 / fO~ ' (All checks are to be made payable to Allen Conner Enterprise All mlttrfll I. gu.r.ntMd to b. II .peclfl.d. All I.bor In connection with perfor. m.nee of thll 1lI_lftt I. covered by th. lItachad warranty. OWNER'S PROTEC- T10N POliCY: LAlOR. INSTALLATION. Limited Warrlnty, which I' Incorporeted by reftrtnct to thlllllrHm.nl. Any alterltlon or devletlon from abova apeclflcetlon. InvoIYfnt _ coati will be axecuted only upon wrlllen ord.... .nd wtll becoma an - chi,.. _ .nd .bov.th. .peclfled aum on thl, allr..ment. Tha Ownar ,hall be '"11I. for InV collection cott, court cott. or allomay', f.. In connection with a braach of tIllIllIrMInIftt by the Owner. Thl. Ill_ant and perform.nce thareunder I' con- tlntlftt upon th. ebIInce of Itrl.... accIden18, or delay' beyond Connar Aluminum. HoInt DIIItIn.. control. Th. Owner I. to cerry flra. tornedo, flood. vandall.m. and 0lfIllt ~ry lneurln.,., Our .mp1ov_ ere covared by wor.men', compen.alton 1ftIUttfIllI. YOU AlII fIRO''''11b IV TMlIIlORlDA HOMIIMI'ROVIMINT ACT. AL AGlIl!1!M1NfI WILL NOT lIl!eINDING UPON THE COMPANY. by Iffl.'llt hi. (SEAL) (SEAL) Own..'. Slon.tur. Authorlnd IIgnIltv ACCEPTANCE OF CONTRACT: Thl' contr.ct It not binding until ac. captad and tlllnad by tha 'Ionatura of Glan Allan Conn.., Pratldant, or an authorl.ad office, of Alten Conn., Ent.rpr..... Inc. or upon the commencement or performance by Conner Aluminum. Homa Oatlgn under thlt agr..mant. It thall than ba. binding contract e. to.n pertl... and i. not. there.fter, .ubject to cancenatlon except e. pro- vldad by law. (SEAL) G11ft All.... CoMer. I'realcIMt o. AuthorInd 0IlI0er APPLICATION FOR PERNIT CITY OF ZEPIIYRHILLS DUILDING DEl'ARTt-IENT APPLICANT ;7i?~~~~ IWlkf ADDRESS ?l gr;Z (/)~nMJ."/!:{f8;. OWNER r;;~ 1'1. 1](1/J/J;ti- 3A>'d-. ~ fr, j)~ fire ef)~/l/tLA ~L/Q/l11l P A . / ~ PHONE &Lf7-/ r; b / '. Jon LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK ~ SUBDIVISION PARCEL I. D. ~t __m.~ WORK PROPOSED:____New Construction ~Addition C;;=-Altel~ ____Repair ____Install ____Sign/Temp. _Sign _Hove ____Demolish ____Commercial _Indust. ____~t of Units ,._B/H _Swim. Pool $LL4#L/f.,(LL/1'1 Other PROPOSED USE: ~Single Family ~M/F ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMI-IERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. H: **COpy OF CONTRACT REQUIRED. ::PERMITS REOUESTED ____BUILDING $ /9tJo~~~ . Valuation of Total Construction _ELECTRICAL AMP Service' Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation . _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ ~ .l'OtiTRAGTOR ~EGnOti JHJ1LDER ~~ '/,I.J f' Company . .. . State Cert. or Rcgist. !~C.l8(?t1LIIJt&?b Signature. . City License Registration n ****************************************** Sirmature Company State Cert. or I\cgis t. II City License Registration 0 ****************************************** ELECTRICIAN Signature Company. . State Cert. or Rcgist. if City License Registration 0 ****************************************** . PLUMBER Signature Company State Cert. or Regist. D City License Registration 0 ****************************************** MECHANICAL ~. OTHER Signature Company State Cert. or Regist. 0 City License Registration ff APPLICATION APPROVED BY ~*********~************************* GA1 A' ~ ....t.7 /( AI, ;:::;-- , PERl-lIT OFFICER. CONDITION9.O~,P~RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Ih. """"'" .,..,.\.,.. \h.t thl. ,.,,\\ "y b, ..b\.,' t, '.,.. ,.,',1'\"'" ,hl,h "y h' ",. ,..',1"". 'h" C"y ",.1011"', lh. "''''''''' ",.m """.'b! "'1':10"-,,,,11.,,. ,\lh "y .pp" cob I' .", "',,;, "",. - "" . . , B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES II tho ",., h" h',.. . ",t,.,\" ., "",.,\". \, .,."t.\. .,,\,\h.y "y b, ",.1'.. \0 b. I;""" ;, ."",.", .;th .t." .,. .".1 ,.,.1.\1"', 'f \h. ",\,.,\" .. ,,' ",.,... .. ",..,.. by \", b,'h 'h. ,.,., ." ,.",."" "y b, ,\\.. I" . ,;...,..,,' ,.,\.,." .,." .t.t. I..., If lb. ,.,., " 1'\"'" ",\,.,t" ." .",.t.., ., to .h.' """," ,.,..,.,.,t. b'y ."Iy f,' \h. ;,t.,..' .,,\, tb.y .,. ..,.... \, ",t." \h. C;\y " ",h"h;ll, ,.;I'i" ',p."..,\, "t3\ 71l1l-bbll. ' . .,. f.,th.,"". If tho ,.,., h., h"" . "",."., " """'\"'. h. ;, ..,;,., t, h." ""~ ",\,.,\",,\ "g' ",t;", " tho 'C"\,.,t,, S",.",' ,I 'hI' .,,1;,.\1" f" .h.,b th.y .1.1 b. ,..,."Ibl.. If y". ., \h' ,.,.. ,i., ., Ih, ",\"'\", y" .,. .,..,.\i'g th.t y", ,.'h., th., th. """"", .,. ,."",;b\. f,' \h' .,,\. \f th. "",."" ...h., y" '0 "g' ., ",\,.,t,r 'h., ,'y b. ., \,.\,.,;" 'h.\ h. ., "t "".,Iy \.,.",' i.' ., ,,' ,,'i'I,' " ",.i""9 p,;,il,g.' ., 'h' City ~f Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES, AS AMENDED) I ",\;fy \h., I, th, ."1".,,, h." b'.' "",... ,I'b . ",y ,f 'f1"i'.', C..",.,,;" L'" L.' . H'."."," p""";,, S.,..' "".". by 'b, f"';" ",.,\"" ,f 'g'l,.l\'" .,. C",.", 'If.;". If 'h, .,pli"" ;, ".,." ,'h" 'h., 'h' ',.,.,', 1 ,.,"Iy th.t I h.'. ,b\.I," .. ,;,y ,I th. .b". ..",'b" .".,." .,d p".i" ., g.,' f.;'h " ",.'" i' " 'h. '~~ner' pri~r l~ c~.~ence~ent. ~ '.'t ,~.~~.. ~. 1 ; : . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I ,.,';fy 'h.\ .\\ ,h' ;,f"..I;'. ;. Ih;' ."I;,.li'. I' ."ur'\' ... \h.\ .11 .", .ill b' d," i' ".,1;"" .;'h .11 applicable laws regulating c~nstructi~n, l~ning, and land devel~pDent. Ap,l".li'. ;, h.,.by .... " ,b\.i. . ,.r,;' ".., .,,\ ..d i.,t.1\,I;" ., i.'i,.I,'. I ",'i'y 'h.1 ., .,,\ " ;.".11.1'" h., ,.,.."., ,,;., " i,""" ,I , ,.,,;, ... \h.t .11 .,,\ .;\\ b, p"""" " .,.1 "....,d' ,f ,1\ I..' "g.l,t;.g ,"""";'" c;'y ""', "...g ,'gul.\;,." .u. I... d".l",..1 ,.,ul.,;", i, 'h. ;.,;,d;";'" I .1" m\\ly th.\ I .."",,,,, Ih.1 \h' "gulo"on, ,f ,th.. g"....".., .g''';'' n>y .,,1)'" ,h, i,'''''' "", ", 'h.1 \I i, 'y "',,,,; bll Ity " ;d,,' \ly .h.t ,,",,' lou" ..',lob' ;, roopll ."". S"" .,,,,;,, i .d.d, ,,,' '" ,,,' II.H.' '0> .... I ,," mIl fy th." \I II II ..,or;" ;, I' b. os.. ;. Hood ,,,' '" or ", d,. " H ;, "d... ,,,,' tI,,' · dr> i "" ,10' ,"""'.g . '".p."";" ",...' ,;11 b. ,.b,;\t,' .h;,h ;, p""'" by . p",.,.i,..1 ."i.,.r ,.,i.'.... ;, 'h. s,.,. ,f Florida prior t~ permit issuance. , ,.,.;\ ",.., ~.II b, ,..,',u,d \, b. , 1;"'" ,. ".,... ,;'h lb. .,r' ,,' ,,' ., ..'h.ri'y " .i,t.,., ".,,\ .".r, " ", .,... '" p"';';'" ,f 'h, 1"h.;,.1 """ .'r ,h.1' ;"..". ,f . p,,'i' p."'" 'h. "il'i., o,ri,i,1 'r.' 'h"""" ",.;,1', . """ti" ,f ."", ;. pl..,; "..1'.""., ,r ,i,I,';'" ,f "1 "d.. ,...y p".i' i"",' ,h.11 b.".. ;".1;' .., '" th, ,or' .. 'h, d ". by 50' h ""It I. "",,,,d ,lthl. ,;, .., th, " i, "" "r.., ,.r if ",' '" tI"" ".. b, th, p'" H ;, ,,'p"'" " .b..",.' f" . p";" ,f ,I, ".th. .f'.' 'h' ,;.. 'h. .", ., "".".,. 0., II d., ..t...i." ., 'i'., "y b, .11'.,. f,r 'h. ",,;, ,;'h f" ,h.'g' ,f 115.0'. Ih. ",..,;,. ~.I\ b. ",..,t,' ;. "il;'. " 'h, S,il'i.. Of';,i.l. A. ."..", ; os,,,,,,, '",' b. """ ..".g mh ,;, n. th ,.d ", or th, pro;.d ,; II b. "," "or" ,h .",. .... WARNING TO OWNER' yOUR FAILURE TO R~CoRD 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_>S...~LE{~jjl~?:t--- SIBNATURE_~1ll~------- O~ER OR AGENT CONTRACTOR. DATE _jjp..1j51~-----------------'------- OATE__.I/);,7/1)------------------- NOTARY AS TO ~ JJ' ~ ~~~~~~C~~RT_O---(7~-I/r-~-- ----------- OWNER DR ABENT______~l~--~---- ~-~ .. MY COMMISSION EXPIRES______~~-.r---- MY COMMISSION EXPIRES_..~"""------ My CllII JI1'17 ....AprlI27. 1882 III.. . . "I Ea1IIMAprlI27, 1992