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Home My WebLink About92-2674 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 9-30 2674/5 7'.;L Date ~ ELE~ Property Owner: a/l,x.l-YI.A ~A Job Address: 6;L/ 9 - 9 ~ PLU~__ JJ1dA~ ~ 0 ~- - MEC~..Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Energy Code: Description of wor~ t2 ./)~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ;2 - ~. 1'- 7'-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 Valuation or Contract Price ~ <> /...J:- iTD ~- - Permit Fee r / Signature ~~d~~ Company Address Telephone# City License Registration # 2/;' / State Certified License# PLUMBr Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APl'I:iClr:mml FOR PERKIT CI'IY OF ZltfuIKh n.T..~ BUllDDiG DEPAKIIImiT OWNER' S IWIE ~ffil;~/oV pa/i6 ADDRlrSS ~ !?-/9' ~// ~/~ (.7 / , J/?Y7/ <2- PIlOSE 7cftf- /~ZJS . OWNER' S JOB ADDRESS LEGAL DESCRIPTIOlIiI: I.OT(S) ~SUBDIVISIOR PARCEL I.D.f WORK PROPOSED:_~ev Construction _Add.:i1:.ion __Alteration ..L..Repair _Install _Sign _!!love _Deao1ish PROPOSED USE: Single Faai1y _H/F _, of llfnits _K/H _~rcia1 _Indust. _SwI.. Poo1 Other _Restaurant &: Bea1th Depart.ent Approva1 BUILDING SIZE: x Square Feet, Height. RESIDElfTIAL : COftKERCIAL : A1TAGII (2) PLOI' PI..A.NS &: (2) SEIS OF BUILDDiG PLUS &: (1) SEI' ENERGY FORKS. ** ATI'ACH (3) SEIS OF BUllDIRG P1MiS &: (1) SET ENERGY FORMS. ** **COPT OFCOlNTRAC.T RIlQIIJIRED. _BUILDING PERI!IITS REQUESTED $ d ,--:r '7 S' 02- Va1uation of ~~ot:.a1 Construct.ion _ELECTRICAL A!IP Service F10rida Power Corp. W.R.E.C. _MECHANICAL $ Va1uation of Hechanica1 Installation _PLUKBIWG GAS IWOFrI!iG SPECl:M.n TYPE OF CONSTRUCTIOINl: _B1oclt _FraIIe ___St:.ee1 Other FINISHED FLOOR :EI.EVATIOINlS: FI' . IS P.RO.JECT IN FLOOD ZONE AREA? YES NO ****************************************** COJD'RACIOR SECTION I BUTTJlF.R ~ COIIPMY ';/I'm / ", ff /? ), . // /J J State Cert. or Regist. I Signature ~ 'd4'.//~~;1 #~2b ;/~ City License Registration ****************************************** ELECTRICIAN COIIPMY State Cert. or Regist. I City License Registration t ****************************************~* SiPnature PI.lJttBER Signature COIIPMY State Cert. or Regist. , City License Registration I ****************************************** KEalAliICAL aJltPABY State Cert. or Regist. # City License Registration t ****************************************** Signature Signature COIIPARY State CerL or Regist. , City License Registration , ****************************************** . 0T1IF.R APPLICATION APPROVll'D BY 71<fd J: ,,/J A'l.-, T PERKIT OFFICER. CONDITIONS OF PERMIT AFFID{.'.\VIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit 'may be subject to "deed restrictions" which lay be more restrictive than City regulations. The undersigned assumes 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 wor~, they lay be required to be lic2nsed in accordance with state and local regulations. If thecontrador is not licensf:d as rEqu~red by lall, both the owner and contractor may be cited for a misdemeanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of, Zephyrhills Buildin~ Department, !8131 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, 'as the ollner 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 may 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to COlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work w.111 be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby made to obtain a permit to do work and installation .as indicated; I certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations oj Gther governuental agencies may 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 but are not lilited to: f Departlent of Environlental Reoulation - Cypress Bayheads, Wr.tland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water HanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses + ArlY Corps of Enoineers - Seawalls, Docks, Navigable WaterHijVS f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection Aoency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Z~ne "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be submitted 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 proceeq with the work anr 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six Bonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the tile the work is COI&enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The exten~ion shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth pert~d, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHEMT HAV RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LtNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER DR AGENT was acknowledged , 19_._ by STATE OF FLORIDA COUNTY OF pA SC 0 The foregoing instrument befcq-e me th i 5 q. 3.0 was acknowledged , 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this who is personally known to me or who has produced as identification and who did/did not take an oath. w ~ LL.. \ RIY\ e:,. L0 A "-- uE-CK who is persona 11 y known to me or wh.o has " produced DiZ\\)E-R1<;' L(CE~E CFLUI'C\ DfI. ~ as identificatiDn and ~.nh'o did/did nQt ~~th. -;Id~Lr~ (Sj~tLrc~~\~'Og · ~^~ ~(~JL W~ ~L.)^tlJl.. (Name Typed ~ Pr i nted Cq- tamped) r.x::.e,Bic p.., KGl..:EI NOT ARY PUBLI C ,4t= lk I 0 ~ l 4- (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLO~1?~ My commission expires Oct. 2. 1 J'. Bonded thru Patterson - Becht Agenc) ,.".''''''''..'.-.'''.---.-..-.'....p F.: 0 F' 0 ~:3 A I"" ".,.",."..."",."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,-,,..,,-_..,,.'.""""'.".",,',,-,--.,---.--.--.--,,-----.-.,-..., WITTEM ENTERPRISES~ INC. 4345 W. KENNEDY BLVD T AMF'A, F'L_ :3360':) 880,,,,,700 :l ~-;:'.:~:'~-:~:.~.,~-~~.,,_.~~";~;.;:;~;;':":':;~.~~,..~;~,.".':~.,~,.~.,..,..."""'."'.."..__.,.,._,._-""""-"..,._-'-.".'I""~~~'~:;':~;:~:~.~;;.."."......."..""."'..,..".".,."''''''.''''.".-.,-.-.".......''..I..~:~;.:;:~.;~-..----,..--...."..-.,..."'..--,-.----.-... __..______._____. {.~ ~~~_.:~~~~~_.~~~~~..=..~:~.~.::..~.,_..._,_..__,_,_"'....._,__...__,_,_..._....,.. ....,_..._......,__..."...~,:~_:~,:.::..~:_(~)(~.).:...~._,..,_..,.,............._.._I....,......._._,____...~~:~~:_~c~.~~.::~:~...__..___.._"" St '(' (?t7'!t Joh n,::\m(=.~ C,21 '::J' '::H: h St), (,0(:!t ~~; .;J. fH t:~ City~ State & Zip jJOh Location "'::::==::::=:::::~.:::,,=::""=:=:,,:=::::::::;;=:=:::;;~i,::I~:~::~:l:::I:~=:==:::.:::~~:::c.:,,=:~,~:::::===:::::::::::::::=::::::::=.:::::::::::.::::=::::c.:==:,,:::=::::::::::::::;;::::::::=::::::::=::=::::;::,,":=::::::::::::::=:(:::;::::~:~:~::::::::::::.:::::"'="''''='''::=:;;=-.-::...._--..-:::::="' We herehy suhmit specifications and estimates for: 1. Remove and replace 27 squares of shingles and felt. 2. Install new 151b felt. ;..:~. In!::; t ,::\ 11 r-,E't.,.,' Owen ~5-"C:Ol' 1'1 i ng or equc"\ 1 ~ f u.nqu <:::' Y' f?~:;:i. ~::t ,':In t sh in g 1 E0',:;. 4. Remove all roof dehris from Joh site. ==::::::=:-.:::::::=:--==..::====::;::::::::::::=:::::=.:::::::=:=.:::::::::::::-=:;:::::::::-=====:.-=--=:::==:=::=:::.:::::::::::::::::-.:.-::::::::::=:::=::::::;-.;:~:::.::"..::::.:::::=:::::::::::::::=:.::::::::-..:::=::::::.-.:::::::::::::====--==-----=----== WE PPOPOSE hereby to fUl'nish labclj...-compl~?tf? in ,,:\c,:o'rdan(:e with above ~.;pec i ficat ions, fc,r the f:5Um elf: THREE THOUSAND THPEE HUNDPED SEVENTY FIVE DOLLARS ($3375.00) Payment to be made as follows: Down payment of $375.00 and balance due upon completion of Job. All labor is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or dev- iation from above specifications involving extra cosfs will be executed only upon written orders and will become an extra charge over and ahove the esti- ~~~~~~~~ ~.u~ance. Authocized Signatuce_ :;7"~ -;;;1~0"L~~________ NotE?: Thj~.:, 1~IY'("r,)o~::,al may he withdl'i,::\wn by U':5 if "Il)t ',7\,:r:-:eld;c2c1 within :30 days. I --- -- _._..._____.__._M.__M_._._._._.._._.__.______..__..._._____._..________.____.__............._...._......._.._........_._............__..._.._____ ___.__ .__._..___._____..__.._._...__.____._________._.._.___. .__._.__.__.__.___....._...M._....._........._..._..._...............__.._..___._..._____._._._._______.__._. ACCEPTANCE OF PROPOSAL-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 ahove. ,..,,-----'-,..--.........,-.-.---..l.-.-~;~~-- D,L._ c;'24-9~ ______.__...___,____L___..___. ~ /YJ -I- _A'l J' /) /Yv1 ^ : -~ j, /J S i 9 1'1 at U Y' e c;l, / {..~ /0c.e....- IIlJVC/TVTGC..--