HomeMy WebLinkAbout93-3706
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit N ~
37068
Date 1;2 -7- 9-..5
~N;)
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P,op"" Owne, JJ/. - _A ~71 ~
Job Address: .L/ 9s-1 L-
Parcell.D. # / r. d.-b -CJ/ - () 0 {) - 0 () d-iJ 0 --. CJ
Water Meter:
T.I.F.'s:
Zoning:
,.,(l(
J 0 ;;I/q
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 Fee
Signature
.
Company
Address
Telephone#
t:i~
~ t( C~~o
Valuation or
Contract Price
o?,. t/Zi?J . (TD
77
City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB 12-16-93 RTTJ.
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway 17--16 9-=1 RTT.r.
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.
APPL,ICATION fOR PHRttIT
CITY OF ZEPHTRHIL~S
BUILDING DEPARntmiT
OWNER" S RAPlE
I(OI<..f)occ
t./fS(
jJ IAJTUs
K~<; if 70 ^f
Cd' TTJ1-~ /l,
f-ft-I--tP
PHONE
7';5 3 /70 9 ct
OWNER'S ADDRESS
.JOB ADDRESS
LE(,.Af. DESCRIPI'I01I: IDI(S)
BWCK
SUBDIVISION
PARCEL I.D.'
1<<)JU{ PROPOSIJD:_"ew Construction _Addition _Alteration _Repair _Install
_Sign
_.I!Iove
_DeJIOlish
PROPOSED USE:
Single Faaily
_"'F
_' of Units
_"/D
_c:c-ercial
_Indust.
_S,,1.-. Pool
ot:her
BUILDING SIZE:
_Restaurant 5- Heall:h DepartlM!'Ot Approval
/ (p X (;)- , 5' (;~ k P-(
Square Feet.
Height
RESIDENTIAL:
C'OPtItERCIAL :
A1TACD (2) PLor PLANS 5- (2) SKIS OF BUILDING PLANS 5- (1) SEI' ENERGY FORftS. u
A1TACII (3) SIl:I'S OF BffiLDING PLMS 5- (1) SlIT mlERGY FORtIS.......
......OOPI' OF CONTRACT RIlQ()JlRED.
PEmUTS REOUESTED
_BlITLDING
$
.00
rf2000
Valual:ion of Total Construction
_ELECTRICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
----"E('''RARlCAL
$
Valuation of Hechanical Installation
_PLtJPtBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCl'ION: _Block -"'r:.e _Steel
Other
FINISHED FLOOR EUNATIONS:
fT.
IS PROJECT I IN FLOOD ZONE AREA?
YES NO
............................................................................................................................
c::owrKAcroR SEClTON
BUILDER
_ COl!IPMY 5' cJ-v' S~
~ K ~. State Cerl:. or Regist:. ,
~ Cit:.y License Registration ,
..............................................................................................................................
~Ll/If l-f/rJ 'Y
77
Signature
ELECTRICIAN
COl!IPMY
State Cerl:. or Regist:. .
City License Registration t
..............................................................................................................................
SiPnature
PLUlBER
COIIPARY
State (;erl:. or Regist:. ,
City License Registration t
..............................................................................................................................
Signature
ItEGIIMUCAL
mlIIPANY
State Cerl:. or Regist:. t
City License Registration .
..............................................................................................................................
Signature
01B.Il:R
aJ!IPAIiY
St:ate Gert. or Regist. .
Cit:.y License Registration ,
............................................................................................................................
Signature
APPLICATION APPROVIlD BY
PEKllIT OFFICER.
CONDlfIUNS OF PERMIT AFFIDAVI.r
A. NOT I CE OF DEED-.--f:E_STR :!J~.I.lOI':!.fi .
The undersigned understands that this perait lay be subject to 'deed restrictions" which tay be lore restrictive than City
regulations. The undersigned assuaes responsibility for co~pliance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS ANP__.~QNlB-':l.G.JOR p,E;.SF::.9NS I B I L ~ T I E!;.~
If the owner has hired a contractor or contractors to underta~e work, they may 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 tisde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
reQuirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBl3}
7B8-6611.
Furthermore, 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 tay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
City of Zephyrhills.
c. TRANf;>PORTATION H1PACT FE~S /,-)ND UTI!:-ITY _.GONNECT}ON FEE.$..
D. CONSTRUCT I ON LIEN L,.1!H (CI-f{'tPTER 713. FLOF< I Of' STATUTES, ()S "I'1HJDED)
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 Depart.ent 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 docu.ent and prolise in good faith to deliver it to the
"oHner" prior to cOI.encelent.
E. CONTRf\CTOR I S/mJNER 's AFF I DflV IT.
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOI.ented prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning requlations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
my responsibility to identify what actions I lust take to be in coepliance. Such agencies include but are not limited to:
· Departlent of Environ.entaI ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
Water/Wastewater Treat.ent
t Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways
· Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks
· US Environtental Protection AQencv - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
addressing a 'compensating volule' "ill be submitted which is prepared by a professional engineer registered in the State of
Florida prior to permit 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 perait prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid
unless the work authorized by such per.it is co..enced Nithin six tonths of issuance, or if work authorized by the per_it is
suspended or abandoned for a period of six lonths after the tiee the work is cot.enced. One 90 day extension of tile, lay be
allowed for the permit with fee charge of tI5.00. 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 "ill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEnENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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 COMMENCEMENT".
__._'._'---=~-----=:-:=..:.. _/~~___--=__.:.=m_~~-/ > )
~~~---~).~..-:::::-:::__-o'~.-..._'..-.~....-:::..______-
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SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA )
COUNTY OF 1'>1-5 C CJ
The foregoing instrLj' e~~ was acknowledged
before me this /;2_)J , 19-22 by'
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befct\-e me this 1.2/ <g'
/ /f5 c&
was acknowledged
, 19~ by
who is personally known to me or who has
produced
as identification and who did/did not
take.... an oath. ,_ / /p /I
.... ~fC ~e.A_a
(Signature)
who is personally known to me Dr who has
pr-oduced
as identification and who did/did not
take an oath. ,~~ ~o
(Signatu;-f>)
(Name Typed, Printed or Stamped)
NOT ARY PUBLI C
Notary Public Pasco Co. FL
My Commission Expires May 13. 1995
(Name Typed, Printed or Stamped)
NOTAR"i PUBLIC .
----- Notary Public Pasco Co. FL
My Commission Expires May 13. 1995
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Jroposal
Page No.
of
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SU~! STATE ~LUMINUM, i".!~
37528 SR 54 West
ZLP; lrRHILLS, Fl 5.:::,41
'B 13) 7.138 7308
PROp'O~AL SUB!>'!ITTED TO
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STREET
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CITY, STATE AND ZIP CODE
.10(4.-1
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JOB NAME
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DATE OF PLANS
JOIl. LOC:'\T~ON I,
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,
ARCHITECT
JOB PHONE
We hereby submit spec~ications and estimates for:
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111II1' 'rOpOli1' hereby to furnish material and labor - complete in accordance with
~,:.~-; -'
above specifications. for
;ttv~
dollars <r ", ./'-
the sum of:
--<..- .
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Payment to be made as follows:
'-< "'-..-".;:'
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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.
~~~~~;~~~d .,' $ _~.,.._-;."'~;"""~-'
/,(-:.~.......--
" Note: This proposal may be
withdrawn by us if not accepted within
,:41'""""..- ..-..,-~'
days.
1\tttptautt nf Jrnpnllal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified, Payment will be made as outlined above.
:~?'/:~ -:: ~;;,-,/,('
Signaj-ure-" ,,/-1' /'.r/-b:;.rZ ..' .
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Date of Acceptance:
Signature
PRODUCT 118-3 lNeeSJelfIC" Groton, Mass. 01471. To Order PHONE TOll FREE 1+800.225-6380