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Home My WebLink About92-2584 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 25848 ~ - /'/- Y.:l- Dale ~ p~ Property Owner: )f! /2~~ !J_~J Job Address: .3 7 /J:J (1'- /0 .jj{ ~ Parcel 1.0. # ME~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code' De::tI:~ 1(., d &n Radon Gas: ~;?~ jIP~~ - ",./Lc'" ~~ NO OCCUPANCY BEFORE C.O. FINAL ~' -'-:3r-02- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee ~. ~ -A- Sig~a,",~ - C -.6/~_ Company Address Telephone# Valuation or Contract Price 7 9 7- tT7.J City License Registration # ...3 I.s.- State Certified License# /JJ-LL/~J~~l C B~DIN~ Ftr. Pre SLB Lintel ELE~L -. ~ ~AL ----.;) Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. CL WL 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .r,,!, ""'.' _i;""":, .""'" '''-.+ .'.,A.' ..'::~.;.-j~)i.:,.. .11.1;:; ?~:j. ,:~"'/:jl;;l~"~~~,;~~,,,~;~!,"".Ilf. .;c'll:;r~- .~- -.,..- _ .".............,.... .,,........~._ /' 'rOl)tl!utl Page No. ot .. .. Pages ./ "\ -,:^/~"~,. ",< ~ ,> PROPOSAL. SUBMITTED TO _.~<... .;..: ,:,~1 // ':.~') t_) STREET ,,"";(('P /~ 1/' /- /;' ..-<' CITY, SWE A!JB ZIP CODE ;., .I /<;<u I MEL'S ALUMINUM 8041 Lov Lane Zephyrhills, Florida 33541 (813) 783.6752 //, /(/ ~'-r7 //) ,i / /";/ t/'(/ PHONE I DATE ..I ,~/ '/'7.t.'/.t...// 'j .,' / / JOB NAME JOB LOCATION ARCHITECT I DATE We hereby submit specifications and estimates for: OF PLANS f JOB PHONE /,1 .~. ,2c:L. Ii: · / '/ . ,-)/; / I. . If' .i j Y.il) ( . ) r " .. ') ( , ,- .-" I " .f /"'.... );., /: './i, -' . I,~": 1""'" i",4", r" /_/tJv r .' , ; ,./ ~ . j Lt .\ \~-:..? L' \ r ".. 'lit .("~'-I .. /' ,/t- /..' , ",,,'r' -..,.~ / -' ... / "",.."') ".'0' ";J,2 (~: - ..:z . - (/C'"",-:' / ... rOc: (/'C_ A ,.., '. ---ri V.;7'.. ,) ,/ .t 'rupusr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ P9?" ;,-b ) . 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 .:;. <- ./ SignaturJloo".=-~/..,r,,,- / ( r' ;J? F . /: j, ,/-.: '.' /' I . '-,/ 7':'" ~ ~ Note: This proposal may be withdrawn by us if not accepted within Atttptatltt nf Ifrnpnsul- 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. Signature t / ... /-'// /". .) 7/ . " ~.c,~e. ,,_.R~ J" ") f-" . ./ O:'''':'lJ? days. ~ " Date of Acceptance: \.. Signature "I APPLICATION FOR PER1>IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT~" ~:C(' ADDRESS 3?~ 01.0 ;} ~~/'..' /J jue' PHONE OWNER JOB LOCATION .~I.P~~ LEGAL DESCRIPTION: LOT(S)/;<~~ -- ~ / LOT SIZE x i\F:EA SQ.FT. BLOCKt7O,<OSUBDIVISION t/(/600- 0.2. ~--O PARCEL 1. D .lfr WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall ____Sign/Temp. ____Sign ____Hove _Demolish PROPOSED USE: ~ingle Family ~M/F ____{~ of Units . _____M/H ____Commercial _Indust. ____Swim.. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMNERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOm1S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY rORHS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation .... . _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. *********~******************************** CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration ii _ ,:r/J,- *********************************** Signatur Sio-nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** El.ECTRICIAN Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. 0 City License Registration ii OTHER Signature APPLICATION APPROVED BY ~*********~*;~:;::;****************** ~ ,'ol'F,.' . ~. .' , . < I ... " ~ PERI-lIT OFFICER. ,;',' CONDITIONS OF. PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lhe und~rsigned understands that this perait aay be 5ubj~ct to "deed restricti~ns' which ~ay be Dore restr.ictive than City regulations. lhe undersigned assules 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 t~ be licensed in accordance with state and local regulatioris. If the contractor i5 not licensed as required by law, both the o>>ner and contractor ~ay b~ cited for a lisdeaeanor violation under state law. If the owner or intended contracte,r are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills ~uilding Departaent, (B13) 7BB-6611. Furthermore, if the owner has hired a contractor or contract~rs, 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 c~ntractor, 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 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection Guide" prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is s~&e6ne other than the "owner", I certify that I have clbtained a. copy of the above described de,cument and prc,n,i~e in g(,od fisith to deliver it to the "owner' prior to co..ence.ent. ~ 1 .. .': E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor~ation in this applicati~n is accurate and that all Hork will be done in coapliance with all applicable laws regulating c~nstructi~n, zoning, and land developcent. Application is hereby cade t~ obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has COlmenced prior to issuance of a perlit and that all work will be perf~r~ed to roeet standards of all laws regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdicti~n. I also certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is my responsibility to identify llhat actions I lust take to be in cOlllpliance. Such agencies include bul ,'Ie He,t lil!ited to: . J.---'> I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensi live Ldnds, Water/Wastewater Treatment I Southwest Florida Hater. ManaQecent District - Wells; Cypress Bayheads, Hetland Areas, Altering ~atercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~en~. Septic lanks I US Environ~entisl Protection AQency - Asbestos abatement also certify that, if filllllaterial is to be used in Hc,od Zc.ne "A" or "A,etc,', it is understc'(ld t1'ot a drainage plan addressing a "co~pensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per~it issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official frolll thereafter requiring a ((,rrection e,f errors in plans; constructieln, clr violations of any c(,de. Every per~it iSSUI!j ~t.all bece,le invalid unless the w~rk authorized by such permit is cC'lIIIenced within six 1lI0nths c.f issuance, or if j'i(.d: il\ltl,[II ),ed by the perait is suspended or abandoned for a period of six aonths after the ti,e the >>ork is co~menced. One 90 day e:IE~5ioll of tiae, aay be all~wed for the per~it with fee charge of $15.00. lhe extensi~n shall be requested in wriling to the Building Official. An approved inspectie,n !'.lust be logged during each six month period, c,r the project Iii 11 be [('nsidered dbdlldC<fled. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. 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 A~ST A "NOTICE OF COMMENCEMENT", SIGNATuhJ_~~Y~--- SIGNATURE ~_~_~!l- ~. O~~0GENT HDL~~~~ r~C DA TE_njt:~~~-~------------------------ OATE_.K.::-L:L------------------------ NOTARY AS TO ~\.,...",;..~ ~ OWNER OR AGENT~- . ~ ~- . 5F\'L.....~ l)~~ MY COMMISSION EXPIR~~~~t~uw~i~~~s '~'.A"'.;': AuguSt 31, 1993 '.:fi',,,,,if,..<' BONDED THRU TROY fAIN 1NSIlPJ.IICf..11lC. .,flu.... NOTARY AS TO..-.,QI7"'to.\.. - ~ CONTRACTOR_~~-1S~ - - - - .. Lo,', ~. 0;)\-oe;Q. MY COMMISSION EXPIRES__________________ ,"'''''' ...nr.t!1\1.I .1w..:.r~, LORI K. QIlU\lnl' f.(~ '\.~ MV COWISS10N * AA 714186 EXPIRES , o~'~'~i October 10. 1993 "I.f.P.f.x.~., 8ONQEO THIlU TROY FAIN INSURANCE. INC.