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Home My WebLink About93-3077 BUILDING PERMIT //' SI:> ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 3077,8 :3-?-<J3 Date Property Owner: Job Address: Parcell.D. # ~~. ~1?f- 27~~a M~ewer Conn Water Conn: ~ _ f" at,er Meter: df, I-~ ,I,F,'s: Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 3-1t) ...tr8 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 o~ ;f 7: /2 S. ~ Contract Price C;'y Ucense Reg;s".,;on' :f1iJ 7n1ij State Certified License# ~~~ Permit Fee Signature Company Address Telephone# "~ c..:'- PLU~ ~ MECH~' <'"' Ftr, Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. WOrk not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. PROPOSAL GAVIN ROOFING LIC#RC0046241 DADE CITY, FLORIDA (904) 567--5034 Proposal No. Sheet No. Date Proposal Submitted To Work To Be Performed At Name Street City State Telephone Number We hereby propose to furnish the materials and perform the labor necessary for the completion of Street City Date of Plans Architect State ,3- J(J, Q,3 ...~.... I!: A' . I L{);1 !,..-, U!~~~/l' All material is guaranteed to be as specified, and the above work to be performed in accordance with and specifications submitted for above work and completed in a substantial workmanlike manner for Dollars ($ with payments to be made as follows: the drawings the sum of ), Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All 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 I nsurancp on above work to be taken out by Respectfully submitted /i .' .,,'or t./A.' " ~- ".: Per A./ Jf.'t.~~ 1</ (:.:-.. ../ .'j~.,/ .-{ ('(/.c' Note - This proposal may be withdrawn " ....... (,_...~ by us if not accepted within tC (~/ . days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. Y,ou are authorized to do the work as .' specified. Payment will be made as outlined above. Date / i Signature /'. ,o"., ,;./..... ,""'\. .'" .- '-........r \ .:1 (~- / /. ~...., ..,.;(,:~~ .-0.; /.. l ;) ~y } // ;' ';}")':;~'.T')// ;__.~. i TOPS FORM NO, 3750 ,/',,1(\(, l(t ~ - Ii ....'1'J"7.;../ /it,,; fA"' ! LITHO IN U,S,A, . APPLICATIOR FOR PERltIT CITY OF ZEPHYlmILLS BUIIJUlIIG DEPARDII!1n' OWNER' S RAKE Ifr/-M fJlZo/tCL-1ie-~. PIIORE OWNER' S ADDRESS ~ 0 }\. S 2- r L .- ~ It-If ~L.AA.l1J ,lC"L '"3 J fD) , JOB ADDRESS :3 Y 'tJS-: (I-f) 6t/6-~Lee~ tJ,( LEGAL DFSCRIPTIOlI: IDI'(S) ~SUBDIVISIOR PARCEL I. D. # won PROPOSED:_DIIev Construction ---i\ddition _Alteration JRepair _Install S. _!!love _DeIIolish - 19I1 PROPOSED USE: Single Faaily _"IF ~, of 1Jnits _KID --.X.~rcial _Indust. _Swm. P001 Ot:her _Rest:aorant &: Hea1th Depa.rt.ent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHtIERCIAL : A'ITAGII (2) PLOI' PLAlIiS &: (2) SEI'S OF BUIIJ)DfG PIARS &: (l) SET ENERGY FORKS. ** A1TAGII (3) SETS OF B1JIU)DIG PI.ARS &: 0) SET ENERGY FORKS. *'" **COPY OF COH'J"RAcr lUlQUIRED. _BUILDING I .J /1- S. ()(J ./ PERI!IITS REOOESTED $ Valuation of Tot:a1 Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. _tlECllANICAL $ Valuation of "echanica1 Installation _PLUKBING GAS x HOOFDK; SPECIALTY TYPE OF CONSTRUCTI01'i: _Block _Fraae _Steel Ot:her FlliISBED FLOOR ELEVATIORS: FT. IS PROJEcr IN FLOOD ZONE AREA? YES NO ************....*....*.**.**.**.*....**.** cmn'KACIOR SECTION BmT.DER COIPANY St:ate Cert. or RegisL I City License Registration I ....*............*.........*.*..*.**..**.* Signature ELECTRICIAN COIPMY St:ate Cert. or Regist. I City License Registration I .................................*.*....** Sipmlture PLOtIBER COIPANY State Cert. or Regist. I City License Registration I ...*..**.......*...........*..*...**.....* Signature KECllANICAL COIPABY St:ate Cert. or Regist. # City License Registration I .......*.............*.*..**....**..**..** Signature OTHF.R ~d~ ?At/I :.J f~t)/i A/II---. St:ate Cert. or Regist. t f( C. tlO t; ~ 2. 'II City License Registration I 3 0 .****.............*..*******..*.*.**...*.* COIPAWY Signature PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to "deed restrictions" Nhich .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr c~ntractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to Nhat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813) 788-6611. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the ONner 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "owner", 1 certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the "owner" prior to COI.ence.ent. E. CONTRACTOR'S/OWNER'SAFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. 1 certify that no work or , installation has co..enced prior to issuance of a per.it and that all Mork will be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Havigable Waterways f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in flood Zone 'A" Dr 'A,etc.", it is understood that a drainage plan addressing a 'colpensating volu.e' 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 Mork 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such perlit is co..enced Mithin six .onths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the ti.e the work is CO'lenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of fI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C:d:".~.8~~IM~~:~ ~ ~COO. M.:JJ/.Ft~MC~EMI" SIGNATURE: OW~R AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by 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 or who has produced as identification and who did/did not take an oath. ISignature) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLI C (Name Typed, Printed Dr Stamped) NOTARY PUBLI C