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Home My WebLink About93-3734 BUILDING PERMIT Permit _ 3734,6 Ill-~/-73 /' CITY OF ZEPHYRHILLS (813) 788-6611 N~ ". '3~ ~ Date E~-' ~ ~werConn P<operty Own", ~-;;., 7!7~1t-%d J (l~L Job Address: _:3n ~ ~ ~. Parcell.D, # Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL t/ Zoning: Description of Work DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O, All work shall be performed in accordance with City Codes and Ordinances, City License Registration # State Certified License# ~()~17 Permit Fee Signature Company Address Telephone# t/ , Valuation or -1 ~ tJ./' /), QE... Contract Price ( J VV ~~ EL~' - PLUMBI~-- ----- MECH~AL --- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, 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 ($15.001 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. PROPOSAL .... IiiU 1'~A' I ~r v!}..) , . {r..' ,,'" (\ Proposal No. I:~ ILc (;), t/,{ Sheet No. ,l- , I' f , j<(7 t.../" 5~ / " :") '~;1 i / J "'/ Date j / ~' Proposal Submitted To Work To Be Performed At . I' "'5 . /} :v1) ,I it' ;:.! n , . f\.,' I . o'e otJ#t5'I-L-. Street -~;Z 3 () ;8--- J _,.' -'!~' //.of /, _ ' " City ""'-.... rr/?<: ,.;.<-~, L }' Date of Plans . Architect :;, .:- Name Street City State Telephone Number State .,7 '~f'7 -0 "8)0. We hereby propose to furnish the materials and perform the labor necessary for the completion of 7'2/i f.' or/ ,,-.f-.gc'-CtJt/r'/Z' .k ,~,:,: O.I(}:r/4,1t /h- ,:' .,;.. I,.t /J 4. fe, . '5 )/1( j)J/'1/J/Oii./SJ/tL 5/',!iA/"::1' ('~5 + ;.5'".i '[c-",~ f~)>c..p:.e 1".10/ -' :;/<.q ". '<" "k-? Ii / (.,. 1ff) .;,..: iA./ () ,J.t'~? $..V' fl/{rr' J""o ,(ft'!'" L:!iJ,L/(.:' ./lJ /V2'~:;';/ (~-:-k~N<'4. t/ 12/o'''''.Tv .d~ / ;v.5f~.,t (..-c:~ tJi.'OIl..) / I Ol/ e/2 UJI JtP!JlJvs 'rf;; Dc 7J:"'_ /7 'C (: /'-7 tJ V2cZ< " . 'J " / I I I " ,- ~. v tt J~J&.'-' :-yr it 1'/ZA f .~, TtJ \ .~/Jvr jj,'f' .. " .....-...~ c;...: .....4 IJCl' it f 13~ ).c- 6~ /0 tJ tS .."f' ~,-,',c:- z - -t- 12 c:- c..., ('_<...,~~ jf:.."'- ,j! c':/;/ IA../I )" 5<!/'It:r/,,",'- ,'10:1 ...) .~~:: "'}' _. ,', r It U {J r "v U-" A',f/ )0 ~, ..'\..~r .I ."'" All material is guaranteed to be as specified, and the above and specifications submitted for above work and completed with payments to be made as follows: ';;"'()/''lj!,/ ,C' ,/ 6,j work to be performed in accordance with the drawings in a substantial workmanlike manner for the sum of :r 0/3 Dollars ($ :~'7'lU )) ), r) ,. i/','" Respectfully submitted ,j;/ './ !'(../Z ,..:./ Any alteration or deviation from above specifications 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 upon above work, Workmen's Compensation and Public Liability I nsurance on above work to be taken out by I ~ " .' Ji'f....." :'i' ,l~'."", .. !~~/""t::-~__ Per /' .'" C,..-/'// ,~'1 , l/ .k"',"::.......::' /1/' /____ Note "- This proposal may be withdrawn by us if not accepted within (,~ days .-"') ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby ~s-cepted. You are authorized to do the work as specified. Payment will be made as outlined above. .' / ' _. Signature '}'>//' '! ~,i_ ......... L Date Signature .. ,', .' ,1 ,~' 1.' . I......~ ,,," ( :.~...-' c/o' TOPS FORM NO, 3750 LITHO IN U.S.A. APFL.lCATIOINI fUR FmmlT CITY OF ZEmJRHIL1S BUIIJ) HIG DEFARlllll'BJ' I OMNER'S NAnE LY;tl)/ ..}- /o//I,{sll.19 0 CO,{/AJc~~. OWNER'S ADDRIl'SS 5-/0? ;f/ /l Y/ t? ,e. , g zjj 57 .moNE 712.. - 0 '3'7 C ,JOB ADDRESS 5""230 ~ 1//1/6 2<tEjJ/I!/,#;j.t::-5 I ;2C/Yf//I!I; )..?f /2_ LE{,~L DHSCRIPI'IOIII: Wf(S) BI~SUBDIVISIOR PARCEL I.)).' WORIt PROPOSED:_lIew Construction --.J'\ddilion _Alteration _Repair _Install _Sign _Move _))e.oHsh -.L f(~ f!De4'1JC--. PROPOSED USE: 'X Single Fallily , _"'f _, of Units _"'n _ec-ercial _Indust. _Swu.. Pool Other _Restaurant 5: Health Depart.ent Approval BUILDING SIZE: x ~are Feet. Height RESIDENTIAL: cottItERCIAL : A1TACH (2) PLOI' PLARS 5: (2) SEIS OF BUlIDUIG PLAJlS 5: (1) SRI' ENERGY FORtIS,'" ATTACH (3) SEIS OF BUILDING PLUS & (I) SET MItRGI fORItS... ....00PY' OF oollIRAcr RIlIIUI,RIID. LBtHLDING $ J/ ~ 1 00. (20 PIlJDIITS REOUESTED Valuation of Total Construction _ELE(''TRICAL AftP Service Florida Power Corp. W,R.E.C. --"F,('''HANI GAL $ _PUJPtBING GAS Valuation of ftedmnica.l Installation X, ROOFING SPECIALTY TYPE Of CONSTRUCTION: _Block _Fr~ _Steel Other FINISRED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREAl YES NO .......................................... aJlIIfBAClUR SECI'IOB BUIlDER CUlPAJllr State Cert. or Regist. , Ci~License Registration , .......................................... Signature ELECfRlClAB CUllPARY State Cert. or Regist. , City License Registration , .......................................... Simaature PLlIIBER (DIPAllf State Cert. or Regist. t City License Registration f .......................................... Signature fIEC8AIIlGAI. CUlPAIII' State Cert. or Regist. f Clt.y License Registration . .......................................... Signature OTDRR CUlPAIll' rY/tr//,-V /ltJtJh;V? . tJ,Y . L t!/>A '. _ State Cert. or Regist.' RcoOI/UW ~ /VV~ City License Registration , .......................................... Signature APPLICATION APPROVED BY PERftlT OFFICER. CONDITIONS UF PERMIT AFFIDAVIT A. t-IOT I CE OF DEED REJ?TR 1 CT IONS . The undersigned understands that this perlit lay be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assu.es responsibility for co~pliance Nith any applicable deed restrictions. B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contract~~~-t~~I~dertake -;;':k-;th~y--~;y""b;-;:;q;i"';;;-'t~i-icensed 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 IaN. If the owner or intended contractor are uncertain as to "hat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3) 7BB-bb II. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the "Contractor Sections. of this application for which they Nill 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 per.itting privileges in the City of lephyrhills. r:. TRANSPORTATION H1PACT FEE~ ?-)ND UTIJ_ITY,J:ONNECTIOI'( FEE,;!, D. ~ONSTRUCT I ON L I EN .,LAI1 (CHAPTER 713, FUJR I Df) STATUTES, ,-=,S ()I'1ENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eo"ner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler 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 .0Nner" prior to co..encelent. E. ~ONTRACTOR · S/OlrJNER 'S AFF I Df'lY-.!.I. I certify that all the inforlation in this application is accurate and that. all work "ill be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. Application is hereby ,ade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a per.it and that .all work "ill be perforled to leet standards of all la"s 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 governlental agencies .ay apply to the intended work, and that it is .y responsibility to identify "hat actions I lust take to be in co'pliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQuJation ... Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of EnQineers - SeaNalls, Docls, Navigable Waterways . Departlent of Health & Rehabilitative Services, Environlental Health Unit... Wells, Wastewater Treatlent, Septic Tanks , US Environlental Protection Aqency - Asbestos abatelent 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 yolute" Nill be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 violations of any code. Every perlit issued shall becote invalid unless the Mork authorized by such per.it is co..enced within six .onths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six lonths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be alloNed for the perlit Kith fee charge of 115.00, The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six lonth period, Dr the project "ill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAY 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 YAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OMNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument befor-e me this was acknowledged , 19_ by STATE OF FLORIDA COUttTY OF The foregoing instrument b""fc'l-e me this ",as acknowledged , 19_ by who is personally known to me or who has produced as identificaticon and who did/did ne.t 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) tmTARY PUBLIC (Name Typed, Printed or Stamped) NOTAR'( PUBLIC