HomeMy WebLinkAbout92-2586
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2586B
r-j 7 - 7,;L
Date
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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
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ESTIi'"1(1TE
(1~()I::~) 5::?:1. _h'()':35~.S
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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
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WINDOW INSTALLATION
ALL ITEMS LISTED WILL INCLUDE LABOR, MATEPIAL & CITY BUILDING PEPMITS
SEE (EXTPA WOPK/CHANGE OPDER) SHEET FOR ADDITIONAL WOPK OY ADJUSTMENTS
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INSTALL LIVING ROOM WINDOW (14.50'
DRYWALL MININUM CHARGE
CUT OUT BLOCK WALL FOR A -
NEW ALUMINUM WINDOW
SH-BPONZE FINISH AL. WINDOW
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PAINT CONCRETE STUCCO
COVER UP FLOOR/FUPNITUPE
PAINT INTERIOR WALL(l-COAT)
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DUMP FEES & GENEPAL CLEANUP
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