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Home My WebLink About94-3799 BUILDING PERMIT Permit N ~ .... . ...- :JD CSu~ CITY OF ZEPHYRHILLS (813) 788-6611 _379~ /-c15-~f Date Property Owner: Job Address: Parcell.D, # ~.AL P~- ~JICAL CJ~~/j? :?f:5~1/fj~. Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Valuation o~ '-I ~ tj.6-0' P-2 Contract Price . City License Registration # 1/ r ~a ~1:x ~~Certified License# (/ . c:y ci~~~~~# C ~LJII ~ Permit Fee Signature Company Address Telephone# ELE~ - P~ I\1.E.CIooI Ar ~ I C A L .. Ftr. Pre SLB m/7fi!Q4 RTTJ". Lintel FRM. Insul. CL WL Breakers Ducts Insi. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Driveway 01/26/Q4 'RTT.T. FOOI'ER RAISED SLAB 01/26/94 BILL RAISED SLAB 02/02/94 BOB REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ . APPLICATIOB fOR PERKIT GI'IY OF l.EnIIKIUT.I-C;: BUII.DIJIG DEPARIIIEIT OWNER'S rwtE_l++K th.+-e("Sk.t~ ( OWNER'S ADDRESS <377/0 Ale':CJfDr+- Dr JOB ADDRESS &f~~/rk"'0tc..e) l \J LEGAL DESCIUPl'IOIII: IDI(S) BUJCK: J.IH)IIE SOBDIYISIOII PARCEL I.D.t IiDRK PROPOSED:_lIev Construction _Addit.ion _Alt.eration _Repair _Inst:all S. - 19I1 _lIIove _De.o1ish PROPOSED USE: Single Faai1y _II/F _' of Unit:s _II/H _~rcia1 _Indust. _Swia. P001 Other R(,,$t:aurant &: Hea1th ~t Approval. BUILDING SIZE: x ~e Feet. Height. RESIDENTIAL: aJIIIIERCIAL : A1TAaI (2) PLOr PLAIIS &: (2) SEI'S OF BUII.DIJIG PLAIIS &: (1) SET ElIERGY FORKS....... A1TAaI (3) SEI'S OF BUII.DIlIG PIAIIS &: (1) SET ElIERGY I'ORIIS....... ......OOPY' OF OORTRACl :RIlQUIIUID. PI1mIITS REOUESTED _BUILDING $ Va1uatioo of Tot:a1 Construction _ELEC'.fRICAL AtIP Service F10rida Power Corp. W.R.E.C. --..JIEmARICAL $ Va1uatioo of lIechanica1 Installation _PLUKBING GAS ROOFDIG SPECIALTY TYPE OF OONSTRUCTIOll: _B1oc1t _Fraae _Stee1 Other FIKISBED FLOOR ELEVATIOIIS: Fr. IS PRO.JECI' IIi FLOOD ZOO AREA! YES NO .......................................................................................................................... Signature 4-ec d aJII'IRACIOR S.ECI'IOIiI OO!IPAliY /3.f/l f/l1F:l:J/~ +&mEIl/7- ) Afr'_ State Cert:. or Regist:. , &0 ~ , City License Registration' J.j '!- ...........................................................................................**......... BIJTTJ)F.R 'RJ.F.CI'RICIAR OO!IPAIIY State Cert. or Regist. t SilmAture City License Registration . **................................**.............****.................**...**......... PUllBER. OO!IPAlIY State Cert. or Regist. t Signature City License Registration . ............................................**.................................................................... IlECllAllICAL al!lPAIIIY State Cert. or Regist. t Signature City License Registration . .................................**........................................................................**......... 0T1IlIR aJIIPAIIY State Cert:. or Regist. , Signature City License Registration . ..........................****............**..............................**.............................. APPLICATIOlf APftlOVIJ'.D BY PERIIIT OFFICER.. , ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay 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 ONDer 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 lisdelea~r 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 2ephyrhills Building Departlent, 18131 788-6611. Furtherlore, 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of 2ephyrhills. 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 doculent 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 cOlpliance 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 Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Nater/Wastewater Treatlent f Southwest Florida Nater ~naqelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Naterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - NeIls, Wastewater Treatlent, 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 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the perlit is suspended Dr 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 CDK"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"IIENCEtlENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AMD POST A "NOTICE OF COMENCEtlENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not 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) NOT ARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLI C STANDARD FORM OF AGREEMENT BETWEEN CONTRACTOR AND OWNER --- ' =rB THIS AGREEMENT made the~.Q.W.....th day of ~ Nineteen Hundred anr! N 'N-rP,-~ ~~ . . by and between G.eE'1 l3~ hereinafter called the Contractor, an tV\fers-+o,:h:::,-, Owner, Witnesseth, that the Contractor and the Owner for the considerations named agree as follows: ;n the year hereinafter called the ARTICLE 1. SCOPE OF THE WORK f the materi,ls r It ~ . , acting as and in these chitect, and shall do everything required by this agreement, the general conditions of the Contract, the entitled prepared by Contract Documents entitled the Specifications and the Drawings. ARTICLE la. TIME OF COMPLETION The work to be performed under this Contract shall be commencer! 11:5 ~AI A5 ?CR.I17ir I~; )~trU/:iA substantially completed LL)I7/T'IN C'NH' LOe?:;-K And shall be ARTICLE 3. THE CONTRACI' SUM The Owner shall ~the Con funds as follows: Authorized Change Orders will be submitted by the Contractor for all work not specifically included in this Contract. ARTICLE 4. PROGRESS PAYMENTS (Insert here any provulon made for the amoWlt retained after the work reaches a certain stage of completion,) ARTICLE 5. ACCEPTANCE AND FINAL PAYMENT Final payment shall be due '7JIE day. ~ substantial completion of the work provided the work be and the Contract fully performed, ARTICLE 6. THE CONTRACT DOCUMENTS The C~neral Conditions of the Contrac~. the Specifications and the Drawings, together with !his Agreef!1en,t, form the Contract, and they are as fully a p.ut of thc Contract as If hereto attached or herein repeated, The following IS an itemization of other essential pertinent information: thcn fully completed ",,\"11111 r 1111//11 ~,'\\ C ELLt III~ ~ ~~.............: O)-;.~ ~ Q" .~O" AI? p... ~ S ..- ,- -.. ~ :: : ~ :: E i My Comm. expIres t E - : March 8, 111118 : :: . 1. 0 - \\\\\\1\111111111/1/ ~",... ~ ELLI 111//1. ~ .......~ ......... 0;- ~ ~ Q':;"OTAI?'L:...-'" ~- ~.~ r. ~ ~ .' . ~ .... 1 .. :::. :: :... ~ :: :: : -, Comm. expIres ~ :: = \ I, 1996 : ~ a '\ 0.- 8E:MINOLI: JfO"M 4111 : ,:--7' I x- i ~~-~r.~"~'r~- ~~.,.\-- -- ....- ~ I , , a". ~lHROII ~ Ii . '/OilC4.. ; I ~.l€D: ; I 'I I ~ .. -, G" ';; I o;:ll (() :p I! "r 1-< ~~ -;v ~~ 00 _ T'1'ii'Ti , I rrrrrl B :FFFifF! FFF~:r+ -- Trr;!;-n Trr':2'r-! · lJIIJ~ I ,:l.~ ~'8 CAR~ft\ .. '"0 ":2 ;~ " ". , : y l~s,~~A1~:L , , : ,~te'~~~1\i ... . -; ,I : : I i ! j r i -;! I , #thi'! : ,.J I.; 1 " I :.! ! A~o\le~ ~{j2~~ r~ {t,~ I , : , I I S/fflU- BE 1~'TF--,J [(i'" Af bLf\-B Hfil6t\T' . ' ~ ~:r: o ~ "1 f -"6:;: ~:J> -.::..,s ~ 1" -t~ r "- ~\J\ ~l q 'f J . i ~ - i ' t-! N E u) Po ~T; D I.e...I " g- . Notice to ~11 contrnctor~ concerned uitll concrete for tho dcslgn, fnbrication, and erection of Aluminum Structures Only. Pntlo Slab's: Hluimum O"x12" Cootcr u/20 5 rcbnr. Effective November 15, 1990 concrete sh<Jll be in~tnlled as I'c'luln:d in dctnll bclo\.l. GO.4~ . . .. .-'-~.F DOT' \-.\c"" fa ~ f'OOL. f:,Nc..Lo~U Res " . r..... Co....", :":." " c... I-!let W.~t-c\, ";:e.~LIt. ~e.eA.IZ.'~E:1LT. e e,'.Q"o/c. ~~c).J~ ~'tS.' . c:, LA e, d: t:'.;) ~ ~ e t.:; A 17.-:;' C'3I1f;O Att.~t. ~A.I~E.t:> ~ '11 II 2"".x::o 'r" I c.o~~. - " fi r:-:-, . ,;" ....... ,', .........- -1.. '..~. It . . ..... '" I . . . . I . .':' ..,'.'...... ... . _' -, .....1(..1--.. ~.. ______ ~ -'~r:! 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