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Home My WebLink About92-2367 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N? 23678 s- ~;;l~Y cL Date ~L~ING::0 ELE~ PLU~ M~L Pmperty Own., ~ ~~ 0 JObAdd,""~ ~ _;A-:~ 'y ! ^ Parcell.D. # _ - ------=--_ _ - /~ 6 - 0/ -5. ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work f) Energy Code: ~~~bL<Q - ;:;Jl: ~~./\ .~J1J .1~ / - NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # .y I State Certified License# Permit Fee ~O "~ Sign8Jure L . ,i~/ ,-j' . Company Address Telephone# Valuation or Contract Price OS ~ t17J . cr-c ~)/ ,~~ CSUILDING~ (,,,-\1.,\1... ()\.If ~~ EL~L ---- ~G ............. M~NICAL ~ Ftr. Pre SLB Lintel Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL Drive~ay b....1I , q'Z.. W. (~ ,,// S":" 7 1- 6'~ "- L-- <; . tiC \01 ~~ ~ ......~ t'i 2.../3 ~ LL 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 75f;l jYJ fl5IJAI t€-Y o::.I-{J ~Ifle)ff / NC-. . ADDRESS //t./c;15eZ>fIllj8l. 2f20()ksiJ/!/g f! 3q~/! OWNER F.eJ9-/Yt!E:5 J11,:;/6.5 JOB LOCATION Iopl; 2e.tJJlY,e '7(itJCj8 '/)fZ. LEGAL DESCRIPTION: LOT(S) I~ PHONE 90 t/- ??l'-o;27!) LOT S IZE..&2..X / ()O AREA SQ. FT. BLOCK SUBDIVISION PARCEL I.D.4F D.~-~-.;J../../_~ - 0... o/S.D WORK PROPOSED:--+-New Constructi(Jn _Addition ____Alteration _Repair _Illstall _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. PERMITS REOUESTED _BUILDING $ d-,:l{;O. to I Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. I _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel .0 the r FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company "l3ffl l(ll/.!!>{)No/of tY:rmBNr..-!NC- State Cert. or Regist:. 4F ,373~ City License Regis tration # t.j ****************************************** BUILDER ELECTRICIAN .... Company State Cert. or Re~~~r~# City License R~~i~t~~~ion 4F ****~***************************~*~~*.*ft***. . .,;'-{)V . :..~ ;~ Company ... . State Cert. or ~egist. #. City License ~egistration # ::;.\.. .', **.'I\:******************~**************'****** "<;~;, ~j i i;.~ :'J;' .;.j,; .Ii ',...,<" Company State Cert. or Regist. # City License Registration # ****************************************** Shmature PLUMBER ~ : Signature I, MECHANICAL 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 "deed 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 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 aay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is soaeone other than the 'owner", I certify that I have obtained a copy of the above described docueent and protise in good faith to deliver it to the 'owner" prior to coeeenceeent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby eade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I eust take to be in cOlpliance. Such agencies include but are not liaited to: f Departeent of Environeental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - SeaMalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treataent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,ete,", it is understood that a drainage plan addressing a 'colpensating volule' Mill be subeitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perait issued shall becoae invalid unless the work authorized by such perlit is eOleeneed within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the tiee the work is co.aenced. One 90 day extension of tiae, lay be alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection eust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCEMENT KAY 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 COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'CQMHENCEHENT". STATE OF FLORIDA COUNTY OF Th~,foregoing ins~ . ~ before me this not ,\\1111" 11t//1 C 8....... 0)- ~ ~ ~..~O 1" A~}:..-!. ~ ~ ..~ .. ~ ~ . . ~ STATE OF FlORI~ i My Comm. expIres \ ~ - , II. _.J~lfc)l8.....1U8 . = COUNTY OF ~H~,eM{ItM&lI7 J E , The fOregcli~"(IS..&~;'..~! acknowledged befclj-e me th~~6fr~~<-~ 19 ~ by ~II~. ~\\\.. 6 /2/i'1; 8g~''''~ who is personally known to me Dr who has produced as identificatiJj and whD di9/did not take an oath. dlLJJw!f)a* (Signature) "'. -, I ~ .!lJ/fNe B~/'QlL (Name Typed, Printed or Stamped) NOTARY PUBLI C rRlfJJM6 fiJIf/iSS who is personally known to me or produced as identifi~ion and who did/did take an oa;h. ~ fJ/P;* (Signature~ . lL /hNG" g UJ,J1T (Name Typed, Printed or Stamped) NOTARY PUBLI C who has STANDARD FORM OF AGREEMENT BETWEEN CONTRACTOR AND OWNER THIS AGREEMENT made the ---rlvel'lry -rSEez;N6 ~ of ~ Nineteen Hundred anrt N/Nerf - ~uA0 ~ and between '-1 rec( <LJC::.t::.."i e... hereinafter called the Contractor, and l?/lNt!e;<::::; /J1 A Owner, Wilnesseth, that the Contractor and the Owner for the considerations named agree RJ follows: In the year hereinafter called the ARTICLE 1. SCOPE OF THE WORK The Con actor shall furnish all of the m~terinIs and perform all of the w~1c 5ho....11 on the Drawings and described in the Specificatio1s entitled 'leT' 6/ ~-S Y, 1/./ 'XJ111 (~)U3S t'N'Li. prepared by e...... , acting as and in these Contract Documents entitled the Architec . and shall do everything required by this agreement, the gcnel1l! conditions of the Contract. the Specifications and the Drawings. ARTICLE 2. TIME OF COMPLETION "") The work to be performed under this Contract shall be cornmcncert Ff.> ~)n C1.S 1'-(:-r-I'1\',+ J <, substantially completed LO /71+ 1 N CJ N~ LC:f-2 k \-" Q (e'(;ed ~nd shall be ARTICLE 3. THE CONTRACT SUM The Owner shall J?" the Contractor for the performance of the Contract, subject to addi.!!fn),2?J dcductior.s rrovided th~rein. in current funds as foIlows(-H ;;; dCtJ. CO )"/U;)() 7f1~~/ti)o Jill N6t:IiQ. ZLPCJ ~ (Slole here Ihe lump lurn ~o..nl. unit priCt'.. or l'oth. at de,lred) Authorized Change Orders will be submitted by the Contractor for all worle not speci.6cally included irl t.his Contract. ARTICLE 4. PROGRESS PAYMENTS (Iruert here any provision made for the 1UJl0UJl! relained aller Ihe work reaches a N'rtain ,Iage of compOt:>on.) ARTICLE 5. ACCEPTANCE AND FINAL PAYME1'n Final payment shall be due 17ft=( day, ~ substantial completion of the worle provided the won:: be then fully completed and the Contract fully perf?rmed. ARTICLE 6. THE CONTRACf DOCUMENTS The O!ncral Conditions of the Contrac,tf the Speclncations and the Drawings. together with this Agreement, fo~ the Contract, and they ~re as f,:,lly a part of the Contract as 1 hercto attached or herein repeated. The following is an itemizaticm of other crrentj'al . mformation: ~ pertment ~\\"'UI1If"',,/~ ~,',.. t ELl.l ~~ f~~OTAiif.t\}o " :;: . - : \ ell'lllll. fa"fIt i ctl .. 1181 J . 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