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Home My WebLink About94-4061 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 . NO Permit '. 406111 Date 3----,;2..5- -yy BUILDING ELECTRICAL PLUMBING ~-~ Sewer Conn Water Conn: pmpertyowne'~~ I}~~~ Job Address:, ~ Y, - Water Meter: T.I.F.'s: Parcell.D. # Zoning: _EJ!ergy CO~;:7f O..<';p';on of Wo'k ~L U ~ if.e Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL <0-/- -4 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarr:-e with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 71 :~;~~:~~iR'd Company _ Address Telephone# Valuation or . Contract Price t y S() - OTJ BUILDING ELECTRICAL PLUMBING ~)/1 MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S NAME ~ h.)oJ ~ D \ I},.,A rv'k ~ 'D j Cl t' r'V\ 1 d PHONE 'B I ? ~ '7? 2 - S '5 ? 8 OWNER · S ADDRESS 5 II I JOB ADDRESS f)to If ~ 14 Lll i)fL. 18 #'csT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -"ddition _Alteration _Repair _Install _Sign _Hove _De.olish PROPOSED USE: _Single F8IIily _H/F _' of Units _H/H _~ercia1 _Indust. _Swill. Pool _Other ____Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ./ HECHAlfICAL AMP Service Florida Power Corp. _W.R.E.C. $ /8,0' o~ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~e ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. f City License Registration , ****************************************** Signature ELECTRICIAN SilmSllture COMPANY State Cert. or Regist. * City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** KE~:A~~ COMPANY Co{~~ A(C'.f f{e".,.;r;;'5 C State Cert. or Regi'st. , Signatur City License Registration' 7-1 -~ .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that tbis pemit lay be subject to "deed restrictions I wbich lily be lOre restrictive than City regulations. !be undersigned assuteS responsibility for capliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OImer bas bired a contractor or contractors to undertake IIOrk, tbey lilY be required to be llcensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents lilY apply for the intended work, they are advised to contact tbe City of Zepbyrbil1s Building DepartJent, (813) 788-6611. FurtbeIlOre, if tbe OImer bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of tbe "Contractor Sections" of this application for wbich tbey will be responsible. If you, as tbe OImer sign as the contractor, you are inc1icating that JOU, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to pertitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - lkIIeoImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and CODSUEI' Affairs. If tbe applicant is 8CIIeOJIe other than the "owner", I certify tbat I bave obtained a copy of tbe above described dOCUleDt and pr<<aise in good faitb to deliver it to tbe DOImer" prior to COIIeDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infoIliltion in tbis application is accurate and that allllOrk will be done in capliance witb all applicable laws regulating construction, zoning, and land developtent. Application is hereby tade to obtain a pertit to do IIOrk and installation as indicated. I certify that no IIOrk or installation bas C31eDced prior to issuance of a pertit and that allllOrk will be perf OIled to teet standards of all laws regulating construction, City codes, loning regulations, and land developteDt regulations in the jurisdiction. I also certify tbat I understand that tbe regulations of other !JOYerDl8Dtal agencies lilY apply to tbe intenc1ec1work, and that it is If responsibility to identify wbat actions I lUSt take to be in cotpliance. Such agencies include but are not luited to: I DepartJent of Bnvil'Olllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water IWastewater !reatlent I Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways I DepartJent of Healtb i Rehabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater !reatJent, Septic !ants I US BnviIODl8J1tal Protection Agency - Asbestos abateaent 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 "C08peD8ating volute I will be sublitted wbich is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A pertit issued sball be construed to be a license to proceed witb tbe IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall becoIe invalid unless tbe IIOrk authoriled by such pertit is co.enced witbin sillODtbs of issuance, or if work autboriled by the pertit is suspended or abandoned for a period of sillODtbs after tbe tite tbe work is co.enced. One 90 day 81tensioo of tite, JaY be allowed for tbe perlit witb fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODtb period, or tbe proj'ect will be considered abandoned. WmIffG TO (MIR: YOUR FAILURI TO RICORD A ffO'fICI OF ~ MAY RlSUL! IN YOUR PAYDlG !IIICI FORIIIPROVIIIIII'S !O YOOR PROPIRTY. IF YOU IIl'fIllD fO OBIlIN FIJWlCING, COlfSUL! WI'fH YOUR LIIIDBR OR 111 AnoRIIY BlFORI RICOBDIIG YOUR IOIICI OF allMDCIHIIft'. JOBS UlDIR U,SOO IN VALUI 00 10'1 IIUD TO RICORD 1110 POS! A -NOIICI OF aJIIIlfCIMIIfl. SIGlAtuIIB: (MIR OR AGIII! SIGlAtuIIB: COH!JIACTOR S!A!B OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by S!AR OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 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 oc,.th. (Signature) (Rame Typed, Printed or Stamped) ROTARY PUBLIC (Signature) (Rame Typed, Printed or Stamped) ROTARY PUBLIC . ~- - Cf)LI:'1 .4I1D Cf)/lIlIIVITIf)/lIlIII/lIlIIt7 4/lIlIIV t1UTI/lIlIIt7 37338 Kosslk Road Zaphyrhllls, FL 33541 (813) 783.3723 PROPOSAL No. Date 5'-21- q1- St. Cart. .CAC042667 Sl1eet N.o. Proposal Submitted To: Work To Be Performed At: Name Street City State Phone Ac.. 5 , II 1-+ l LL ~ It Z~'PhVRh~' s FIOR\bA- 'i1'3- 78~ -1J'378 Street !)b Lf 6 I ~ ..'" s r: City Z~pU Y~J,..~ ) \ ~ I Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of r:"..v..ftfVl."h. J t"'sr.,..u. o~6' llJ~ ToI)N) ST~~CjhT CooL Sfl.f SysT6-1'>"1 ,(I{.. ~~p~:,,~ 0"" ~""" a.t~ '.,o~* ~:1'"'''' D,~~'" ~"'e.-s _____l!tJ_ L.."''''b Lov..__ SI_ T's~_ J....D_uc)H..,.~..5_ <.JdL,tJ) l'.A..",,,"- 5 k"",-, f31,+t..\tA-c.. t\..e~+. t:SO-L~ e'(' .:r...aJ""~L... 10:"0 s E-e-~ .. W^(t~A-rJ+Y I 0"'6 y~R ?A-f2.-4-s It ~aDR ~?,."..., 1='0.." y~ .... _ ~l.. ii'y- Calc's Ale d J'\ L..L. ?A-~ is ~,..,~ . All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and .;gp~pl'ited in a substantial workmanlike manner for the sum of l)",e'Th.olo'.~~b~Jv" ~~,.,u.~ f-it-'r 4'~o DQJ.!!trs($ 185o'tl.,2). with payments to be made as follows: .. I! 50"~"" ~ I" DO.....!" o ,.J S . ~ N ~ f' Co '" iil.Ac:-T i)'" c. 0 ""'p......T \,oN _tfu"Y.Ubm~. Note- This proposal may,be.,.WitJl~r,a~n(by u.s,if not,accepted within 30. days. . t9Ja~ ;L'l;;LO, Any alteration or deviation from alxMt lIpBCifiCBtions involving extra costs. will be executed only upon W1'itten ordel'll. and will become an extra charge over and alxMt the estimate. All agreements contingent upon strikes. accidente 01' delaYll beyond our control. Owner to CBI'f'Y fire, tornado and other _ry insurance ~pon alxMt WOI'k. WOI'k. men's Compensation and Public Liability Insurance on alxMt WDI'k to be taken out by ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to ~q ttle work as.~pecified. Payment will be made as outlined above. Date 4-dC( -crt , ::::::~;,~<~ \..