HomeMy WebLinkAbout93-3651
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit Nt?
_3651&
IJ-/?-9~
,
Date
~ ELECTRICAL PLUMBING
::~:::,~,:~e6 ~ fJ~
Parcell.D. # J ~ -_ ~ --=------=--~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code: Radon Gas:
~Ar~ ~:V-e~~ 4- ~Z~~J~
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Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
NO OCCUPANCY BEFORE C.O.
DATE
City License Registration #
State Certified License#
'-1'(
Permit Fee ~~ ~
Srgnature ,(-; WI
Company
Address
Telephone#
Valuation or
Contract Price ~ ~, d-V
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. 11-30-93 bill
Pre SLB 11-30-93 BILL
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway 11-]O-q~ RTT.T.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
APPLICATION FOR PERKIT
CIty OF ZEPIIIlUlILLS
BUII.DllIG DEPAImlmlr
OWNER'S IWIEKolla..O<O l\ I'WS
\.
PROD
OWNER. , S ADDRESS
JOB ADDRESS 10 II 'B~\r~'eLDa..y~' '
LEGAL DESCRIP'l'IOII: wr(S)
~SOBDIVISIO. Teph'fr \\d3-e-
PARCEL I.D.'
WORK: PROPOSIl'.D:_liev Coost:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Inst:all
S.
-1gD
_lIove
_ne.G1i.sh
PROPOSED USE:
Single F-u.y
_fl/F
_, of Uni.t:s
_/H
_ec-ercial
_Indust:.
_SwiJI. P001
Other
-'lestaurant: & Hea1t:h ~t: Approval
BUILDIRG SIZE:
x
Square Feet:.
Height
RESIDENTIAL:
aJIIIIERCIAL :
ATrAaI (2) PI.OI' PLAIIS & (2) SEI'S OF BOII.DIRG PIAIIS & (1) SET ERERGY FORIIS. **
ATrAaI (3) SEI'S OF BUII.DIIIG PIAIIS & (1) SET ElIERGY FORIIS. **
**mPr' OF aJIn"RACI' KIlQUIRED.
~LDIIIG
PI!:RIITTS REOllR.conm
$. :)n{}), 00
Valuat:ion of Tot:al Coost:ruction
F.I.RCl'RICAL
AIIP Service
F10rida Power Corp.
V.R.E.C.
---"EawnCAL
$.
Valuat:ion of 1lecbani.ca1 Inst:allation
_PLlIIBIRG GAS KOOFIIIG
SPECIALTY
TYPE OF aJIISTIWCl'IOII: --..B1oclt _Fra.e _St:ee1
Other
FIBISBED FLOOR ELEVATIORS:
Fr.
IS P:RO.JECI' III FLOOD ZORE AREA?
YES 110
******************************************
BmT.DER
aJIIII'KACIOR SECl'IOIi
fDfPA..il)+fllIla9J~ ..;{!emt=n f- / h~
,.j v7 St:at:e Cert:. or Reg. t:. , .
!2frC;S ~{Jj~ --- Cit:y License Regi.st:rat:ion , LJ<f
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Signat:ure
1tT.F.cIIUCIAN
CDIIPAIIIY
St:at:e Cert:. or Regi.st:. ,
Cit:y License Regist:rat:ion ,
******..*************.******.**..***.**..*
SilmAt:ure
PI.l1MRm
aJIIPAIIY
State Cert:. or Regi.st:. ,
Cit:y License Regist:rat:ion ,
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Sigoat:ure
" '" ',,' ,'~''', ' C(JIIpAIIY
>:': ., -':
': :r.'~~~ ;:;o! St:at:e Cert:. or Regist:. ,
~ ." Cit:y License Regist:rat:ioo ,
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IlECllAllICAL
Sigoat:ure
"
";, ',," ~
: ;
0'1"IIItR aBPAIIY
St:at:e Cert:. or Regist:. ,
Sigoat:ure Cit:y License Regist:rat:ion ,
.****.***.*********.********.*...****.**.*
APPLICATIOR APPROVED BY PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .Iay be subject to -deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliance 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 Departaent, (813)
788-6611,
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 docu.ent 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 co.pliance 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 cOlaenced prior to issuance of a perlit and that all work will be perfor.ed 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 governlental agencies lay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f 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 per.it 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 per.it prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violatiDns of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOlaenced within six 'Dnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. 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 CO~NCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COItKENCEtlEHT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF CO~NCEtlEHT-.
~~~ ~ ~_I"C"
~~~ SIGMT~~_T~
was acknowledged
, 19 ~ by
or whet has
(Si~ature) ~I/--Tf-
I itA! e Y 1110 /1
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
C 0
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
..,
>,
~
, ,STANDARD FORM-, OF AGREEMENT
BErWEEN CONTRACTOR AND OWNER
THIS ACUEMENT made ~.' :~,CVRNT6PNT1I d>> of ~13C/C-
Nineteen HWldrecl ~" . }//~=::~'%:~S_ .~ and between BRA? ~
herelnalter caUed the Contractor. ao_ ~ Rn!lt 0_
Owner. WltDelseth~' that th.Cootractor and tM OwDer lor the considerations named agree as follows:
, i,'"
I" the yeu
.
Iwrelnafter called the
ARTICLE 1. SOO'E or THE WORX
ne Con dOl IbaIl f an the materlab and perform aU of the work .bawn on the Drawings and describeclln the Specifications
~ entilJecI "$" ' ",..' "'t l
prepareellw . acting as and In these
Contract Docamentl entltlecl the &Dd IhaJl do everythJo, required by this agreement, the general c:oaditlOlll of the CoDtrac:t. the
Sped8catlCllll.. the DrawIap. .;
ARTICLE" mm or COMPLETION
Tho work to 1M perfol"lMd UDder IhiI Contract ahaU 1M commoDei'd AS ~ A5 1'8e77;,.. i'5 ~/e'lJdA .Qd .hall be
.ubstanttaJtr eomp!elild 1,,"'Jn:J.IIN /)NG ~j(
ARTICLB a. 'I'HB (X)NTRAcr IUM
, ,
The 0... ..... die CoD Jgr the perfonaance of \he CoA~ bJect to additions and deductioas pzovidod lbuota. ID current
lunda u foIJoWI /k./t), 71f~U:;frN6 '100
(Itate a.. the _p _ _ut. uait prbt, _ both, .. dnlnd)
Authoriaecl aw.. QnJe,. wID ~. m....ttecI by the CoAtractor for, aU work nol IpeclflcaU)' lDc1udecllD this Contract.
ARTICLE 4. "OGRESS P.JMEllITS
(IaIIIt .... ... .......... ..... for .... ....... Iet1IfDe4 after the wodr necbea . .naIa "e eI completioll.)
AJlTIa.Z I. ACCEPl'ANC& AND FINAL PAYMENT .
FInal paymODt ..0 be cJv-' .i "'-!'JIG" ".)'II~ IUhltantJal complelloa of the work pmvJded the work be theo fun, completed
ami die Contract fun)' perfonnecL
ABTIa.a.. THE CONTUCr DOCUMENTS
The General ConditfoDa of the 'Ccnitract the Spld8cationa ucl the DrawfDu. topth. with thIa Apeemont. form tho CoDtract, &Del they
aro u iuD)' . part of '. Coa~ u it _to attacW or homn repeatea. Tbi foJlowinJ II &D ItemlzatloA of other eaentlal pertineat
1Df0rmatioD: ' i .. '
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Notice to all contractors concerned with concrete for the design.
fabrication, and erection of Aluminum Structures Only.
Patio SInb's: Minimum 81txl2t1 {ootar \//20 5 rebar.
Effective November 15, 1990 concrete shall be installed 81 required
In detail below.
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Notice to all contractors concerned with concrete for the design.
fubrication, and erection of Aluminum Structures Only.
Patio Slab's: Minimum 8"xl2" footer \I/2Q S rebar.
Ef((!ctive November 15, 1990 concrete ghall ba installed as raqulred
1n detail below.
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