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HomeMy WebLinkAbout92-2283 BUILDING PERMIT Permit 22838 5'-cJo-?01.. CITY OF ZEPHYRHILLS (813) 788-6611 N<! Date C;':"~ '"EbEQRICAL PL~ ~AL Sewe' Cone _ __________ Water Conn: Pwperty own.".~ 1\ Wat~: Mete" Job Address: to _ _ llcA c T.I.F, s. Parcell.D. # bL/ -.J..6 - .3 0/30 D - 00 DOD ... 0 0 t!J oS, () Zoning: Energy Code: ~adon G~ Description of Work C~A"'~" .A;/~ . - /.' ' ~~ -4..1-.A 17~.A/7 .../) -4'~ -~~r NO OCCUPANCY BEFORE C,O, FINAL 'Z- DATE Complete Plans, Specifications and Fee Must Accompany Application, C,Q, All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified license# LJL( Permit Fee f~: t7V ~ Signature J U .~. {iJ/;( Company Address Telephone# Valuation or Contract Price ~ bU7::>, o-t) PLU Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter tI-2i.ql- f3,u, Final Breakers Ducts Insl. Compressor 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, APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -:7.fI1I tfJ/l5/JN~1 (l bm~ I/\IC- ADDRESS //'191' c~b~ <..f: g;u:ok:ct II&' r/ II/!:TJII t.L e _ PHONE 9ot/~ 75?9-0d70 BLOCK LOT SIZE~xIOD/ AREA SQ,FT, SUBDIVISION 2L:fJ?1-I.e.--f?JJx;6" PARCEL I. D , # ~I ' ~ - 03 ~ 0/300 . OOLKJ(") - oooo~.V WORK PROPOSED:_New Construction ____Addition ~Alteration _Repair _Install _Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F _# of Units' __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, ~DING PERMITS REOUESTED $ ~ooo. 00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _W,R,E.C. i _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY (JOAl&z.id-r&" Other TYPE OF CONSTRUCTION: _Block _Frame ____Steel FINISHED FLOOR ELEVATIONS: FT, ****************************************** BUILDER Signature ~~~ ~ CONTRACTOR SECTION Company Ie State Cert, or Regist. # City License Registration ****************************************** Signature Company State Cert, or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert, or Regist. # City License Registration # *********************F******************** PLUMBER Signature f, Company ,..__ ._, State Cert. or Regist, # City License Registration # ****************************************** MECHANICAL Signature Company State Cert, or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~********~************************* a.M .tU ~ r/ AI"r-,...., T PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penH.ay be subject to "deed restrictions" which .ay be .ore restrictive than City' regulations, The undersigned assu.es responsibility for co.pliance 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 .ay 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 2ephyrhills Building Depart.ent, 1813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 pertitting privileges in the City of 2ephyrhills, 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 Departaent 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 docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co.aencelent. 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 develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work Dr installation has coaaenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also certify that I understand that the regulations of other governlental 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 li.ited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environtental Protection AQencv - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan addressing a "cotpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code, Every per.it issued shall beeo.e invalid unless the work authorized by such pertit is cO.leneed within six tonths of issuance, or if worK authorized by the perlit is suspended ~r abandoned for a period of six tonths after the tite the worK is co..eneed, One 90 day extension of tile, lay be allowed for the pertit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official, An approved inspection tust be logged during each six tonth period, Dr the project Nill be considered abandoned, WARNING TO OWNER: YOUR ~AILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEKENT", SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The~foregoing instrument before me this 4- I!;? was acknowledged , 19.2.2.. by STATE OF FLo~ ~ COUNTY OF 'J!jVYl flfl7 0 , The forege1ing instrument befct\-e me th i s J..j'II/) "las acknowledged , 19~ by tf J..J..,6tI- or Stamped) G~ Be&'AH who is per onally known to me or who has pl-oduced as identification and who did/did not take an oath. f\ " d//~/t )J,/JA'.P./ ,=,,/.e:i:.l31'L (Signatur~ L' .~ -:12111/1//;: @. IfZlL (Name Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or who has produced as identificatain and who di~/did not take an oath. . C?~fi~ IL- l 0A1P./ ~J!i!L~ (Signature)~ ~//1N(f (Name Typed, Printed NOTARY PUBLIC ST Ar~DARD FORM OF AGREEMENT BETWEEN CONTRACTOR AND OWNER THIS ACREEMENTm.de th. &F7:4F/V7Y ~.~ Nineteen Hundred anti N//V/.:I/{ - Tv...:;o by and between r e. hereinafter called tho Contractor, and l-le71-1LL1e~ OR...L;;r/YJJ().~/oj Owner, Witnesseth, that tho Contractor and the Owner for the conslderatiolU named agree lU follows: III the year hereinafter called the ARTICLE 1, SCOPE OF THE WORK and perform all of the worle s(wn on the Drawings a~described in the Specifications entitled ~ t2 710 S.Ln.e5 OA/c.. prepared by ~, .' acting as and In these Contract Documents entitled the Architec, and shall do everylhlng required by this agreement. the general conditions of the Contract, the Specifications and the Drawings, ARTICLE 2, TIME OF COMPLETION ") The worle to be performed under this Contract shall be comme-ncen M S[:()1l ClS {-(>C'I'Y\'I+ j <, substantially completed W 1m / N (2) N e-- L2:E-5- k '-eQte\,)ec\ .nd shall be ARTICLE 3, THE CONTRACf SUM The Owner shall Jl" the Contractor for the performance of the Contract, subject to additions and dcductioI:s provided therein, in current funds as follows(-H 4t1m,60 ) -~ 7J>Ou.$Li!Y~ _ . - (StOle heft' the lump lurn &mount, unit pr.cc.. or I-oth, as d"lred) Authorized Change Orders will be submitted by the Contractor for all work not speciBcally includ(~d in tlis Contract. ARTICLE 4. PROGRESS PAYMENTS (Ins<!rt he", any provulon made for the runount retalued after the work reaches a ('<'rtain .tage of comp'.:>on.) . ARTICLE 5, ACCEPTANCE AND FINAL PAn{~'lT Final payment shall be due ---r}+r-: day, rIif, substantial completion of the worle provided the won: be then fully completed and the Contract fully performed, .- ARTICLE 6, THE CONTRACf DOCUMENTS The General Conditions of the Contract, the Specl1ications and the Drawings together with tJlis Agreement, fonn the Contract, and they ILre ns fully a part of the Contract as I hercto attachcd or herein repealed,' The fo(]owing is an itemization of oUlCr essential pertinent Information: ~5'/ J I I I 32.1 , 1/ .;l8J ;"",/;;;)")(B"roo;. - tz}'.;2c ~ ~n </8/ , 3" j( 8" F'/XJrete- L<)I 5/8' )'?B3/91t:.. ~/....:l ,:J.' ~ ~ ~ h ~~~~ ~ ~ ~ ~ ~~~~ A ~ ~~ ~.. It) ~ ~ JI" / ~ < I ~ d-.OJ {JCYVt!Ke7f; SIDe w/1u-< 1-----.--.----- / \ I tJO / /l: K.. 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