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Home My WebLink About92-2471 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2471 13 Date 7- 7 .,.. 9 z.. ~- Property Owner: ~ \I f...f?'b..-rT (C) f'ltJ- op Job Address: ~~7 5'"D H..fU fLY .~l ' Parcell.D. # Zoning: Energy Code: Description of Work f( ~ '0 A \ t... A A\ ~ JJo~(.... ~ -'-."-- Sewer Conn WaH!r Conn: Water Meter: T.I.F.'s: Radon Gas: J fIJ Sf'Jt9J.l- t~ I AI J) b I J lA/ plPJcc. of I FINAL NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~'i'~c), 00 Valuation or I. V Contract Price 7,5 '!'!)(J. 0 City License Regis',,'ion' ~ () ~ State Certified License# _ - Permit Fee Signature Company Address Telephone# 00 Tp. Se Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ CIIUleTlt - Jrnponul- lOllY i. HILTON 8ull.IDI CoDtrador 813/782-134. _IH~.L\U.'" 6~11S' Ztphgrhllls, floria 335. ~t:1 /~rJ. r;r PROPOSAL SUBMITTED TO ah~.J... \.J r m r . r; A).,J.. tIIfP STRHl r. /bTA ~ liEn F!A Y CI1Y. STATE AND ZIP CO~[ ARCHITECr r- PHONE 7Bo- G II JOB NAME 1.... JOB LOCATION DA TE OF PLANS JOB PHONE I hereby submit spec. Iflcallons and estll.nates for: .R .. _ _. J! HOV::a. 04r~-jr L)""n, ':NifAIJ..N~ _. AN f)FA S' ~N. ~tL Ii. ._It.t _11"_'1_ _ ~2. .,. . ~Sfl- U. Q To II...,. e-.i_ - .-- "'-l/AJ..J..S. /J""$~' ~___Jd_!-!!!L.fr __IlR~.!'vJ;II' /)ATF, . I ~N SrAll.- li~14) p.Xr~II/IJJ'L__~~____i!L_~!4-"'/-t~ s-,'JE Jltl"~___S <i6~_- Il"~E. ,,(JEIl__f).p..ll-~J11 ~__~__ j1ot/E __/JQD/l _J{!<ilkf(d~!i_-I 'fj'E G_q rr~/1u___L~__A!"JIt, 'N.1? V .trA-__v ,-N.'/' ((~;'JA...J1....-. ~ffltuE___&!!!!!~iLL--L~d __~41? G.4rA-~e- WAJ.' /IV 1?ooH. .---.------------------.. ---.---- -,----- ---------- --.. - --- ._._._---~-_..- --------_..- -.---------------.--- ..~-----~.~_._.~-_._----- _.-------- -~---_._.,--_.- ---.---~-- -----------------------.-. --_._------~.-- -- ----.----- -_.------------- - --- .-- - ;:;;_~=_i1~__nlA~=1s ~ L~/lin- _~~;;c/~~__~.S-~- \_______ ...~~~d <.00._ I or'/~".~ _._---------_._-----_._------~---_._-_. All lT1atenal is guaranteed to be as spedhed. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above speclfica. l lions involving extra costs will be executed only upon wrItten orders, and will become an extra chargfl over and dbove the estimate. All agreements l:-;.lntmgent upon strikes. aCCidents or delays beyond our control. Owner to carry fire, tornado and other necessary Insurance. > Our workers are fully covered by Workmen.. Compensation InSOfonce. ~ j Jrllpl1!ll' hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: f6vll T),ovSANJ .14'NE' IIf/lvd'".ecI r;';::/'y dOllars($I/~.pO Payment to be made as follows:. '.t ", ~.("d.O()l WJ.6~,-'.s_..!!n:I~re/, :OdO.OO ",I.V/eN ~'~~N" /.5' I?FI44I./?AI~ r tJ-n IWVE'h Cvrf'r-Il t?"N~W o'tIII.1l ,',,&r4J.L,&.J ANd Ilt11DF ;1",1.1'". 1J/t:ld.CID c..c.IJP-N ~H""'l L{ff:;P dL ) Authorized Signature Note: This proposal may be withdrawn by us If not accepted within ;so days. S"",,",,G~~~~ Si,",,",, ~Jl~,f sl}'a-1PO'f7j ~ !\rrtptanrr of 'ropo.anl -- The above prices. specifications and conditions are ,at is factory and are hereby accepted. You are authorized to do the work as ~pecl"ed. Payment will be made as outlined above. Date of Acceptance ---.---.-- 'l APPLICATION FOR PHRKIT CITY OF z.II:PIIIKH II.Le:; BUII.DDlG DEPAKI1IUJ'RT OWNER'S IIA!tE f (J fr rr Err OWNER'S ADDRESS '0570"0 JOB ADDRESS S,If HE G ,4}.).. u /J IIJ?/VJ:~Y PIIOIiE 7ffc"~ C;/// LEGAL DESCRIPTImi: UJI'(S) PARCEL I. D. t fiC-'C' !\ /11 WRK PROPOSED:_rlev Construction ~tion _A1teration ~epair .../ Install 1,\" fJit G'f! 1lLOCK__SUBDIVISIOlli !JAr If IF)).. 7 D I) 1- - r'G 3 - I? ;). / F O/V/T t:I"/ _Sign _Move _DeIIo1ish PROPOSED USE: Single Faai1y .> _KIF _, of tlJnits _K/H _~rcia1 _Indust. _Swia. Poo1 Other _Restaurant &: Health ~t Approva1 BUILDIlfG SIZE: x Square Feet. Height _ RESIDENTIAL: COHKERCIAL : ATI'AGII (2) PLOI' PIAliS &: (2) SEI'S OF BUIlJ)DlG PLAlIiS &: (1) SET ENERGY FORKS. ** ATtACH (3) SEI'S OF BUII.DDIIG PLUS &: (1) SET El!mRGY FORKS. ** **roPY OF roRTRAC'J" BDlm:RED. PIlmII'I'S REOUESTED _BUILDING $~ -Ya1uation of Tot:a1 Construction _ELEC'J"RICAL A!IP Service F10rida Power CorP. W.R.E.C. _tlEalAlITCAL s Ya1uation of Kecbanica1 Inst:a1lation _PL1DtBIJiG GAS ROOFING SPECIALTY TYPE OF roBSTRUCTIOR: _B1ock ~ __Stee1 Other FIIIISIIED FLOOR ELEVATIOBS: FI' . IS PKOJRCT IN FLOOD ZONE AREA? YES BO ****************************************** OOIfI'RACIOR SECTION RIITTDF.R HI 'J-To;Y St:ate Cert. or Regist. , City License Registration , *****.************************************ COItPANY ~ O/f/.<{'r, Signature Simlature COItPABY St:ate Cert. or Regist. , City License. Registration t .*.***a*********************************** ELECTRICIAB COItPMiY State Cert. or Regist. , City License Registration I ****************************************** PLDIBER Signature COItPMff St:ate Cert. or Regist. I City License Registration I . *******~********************************** ftECHAJlICAL Signature COItPAfi St:ate Cert. or Regist. :f City License Registration , *********************.*****~************** OTIIF.R Signature APPLICATIOB APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it c.ay be subject to .deed restrictions" which .ay be .ore 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 tontractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. IftH!! [t'lritractor is oo.t. licensed as required by law, both the owner and contractor .ay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 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. i 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 ZephyrhilIs. 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 sOleone other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co'pliance with all applicable laws regulating construction, zoning, and land develop.ent. <l>',.~~ ,t1, . .- \';'7, C\$"" \: Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit 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. 1 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 .ust take to be in co.pliance. Such agencies include but are not lilited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone .A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait 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 perait prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becoae invalid unless the work authorized by such per.it is cOlaenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six aonths after the tile the work is comtenced. One 90 day extension of tile, .ay be allowed for the perait 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 CoH"ENCEHENT "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""ENCE"ENT. JOBS UNDER.S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ,/ {~~~ SIGNA! R. CONTRACTOR \ l ~1W7is' R rsonall y produced as identification take an at was acknowledged 1 Q D-:l b\l , .. I ....:::JJl4 I STATE OF FLORIDA ~ COUNTY OF YQ5CO The foregoing instrument was acknowledged befnre me thiS~, 19~ by STATE OF FLORIDA \=Q COUNTY OF 5 r 0 The foregoing ins rument before me this ho has t. me c.r whcl has not who is pers .nally produced as identification a take an [I (Nam Typed, NOTARY PUBLIC Notary MJrt. ft;;' I' Fbfl. -~ My Commission hpires March J 2, 1995 _~ lilt. Trol fQjIJ .l/1ivrllM' In,- (Name NOTA - W~my~~~~~'~~~6'~ My Commission Expires Mardt J2, 19U "nclecl fhru Tro1 f/Jin . lniUr'ilnc.lnc.