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Home My WebLink About92-2131 BUILDING PERMIT ,., ~5 (i~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 21316' 02-/'7-7.~ Date E~CAL P~-'"' M~SewerConn Water Conn: Property Owner: Job Address: Parcell.D. # \ '< 4 jJ- ~1~ (. (~~A;:,-:;~t:4) Water Meter: T,I.F.'s: Zoning: FINAL ci2- C,Q. DATE Cx~ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ~ I ~ DO' 3~9 ~ Permit F~e Signat~ Company Address Telephone# City License Registration # State Certified License# ~,- !~~~~ -c-. .~ B~ EL~L -- P~-' --M1::L.HAN ICAL Breakers Ducts Insl. Compressor Final 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called. d, Work not ready for inspection when called. e, Permit not posted on job site, f, Plans not at job site. g. Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. SEMINOLE FORM !596 PROPOSAL Page No. of Pages PROPOSAL SUBMITTED TO: PHONE: 7 t <(j -' 0 C/ 0 ,€..) JOB NAME: i DATE: ;/ /Jy /7 2- NAME: IYJ/t!:(/ ~)'S L ROb <) STREET : ,-3 t 7 J r wftR/Y1 Jl\.J6i6R... CITY: 2- -flILL5 FL. r: /203:-5 STREET : CITY: _I STATE: STATE: We hereby submit specifications and estimates for: ---- ]2.) PO I -[ ,u5 ut/,Lf Y/6/) 're I fV7.1/1 6D C) u7-- o,A....-J ,LJ- ;R 0 Y rlL A-- U fVJ I ,;V u ~( m~ )2C)O;'::: D::J u/3 c c: c 4u/(~1) v We hereby propose to fur"ish labor and materials - complete in accordance with the above specifications, for the sum of: 00 /900 DOL.C~_dollars ($ ) with payment 10 be made as follows: If l/Iv' D i? t1J . j)6 W;t.J r iJ/tL,C}--fi/C ~ . lY}(-, LJI-b yJ L,oyYZ rL. E//CJ,U - 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 specifications 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. This proposal subject to acceptance within thereafter at the option of the undersigned, days and is void Authorized Signature f?aL~ c. s~~ ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above_ Date' Signature Signature,~~~4'-/A~ ~~ <21/2. cr-"" J ACCEPTED: /,,~,..' ""'~'. l ", .,.1' ': '. -. ~)I'.. d',.A$" .. ,~"..J- ;hi,"- , \! i :1 ,: ',~",. - I "1":1"1.' ~'.j i~}t{( . . ~ ,. ij \, " ,1 .t,. , ~' .:.'. t;r !rt. ~ ,! ~ : . --.- .-'---' TM . ' , weA1t.l-ecz.t..GlG.'" K6e>,t.e HaHe:fZ.ou. CleM. e~ ~ DE:T.e.u...,. , ~~\L.~ De:1"A.' ~ -, ~ . "'_' t:erA;~:' ~. ",- .~~ ~~,. . . '-?':~~'~/r..: " "" ..DOUbLe: ~ID!!:: "1~U..E. HO"". t:Le\lATION VIEW e/;,~ K 'IIJ.' sl1~.el.. kJ."T\4e:.w.c:::lGot:, T.... -, PANI!:.L (I)". ~~.. ~~e.a IZ&~UI"'c)) I '/A. .1t,~2. ALUt'frtJO..t fZpo rr: . C!:)VScz. PA follk..4 ..:,,~ . ,'-~ 1'r<lJ 0 ,04S> ~06l,'F!. __________~~AM fAS-r~tJ~O DO\JtJ v-J!....IO +.x I" . . ~~ ~'I~'(~.c. IN1'O. ~1I~'b" xo,o4d eoLt-c:orzto1 'O~,;"~'l~?' ~OAc,H fRAMhJ6:J A&'Ut-ttHUt-1 A.~~ wI .\Ocp ,l(.:V~" - ~ . 5.t4(.5.€ '~'G-(;. luTO CD~ FQ!:Al'"(E: ~ OETA1L-S- -.. OETA\lS ----. .. ' WeAT~eCZ~ '"" PANeL OETAt1..c:. -p- 'I~" ...,L o~S(~ _FOfZ. M6.)((MUtoJI 1'20 M~' WI..,P "ec.a:.eTV PElZ ST AIJ Ob..fZD ellJ u..o INt; coo. . ~~~L CJ.l12("~ 2. CLINe: pe" ~LA. NO. '1.11.16&. ''2 - '0- as- ~ :'I'l.- oS'+. .'CLINEINTB, Ltd. c::: 901 S R 584 WE~T . OlDSMAR. FLORIDA 33557 0.024- 1 f ,''''' . eO-<AL. ALUt1'tH)H ,Itolc., P.O. Qfr.A.~.U!IR. II z.. . Lel!!~~R<<:t . ~L' ~~ '14 6 Jdt> ~. ctJ - sCorr s APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT fY7ftt...C/1f PO,rvJ /::> ADDRESS 2> &' z Lf7 80 u NI]/ L/1/ PHONE 7%2?'" c,Y"3 /.L OWNER /1'1 r-r t:..L u-.s C'l!. 0 6" ..s JOB LOCATION 3 f"7/:)' uJ4/l fV7 JtJS/61!- LEGAL DESCRIPTION: LOT (S) / S 0 BLOCK LOT SIZE~X ~() AREA SQ.FT, SUBDIVISION PARCEL I.D.# WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units _2-M/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: ~ X L\~ , 1/ () 5 fo 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 $ oe / <j'O 0 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER POmP {O/f-/Sr: Signature fZ1 C" ~ CONTRACTOR SECTIO~ Company f2.. r::1 1/ H rj- 50 /V .5 State Cert. or Regist, # City License Registration # ****************************************** :?~'\ ELECTRICIAN Company State Cert, or Regist, # Signature City License Registration # ****************************************** PLUMBER Company State Cert. or Regist, # Signature City License Registration 1ft ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration 4F ****************************************** OTHER Company State Cert. or Regist. 4F Signature City License Registration 4fr APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subjett to "deed restrittions" which lay be lore restrittive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrittions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a tontractor or contrattors to undertake work, they lay be required to be litensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and tontractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contrattor are uncertain as to "hat litensing requirelents lay apply for the intended work, they are advised to tontatt the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the tontrattor(s) sign portions of the "Contractor Sections" of this 'application for which they will be responsible. If you, as the owner sign as the contrattor, you are inditating that you, rather than the contractor, are responsible for the work. If the contrattor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 - HOleowner's Protettion 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 cOllencelent. 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 tOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has tOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Suth agencies include but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watertourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent 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 sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuante. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Offitial froa thereafter requiring a correction of errors in plans, construttion, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by suth perlit is cOllenced within six lonths of issuante, Dr if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is toa.ented. One 90 day extension of tile, lay be allowed for the perlit with fee charge ,of $15.00. The extension shall be requested in writing to the Building Offitial. An approved inspettion lust be logged during eath six lonth period, or the projett will be tonsidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C,,".EtlCE'BOT. JOBS UNDER 12,500 IB VALUE BO DOT DEEO TO BECORD ":~~T A :NO;ICE OF C,,".:ENtE.ENT/j 7I1/iA/nA (' A.rz4' -JJ ( f'LU. (d, ~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA~ COUNTY OF ' ~ The foregoing instrument before me this :l - /'7 was acknowledged , 19 ~ by STATE OF FLORIDA ~ COUNTY OF ~) The foregoing instrument before me th i s ~- / "} "las ac know I edged , 19 Cj"2.. by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not takAOA1~h. .1 ~ ~ TL ( Signa tur e ) ~ Wofm.v 'lJ'''t~ sfafeo' "orTcIJ-- Ol~ C!"",,;u;u.9'''plte., Mardi 12, 1995 (Name Typed, Pr i nted S ~@,!1U?w,1i\ troy Fain . Insurance Ine. NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC