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Home My WebLink About92-2480 BUILDING PERMIT Property Owner: Job Address: Parcell.D. # CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2480/fl I 'l-/D-/~ Date ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work :zJy /(; -- , I l~RadOnGas: ~~ ( ~tr~ ( . FINAL '7 ~ /d/,. Ii NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ~/j$~' City License Registration # 2. -J1(.pIIJ · "' State Certified License# Address Telephone# BUILDING... ~ ELECTRICAL ~ PLU~'.' ~ Ftr. Pre SLB Lintel I FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~-_C---:-'"""'~~-~''''''''''';l:a',:-~---.l_--._- Jroposul Page No. of P.ages.. SONNY'S DISCOUNT :~PPU4\NCES, INC. 3399 South H !ghway 301 DA.DE CiTY FLORiDA 33525 (904) 561-6224 I i, STRE o '"2-- DATE '-~ /0 ... l' "'2-- CITY, S /;i>':'"~! ~F~' JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: .- -f~O~ (~-/~~~ r 13 L-j A IY () c; 't IV t-J -j OJ-O ;2- / ./ ./ I r') P"" "I r"\ 0' J r;; - :I (~ . ~ ~ .-' / 7~~ '7.; /4' ,. J ~ ,,~ fi j\ ~i t, . I (}~;'/L '. ~'~t,f~%4 ?~~- ocJir (/-::>-1 l J' ~ //\ ? ~iOtJ n iL\1 ~l (. '(1 /;/ ~ L/5';>' ~23 Dr 'roponr hereby to furnish material and labor - complete In accordance with above specifications, for the sum of: 1 1 I 11 I I ,I ~ i o /U {'C. Payment to be made as follows: .4-r V /-p f ~ . ('.;(/ I dollars ($ ;2 t/ j ,- ".;-'. S -, ;; ). 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 I ? ~?t".~&77 .~'/J. ./ ". t:t:::.. Note: This proposal may be withdrawn by us if not accepted within days. !\tttptuutt of 'rupuliul- 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. /} i2fi<-o- l! Signature Date of Acceptance: Signature PRODUCT 118.3 /IVcBsj~lnc, Groton. Mass_ 01471 To Order PHONE TOLL FREE 1 + BOO-225-6380 APPLICATIOH :fOR PHRKIT GI'IY OF ZEPHIKH II.T.S BUIIJlIliG DEPAR'I!tEXl" OIIRI'JI'S IlAIIE tV~?f1L~ ~~R:~~~ ~~ C4~~, mORE 7~.:2- --7/0 ?- , LEGAL DESCRIPTIOJI: IJJI'(S) llLOCIL-SUBDIVISIOH PARCEL I. D. t WORK PROPOSED:_llev Con:st:ruction _Addition _Alteration _Repair V;:-~tall _Sign _lIove _Deaolish '+/~ ~X:;-t PROPOSED USE: Single Faaily .' _fl/F _, of Units _KID _~rcia1 _Indust. _Swill. Pool Other ---:Restaurant &: Health ~t Approval BUILDIJiG SIZE: x ~e Feet. Height .. RESIDENTIAL: cotmERCIAL : ATTACH (2) PLOI' PI.AlIIS &: (2) SEI'S OF BUIIJ)DiG PLUS &: (1) SEl' ENERGY FORMS. ** ATTACH (3) SEI'S OF BUllDUG PLUS &: (1) SET EnRGYFoRHS. ** **roPY OF roH'I"RACT ~. PERKITS :REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL A!IP Service Florida Power Corp. W.R.E.C. ~CAL $ :/ t/ j--2 ' C:-3 Valuation of flechanical Installation _PLUKBIBG GAS ROOFDlG SPECIALTY TYPE OF roNSTRUCTIOH: _Block _Fraae _Steel Ot:her FDlISHED FLOOR ELEVATIOHS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO *********~....************************** COlII'RACI'OR SECTION aJIIPMY State Cert. or Regist. , City License Registration , ******~*********************************** 8mT .DF.R Signature Si.-n::llture COIIPMY State Cert:. or Regist:. , City License Registration t ..AAA.**~*******~********************* ELECTRICIAN PLOttBER aJIIPMY State Cert. or Regist:. , Signature City License Registration f ****************************************** . ( ttEaft\IIICAL g OOItPMY ~ /t//i-V (' ;/ ~ State Cert:. or Regist.' RAfi. D (') / ~ 96 I Signature~. A -I<.II1..<J{;; eUy License llegistration. i. . /' ****** ********************************** COIIPDY State Cert. or Regist. " City License Registration , *********.*****~********************.*** OTRF.R S ignat:ure APPLICATION APl~OVFJfJrr f.... ..,' ';'1. ',' ) t ( '. lit ....".; ~ t tl .. ~~~"""~~"-~'" ,~"y",~"","".,~..,;..'. . ~ ..oEEl.CD. .~, f- .c;M' $ \ fT"-:l -~ ; \of;~ . ~i!IA~., .. 't' .i" t1V f -,:. '" ,. l" ,J.- _fl. '.:......_........... ~.....~1ltI. ...~~'"... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it ..ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI~ITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If thP. tontractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, !BI3} 78B-6611. Further.ore, 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 Construc.tion lien law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent-of Agriculture and Consu.er 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 protise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all Hork will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is cOI.enced. One 90 day extension of tile, .ay 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 .onth period, or the project will 'be, considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"EHT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C",KENCEKEHT. JOSS ONOER '2,500 IN :AlUEDO NOT NEEO TO RECORO ANO PO'T~NOTJCE OF COONE,CE,ENT', ~~?p~. . ~~~~ SIGNA : OWNER OR MiEN SIGNATURE: CONTRA OR. STATE OF FLORIDA ~ COUNTY OF I ~D The foregoing instrument was acknowledged before me '":;9" It" , I:' :i?- .b. y W~YtL A ...12..-u-__:rYlL,t/T1./rV ......__ who' per~nall y kno~n tQ,dTle Dr who has producedJ)/CA/u'e./~ ~~~ as identification and who did/did not take (i~' X' JU/Z&,~YL" (Signature AM.V ~. (Name Typed, Printed NOTARY PUBLIC Sw dlV 11.I or Stamped) STATE OF FLORIDA ,/f)'iI. COUNTY OF _'G.--Q-~ . The forego i ng i?1 tl-ument I>laS ac knclw 1 edged befclre me this tf~ /0 , 19 '1~ by ~..AIl.. cC who is per onal~~ knc I to me Dr w~o has produced 7J)~ ~uc..~ as identification and who did/did not take ~__..oath 'Y. {i CL-'7 ~. 4~:ru.;y,-. (Signatui ~A M Y l__ ~'5::' uJ d N IV (Name Typed, Printed Dr Stamped) NOTARY PUBLIC ........ _L_ :l.*'...... -..... ...1=........ ...~ 0lIIdII SIll "\J ,., L'_ Noll1y Pu*,'" flRorlda My camm. .... Gat... U. CoIIInL No. ~