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Home My WebLink About94-4062 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 Permit N,~ _ 4062/1 Date -..5'-- ~.....- 7 Y BUILDING ELECTRICAL PLUMBING GCHAN~ Pmperty Own", 9;h !' 7i- ~ Job Address: ~$1 __ __ _ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy ~o~: Description of Work -4/ C ('./( ~rJ.-Q Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 6,,1-- 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 # 71 State Certified License# :~;~~~~ Com~_ Address Telephone# Valuation or Contract Price i Q0(:)" CJ7~ BUILDING ELECTRICAL PLUMBING Ftr, Pre SLB Lintel FRM. InsuJ. CL WL Tp, Serv, Rough In Meter Can Canst, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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, APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAMETch.~ l D ~~ MG.-cD ~ OWNER'S ADDRESS Sit \ H , ll.... D rL . 5~y.y (8~ SI: PHONE grJ ~ 7 8~ ~ $'3?B. JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----^lteration ____Repair ____Install ____Sign _Hove _D~lish PROPOSED USE: ____Single F~ily ____H/F ____, of Units _H/H ____~ercial ____Indust. _Swim. Pool _Other ____Restaurant & Health Department 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 /KECHAlfICAL AMP Service Florida Power Corp. W.R.E.C. $ / 13 50 ,,,~ Valuation of Hecbanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. , City License Registration t ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration t ****************************************** Si2llature PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** ~~~ COMPANY Cb{ES I\[C' i f{E~T(~5 State Cert. or Regist. , Signatu, City License Registration' 1-1. ---- .......................................... omRR COMPANY State Cert. or Regist. t Signature City License Registration I ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this penit aay be subject to 'deed restrictions' wbich lily be lOre restrictive than City regulations. !he undersigned assU11e8 responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OImer bas bired 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 0IIDer and contractor lilY be cited for a lisdele8llor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelellts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtberlore, if the ower bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the OIfDer 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 lilY be an indication that be is not properly licensed and is not entitled to peraitting 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, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - lDeoImer's Protection Guide' prepared by the Florida Depart:lent of Agriculture and ConsUlleI' Affairs. If the applicant is SOIIeOIle other than the 'owner., I certify that I have obtained a copy of the above described docuIent and prolise in good faith to deliver it to the 'OImer' prior to COIIeDCl!lleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work will be done in COIPliance with all applicable law8 regulating construction, loning, and land develOlJleDt. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation bas CDIeIlced prior to issuance of a perait and that all work will be perfoIJed to .et standards of all 1_ regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDleDtal agencies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in COIPliance. Such agencies include but are not luited to: I Departlent of InvirOl1lelltal Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands, Water/Wastewater t'reatlent I Southwest Florida Water Managelellt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses I ArIy Corps of Ingineers - Seawalls, Docks, lavigable Waterways I Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater t'reatlent, Septic t'anks I US InviIOlllleJ1tal Protection Agency - Asbestos abatuent I also certify that, if fill IIterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIIpeIlSating volUlle' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perlit issued sball 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 sball issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe invalid unless the work authoriled by such peIlit is COBeJlced within sillOntbs of issuance, or if work authoriled by the perait is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day l!Itension of tile, .y be allowed for the perlit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the profect will be considered abandoned. WARKING t'O lMIR: YOUR FAILURE t'O RECORD A NO!ICH OF C(JIIBNCBIIIM! MAY RESUL! IN YOUR PAYING filCH FOR DIPROVIIIBIt'S t'O YOOR PROPmY. IF YOU IJIIIND t'0 OBIm FIIIIICIRG, CONSULt' wlm YOUR LIJIDIR OR II AnoRIIY BIFORB RECORDIIG YOUR IIOt'ICH OF COMIIDCBMm. JOBS OlDER $2,500 IN VALUE 00 IO! lIED t'O RECORD lID POSt' A 'NO!ICH OF <XIUIDCIIIIII'f1. SIGlAfU1II: OIOIIR OR AGBIIt' SIGllfU1II: ComAC'IOR St'AD OF FLORIDA coum OF The foregoing instrument was acknowledged before me this ( 19____ by St'AD OF FLORIDA coum OF The foregoing instI'UlleJ1t was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ,'T _.~_~ .'II!I.__.......~, ,'u _._ '"J"'..,........"..- ~ ......-------.-"..-...---~ -----... -'-""-'-'-'-'-'--C--~'-"'-""~-_ ~ ._._~.~-.. _."__ ......... -,-.-......__.'..._.___ ~., .......,. ~ -.. - ~_._-~.- ~. C"LI:'I4I~ C.,NVITI.,NINt; 4NV IiUTINt; 37338 Kossl~ Road Zaphyrhllls. FL 33541 (813) 783.3723 PROPOSAL No. Date 5-2-1-'1-1 St. Cart. .CAC042667 Sheet No, Proposal Submitted To: Work To Be Performed At: Name Street City State Phone ~n-., ~ II \ 1--\-' lL.. D~ ~I>H.'(~ .,~ LL ~ t=..~~~ I ~A Bt~- 78'2.A ~378 Street 5"b ~ If , 8"" 5". City '%s PH YR..... i LLs Data of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for tha completion of ~a.N\.~" '" IN,7,q.LL et.JC!:- L 11/2.. To,.,) ~TR\~"T C..nQt. ~p""'~-\- 'tS~ST~ W.-t." Ii S" Pply Ar.J~ ON~ Ke-T",-~~ b ~a.. T woi:t.\c ,....t=RE:of'" l..\~J ORA\~ ~~~ I S~~I<~ ?;:k;::"~::'T. aIA~i~~-r:~\ ~~ 1~~~'l ..""'IM:l' to.oo ~bC.-2. WA-tt~~,.,,.. Y , Oe.JCC Y~Q.. fjiit4LA-BoR. ^ U ;+&'0"'4-<.. N ",,(l y~s ~ Y 3' ",.,i"'R.o L BY en lri/$ Ale i ~h "'j Ou A l...L ?t'-~+~ All material is guaranteed to be as specified, and tha above work to be performed in accordance with ..the drawings and specifications submittad for above wor:~ an~ cO{Tl.eI~tad in a substantial workmanlika manner for tha sum of e~~ ThO'-'-SA-wD ~k..f- Hwr'\\.e.c.C Rt"t""~ ..~-:o ' Dollartf(SlSSO'~ ), with payments to be made as follows: , s. 5"0 .~ .'''00.0.. o~ 6.., Sl5u of c..,J~ C.Jbrr.pL~Tc.';~ Pc-#c.tat ;;1.7 ~ 0.. . Any alteretion or deviation from aboYa apecifications involving axtra costs, will be executed only upon written orders, and will become an extra charge over and above the eetimeta. All agreementa contingent upon Btrikes. accidenta or cIeleya beyond our control. Owner to carry fire, tornedo IInd other MC8lIlIlIry illlural1Cll ",pan llbove work. Work- men's ComPllnsatlOllllnd Public Liability Ill8ural1Cll on llbove work to be taken out by ~fu"Y.Ubm;~$44! Nota- This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL The above prices. specificetions and conditions are satisfactory and are hereby accapted, You are authorized to do the work as specified. Payment will be mada as outlined abova, Date Aj~;2<j-q1 S;gMM"-ft. ~ ~ S;gnOM" jlj) ~/~ ;~~.p