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HomeMy WebLinkAbout92-2303 BUILDING PERMIT Permit 23038 -7,'-.1. 7- 9;;2 CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date, ~ ~" PL~____, MEC~ Sewer Conn Water Conn: ::~::~,~:~.,~ fl-'t ?:tf:'Jr' 21ZJL Parcell.D. # Zoning: Energy Code: .-;;? / Description of Work ~ ~1-z-;y t> Radon Gas: ('~~LA. if 7'~ L ~I ~. Water Meter: C4 Y // , T.I.F.'s: .L. '---- ~17 ---1 ')/ \A 1/1. , tV is ,L~j-- /3 - <f 7 ) ,../ FINAL C.O. 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. DATE Inspector Permit Fee ~/ , J,u ~ ~ Signatur~~~ '7'f? -?!c<,z>?'. 1Z7- Company Address Telephone# Valuation or Contract Price ;t ~ ? <.,-? Z-:--z) City License Registration # ,~-;1 ~S State Certified License# 2: ~~~4'~ B;; . me --"'~'. .-. P L U riiia'tNG.... MECH~ 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. CONTRACT &/;14 \'11 t ~ ~~~o no vt~ c~. 00 'P' '1 ~ d bl~;'~ ALUMA.TILE ROOFERS, INC. 2301 TRAVIS AVE. VALRICO, FL 33594 NAME ~) Of?lf( STREET ; I I. 573it t:;1I-l CITY, STATE AND ZIP COD.E J ~ 6PJI VI?/ litiS'. I We hereby submit lpeclflcltlons and work description: DATE ~ /3 '31 3Jj24~ J NS,A/"L /),J 13&51 ;0 /IlfCl-{)) K JbG'G I 1<[ /;10 V/tL IN SIAL l.;A :/<.:Vv:S 70 /0 13 C {C /f1/, (, t/E J) IJtC<J,A- JJa/t1CGR~SI All/m)1l! {,1m tv/ 35' y611<. tJ//lRtf.AllItj ~1/E~fec;J ~r ~&fJIIYI2I1/lL5 {>/JE-R --30 If I2(JDrII1.!G pctT. ~ tJevJ 1/131.J1S c.Atum/Nlh'J1) I DRIP EOL~E I fJ/...Co.A l/eN;....4- } 6r /(jR8/N~SI ~ COjJ(R/lV G OF 2 S-7JC/J6;'; .f},('015, I3EG/tJ /lfJPAOYlftIYL'17["LY -:;julL'6 iJ /qg7 ~/ iN 1I11'/?o 1{1/1tJ74,(;3 L Y d - 3 c>Jer;K'S, NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENnRECONSIDERATION FOR THE AMOUNT OF THE CONTRACT. PUR. CHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT. IT IS AGREED: Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements of the City, Town or Village, wherein the above mentioned property Is located. If Purchaser should cancel this contract after time slated above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees Incurred by the Contractor. ' This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company, this contract shall be binding on me/us without any further notification to me/us. . The undersigned property owner agrees that this contract may be assigned for the performance of the work and labor required by the descrip- tion of the work to be performed. Upon assignment the parties hereto consent to the performance of the work by and the payment to such assignee of the amount of this contract. Any alteration or deviation from above specifications Involving extra costs will be executed only upon written orders and will become an extra charge over and above the stated contract amount. NOTICE TO THE BUYER: (1) Do not sign this contract before you read It or If It contains any blank spaces. (2) You are entitled to an exact copy of the contract you sign. (3) Under the law you have the, right to payoff In advance the full amount due and under certain circumstances to obtain a partial refund of the time charge. Owner acknowledges receipt of a true copy of this CONTRACT. )h" " 0' , , - ALUMA-TILE ROOFER8, INC. Pite.S-. _~,J~ Sb/3 J n 2301 TRAVIS AVE. \ ~ Purchaser D te VALRIcc:-t~ 33594 I -fit , C .. _ By Cl!!!!-1.,!ttq~4tcJ-' sj;3)?7 ~~ ~ .{'}3/J7' Date Purchaser Date #, STATE OF FLORIDA ')' ~~.~.: City of Zephyrhills PAeSOCO NTY' BUILDING PA. RTM 1-8 3-788-6611 T Permit " Type of Permit Date BUILDING ELECTRICAL PLUMBING' MECHANICAL '--..- .... Property Owners Name: Job Address: J /J \. ,/' ,/ I () ), '--7 "1/1/ I ,.Ii_"" . / ,Ir' .t,,' ,-I.l~1: /:/( i....> I I ' ,/' . A :' {~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ,l . / " i' ".r' j ,~ ~~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application , . Estimated Cost: ~- :.;' / 7. '" .. <....J A~. "; ..1 1/~ Fee: . / ' , ')~!..- /J / OCCUPATIONAL LICENSE # -{: II y j}c'~~ /' SIGNATURE COMPANY. , ADDRESS TELEPHONE # , I ~/ '.(':. -:... i J_.-..,....- All work shal! be performed in accordance with the above and all City Codes and Ordinances. t./' \.. /' t :.. .j.. ,) It' \//. .;: /J' ), ~." .-, .." / I' ' / /;. .'\/ '1/ /;'--, /11,,' C, . {. / /, ,. ,r - ~~t ~>;/J' )'<;!" " /'1 ,i PLI,JM~ING SLB/ '---' Tub Set Water Sewer Final ELECTRICAL /1' MEGH~NICAL . \ BUILDING Ftr, Pre SLB Lintel FRM, Insul.CL WL Tp,Serv, Rough In Meter Can Const.Pole Pool Final Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10,00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection 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 /J l/,-n,P, '/; <. ( '" /'It':c'',' i .<-' I~ ~j ~/(- ADDRESS - "5(-,/ Z' a,// /' ,. ('~'/, . ___.--I PHONE ~Cc'.. ??/-3?'~/c- OWNER AL sr Ie ~_'S7-c.';? ^ JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOC~____SUBDIVISION PARCEL I.D.4fr 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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. I _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ~~ROOFING _Frame _Steel SPECIALTY TYPE OF CONSTRUCTION: ____Block Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** . " MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Company State Cert. or Regist: # City License Registration # Signature APPLICATION APPROVED BY "*;;:'ff********'I<***,**.. *********************** ..... '-; \.f r /.t ~ .~-, ~~o / .:7./1 .L'~ '/ I, oJ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions. which lay be lore restrictive than City regulations. The undersigned assules responsibility for coepliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTR~~T~B RES~ONSIBILITIES If the owner has hired a contractor or contractors to undertake ~~rki {hey may be required to be licensed in accordance with state and local regulations. If the contractor is not ,licensed dS r~~Jired by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the ONr~r 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 Building Depart.ent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or cont,ractor~, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which th~y will be responsible. If you, as the ONner 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 aay 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 (CHAQTER 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 Pro'tection Guide" prepared by the Florida Depart.ent of Agricul'ilre and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a cc.py of the above described doculent and prolise 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 Hork will be done in cOlpliance 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 Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City code!:., zoning regulations, and land developlent regulatiolls in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended lIork, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health L Rehabilitative Services. Environlental He',lth Unit - Wells, WastElIater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent ! ~!c~ fPrtify that, if fill laterial is to be used in Flood Zone 'A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volute" will be subllliHed Mnle;l _. ~;.:t''' d Ly <0 pr~,fc:;:i:,","! engineer rp~istered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall becole invalid unless the work authorize~ by such pertit is cotaeneed within six lonths of issuance, or if work authorized by the permit is suspended Dr abandoned for a period of six lonths after the tile the work is cOaaenced. One 90 day extension of tilE, lay be allowed for the perlit 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 will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". -;/ .....- -~-' /~ X SIGI:ATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORID~ COUNTY OF /-7/5- (' (; The foregoing instrument was acknowledged befctl-e me th i s 41'.'.'" / ..J '7 , 19 ~./"'..:J by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. /r"(A,/ // /LIL(;f ;-/ who is persDnally kn~wn to me or WhD has prodL{ced ZJre(~CI..J ~;(t/f.,.5C-- as identification and who did/did not ~. ~- .....:. tu.-~ /, ..__--- v~. /'-YKA':~~::--___ (N mE Typed, Printed OY" StampedW~__, /t~ NOTARY PUBLI~ ~/ltV ,;t" ,<j.~e7K//lfvlfE;..... / (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY f"lE1UC. STAT!! OF FLORIDA. r'iY (;CM~H5S;ON. EXPIRES: APRIL 24. 199401 ilONDEU I HR:U NoTARY PUBLJC UNDERWRITERS.