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HomeMy WebLinkAbout92-2213 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2213,8 Date 3 - / 7 - ? OJ... ~'N~ EL~ ~ M~'Ml!~.~L S,w"Conn Water Conn: Pmp,ny own,,:t:.'r; ',. 2~ . Wat~: Meter: Job Add,..., ~_:3_ 0__-- #t!ue /1111> "GL'cC" Parcell.D, # ~-J.6 ~~/- 0 ()' - 6 0-';-00 - 0 oc 0 Zoning: Descri~ion Radon Gas: ~~ FINAL 2- NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. - All work shall be performed in accordance with City Codes and Ordinances. Inspector p.'.m;tF.~ Signature _- Company Address Telephone# ~~ Valuation or Contract Price cZ '-/ } ()., tJ7) ., City License Registration # ?l State Certified License# ~~<30L~ BUILDING >', FCTR~ Ftr. Tp. Servo SLB Pre SLB Rough In Tub Set Lintel Meter Can Water FRM. Const. Pole Sewer Insul. CL Pool Final WL Pre-Meter Final ~NG ---. M~CAL " 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT f J S e r: r" e e Me:? n. ADDRESS 5S35f La (ry Z~^yr^: II!: r-:-L )3~CY J OWNER 5 Q Nt e PHONE 7g~-6 8'50 JOB LOCATION 5a. m ~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 0 --I-A /J-I/-t~ /1JC'b./-e. ~#l.e fJ K. PARCEL I. D .iF J 'J.... d-~" ~ \ - D (;> :l & ... C> oS 06 - ooCO WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ~ Family ____M/F ____iF of Uni ts _____M / H ____Commercial ____Indust. ____Swim. Pool Sc..re-t.-l'\. ~dl}1t\ 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 FORNS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** " . CONTRACTOR SECTION ... ~ . Company A-- I () ILA-(''f Y ~ State Cert. or Regist. 'F 're 6~ 08s City License Registration iF f1/ ****************************************** Signature Signature Company State Cert. or Regist. # City Lice~se Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. ~ City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. ~ City License Registration # OTHER Signature ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions. 8. UNLICENSED 'CONTRACTORS AND -OONTRACTOR RE'SPONSI BIL I TIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the O\lner and con\ractor may be cited for a misdemeanor 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 Build'ing Department, (BI3J 788-6611. Furthermore, if the ClImer has hired a cClntractor or 'ccinttacte.rsj he is advised ,to hir','e th.e cCtntr-astor(?) sign petrtie,ns 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 Departient of Agriculture and Consumer Affairs. If the applicant is so~eone 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 commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~ork will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perait and that all work will be performed to meet standards clf 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 IDay apply to the intended work, and that it is flY responsibility te, identify what actie.ns I must take to be in cC'lIipliance. Such agencies include bllt "' e lIell li/!ited tCI: I Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi Ill! Ldnds, Water/Wastewater Treatment I Southwest Florida Water HanaQelllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~~~~. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flclod ZClne RAR c'r "A,etc.', it is unders.tctc,d Ui~t. ~ d! ainage plan addressing a 'colpensating volume' will be subtitted which is prepared by a professional engineer re~ist~.-ud in the State of Florida prior to'permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici_] frolli thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlliit issu~j ~hall becotE invalid unless the work authc,rized by such permit is cC'lIII!lenced within six months of issuance, or if N('lk authi'l ],ed b~' the permit is suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e=te~5JOII of tillie, lIiay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbai,doned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. 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__________________________________ OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE_______________________________________ DATE___________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES______________________ MY COMMISSION EXPIRES ~ ,-v;b.......t. .(1 I ~ 1-c-r-r- vJ ~ n ~ ..------- PLANT CITY LAKELAND A-1 Quality Aluminum Improvements, Inc. 5050 Gall Boulevard Zephyrhills, Florida 33543 FlOrlda Slale License No. RX0059085 (813) 782-5946 CASH SALES II CONTRACT OOya /J1A-f!::.~,19 9?-; by and between I 5050 Gall Blvd" Zephyrhills, FL 33541 , (hereinafter called Phone: 7:8 &,. 68S't) THIS AGREEMENT is made ard entered into this A-1 QUALITY ALUMINUM IMPROVEM~NTS, (hereinafter caned "Contracto(') and "Cmne(), wt'Ose caress s: S- ~ 8 nontractor shall lur~ish labor and millerials for the ~/05-e ~ S ~ WHEREAS, Owner wishes to retain the services of Contractor to provide the malerials and workmanship more specifically described below, and . , . WHEREAS, the parties wish to reduce to writing the terms of their agreement NOW, THEREFORE, in consideration 01 the promises and mutual covenants contained he,rein, the parties agree as follows: ing improvements to be made at the premises located at RY'Yl lustspecilic improvements here) h L~.jW 10 C)J 1'1-17 - 570~ ,~'~ OP-r) D~\5 y(.VVJ I ~-{-~ ~J.~ 2- / () y. S; w I c; In 4U ~ JM~ ~/J1~ .Ad C!- ill / go 3-/1-9~ TOTAL CASH PRICE s;)/.I-7CJ~~ 470, ;;)0 00/, G-U LESS DOWN PAYMENT: S O"V BALANCE DUE ON COMPLETIOt~: S 2, Work will begin within approximately after credit is approved If any amount oflhis contract is to be financed. Otherwise, work will begin Within approximately b -/ / - ? -;2.. / S-- of signing this contract. Work will be completed within approximately t..;.-;, -C} I working days, Contractor will not be liable lor delays beyond his control. 3. It is agreed that this contract shall not become binding upon the Contractor until it is approved by an officer of the company, 4, Any representations or agreements not contained herein shall not be binding on either party. All of the agreements and understandings 01 each party are contained heretn. 5, In the event it becomes necessary for the Contractor to employ an attorney to recover monies due under this agreement, or to enforce any of the terms and provisions hereof, Owner(s) will be liable for, and agree(s) to pay, all costs and expenses, including reasonable attorney's fees, necessarily incurred by Contractor as a result, regardless of whether suit is filed or not. 6, All unused malerlals shall, under any conditions, remain the properly of the Contractor. 7, The undersigned warranl(S) that he is (they are) the owner(s) ot the above mentioned premises and the legal title thereto stands of record in his (their) name(s). 8, "BUYER'S RIGHT TO CANCEL": ThiS IS a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by prOViding written notice to the seller in person, by telegram, or by mail. ThIS notice must indicate that you do not want the goods or services and must be delivered or postmarked belore midnight of the third business day alter yOU Sign this agreement. If you cancel thiS agreement, the seller may not keep all or part of any cash down payment, 9. In the event Owner attempts to cancel this agreement after the date and time allowed for cancellation under paragraph 8 of this agreement. Owner(s) will be liable for, and agree(s) to pay Contractor, all damages which Contractor sustains as a result of sueh cancellation, including loss of profit, Contractor's cost of any materials specially fabricated, and a 15% re-stocking charge for all materials required for the work speCIfied above. THE OWNER(S) HE EBY ACKN WLEDGE(S) RECEIPT OF a;; Lie. . A COMPLETELY EXECUTED COpy OF THIS CONTRACl ~ ~WNE\D- . -- ~ .~ OWNER ~ , ,.~ .. APPROvED BY TITLE SITE PLAN (RESIDENTIAL USE ONLY) PARCEL I.D. - SE.e T'1'I1' IlliG SUlH) 13LOCK LOT PROPEHTY HE.ASUREMrJH ... , IWl'E CURRE.NT OWNE.H.S be draun to Bcale for nIl parcels or lots five acres or less. All drawings shall w to fl:; K :c.#< I' I~ ~/~ fI/IJP ~ s., is -- c ~(2.y c;-1 SHOW !U..L EXISTING AND PROPOSED STRUCTURES GIVING DDiliNSIOHS AND SETBACKS. IILSO, INDICATE ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAHES) ADJACENT TO TilE PHOPEHTY. INDICATE THE SEE, YE.AR, M4D N.^J1E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETI'iOOD. All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION 'tA\,.[: '..60' PROPOSED ADDITION MOBILE HOME SE TUP "ALt: ,-. eo' . c........ ( : I". 10' ,.or (60 I',) . .., ;; . ! . ." ~O' 40' 2:)' ~ - :: 0 0 If) If) ..., 2" E.< 1,IInV ..., - S h.d .. . ." .., 00' ROAD "A"'E \oJ ~ <( z: ~ 7.~' o ~ - ~ 10 ' 20' I 10' !.Ul' odd. ..."v.. 7,5' ~ - o Q o 7.0' 0 20' 70' PI L ROAD NAME ROAD NAM! sitepl:111:C'P.