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Home My WebLink About92-2734 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<l 2734]) ) 1 Date /0 - d). ;J .~. 7' ,;L .~ ~ GWMBINV M~ICAl Sewer Conn '--,...~ Water Conn: 2' r "~~ ~ /J -#.~ Property Owner: ~'-e.A4<' ~' . ..- 1b ~Y" Water Meter: ~:~c:'~d~~S;' ~7r/..s.= -... 1-';'/ - ~~/~.PlAF'K ~1~ 'fi). II -1/- tl~ Zoning: ~e;lJy COd..;f. _ Description of Work q~-€/v, (J Radon Gas: ~~~- NO OCCUPANCY BEFORE C.O. FINALIZe ,.... - DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or Contract Price fA- Pa'm;' Fee ~- ~ Signature ~, fU~ Company Address Telephone# City license Registration # 63,7 State Certified License# ~NG ----.~._.__.- ElECT~ --q~~~. 0lUMBI~1 M~ANICAl --- ~ 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 Breakers Ducts Insl. Compressor Final Driveway REINSPECTlON 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 PE:Ilh"HT CIn OF ZE:Pffi'P.UU.I,S lR1IIfllJlll~G j.i1EPAR:1fHElhIT G\ ~ \ ~ <. of :, ~ \'\\ Oo.t \, tOY' \I~\ /.- ~~l'rllo1 c.t:,(\ .~~( 91'1 - z. t:. 1."<- OWNER'S NAME ~\'l \\ T::,\ (\J 'b'(" \ ~ _4. '" S-~~ -t. C- \. --- f"'L 3 ~b I <- OWNER'S ADDRESS \'J ' \ 0...\4'\ f' J ~l 9\"5 " \., f\ '\, t.. 'Vl...)\- LC.~~~ t t-- '; \ l Tl. JOB ADDRESS \s- '] / LEGAL DESCRIPTION: W:r(S) B.LOCK SIJJBDH"IS10iN! PARCEL I. D . :# h'ORK PROPOSED :_!Keti' Const:ruct on _Addition _Alteration _Repair ~nstall _Sign _I!fove _DeDlOlish PROPOSED USE: Single F3JllIIily _KIF _, of Units _M/H _C..oumercial _Indust. _SW'im. Pool Other _Res1taurant lie i.ealt:h Deparment: Approval BUILDING SIZE: x '- Square Fee t., Height RESIDENTIAL: COHHRRCIAL : A'ITAClI (2) PLOT prANS &: (2) SILTS OF BUILDING PLMilS &: (1) SET ENERGY FORMS. U ATTACU (J) SETS G, IUTIUHJS1G PI.A.NS &: (l) SET ENERGY FOR1.'1S.-::-:: ~-::COPY OF COWfItAC' REQlUTlIRED. PEmlITS RR,QUHSTED _BUILDING $ V500, <JO Valuation of ToL"1l Construction _ELECTRICAL AHP Service Florida PO\>l"'C r f'.orp. W.R.E.C. _MECHANICAL $ Va1ua1tion of !Mechanic.al Installation _PLUMBING GAS ROOFING x SPE,CLUTY TYPE OF CONSTRUCTION: _Bloc!: _FraJDje _Steel ~"5o... ~~ ~Y'-... Other FINISHED FLOOR ELE:VATIOINJS: _iPT . IS PROJECT IN FLOOD ZOINJE AREA? YES NO ~~*~~~ ~*~~~~~*~~~*~~*~~~~~*~~~*~~*~~~~~*. OOl!iJ"fRJ\CTOR SECTION Bun.DER OOI!fPMIlY St:ate Cert:. or Regist:. *' City License Registration 1# **~-::~~ ~****~**~~~~**~~**~~-::-::~~~~~~-::**~*~~ Signature ELECTRICIAN OlMfPANY State Cert:. or Regist. #< Shmature City License Registration f ~~*~*~ ~~***~***~~***~~~**~-::~*~~~**~***~r~ PLlJIHBER C'OlnPA1N1Y Stat.e Cert. or Regist. # Cit.y License RegistraI:ion # ~*~*~~"-::**~~~~~~***~~~~*~~~*-::*~~~~-::*-::~-::-::~* Signature KECHAKICAL Clll'lfPMIiY Stat.e Cert. or Regist.. # City License Registration I Signature tA~A~~ ~~~t*~~~*~~*~*~*~~~~~~~*~~~~~~*~~~~ ~~~~~~~~~~~~~*~~~~~~~~~*~~~~~~~~~~~ " OOJWk"lJY ~~~")\.., ~,,;::-~~,\;-~,,-- S~ate Cert:. or Regist. 1# Cifty License Registration 1# 6, 7j 7 0TlIER i~~ S ign..ature APPLICATION APPROVED BY PE:&lfIT OFFICER. [:C;,.ID I T IOt>JS OF F":I'l I T (F'="' ;::,';'v': T A. NOT I CE OF DEI;:J! F:~J?J :::: I CT I O".I~; The undersigned understands that this i2rmit may be subject to "deed restrictions' which may be ffiore restrictivr than City regulations. The undersigned aSSUies 2sponsibility for co~pliance nith any applicihle deed restrictions. B. UNL I CENSED CmHRACi DRS P,ND COf\lTRACTfJf~ 13.1~'3FJT~'I~J B l1:::..I T I ~$. If the OMner has hired a contractor Dr contractors to undertake Mork, they lay be required to be licensed in accordance with state and local regulations. If the c[ntractor is not licensed as required by law, both the owner and contractor may be cited for a lisdeleanor violation undei state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departient, (B131 788-bbll. Furthermore, if the owner has hired a .ontractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections", of this applicatiDn for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather thin the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indicatioL that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TF:Al'-JSPORT A T IOt'J H1P( r-:::T FEES AND UT I L I TV Cot~l::!.S!:.IJ CiN__FEE2 D. CONSTRUCTION LIEN lAW (CHAPTER 713, FLOF:IDA STATUTES, AS AMENDED) I certify that I, the applicant, have l'een provided with a copy of "Florida's Construction Lien Law - HOieowner's Protection GuideD prepared by the Florida Depart~"nt of Agriculture and Consumer Affairs. If the applicant is someone other than the 'owner', I certify that I have obtain~ a copy of the above described document and promise in good faith to deliver it to the "owner' prior to comftencement. E. CONTF:ACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in 'his application is accurate and that all wDrk will be done In coapliance with all applicable laws regulating constructi[,,! zoning, and land development. Application is hereby made to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has commenced prior to is~uance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, ",'ning regulations, and land development regulations in the jurisdiction. I also certify that 1 understand that the reg 'lations of other governmental agencies may apply to the intended work, and that it is .Y responsibility to identify what act'ons I ~ust take to be in compliance. Such agencies include but are not li~ited to: f Deoarhent of Environlental Requlati'.0.. - Cypress Bayheads, lIetland Areas and Environmentally Sensitive Lands, Water/llastewater Treatment f Southwest Florida \later ManaQe~ent D.strict - lIells, Cypress Bayheads, Hetland Areas, Altering Watercourses t Aray Corps of Enqineers - Seawalls, lDCks, Navigable Waterways . Department of Health & Rehabilitati'i, Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abatement 1 also certify that, if fill material,s to be used in Flood Zone "A" Dr DA,etc.", it is understood that a drainage plan addressing a "compensating volu~e' wil be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance_ A perait issued shall be construed to .e a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the techni al codes, nor shall issuance of a perr,it prevent the Building Official frol thereafter requiring a correction Df errors in pi Ins, construction, or viDlations of any code. Every perr,it issued shall beco~e invalid unless the work authorized by such per ,it is commenced within six months of issuance, Dr if Mork authorized by the permit is suspended Dr abandoned for a period D1 six &onths after the tile the work is commenced. One 90 day extension of ti~e, 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 dur;ng each six month period, or the project will tie considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECJRD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Flh ';)lCING, CONSULT \lITH YOUR LENDER OR AN ATTORNEY BEFOF:E RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN Vi .UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COI1MENCEHENT". ----.. SIGNATURE: 0 R OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA ~ STATE OF FLORIDA COUNTY OF ~ COU!!11 OF The fOl-egoing instl-ument"w~ cc. ackno\11edged /)1'l"e foregc,ing in~,trurnent before me th is! 'iZ;::-- by ./ befol-e me th is. , / " / kno\-rn to me o~o has ,')2S ackno,.Jledged ! 19 by known to me or who has who is personally produced as identification take an oath. and who c~/did not who is persDnally pl-oduced as identification ,,~_ake an oath. and who did/did not ( si ~!~:ln~ ) (f\lame T~,:;~~~I' i nted C'-I' Stamped) t~QT AF:,LE,W~{J=I.~~ (Signature) -', '.. " " rorrestcr Irrigation 33~45 Tammy Lane Zephyrhills, FL 34249 IRRIGATION INSTALLATION AGREEM2NT TI:IS ACP.?EHEN'J.' made this 'Ll day of __.9_~L____ in the year by and between TODD rORRESTleR, herei"fj-- ..\0",,- """''':L1 _~c\" \,"_~"^ 4, J.~.'neteen Hundred and _.-.-J~q h..___ after called the Contractor, and hereinafter called the Owner. WITlJESSE'J.'E, that the Contract..oc, as the Owner, for .t:le copsiderations ];, 'reinaf ter named, agree as fol10....7s: ARi'ICLE 1 u SCOFE OF THE v!ORK: T~le Contrac tor shall furnish all of the materiels a'lc perform all of t;:s \owrk sho',,,n on tlle dra'.7ings o~~ the specificatj,o:ls ~Etit)eL1:' ') ,/" '/ Pro j e c t :~!' 'v '( (J j:r-?l:-_'_\~~ t-~___; O'.vne r : __--1~.1J1....r...L_L.__L1/..a..LJ1____' .. L.C', vc.,-\ ~ ~c..O'\-i '- tr'\''t.....~ Location: ,_U_:J.:2,L_'-c\'>l,c"!:h.._ \S"~_.21,-_"JC.-~fl~~t"'\,_.' ape! dated :______ Yj b\ L ARTICLE 2 -- THE CONTRACT SUN: The Owner shall pay the Contractor for the perfnrmallce of nle contract ir:. curren t funds as follows: _~I50'!..:...~2...__~c.)\~,-c-.___Crr~~\"-\"--=-~:._~~_~\)'D ARTICLE 3 -- DEPOS":' PAYMENT: Upon exccutiO:l of t~le agreement. the Owner s~1aJ.l make a cE'nosit paY'1'f'r1t of _$___~...Q-=_____ to be deducted from t:1e fi.Dal iJaj'1nent' Ul..iC on account of tI~e contract. ART:!:CLE Lf -. PROGRESS PAYMENTS,~ The Owner shall make p Cl'jments on account of the CO~'ltract as follows: __.____~~___ \u\,~___c:.~~---\J.l1:.-\Lc.. ..___ - ---------_._._---___0-__- ___...._~______._____.____.,...._~_______.__.____ _"___ _____.____________ -1,- .J\~\:U.~ _I..1~.._~-=-.{~ CE_~)l'j\ll_Clt AND -L~_1:J ^_U~'QmN1~ : Upon substantial completion of the work, the Contractor sholl submit an " invoice for the balance due on account of the contract ~s provided thereir. Final ?aymep.t shall be due ..J.Q__ da?s from date of ir.voice. If, after the \J01-k :188 been substantially completed, full completion thereof is materially delayed through no fault of the Contractor, the Ox,mer shall make payment of the balance due for that DortioIl of t::~e 'work ... fully completed. Such payment shall be made under tLe terms and conditor\s "...' .. governing fj,nill payment. The O\c.'Tler agrees to pay the monies due i1nd to become due under the contract to the order of TODD FORRESITR. AR'l'ICLE 6 - THE CONTRACT DOCUMENTS; -- -----------_._--~------------.,...._--- The spec ifications or drawings, whichever with the agreement, form the contract, and they are as fully as a part of the contract as if hereto attached. - -...---------....---------- . A){TICLE 7 -- IvARRAUTY: The materiels sold b:r t;le Contractor are covered by the st.:1ridard wD.rra:1t~l of the manuf ac turer of these materiels, vlorkmanship J.!, covered by thl~ Con-' tractor, whose warranties apply, under normal use and service and provided the system is operated in accordance with Specificatio~s. for a pcriorl of one year after date of completion of the contract. Con trae,tor S;!d']. i.n no event be held liable for danages to trees and/or lawns caused ~y clefcctive materiels or workmanship, and no allowance -.;..'11:. be made of repcl:i.rs or altcratio;is unless made \Jith Contractor:'s consent or approval, Titere are " no warranties. express or implied, eKcept the above and such other exoress \.7arranties, if ~tny, as may be defhdtely set fortb herein. -2.- IN WITNESS WHEREOF, the parties hereto have executed this Agreement, the dayan,' year first above written. If::, ''--I;J;J 0 ~ -L~~__~2J:~~~=_ TODD FORH.ESTER, Contractor .,li tnec.-s ~0 ~ ",-,... ')""',~ V'-' ~'~ ......~ f' ~7 '- I f:7 /" . A/ ,jd"'Ag;>(~ Owner ' Fw-:;t:~;-E'-~----- '\C'(V\ \-\~'C. ~ s P E C I ,f I ~~_T I ~ fOh.J~' f.. --./ ' -- between TODD FORRESTER, and _~ \_O~__~\'<'~_~..__._..__'____.,___ TlmSE SPECIFICATIONS are applicable to the Agreer.1ent da ted ,", '~'ErUELS POLYETUI.,YNE PIPE AND FITTINGS: P ..l. C. PIPE FITTINGS: ~ -fc l~ I (\'l. ~J ~ {' ,_J -\-0 ~)(, ( 5 v-. tiJe , i c-- ~ ,~) (j ''oN XI-- ~" . lJi STEEL PIPE AND FITTINGS: SPRINKLERS/EMIT'l'ERS ;~ REGULATORS: ',\<, ':, (~, ~. \ke~ -=:J:,~_ \ v-2' c '-, ~ {, (\JCJ \ Q:)~~ ~ THRUST BLOCKS; {, VALVES: V .[\ ',\ ~ :J 'u-..l\. C ~ \^---- ('" .J' ELECTRI C PO\.JER: MISC. FITTINGS, ETC.; WELL DESCRIPTION; PUNP DESCRIPTION; -3- .~ , ..... 1 '0~