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Home My WebLink About92-2521 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 FD~~ Property Owner: )j ,~ l ~, Job Address: 3P-/~ II 42~~. 1)~ Permit N~ 25218 7-;J5-7L Date ~ Sewer Conn Water Conn: Water Meter: T.I.F:s: Parcell.D, # -.f Radon Gas: l(iJ - ~? .-dJkL> Zoning: Description of Work ~Energy Code: 1 AJ-I2A~~ FINAL~? -.) y - f.S DATE 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 Permit Fee ~. ~ Sign'ature It ~ iJ# Company Address Telephone# Valuation or Contract Price ~ tJ7;rtJ , crv City License Registration # '/' f State Certified License# PL~- ME Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. CL WL Driveway 7-'2- '-I--9@ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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. .." , , fe?J '\ / ;?-ri2-J - ?z- /1J'x ~O/ 'f?fl/5Ei' OMRl! II :;. 81 X 3tJ I ~ '\) /711).131 is' ~ ~ ~~ t~ \i) :;;:) ~ ~ o t ~ ~ ~ ~ ~ / - \ NIIII." LL' ,,11 ,'''"II.I':~Urti ~UIlCcrl\l:d with concrete for the design. luill 1,<41 Ill", ,",.] ,:, ...:~ l'lI\ wL !,I'JII.lIIUI;' ~;tructurcu Only. ,'." 101 :"1.11,'". ~lJ",,,,",,, U"j(l~.t Luut;cr w/2# 5 rubar. J.f J to, r Iv.. r/"VL.:IIII.. t I',. l'j')U ~\.lIlCrl.:t:1.l ~h~ll be installed as requi.red J" ,IL.:~,'I I I...: I"w, / # . 'Z ~ 00 ,...., c::.o~c.... , ' . , , t.!1 \-'# ~ , .. -- . w.w..~. ~e. ~llo.~ r'vC"'T 1 \- \ I"" fl?, ~ . fOOl- €: ~c:.L~u rz.e.=- ~ ~~'I .J.. .~' .Il . F?_~ I ~ E:.r.:) " ~ LA e;, hNt;:C W41.l.-. f>~b" It.. eMU --- \. . . ~w~o .A(l.~A ltA.'~at:) ? 111.11 '; - Z~ \' I ~Qt04c... .. ' - 14- ....~ ~ lIt. II . . . I. , . .. ... ~ .'" -, ...... .~ -. . ..." ... ~~:.: , -:~I . ~II . . .. . " - c,. '-.. oft... W.~.I"'. ." . -".. "" /... '? 'i' ~~C~:' ..". : . ...... .... , ~.,1 . , . .. ~ =r ?~:r r~c..r r::6~C.A\.&:..~oiz..,- , ..----- N II I I I C L <I II I J .' 11,,1 I .1': ~ U C'to l: 0 1\ C ern c d w 1 the on ere: t e for t: he des i g n . 1..111 1,..111,,". "".] "I "..;~lllll u( ~11l1I.t"UI;' Structure!) Dnl,v. /'", I"~ :"1.11,',., ~1I"IJ"""1 U"x11" Lou!:cr ../2# 5 rubur. /.1 ,,'< llvu r."V":lId"J I',. l'J')U ~VHCrl:tl: ;lh~ll bl: installed as requ1,red I " ,I..: ~ 01 I I I,,, J ' ,..., . . 'Z ~ 00 r" GO~c.. # . , . t,4!1 \-'* ~ ~ . -- . ,.~" , .~"." . :=E3'/z/l ~ 1,,-, . ~,,(...~w;'1) W,W.~. ~~t>A.~ r' uC--'T I \- \, I", f'?, ~ . fooL.. e. ~c:.L~u r2-~~ '. . i ( \ ,- 'l ~oo ~i 'Co~c... I-="~ " - - · ~.;....-+:-, "~(i..;~. ;j l: J3'{Z' '14 III' ijlTi~llljl Cq~~lrf1t:-=- 1 " . .. ' III "::: . . ".J;,~I _. ~..~.. 1,llIlzp \N.w.~. -- - .'~ ~ l.~ ~. J(:e.~Lac.. . .. .';...JV' -" I-~?-r' ~~/l.1l.. \'~"T. e e,'.~"o/~ \ - -. .' \,/ . I'. I JI'jI'~ ~ liII .:.~: ,:.;; ~~ -:- 'Z.. "" l> ~ e.e....~... \ - '--,. --~ 11111'1, '~ I .. :,J....~11. :; "''" - .~~._._. /' / ,FS~I~E:.O'" ~LAe, hN~~ W4L.l.-. e,~~,,11. eMU \, .. SWtO . AJl.~A~'~~t:) ~ '11.11 ':- Z~ r' I ?;c.~c... ,. ...... . I 1tJ ~ .1 .J.. .~' ./1. .. - -. -~.~ .. '.., - . ~A- .;:" ...:.; .. "':~: .' ;,~~jFz" ,- . .... <;.-c-_,Q;'OW~~;M.. :,,'. r" ~ J -.. '5,'" F:c:;.c~", '~: " : ':> ':: ~ '.' .. ::::.PO'~:iN / - r=o' ~ C A \.G. ~.6. ;"':..'_,_ ',-__"'''r,;"J.f:~....._,_.;~~ ", ~ "',~ "~J,' --"'" ' -' ,,' ,',-.' ,", .,/, ::"":' -, STAl~UA!{D rU1<lVl Of AGREElvlENT BETWEEN CONTRACTOR AND OVVNER THIS AGREEMENT made th*~ -71!t~'D dj)' of=-*4 Nineteen Hundred and N/~ - tV by and between C1r~( ~~e.A~ hereinafter called the Contractor, and f}+1< )NTBe..S779 ~ Owner, Witnesseth, that the Contractor and the Owner for the considerations named agree as foUows; In the year hereinafter called the ARTICLE 1. SCOPE OF THE WORK The Contr tor shall furnish of the worle shown on the Drawings and described in the Specifications entitled prepared by . . acting as and in these Contract Documents entitled the Architec , and shall do everything required by this agreement, the general conditions of the Contract, the Specifications and the Drawings. ARTICLE 2. TIME OF COMPLETION ') _ I The work to be performed under this Contract shall be commenced A'S Stn!l ClS (-eCl'Y\'J--.l <; \ -t Q I e'() ffi---llnd shall be substantially completed W rrH- I f\I (2) N e- l..Lf-.f k ARTICLE 3. THE CONTRACT SUM The Owner shan funds as follows. the Contractor for the performance of the Contract, subject to additions and dcductior.s provided thr.rein. in current 00 --r;; NO. 0 (St.te he", the lwnp .um amount, unit price.. or t.uth, ., desired) Authorized Change Orders will be submitted by the Contractor for all worle not specifically included in this Contract. ARTICLE 4. PROCRESS PAYMENTS (I~rt here any providon made (or the lUIloun~ ",taiucd aller the work ruche. a ct'rtain ,taKC o( camp.<tlon.) . ARTICLE 5. ACCEPTANCE AND FINAL PAYMENT Final payment shall be duc f7.i-r-: day, 4 substantial completion of the worle provided the wml: be then fully completed and the Contract fully performed. .' ARTICLE 6. THE CONTRACT DOCUMENTS The General Conditions of the Contrac.t the Specl1ications and the Drawings, together with tIlls Agreement, form the Contract, and they are as f';lIly a part of the Contract as if hereto attached or herein repeated. The following is an itemization or OtllCr csscntial pertinent information: ~~~ ~;~:~ . ~~JJALl-Y J=:tU~;.J kATJ-ILE. ~~ i. 73 Ro aU41NOl.k ,,"OIHl .,. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT :J]~J1 n1A5{)AJ~j+-(lE:rm;::NT INc'. ADDRESS J/t./rJtj, <;.t;))/-in:;' r q, '7J/2adt5ull/~ J2346/<4HONE , OWNER f/ tI R I N1'Ye,,, -nq~ JOB LOCATION ,-1?i'/IJ7 ll)/AlrHl? \/2.. 9tJl/- ;799",,-)";:;270 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK.. SUBDIVISION PARCEL I.D.# 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 FORMS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -LBUILDING $ ;;),/)O() ,oD , ____ELECTRICAL AMP Service I ____MECHANICAL $ ____PLUMBING GAS Valuation of Total Construction Florida Power Corp. _W.R.E.C. Valuation of Mechanical Installation ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel .Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~d 'L5I(JL CONTRACTOR SECTION Company ./J"';-II,7J f*5DN/CV Y (iJ'Il/-rNT lVc. . State Cert. or Regist. f~ :3W City License Registration # ****************************************** BUILDER ET.F.CTRICTAN Company State Cert. or Regist. # City License Registration # *******~********************************** Silffiature PLUMBER Signature Company State Cert. or Regist. # City License Registration # *********************~******************** f, MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** .' OTHER . ;..;.'J.:. Signature '~~..,~t J{,:'~ !. 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 per.it '.ay be subject tD "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance 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 lirensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of 2ephyrhifls Building Depart.ent, IB13} 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave the contractorls} 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 FEE~ 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 - 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 pro.ise in good faith to deliver it to the "owner" prior to co..encelent. E. CDNTRACTOR'S/DWNER'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. Application is hereby lade to obtain a perlit 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 perforted to teet 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 lust take to be in cOlpliance. Such agencies include but are not litited to: I Denartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Denartlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks t US Environ.ental Protection AQency - Asbestos abatelent 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 voluae" 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, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code., Every' pertit issued shall becOle invalid unless the work authorized by such per.it is co.tenced within six .onths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is coe.enced. One 90 day extension of tite, eay be allowed for the per.it with fee charge of tI5.00. 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 COMMENCEMENT "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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ,COMMENCEMENT". SIGNATURE: OWNER OR AGENT ~~o~ SIGNATURE: TRACTOR was acknc1wledged , 19__ by STATE OF FLORIDA COUNTY OF ~ AN hn . The foregoing instrument was acknowledged before me this ~3.e?> , 19~ by t \\\\\ \till"" Ii" I -:D ~ ~\\, EL "'1. ClfI2ff~ Dt:JB13B' ~~" +-t. . Lln '/~ who is pe sona 11 y l~~.h'ftiib~~1 has :::.~ .. ~ produced ~ : . ~ as identi ficat' on ~nd~~.:ft ~ n~ take an oath. ~ ~ ... ; g . /- ~ STATE OF FLORIDA COUIHY OF Th~,foregoing ins~rument befc,re me this who is personally known to me or who has produced as identification and who did/did not take an oath. (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed NOTARY PUBLIC (Signature) (Signature)