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Home My WebLink About93-3549 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3549/1 BUILDING :1-6 ~ 01> GCTRICY 2 (j crz; Date / () - 7 - 7'..3 PLUMBING ~HANIV Sewer Conn Water Conn: ::~:::,~,:~es7~!-~ ~~ Parcell.D. # J / -;) b -;lj - t:) 0/ CJ - :J...i3o 6 ~ CJ o7lJ Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work '-II h,A:r fr / G Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ) () ..- z J - '3 DATE Complete Plans, Specifications and Fee Must Accompany Application, C,O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector I _ Permit F~' cr-z;.> Sig11atur _ /~_ Company Address Telephone# Valuation or Contract Price ;2 t 7 /. tlO ./ City License Registration # 02.... State Certified License# BUILDING PLUMBING 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 0\:> ,,; ,}:;~ ~O% :.~re.Consu~er Content . 10% Post-Consumer Content '~oo:,;.;-~.,-,~:.; l~rn,pn5al (';'1 ',\! N V'S ,H."" I ~,'~"~',...';" Page No, of DISCCUNT A,PPUANCES, 339S'~JUth Highway 301 DADE TY. FLORIDA 33525 (04) 567-6224 PROPOSAL .(.k STREET --"". .~'" . .' /" " j \., J ' C'i !\ C Y -<, '--A / //v" .' . II j' / / / .;' " ... (. I I / ,/ / .-/" A '~''''1'' ,,", "..~ .... F, :!,J-'", , j , ,r ~T ,/'/ / j/ / V /< 4 :; '{ ; , i .-r-' ~ ..-; ~ J 7/ Y' - -~ .If 7 !') (r - - () ~- ,I:: f< INC. PHONE ::;' /' JOB NAME JOB LOCATION <~_. 02- ~- r-..___,. . "'7, . /!) ft Y./'! .~?:l\_. 4 --ij-2tA/)nt?-.. / ....,4 I 0' ---: ,/ 2/1- (9j~ (J U /P / .' ",...",1i, /;:.~/ i.4"t 1 2<1 .... I / / ) '-7 U --- t' :'-'~-~f...J j .'In I ... y.~ L.~ _ t i ".L- / ("'. .7 :5 Ill' 'rOpO!i1' hereby to furnish material and labor - complete in accordance with above specfti,cations, for the sum (") / dollars ($:--.-,-/:' J .. I Payment to be made as follows: 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. Attrptatttr nf Jfrnpnsal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment ~ill be made as outlined above. Date of Acceptance: PRODUCT 118.3 /NE:BS}e1nc.. Groton, Mass. 01471. To Order PHONE TOLL FREE 1 +800.225.6380 Signature of: .> /: (.J () . ). Authorized Signature .-.:-'.Jr'>: . /':':;~<>?' /~,/''l ~ote: This prop6;al ~be"/ by us if not accepted within days, withdrawn Signature APPLICA'l'IOll FOR PIOO([~ CI'IY OF ZEPIIYlmII.LS BUII.DlliG DEPARIKEIn" . OWNER · S KMtE .- ;:;;::?:. OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPl'ImI: LOT(S) BI.OCK__SUBDIVISIOR PARCEL I. D. # , /1-.2?~ ,-2/ -Db/D - ~/':5(] -c -- DO ;If) WORK PROPOSED :_lIev Const:ruct:ion _Addit:i 'KI __A1t:erat:ion _Repair 4-Inst:all S. - 19D. _lKove __ne.o1ish PROPOSED USE: ~ Sing1e Faa:ily '"' _KIF _' of 1Jfnit:s _K/H _~rcia1 _Indust:. _Swia. Poo1 Other _Kesbmrant: &: Hea1th nepan:.ent: Approva1 BUILDING SIZE: x Square Feet:. Height: . RESIDENTIAL: alttItERCIAL : A'l'TACII (2) PLOI' PLAIIIS &: (2) SEI'S OF BUILDING PLAIlS&: (1) SET ENERGY FORKS. ** ATI'ACII (3) SEI'S OF BUIIJ)IIIIG PLUS &: (1) SET MERCY FORMS. ** **<DPY OF <DRTBACT 1UIQ(ITRIlD. PRRKT'T'S REQUESTED _BUILDIliG $ Va1uat:ion of Tot:a1 Const:ruct:ion _ELECTRICAL ~CAL AfIP Servic~ r j',orida Power Wrp. W.R.E.C. _PLUKBIliG $ ,;2~ 77" / dV -1a1.uat:ion of ltIecbanicaJ. Inst:allati on GAS KfroF::J1JG SPECIALTY TYPE OF <DBSTRUC'l'IOR: _B1ock _Fraae _St:ee1 Other FlliISIIED FLOOR ELEVATIOBS: FT. IS PRO..lECI' Di FLOOD ZOH:f; AREA? YES NO ****************************************** C01I'I'RACIOR SECTION BUTTJlER Signat:ure CO!IP4WY St:at:e Gert:. or Regist:. # Cit:y License Regist:rat:ion , 12 ~*****************::::::***** **::**~ 1 . !:ate Gert:. or R ist:. # 1,<1t.b!J ,- Cit:y License Regist:rat:ion f /, / ******** ****************************** ~ S1 at:ure PLUKBER Signat:ure CO!IPARY St:at:e Gert:. or Regist:. # City License I *..'*********"'*11:11:"'....."''''***'''**** 1lI!CHAIII~ aJI!re. . ,/i'~ , . ~ SUre Cert. or R gis~. f Signa~ ,(-. ~ City License Regist:rat:ion , / ****,**11:**11:***11:***11:****11:**11:******11:**11:*** 0'nIRR Signat:ure CO!IP..uY St:at:e Gert:. or Regist:.. # City License Regist:r-.at:itm # *-!r*~*""*1I:1I:1I:**"'****1I:1I:1I:1I:i:of.:*******""'*1I:*1I:~1I:,*,"'*.... APPLICATION APPROVED BY )1,,~ ~a/k~ PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which aay be lore restrictive than City regulations, The undersigned assu.es responsibility for co.pliance with any applicable de~d 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,ttr~"tontractor is not. I icensed as required by la"" both the owner and contractor lay be cited for a .isdeaeanor violation under state law. If the owntr or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of , Zephyr hills Building Depart.ent, (813) 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 cDntractor, are responsible for the work, If the contractor wishes you to sign as contractor that .ay 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 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Depart.ent-of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to co.mence.ent. 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 compliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has com.enced prior to issuance of a permit and that all work will be performed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to: f Department of Environ.ental ReQulation - 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 Ar.y Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial 1S to he used in Flood 10ne "A" or "A,etc.', it' is understood that a drainage plan addressing a "colpensating volu.e" Mill be submitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance, A pertit issued shall be construed to be a license to proceeo Mith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code, Every per.it issued shall beco.e invalid unless the Mork authorized by such pertit is co..enced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the ti.e the work is cOleenced, One 90 day extension of tile, lay be alloMed 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 COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR lKPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C~KENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", C2~~ STATE OF FLORIDA ~ COUNTY OF r ~ The foregoing inp~~~ent was a~~owledged before me this /U/ ,19~~ by ~fGb who is personally known to me or who has produced as identifi take an STATE OF FLORIDA COUNTY OF The foregoing in~trument was aC?:1IWledged befol-e me this /(J - ) ~ 19 by who is per~1 k/;o'(f~~r who has produced as iden take .......---.---~~ (Name Typed~ Print~d cr Stamped) NOTARY PUBLIC (Name Typed ~ Pri nted or Si;3mped) NOTARY PUBLIC