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Home My WebLink About92-2487 BUilDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 PIHmit N~ 2487 '1-/:5 - 9 Z/ (-~~ BU'(DING Date ELECTRICAL Property Owner: Job Address: ~ Parcell.D. # ~/_ ':) ~ -~2- Zoning: Energy .~r~: Description of Work ~- t?oOl i~r Water Conn: MECHANICAL Sewer Conn ~(o -~<SO '~Z.O ~~ ~ Rf'on Gas: f I lI~r /2cj r~ ~'Z- Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL .2 - ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE c.o. DATE ~7 Inspector ::::;':0~ Company, Address Telephone# : Valuation or Contract Price /.6';7 JDroQ r ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor 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. ~11 1""" l't 111't 1% tt r Page No. of Pages ADVANCED WEATHERPROOFING SYSTEMS INCORPORATED ROOFING DIVISION JIM SMITH OWNER/OPERATOR (813) 783-7104 STATE CERTIFICATION LICENSE # CC C053878 PROPOSAL SUBMITTED TO PHONE DATE STREET Jon NAME CITY. STATE AND ZIP CODE JOB LOCA TlON ARCHITECT DA TE OF PLANS JOB PHONE We hereby submit specificallons and estllnates lor: .5o~ d r:Btt~_s-o 111' Jlrnpl1lll' hereby to furnish material and labor - complete in accordance with Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according toslandard practices. Any alte-ralton or deviation from above speclfica. tions involving extra cosls will be executed only upon wotten orders, and will become an edra charge over and above the esltmate. All agreements. contingent upon slnkes. accidents or delays beyond our control. Owner to carry fire. tornado and other IIccessary Insurance. Our workers are fully covered by Workmen's Compensation Insurance. days. > AttrptuUtt nf Jrnpn.nul- The above prices, speCIficatIons and conditions are satisfactory and are hereby accepted. You are authOrized \0 do the work ilS specified. Payment will be made as outlined above. withdr SIgnature Date of Acceptance: " SIgnature APPLICAYI05 FOB PIOOfiT CI'IY OF ZEruumu.L:i; Brru.n:f1iG DEPAR'DIE'.NIT OWNER'S ADDRESS h "'^\ Ie. , '-(' tJ <:>!I. \J I ~ "-' ......;. 31:>' - ri,::>':l- d-/J<t n . f) ~ Or r----;). r Ivf' I ~ 4 \.. I tJ V v. ~ I\' 0 11 A \ L'1 R..l? ss <- r 0 nvU J A ~ f\'\ 5) IV\ J...- Y. g:J.. 2>'- '~<64-~4 ~R Slf &s.t ~.UJ srmDIVISI05'{J.:II~ &,t,Py eo. lv:,oJS ;< 1- ~,,- ();;L - 00 /. 0 - Oint), 0 (J - ()f)~ I 0 OWNER'S HAIlE JOB ADDRESS LEGAL DESCRIPTION: I.DI'(S) PARCEL I. D. f h'URK PROPOSED:_lIew Construction -1\ddition _Alteration ARepair _Inst:all S' - 19I1 _Move _DeIIolish PROPOSED USE: Singl.e Faaily h _KIF _, of Units _K/H )< ~rcial _Indust. _Swf.. Pool Other _ReS1:aurant &: Hea1t:h De)lart.ent Approval BUILDIRG SIZE: mx h~. ~ 7 '7 0 6 Square Feet, Height . RESIDENTIAL: COHKERCIAL : A1'TACH (2) PLOJ' P.I.AliS &: (2) SEI'S OF BUIIJ)IRG PLUS &: (1) SET ENERGY FORKS. ** ATTA.CH (3) SEI'S OF BUIIJ)DG PLUS &: (1) SET mmRGY FORKS. ** *'A'COPY OF CONTRA.cr RIIQfHRIID. ftJ:BJ!IITs REOUESTED _BUILDIRG $ Valuation of Tot:a1 Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --.JIECHAIUCAL $ Va1.uation of Kechanical Inst:allat:ion '_Pl.UKBIliG GAS ROOFlliG SPECIALTY TYPE OF CO:NSTRUCTIOli: _Block _Fra.e _Steel Other FllIISIIED FLOOR ELEVAITOliS: FT. IS PRO.JEcr IN FLOOD ZONE AREA? ****************************************** YES :NO COW'I'RAcmR SHC'fION BUTT J)ER CO!IPMY S1:ate Cert. or Regist. , City License Registration , ****************************************** Signature RT.F..cTRICIAtI CO!IPMY S1:at:e Cerl:. or Regisl:. I City License Registration f _ ****************************************** Sim,,,ture PLUKB~ CO!IPMiY State Cert. or Regist.' City License Registration f ****************************************** Signature KEafAJlTCAL CO!IPMY S1:ate Cerl:. or Regisl:. " Signature City License Registration I . *******~********************************** --"'" /,- /1./.' ,,'" r I!DIlm "/ ~~~_~ =~i:: :;~:~s:~ ?t-e1~~u~~ !)ignature~.u~-:::X_J'~ ' \ ~ City License Registration ., ~/ . ****** ..********************************* ,-,/ WPLICAnOIi APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subject tD '~~~d restricti~ns' which lay be lore restrictive thall City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR F:ESP9Nf,iI B I LIT I ES If the owner has hired a cont.ractor or contractors to undertake ~ork, they may be required to be licensed in accordance with state and local regulations. If tbe tMractor is noJ licensed as required by law, beIth the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are adviseO to contact the City ~f 'Zephyrhills Building Departlent, IB131 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges iri the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES. D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Departlent-of Agriculture and Consuaer Affairs. If the' applicant is sOleone other than the 'owner', I certify that I have obtained a ~opy of the above described document and prolise in good faith to deliver it to the 'owner" prior to cOlaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled teI 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 lay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to~be in cOlpliance. Such agencies include but are not liaited to: I Departlent of Environaental ReQulation - Cypress Bayhead~, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Any Corps of EnQineers - SeaMalls, Docks, Navigable Waterways I Deoartlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent 1 also certify that, if fill laterial is to be used in Flood lone 'A" or 'A,etL.", it is understood that a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered 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, Dr 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 pertit issued shall becoae invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance; or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Mork is cO.lenced. One 90 day extension of tile, aay 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 must 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 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COrqULT WITH YOUR LENDER OR. AN ATTORNEY BE~ECORDING YOUR NOTICE OF COMl\EllCEl\ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COl'lMEN~m", . j /. " ~.tULu. / /Z /:" , . .,~~ was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me th i s who is personally known to me or who has produced as identification and who did/did not take an oath. who is personal1y known to me or who has pl-oduced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ------- (Name Typed, Printed or Stamped) NOTARY PUBLIC