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Home My WebLink About93-3494 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 _3494,t? 9-111 -7.:3 Date ~ ~. p~ ~.seweccooo ::~:::,~,:o~fl~~#~;~_~~,z( (l..c ~~:::::t~, Parcel J.D. # Zoning: Description of Work -agy Code: ,. h//??'f tA,t.~ ~Gas' C _ _~-(j) ));/1) NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances. FINAL DATE Valuation or f..~ . 9!2--- Contract Price 0 tJO Permit Fee Signature Company Address Telephone# V 7f~;'i 7?()<g' City License Registration # 77 ~ ~ c"'. ,;t;eJ~nse' ~~47j~. (~~;~ ~AL -' PL~ ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. '~rnpn!1al Page No. of PJl_g~~ -t"', :S '. .,.t1~. ~~.' ~{} . '~".'" ~.. -'Jj r "'U ~n~i ,.j;.) i.', ""T."> '. ;:~ /~ l\tUM~NU~1 'NC. ~ .28 SR :1'T Wt:;.st :~tJ) ;'!1;' L., r'L _~35:~- t'13': "l88.'}30f: \,\ .' )::...p< '2-\ PROPo~L SUBMITTED TO, \,): .~ C:J \....- :-~:: STREET \, ~,'>:-:::' d-:.--+:'; ,1;'-.,_ '~.N".~~, :.~-.~" ! ~-) ~~~; ~~).,-: (~~^--. to..-..... ; .., ''-.... --.) ...:':~ ." JOB NAME :<.,._~~i J'~. .', CITY, ~~ATE ANI? ZIP COD~, ,:..<..J:.;~'<-: -' , \;\. ARCHITECT ~' \ t <_,/ DATE iJ.F PLANS .' '""'... , JOB LOCATION JOB PHONE We hereby submit specifications and estimates for: \ ~\ ,'-,..... *- \ ... '.-"'~:::; t, '.....,'-\ \ '___,~"J ""'___ '. +'l..:.t, . \ " 1\ ). \ '\ "', \ .~ ,. _._"._--~ ./'- :..,3._1.' .', . ., ,I, ."" F.j:' r:... p,,:,):;','-r, ~ ,: ,,'-'""-~ \ ,..c>- /,.-AI\. ..- /' ,...._<;-,., _...-".' ..... ...:.;) .f....." ,,':;:.,. ,.,..') , ~-._) <. '~ ;1.>' " \J.S-.'J.,).,.) , " ..~.-- ~-) .... .... \. 'c~..._~~) '"'('- c) c_ ' ~~) , C' ,'\.....J('~ -" 1_, ..~ ~J "~ . ~' .\- Jtilr Jlrnpnnr hereby to furnfi;.h material .- ". - ~.">\ \.. '} ),' and labor - complete in accordance with above specifications. for the sum of: Payment to be made as follows: dollars ($ .,." - -',li'(- ) t -' ;,jt:~. ), ,-'~;' ',:?-::-\.,.,.. , " ,.~~~) -} ....~.... ~. 'liJ~,-...... ....,;. "::':).~;~',. ..... ~, " '" " - All material is guaranteed to be as-.6pecified. 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. Authorized Signature 'i-' e~'~~ ,'gr.~"'-- days. Atttpmutt nf ',rnpn.sul- The above prices, specifications and conditions'ere satisfactory and are hereby accepted. You are atJthorized to do the work as specified.. P~yment will be made as outlined above. Date ot Acceptance: .., :;;:;: -~ ",;.",' Signature" "". ".?t'~ ... (' ~- ..r.....- ,,,.,-""'''' Signature PRODUCT 118-3 ~.Inc, Grelton. Mass. 01471. 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U'> Vl M .....OM f- 0:: c(c(c(..... .......>0,.- uUJ-....... 0..40::1.0 Vl:::l 0 I VlO-JN e(a:l.......C:O ..... 00..4 . ...JVl~ .....Jc;(-IM L6JC'.....J_ :::l ...... a:l UJ_x_ 0U'>0:: ~ >- o U'> :z: UJ Q.. 0:: UJ ....... N u .... '2 a. II Q. -g'a; Oll! '2..: &. ~~ 0- i:~ :!'f CO' .~ ~- >0" " ~~ 01<.) ~~ "00 C,:, o~ -"r:: l!:g Je<l U "'... f'a ~'f H iN "u 6- .8 ~ I~ -~ E= ~~ =" ':,3 u_ i: 8~ lltO ,!HI ~"g "Cil ~~ vcr >0" Sl H . -0 ;~ ';:' 0 ~i: jE ~ i~ ;; OIUON APPLICATION FUR PHRIIIT CIlY OF ZltPUIKH 11.1-5 BUII.DIIiG DEPAR1IUJ'.WT _'S - \.~D\J\~ \:&x-~'-- OWliER'S ADDRESS ~ S'Cf-Y-Q tnc FIIOIIE t~S - ~4- ,4- JOB ADDRESS ---sa~ LEGAL DF.SCIU.PTlOIIII: IDI'(S) BI.OCK \ ~, SUBDIVISIOII PARCKL I..D.' IiURK PROPOSED:_Nev Cons1:ruc1:ion _Addit.ion _Alt.era1:ion K.Repair _Inst:a11 S. - J..gIl _Move _De.olish PROPOSED USE: Single FaUly _"IF _' of Unit.s _"IH _~rcia1 _Indust.. _5'"--. Pool Ot:her _.Rest.auran1: 5: H~~ Depar~1: Approva1 BUILDING SIZE:;J8 x~. ~ laD ~e Fee1:. Height. RESIDERTIAL: GOftIUl:RCIAL : AtTACH (2) PLOI' PLAIIS 5: (2) SEIS OF BUI1DIIIG PLAIIS 5: (I) SET EllERGY FORtIS... ATI'ACII (3) SEI'S OF BUI1DIKG PIARS 5: (I) SKI' ElIERGY FOIUIS... ..OOPl' OF OOlll'RAGr 1UlQDIIUlD. PllmlITS REOUESTED ~ BUILDING $. 5cv~~ Va1ua1:ion of Tot:a1 Cons1:ruc1:ion _ELECTIUCAL AIIP Service Florida Power Corp. V..R.E.C. _IIECIIAIUCAL $. Va1ua1:ion of "echanica1 Installat.ion _PLmmIRG GAS ROOFING SPECIALTY TYPE OF OORST.RUC'J'IOIl: _Block _Fr8lle _St.eel Ot:her FIIIISHED FLOO.R ELlWATIOIIS: fT. IS PROJIl:Gr IN FLOOD ZOIlE AREA? YES NO .......................................... aJlII1IACIOIl SECI'IOR BIJII.DF.R (DIpAIIY ~ ~ O~ / ~~~~~ State Cert. or Ilegist. . Si..goa1:ttr' ,:.--:;;. ~ . rT" ~ City License .Regist:ra1:ion . ----- .......................................... I, RI.fl.:CTRTCIAR CDIIPAIIY St.a1:e Cer1:. or .RegiS1:. . SiPnAt.ure City License .RegiS1:ra1:ion . .......................................... PI.JJllRER COIIPAIIY St.at.e Cer1:. or .Regis1:. , Signature Cit.:y License .RegiS1:ra1:ion . .......................................... IlECBAllICAL aJ!IPAIIY St.a1:e Cer1:. or .Regist. . Signat:ure Cit.:y License .Regist:ra1:ion . .......................................... 01'Hfl.:R (DIpAllY St.at.e Cer1:. or .Regis1:. . Signature Cit.:y License Regist:ra1:ion . .......................................... APPLICATIOII APJIKOVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliante 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 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, IBI]} 7BB-6611. 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 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 Departlent 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 developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , 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 cOllented. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. 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"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PRDVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UHlER S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C~ENCE"ENT.. Sl~=-? ~ STATE OF FLORIDA COUNTY OF The foregoing in~;rment was a};~owledged before me this '.IJf-' 19.:t2 by f~-o STATE OF FLORIDA COUNTY OF The foregoing in~~ment was ac,n~Wledged before me this 17' ,19 by //I&--a who is personally known to me or who has produced as identi~f'c ';p.n (jt:d 0 did/did not take an 0 ~/ (Signature) who is personally known to me or who has produced as identifi~and who did/did not take an oat . / ':f ~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public Pasco Co. FL My Commission Expires May 13. 1995 (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public P~sco Co. FL My Commission ExpIres May 13. \995