HomeMy WebLinkAbout93-2902
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
,30.0-0 ;L(J. a-0
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PmpenvOwne, ~ 9!:;i;q r?..:-6. < #'..J,..~J
Job Address: (,7 _._~
.
Parcell.D. # ;l-:).h -::L/ - CJ cJ/O - () t!) 7' d .0 - 0 d/ D
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~LECTRI~
Zoning: Energy co~
Description of Wor-;- J.( <24 ~LJ--.,i .~
Permit
N~
2902.t1 I
Date / -, \"-9.......r
Sewer Conn
(-:5'770-0
~.3?~o
Water Conn:
Water Meter:
T.I.F.'s:
Radon G/ /)
(-Y')aA...6 ~ ct'~.L~)
NO OCCUPANCY BEFORE C.O.
FINAL 3.30 .-<:;' ~
DATE
C.O. c'S -
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price 1f't' r.J7/zJ, crLJ
City License Registration # 6.5
State Certified License#--;f /J 3 7.3:L1
Permit Fee ~ ~
Signature~
Comp~
Address
Telephone#
-,i ~~
.--
~ ~
.. ~~ IJdS-;?
Ftr.
Pre SLB
Lintel
FRM. , ~~'S.qj B \JJ
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
lJA h~~ -qJ iut-
~2."L3-'i3 f> et-..
tA>.fStt!.<- 6u.JcL.
1-~.q3 €/>,
Driveway
Breakers
Ducts Insl.3-l3-938~
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
FROM
JOHN L. SMITH CON ST.
37326 Rutledle Dr.
Zephyrhills, FL 33541
(813) 782-0470
Prop"~u'
Proposal No.
Sheet No.
Date Dee. 30 1992
Proposal Submittea To
Work To Be Performed At
Name Dr.
Street
City
State
Telephone Number
D.
Street 6900 Gall Blvd.
City Zephyrhills State FL. 33540
Date of Plans 9/22/92 Rev 11/18/92
Architect Towson- Rogers Ella.
We hereby propose to furnish 011 the materials and perform all the labor necessary for the completion of
Remodel old NCNB Bank building into Urban Eye Clinic to specs of plans and
attached spec sheets. All work to comply to current codes and local industry
standards.
,
All material is guaranteed to be as specified, and the abeve work to be performed in accordance with the drawings
and specifications submitted for ~bove wol"k and completed in a substantial workmanlike manner for the sum of
Thirty nine thousand, one hundred forty three and 25/100 Dollars {$39, 143.25 I.
with payments to be made as follows:
See page 3 of spec sheets.
........ I ,- /. ,
Any alteration or deviation from above specificati..,ns involving t:lxtra costs, will be exe'cuted only upon written orders, and will
bEcome an extra charge over and above the estimate. Ail agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public
Liability Insurance on above work to be taken out by builder.
. ~--e:
Respectfully submitted
John ~Srnith Const.
~~
-
Per
Note - This proposal may be withdrawn by us if not Cil';cepted within 7 days
:
ACCEFrr ANtE OF PROPOSAL
The qbove prices, spe~ifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
Accepted
Signature
Date
Si~nature
Jm~L
Peter 'Vrban
~
..'
TOPS FORM 3450 C
T
LITHO IN U. S. A.
-
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APPLICATIOII FUJii. PERKIT
CITY OF ZEl"IUKH II.T.S
BUllJ)IliG DEPARI1ItEII'l'
JOHI0 u.J~L Df"1\J
7C:~
JOB ADDRESS 6 '7 cJ 0 (; e. / / B ~ /.1 a!.
PIlOSE 1107 q~1 036-7
GAST /VEl() J../rA(JEA) Al/6 MELf!fJ()~~
.
;Z~.Lh'JRhl'/h F/
/ /" /
OWNER' S RAIlE
OWIIER'S ADDRESS
LEGAL DESCRIPl'IOII: UJI'(S)
PARCEL LD.' f) d.. IA c:<. 0 ~ d J
~_SOBDIVISIOII
(!) () / & ~ (J tJ 90 D - (!) ('f) / f)
I<<)RK PROPOSED:_lIev Construction ~tion ----LAlteration _Repair _Install
S.
- 19I1
_Hove
_De80lish
PROPOSED USE:
Single Fam.ly
-X-~rcial
_..__ff./F
_, of Units
_K/H
_Indust.
_Sw:t... Pool
Ot:her
_Rest:aurant &: Hea1t:h ~t Approval
'-
BUILDING SIZE: ,')~C X ~ t) . ...3 J d cJ cD
_ _Square Feet.
Height
RESIDENTIAL: Al'TACH (2) PL01' PLAlIS &: (2) SEIS OF BUD.DDiG PI.AIIS &: 0) SET ENERGY FORKS. **
rottItERCIAL: ATI'ACH (3) SEIS OF BUllDDG PLUiS & 0) SET ERERGY FORKS. **
**COPY OF CONTRACT ~.
f-i.&tiJ.~ ~ori5iU)
_BUILDING
..0
$ ..s~, / -'-/3 ~
Valuation of Total. Construction
_ELECTRICAL
AfIP Service
'illorida Power Corp.
W.R.E.C.
_ItECHAIUCAL
$
_Valuation of Kecbanica1 Inst:allation
_PLUKBING GAS ROOfING
SPECIALTY
TYPE OF CONSTRUCTIOR: _Block _FraIIe _Steel
Ot:her
FIlIISHED FLOOR ELEVATIORS:
FI' .
IS PROJECT IN FLOOD ZONE .ARFA?
YES NO
******************************************
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CIJI!tP.i't.irn'V <9 Ii /'- r /... ~ ~ J/f-t' '/ /-c i _ cP fL r -!. /,
State Cer!:. or Regis!:.' R IS - $ 7", ~ ~ I
Cit:y.bicense Registration t C;,5-
*******~******************** ~
W!lPARY r;u' 0 i ('0'7 EIt--c
~~'r~:~<<> o~~:~:~~~i:" : rZ rg~/ ~-{ '7
***********************************
S.
WIlDER /' / --11-. jJ (i If? ;j =:"eert0~~;isf'1Jt~l'i~~/)0PJ))6
Signature L J't'--r--&2;;~ t ./)" ~')Q/(/? Ci.q License Registration , , r;-7
******************************************
1lEaWlIl:AL _ <XIIlP...... ;(; tv ~ C .o~ (, <~ , .._
Sigoat:ure ~J ~ ' ~~ L~ O~g~~i:" t .. ':; /~P.l/Cb'SbJ Hs
, ( ***************",******,**i<*****************
0T1IRR
aJ!IPARY
S.-ate Cert. or Regist. f
City License Registration ,
**********........*******.....********************
Signature
APPLICATIOII API'tlDVED BY J2 tf MA'~ cXf ~ A. A"~ -r
'-
"PERKIT OFFICER.
I
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF 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 cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contract~r 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
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractDr,
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
'owner', I certify that I have obtained a copy of the above d~s~riDed doculent and prolise in good faith to deliv2i 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 work or
installation has cOlaenced prior to issuance of a perlit and that all work will be perforled to leet standards of all 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
IY responsibility to identify what aciion~ i .ust ~d5~ ~u b~ in co.~lia"ce. Such agencies includ~ but are n~t l!.!~ed 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
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
. also c~rtify thit, if fill aaterial is ~u be ~~~j ~" fluud Zu~2 'A' ur 'A,etc.', it is understood that 0 drainage plan
addressing a 'colpensating volule' will be sublitted 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 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 lonths of issuance, or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of tile, lay be
allowed for the pertit with fee charge of $iJ.JG. T~t ~A~cij2iG" shall be requ~sted in writing to the Building Official. An
approved inspection lust be logged during each ~ix lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME~:EMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, ZONSULT WITH lOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKMENCEKENT. UN R $2,500 IN VALUE DO NOT NEED TO REtURD AND POST A 'NOTICE OF COMMENCEMENT'.
STATE F flORIDA 'll h ~
COUNTY OF ~ Jb
The foregoing ~)t)~t wasa~~owledged
before me this. , 19~1;Y
=Pete, \tr-bOf\ ffiD .
who is per na~ly known ~o me who has
produced 'S C'e
as identificat' n ~nd wh did
take an oa
mar-/o~
(Name Typed, Printed Dr Stamped)
NOTAFiU UBI. Ie
(Signature
Notary Plda. Stare r;I FIorfda at Large
My ComlTfsslon expires March 15, 1993
--;/
CONTRACTOR
STATE OF FLORIDA~
COUNTY OF ~sco
The foregoing insJryr.ent was a~1iwledged
befor'e me this..s ~ ' 19 by
-:r; b, w ,S rn .. t..-j,
who is persona 11 y known to me or whc. has -7
produced LJ~AA~__.P ~
as identi'fication and who did/di n
take an oi;lth. .L.
(Signature) AA ~ il
lflA"e;t L . ~!Jpt
(Name Typed, Printe or Starn d)
NOTARY PUBLIC,,,;,.
?:;. lfomy Public. State of Florida
~,"Ux Comm. .Exp. Mar. 17. 1995
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TABLE A - WORKSHEET
CITY OF ZEF~~LLS CONNECTION FEES
..-.-
RESOLUTION fD12 WATER $1. 75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 l. 79.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. 11 WATER SEWER TOTAL PER FIXTURE
Sinks 50 S- 437150 /, S-Q7. 50 2 J D 3 5': 9..E..---
-r
Water Closets 75
Urinals 50
Lavatories 25
Tubs/Showers SO
Washing Machine 200
Washiri'g Machine SO
!
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
l-f 37, ~o 1,S-?Jl.5o 2.,035", ~
WATER METER
~l/A
"
GRAND TOTAL
L'" I:) 0
2.. D 3::> ' --
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