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Home My WebLink About93-3082 BUILDING PERMIT Date _30824 ~ -/1- <J' ~ Permit N ~ ~.. CITY OF ZEPHYRHILLS (813) 788-6611 /' /{1; ~ ~~- ~.. P,"perty Owne, ~ ~ ~ ~ Job Address: 3 - ~ ~. ~ Parcel LD, # M~' Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. Radon Gas: FINA "> DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or t~hOO" ~ Contract Price = ~ City license Registration #~-'. State C "fied license# Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway Permit Fee Signature Company Address Telephone# ( PLU SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 ($15.00) 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. ...~ ....".. '<~ .. .. ,,:::please Send Remittance to: 1\. lIartlrtt iRnnfitt9 OOf <1rentral 3J1lnriiln, Int. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED * MEMBER OF CHAMBER OF COMMERCE * OFFICE PHONE (813) 782-5585 Lic.# RC 0031769 Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land O' Lakes, and Surrounding Areas We have reroofed over 6000 Homes and Mobile Homes in the last 17 years. Date fr (i' 7" <-., .- :-> ", '7""!'"-1 (' Name : t::v_ ,'; ,; ;"~ rj \" Cor-'j .{:- ~{~ /, -,..-' " "", Addr... ,.', , Phon. t .!., '.~ '_,.1 ,r F' '. ..:, DESCRIPTION AMOUNT :['1:: : . (_~ n \ ; :'~ ~-:: J ,:;. t~q 1 .1- ~. f 1 ;:t ;~> . ;_; () [ .. r:~ 0 ir;~ J ~:~ t ;.:? ~-: ,~~ ,J 1. '01", "v II"; 1.] ~er ~..': i:i (j LJ:1 t ~~ ~~' ,.,~ : ' .1, .'i. 1 ",:.~ i' ',; t' , ~ ~ E; ':~ d. ~-j Y.. L :~, 1'-:: ~''l:" -;,.) iC J.E U.1"~ ,j [ I P ~:,J ':.: ;'} c' _, u :) ::.;::' 1" .~. !D.j::':'<-.~ \..,~ .~, -1 1 ... ::' '1::_j.l c. L C <; Q~' i L: -~..l. t~ ~~ l,' .~~, c: f'~) ;~' L~: .>. C L t~ ;_:'~;1 '~r ;:,: i';,/ ;:-.:..)";, J. :.:,~ ;.:.:? \/ ::~_1 L i;.-; .~;. :nl::'; t (:-~ J ~~;"'\~i :. ,l ~< :.:(:~ (l.~~::)'b:,~;.'~ r:~;G'~:'" ,-;: Ci \,1 f..: r ./ ~::<: r~ t: ::: '1-.: :~'I} L '.~;, C \li.~) .~ t: i. :~t (~ t' .~l I. .:l ;:~. ,~ ,; :1 ~:' ] ',) , ::'l H C:2 ';"1 '" 'C,''''' . THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement Warranties pertain to original owner All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Total APPLICATION FOR PERttIT CI'IY OF ZEPIlYRIIIUS BUII.DIBG DRPAR'J1Ifll'Jil'T OWNER'S MAKE ) 1/h I I~ J'w.%t OWNER'.S ADDRESS '7L(9 '-z? U W/Z&JW ' JOB ADDRFSS '4 7 4JL / ~ LEGAL DESCRIPTION: LOT{S) BLOCK I'lIONE SUBDIVISION PARCEL LD.' WORK PROPOSRD:_!!i1ew Construction _Addition _Alteration __Repair _Install -,-Sign _I!fove _Deaolish PROPOSED USE: Single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swi.. Pool Other _Restaurant &: Health Deparblent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHHRRCIAL : ATTACH (2) PLOT PLANS &: (2) SEI'S OF BUilDING PL..MDS &: 0) SET ENERGY FORMS. ** ATTACH (3) SF.TS OF BUTI.DDilG PI..ANS &: (1) SET ENERGY FOIUiS. U **COPl" OF CONTRAcr REQUlJIRED. _BUILDING $ I 530-(.\ I PERlIfITS REOIW_<)TED . Valuation of Total Construction _ELECTRICAL NIP Service _______Florida Power COrp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Freme _Steel Other FINISHED FLOOR ELEVATIm~S: FT. IS PRO.JEcr IN FLOOD ZONE AREA? '\:'C:S NO *****~************************************ nUl LDY.R COIHPANY State Cer . or Regist. , Signature City License Registration it: *********************************~~******* ., EI.ECTRICIAN COlIIPANY State Cert. or Regist. , SiRnature City License Registration f ******~*******************************~*** PI.mffiER CO'!fPANY State Cert:. or Regist:. , Signature City License Registration i ****************************************** KF.,CHAJITCAL c:mwANY State Cert:. or Regist:. I Signature City License Registration , ****************************************** 0T1JER COlIIPANY State Cert. or Regist. , Signature City License Registration i *******~****.***********..*.**..**...*.**. APPLICATION APPROVE'D BY PERHIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit 'lay be subje~l to "ne~d restrictions' which lay be .ore restrictive than Ci.y regulations. The undersiqn~d assules responsibility for cOlpliarce Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a ~ontracto~ or contractors to undertake work, they lay be required to be licensed in accordance Nith state and local regulations. If tlircO\ifractor is not"iicensed i:'i required by laN, both the ('Nner and contractDr .ay be cited for a lisdej~anor violation under state law. If the owr.er or intended cDntractDr are uncertain as to what licensing requireaents lay apply for the intenderl work, they are advised tc, contact the City of Zephyrhills Building Depart.ent, (8131 7BB-bb 11 . Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractDr(s~ ,sign pDrtions of the 'Contractor Sections" of this application for which they Nill ~"~ responsible. If YDU, as the DNner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled tD perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTI~ITY 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 - HDleowner's Protection Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is so.eDne other than the "oNner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tD 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, ioning, and land developlent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cottenced prior to issuance of, a per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning reg'ulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended "-Drk, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not Iitited to: . Departlent of Environ.ental ReQuIation - Cypress Bayheads, Wetland Areas and Environllentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' . Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental PrDtection AQency - Asbestos abateaent 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 volute" Mill be sublitted which is prepared by a professiDnal engineer registered in the State of Florida prior to per.it 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 pertit prevent the Building Official frol 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 co..enced within six Bonths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six tonths after the till! the work is CD&6enced. One 90 day extension of tile, lay be allowed f~r the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved 'inspection lust be log~ed during each six .onth period, or the project will be considered abandDned. WARNING TO OWNER: YtlUR 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 TTORNEY EFO' RECORDING YOUP. OTICE OF COI1:ZN":;~E~O RECORO AN' POST TICE 0 E'ENT'. SIGNATURE: OWNER OR AGENT . v SIGNATURE: CONTRACTOR was ac~nowledged , 1 90, ~ by. ..-- STATEOFF\~~IIlA.) COUNTY OF ~SC l'"J The foregoing instrument .9i;'.:<"'-.re me th i s '":< - 11 . .----" - "Ias acJ.;;.nc,,,1l edged , 1931 by STATE OF ~ COUNTY OF () The foregoing instrument b fc,re me th i 5 3 - \ \ (11- who has \~ho has did PIC, t htZL ~~ or Stamped) Stamped) ate of Aorida ,'" ,," ,. --~,cs ad. 9, li994 jJoY :,.C '1"" 'oy Fain, Insuranee In... .BondeiJ. r,ru I. ate of f\orida ", ad <), \9\9A r"-",,tS ." ~ f-'n. In>uranCQ II\l!I ' ;;.;; I 0' . ~ll\J,~-~ :~.".'A :,..;;. ~