The URL can be used to link to this page

Home My WebLink About92-2180 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2180fi\. ~-1-92- jD - Date Property Owner: Job Address: Parcell.D, # cJ_l!_ ~ ~ ~ANIC~ f!/t$fi:~*~) /1- ~- 0:2.'1- eJ VID- / {lIDo -OlsD , Sewer Conn ~- Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work u FINAL 3- fo-Cf Z- 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. " Permit Fee Signature Company Address Telephone# I\. Valuation or d r-/ G /P Contract Price I ~ ~ l..9 7. J- City License Registration # 5S~' State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 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. APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~;l- U-Lc-hz; '" ADDRESS .......~9/// ~G /Cd .. Z- 1-/.../6 OWNER ~ /Z,(JI'IN M I V'T!::-/C. 7C3.A/ JOB LOCATION ~z. Zfj; /O'6J1Sr~ rM 3SSc.;O PHONE ~/3'7(3Z'~319 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ~fr 11- zC;, -Z,I &010 /91(JCJ tJ Is-a WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Instal1 ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family ____M/F ____IF of Units ,_N/H ____Commercial ____Indust. ____Swim. Pool Other ! / ____Restaurant & Health Department Approval BU1LDING SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.~* ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $~ Valuation of Total Construction J,/ ELECTRICAL ..f .l:::...NECHANICAL AMP Service Florida Power Corp. _h'.R.E.C. $ -z-,:s~ f fR 7 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ::::::~ Company ~~ Gk<k;", State Cert. or Regist. # -. t~****...******~~;~.;~~;~~;.~;~;~;:~;~~~ 11 Signature Company State Cert. or Regist. # City License Registration # **********************ft******************* CC /z 68 ~5'1 PLUMBER MECHANICA~ Company ~-#iL ~C+Ii'<<-- --p;--. J..) State Cert. or Regist. j,! ;re.."'i!){!)~qz.,tI5" signaturell)(J/t/tfI.L.u- City License Registration iF (Jsr ****************************************** Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERt'IIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned IllUles 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 cDntractor is not licensed as required by law, both the owner and contractDr lay be cited for a lisdeleanor violation under state law. If the owner Dr 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 Depart.ent, (8131 788-b611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 FEE~ 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 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 cOltenCelent. :} 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 developlent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited tc,: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, lIater/llastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Barheads, Wetland Areas, Altering Ilatercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Ilastewater Treatlent, Septic Tanks f ~ 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 plaD addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall becole i~<alid unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the permlt is suspended or abandoned for a period of six lonths after the tite the work is cOltenced. One 90 day extension of tile, ~ay be allowed for the perlit 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 tonth period, or the project will be considered abandoned. WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TIlICE FOR IMPROVEMENTS TO 'lOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IlITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. BS UN R $2,500 IN V LUE DO NOT NEED TO RECORD AND POS · TICE COMMENCEMENT", who is who has produced as identification and who did/did not take an C/~~~1> ~A, (SignatLll-e) , '7/ (latA I e J1 ~ #o//~t/ (Name Typed, Printed or Sfamped) NOTARY PUBLIC STATE OF FLORIDA n COUNTY OF ~~ The foregoing instrument was acknowledged befo\-e me this -7J!L7".4 Y , 19~ by -r; 'rvJ /J1" k ~ p, d' /' +' --e.. who is4fel-sonally ~(now!f)tcl me or whc. has produced as identification and who did/did not ta~(e an o0J~,~ //cLfjr (Slgn~ure) . / . (La u/-e n-e. ~ I/et/ (Name Typed, Printed or St~ped) NOTARY PUBLIG. STATE OF FLORIDA ('J COUNTY OF ~~ The foregoing instrument was acknowledged befol-e me th i s 'J1!~h6~:I, 19.ft by L-::'....JCp /tt .f' <; tb - .3 - ;?..5~ CYfl(:-<'~!; ~-.3-;?S- - ---'-~,--- JIropuem PATTIE ELECTRIC & REFRIGERATION 39111 PATTIE RD. ZEPHYRHILLS, FL 33540 (813) 782-3319 Page No c' Pages f=- -.. , ;t1t'^-/' l' ~/;tP 002743 PHONE ?rc!- JOB NAME ~ ~ 2.'- -2/- 0610 - JOB LOCATION DATE ;L -..:;2.. a-tJ -0 ISO ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: ~~~ Zy{ ~ ~.eHUo IlL 4- V- 1 ~jJjJIY5.B ( ,.O..vif 3 ~ r~ (]~y( pit; u.J~-t-)t 1M f](~ ~ e.~ ~t~ q&c.;'~(8) L ,4 ~v,a C/p &/Z.UIJd ~ ft.~~y C~dV (!--M1!-.e;z~ tA-c.,...t ~#Jr ~/, ~ t/U1..744 h) t~ ~ $ (.,,4/Kn, CtJ!1A~ Y r~ ~Add Wct//(~ ~7/v.- C~~ ~ :;}./-7 6CRdtzk U.)iu.-- pOUJ #?<- j.)?Rm.ii, ~~J~ w //'~/' + 4~c-; ~ A ~'- ,4 /& ~I/.) ~ , / 0 ~a.:2~(..,(.; /l t,c- t 9' t(/ /O~ -5 r (! <.Jf!) L At- wYl-/( v8.~ h 1lt""5 J; /3 Af-, {l6'j-J ZS69. tP 7 Plv ~ 'J A-k '-- m l' 'rl1p OM hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be maee e, fO"CtE~, #l t/ ;f '/(" 1f@#lf1J-1 dollars ($ ), 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 i; delays beyond our control. Owner to carry fire. tornado and other necessary insurance, Our I ~workers are fully covered by Wor~en's Compensation Insurance, ___ .Arrephmre of Jlrnpoeal - 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 Authorized Signature ~ ' 1.66 Ii- - Note: ThiS proposal may be Withdrawn by us if not accepted withIn .$:0 days FORM 65103, RAPIDFORMS, INC, THOROFARE, NJ 08086,9499 ~ ~.- <i '-- Y2. 1289