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Home My WebLink About92-2181 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 218113 '1- 9d.- Date <...?- c:::~ EL~ PL~ ME~ Pmp"tyOwn" ~~ ~ Job Address: h J 3 V .J '& Parcell.D, # ~ - ~b - :;L/ -.,5- - 0 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: FINAL c)-c:; J 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 9-+ 7 Permit Fee ~ ~ Signature ::<. U/ ~ ~ <- Company Address Telephone# Valuation or I I Contract Price ~ -, 07J ' (TV E ICAL PL G Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER fJ(j~, _ ~~h--<J_N"--' . JOB LOCATION (PUr.?? ~U2A.fL 0r: LEGAL DESCRIPTION/SUB DIV. () ~ ~ t' ~ ~ BLK. LOT Show all existing and proposed structures giving dimensions & setbacks. f< S-u ( >1 / 10 or :f' ~ f.-oO .5 ,r./ f()/' / '-- f01'ub I ~~ I:~~L- ~,7 SL , ( L('1 E 10' -? q 'J-. ( ~ f: !).. 1--7 //1 fL d flJ1't~ J /1- '. '" C'~Vlcr &-0 i / ~ Street (NOTE EXAMPLES 1 & 2) (,D ,.. 5'0' ~ ~ ~ SO' .t' t T 16 C?< ! ? ? , . , , ,0' ,c' 10' 7$. 1~ 6/STiN1 /J4 ,ltli. .,. ,0 ~ (4 StY ~I I f4 stY ,.,-' .171<u:r KA..,r. b..... 5T:t~Lr _ i .51X~Er ,vNtCE I~r S/il"ff ~ ; ::T;'~, '_!!";;~';,f';;nl~_l~To~,1_;:~'.;;;r\,. ;}~J; ": ;:~?::.:?g,~,,' - . , . .... r, ~~~~;!:,a~~:s::.;;~~}~ t/~.' ~r~' :r:';':: ....~,;_..(~,1,-~- ." '" ~ Yi" ~~~ ,"'''''-,f':. CONTRACT N~ H. w. ALUMJNUM~ . 3 Since .1973 8'4' 602 South Avenue Zephyrhills, Florida 34248 (813) 788-3044 :::: f%;J ~",'PhOn.7 r~.~':~;'::'.H~ City Zip Park () ttiJ....iLUf/.T -.... Date t) - ~9-~ L. Date County Lot Block Unit_ ' Section Town.hip Ranse , '.:Pan Extrusions DBronze DAnodized ~l~ecolor /, "2 ' I'''~~ Screenroom 0 Y....l l/_. 0, , " " . "'~i ' In.~lated Double Roof, 7 y cO y, ..... , '~ Wraparound Pan Svstem l{1CkPlate@16" White Ivory Bronze " fZ~ .UJd.-4 ,,~'MJ:.../)/~ t Skr' VU '11'" P,..S,....,6('j I & ~ - ~/\ ~.tl na,,1t TraUer SetuD Patio Roof ' '.' 'C~ -t-I -. 1 ' _....//XL/9 rJA"'~~ ~ V~fVrw:;~. ...... ."., A'~ c7~"'Shi'" J,;Wd~~fJ~ , CleflD, ~ " .. "c" Skirt Color Ext1'Wlions OBronze UAnOdi~hite , ' , . ,Block Skirt Color -:. :~4-Track U, "'YA{( _Sizes ItJ,x ~ V" ;)-W('J.-l.4Window A~ _Custom Glas.room x x Awn. Horz. S. H. Shed Woodwork Electric Work P1Ulllbinl Work Door. '"""\ - 3" ,tl'v c..o N' _/ c:.:; _~ ^a.. 'flJf)v"'- Gutter Color ;:)~~~ ~ 21lu~'~ -~-//):-~ StePs HandraU Approved By $ d V IJ (J.. CJ(J --;':"t., tC. ~' TV]; " $ ~ V()('J,O't)- / ~ OO...rn; $~ ~9,J?h~- / I :;0 jJvJ _ aid DePOsit.J-1 )11-!1-t,h. '/ ). 6 ~ ~3 NOTICE. ovement contract in blank. ' You are entitled to a copy of the contract at the ~ time you .isn. Thi. propo.. ~y withdrAwn by u. if not accepted within thirty (30) day.. We hereby propo.e to furni.h labor and material. - complete in accordance with the above .pecification, for the .um of $ dollars, with payment to be made a. follow.. ~ S-/ ~ .~ h.. ......,;JJ,..., FActOry Price........ 7A..P s~'r IA~;r( ~lI(1hale.Tax_%...... I /_ M~, Permit............... \ 0 I OJ) ~sit.............. " ; il4r;; 0/ Due on CO~l+.... Authorized Signature If paid within ______ day. after completion. there will be no intere.t charse, otherwi.e a charse of 11% per month (annual interest rate of 18%) will be added. All material i. auaranteed to ~ a. .pecified. Allwork to be completed in a workmanlike manner accordins to standard practice.. Any alteration or deviation from the above specification., or. price chense. involvins extra coat, will be executed only upon written orders, end will become. an extra charse over and above the estimate. All aare..-nts continsent upon strikes, accident. or delays beyond our control and acceptance by home office. Owner to oarry fire, tornado, and other neces..ry insurance. Our workers are fully covered by Workman'. Compen.ation insurance. PAYHIlNT TO BE MADI UPON CXltPLETION UNLISSOTBDWISE SPECIFIED. IN TIlE EVBNT THAT AMOUNT HEREIN SHOWN IS NOT PAID WHIN DUI, ALL COSTS IHCURRID IN COLLBCTION SHALL BE PAID BY TIlE CUSTCImR INCLUDING REASONABLE ATl'ORNEY'S PD. Licensed, Bonded and Insured. State.Certificate, IX 0049667,'linance Licensel HR 0044182 ,I.. Pasco County, ~269" 1270. Hernando County, 02476Q4, Billsborouah CountYI 7704" Bardee CountYI 74 -'I<. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION c;. APPLICANT ADDRESS PHONE 7 ?E- ~() YC;--- r OWNER BLOCK , /' LOT SIZE~,{ ~~ AREA SQ. FT . SUBDIVISION Od:- ks /?:f K:J ( LEGAL DESCRIPTION: LOT(S) _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~/F _l~ of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ~ ..*.........*.....................L:.***., . ~ ~ONTl\ACTOR :>ECTTON l... _ . J 1/1 / BUILDER ~~ Company , c.v r-; ~ ' / ' R ! State Cert. or Regist. IF 0 ? r~ Signature City License Registration iF -')J'7 - ****************************************** ~ Si!!nature Company State Cert. or Regist. IF City License Registration # ****************************************** ELECTRICTAN Company State Cert. or Regist. # City License Registration ff ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. ff City License Registration IF OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. "~","~_~'--'~'............"",,,___~r-.,... ~:r~"JIM,,!T~1l!' ~'-""""""'''''~W-=M:r'>:'WM""t'''''''''' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" whicfi lay be lore res~rictive than City regulations. The undersigned assules responsibili\Y"fof 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 misdeleanor 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, !813} 788-6611. Further.ore, 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 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 - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOIEone 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 cOllencement. 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 cOipliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to do Mork 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 meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie liO~ liRi~ed to: I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi~ive lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill aaterial 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 permit iss~ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiola~e, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issllud 5hall bee ole invalid unless the work authori2ed by such per.it is cOllenced within six months of issuance, or if Mork authorIzed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. 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 wri~ing ~o the Building Official. An approved inspection must be logged during each six month period, or the project will be considered~bal~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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS NDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN ENTOI. SIGNATURE~' . " -~/, /\ L-~;',z'-' / -- OWNER~ ~---~- ~~-- I DATE_~~~--~~1-~~~~----------- ~~~~:VO:SA~~N~~l~~ MY COMMISSION EXPIFtt~g:C:io\:,jlS:::I:; C:?, iT',;':. ,',5 8DltT:n : tJ::-[jT~i.;~;i.~;:-rL':~:;l.:\:TJ:---- i..D..~W '.lSb- 3 S.)..-Stf- 3"'1-0 SIGNATU DATE_____~~~~~-_------------------- NOTARY AS TO ~ CONTRACTOR___~__~~~-~~~~~~l MY COMl'iI S~~VE~~!Wi:TATE O~ FLO~IOA (~ CO''''''1 co 'I f:'l/;P-;--Mirt-2~....~4.------- ""'I ~"'\ - ~, '0 BONDED THRU GENERAL INS. UN .