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Home My WebLink About92-2173 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 217311 Date 3 ~3 - ~ c::2 CBU~ ~ PL~ Pmp'~y Ow",,, fu<~ JobAddress:c?J=: _ _ --'-~ Parcell.D. # Zoning: Energy Code: DescriPtionofwo;;'<'~ ~~_ M~L Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: FINAL~-/g--?3 DATE 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. c.o. DATE Inspector Permit Fee if;!}'. tJzJ SlgnaM' It . - . ~ AI (fMi .J Company _ Address Telephone# Valuation or Contract Price.-J?J7J. 07) City License Registration # ...5~ State Certified License# ~.:-~ _ ---~DING ~ Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter Final ----- SLB Tub Set Water Sewer Final ~G ~ M~ICAL " Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site, f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. - ~.._-~......J.,..-.--"--_J_IIIj,...~"~~---"~--' PROPOSAL pF;Er~'7;jER SUNCOAST ROOF~~~-u, 8~'''':C. 37325 S.R. 54 WEST ZEPHYRHILLS. FL 33541 (813) 782-6094 No. Date Sheet No. Proposal Submitted To: Work To Be Performed At: Name Street City State Phone Street City Date of Plans Architect State We hereby propose to furnish the materials and perform the labor necessary for the completion of / )/" All material is guaranteed specifications submitted to be as specified, and the above work to be performed in accordance with the for above work and completed in a substantial workmanlike manner for ,.... ,..--- -..,.,. ...-.-- ~-,-'..._..._'".,' --'_... ., ",.. - .-. --.'--'" _. Dolla rs [$ drawings and the sum of l. . , with payments to be made as follows: 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. Owner to carry fire, tornado and other necessary insurance upon above work, Work- men's Compensation and Public Liability Insurance on above work to be taken out by i Respectfully submitted Per Note- This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL 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, Signature Date Signature TOPS.FORM 3850 TRIPLlCA TE LITHO IN U,S,A APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -1hifC- ~Cf7~(_ ADDREss38'1-35 ,5'[<. 5L/ u.). ' O~ER 0.~ JOB LOCATION Sflm ~C./ PHONE (i]~ LOT SIZE_X AREA SQ. FT. " LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ WORK PROPOSED:____New Construction ----Addition ----Alteration epair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ~/F _4~ ofUni 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 $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _PLUMBING .#' GAS __~luation of Mechanical Installation vi ROOFING SPECIALTY ____MECHANICAL $ TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SE~. (' , 0~ _ /J 'T.. Company Yl/eJ/' \ )~ Lt1.tDaS l () fJ-fJ11 t1J I-/J IL State Cert. or Regist. #_ City License Registration # ,~ * **************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~~******~*************************** AA .I':t ",P A...t')') A) ..... ,,~, PERMIT OFFICER. r""'~" c~..~.''',.'~' """-'~'Wh,~"1 l"" ,'. \ .'. ~::J~.\~~ ., .' ,'~. .','1' ,,. "~,,' '> ~..,{" '.'I""""~'~""'Jlli'':'''''''''''~'''''lt CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which .ay 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 tisdeleanor 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, (Bl3) 7BB-bbll. 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 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 Protection Suide" 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 promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance 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 cOI.enced 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 develop.ent 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 .Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ~re not Ji.ited to: . Departteflt of Envir~n.entt1 ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentalJy Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environ_ental Protection AQencv - Asbestos abatelent . I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registEred in the State of Florida prior to per.it issuance. A perlit 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 of errors in plans, construction, or violations of any code. Every perlit issll~d shall beco.e invalid unless the work authorized by such per_it is COllenced within six lonths of issuance, or if work authc.j Ized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day e~tensioll of tile, lay be allowed for the permit with 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 abaudoned. 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-~ECO D AN POST A II NOT I CE OF COMMENCEME ~- ---- - ------------------ o AGENT DATE_____~J3J~~~~------------------- MY COMMISSION EXPIRES___ KARl FINNEGAN ---8IIIHf Florida .., Comm.I;xp. Aug. 18, 1995 ICe 137140 COMMISSION -----FINNIGAN _OM~ of...... .dc~" ,. NOTARY AS T CONTRACTOR~_