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HomeMy WebLinkAbout93-3404 , ' BUILDING PERMIT Permit _ 3404 J3 JY--/o-13 26. OV jJ;, ~ 2(7. cC:> Date ~ ~c~ PLUMBING ~A~ S,w" Conn ~ ~ ~ater Conn: Ion I~ I~f'~ Pmp,,'y own";:fl1-~ JJt.;1;:. f'd w"" M,,,,-?jq 11#'> 1"'/>>/21 Job Address: ~ __~ T,I.F.'s: Parcell.D, # /5'-:z~ - ;21 - tJCJ~iJ-1) /yatJ - t? 0/0 CITY OF ZEPHYRHILLS (813) 788-6611 N~ NO OCCUPANCY BEFORE C.O. oJ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, Inspector :JI-Jd--. Pe,m;' Fee ~-"-<;7D 'L Signature, ~ A Company Address Telephone# (&>/3) - 0/'12 - t../-55'-/ Valuation or Contract Price ~ 'I 9' ~ -: tT7:J City License Registration # .3 7'3- State Certified License# ELECTRICAL PLUMBING .{?~ Breakers Ducts Insl. Compressor Final ~cf.w '-~~3 T~Xrv{ H. SLB Ro\'igfl1tn 1J~!ffi 1-'2~1I&J:tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final Ftr. Pre SLB Lintel FRM. iD-lo'-'l~ f/J . Insul. CL WL 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. WAYNE WHITE CONSTRUCTION GENERAL CONTRACTOR 129 CARLYLE DRIVE PALM HARBOR, FL 33563 (813) 784-5926 Page No,__of _Pages Jrnpnsul PROPOSAL SUBMITTED TO: DESCRIPTION OF .JOB: 7./ Job City 2C p/! Phone :~6 f?G State Date Db 1I;r~y ~ubmit specifications and estimates for , ' ~ ~~~-~~~,~~~~~i--~R~~I2.~L, 7) er i/1/q~~~~_,_!1J fI e~,~ ~~ /2 (? ,~~~!!!_(b Z!:2~.,____~_,."".__,~~ ''._____~_~~~~_,___~__________.,_~____ ._____J?,Li21~dL-(~-R--Pf0..Q:..6__/L L E_~~~ .jJ()()Ls-~~--------- ~.6.J'/D{L.4~__~L~~t5 C7R1.CA- ~?A AJ e.G..__L~Q,/b1. (/05 r;/ .I 0 ~-BLI2/;:;2lLI22~,__~_ .,'_~___".~. ".____ .,.._______.__~, ___..._~~-~-~I~.cL-vt 5 e L?-.-4~~-j4I\/J.r,.Eu,eAi!,5/-1 eLJ By--.dt(/m3-~___ _______:J:...f:.l1:lJ2f1.E..__U...LE. 6IJ-c ~ e ~!. L) /z. LA.....J ( A.I fJCJlJ../ 5 Bt Btrtbg Jlroposp to furnish labor and materials complete in accordance with the above specifications, for the ;) L/ 15 q-2 } sum of $ With payment to be made as follows: All material is guaranteed to be as specified. All work is to be completed in a work- manlike manner according to standard practices. 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. Our workers are fully covered by workmen's compensation insurance. Authorize Signature Note: This pro al may be with- drawn fY us if not accepted within days, Acrrptanrr of Jlroposal- The above prices. speci- fications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified, Payment will be made as outlined above, Date Accepted Signature Signature APPLICATIOIi FOR PERKl.T CITY OF ZIl;puIKH .T.Le; BUII.DllIG DEPAKIIIEII1' OWNER. 'S lIlAKE 4c /~ r ) .E- ~-k PROBE 7' f' b - 7 <1 f / OWNER'S ADDRESS /({' /~ (to ( ,'-- 10 JOB ADDRESS f/ r.2 tf ('bvr 7' _5"/' P.4y / /17~ ,/ LEGAL DESCRIPTIOII: I.OI(S) ~SUBDIVISION PARCEL LB.' WORK PROPOSED:_lIev Construction ~tion _Alteration ..---B.epair _Install S. _fIove _De.olish - J.gIl ; PROPOSED USE: ~ingle FaUly _"'F _, of Units _"/H _ec-ercia1 _Indust. _Swia. Pool Other _Restaurant &: Hea1th ~t Approval. BUILDING SIZE: x 117P ~e Feet. Height RESIDERTL\L: aJIIKERCIAL : A1TAaI (2) PI.OI' PIAIIS &: (2) SEI'S OF BUlLDI.liG PLAIIS &: (1) SET ENERGY FORlf.S."'''' ATrAaI (3) SEI'S OF BUllDDfG PI..AliS &: (1) SET .EIIEKGY FORIIS....... ......ropy OF COIIlr.RAct .RIIQUllUID. t'J PDDIl'lS REOUESTED .---BUILDING $ Va1uation of Tota1 Construction _ELECTIUCAL AIIP Service Florida Power Corp. W.R.E.C. .--JtEmARICAL s Va1uation of "echanica1 Installation _PLmtBING GAS ROOFIIIG SPECIALTY TYPE OF WNSTRUCl'IOR: .---B1ock ----Yra8e _Steel Other FINISHED FLOOR ELEVATIOIIS: FT. IS PROJEct III FLOOD ZOBE AREA? YES NO .............................................................................................................................. ~CIOR SECI'IOII BUTI,oER. # lDIPAIIY ~~G UJ/ltTc a,,/sll~ n j ~, ' State c:ert. -~ llegist. . ~G c Cl:l6- Sf!} /i@. City License Registration , :;Jq -z u .............................................................................................................................. Signature ~~~TCIAR S. aJ!IPAIIY ~;(C.Vyf~C e State Gert. or Regist. . City License Registration . ........................................................................... %Lk _7$"" d "I;.oJ ~ A1: h-a- 3:;)... PU-.RRR aJ!IPAliY State Gert. or Regist. t City License Registration . .............................................................................................................................. Signature ~CAL:{2 . Signature ~ ~ · lDIPAIIY T~p Air ("'tf.T'QVlfi Co (j 1ST ~ A~tate Gert. or Regist. . ~ c-o . , f-/ ~i City License Registration i / ~? " .............................................................................................................................. 0TRll:R aBPMY State Gert. or Regist. , City License Registration . .............................................................................................................................. Signature APPLIGAnON APPROVED BY PERIIIT OFFICER.. 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 assules responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONDer 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 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, 1813J 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 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 - Ho.eowner's Protection Guide" prepared by the Florida Departa!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 perlit 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 developa!nt 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 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Depart.ent of Environa!ntal 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 ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental 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 sub.itted 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 fro. 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 .onths 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 ti.e, .ay 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK~NCE"ENT KAY 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 CO"~NCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COI1~NCEKENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me this 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. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~.' 4.f28' c!t!Jvr-T .5~ 7i> ~-r tv~_ /n7 (! t!J.v (!Q r A./ .' ~~ ~ov/ / .L;/6 ~k/e,.A../ 69~-4) A \ C- A ~ J kc 10. +- ~ ;:( r//"~e. ~r / ~/ e I e..~f: 76 ~~~~.. tfJ~N'(!""""-- ~DY'.s wu...do-s I ) (!' C' c/ ~ 1J ""' c:l Department of . Building Regulation ;:e?m,T -# 3C/6Lf ~ -r?/ Of 7-1 01 ~vffJl-/e/C 1I/2?5 ~(r 5 -r -:J 7D A 1);)/ '5 C cf t)Cf Tf- J-A { ':{ t0AyJu6 Le) t-I, n ~ e /~~~eltUr;, CL[CT~(~ L61V7.44c.:r~ f/c~.J)~,qqJ 70 ~4I3e/2 I~A~lL Lf"L{ ~xL:L 9/~l-li3 '-11d- "Buildin~ Safety Is No Accident" "Department of Building Regulation DATE: October 20, 1993 TO: Homeowner 4828 Court street Zephyrhills, FL FROM: Roy Burnside, Building Department City of Zephyrhills SUBJECT: SEWER CONNECTION This residence must connect to the City sewer system two hundred (200) feet from your property line. You notified. '" ~ ~ l1-1z>1. ::T, The cost of such conn~ction~1s at present yonr cost will be the rate a me ~-coDDection. when within will be time. However Sincerely, ~1~~Official RB/bs "Building Safety Is No Accident" , . . - - -4 . wra IALII.... D'n II I / ' ~.- ~ -- 'L ., .... If. ~, Ji. ' ~ 1b, THIS AGREEMENT ente.:ed into this 30th day of sePt~~ . ~~ 1975. between the CITY OF ZEPHYRHILLS, FLORIDA, a .unicipal corporation, hereinafter referred to as the City, and K. S. BEDI, S. S. BEDI and B. S. BEDI, as joint tenants with right of sur- vivorship and not a. tenants in co..on, hereinafter referred to a. the Owners. 5.S.-~. ?~./r~9~~~HEREAS, '.S.-~/&"'~" locded in Pasco ~L (J~ WITNESSETH~ the Owners own the following described lands, County, FIQrida, to-wit: e,::, ~ :c ~. fTi I - 0..::.. ,-:" 0 ;": . :-:- ::0 .:.n ,. "'- 0 ", ...... ~ .: '::;. < "I' .. ., 1"'1 "~ ~ .. """ "." ;;c ~ , . " ,~ =ii '"' - -..oJ .., ", ~ g '...J (J~ · Tracts 18 and 31, except the South 25 en feet of Tract 31, Zephyrhills Colony __ Company Lands! as per plat thereof ~ recorded in P at Book 1, page 1-6, ~ Public Records of Pasco County, Florida,~ all in Sectio n 15, Township 26 South, ,.. Range 21 East.' ~ .... all things nece..ary, including the execution of the required document. to achieve auch annexation. 3. That,Owner. do, hereby, agree to beco.e per.onal~y liable for payment for sewer connec~ion fee of two hundred dol- lars (1200.00) and water connection fee of one hundred dollar. (1100.00) when at such ti.e it beco.e. feasible to connect .aid land. to city .anitary and water syste.. 4. That at the date said lands are annexed to the cor- porate limit. of the City, Owners shall execute and deliver to City all ea.ements nece.sary to provide City ace... 1:0lUlV ..........,. Department of Building Regulation f october 22, 1993 Richard Metz Federal Affordable Housing 1616 Gulf-To-Bay Blvd. Clearwater, Florida 34615-6476 Subject: Connection Fees Dear Mr. Metz: Thursday, October 21, 1993, you requested one (1) single family water connection and were charged $100.00 for same. This price was in error. Our attorney has advised that the water connection fees for this property are $350.00 and $1,278.00 for sewer connections. Therefore a stop work order has been placed on the installation of the water connection and meter until the balance of $250.00 has been received. Sincerely, fi.; 15/, 'V .~.~ Roy Burnside, Building Official RB/bs cc: city Attorney City Manager "Buildin2 Safety Is No Accident" Date CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8th Street Zephyrhills, Florida 33~' ~' . ~ 1-813-788-6611 /,)~ ~ /0 - .:v- 9'3 U/iJ (7, ~ . . ~;ti:~#~'= - · Name Address legal Description Building Perm. 1/ ......,... Electrical Perm. 1/ /' Plumbing Perm. 1/ Mechn!. Perm. 1/ No. of Sewer Conn. No. of Water Conn. / 7{.e4. / ~II - 1../ ~ Jot), --= ~ /~6-# -; No. of Water Meters Transportation Impact Fee Zone +1% Misc. iU- Totat!- ;< fntV Memo: ~. ();h ./ ~~ o/7!Y- dt(BI~.' Depl YELLOW: Utilities Cept. PINK: Customer ~'~. Signature , 3-;0 ., 1', ,- J(,.. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8th Street Zephyrhills, Florida 33540 1-813-788-6611 Date I~ -IY-?3 Name ~");A / /114~ Address 'J.,?:J.. r r;~ 1jt ..g- legal Description Building Perm. " Fee Plumbing Perm. " Fee Electrical Perm. " Fee Mechn!. Perm. " Fee No. of Sewer Conn. No. of Water Conn. / n ,(77;) -11) /t> -~/-n I' c2 ..5{) , t10 No. of Water Meters Transportation Impact Fee Zone + 1% Misc. Total p<.-..50, tTD Memo: J>' .~ ~ Signature WHITE: Bldg. Dept. YELLOW: Utilities Dept. PINK: Customer ~~ , ~ v__, - '. ',~" "':,...."'"~.. p ,:1: "'i' _'i~~:~~~:;~.:{~:.~~)tr{,t~:l.:,~:.~!"~.~:~:..;,;~~j,:?,j,}~,/ Lots" I ".Jf.lji". };iBlock . :.::.~~,~~;~;\~i~l~,:';:':~;:~W~~i.~:~~t~~f:'i:,;s"'~i:: ( "lraylng,~essment ,(::~~;~t~,~~~"!/~~\~:";~~'~" b~ )~)~? .J C();\, Department of Building Regulation October 22, 1993 Richard Metz Federal Affordable Housing 1616 Gulf-To-Bay Blvd. Clearwater, Florida 34615-6476 Subject: Connection Fees Dear Mr. Metz: Thursday, October 21, 1993, you requested one (1) single family water connection and were charged $100.00 for same. This price was in error. Our attorney has advised that the water connection fees for this property are $350.00 and $1,278.00 for sewer connections. Therefore a stop work order has been placed on the installation of the water connection and meter until the balance of $250.00 has been received. Sincerely, ~~ Roy Burnside, Building Official RBjbs cc: City Attorney City Manager "Building Safety Is No Accident"