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Home My WebLink About92-2634 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2634 ;q Date 9-/0 -Yc.1 ~"P''''''~'- "'",............ ............. BUILDIN , Pmp,rty OW"'" ~7-!t: Job Address: ,] WJ s ELECTmeAL PCttM-BwG. MEC~~ Sewer Conn ~~ /!"'VL.U;' a fi",< .~ a~ ~J Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Wor;-~'- ./'i..ffzf' Radon Gas: If<AL;J? ') - ./ NO OCCUPANCY BEFORE C.O. FINAL 2- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector. Valuation or Contract Price 33.30 / t.rv Permit Fee Signature Company Address Telephone# 1i-<j ~ .'! I.. ~""'" City License Registration # State Certified License# .~~ /~ ~ ,/ ~i.-4'\. ' / -~,~-- // ~~1~~;"~0 C_.....___.___.. EL~CAL -~~~-- '" PLD1Vm~G MEC1::lANICAL ..... ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 13reakers 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ~r Ho)J{J/L N~l thmL 3~z'?D I~A II ~. .. PHONE OWNER flitj rJt ~f0'L!S JOB LOCATION 3fl1o " II ~. APPLICANT '. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LO~(S) St~ (l.Jhu;hltA BLOCK >Mff A- SUBDIVISION WORK PROPOSED:_New Construction ____Addition ____Alteration v/J:epair ____Ins tall PARCEL I.D.~~ _Sign/Temp. ____Sign _Move _Demolish PROPOSED USE: ____Single Family ~/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,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power, Corp. _W.R.E.C. GAS ~al~ion of Mechanical Installation vi ROOFING SPECIALTY _MECHANICAL $ . _PLUMBING .r. TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist, ff City License Registration # ****************************************** BUILDER Signature Company State Cert. oi Regis~. # City License Registration # ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist. # City License Registration 11 ****************************************** . PLUMBER Signature Company State Cert. or Regist. 11 City License Registration # ****************************************** MECHANICAT. Signature Company Vre,wticr .$ijN1CO~ }(};~IJne. State Cert. or Regist. 41 0/& City License Registration 1~ ,1)8 OTHER ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS~OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th',undersigned understands that this per.it lay blsubjlct to 'deed restrictions' which aay be aore restr,ictive than City regulations. The undersigned il'55Ules responsiblllty:for"colplhnce with any applicable deed restrictions. , ""il"""'. . , " 8. 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 lisde.eanor violation under state law.; If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. \'1 Furtherlore, if the owner has hired' a contractor or contractors, he is advised to have the contractorlsl 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 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 Const~uction Lien Law - HOleowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the 'owner', I certify that I have obtained a, copy of the above described dc,culent and prc.K,ise in good faith to deliver it to the 'owner' prior to cOllencelent. ~ 1, .T ~~~. \. ~_ l i , E. CONTRACTOR'S/OW~ER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. . Application is hereby lade to Dbtain a penit to'do work and inshll~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governQental agencies fiay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bllt ~Ie Dot li.ited to: . ~."" I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses f ArtV Cc.rps -of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks f US Environlental Protection AQency - Asbestos abatement I also certify that, if fill uterial is to be used in Hood Zone 'A' or 'A,etc.', it is understc.(.d th~t a drainage pl;an addressing a .colpensating volute' will be sublitted which is prepared by a professional engineer reqist~red 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 viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ~hall beco.e invalid unless the work authorized by such perlit is cDa.enced within six lonths of issuance, or if work authDllzed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e~tEosio\\ of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbdlldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL~ 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' $2,500 IN VALUE DO NOT NEED TO RECORD :Z;;ST A "NOT! CE DF COMMENCEMENT". SIGNATURE~-~~ER-~~ENT---~. SIGNATURE------CONTRACTOR-------------- DATE___!J/10).~-' ~ ~. DATE----'1/JpjV1r---- - ;;R~ FINNEGAN 'NOTARY, AS TO" 'i '\, .".,~,.J5 , NOTARY AS TO "State of FAuglorio1aS 1935 My Comm. Exp. . . . OWNER OR AGENT ;" CONTRACTOR_~'___ --- - _1fC,g137140 MY COMMISSION EXPIR MY COMMISSION ~- ,._~' --~~~ ~-- JUN-30-'92 TUE 15:40 ID:CITY OF ZEPHYRHILLS TEL NO:813 788 3293 1:1797 P01 14"26-21 0010 01200 0000 14-26-21 0010 01300 0010 14-26-21 0010 01300 0.060 14-26-21 0010 01400 0090 14-26-21. 0010 01400 0150 14-26-21 0010 01400 0160 For Zephyr Haven Nursing Home City of Zephyrhills is the owner. 1//JiM ~ MO Jjf~ 7FP- ~eil;J PROPOSAL No. I 0 ::; "("" PR~~'ER S!JtJr:;O.bST A'JO:FH1\JG J~~C'_ ~ /?~~,~) "", r:- ':ill '~'~,:EE~,-r ' ZC,-""):-~\/r'~-i '_~:_':';. r.t_ 3"J.3~~1 ;<3: 3} i82-G09.+ Date Al'GU~l ~ 7 I ~ 91:}2 Sheet No. Proposal Submitted To: Name Ed ~lorg&n . Street Ze~:hyr' Haven Nurslng Hane City State \ Phone Work To Be Performed At: Zephyr Hny"en Nursing Hane Street City Date of Plans Architect State We hereby propose to furnish the materials and perform the labor necessary for the completion of O:mlplete teal. off and haul away of existing shingles. Replace any bad wood illlC d.ry in with 15lb. felt. Install new 20 year fungis shingles to match existing. Install new vall€)1Jmetal. Install new drip edge. 411 debds removed fran jOb site. Five year leak warrenty. All r:1atp..rials and labor furnished. ~~rmits are included. All material is guaranteed to be as specified, and the above specifications submitted for above work and completed work to be performed in accordance with the drawings and in a substantial workmanlike manner for the sum of Dollars ($ 333,).00 1. with payments to be made as follows: Paymer~ due upon completa:m of Job. 'CiREE ThOUSAND '~~HHEE HIJNDRED rnTPTY DO.LLi\RS Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over end above the estimate. All agreemants contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Work- men's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted ~1 I {, Per /I: - , Note- This proposal may be withdrawn by us if not accepted I within.to days. ) '\ ACCEPTANCE OF PROPOSAL The above pr Ices, specifications and conditIOns are satisfactory and are hereby accepted. You are authorized to do the work as sper.lfled P'yme", w'" be m,de" outl'"ed ,b"e. L- LA4.. / _ Signature K ~ / ,7 /I . ~ l Date '--------.. Signature TOPS <9 FORM 3850 L\L~PLI('.'\T~- ITl-ln If\lll ''::': ^