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Home My WebLink About93-3629 BUILDING PERMIT Permit N <<? CITY OF ZEPHYRHILLS (813) 788-6611 _ 362911 //-/0 -9-.3 Date ~~ ELECTRICAL PLUMBING pmp"tvown~~ 4i~!~ Job Address: 5/ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Radon Gas: ~r ?-A~' Parcell.D. # NO OCCUPANCY BEFORE C.O. FINAL 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 :~;~~:;:ef}X; fij~ Company Address Telephone# Valuation or Contract Price 1f~.. ~~ City License Registration # i/ r State Certified License# ELECTRICAL PLUMBING MECHANICAL Ftr. II -( - . Pre SLB Lintel FRM. Insul. CL WL Driveway Ii /2-4'] 8L Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATIOIi FOR PERtlIT Cl1Y OF ZIl:nI.IKH IT.Lc; BUllDIlIG DEPARIIIEIO' _'S _/i{g~fZ.:.JZJ!P~~ _1-:J/3-7yp~?JJC; OVWER"S ADDRESS 1f~3;/ ?P ~ .~J?y~?;J:~;)~~ JOB ADDRESS '- SITiYl ~ LEGAL DESCRIPI'IOII: wr(S) ~SOBDIVISION IY/ /V7'8',.e5 fJlobl/e~ ~m& dck.. PARCEL I.D.' IiORK PROPOSED:_lIev Construction .-..Addition _Alteration ~ir _Inst:all S. - 19D. _Move _De.o1ish PROPOSED USE: Sing1e FaU1y _II/F _, of Units _KID _~rcia1 _Indust. _Swill. P001 Other _Rest:auran.t &: Hea1th Depare:.ent Approva1 BUILDING SIZE: x ~e Feet. Height RESIDENTIAL: COttIIERCIAL : A'I'I'AaI (2) PLOI' PUUlS &: (2) SEIS OF BUILDDIG PUUlS &: (I) SET ElIIERGY fORKS... ATrAaI (3) SEI'S OF BUILDING PI..AI!IS &: (I) SKI' EIIER.GY fORIIS. ** **OOPY OF mllTRAC'l KIIQUIIUlD. PIlRIfTTS REOUESTED ~UILDIRG $. /oo.oCJ Va1uation of Tot:a1 Construction _ELEC'lRICAL MP Service F10rida .Puller Corp. W.R.E.C. ----llECllARICAL $. Va1uation of Kechani.ca1 Installation _PLlItBIRG GAS ROOFDiG SPECIALTY TYPE OF CORST.RUCI'ION: _B1oclt _FraIIe _Stee1 Other FIIIISBED FLOOR ELEVATIOIIS: Fr. IS PROJEC'l IN FLOOD ZOIiE AREA? YES RO *****..*********************************** Bml.DF.R aJIII'I'.RACIOR SECl'ION WllPOY&-/I ;fJ/KOIV/2.-.j~!leinel7f /nc_ ~ State Gert. or Regi.5't. , ~# ~. City License Registration' ~'I' **..****....*******..********************* Signature RT .F.CTRTCT AN' WllPAIIY St:ate Gert. or Regist. , City License Registration , ..*..*********..*****..**..*******..*..*** SiPIIAture PI.DIRER WllPOY State Gert. or Regist. " City License Registration f **********************..**************..** Signature KEaIAlIICAL WllPMY State Gert. or Regist. , City License Registration , ***********..*..****..************..*..*** Signature 0TRIlR WllPAlIY St:ate Gert. or Regist. , City License Registration , *..*******..******************..**..*..*** Signature APPLICATION APPROVED BY PERII1'I' OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 1813} 788-6611. Further.ore, 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 .ay 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 docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.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 co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no lork or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lals 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 govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to: f Depart.ent of Environaental Reoulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaoe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e. will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is co.aenced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPRDVE"ENTS 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 COMMENCE"ENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR 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 -. ~ ,.. STANDARD FORM-. OF AGREEMENT " ~ETWEEN CONTRACTOR AND OWNER THIS ACREEMENT made tIalt: :' jO .d. cJ>> of ~!J":/a:.: Nineteen HQDc!recl~".. . ... ' , '.. .. ~) '. .. I . c->. by, and_ b,two- (!;Ld7 ~ hereinafter caDed the Contractor. all f?{Mfl/(l.! ..."j'hpf) 77& d Owner. WllDaseth~' that the Contractor IDd the Owner for the considerations named agree as follows: . , i,' I" the ye... ~ftllnafter called ~ ARTICLE 1. SCOPE OF THE WOK . .- The Contractor IhaD lumJah aD of the materials and perfonn aU of the work .hown Oil the Drawln,s and described In the Specifications - entitled' , preparecl ~ ~~~ ' t'emewr bV(l. . actin, as and In these Contract II entltW the, teet. and .ball do evel)'thlq required by tbIa alleement, the general eonditiOllS of the Contract, the Specl8oatioal ucI the Dra.... .; ABTlCLB.. TIME 0'1 COMPLETION The work 10 1M perlonnecl under thIa Contract shan be eommencedl15 ~ a; ~~l1;r i~ ~~IJd'JJ ."d .ball be .ubstanttaU, comple&ed J., "')n;.Il.N ~NG" ~.I( t, .ubject to additions and deductions provided &her..... III curreat Authorize.s Can,. 0n1en wm .... .....tted by the Contractor for all work not speclflcaUy Included In this Contract. ABTICLB 4. nOCBESS PAYMENTS c...... .... .., provbIae lllacle for die UDMDt ntUMcl after the _rk nachet . eertaIa .,e of COlDpletlcm.) ARTICLB.. ACCEPI'ANC& AND FINAL PAYMENT . Final ,.,meqt shaD. d~" -nl1F A.""I: aubstalltlal c:ompJedoD of the work provIcJed the work be then IuD, eompleted anel tile Contract lull, perfonnecL , ARTICLE" '1'HE OON'I'BACf J.)C')CtJ)dENTS The Gene...1 Coaclitfoaa 01 eM 'Con~1 .... Sped8eatlons and the DrawIDg., tolether with thIa Apement, form the Contract. and they are u fully a part 01 the Coa~ u u hereto attached or herein repeated. Thi fo1lowlq II an Itemlzat10n of other euenUal pertinent information: ' I" ' , ~\\\\" 111I" 1/// /11 ~",... 't.. ELL! 111/// ~ ...~ .......... Ol'",~ ~ ^,'T;:;;"OlAf?l:...r ~ ;:: -.....,. ,_ r. ~ 6 ,. .... ~ :: i My Comm. expires ~ :: :: : March 8, 1996 : ~ - .. 10. CC185307 : :: . .. ;:: //-1c-'-~3 .&M'MO'" ..IIM ... ...~ I' '-\\ \. ( NOrlD.ICl ':::)I\~pf\CuLl 9'~u \' C',j 4 'J 31 '10 ll'\S oT'. ;9 .,:; jI/ / EX/~;.// N<? (;y.;sr I ^'J v to/.I,./I'/ Ro/)IY) jli:Jt1J&' "r S~RB2r^, 7~ooln 'K"'Opo5ed CoNl-ll-Je.. ):x"'IJe.wru! I I I I ! '\ / :eeU/. ~ . / - /0 -2'5 I -/ KOr\o.ld 8he.pb-J Lls-al ~olh'n.s sh ;t,_~ .,:; . EXlsr/J' GilS7'/:} /..CTI ~ I r,/ 7? Ot) IY) )10mB" ..,... SlJeB5/\/ 7fO()1YJ ffbpoSed . . . LbNl-ll..J. ~ 'brIVe.~ - \ . / I .fA. 1!"'~____