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