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Home My WebLink About92-2760 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N? 276018' // - .y-.9;L Date ~DING-;i) ~ ~ M~ P,op,rty Own., - /t~ .~ _ Job Address: .~ __-_ _~, Parcell.D. # //-;;26 ~ ;;J.J -t!Jo /0 /..!:,-;;. C/o - OD 7 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ E.nergy Code: Description of Work c?- .A-, Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 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 City License Registration # c2S/ State Certified License# P~rmit Fee ~:lA-~, E5~ Signature _ ~ Company Address Telephone# Valuation or Contract Price 7~-" o-v f!:. ti4- - C~~ _ ~UILDI~ EL - - - ---- ~G ----- MECHA~ Ftr, Pre SLB Lintel FRM, Insul. CL WL Tp, Serv. 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 ($15,00) shall be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d, Work not ready for inspection when called, e, Permit not posted on job site. f. Plans not at job site, .9, Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same, APPLICATIOOO FOR PERMIT CITY OF ZEPllYRlITLLS B1JJILDUlG DEPARDIElNIT 81 \ee ~=> ~$ f-..-\K'~ ~ _ , OWNER'S NAME ''0 Tf: u e \-\ ~ (1\~\. '> ~ P1IOlNlE ~\ - C> ~'I~ ~-' (~q ('1 "-L 0IlRER' S ADDRESS'~ h C':J\ ()'- V", ill H :3 f pYj.~ i: to I \ \ '::" f l, '''>00 l\ (:\ .~<) , -' '--V-.t:> ~'\ \- - \\ r/t 3 :::2.. .- ( I '\ JOB ADDRESS . JC\S~~ ~ ,,\\ ~ . '3~ \')l () Y ~.") \ ,\ \' \. V~ '1 '--.) LEGAL DESCRIPl'IOl!lll: .IDI'(S)'\IR, ~OC\ 'LBLOCK l~UJBDIVISIO~~ t\~ 3er~'{' h) )\~ PARCEL I.D.f '\~~lo- ~ \-l~\C\- \ f5rl..~~~b~D RORK PROPOSED: _l!i!ev Const:ruct:ion _Addit:ion _Alteration ~Repair _Install ~ign _Move _Deaolish PROPOSED USE: Single F3Bllily _KIF _, of Unit:s _H/B ~~rcial _Indust: . _Swa. Pool Other _Restaurant: &: Health Deparblent: Approval BUILDING SIZE: ~x Square Feet:, UA Height RESIDENTIAL: ATTACH (2) PLOI' PI.A5S &: (2) SETS OF BUJILDIlNIG PLAlNIS &: (1) SET ElNIERGY FORMS. u rCOHiiERCIALZ ATTAC.1I (3) SETS OF B1JJTI.DIlNIG PI.A5S &: (1) SET ENERGY FORKS....... "---_ _ ,uCOPY' OF COlNlTRAC1' REQm:RED. BLt)EPp-./1JT.5 ON FILE. .. PEmfiTS REOUJRSTED _BUILDING $ Valuat:ion of Tot:al Constnlction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL s Valuat:ion of Mechanical Inst:allation _PLlJMBING GAS ROOFING SPECIALTY . TYPE OF CONSTRUCl'IOlNl: _Block _Fraae _Steel 5\6~ Other FInSHED FLOOR ELEVATIONS: FT. IS l'RO.JEC1' IN FLOOD ZONE AREA? YES NO ****...*......**...*******...***...*********...*******...* COIl1'RACIOR SEC1'ION Signat:ure COlfPAn fl. State Cert. or Reg1st:. , City License Regist:rat:ion .........***...********...********...**...****...********* +\~ , ~ -1.1 ~ ~ BUILDER ELECTRICIAN' a:mpANY Stat:e Cert:. or Regist. # City License Registration I ********...*******...************************* SiJm3ture PLUJK.BER COMPANY State CerL or RegisL :f# City License Registrat:ion f **...******.........***...******...*...*******...********* Signature KECllAJUCAL ClMIPAlNIY Stat:e Cert:. or Regist:. I City License Registration , **......***......*......*********...**...**...**...*...****...**...* Signature 0T1IER ClMIPAlNIY State Cert:. or Regist:. :f# City License Regist:ration :f# **...********...************...*...*...***......*****...** Signature APPLICATION APPROVED BY '71 ,<lM.I' A~ ~ eAAlkL PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'Iay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS_.IBILITIE~ If the owner has hired a contractor Dr contractors to undertake work, they may 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (B131 7B8-6b 11. Furtherlore, if the owner has hired a contractor Dr 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 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 FEE~ 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 Consuler Affairs. if the applicant is so.eone 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 cotlencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVII I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated, I certify that no work or installation has cot.enced prior to issuance of a per.it and that all Nork will be performed to meet standards of all laws requlatinq construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other qovernment.al aqencies may apply to the intended work, and that it is .y r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells,' Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abatement 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 addressinq a "compensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, Dr violatiDns of any code. Every perlit issued shall becole invalid unless the work authorized by such permit is comlenced within six lonths of issuance, Dr if work authorized by the permit is suspended or abandoned for a period of six lonths after the tile the Mork is comgenced, One 90 day extension of time, 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 inspectiDn lust be loqged during each six lonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 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 AND POST A "NOTICE OF COMMENCEMENT". ~~~\~ SIGNATURE: OWNER OR AGENT /f)~~.gacLJ SIGNATURE: CONTRACTOR STATE OF FLO~A COUNTY OF ~~~ The foregoing instrument was acknowledged before me th i s \0 \'50 , 199"a by STATE OF FLO~ COUNTY OF <:::.,00 The foregoing instrument was acknowledged befc,re me this \0\ ~C) , 19~ by . ~ \. \~e."" \A~, ~(\ who is personally known to me or who has pr oduc ed ~ ~~'{"'\Q ~\'-{ \( '('\.(')U.)'(\ as identification and who did/did not ta~~~r-N'u d. ~~~ (SiQnature) ~ (\\-...~\(~.A\~Cl. l , ~'{-t\~S (Name Typed, Printed or Stamped) NOTARY PUBLIC (.. \ )\\\\o.m ~, ~'H~,,~ \.'lho is pm-sonallY kno\.'in to me Dr who has pl-oduced ~e.'{-~(\G \\~ as identificat.on and who di /dld not take ~oath.. . ,--l n._ ~^,-I",hlY\.~I' '<5).. \....._n^~ (Signature) _ . (' \.... '"'~\ ,",Ov \.. _ ~ '{"'"('\~ (Name Typed, Printed Dr Stamped) NOTARY PUBLIC SKYWATCH SIGNS 9144 Gall Blvd, ZEPHYRHILLS, FL 33541 ~!lf!J!:.age 'R~~ CLIENT (813) 780.8078 VENUe PHONE TO: 5Iev'e~ ++6J2..JV)AN ATlOt2.-(Vey Ar LAVJ o 92- STALLATION ~edF~ QTY. SIZE w H D > X X X X X X X X DESCRIPTION: SIGN TYPE (SINGLE SIDED - SS DOUBLE SIDED - DS) MATERIAL SIZE LETTERS STYLE AMOUNT 4-S- WE PROPOSE hereby to furnish signage - complete in accordance with the above specifications, for the sum of: Payment to be made as follows: dollars ($ ( crs-oo ). > 'T~$.&~ SKETCH DEPOSIT: The sketch deposit covers minimal costs involved in developing a concept. It does not cover the actual purchase of a custom design, which would be figured at an hourly rate, with a quoted minimum price, The sketch remains the property of the designer. SPECIAL conditions on client's purchase orders in no way negate the above Conditions of Sale, In ordering the work described above, the client accepts all of these conditions whether noted on his purchase order or not. PRICE QUOTATION GOOD FOR DAYS, PRICES as indicated above, are minimum estimates for art or sign work only, Photostats, typography, photographs, overtime, changes and/or time additions, delays caused by the client, special consultations and all other work expenses that cannot be estimated accurately in advance will be billed extra unless otherwise specified herein, IF UNUSUAL DIGGING conditions (ie: ledge, water, etc,) are encountered in ground installation, this contract is binding; however, an additional cost based on our labor, plus % on sub-contract labor and materials, will be added to the above price, FINISHED art, mechanicals, and signs will be released for use by the client only. Mechanicals, original art, sketches and materials other than signs originated by the designer are the property of the designer, and will be held for the client, unless otherwise shown. THE CLIENT agrees to pay all costs of collection in the event of default of payment by the client, including a reasonable attorney's fee. In the event of delinquent payments, the client will be charged a rate of % interest for every month after the first 30 days, Quoted By Date ~ce-pta-nce oj! 'R~ The above prices, specifications, and conditions are satisfactory and are hereby accepted, You are authorized to do the work above as specified. Payment will be made as outlined above. Signature Date PRODUCT 5520i';e7iif; Inc.. Gro:on, Mass. 01471. To Order PHONE TOll FREE 1 +800-225-6380 This artwork as the property of Skywatch Signs. Any unauthorized use or reproduction of this design is strictly forbidden unless arrangements to urchase the artwork separately. III . 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I <:) en , llJ~ ~ J ~ J( -tr , SEE. bcTfflL.S p~oPoSG6 SIGN I.-()(..ftl/' I' ' - ~,. " t~. ; :, ~ ~~~ 't " , . 'It 'r ...., O. \j ,~ ~ ... - ao , " " ( 7' 'J ~o I.'-~~ '~r . /\ " ""f/lft' rc~ ' 48 FLORIDA INDEPENDENT APPRAISAL SERVICES, INC.