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Home My WebLink About94-3857 BUILDING PERMIT Permit N ~ . . CITY OF ZEPHYRHILLS (813) 788-6611 38573 Date d- - /-.5--7'/ ~NG ~ ELECTRICAL PLUMBING MECHANICAL P" ~ P,"p.rty Own.,. ",JAJvA - i~:::T ~ Job Address: 3g-0/ r ----=- _-_ Parcel I. D. # ,/ t ~.--9- b . J:Y - ~ / ,6 C) - 0 ,d:) CJ 0 CJ.- O.;;J.;j> U Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work LJ~...p A~ ./ -:;Z-;J ~n Gas: .. J./. .. .<. >-r< .1'./. if NO OCCUPANCY BEFORE C.O. FINAL DATE ion. C.O. DATE Inspector Permit Fee A ~O. o-u~ Sighatur~A . 52 /(]JfJ1 Company Address Telephone# City License Registration # if Y State Certified License# y/J<f)/JLo BUILDING Ftr. ~.~-~ 1 Pre SLB '. 1 f [j ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Lintel FRM. Insul. CL WL Driveway 2-,6.t14 ~ Const. Pole Pool Pre-Meter Final 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. APPLICATIOIII FOR PERKIT CI1Y OF Zl\;pJfIKH n.u: BIllIJ)IJIIG DEPAImIEIn' OWNER'S IWIE E7 m&e.- ~OWER.Jnl(),'JJ OVlIER' S ADDRESS 3 ego I ?f ,( /hu f};JrJ- 100 D I 3?i 0 L ~ ..L./1WffNIT ).00 t:J I .PIIOIIE JOB ADDRESS LEGAL DESCRIPl'IOW: LOI(S) ~SUBDIVISIOR b )/J.jaJA/"Z~ it.) /N~ PARCEL LD.' ;1../- ;2' - ;;j - 6/ (P 0 - OtJOfJO -1J:J,3.. () - IiORIt PROPOSED:_1Iev Construction _Addition _Alteration _Repair _Install S' - 1.gIl _lIove _De801ish PROPOSED USE: Single F-Uy _II/F _, of Units _"/H _ec-ercia1 _Indust:. _Swill. Pool Ot:her _Rest:aurant &- BeaJ.t:h Departllent: Approva1 BUILDIRG SIZE: x ~e Feet:. Height: RESIDERTIAL: COItIIERCIAL : AtTACH (2) PI.OI' PLAIIS &- (2) SEIS OF BUIlDING PLAIIS &- (1) SET EllERGY FORflCi. ** ATrACB (3) SEIS OF BUII.DIJIIG PIAIIS &- (1) SET EIIIEKGY I'ORflCi. ** **mpy OF mRTKACl lUIQ(BIRED. PIr.RIIl'rs IlEOUESTED ~LDIRG $. o?~OO' l)tJ Valuation of Tot:al Construction _ELECIRICAL MIP Service Florida PoIiIer Corp. V.R.E.C. --1IECllAllICAL $. Valuation of lIechanica1 Inst:allat:ion _PLUKBIRG GAS ROOFING SPECIALTY TYPE OF mRSTRUCTIOR: _Block _Pralle _Steel Ot:her FINISHED FLOOR ELEVATIOIiS: FI. IS PRO.JECl' IN FLOOD ZORE AREA? YES RO ****************************************** Signature ~ aJWI'.RACIOR SEcrIOR aJIIPANYN# rr7IkOAl'o/V-~Em~ J)JC!- i1 ~ Sl:at:e Cert. or Regist:. t / IU City License Registrat:ion' L) <f ****************************************** BlnTDER RT.F..CIRICIAR aJIIPAIIIY Sl:ate Cert:. or Regist. , City License Registration , ****************************************** Si....Ature PJ.DIRER ............':IUlti".. aJIIPANY "',..c9~!..J+.;;''.~, Sl:at:e Cert. or Regist:. t ". ~'~~Ato'.~~"~~ City License Registrat;i9i1 , / ****~~*~*************************~**- ;' ~r:qR1 "'"...'.. ~ f; "GH .. __... ~ ~ y,-... ..,..... I" ,."..."..". . . f~!';'4"" ,L-t . C' ~,nuu . . .;>>. .. //'11 ,": Sl:at:e Cert. or Regist. _t- ." :'.I~):' City License Registrat:i'oa:,.j.'" .).'.. , " *****************************~ '" ,; 1:1t~? .', .' ~ Signature IIECIIAlIICAL Signature OTIIRR aJIIPAIIY Sl:at:e Cert:. or Regist. f City License Registration f ****************************************** Signature APPLICATIOll APl'KuY1W BY PERIflT 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 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 lisdeleanor 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 Zephyrhills Building Departaent, 1813} 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 ZephyrhilIs. 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 LaM - HOleoMner's Protection Guide" prepared by the Florida Departaent 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 "oMner" 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 in~tallation has cOllenced prior to issuance of a perlit and that all work Mill be perforled to leet standards of all laMS 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 coapliance. Such agencies include but are not lilited to: I Departlent of Environaental Reaulation - Cypress Bayheads, Ketland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water ~naaflent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enaineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Aaency - 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, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Mork 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 CO""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""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~NCE~NT". ~;;~ SIGNATURE: OWNER OR AGENT .8uk SIGNATURE CONTRACTOR STATE OF ~ COUNTY OF /~ The fc.regDing k..t:l befDre me th '# ::: ,.... who has whe, has c Idid not (Sign re) r/ / I Jb I. jf}}J S Lj pi-. 1---1 CJ 1l/ (Name Typed, Printed or Stamped) NOTARY PUBLIC (~nature) n-JJ - l~ ----'!.IIII/e ~/O ~ (Name Typed, Printed or Stamped) NOTARY PUBLI C STANDARD FORM OF AGREEMENT BETWEEN CONTRACTOR AND OWNER THIS AGREEMENT made the ~~eI::TN"11I day of rI:r~,ef Nineteen Hundred anrl NIN~~~/--tJ<<./L. by an~etweeI'l G~1 8~ hereinafter called the Contractor, an_ tflnu.f7e- RIL~AUnf}- Owner, Witnesseth, that the Contractor and the Owner for the considerations named agree as follows: ;11 the year hereinafter called the ARTICLE 1. SCOPE OF THE WORK entitled prepared by Contract Documents entitled the Specifications and the Drawings. ARTICLE I. TIME OF COMPLEnON LJ.c. ~, I /K ~6el17ir IS' /'?/--1f1,/ _, I ~ l The work to be performed under this Contract shall be commencerl ~ '/V ____ _ ~!Z..'L!:z.'2 substantially completed LL>~/N ()NI:T ~,K own on the Drawings ancl described in the Specifications W. (!. . , acting as and in these chitect, and shall do everything required by this agreement, the general conditions of the Contract, the Rnd shall be ARTICLE S. THE CONTRACT SUM The Owner shall p funds as follows: Authorized Change Orders will be submitted by the Contractor for all work nol specifically included in this Contract. ARTICLE 4. PROGRESS PAYMENTS (Insert here any provision made for the amount retained after the work reaches a certain stage of completion.) ARTICLE 5. ACCEPTANCE AND FINAL PAYMENT Final payment shall be due "'771&' da~~ substantial completion of the work provided the work be then fully completed and the Contract fully performed. ARTICLE 6. THE CONTRACT DOCUMENTS The General Conditions of the Contrac!J the Specifications and the Drawings together with this Agreement, form the Contract, and they are as fully a part of the Contract as it hereto attached or herein repeated.' The following is an itemization of other essential pertinent information: .,;:. ~ ~-- Notice to &111 contrilctor:; concerned with concrete for tho cladgn. fubrication, nnd erection of Aluminum Structures Only. Pnt10 Slab's: Hlnimum lJllx12" Cooter 1,//2U 5 rabnr. Ef(ective November 15. 1990 concrete llhall bl! installed as l'cqulred in detnil below, . '1. 500 i'" I Got4'-. . .. ....-~,FOOT' ~~ ~... ~ r'OOL.. E:N~Lo~U~e.c.:, .. r~i c.o~c... a... I I' 0/ "".0 Ie. 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