HomeMy WebLinkAbout92-2267
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
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Property Owner:
Job Address:
Parcell.D, #
E~ PL~--P M~Ie:AL
~~f9A4!2ZL O~.
I~ -4.~-r2/-loD- OOt) oo..O/DD
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
Inspector
~
Valuation o~ '- t,,, {l- 'f!i:
Contract Price
C'tv Ucense Regis.,atlon . ;9:< ~~
State Certified License# .
Permit Fee
Signature
Company
Address
Telephone#
ELECT
PLUM
MECHANICAL
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.
FENCING CONTRACT
For Value Received, I MRS. PORTER
39039 CRDINAL AVE.
ZEPHYRHILLS, FL.
Promise to pay to the order of KAREN WILTON
with of ices at 4254 Plum Street Zephyrhi1ls, Florida 33541
of
the sum of SIX HUNDRED SIXTY EIGHT DOLLARS & .40/1.00 .........$668.40
for fence work described below.
254 FT. OF
" CHAIN LINK FENCING
7 EA. 2 1/2" TERMINAL POSTS
1 EA. 48" WALK GATES
TO BE PAID AS FOLLOWS:
-----------------------
-----------------------
PAYMENT IN FULL DAY OF COMPLETION.
Work to be started on: 4/14/92
Completion on: 4/16/92
We the undersinged hereby agree to all terms listed above.
Signed this 13 TH. Day, of APRIL 1992.
or sooner.
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CONTRACTORS SIGNATUR;;~" Iv~
ADVANCE PAYMENT:$ .
TYPE OF PAYMENT:BANK NAME:
CASH
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ;>19 JC Cl Ff:. r/ CJe CO.
AnDRESS ~,.< ~ y /e- ()/V7 S/.
OWNER Ll/l.et!rRr1 fJo i<' TC/l-
JOB LOCATION 3903'7 C/1,€,3I/v/1G AUt?'
,...-
PHONE ") g::'J' - ~ ~ y z...
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D .l~
WORK PROPOSED:_New Construction ----Addition _Alteration ____Repair _Install
_Sign/Temp.
_Sign
____Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_l~ of Units
__M/H
_Commercial
_Indust.
_Swim. Pool
F.c,J~e
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 FORtIS. ,~*
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$ cdb5", yC c)
.
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.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. 0
City License Registration #
******************************************
BUILDER
Signature
ELECTRTCTAN
Company
State Cert. or Regist. 8
City License Registration 0
******************************************
Signature
Company
State Cert. or Regist. ift
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
****************************************~*
MECHANICAL
Signature
Signature
Company ~IlSC u FE/lICC CO.
State Cert. or Regist. 0
City License Registration IF sP~t:'~ /9 t..
OTHER
******************************************
APPLICATION APPROVED BY
PERtHT OFFICER.
'1!""""1
b
CONDITIONS OF PERMIT AFFIDAVIT
A.' NOTICE OF DEED RESTRICTIONS.
The undersigned understands that this perait aay be subject to "deed restrictions' which ~ay be more restrictive than City
regulations. The undersigned assules responsibility. for compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake worK, they may 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 ~ay be
cited for a lisdeleanor violation under state law_ If the owner or int~nded contractor are uncertain as to what licensing
requirelents lay apply for the intended wotk, they are advised to contact the City of Zephyrhills 8uilding Depart~entJ (813)
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 cDntractor, are responsible for the work. If the contractor wishes you to sign
as cDntractor that may 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 Departlent of Agriculture and Consumer Affairs. If the applicant is someone 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 cOlmencement,
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 co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby aade 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 of all laws
regulating construction, City c~des, 2~ning regulations, and land development regulations in the jurisdiction. I als~
certify that I understand that the regulations of other governmental agencies IDay apply to the intended ~ork, and that it is
IY responsibili ty tCI identify what actic1ns I must take to be in compliance. Such agencies include bllt ~l e J'I(,l I il1i ted tCl:
I Department Clf Envi,onmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensi \ive L3nds,
Water/Wastewater Treatment
I Southwest Florida Hater ManaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
I Department of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, \jaste~ater Treat~ent. Septic Tan~s
I US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill lIaterial is to be used in Flclod Zone "A" or "A,etc.', it is understood th3t a drainage plan
addressing a 'compensating volu~e. will be submitted which is prepared by a professional engineer fegist~red in the State of
Florida prior to permit issu,ance.
~ permit issued shall be construed to be a license to proceed with the Hork and not as authority to viol3te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance ~f a permit prevent the Building Oificial fro~ thereafter
requiring a correction of errors in plans, c~nstruction, or violations of any code. Every permit issued ihall becole invalid
unless the w~rk authorized by such permit is co..enced within six m~nths of issuance, or if work authofJzed by the perlit is
suspended or abandoned for a period of six months after the time the HClrk is commenced. One 90 day e=tE~5iDII of tile, aay be
allowed for the per~it with fee charge of ~15_00, The extension shall be requested in writing tD the Building Official. An
approved inspectit,n /!lust be lc,ggedduring each six lIIonth period, or the project liill be c[,nsidered dbaiidc,ned.
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
:~G:A:~R:_E~ED--T_O--R--E-C-D-R-D- AA_NN_~D__P__O__TT__A _.__'I_N_O_TICE OF COMMENCEMENT".
~ SIGNATURE~'L-~t6al----------
OWNER OR AGENT ' CONTRACTOR
DATE____~_~~~=-~=?_------------------
Ii) -:Fi.-J1Lti f636 -070-5'0 - 50S
NOTARY AS TO 7/~(I1f 7T ~
OWNER OR AGENT__~~2jT~-zft~~~~-~-
MY COMMISSION EXPIRES______________________
DATE ___ ___'.i-: _ j.J.: _ _ ~/l.__ - - - - - - --'- - ----
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MY COMMISSION EXPIRES__________________
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