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Home My WebLink About93-3447 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 3447/3 g- - c2..S---- 93 Date @) ELECTRICAL PLUMBING Pmp"'Y OW"" fJf ~~ A- Job Address: '?!.~ _ ~ cr-.-& Parcell.D, # MECHANICAL Sewer Conn Water Conn: Water Meter: r.IF's: Zoning: Description of Work Energy Code: (./J\1A =I ~~Jl Radon Gas: ..3. Yo NO OCCUPANCY BEFORE C.O. FINAL ~ ' C.O. ,Ly 51 1/ ~ Inspector DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# '77 . Permit Fee Signature Company Address Telephone# ~)/7 (~<C Valuation or Contract Price :l~~ .' cro -" ELECTRICAL PLUMBING MECHANICAL Ftr. ~;'" )1 /q") ~ (TP. Servo Pre SLB '\ _ " 12I1! Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter C ,zl './ /Final Driveway i "j, 1- '13. JliV SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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. ,\['PLICATION FOR PERNIT ,lTY OF ZEPHYRHILLS ,nILDING DEPARTt'lENT APPLICANT 1) TIS (,?~ ( ( iflk-G1< y (!(J Tn?- (Sf!.. L>..e PHONE 763 1;<(/1 ADDRESS OWNER JOB LOCATION ~tt-r1( W/4LTE-.e.sIf/fCT SIZE_X_ AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ;F WORK PROPOSED:~w Construction ~ddition ____Alteration ____Repair ____InstdLl ____Sign/Temp. _Sign _Nove _Demolish PROPOSED USE: _Single Family _M/F _# of Units __N/H _Commercial _Indust. __Swim. Pool Othel < , ~UILDING SIZE: _Restaurant &Jh2}}th Department Approval "7 /:2- ~~ II X~, C~p(f~r Square Feet, Hei :'he RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PL.\>:::; & (2) SETS OF BUILDING PLANS & 0) SET ENERGY FOR!-l'-;Jt: ATTACH (3) SETS Of LelLDING PLANS & 0) SET ENERGY FORNS.I:* **COPY OF CONTRACT EEQUIRED. _BUILDING $ ,~ PERMITS REOUESTED ~tJZ) Valuation of Total Construction ____ELECTRICAL AMP Service _.__..Florida Power Corp. _\\.R.E.C. >f.' _t1ECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel _Other FINISHED FLOOR ELEVATIONS: FT. *********~~******************************** Signature ;'ft 77 , ElECTRICIAN Company State Cert. or Regist. # City License Registration # Signature ********************************~********* PLUMRER Signature Company State Cert. or Regist. # City License Registration * '* * * * * oJ: -.',: -:: -;'; of; *** * *** * * ',,: * * '1: * * 0': 'i:* * * * ...': 1: "k ...': -::...': 1: "k ....; MFCHANICAL C0i11i::.:.~...r-.lY Signature State Cert. or Regist. # City Licer,se Registration .. *********~~******************************** OTHER COffi;J:.lny Sta~2 Cert. or Regisc. h City L~cense Registration ~ Signature ********k********************************* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictiDns" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired ~ contractor or contractors to undertake work, they aay be required to be licensed rn 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 Nork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-b611. Furtherlore, if the owner has hired a contractor or 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 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 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 - HOleoNner's Protection Guide" prepared by the Florida Depart.ent 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 promise in good faith to deliver it to the "owner' prior to cOllence.ent. 7 E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all I a~plicable laws regulating construction, zoning, and land developlent. Application is hereby .ade 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 developlent 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 li.ited to: f Departlent of Environlental ReQulatiDn - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De art.ent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f 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 sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 ~erlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becote invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six .onths after the tile the work is cOlienced. One 90 day extension 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 , 19____ by STATE OF FLORIDA COUNTY OF . The foregoing instrument before 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 SlTl~ l'L.AH (H.FSlJJ!:J';TlAL USg (HH.Y) :',\RCEL I. D. SEe 'l'\-i I' HJJG . , ~; U Ill! .. : ~ . .',.i ,.: t :'RorEHT'l t-tEASUHE11ENT --------.-. --- ------.-----.-------.------.--- -'-~---' ---....--..--------.. :UHRENT mmEHS ____if'.-gl..!_._.C6.~)l_, H_. n4/~~.i. I-f;f=/! - -~- '- _.- -,. . \11 drawings ahall be drll\lll to He/de for all parcel:; or loLIi i ive I:::. l~,'; or t v ~; ~I . -r-------- (1:0 16p-517~6 ~If(}) /12> 165(;)) ~tfU) (, ,l G 4677~U CAfCf()l..r 1/o/'d~tJ (Mto if flY ?O I I c:r~ (0 (0 3~O d L l~ ---.- '--"-,------" ..,,---P?..1---,........., -- SIIOW ALL EXISTlNG NW Pf-:JPU;;ED STiWCTUHES (;11;:/1,' JJJli'l"l"'LlJ"" ',1") l']."','; " ' , -. J . '~J, (, L} J.j t I ..j. "- ! ,,\. \. ' ,I :-1\) BODIES OF 'rIATER /diD lWAU'.~A'iS (It;CLUDI!/C '::.~lE~;') /'.DU,'-': ,1' ';\' ' .. TILE c.;JZE, YEPJ{, fiND NAHE OF :'I'Ji.\lLE; ~UCIi /..'.:, L' ;: ~:J'. ~')(L, ~L:,.",,' ,\11 "EAS EME'.N'l'S", " RIGIlT-OF-\JAY" aid "JUHl~a)lCT;',:J,\~. Lit.; ," i L: " , I " ... ~_ ... \ ,l:, I ;: ..11 . . ~ i' ~I---- --' -- - .- ..-~.- -.--.- -- .,,---- ,..- -- -- - ______ ....__._..._ _m_ - ----- -~- ._- --- -_..-"- .. ....... --'-- .,---.. ".-...-. ------ ~~'4 :t . \;~, \1\ \\j .3 .~ ~ 'c. ~ l\J\ ~,~ ~ ~ 'y '> ~ ~_" 1. "'" '" __ 1U "\.... _ \. ' r: "-0 J . o,J r.:::.. '-..) - , /7 .J.. . ~I gi ~I J .J 01 3' /~ ~ /) ; ~I -.:) , I -# - --...9 j j ~'J l+J I; V) \n Ii! \? , I 1 t ~-h rl ' I 6 \{ VI X ,'2 c6 (i :=lJ C[ , . i , , I ... r T-'- .-- -.. . -...-~- I -- I ! ~. ~ J ~- r ({) :~~Q r~ (l ,~ /) ~ I \ '" 'I.:;;J ! i u :) \[) ar\] I f i I i . ..__.LJ....__ _ r--lh~-=:-~~-:-:--'_. -- ----...-- I I I I I .. i .L__ . ~ ~. () "- ~ .~~ ;":.,:~S~'." - ~}g;/~>, , - >>.>~-~:,' ~'..,~ -; . ~~,/':\ , , ~',:"':~ ~ .... " ~ \.- ~,~~ V~\l) - ... ~ ~~ ,~ r t It ~ 1/:)' l~ , \ -~ c.. . (\ ~ ~"\ "" ,"~ . ~~ ~ '~"" "~ "., , ".~ I , '",- , ~~,~,' " """ " " "'. " -.::......, I '~ 2 " .), \: ~:~ ~ " J' ~' ~,,, ~, ~ \ 5' ~ " ~ "\ '.A :;: "- 'J 'it"> ',,\c / '\ '~ ~ "0 <); ':>, t I ",I , I .\ ,~, --" ,k . , ~, I '-' ~ ~ ;.\ , --; ',' ~ft , ~ / " c:: ~' ~v " ',' . \.J ~ . :.~, ':: ;:t ~' .'"' r~, , '" .... '.)oj -. >e-' , t\ " ',-); ~ '- ~, \)J '\~ ,\, ^ "'. 1:> ~ r:\., 1\ -\. ~ <:: 0- .~\ '::\, \'., } ,; ~ c-. \;c\ o. "'" -\ \- ...... .....-...;,. -,. \ '\~ \) V) " ,\ '" ~ " . c C),.~ c. 9_(:', L -D(-T~-'I~_ _..-\~~~,- \ C L, \, 'j , -- . v C ' < ~ ..~-.,\.,) \ \ .. ":.i C') '\ '~') \..:-<~ U t-~ ,.....-.. '-- - ~\~~ \.. t:S"\i ~ )(,~.=tf 'c ~ 'Ml \ 'V~'51rV.l\-.!)Q u 4 I' ~ r ~ ~='~_v . .~1+' 5 . ~12'04)'~- ~" ~ -1- t04T;e"l 0"" (Io,L(. li)("''''-~lOR.._ w6.ll ~ -SL.-~ e I r \,....) ... . .3::"~.;;:'- 4t.., ~' (::;I" /...........,'~--r. ), .~~..' ( ~,,/ If ? -, J:,f,..J:.-' ! I ., , -J ;.1,', . ',~- . '~;~ ~ ,- - " ""-" ~'.\Le~ a-"~ ~~ c)~ 1"-5 .....' ~ '. PROPOSAL SUBMITT,f:D, TO >\-',r I / ...) .-t / ,;- -I. '""') ~ / .... A / ~ \- " STREET /"", _.: f CITY, STATE ,) '... ;/ ARCHITECT We hereby submit specific<l!(ions and estimates for: :"C-y' ,~..... 't- " ,I /"" ,~ il/ .....l...1' 1..,..:' l/ , " ~' -1 " '--";.~ tJ.:i , ?/ ,-,{ (' / l/j ," y! t.._ 'rnpn!lul srI',""'!: .AlUM!NUM, 3} 528 SR 54 West ;~'lF~t'lYRH1L;_S. rL 3354~i (813, laB.730B PLANS /7 ,,-;/ ~.'. ~.;, ~y) All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions 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. Atttptuntt uf Jfrupunul- The above prices, specifications 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 of Acceptance: PRODUCT 118-3 ~----s]elnc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1 +800.225-6380 Signature ,.P~, ) '-~ ,,- ,<""I /' , .,1 JOB NAME JOB LOCATION ",/ F .,1,\ l_<<!., ,A,' '. U -; ,.;....... / / , '...,. /Z1<V: ij , ,I .. (-' !.. (' "/ ~b {j~--=t_- 'f---r: t ,/ ;~ ,:' "/; 'J/'.C; Authorized Signature ,~c .,... is: ~ .. __ I). Yt.;' ..t .~ , /,1./ f'( . 'J \. ' ~ / ) ;../ 'k~,>/ " Page No, of JOB PHONE ~-- ~- ('-"! .:l ':'=> ..,7" , f c<~/ ' -, '. jj,' -.'1 ; :a-I' -7 , - I I I f, I I'~-'-' ! f I I 1 .l,r i , Note: This proposal may be withdrawn by us if not accepted within 'l ; \. /r';7 .>r,,(,j Signature'. /:,Ij.,>J.-i.'i ./ Ji>ages ") ...... ":-'! " '" v .. (j') ~ .i <' i"';;' of: ). days.