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Home My WebLink About93-3699 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N ~ _ 3699B Date /~ -7-9..3 ~ ELECTRICAL PLUMBING MECHANICAL , M~~n/ ::~:::'~:~"~~.T ~~ Parcell.D. # _ ~ - Sewer Conn Water Conn: Water Meter: T.I.I=.'s: Zoning: ' EnergY2e: Description of Work N~J..t2 a""A.~ J Radon Gas: ~ J ~8 ;r , . \y Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE DATE Inspector Permit F Signatu e Company Address Telephone# Valuation or Contract Price 9C:l, tH7 City License Registration # ~ State Certified License# ~~_ /J~/~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. 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. L CI!'Y OF ZEPHYRHILLS -/.~~<&~L <::' } f" ;)/~ -('j,) Ij~ (t'~'i I.,) - , OWNER JOB LOCATION PARCEL I. D. # BUILDING DEPARTMENT :1 SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~yt?~ J? t/ LPtL-!/C ) ~f~1' ~~+-~~ ~>>~--U~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE ~.~~ \.,~ 'i> ~ ~ ~ ~ ~ ~ , "' --,.... -- ,'} ~ ~ \f.;' (:... ~-~ 2 x2 rl.s.r -r/~~'l;PE'/r FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10 I EXISTING 10' PROPOSED 20'SGL FAH 30'DUPLEX lor 1 0 I FRONT PROPERTY LINE I.-i E R Ec '9 E.":; ...... 0 E~ T l_ E I--H:':'J M E~ (~, N I:'>' ,.:) L_ LJ 1"-' I ....... LJ 1Y1 E:a:.:: '~V I C:'l::. _______..__.__~.._ .___...__.__,.__.__..___~___.._.~.._.____..._...,_.._ ........._. _~_._...,._M 3'3i:::: 1. 5 LIZ RBE "1--1 C:; I HC:l_E Z Er::.t-IV nt-.J 1 LLS, F:L. 0 n..I 1.)(.::1 3354)61 _ 'TELEPHONE? //~) "...,...,,, tJ AGREEMENT W1THI--#~U-------------- - Dim, ~__3--_93,_ STREETI-S~~~- / -=-------------- -----,mB NAME, '~"":'-:-"-- -- ----- CITY-JJPZ'#~~-~------ --,I(lB LOCA1IDN'--p~- TELEPHONE .-Dei? - / .2ZZ..s..-- ------;;,-::.-:..-...-.--...-..... ....-.....1 ELEPHUNI:: :..,~~~.~--_.--- --7 . J c,y THIS AGREEMENT MADE:: THIS ~-O~W OFJlL;L(G-:............-..l'3.l....BE.TWEEN HERB'S MOBILE HOME AND ALUMINUM SERVICE AND -..--- -.--..----...-----.....--...flUSUHES THAT THE nBOVE NOME I> COMPANY IS RESPONSIBLE TO ASS~MBLE AND INSTALL COMPLETE T.~E FOLLOWING ITEMS >' ../ ,.r? .! . /" / / -'-, ---, '- E/' - ' ~ -f;~~/?!_V'__/~(../.:--<--fL---/ j~<'::' /./(.~C.t!._~. <<.;:t"~..<// ____.___ -- ''l' ~J/ I " - ~f/PC/U- - ,:JZ ?~~___ _ _~i____[ J__;_L__ ('I <._;', ,51 4~'?1 ~~~Q2L---~----------i t~L=;=__"d__.1L ~. d/a ~~fL~J;;;: i~~7---~----...~-~r\ VA<./ U?~"?l ~ I . 2s" ?/. & I c.(-IS/ "^ /' /j 02 7' ~-,. ,; ./. m'~ I If:(;. ALL MATERIfty REMAIN lifE: PROPI::RTY OF THE CUNrr~nC1TJH UNTIL PRID FOR IN FULL. ALL JUB'S INIMUM or 50~ DOWN UNLESS ARRANGED WITH CONrRACTOR BEFORE SIGNING. ALL MATERIALS REMOVED FROM JOB B~COMES PROPERTY OF CONTRACTOR. ACCIDENTS OR bTHER CAUSES BEYOND HIS REASONRBLE CONTROL. THIS SHALL CONSTITUTE THE ENTIRE CONTRACT" ANY WORK OTHER TlU1N SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE. WE PROPOSE HEREBY TO FURNljH MAT~R1AL AND LABOR COMPLErE IN ACCORDRNCE WI TH THE ABOVE SPEC IF ICAT IONS, . FO~._.~~.u SU~._u.~.f~._.__DULl. nrw (t._,~~~?-.:~~) PAYMENT TO BE MADE AS FOLLOW9t-~~~ "."!Il'V' >'\w~, WITH BALANCE TO BE PA I D UPON COMPLETE I ON OF -~~~~--.~~77?----.u._--._---.._-----.---. . ACCEPTANCE OF CONTRACT- THE ~bOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SAT I SFAC TORY AND ARE HEREBY ACCEPTED. YOU ARE AlITHOR I ZED TO THE WflH!{ AS SPECIFIED. PAYMENT WILL eE MAbE AS OUTLINED ADOVE. - DRTE OF ~; - BJI3NmUREI-,{~g~- ------------ nCCEPmNCE ~__3__ J 9'1is J I3NRTURE . ------------------- ---- ----------- ----------------- ~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT F f? A-f-I /< r 4(/ L , ;:t:I- ADDRESS 1 t') T S- ":L s L,"e.-!-p\ Hr) L LeJ W ( OWNER S AMc?.. ti- JOB LOCATION ~<;. J e... -e P'1 II C) LLo W LEGAL DESCRIPTION: LOT(S) APPLICANT PHONE 7 k-:)...- /::2.)';- l LOT SIZE_X AREA SQ. FT. BLOCK SUBDIVISION PARCEL I.D.~F V;:stall WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units _____M/ H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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. ~LDING PERMITS REOUESTED $ 95~.Od 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. ****************************************** Bl:TLDER ~Je~ S1gnatur . r3 t) L\ h . ~LA./J-. < CONTRACTOR SEC~~ ( ;I Company .e R \' fit /-I State Cert. or Regisi, iF City License Registration ****************************************** At-CI M. .5e~dfC-e. P?..X 0 (') ')<.f ~ 1<-( , iF ~ Signature Company State Cert. or Regist. # City License Registration iF ****************************************** ELECTRICIAN Company State Cert. or Regist, # City License Registration if ****************************************** PLtJMRFR Signature Company State Cert. or Regist. iF City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. iF City License Registration if OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. " .,. ". ,.t CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit lay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assules 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-bbl1. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 may 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 - HOleowner's Protection Guide" prepared by the Florida Departient 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 document and promise in good faith to deliver it to the "owner' prior to cO.lencelent. 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 compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a permit to do work and installati~n as indicated. I certify that no work or installation has commenced 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 lay apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance. Such agencies include ~It ile not limited to: . Deparhent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Envirc1nmentally Sensi tive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks f US Environ.ental Prot.ection AQency - Asbestos abatement I also certify that, if fill .at~rial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist€r~d in the State of Florida prior to permit issuance. A permit issued shall be const.rued to be a license to proceed with the work and not as authority to violate, cancel alter, Of set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~hall becole invalid unless the work authorized by such perlit is cOllenced within six months of issuance, or if work auth~rlzed by the permit is suspended Dr abandoned for a period of six lonths after the tile the wDrk is co&menced. One 90 day e~tf~5JOli of titer may be allowed 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 dbaildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 00 NOT NEED TO RECORD AND POST A "NOTICE OF CO~~ZENT'" SIGNATUR~(~___-iJ~ sIGNATURE____ _ ___ ------- --R~, ~~ER OR AG NT C NTRACTOR DATE---~~Pt1~if7L:t!-;-J--- DATE----~_:t5?fyT~' ~~~~=Vo~SA~~N~~~-I----- ~g~~=~C~~R~-~----------- MY COMMISSION EXPIRE~~~______________-_--- ,. .......~~, OFFICIAL SEAL : ~. GLADYS L. BUSH · .. M ~ : y Commission Expires .... : Oct. 7. 1996 ..~"~OFfl.~.. Comm. No. CC 234022 ....... MY COMMISSION EXPIRES____________~~~~~ """EZ " 'ON 'WWO' ..~.. 9661 'l 'PO! .~ Slu\dX3 UO!SS!wwo:) '<W ! : HSna ., SAaV'~ \ : lV3S lVI~I:l.:lO .~.~...