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Home My WebLink About94-3966 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 3966B Y-/..5--yy Date BUILDING/ELECTRICAL PLUMBING MECHANICAL P,"perty Owne" ~~~, J1L e ~ Job Address:. ~ _ _ _~ c:;L ~ __ Parcell.D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Description of work~ 7 -~ / / " '-7 )1 NO OCCUPANCY BEFORE C.O. /10 /" FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# ;) ~ Inspector Valuation or Contract Price //ertJ,cr<J / Telephone# ~~ tlL//Yvt / BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final 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. HER B 's MOBILE HOME AND ALUMINUM SERVICE 39215 Lizabeth Circle ZEPHYRHILLS, FLORIDA 33540 TELEPHONE (813) 782-7199 OR (904) 567-9832 WITH: STREET: 1994 BETWEEN ? J ~-- 'R/;V'.:J /~ ASSURES THAT THE ABOVE NAMED COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING ITEMS: CITY:ZIP: ~ TELEPHONE: 7f?;? - 2W6' THIS AGREEMENT MADE THIS /Y DAY OF HERB'S MOBILE HOME AND ALUMINUM SERVICE ~ ..e- ~~~:5ezf~ zjb ~ ; (, / ";0./ / h. 2 Js:" ,t5 ;f'/~~c / ALL MATERIALS REMAIN THE PROPERTY OF THE CONTRACTOR UNTIL PAID FOR IN FULL. ALL JOBS MINIMUM 50% DOWN UNLESS ARRANGED WITH CONTRACTOR BEFORE SIGNING. ALL MATERIALS REMOVED FROM JOB BECOMES PROPERTY OF CONTRACTOR. T~ CONTRACTOR WILL NOT BE RESPONSIBLE FOR ANY: ACCIDENTS OR OTHER CAUSES BEYOND HIS REASONABLE CONTROL. THIS SHALL CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OTHER THAN SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE. WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR COMPLETE ACC~~NCE W~TY THE A~VE SPECIFICATIONS, FOR THE SUM O~~ ~ ~/ DOLLARS $ // (J (?}LLO ." THE HOMEOWNER AGREES TO PAY FOR THE BUILDING PERMIT $~~ PAYMENT TO BE MADE AS FOLLOWS 50% DOWN ~~ ? /: WITH BALANCE TO BE PAID UPON COMPLETION OF WORK $ ~ ~7_ ACCEPTANCE OF CONTRACT AND THE ABOVE PRICES, SPECIFICAT{ONS AND CONDITIONS ARE SATISAFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. PLEASE READ THIS CONTRACT OVER CAREFULLY. SIGNATURE 1994 SIGNATURE APPLICATION FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDING DEPARntENT OWNER'S liMtE PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: toTeS) BLOCK SUBDIVISION PARCEL LD.' .:,- WORK PROPOSED: New ConstrUttion _Addition _Alteration _Repair _Install - ~' _Sign _Kove _Deaolish PROPOSED USE: Single FUlily _KIF _, of Units _K/B _~ercial _Indust. _Swia. Pool Other _Restaurant & Health Deparblent Approval BUILDING SIZE: x ~e Feet. Height RESIDERTIAL: comtERCL\L : ATTACH (2) PLOT PLUlS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PI.A.RS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCfIOR. PERfII.TS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. __W.R.E.C. _KECllAIiICAL $ Valuation of Mechanical Installation _PLlJfIBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECI' IN FLOOD ZONE AREA? YES NO .............t............................ CONTRActOR SECI'ION B01W~ COIPAIIY /?--L..~ /~ ../. ~., c::;7<., State Ger!:. or Regis!:.' R ""- " (] .r-q ~l'-l Signat e. (3 l.t J!Jll... ~ City License Registration' 2.- .......................................... ELECfRlCIAB COttPANY State Gert. or Regis!:. . SiPO~ture City License Registration . .*.......*.....*.......*.....*............ PLuttBER COKPAIiY State Gert. or Regist. , Signature City License Registration . ....................*........*.....*...... IlECllMfiCAL COKPANY State Gert. or Regis!:. . Signature City License Registration . .......................................... OTHKI{ COKPANY State Gert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this peIlit laY be subject to 'deed restrictions' ,hieb lily be lOre restrictive than City regulatioua. !be undersigned asSUle& responsibility for CCIIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake IOrk, 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 0IIIIer and contractor laY be cited for a lisdeleaDOr violation under state law. If the OIfIIer or intended contractor are uncertain as to Ifhat licensing requirl!leDts lilY apply for the intended IOrk, they are advised to contact the City of Zephyrbills BuildiDq Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for ,bich they ,ill be responsible. If JOU, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor lisbes roo to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to penitting pri,ileges in the City of Zephyrbills. 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 lith a copy of 'Florida's construction Lien La, - lIoIemmer's Protection Guidell prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is 8OII8ODe other than the II OlDer " , I certify that I bave obtained a copy of the above described docuent and pro.ise in good faith to deli,er it to the "OlDer" prior to co.enC8leDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that all work will be done in COIPliance with all applicable laws regulating construction, zoning, and land develoIJElt. Application is heleby lade to obtain a per.it to do wort and installation as indicated. I certify that no IIOIk or installation bas co.IeDced prior to issuance of a perlit and that all IIOrk ,ill be perfOrled to l8et standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gDVerDleDtal agencies lilY apply to the intended IOrl, and that it is If responsibility to identify ,hat actions I lUst take to be in COIPliance. Such agencies include but are not liaited to: t DepartJent of EnviIODI8Dtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water /Wast8later !reatJent t Southwest Florida Water Managel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Watenays t DepartJent of Health i Rehabilitative Services, InvirODl8Dtal Health Unit - VeIls, Wastewater !reatJent, Septic !anks t US EnviIODleDtal Protection Agency - Asbestos abat8leDt I also certify that, if fIll laterial is to be used in Flood ZOne lA' or IA,etc.l, it is understood that a drainage plan addressing a 'COIPeD8ating vo1018' ,ill be sulllitted wbich is prepared by a professional engineer registered in the State of Florida prior to p8rlit issuance. A P8rlit issued shall be construed to be a license to proceed lith the IIOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall i88UBDce of a peIlit prevent the Building Official fIOl thereafter requiring a correction of elrors in plans, construction, OI violations of any code. Every p8I1it issued shall beCOle invalid unless the IIOrt authorized by such perlit is co.enced within sillODtbs of i88uance, or if IIOrt authorized by the p8rlit is suspended or abandoned for a period of sillODtbs after the tile the IOrk is co.enced. One 90 day utension of tile, lily be allowed for the peIlit lith fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project ,ill be considered abandoned. WARlIIG fO OIlER: YOUR FAILURI fO RECORD A DICE OF C<IIMBICEIIBI! MAY RESUL! II YOUR PAYIIG !IIICE FOR DIPROVIIIDTS !O YOUR PROPEII!Y. IF YOU ImND !O OB'fAIN FIWCING, COISUL! VIft YOUR LBRDBR OR All AftOIIDY BEFORE RECORDING YOUR DICE OF ~. . . JOBS OlDER $2,500 II VALUE 00 10'1 NIED fO RECORD AID.. !'OS! I '1IlI!ICI Ill' CIMIICIIIIII\". .._ W-~~ f4J:><t- tl~ IGJfA!UIIB: OIIIR OR AGm ~ SIGllAfURI: COII!RAC'lOR StArE OF FLORlDA--N coum OF ~ The foregoing ip,ent was acknowledged before me this . IS- , 19 9'1 by S!A!E OF FLORIDA ~ coum OF ~ The foregoing i~t was acknowledged before me this I :..s-, 19~ by who is pers produced as identif ation and ho did/did not ta:~W &d (Signatur ) 11/ L bL.I1~5 . iJ "5L (Name Typed, Pri ed or Stamped) NOTARY PUBLIC who is pers~ally known to me or who has produced G~~ as identification an ho did/did not takean~/~ (Signature) ~ .7 / ~.4./.7 w ~ ).. /J a.a.A (Name Typed, Printed or Stamped) NOTARY PUBLIC ..~~ OFFiCIAL SEAL ( ~' GLADYS L. BUSH :. i My Commission Expires \.. ! O~:t. 7. 1996 .....~Of~.. Con.m. Nc CC 234022 ............ /p.~. OFFICIAL SEAL t 1 \ GLADYS L. BUSH : ~ i My C0!llmission Expires \. ~ : O:;t. 7. 1996 ......~~OfF\.d1.=.. Comm. No. CC 234022 ........ SITE PLAN (RESIDENTIAL USE ONLY) PARCEL 1. D. SEe TWP RNG SUBD BLOCK LOT PROPEHTY MEASUREMENT ~ ~~ ,fA,d?c, -# / CURRENT OWNERS DATE All drnwinBs shall be drawn to scale for all parcels or lots five acres or less. ~~~c:.. I /ip tJwt ....eI'J- oll-l!.oI L-olF8'7 ,t.t> t 81. o~~ 2- ~r,-??2et::.-"t ei71 . ,,-f A ft'Art'~IUz.<s. ~.Il4't;o#'J ~. ~~.r- s {(/ 5;, O() f v~ --- SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDlCATE M"Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE, YEAR, AND NMtE OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION StALE: ,-.~. PROPOSED ADDITION 'C.A\.C: ,-. .01 MOBILE HOME SETUP .'''''''1.: I.. 10' ""(6011,1 \oJ ::I c z ~ 7," o II: - .... I~ ' 20' I 10' ~2,!l' oClCl. - - 0 0 Q E.hlln, 7.!!' 2 - . HOu,. . ! " .. 20' P/L ROAD NAME ~O' .40' o on .., . " 0; ulllln, Shad lit-u.. 7.!5' ~ . :! .. 20' ~O' ROAD NAME ROAD NAME sitepl<ll\:cfl