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HomeMy WebLinkAbout93-3394 BUILDING PERMIT , /l"r-o '1>1< p ,;)tp Permit _3394,6 ?'-- $I -1'-3 CITY OF ZEPHYRHILLS (813) 788-6611 N~ . 6tJ.cTD ;lo,OV G'LD~ ~ECTRIC;)) PLUMBING MECHANICAL p<opertyownezH h~ Job Address: .n Date Sewer Conn Water Conn: (~g ~te: Met"' TI.F,5: Parcell.D. # Zoning: ~ ~nergy C:ode.:.- Ra<!on Gas: Description of Work _ _~ ~4"A'v--.# ~yt-<3... , Valuation or Contract Price ~ 91TtJ ,/ tJV If'" FINAL ( NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.o. City License Registration # State Certified License# ~6?- ? 992- Telephone# PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. ~-\O.Ci\~ BJl Insul. CL WL Tp. Servo Rough In ~-\O-q '3 ~ 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 ($15.00) 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. APPLICATIOIi I'OR PERlf.IT CITY OF l.Il;mIJUUu.s BUIIJUJIIG DEPARIIIDT C. 6 ~O'\ f~ c:r- yj c... ) OWRER.' S ADDRIrSS ~:-3 3 S G-Q. \.L \3 \ u J ~ ~ 5 ~ G-Cl \ \ \3 \ u J ' I.EGAL DESGRIPTIOII: I.OI(S) lB)1IE-.J ~,~ - ~ Lj 'f 0 *:L 2~f~" L~~.J FI. 33S~1 2 E f h :) f h.'1 l \, ~..: EI q. 33 S Y !J JIL.OCI{ SOBDIVISIOII T6~1U ui ~1.lJ S lo f-f; W j CElt, fl. j OWNER'S lIlAKE JOB ADDRESS PARCEL I.B. t - WORK PROPOSIl'.D:_f1ev Construction _Addition LAlteration _.Repair _Install S. _tIove _De.olish - J.gIl PROPOSED USE: Single Faaily _KIF _, of Units _"/H Lec-erCia1 _Indust. _Swia. Pool Other _Restaurant &: Hea1th Depar~t Approva1 BUILDING SIZE: x ~e Feet. Height RESIDENTIAL: ATrACH (2) PI.OI' PLAIIS &: (2) SKIS OF BUlLDllIG PIARS &: (1) SET ENERGY FORlf.S."'''' COItIIERCIAL: ATrAaI (3) SEI'S OF BOII.DIIIG PI..UfS &: (1) SET .EIIER.GY IIORIIS....... "''''WPY OF Wll'IRAct 1UIQUIlUlD. ~LDING -~: PIlJIKI'IS RROIIF-c;nm $ 1-(990 ~ Va1uation of Tota1 Construction AIIP Service "f ..----Florida Power Corp. W.R.E.C. s Va1uation of "echanica1 Installation _PLmtBING GAS ROOFIIIG SPECIALTY TYPE OF WNSTRUCl'IOII: _Block _~ _Steel Other FIIIISHED FLOOR ELEVATIOIIS: FT. IS PROJECT III FLOOD ZOIiE AREA! YES NO .............................................................................................................................. BIJTI.DD aJlI'I'KACIOR SECI'ION lDIPAIIY ~c."J~. <U:uJoy 2~~ C~J' ,e. State Gert. or R 1St.' 10 City License Registration , /r .............................................................................................................................. Signat:: ELECTIUGIAR Siplullture ~ OOfIPAlIY ~~\ 't-.J E. \tcl:J'\ L 7, I 'Yl.. ~ J State Cert. or _!st. t f: rr. 0 0 II II 0 r:::J- I -~. City License Registration t I .,i--.fJ ........................ ............................................................................................. PUllBER. OOfIPAliY State Gert. or Regist. t City License Registration t .............................................................................................................................. Signature IIECIIAlIICAL aJ!IPARY State Gert. or Regist. , City License Registration t .............................................................................................................................. Signature 0TRll:R aJ!IPARY State Gert. or Regist. t City License Registration t .............................................................................................................................. 71aAt.t11 ~ PEIIIIIT OFFICER. Signature APPLICATION APPIlOYIl:D BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assul!s responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors 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 lisde.eanor 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, 1813J 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 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 Departl!nt 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 described doculent and prolise in good faith to deliver 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 per.it to do work and installation as indicated. I certify that no work or installation has cOllenced 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 actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I 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 . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent 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 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 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 cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA CING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCE"ENT. JOBS UNDER t2, 0 IN DO NOT NEED TO RECORD AND POST A "NOTICE OF C~" ENT". was acknowledged , 19 _ by STATE OF FLORIDA (\ COUNTY OF \' 0.. S ~ () The foregoing instrument was acknowledged befc,re me this~4~ , 19~ by -SCCfOW\L w. ~C\('K~r who is personally known to me or who has produced ~ as identification and who "d/did not :) take an ath. ct- (Name Typed, rinted NOTARY PUBLIC STATE OF FLORIDA COurtTY 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC BETIY JEAN TIPTON MY COMMISSION' CC 233547 '-'I EXPIRES: October 6. 1996 :r..~' IIondId l1Ru NoIIry PuIllIc thiIlWI\lIIII ~ Construction Agreement THIS AGREEMENT, Made and entered into this day 4th of August ,A.D., 1991- by SANDY DEVELOPMENT CO., INC. whose place of business is 12303 U.S. 301 Dade City, FI 33525, hereinafter referred to as the Contractor, party of the first part, and __ Concire. Inc. of 7335 Gall Blvd. #2 Zephyrhills. Fl. 33541 , hereinafter referred to as the Buyer, party of the second part. WITNESSETH: That for and in consideration of the sum of One Hundred Dollars ($100.00) paid by the Buyer to the Contractor, receipt whereof is hereby acknowledged, and in further consideration of the mutual promises, Covenants and agreements hereinafter contained, it is covenanted, stipulated and agreed by and between the parties hereto as follows, to wit: FIRST: The Contractor agrees to furnish all material and to provide all of the labor and services which may be necessary and required in ord~r to construct interior. improvements to a building (hereinafter referred to as "building") for the Buyer on the premises in Pasco County,Florida, described as: Humana 7252 Gall Blvd. Zephyrhills, Florida and to build and construct said building in a workmanlike manner, and in full and strict compliance with the plans and specifications prepared therefore and any general or special conditions attached to said plans and specifications (all being hereinafter referred to as plans and specifications) and on file with the signature of the Contractor and the Buyer and made a part hereof. The Contractor further agrees to pay for all labor, material or services used, performed and furnished in connec~ion with the construction of said 7' . /' / Page 4 case, the parties shall attempt, in good faith, to negotiate any amicable resolution to any disagreement they may have. I f the parties are unable to reach an amicable resolution, either party may bring the matter before a Court of competent jurisdiction. Nothing herein shall be construed to eliminate, modify or in any way, affect any legal right or remedy that either party may have under the Laws of the state of Florida. , IN . WITNESS WHEREOF, the parties hereto have executed this agreement and affixed their seals, in duplicate this day and year first written. (Seal) (Seal) (Seal) Jerome W. Parker Signed, sealed and delivered in the presence of: ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name d/l/7l'!l44 4/.lL.III (,/",f\-/'l.g "-' Address '7 z.s L ~ffL L 15<- '--D Business Phone 7~() . 73 {} 0 Classification Owner/Manager .=-/~( fJ~ Emergency Contact Phone Occupancy Load TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED ~ FINAL 0 ANNUAL o OTHER o NOT APPROVED o SI-ANNUAL o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. /f!J;);Jc) LiL U 51) c k^ G. ~/<-( hx ~~w ~L'/)6LA~CY 0&r/r ilt71;; !Lb<< - Inspect. Date Re-Inspect. Date OwnerJManager Signature Title This building has been chedbYthe Zephyrhills Fire Dept under the codes &regufatiOns of the NFPA minimum standards, the State Fire MarshaU'sUniform Fire Safety rufes and other focal fire safety codes.