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Home My WebLink About92-2297 BUILDING PERMIT Permit 2297$ ~ 2.5-7~ ~ h ~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date Property Owner: Job Address: Parcell.D. # /li: ~50~ ~. (j) ~i;; P~ ~~rconn ~ d w.w Conn Water Meter: __ '~;;- 4."rt/JL#~TI.F.'S: Energc Radon Gas: 2~ i'~e)/~~ Zoning: Description of Work FINAL S:J 0 .. DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. DATE Inspector Wll ~ Valuation or ~ ~ . trO Contract Price '{} IJ - perm;tFee~ S;gnaMe ,,~ 0"' - - - Company Address Telephone# City license Registration # ~ ~ . State Certified license# ~Jt~{2.t~ /I!fIc:S~L ~ ~ ;}E~35l2E PLUM.S+N'(j"-'O - MEC,l:iAPlICAL 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, HERB~S MOBILE 'HOME AND-ALUMINUM SERVICE - Z EP~ ~ ~;i.~.~ L~:::- ~ i~~;~~::~~.:. .-~~~~~ =:--~ ~....... , TELEPHONE r: < B 13) 7B;'~._'5B29/)5b7-7?3z:-. .AGR~EME~;TH.~-~tH~_.-_._.... _;;DATE,--.~~A: .~Z STREET' ___2z!!.LbLT.d~d.._.J"" NAME. ~f----- CITV-ZIP..2 ~____.._-._-..-.--_.....-.........J(JB LDCATlDN# .lc/ TELEPHONE. 7Jt -.33# _._~~-...;7.._..........,.rELEPHONE' THIS AGREEMENT MADE THIS /.Z.--.oAY OF~-.---.-....-1'39?:BETWEEN HERB'S MOBILE HOME AND ALUMINUM SERVICE AND ..__.__._______.__..____..._..__.........mmUHES THAT THE ABOVE NAMED COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING ITEMS .~~~_.~ca!L.~~~~ ..__._.._..______... h. _...._._....._... -........-.....------ .____" ____---.-.. ..~.____... ..._____..._.........-~_..._....-_... ..uM'_"_ ....... _..... ._.-...... ....--.....-----...-- ---....----.--- ---.--..--..--..-----.---...---..-----.--.-.-. -.'. ....- - ..'...... ...-.-........-.. ...............-..-.... .-.- .-............--....--.- ALL MATERIALS REMAIN THE PROPERTY OF THE CUNrr~nCHII~ UNTIL PAID FOR IN FULL. ALL JOB'S MINIMUM OF 50~ DOWN UNLESS ARRANGED WITH CONTRACTOR BEFORE SIGNING. ALL MATERIALS REMOVED FROM JOB BECOMES PROPERTY OF CONTRACTOR. RCCIDENTS OR bTHER CAUSES BEYOND HIS REASONABLE CONTROL. THIS SHALL CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OTHER THnN SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE. WE PROPOSE HEREBY TO FURNISH MATERH1L AND LABOR .. C()M~ILE1~ IN ACCORDANCE WITH THE ABOVE SPECIFIC~HION_S, _~or:.-_n~--.sU~._.~I~~--..-DOLLnRS(:~ _. ~) 7Jt-K -5-Y' V'D PAVMENT TO BE MADE AS FOLLOW~~'u" .__.....~_._....._-------_....__.__._.-.__. WITH BALANCE TO BE PA~D--~J~:O~ CO-MPLETEIO~.-()~-~~~~~ ---------..' , ACCEPTANCE OF CONTRACT- THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OU1LINED ABOVE. DATE OF SlGNmURE':X~ ....- .d.-...--. nCCEPH\NCE ~'::-I ~ lGNmURE , .-.........-..-......... ....-.....--.-.-- ---~..-.- CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION ~EGAL DESCRIPTION/SUB DIV. BLK. LOT Show all existing and proposed structures giving dimensions" setbacks. ~,~~~, - (~,o-. .. ~~ /J'l1J2P::;;;;~ .2Jj ~ " . ~?5 ."'lIK[) ~~L )! , '. ..~ !-,efJ~ U~~~'c-, j)-yv;r/J., r." . -----2-. :--~...IA..xt.1.J/!.. . 1~.J0~ <CJ. ~~ (I' . t< >1 ----.,. '0 -- ~ ~ - ')( \l\ ~T~J- 0.;5 ~ ~ I!.~ ~ u ~~ ,),( ~ ~~ ~K ~ t-= ~~. \-; ~~ .'~ \) {~ ~~ ,1' ",ot " E' 1:>0' ~ Street ~ ~ @ ~ ~I NOTE EXAMPLES 1 " 2) (j[) I( Bel backs fot' 'R"'/ ~.z. f/ ~<3 , AO YII ng Nofe: 6:,0' ~ /0' I~' 8e!fba.eks ~ 1\-:4- xo." M~ . , fie IS T{pf1 - Iii Q~".CII1e Gi' (!.,rport i~ a(/elf H1U~t I.pt/e /.IS' s4!.fk.k. - V f;/,'f /itJi lJw,.:I ,,*:$ f ~~ s;~e~ fol)fAJ... ~~. Ell: i'.:s 'ti "C) - yj ,10' , 101 \&p Pro p'o~8cl ,fdd it<<,o" . ,0 w' "50' . :sf'reef t:'t"'OI1T IO~ 51 . s./reeJ ,:,.arfr 10 tf., S~ '.f"' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APP~ICANT NeI<. l3S )}.L 1/ /Vt.. . ' ADDRESS r 3 C]::ll ~ L I 7-A g t> 7.~ C I rz c.t e . OWNER 0)- I~ ~ ~J ~ ~t1. JaR LOCATION:> if ( ''1 it) ~ <(, PHONE 7~?- S g-z,? LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ....s. 1{ y -r#- .!J---. PARCEL I.D.iF WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ~nstall _Sign/Temp. PROPOSED USE: ~ngle Family _Sign _Move _Demolish _M/F _4~ 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. ~BUILDING PERMITS REOUESTED 9(2.0 . 0 rJ Valuation of Total Construction $ ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signatur ****************************************** I::;>UJ ~. CONTRACTOR SECTION Hr. L u IV\.. Company eX/5. ~ ~L c./ I'--\. ~ ;0 n J State Cert. ~r Regist. iF n.. . Old i)R- tL/ e-. ft-}~, City License Registration iF '2 . ****************************************** Signature Company State Cert. or Regist. iF City License Registration iF ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. iF City Li~ense Registration iF ****************************************** PLUMBER . . ~.: Company State Cert. or Regist. if City License Registration iF ~J. ~ . .~ . *'k~****,*******************-1;*~*~*,jo':-!:'k*****it*. _ '. . ,. .-'* MECHANICAL Sign~t~J\ OTHER . .. (" ... \" ~- ..... ) '. . '...~~ CO:11pany State Certrt fIT 'Regist. iF '-.' City License Registration iF . a , _":* Signature APPLICATION APPROVED BY , ************************* PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions. which may be more restrictive than City regulations. The undersigned assumes 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 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (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 contractor, are responsible for the work. If the C(lntractor 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 - Homeowner's Protection Suide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone 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 com.ence.ent. 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 cOlpliance 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 cOltenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulat~ons 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 .Y responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not limited to: f Department of Environmental Rellulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv!' l.:lnds, Water/Wastewater Treatment f Southwest Florida Water Manallement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enllineers - Seawalls, Docks, Navigable Waterways f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatmen~. Septic Tanks f US Environmental Protection AlIenCY - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood t~it a drainage plan addressing a .colpensating volume" will be sublitted which is prepared by a professional engineer reqist~jed in the State of Florida prior to periit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officiil from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued ~hdll beCOie invalid unless the work authorized by such periit is co..enced within six iDnths of issuance, or if wOl'k authol lzed by the permit is suspended or abandoned fCIl" a period (If six months after the tile the work is cOllmellced. One 90 day i,;;:t,;:.,SIOIl of tile, lIay 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 must be logged during each six ionth period, Dr the prDject will be considered dbdl~Dned. 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_~~__~~______ OWNER OR AGENT DATE___~__~~_____~j[_~~_____ NOTARY AS TO ~~~ OWNER OR AGENT. , '. '.. cmtfa':- 1i1Ie; " . , ; Fxp'rps ~eDt. 23. 199~ MY COMMISSION EXPIRES My CommlsSon " , -------- ----_._--- -~~--- SIGNATURE_d!!.~.___t!I~~_ CONTRACTOR . DATE___~_L~~____L1_tt_"J=:__ NOTARY AS TO Jld./J .....J) L? ~ CONTRACTOR~_~~~___ :Na1mY PotilJ(!~ Sfafe' ()f Ftcrrrcrcf MY COMMISSION EXPIRES_~_~l!!lfxl1irBs.Sept....~ 1992