The URL can be used to link to this page

Home My WebLink About92-2288 BUILDING PERMIT Permit 2288p6' Date 4- ~/ -9JJ- ;' . ~._.._-~ ~ CITY OF ZEPHYRHILLS (813) 788-6611 N<! Property Owner: Job Address: Parcell.D. # ~~ ~~11 &~/ik' /~- r:L~ -~I -1)0/0 - OOft)o ~ewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work FINAL -- / ? - NO OCCUPANCY BEFORE C,O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. C,Q, _ DATE 1. 91)(/' ~ City Ucense Regis".'ion # .,Jljip ~;/~. State Certified License# -Y Inspector Pe'm;' Fee ~ /!i.l.- Sign.Me .. - . ~ _ d/.~ Company Address Telephone# Valuation or Contract Price Al PLUM M.f,.C11.\r~ICAl 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 ($15,00) shall be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d, Work not ready for inspection when called, e. Permit not posted on job site, f, Plans not at job site, g, Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. -.-:~.~~~~ - "?;;:-:~~_...",~" .... ~ ..~~ 'roposul Page No, of Pages. t('GPT'S P.SPHAL T PA V!"'iG 4285 Yawn Road DADE CITY, FL 33525 (904) 567-7082 PROPOSAL SUBMITTED TO PHONE DATE / / e7 STREET I j f.... . ;/J ,,(_ i'" i I ~-'" rf JOB NAME ..~.. 0 /'/ '/ c./ cJ "1; ; ~/ )) .-;- CITY. STATE AND ZIP CODE l !.. -I .- '~/' /, r.. /1 ......1 Y _ ?/< f" .5 5'/// DATE OF PLANS JOB LOCATION 5Zt J ARCHITE(lT JOB PHONE We hereby submit specifications and estimates for: i. ,/ ," ~ ;: _.Y' 1.,- ,:.. "?- e..! . /7.- <. C/.) ./ c..,.: j ; I II r,' IJ "'. Iv-', Ut./ -(, ;- (....' ~ --,' /- ,;;;. 'c- ( .. -( r ,.-t.../ ./ c.) \ c <. /7] ~') ( \ / ;- J U () :>0;,; J. I -' I:""" ... ../ .;.4' r "'j c.' (~ Dr 'rnpnnr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: ./ /- . r ( dollars ($ _> (/ () 0 ). Payment to be made as follows: / / -+- .),' --"/... "/ 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 specifica- tions 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 delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature ~~--- /' /' / ,4'~ JI!' ../ Atttptuutt of Jropo1iul- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. N~: This proposal may be withdrawn by \U\ if not accepted within \ , 'C--~ JJ f / Signature 1l!'~, / days. (.t/ t! (. L /\ .............. ,/ -..-- Date of Acceptance: Signature PRODUCT 118-3 /iVciis!elnc, Groton, Mass, 0147), To Order PHONE TOLL FREE 1 +800.225.6380 -1 k ~ o >- ~'" ~ ~ ~ ~~ 1 )<... ~.~ ~<:) , ~ ~ ~ t. -~ -N~:X ~m ;;: 9.J ttr ~ ~~w:"" Cit-<o)> Cf'l ~ tp::a(J)r- ~ "' :cOe: ~-Ci: - ""'" 4lo ,.... .... -- ... ~ 4lo(ii:X::Z [:- :J> ii "," (')'TI< "l - ' r-52~ !Ie.>> (') ><~c:~ I.m ... (') ~ :0 IJ a ..... ~ t ~o x' ~~ ~ .... ~ ~ o~ ,. ~ ~ ~ ~ c./ i-y ,.,aro~ V\... .;Co Sf;. ""* - 1 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /-ItJ 35" Yso Hu vdlJ . 19 / Ik Y1'1 /- 11 /-u YV\ ADDRESS SoUl!- TA y-' 'c CI lA,C VoL r--e /l- t/..-e , PHONE 7 I?;;P - 3c)VY JOB LOCATION 3 J" L/J 0 tJ6' 1" 1'1 ..R jI' 5'oo//t... }4 c/~ OWNER PARCEL 1. D, # /6 /C/-c26 --;( 1- BLOCK LOT SIZE~X So AREA SQ, FT, 'S-O 0 SUBDIVISION J}/oV(-.s:>S' F1 ~rr )1dt/. , LEGAL DESCRIPTION: LOT(S) OoleJ.- 00100 WORK PROPOSED:____New Construction ----Addition ~Alteration ____Repair ____Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Uni ts . ,____M / H _Commercial _Indust, _Swim. Pool fbLJI~t; v 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 ____ELECTRICAL AMP Service Florida Power Corp, _W,R,E,C, j _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION,/- Company 6....! t7 Jt- R 1/ I ~1 t? / v / State Cert. or Regist. # City License Registration # .." ,::i2t::/~ ****************************************** BUILDER ELECTRICIAN Company State Cert, or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert, or Regist. # City License Registration # *********************~******************** Signature #, MECHANICAL Company State Cert, or Regist. # City License Registration # ****************************************** Signature OTHER Signature Company State Cert, or Regist, # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to Sdeed restrictions" which. lay be lore restrictive than City regulations. The undersigned assules responsibility for 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 requited to be licensed in accordance with state and local regulations. If the contractor is 1fD~:.'licensed as required by lall, both the Ollner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to Hhat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, !B13l 788-6611. Furtherlore, 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 perlitting 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 - HOleollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all 1I0rk lIill be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lallS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction, I also certify that I understand that the regulations of other govern.ental 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: . Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent 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 "co.pensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the Hor~ 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code,. Every pertit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if Hork authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced, One 90 day extension of tile, lay 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 lust be logged during each six lonth period, or the project Mill be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY 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 CO"MENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", ;O~~ SIGNATURE: CONTRACTOR SIGNATURE: OWNER DR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF Pasco . The foregc.ing instrument before me this April 21 STATE OF FLORIDA COUNTY OF The"'foregoing instrument before me this was acknowledged , 19.21-- by who is personally known to me Dr who has produced as identification and who did/did not take an oath. Dean Kight who is personally known to me Dr who has produced FDL #K230 724 53 066 0 as identification and who <<Xd/did not take. ~~I6~th.. .4' J1;C4 AA \.l.i..L~?t-- ~.U_4"---- .18ignature) ./ Susan A McCollum #654621 (Name Typed, Printed or Stamped) NOT ARY PUBLI C NOTARY PUBLIC, STATE OF FLORIDA, MY COMMISSION EXPIRES: APRIL 16, 1993. BONDED THRU NOTARY PUBL.IC UNDERWR1TE:R~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC