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HomeMy WebLinkAbout92-2586 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2586B r-j 7 - 7,;L Date '~L ~ ::~::,~:~e:~~1:~:!~T~ ~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Energy Code: Radon Gas: De,e"ption of Wori<' L~ . .b:'~;j-_ ~ .~An-~ ~ FINAl~-.2 y- 93 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 Signature Company Address Telephone# ~'. cr-i) ~~ Valuation or Contract Price // b:2. trD , City license Registration # 3.2.'-.<'- State Certified License# EL~ PL~.' MECHANicAt Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. OWNER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Freda Guthrie / ~(1;CJ ~ r.OI1~. 5905 Forest Lane . PHON!;': 782-3712 Freda Guthrie APPLICANT ADDRESS JOB LOCATION listedabove LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK /0 -d.fc; ~ ;;2/- (J 110 - 00000 - 0/4-0 SUBDIVISION PARCEL I.D.# / J Ins tall WORK PRDPOSED:_New Construction _Addition _Alteration _Repair _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family ____M/F _~F of Uni ts _____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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -LBUILDING $ 116d. &3 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE DF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company Cunningham Construction State Cert. or Regist. iF CECa 43633 Signature ity License Registration 4F 325 -***************************************** ELFCTRTCTAN Company State Cert. or Regist. # Signature City License Registration ;F ****************************************** PLUMBER Company State Cert. or Regist. # Signature City License Registration ;fr ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration ;F ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration IF APPLICATION APPROVED BY PERMIT DFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned iSSUles responsibility for cOlpliance 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 licensed as required by law, both the owner and contractor lay 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 Departlent, (813) 788-6611. 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of 2ephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2. 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 Departaent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOlaenceaent. 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 developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a per.it 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. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to: f Departaent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Enqineers - Seawalls, Docks, Navigable WaterMays t Departaent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environaental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "co.pensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perait 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, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is co.aenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the ti.e the work is cOltenced. One 90 day extension of tile, lay 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 month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr 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 Cunninqham Constyuction 2004-A Foyt King Rd. Da<:ie Ci.ty, Ft_ 33525 .~.~*********************.~*****.~* ESTIi'"1(1TE (1~()I::~) 5::?:1. _h'()':35~.S ******************************* j----..-.....--------....----.---..-----.---.---------.....-..--------------------.-.---------.---.------.--.......-.-----.-.-.,.---.--.. ; C: l,J .~::. t: () rn f::! Y' :: E~"':.t:i.fni:'\tF7! :1:\::: 1:'54 0,:;1. t e:: 08/ :\..:+ / ':32 MRS FREDA GUTHRIE 5'::K)~3 FOPEFiT L..f'-'iNE ZEP~.~YF~~1IL.I._Sy Fl.. 3354() (R1~) 782"~71? HOME iESTIMATE DATE: 08/14/92 ~---------------------_.._---_._..._----_._.._..-.._-------.--------------------.--...-.-------------.-...-----.-'"'..---..----.-.-: ..._._._._......._......._._._.__...._.....__..._.........._......_,,_,..__..___...__'M._......._._.___~....__._.___..._.____._._.__________._..__._._.__.________...___..___.....____..____.....___~_.._______._. WINDOW INSTALLATION ALL ITEMS LISTED WILL INCLUDE LABOR, MATEPIAL & CITY BUILDING PEPMITS SEE (EXTPA WOPK/CHANGE OPDER) SHEET FOR ADDITIONAL WOPK OY ADJUSTMENTS -.._.........._.___~~__..._..._...___............,._........._...__..........._..._...__.....m._....._.__...___..........".........._._..__._...__......~..~...._._..._....~_~_..._....._.....~.._............_..__....,.._.__......._._.._..._,..,_....__...__,...._............,...._...._.__....._,_._..".._.___........~..._...._..,_,__._ pr- :i (: (='! , :14: D Eo' ':::; c: ...- i P t :i. c"'., QlJant" u/m Per l.\/n) ....--...----.--..----.--.........----.------.-.---.--......-..----.-.----...--.......-.-.--.---......-.......--...-...-..-..-.........-...---.--............-..-..-.-..--.--..-.-.---.-.--..---..-...-....----.-..-..-.....----.--....-...-.--.....-.... INSTALL LIVING ROOM WINDOW (14.50' DRYWALL MININUM CHARGE CUT OUT BLOCK WALL FOR A - NEW ALUMINUM WINDOW SH-BPONZE FINISH AL. WINDOW ..... I~'l'" :.,.: E~}" '1 J. E(1CI...! 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