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Home My WebLink About92-2076 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2076/'11 1- :J.3 - 7'.:L Date B~ EL~ PL~G C:-~NIC~'W" Conn Water Conn: Pmp'rtyOwn" [1. l11;i h: Job Address: ~;;fr(J -___ _~ Parcell.D. # Water Meter: T,I.I=,'s: Zoning: Energy COde~ Description of Work A-7c ( ~ (Ii? Radon Gas: o-c4- 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, Valuation or Contract Price / 7 0 9, ./ (}-o Permit Fee~S: ~ (' Signatur~ /~ ~~- Company Address Telephone# City License Registration # .2.. State Certified License# ~ - ~~ MECHANIC~ Breakers Ducts Ins!. Compressor Final ~ ---- 'rtK.!RICAL ~ ~MBING ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PE~~IT CITl OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -J. /l2-, ?;Q'e. p ~~ ADDRESS "l12-'1 ~ jr?$" ~ I 2#YPHONE OWNERd'~'~~ JOB LO TION 17 - . / - ~t-LOT SIZE_X 7~~?-Z.3 ?--- / AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSE _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: -1l-Single Family _M/F _# of Units __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 $ Valuation of Total Construction _ELECTRICAL -X--MECHANICAL _PLUMBING AMP Service Florida Power Corp. _W.R.E.C. $ /7091 ??-Lf Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert. or Regist. # Signature City License Registration 4fr ****************************************** ME CHANJC:X ~ Company j}. ~ ~/"jjr'YJl-~'AY~ q.- ~ State c~eg~st. ;,!__02___.:4-_ Signatur . ~ ~7 l City License Registration#2.. , - .......... ......................*...,...* Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY )11*~~:;:***~~~**************** "~---"--"""~,,,<,,~,,,",,,,~,,,,,. ..,,~ '~.; r;':.; ~-r~ 1':41\"""'$, ~~"', PERMIT OFFICER. .! ~o; ;~-1- J !"''!:J ....." IT ..'", ....... ...._:; ,.::,,<:" ' _"_~1IP~ :~(t",' f:);3"... .,"'ll'l......-....l ,~;:;";; , R ............~-,........._~. ~,.=, -~')'J~:. "r:! ~~'_'$;:."t' :.~;.:ti'./ "f:;,~ ":' .:J .;;j;'. '<,. <..~,~ 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 compliance 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 tisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, 1813l 788-6611. Further.ore, 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~I~ not limited to: * Departlent of Environlental Renulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treatment * Southwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Ennineers - Seawalls, Docks, Navigable Waterways * Departtent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environmental Protection Anency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood tlia! a drainage plan addressing a "compensating volule",will be submitted which is prepared by a professional engineer re9ist~red in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioi3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficid] fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit issll~d :Dall becoie invalid unless the work authorized by such permit is co.menced within six .onths of issuance, or if work authol lzed by the perlit is suspended or abandoned for a period of six months after the tile the work is commenced. One 90 day e~tE~5JOII of tiie, ~ay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbai~oned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT I CE OF C~MM~N EMENT II . , ) ) p( a..~_p k SIGNATUR~~CC~~~R_~~J~~*~"C_~------ SIGNATURE~ ---CONT-ACi6~-~~--~--- DATE_____~~-~-~~T~lC~~--------- DATE____~~~-~-~1-~~f-~----- ~~~~~Y O~S A~~NT _~-~~~- ~~~~~~C~~R:~~--~-_,J~ MY C~ ON EXPIRES ____________ MY COMMISSION E;PI~ - - - - --- ,. , 1I ".. OIIICIII_ 0lIIl:IIf - " N01lry~="'" NO"==RIrIlIa~ My CCIIIIIIl. ...._.. _ My camm." GIlt... 1. c...... Comm. No. CC,... __.__.._~_:.~....~.__c . Jrnpnnul Page No, of Pages SONNY'S D~SCCUNT APPLIANCES, INC. 3399 South Highway 301 DADE C!TY, FLORIDA 33525 (904) 567-6224 PHONE -..J-Z-3Z- DAT~/_..23 -;;7- JOB NAME DATE OF PLANS JOB LOCATION / Ci - o -;2/~-,;2~- CITY, ::2'Z:;"f"'~",~ / .y. ~ ;11 ;2 A-If /0 116 (,// L-. f:- /!- )Jl 0 '5 ,- ):lfBO;L'/ // r.,',. "), -h/ /Jp_~/i~ \~.h I' ~, / (Jj / ~ /70 ?r ?'.~r I04j')~- ji7;;{J 'I //0., () ,- "" /r' I ' ~(~~ /:: ~ (- Dr 'roponr hereby to furnish material and labor - complete in accordance with above,s_~iifications, for the sum of: : r,..,.(/ dOlltS($,Jx".J,./ -, , / / ,--, -< 1-. ) /' -' ), 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 rlecessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature --1 /' , ,~.",.....-......-:',,{ ,,// /" .'" /<A/ Note: This proposal may be withdrawn by us if not accepted wlth,n 7 /~ days, Atttptautt nf Jrnpnsal- 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, / ,-, -~ '? '"""') Date of Acceptance: / . -'" S'gnature Signature PROOUCT lIB 3 {~Jj~lnc" Groton, Mass 01471. To Order PHONE. TOLL FREE 1 +800.225.6380