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Home My WebLink About92-2055 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Perrnit NC! 205S13 /- /S'- 7.:1- Date ~ ELE~ PLU~ Pmpeny Owne, ;1:-~~h Job Address: "/ __01:.---'------'--- #- Parcel 1.0, # ~::~'~~t;on of wo;;J{ e E~9~ MEC~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 1;- Pe,m;t Fee ~ ~ Signature ' ., .v. Company , Address Telephone# Valuation or Contract Price ! 11 9 tJ . trD City License Registration # [ ~~ State Certified License# e~ . ... ... BUILDING ~ ~G ~ M~ICAL .... ~CAL 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 APPLICANT l- crll t" C( ADDRESS , 'frf-- OWNER .M/ / rflJu1/ JOB LOCATION t-) 15/ L It J(JJ1 , 5 +y~c+ ,7on J" <7 oM w. St". If fI:!-. . PHONE (~/3) 'it 3 - /L/i/L/ / LOT SIZE X AREA SQ.FT. ..... LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units .____M / H ____Commercial ____Indust. ____Swim. Pool '1 ~ ,t\~ 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. /BUILDING PERMITS REQUESTED $I09n.tYO I 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 Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUTLDER Signature SiQ:nature Company State Cert. or Regist. # City License Registration # ****************************************** ET.F.CTRTCT AN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANTCAl. Signature Signature Company Vrt'.KYI,er \..~J..JLe.Das+ ~ T-n(~, State Cert. or Regist. ~t fit!.. tLJ/ S City License Registrat~on # jlR OTHER ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. r- ......~'~...- .,"l,~. ..;;~~:~ . ..... . ,1.., . ...........0 '(l4 . .'. Ok . '. rt 1""*..,...,,- ~ II l .. f'P' .".",r;-,. ~_...-~~-.,-~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit 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 regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. 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 - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the 'owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the 'owner' prior to CO.lencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has CO.lenced prior to issuance of a perlit and that all work will be performed to leet standards of all' laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in COlpliance. Such agencies include but ~re uot liaited to: I Departleflt of Envir~n.entt1 ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, WaterlWastewater Treataent . Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departaent of Health L Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environ_ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan ,addressing a "coapensating voluae" will be subaitted 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 permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall becole invalid unless the wDrk authorized by such perait is co._enced within six lonths of issuance, or if work authD[)z~d by the perlit is suspended or abandoned for a period of six lonths after the tile the work is coemenced. One 90 day e~t~osiOli of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abalidoned. 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A IINOTICE OF COMMENCEMENT". SIGNATURE__~~---~~~ 2________ SIGNATURE~l~? -- b=--- OWNER OR-~~- CONTRACTO~ DATE_________f~_L~=~~~------------------- DATE_____L~!~~~~------------------- ~~~~:yO~SA~~NT~-~~---- MY COMMISSION EXPIRES - '>> ~~IOO:c~r1995 NOTARY AS TOA/~. '~ . ") CONTRACTOR~---~~~---- MY COMMISSION EXPIRES ----- -------- ti" KARl FINNEGAN i .l.~ldle of Florida My Comm, Exp, Aug, 18, 1995 ICC 137140 PROPOSAL ;:; R ~~~~..r:~f.~:?~ ,.,...~ ~ II!~, r -.ll,," >. 1'- "~~ ~:-~,' .~-':~ ..,:~~' I~ ~ ;'~:l Proposal No. ~ ,-- -', "'! Sheet No. l \ \ 4- Date \. \ \ - ~ d- -... ., . t ''':' '. - ',:.,' - ; :"~., Proposal Submitted To Work To Be Perf,()rmed At Street l..\ '\ 5 \ - C i tv "'Z - k..... \ \. <;. Date of Plans Architect , ! . ~.}J- ~ "f-l ~Y7-- j./ \oOA-4 We hereby propose to furnish the materials and perform the labor necessary for the completion of C (;:) \"v\~-b.. A..R...Nvuro cJ2- ~ ~j , ,- ~ ~ \~ ~ . . ' " ~.~~ 30 ~-..:r.) .. ~oM ~~~ ~~~~~ Ct.9.JL JVn <t '" ~ 1C~\ ( d:J 8(0- tJ l C>'\() 0___ j)6 IV lY/p/2t>// jiU,JPl(:-3 OAl /2<J()F I I All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ \ 090 M.- ). with payments to be made as follows: ~ ~~ ~ '"""l 0 ~OF-- 7~ ~~. .--=~ Any alteration or deviation from above specifications involving Respectfully submitted ~ ___ extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All 30 agreements contingent upon strikes, accidents or delays beyond Per our control. Owner to carry fire, tornado and other necessary insurance upon above work, Workmen's Compensation and Note _ This proposal may be withdrawn Public Liability Insurance on above work to be taken out by by us if not accepted within days ACCEPTANCE OF PROPOSAL Date :JA-rJ / 1r 11'1 L- Signature The above prices, specifications and conditions are specified, Payment will be made as outlined above. Signature TOPS FORM NO, 3750 LITHO IN U,S.A,