The URL can be used to link to this page

Home My WebLink About93-3666 BUILDING PERMIT ~ J!!--- .~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3666;3 Date /1-,2:3 -7~ Property Owner: Job Address: Parcell.D. # E~' ~ M~II..AL cJ:/R4~~~~L) Sewer Conn Water Conn: Water Meter; T.I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL 12-02-9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or ~ /? _ Contract Price! rx, () 'i5 City License Registration # ;;; I ,/L ~/~ State Certified License# Inspector W.A. B.JRGESS Signature Company Address - Telephone# /" PLUM ME~" Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER e PHONE APPLICANT ADDRESS JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .IF 11\0 BI-Q HPt Roa ~~ WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish _~H PROPOSED USE: ____Single Family ____M/F ____IF of Uni ts ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ~O/~ Valuation of Total Construction ____ELECTRICAL AMP Service ______Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~~TRAcrOR BUILDER I Company . . State Cert. or Regist. # Signatu ' . City License Registration ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUM~ER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAl, Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned sssules responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they eay 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 misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor Sections" of this application for which they wil.l be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor; are responsibie 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 permitting 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 - Ho~eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is so~eone 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 cOlmence~ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a permit to do work and installation as indicated. I certify that no work or installation has co&menced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development 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 /lY responsibility te, identify IIhat actions I lust take to be in compliance. Such agencies include bill "' r m.l limited tc,: I Department of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live L~ndsf Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of Enqineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, Wastewater Treat~en:. Septic Tanks t US Environaental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in F1c.c,d Zone "A" or "A,etc.', it is understc,c,d th,;t. a drainage plan addressing a "colpensating volUMe" will be submitted which is prepared by a professional engineer reyist.eied in the State of Florida prior to permit issuance. A perlit issueJ shall be construed to be a license to proceed with the work and not as authority to yioj"te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici,;1 frol thereafter requiring a correction clf ernrs in plans, constructic,n, c.r vicllatic.ns of any code. Every per~,it iss\ll!d ::hall beec'ile invalid unless the work authorized by such permit is c['lJllenced within six months of issuance, or if 1;('1 h authili I,d bi' the periJIit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e:le~51011 of tiie, may be allolled for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbaiJdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR ----------------------------- ----------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES ---------------------- <i:X:~',t~~ll~~~~,~:::~~.. ,~~ ;;~)'T/l.;'-:~~lI4r4:r;,'~~'~~b~: -,~'l;.~-;;~r;;.~i'~~~~U::,"\G#t:~;__~~~{1t~,.-j,':..: .~,*~l~"~~~y.,flit't;-"'Ar<,:'J.;~;.~t.:H' :_.<-".,-"5(~,~I_~~ -:""~r:-~~'\:.~;.~~r:-~"S,~,~" . LAKELAND PLANT CITY A-1 Quality Aluminum Improvements, Inc. 5050 Gall Boulevard Zephyrhills, Florida 33543 Florida State License No. RX0059085 (813) 782-5946 CASH SALES CONTRACT ., .J /' . -" THIS AGREEMENT is made and entered into this ^) clayof /// o.!) , 19~: by and between A-1 QUALITY ALUMINUM IMPROVEMENTS, Inc. _5050 Gall Blvd., Zephyrhills, FL 33541 \ , (hereinafter called "Contracto(') and '.) '.j. \ '-, 1- ",) ,,;--'11 ,., ,.) l .J , (herei,nafter called "0M1er'1, wtnse a:Xtess is:o. ':"l -< ", ) , i" .' ";'....!.,, Phone: // /' . 1. Contractor shall furnish labor and materials for the following improvements to be made at the premises located at: _:." WHEREAS, Owner wishes to retain the services of Contractor to provide the materials and workmanship more specifically described below, and WHEREAS, the parties wish to reduce to writing the terms of their agreement. . NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein, the parties agree as follows: (List specific improvements here) l " .~. ~' ,''--'';' .')1 I -.,'- , . 1 . / /JJ.~i/ " 'f. "j! /' l 1 / ~, , .;' ..,.,,-..,...1 i ~'~, I J ... (-_ \.") c:., 'J r.., , ..J-.J 1 '- i) /" ./".. /1 " .. .....~.....,....,.~'.. "J, ~- i '\ .... "-.> / It~ ':"'~l ~ ; _J' i i\ / '..r' i_iO"",,,-,,, f I , ..;, ( "':,,,::. ," i; .r' .. ~-,,/, _./ / < J l..L ,J.. 1.~,....,J ,r: ,,~..../1 ,...,""^~~~'>-- "."..t, ~ ,~..~. . /" ,1/ .If >'"._ -.-t" /./' /- .,.-......\ '\, ;...:....._ ....), . I ~ ..fJ.~.~-;:~.), I'''. .'- v .._...~.".- .' , .<.<.9-...u..~ :(:'.t / ..."--.-.,, .\ (.. j / ~~i.._ /'-" / / (/. ........~ ,_.A.....,,- Jl Lc-. . - ./+1 J I / i" ..i....-. ." ,., / ,..... "4 ,~ . . _ "" f" ,) TOTAL CASH PRICE: $") 0 } (,. , ". -J!I :-.:~ LESS DOWN PAYMENT: $ BALANCE DUE ON COMPLETION: $ " , ") ," ~ p.... ~; 2. Work will beQinwithin approximately after credit is approved if any amount of this contract is to be financed. Otherwise, work will begin within approximately of signing this contract. Work will be completed within approximately working days. Contractor will not be liable for delays beyond his control. 3. It is agreed that this contract shall not become bindinQ upon the Contractor until it is approved by an ollicer of the company. 4. Any representations or agreements not contained herein shall not be binding on either party. All 01 the agreements and understandings 01 each party are contained herein. 5. In the event it becomes necessary for the Contractor to employ an attorney to recover monies due under this agreement, or to enforce any of the terms and provisions hereof, Owner(s) wiil be liable for, and agree(s) to pay, all costs and expenses, including reasonable attorney's fees, necessarily incurred by Contractor as a result, regardless of whether suit is filed or not. 6. All unused materials shall. under any conditions, remain the property 01 the Contractor. 7. The undersigned warrant(s) that he is (they are) the owner(s) 01 the above mentioned premises and the legal title thereto stands of record in his (their) name(s). 8. "BUYER'S RIGHT TO CANCEL": This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked belore midnight of the third business day after you sign this agreement. If you cancel thiS agreement, the seller may not keep all or part of any cash down payment. 9. In the event Owner attempts to cancel this agreement after the date and time allowed for cancellation under paragraph a of this agreement, Owner(s) will be liable for, and agree(s) to pay Contractor, all damages which Contractor sustains as a result of such cancellation, including loss of profit, Contractor's cost of any materials specially fabricated, and a 15% re-stocking charge for all materials required for the work specified above. THE OWNER(S) HEREBY ACKN,PWLEDGE,(S) RECEIPT OF A COMPLETELY EXECUTED COPY OF THIS CONTRACT. , .. /' . jf, , ,'.---..--t;r-t .- i ....- .~/ I' \ .' ~. SALESMAN Lie. II ''<' OWNER ,,;;f .' </ :..,"" ...'~ .--_'. ~4i~;;'.~ APPROVED BY TITLE OWNER