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HomeMy WebLinkAbout93-2950 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC! 2950?i / ---21-7~ Date ~. E~ ~-~ UMBING.2 ~r~IL.AL Sewer Conn PmpeNy Owne' F~ -z:~ ft{; Job Address: 6 it . r Parcell.D. # Water Conn: Water Meter: T.I.F.'s: Zoning: =r: Description of Wo<;; -~ .' :;; r Radon Gas: A~^-A ?-<L~:' FINAL JL- /;:l -9-3 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector P.,m;, F~' P S;.natu,. . _ -Q ~ Company Address Telephone# Valuation or Contract Price A;/A City License Registration # / :l...s- State Certified License# ~ EL~ ~~~ -" PLU~BING . ME 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 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. . QUOTA liON From (; fa / k ~')(l-e r I P/l.Im b //}i:1 / Inquiry No Date /-~ 1-93 Terms Prices quoted are F.O.B. l To T f'(An s Ynar- CO/lS-J. M"f :D€f)I)IS J Delivery L ~ We are pleased to quote as follows. Your inquiry Quantity Description Price Amount Lof //7 s/ U~C Oakes rrrlCj Qh o",j jo b ( &; 2otVG) Y--eC' ,-nIT J ~SOOO ,;) o.co .- . TO ivJ dUe JJ.-7tJOO (y' .. s-o..... '- 597 By. APPLICATIOl!il FOR PERHIT CITY OF ZEmYRBILLS BUfIIJHl!iIG DEPARl1llEl!ilT OWER'S NAME ~0Ni. s t!/./Ur ((' (!~~~ PHONE OWHER'S ADDRESS JOB ADDRESS Co d ( ~ LEGAL DESCRIPTION: LOl'(S) tL-:", ~,,\ 1 {~'>Y\ '" ?) { {' v~ -R- ;'\-;'1 v .Q ( ()c If' c:; BI.OCK SllfBDIVISION PARCEL I. D.' WORK PROPOSED:_lN!ev Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: Single Faaily _KIF _' of Units _K/H _~rcial _Indust. _Swia. Pool Other _Restaurant &: Hea1t:h Depar~t Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COHKERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLAl!iIS &: (1) SET ENERGY FORKS.** ATTACH (3) SETS OF BUII.DDlG PLMS &: (1) SET ElIiIERGY FORKS. ** **COPI' OF COIITRACT REQlJJDIID. PEmfITS REQUESTED _BUlLDHIG $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HE~CAL .......'. ~/ '~UKBING $ Valuation of Hechanical Installation GAS ROOFDlG SPECIALTY TYPE OF CONSTRUCTION: _Block _Fra.e _Steel .. Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CO"liTRACTOR SECTION BUILDER CIJl!tPANY State Cert. or Regist. # City License Registration # ****************************************** Signature ELECTRICIAN COIfPANY State Cert. or Regist. # City License Registration , *~***"*"""****::"ctr:~;:;'lj' ~~i~r^f ' State Cert. or Regist. i City License Registration I /~ ~ ****************************************** Sismature ( PWKBER \ / SigDarore ~dtJ MEalANICAL COlfPMY State Cert. or Regist. , Signarore City License Registration I ****************************************** 0T1IER COlIPANY State Cert. or Regist. I Signarore City License Registration , ****************************************** APPLICATION APPROVED BY PERKlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit ..ay be subject to 'deed restrictions' which may be lore restrictive than City regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or. C9ntractors 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 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 Depart.ent, !8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2. 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 Consu.er Affairs. If the applicant is sOleone 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 cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this applic~tion is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worK or installation has cOllenced prior to issuance of. a pertit and that all work will be perforted 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 tay 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 Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways ' f Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic TanKS f US Environtental Protection AQencv - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone 'A" or 'A,etc.., it is understood that a drainage plan addressing a 'colpensating volute' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 pertit is cOltenced within six tonths of issuance, or if worK authorized by the pertit is suspended or abandoned for a period of six tonths after the tile the work is co&uenced. One 90 day e~tension of tile, lay be allowed .for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection,lust be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged 1" k,' "'''_ U( STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged bcfi::al-e me th is 19 _ by STATE OF,FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC