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Home My WebLink About92-2200 BUILDING PERMIT ~ ::~:::,,~:~j4;~~a~ Parcell.D, # I S-- C).6 -;).../ - D / 7.4 0/ h CJ () ~ ~o. crD (~I~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2200f( ~ 36- o-iJ c;-;;:~~ DatE! .3 . 1/ - 7 ~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: t) 000 Zoning: Energy Code: Description of Work <-jf~ ,+/ ("" - Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 3.J' 3 -' ~ DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Sigrrature Company Address Telephone# '#1~ Valuation or Contract Price ;Z./{YK: trV " City License Registration # ~.;,~ State Certified License# BUILDING ~~.L'JJ C~.A'r ..s-y ELECTRICAL '~-,f~ ) PLUMBING 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. j J1ropoem PATTIE ELECTRIC & REFRIGERATION 39111 PATTIE RD. ZEPHYRHILLS. FL 33540 (813) 782-3319 Page No 0' P,lges --- - -~--~-~_._- 002757 PHONE ]DA3o_Lo-q~ JOB LOCATION ~ JOB PHONE We hereby subm~ specifications and estimates lor: " QS-T C)Qo,'~ /): W;:.! h ,4 Z. .:3-1-14:5'- tdp 7:s-h4 '7 I tU ;,-1' A 6- 6vj7,tV1~ .$ r /G7V1Bn ,#Z1.. ~VC-:.,,~",()ocr Oil> (Y~(Ja./ i I-i( /h e (le;~~:,,~~ "qc'?~ Cd],I, I ;J~ $L#~ t.J~:r ~.. ~7~;t.d.J (.AkU.lt (U'~ ~ A .._.C~~~ ~T " R!d..j~ 5/C'uJ ~ 4/~ z:. 77;, /u'~,- /O~ r/~ po~fJ ~,- .... J "// A- Go I ~':Ji c{,L j .~~ I J4 19ttZ, I7rt &e,egz- ~~-- Z70<{. ~ c.( MK4t ,{l""c,\j' Ul~h.;rtJo '5. Z-~ - ZItS!L'J..4 o 16 (10 - ()(J t:! CJ If r l\lrl1pl1llr hereby to furnish material and labor-complete in accordance with above specifications, for the sum of: dollars ($ Z 70 c6 . ~ if ), 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 7' workers are fully covered by Workmen's Compensation Insurance, --~ ~ hnpbmn of 'ropoeaI - The above prices. specifications and , conditions are satisfactory and are hereby accepted, You are authorized to do the I' work as specified, Payment will be made as outlined above, II DATE OF ACCEPTANCE: ~ ~-/t)'-1l- FORM 65103, RAPIDFORMS, INC" THOROFARE, NJ 08086.9499 Note ThiS proposal may be withdrawn by us il not accepted within 3d days SIGNATURE wl- L;;t:l _:.~ =., 1289 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~Je ii /.ec-fqzie- ADDRESS 3q/11 ~#i~ Rd Z- H;/I:> OWNER /(t;AlwW'h 1<: '-0 +z... 3 7 ~ Z h JOB LOCATION tJel1~ ~/tJ~'(JH1 ~Ylch PHONE I'J8Z' ~:~/q I? f/.~6A IJ/Z. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F I~- zrs,-z,.j"'" ~//JA- Oft;, t)o - oo~ 0 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family ____M/F _iF of lIni 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 ...ic::::..ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. J:::::...MECHANICAL $ Z?O?,'-u.. Valuation of Mechanical Installation ____PLUMBING 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 :::=~ Company :J.H,.;: euchz;c> IV / __ _ State Cert. or Regist. IF 15~. IZ615 . cr . . ,-'t~ ~ City License Registration 4F & s'i ****************************************** Company State Cert. or Regist. iF City License Registration # ****************************************** PLUMBER Signature MECHA~JCI~ Company !P I'I'u ~lte/;eiG ~ ) _ ~ State Cert. or Regist. IF I?A ~z,qz, (l-S- Signature" ..~. f ~ City License Registration ~F t!J:5 S"" ****************************************** Company State Cert. or Regist. # City License Registration iF OTHER Signature APPLICATION APPROVED BY ~;~~~.~;;~;::;:....*.****....*., PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for coapliance 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 iay be cited for a misde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements iay apply for the intended work, they are advised to contact the City of Zephyrhills Building nepartment, l813} 788-6611. Furthermore, 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 - Ho.eowner's Protection Guide" prepared by the Florida nepartaent 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 cO.lenceient. 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 cOipliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr installation has cOI.enced prior to issuance of a per.it 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 lay 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 ale not limited to: * nepart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, nocks, Navigable Waterways * nepartlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tliat a drainage plan addressing a "colpensating voluie" will be sublitted which is prepared by a professional engineer reqist~ied 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 vioi~te, 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 issued ;hall becole invalid unless the work authorized by such per.it is co.menced within six .onths of issuance, Dr if work authol lzed by the per.it is suspended or abandc.ned for a pericld clf six lonths after the tile the work is cOlimenced, One 90 day ede"sioll {If tiie, may 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 month period, or the project will be considered dbdj~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 "NOTICE OF COMMENCEMENT". SIGNATURE~_~___--_____ SIGNATURE ~~_~------- OWNER OR AGENT ~~CONTRACTOR DATE_____~~~:-_sc~________________________ DATE ~-LI- /2 z ------~-- ---~-------------------- ~~~~:YO~SA~~NT_~~_-~~~---- MY COMMISSION EXPIRES____~_~_~~~~~~----- NOTARY AS Th /} / / CONTRACTOR__~~-_~~~___- MY COMMISSION EXPIRES___~_~~_~~~___