HomeMy WebLinkAbout92-2591
BUILDING PERMIT
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~ CLECTAIc:Y
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Job Address: 3<:F-: - 9 - -5......
ParceII.D.# I/'-db~' ~/- I)()IO.... /.5~CJO" OIl) D
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<! 25918
ff-c2o-?~
Date
PL~
M~L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: Radon Gas:
Description of wo;;- K~ ~.L1. /..1 4. ~ eA jKJ /~
NO OCCUPANCY BEFORE C.O.
FINAL /- 02./- 9-3
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
;2S I
Permit Fee Z~-: t7U
Si'gnature ~ flb:-(}J ~
Company
Address
Telephone#
Valuation or
Contract Price
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BUILDING. - _ E'LECTAICAL,
Ftr. Tp. Servo
Pre SLB Rough In ~.--U. '/1 C:J(:}?)
Lintel Meter Can
FRM. ~.. Zl~91... ~ t1. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final
p~
------..
MEC~
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
.g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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~ CONTEMPORARY CONTRACTING PROPOSAL
AND DEVELOPMENT, INC.
5720 Gall Blvd. Suite 140
ZEPHYRHILLS, FLORIDA 33541 Page No. -L- or 2 Pages
,Jon NAME/NO
(813) 782-7900 Sunshine 90101
LOCATION
To: Sunshine Factory .. 38529 5th Ave .
..~fJ;>~Q;>1:;h AY~.. Zephyrhills , Florida 33540
u... PHON 1'; I DATE
. ~~phY:r:-ht~]~~, Florida 33540 788-9831 8-10-92
..
We hereby submit specifications and estimates ror:
> "w ~':J:'h~:=;lJ,pp+y 9{~:lJ+~:J::>9:r::, ...II.1Ci.1:;~:r:::i,.i:i+:=;, .p~:r::mJ1:;1:;:i,rlg , .Ci.I:14.......CiJJ........~.:l(:p~I1,:=;.~:=;....
............... .._..w...._.. ...w...:r::~li:it.~.<:1 wt9... 1:;Jl~ ...q~m9J.i1:;i..9n..pt...j::,h:r::~.~ ..L~J .~:l(:l$tJng Jn1:;~.r.iQXWClJl:=;,
removal of one ()) i1?:~~:r:-Jq:r:-WCl~~J construction of new walls and
.. ...............-..........................-.-.........................
relocation q.~.......~.:>c..~..~..~.~.llg.......l:;.~:r:-y.~..~.~.~.......Wh.~.:r:-.~.......1?:~~.~.:=;:=;.Cl.:r:-y...
..
......-..-.......... ..... Roomdime.nsionswhencomp1etewshalLinclude12" . expansion into.
.. .. ... . ........ ........h~+lWi:iyCl:r::~Ci.i:iI1,<:1:J::>~ClPp:r::Q:l(:JII.1i:it~J,y JQI :l(:J41::fl" .. Jl1..:=;J<:1~. A~l ..<:1P.9:r::
. 19c::Ci..tlQI1,.:=;......:=;hi:iJ,:l.. :r::gII.1CiJ.I1,......:ln......e.Jmi..:l..i:i:[". .i:i:r::~Cl....CiI:1<:1lJ,1:;:i,+i:z;g~:l(:t:=;1:;j,Il g
.. .-..... ww.4.99:r:::=;<')cJCi.II.1l:>:=;.
..",. ... ............... ..A.;J"].,...WQ:r::.~......1:;.9.wP~.....c::Qmp;J,,e1:;.e.q in JlQmQ:r::~1:;hClIl1:;h:r::e~ ....t~J .. P'YsJIle::;::;qCiYs.
>
WE PROPOSE hereby to furnish material and labor - complete In accordance with these specifications. for the sum of:
One Thousand Seven Hundred Ninety 'T'hrF!e Do' , <'I r!=: <'Inn no/, 00- dollars ($ ~ 1 . 793 00 ).
Payable as follows:
25% Deposit . Balance due upon completion and approval .
NlmalcriaJ is guaranl<..'Cd (0 be as specified. All work to be completed in a workmanlike manner Authorized JLf,...;.a, A~~...JZUd
according to standard practices. Any alteration or deviation from above specUlcaUons involving Signature
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 NOTE: This proposal may be withdrawn 30
covered by Workmen's Compensation Insurance. by us If not accepted within days.
ACCEPTANCE OF PROPOSAL - The 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.
~ JJ-/ <' ~. /f},..j:2-
Signature /"c> If,) () ,i.-",q / ,IV b/V . Date Signature Date
, #.
PRODUCT A551D-J ~Inc" Groton. Mass. 01471. To Order PHONE TOll FREE 1,800-225-6380
APPLICA"..n05 FOR :i'iOOIIT
CI'IY OF ZIlPIIYRIiILLS
B1J.IIJ)IJIiG DEPAB:1rTiIE5T
OWNER'S RAKE C LI FF
OWNER' S ADDRESS i). o.
,
PH05E C}tl if -5 b '7 - 3'100
/JIMC C4TY i FL 3352&- oLf97
33S'fo
PARCEL I. D.'
_Repair. _Inst:all
liOn PROPOSED:_lNIew Construction -i\ddition
_Sign
_Move
_ne.olish
PROPOSED USE:
_~e Faaily
Xec-erCia1
_KIF
_' of Units
_K/H
_Indost.
_Sw:t.. Poo1
Other
_Restaurant & Bea1th Depart:aent Approva1
BUILDING SIZE:
x
~e Feet,
Height
RP3ID~
~CIAL .
A1TAaI (2) PL01' PLOIS & (2) SEI'S OF BUD.DDiG PI.A5S & (I) SET ENERGY FORMS. **
ATrAaI (3) SEI'S OF BUD.DDiIG PLOIS & (I) SET ENERGY FORKS.**
**COPY OF C05TRAGr ~m::ImD.
Pir.RIPIT':i'S REQUESTED
IliG
$
Va1uation of Total Construction
AKP Service
__._F1orida Power Corp.
W.R.E.C.
~CAL
_+G
$
Vuuation of 6ecbanica1 Installation
GAS
ROOFDIG
S.-ECIALTY
TYPE OF COBSTRUCTIOIli: _B1ock __Fraae _Stee1
Other
FIIIISBED FLOOR ELEVATIONS:
FI' .
IS P.RO.JEGr Df FLOOD ZONE AREA?
YES NO
******************~**********************
COJlU'RACIOR SEenON
RmUlF.R A 7
Signature V~~, &~
CO!IPDY CoAlr6rrl PI ~f' OOAJ11lt1C:fJAlG 1/ MtI
State Cert. or Regist.' CGC.()'f16//
City License Registration' 2 !!; J
******************************************
.z;N''C
ELECTRICIAli
SiPl1#llture fJ J~
OOlIPAlMY Fr~ c.~;7(IC
'1 J ~ State Cert. or Regist... ' t::: It ~ D Ci '/.,( '10
.t-..-L- City License Registration f .Y d b IS,
** ***********************************
2L ampARY
St:ate Cert. or Regist. I
City License Registration #
~ ******************************************
k aBPMY
State- Cert. or Regist. I
. City License Registration t
/ **********~;;.**************************
X aMPARY
St:ate Cert. or Regist. I
City License Registration ..
< ******************************************
PUllBER
Signature
KEalABICAL
Signature
OT'IIRR
.
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OP DEED RESTRICTIONS
The undersigned understands that this perlit .Iay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The 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 cpptractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. qIf the contractor is not licensed as required by laN, both the owner and contractor laY be
cited for a lisde.eanor violation under state law. If the owner or inten~ed contractor are uncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, !B131
7B8-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to .havethe contractor!s} sign portions of the
"Contractor Sections" of this application for which they lIill 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 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 provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
"ollner", 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 cOllencelent.
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 lade to obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of al~ 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
'Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterway;
t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, WasteNater Treat.ent, Septic Tanks
t US Environtental Protection AQency - Asb~stos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc..,' itis understood that a drainage plan
addressing a "colpensating volule" will be subaitted 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, or
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 perlit issued shall becole invalid
unles~ the work authorized by such perait is cOlaenced 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 work is COltenced. One 90 day extension of tile, lay be
allowed for the perlit 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 tonth 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 TD OBTAIN FINANCING, CDNSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
C1!~~2:'OO ;g=ZT~>> m REroR>> ~2~ro;)~'E:{~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc,re me th is
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 or who has
produced
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