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Home My WebLink About94-4106 BUILDING PERMIT Permit N'~ CiTY OF ZEPHYRHILLS (813) 788-6611 4106 /"1 BUILDING PLUMBING dO - c/ZJ ~ANICi>~) Date b - :2-0 - <j 'f ;liJ - t7iJ Property Owner: Job Address: Parcell.D. # Sewer Conn Water Conn: Water M_eter: T.I.F.'s: Zoning: Description of Work Energy Code: --I(~A., A-/C Radon Gas: NO OCCUPANCY BEFORE C,Q, FINAL b -.). 7- CY<../ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordar('e with City Codes and Ordinances. C,Q, DATE City License Registration # State Certified License# 7'1 Valuation or Contract Price 0<. tJ..s-o. (J() / Telephone# /~~ ~~7 L BUILDING ELECTRICAL PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ........ ______~ .....1'I;.>oN.... ~.~ ~ ............ ""''1'''"-'' ~'.' '__~_'__r~"',,-,,-,- -...r:'""'" C()LI:'S,41~. C()~VITI()~I~t7 .NilliV IiUTI~t7 37338 Kossik Road Zaphyrhllls, Fl33541 (813) 783.3723 PROPOSAL 1N0. Date 5- 2~-<i <t 5t. Cart. 'CAC042667 Sheet No. Proposal Submitted To: Work To Be Performed At: ,;- Street S- '7 2. 7.... B~$~. City 26P).fVRhl!..L.; Date of Plans Architect Name Street City State Phone c:.. ~ , \. \ \'\ \ L-L 'D2. ZePl4y~>>"...l s . ~J...of.:\, t:)A 813- '78~'" 8378 We hereby propose to furnish the materials and perform the labor necessary for the completion of ,. ;~~W\:~ ~ Z.lT~W. DNct ~?J~~ :~~ ~{~3ht Co:t. s~sr~ \.UI~ _ ~IJ__\,.!_ ____l'~Tu.e..,.., D_c...f w__~_ ~__,..) ",,., So, D~A-I"" L..\foICi:". "~~1-y p~,.,) L..',.,6 ~LI~) SL....A) '-'sT....; J Lou U ol ~ ~Wl\'~.'''''~ ~'> 5 Ku." ~le:Tf..\.CA-( ~CHt,."t t btJJ.~.v+ ~'(" ::rA,.JTR-oL \(!).oa S"e~ W^"u.~~y : tl"" E Ve-~R PINl-h. {. AIt-BoA A-U ~ .\.lONA-L ~""-t. YI:Aa..~ t\ '( .~:r A~"" Ii!. 0 \.. ay CoL~ '~ ft-/t! ( ~T. "'~ 0,3 A-Ll t>~--, . . . . All material is guaranteed to be as specified, and the above sw.ifications submitted for above work and completed \...uo \"O~~~~ ~\f-\y 4 ~o with payments to be made as follows: .~ work to be performed in apcordl\\"l~ with the drawings and in a substantial workman!'~El man'1~r for ~he sum of _ Dollars ($ 2 0 SD' 0.,9 ), '..'" '. . ~ -p \ "~ , t\ e 50.0;- , 1 ~ OO,D €},.J 6,.1 S \ ~ N 0 f c..o tI "ru.c...:r: ~ _p&.& "'C'"a: ~ . , /L'!b.~.R:?~ , ,......~..,. ......._,:.,~~+.....~ -~~"".' ':l',,; .. . ,.,,-:...;." ".', ~".'.",' ...,. Any altal'8tion or devietion from ebove specifications involving extl'8 costs. will be executed only upon written orders. end will become an extl'8 charge over end elxMt the .timate. All agreements contingent upon strikes. eccidents or deleya beyond our control. Owner to carry fire, tornado end other _ry insul'8l1C8 ",pon ebove work. Work. men's Compensetion end Public Liability 'ntIurel1C8 on ebove work to be tllken out by Respectfully submitted ~ \.C..k~ ,M, ~.~f: ~~ Per . ',.'". ..,', C'c Note- This pro3p0881 may ~ w'~hdr~rfn ~y H~ i' flat accepted within (:) . days. . -c:- ,,. '.,.. - ~..o.. ~.. ......,---:-::- "'"!""'". ...... ACCEPTANCE OF PROPOSAL The abolle prices. specifications and conditions are satisfactory and are hereby accepted. You are !3H~,t)Pri~~~ pp 9,qm~ m~r~ ~~ specified. Payment will be made a~ putlined above. Date 'f-:2f'-crrf Signature Sign.tu..iJu~~~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S NAKE PHONE OWNER · S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddiUon _Alteration _Repair _Install _Sign _Move _DelK>lish PROPOSED USE: _Single Family _KIF _' of Units _K/H _C~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 FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEvATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COKPAHY State Cert. or Regist. , City License Registration . ****************************************** 1 Signature COMPANY State Cert. or Regist. # City License Registration , ******************************* PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** COMPANY atef IjC ~ 1Ic7f?-;rVc; State Cert. or Regist.' C..ff.eo~L (oCp 7. S1 City License Registration . ~~ ****************************************** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERHIT OFFICER. ~ONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perl.it JaY be subject to "deed restrictions" "bieb Jay be lOre restrictive than City regulations. !be undersigned asSUles responsibility for co.pliance "ith any applicable deed restrictioos. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIfIler bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance "ith state and local regulations. If the contractor is not licensed as required by law, both the 0IfJleI and contractor Ja' be cited for a lisclelll!allOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiruents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the 0IfJleI bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections I of this application for whieb they lill be responsible. If JOU, as the OIfIler sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor Wi8bes you to 8ign as contractor that JaY be an indication that be is not properly licensed and is not entitled to perl.itting 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, bave been provided lith a copy of "Florida's construction Lien Lal - lkIIeolmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SOI8ODe other than the "OIfDer", I certify that I have obtained a copy of the above described cloc1JIent and plOlise in good faith to deliver it to the "owner I prior to COIIencuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all IIOrk will be done in COIpliance lith all applicable laws regulating construction, loning, and land developleDt. Application is berebylade to obtain a peIlit to do IIOrk and installation as indicated. I certify that no IIOrk or installation bas ~ced prior to issuance of a perlit and that all work lill be perfoIled to _t stanc1ards of all laws regulating construction, City codes, loning regulations, and land develo(lleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies I8Y apply to the intencled work, and that it is If responsibility to identify.hat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to: t Departlent of BnvirODleDtal Regulation - Cypress Baybeads, Vetland Areas and InviroDleDtally Sensitive Lands, Vater /lfastewater treatlent t Southwest Florida Vater Managel8llt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses t ArIy Corps of Ingineers - Sealalls, Docks, lavigable Vatenays t Departlent of Health' Rehabilitative Senices, InvirODl8Dtal Health Unit - VeIls, Vastewater t'reatlent, Septic tanks t US InviIODleDtal Protection Agency - Asbestos abatuent 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 "COIpenSating volUll!" "ill be sublitted "bieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perlit issued shall be construed to be a license to proceed with the IIOrk 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 fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe invalid unless the IIOrk authoriled by sueb peIlit is COIIenCed within six IODthS of issuance, or if IIOrk authoriled by the perlit is suspended or abandoned for a period of sillODtbs after the tile the IIOrk is co.enced. One 90 day utension of tile, I8Y be allOlfed for the perlit lith fee charge of $15.00. 'be utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the profect lill be considered abanc1oned. IfAlUtIIfG 'lO (lOR: YOUR FAILURE 'lO RECORD A IO!ICE OF CClMBlCBIIIII MAY RBSUL! II YOUR PAYIIG niCE FOR IMPROVIIIIIIS 'lO YOOR PROPERlY. IF YOU IIt'fBID to 0BI1Dl FIIIBCIIG, COISULt VltH YOUR LBIIDIR OR II AftORDY BIPORI RICORDIIG YOOR JOIICI OF COMMDCBMm'. JOBS UlDIR $2,500 Iii VALUE DO IO! IUD to RECORD AMD POS! A -IO!ICI OF COMMDCBIID'l'. SIGlAIURE: (MIIR OR AGBII! SIGllAtURI: COI!RACtOR STATB OF FLORIDA coum OF The foregoing instrument was acknOWledged before me this , 19____ by S'lAn: 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC