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Home My WebLink About92-2044 BUILDING PERMIT Permit 2044/1. /-1..3 - ~~ CITY OF ZEPHYRHILLS (813) 788-6611 ""TO i'. B~ .2(J - av ~A~ Pcoperty Owne' 4ft ~~~ Job Address: ~. . tt- PL~ 30-Clb ~0 MECHANICAL Sewer Conn Water Conn: Date Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: /1~n A-/C Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL .Q -CJ y'- 93 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Pe,,,;;! Fee ~~ Slgnaturv ~------'---- Company Address Telephone# Valuation or Contract Price 02.:, ;;.. ~-. tJ1} City License Registration # ::L State Certified License# P~NG - ~~ B~NG ......... ~? ELE~TRI~~ L Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION ~.2-- ?b"t-/3 , , APPLICANT ADDRESS OWNER AREA SQ. FT. PARCEL I. D. ~F BLOCK SUBDIVISION LEGAL DESCRIPTION: LOT(S) WORK _Repair _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~F of Uni ts ._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING ~CTRICAL ~HANICAL $ Valuation of Total Construction AMP Service r $ ~.?-gj I V 0 - Florida Power Corp. _W.R.E.C, Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel ,Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert, or Regist. # City License Registration # M::ti'~'i~'~;::~:::~Q:~~']j~~ ., ,,' ~~te ~~~7; R~gist. . #, . 029.2- '? ...2..... 1__ _ C1ty L1cense Reg1strat1on ~F ~? - - ,2;........................................ BUILDER Signature :::::::; Company State Cert. or Regist. # City License Registration # ******************************** (;i;~ompany ~ )ystate Cert. or Regi City License Registration ********************************* PLUMRER Signature Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION ~..........~~.......................... APPROVED BY ~~ :il!S-R/JA;-...r rr iBl""'''' -, or ' . ...~ J\'lIIk' \ lIlflIR~a; ";1;..' .~ .1 '.tJCI. '\1", .~:;.' , ~"t.,;e", ~ . ;~~ -l..f'~:; , ~ M" l '__.'..........-~~_".w 1 l j PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'lay be subject to .deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulativns. If the contractor is not licensed DS required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply fDr the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813) 788-6611. Furtberlore, if the owner bas bired a contractor or contractors, be is advised to have the contractorls) sign portions of the .Contractor Sections. of this application for whicb they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay b~ an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of 2epbyrbills. 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 Construction lien law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the .owner., I certify that I have obtained a copy of tbe above described doculent and prolise in good faith to deliver it to the .owner- prior to co..encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be perforled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I lUst take to be in coapliance. Such agencies include but are not lilited to: . Departlent of Environeental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health t Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or .A,etc.", it is understood that a drainage plan addressing a .colpensating volu.e. will De subsi,ted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction vf errors in plans, construction, or violations of any code. Every perlit issued sball becole invalid unless the work authorized by such per.it is cOllenced within six .onths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the per.it \lith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. 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 C~MENCEMENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT.. ';< %.~ t~C;.!J SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19 _ by STATE OF FLORIDA ~,,~ ~ .~ COUNTY OF r l.A../~ The foregoing i?Ttrument \o'las ackn~,wledged before me th i s ~ 13 , 19..2.i!= by Grady A1~drd who is persona II y knc,w ~ or whc. has produced as identification and who did/did not take an ~ ;z:> (SignatureA /t MY; ~. (N~me Typed, Prlnted or NOTARY PUBLI C STATE OF flORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) d cua,-,,'1.~ SUJa/V11I Stamped) IName Typed, Printed or Stamped) NOTARY PUBLI C CIIIIII.. ~ _L_ N_ PuIIIc,....... --......... c.a....~ "----~- 'ropoliul Page No. of Pages !" II"HJ I\'V'<<:' 0:........ \c,1 ~,i~!' -tJ: ,,~.....,.",,~ P".l"'l" I'.P"LUHJt"rS L; .,....4 ..." ..... W J ,~.. r"t S ill.ii t. ~ ,. 'J -- --, 3399 South Highway 301 ,D.i\OE CITY, FLORIDA 33525 (904) 567.6224 aI'" , '" :' ~-'~"''11 CITY, PHONE '~7 ,( \ ,I ,II ~4. . 0 ,;:' - "j'" v .../ JOB NAME DATE I _/ '-/7".!......_ PROPOSAL SUBMITTED TO ) --1: /L<{)-~ STREET 2t JOB LOCATION .<1 ~ /' -,. ~,J I (/'!;) L 1< q " < ~u r:.""';:.J -~./ JOB PHONE ARCHITECT ....y..", f / 1\..., Ii, . ,__./:L11-.s ;' -r,-- i/ j>.~..-(.._. " .Ie ....,. ~ " J ,~_- ,,;!.z:--'l'- :~Ti'v7.~I/~7/i"'J:.2 . ""UA-M I c~ ~/ / V iI - I r/Oj),O?L/ / .' ~'-/IO~I :??1'J; 0 ';J tj We hereby submit specifications and estimates for: ~--- -/ , , \, j a ." ----..< -1 t..:.2J --......;1..- '"-7'.' /.J.<_'--lL,\. / ,- :,/", ;;-. j 'j ~J ~ v ~-7 ,"/....f...... / -3 7 --;;~:' (. ,r ~/ :........,...--_. ~. ./ r.' Br 'rnpnnr hereby to furnish material and labor - complete in accordance with above,fications, for the sum dOlla1i(\.21..z21 /0 ) of: ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. -.... //' Authonzed ..--4:'/ / r / /' ..' . ') Slgn~ture /~,.,..- /.r;~~~A ,---.___ "t / { ,... Note: This proposal may be ,- withdrawn by us if not accepted within days. Acceptunce of 'ropoaul- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. / ..7 .~, ~i . ,:.:...- . - - Signature !fJj ~fJ2r Date of Acceptance: , I / Signature PROOUCT 118-3 ~~t'nc.,GToton, Mass_ 01471. To Order PHONE TOll FREE 1+800-225-6380