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Home My WebLink About94-4203 . ~~~F'UILl:?lt~~Y~L~RM!! N! .42038 ~ ~:: (813) 788-6611 Date ? - :3 - 7-'1 ~ E~L PL~ ~' Sewer Conn Property Owner: Job Address: Parcel LD, # ~9-~ ~O~h64k 01! I 7\-rfr ~ trJ Water Conn: Water Meter: T,I.F.'s: ~on Gas: ;C /, ~/p..-0) ( / '1!;; FINAL 3/\0 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordaro:-e with City Codes and Ordinances, Zoning: ....- Energ~ Code: ;] . . Description of Work K CJL.L ~ &- ~ avyO?T~flalJ- NO OCCUPANCY BEFORE C.O. DATE c.o. DATE Inspector Valuation or ~ . 0 'Z> Contract Price <;;; aDO ~ D~ Permit Fee ' - Signature ~ :;~ 11 Company Address City License Registration # f r ~ V(h{. .~. State Certified License# J ) 8~?I~1e~~~/~ ' BUILDING EL ICAL PL ING -- Ftr. 1--l.f -~'I ~ LL Pre SLB ~ - Jfc.f- ts1LL Telephone# ME~. Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Driveway "S...<f-Li'l i5tCL p(~O , ~Al~ Si410 t:j -Q-{1t.( BJiL 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. ',,~,,~.lI',~~ S]].ANJ:)A.RD.)gq~",Q~i\~~r BEtWEEN ' CONm~()R'ANI)i~' < -..\~~j.:':::, -~" (,,' .-:.';' :":~'';:,,~l,'t! ~,~ ". ,'. :/ .t,';.'.>'':',, P~;?I/5" :~KIJ~ And shall be ARTICLE 3. THE CONTRAcr, SUM The Owner shall ~ ~ Con~r for the performance of the Con~ ~ addi~ns and ~~ provided therein, in current funds as follows: ' ~~ -;tUCJ 7lIt)LL'5dA-/~ /&JO -bAt'/'i A/O. J (State here the lump sum amount, unit prices, or botb, as desired) A~;~~~~~~;,'pn1en will be submitted by the Cont:ractorfor ,all work nol speciBcally in~mtbis 9011b:act. ARTICLE4.:PROGBESS PAYMENTS (Insert here any provision made for the amount retained after the work reaches a certain stage of completion,) ARTICLE S. ACCEPTANCE AND FINAL PAYMENT Fmalpaymentshall be d.... 7JI~ daY*~ substantial completion of the work provided the work be then fully completed and.~~~.,~pedonned. '.., ., ARri<iE',,& ,':t'l'8EOoNmAcr. noCuMEms " .,,:':, ;':-,'::"''''}.'',,:-.>c-{;;!,: :,.', - __ : _ _ _ _ ,':. _ _ _' _ ,',:,::_,,_,,':/~~_::'~:,_:",'_ The GeDeral~ of the Contract, the Specifications and the Drawings, together with this Agreement, f~ the Ccni~~8Dtthey ~ as ~y a part of the Contract as if hereto attached or herein repeated. The foDawing is an itemization of other essential pertinent information: ~""fJ"'"",,, ~~ i. ELL.JO'l'~ 4~o=r;:'ii1:l,,:.\ .',...."-',\ -,~ ,. '= I :_: a -'. = . - ~.~;::-~!, ,,~)-. .Iii t/7- ,/ / &,{ l/ ;, {j;?1 ,;J . l' I ! d i I '-/,I/'i II - j. i i i ""'1("1 , , I I ~i ! ~ I ,I ~ f?J ~. 4f1J f ~(!J 1~()1' , fA-L- 10-.(11' 12 1\ i~l::D pl'lTlO Wi "SctU:;rJ fl.M. '3' ::5) ..o~Al..1C. , I S'OLja ell.i'~ ! , , ! F' I..A T c; "tJC. l ! I ~ i . .. . I I ~. Pt.ANTIi/f? /(' 36< 'k-. .z: e: p /"y L I'f? /~66 , I I · ~6T II : : l!~ I '.b,i_l 'I I pile; 1/ -7 I I I . JJ14~h .J7J.j 0'/ /()() ~ \ 'f ;;!:~!:c ::0 :.11 COntr.Jctor:: ccr.ccrncd \Jill. concrete for tho desIgn, 'fnbr1cHlon, ,10() erection uf .\hJlll1nuCll Srructurc~ Only. P:1C to Sl.1!J t:;: Hll1tn:u::t U")';I~" f oater \1/21 S rcbnr. r:r[~ctlvc llovcL1bcr 15, 1990 concrctc ah.Jll be In::ltallccJ u rcC;ulrcd in dcc.,n ['clo\l. ~ C04c:... Cr:~tl.J.:.. ." ... . ;. J~Yt" II :.:G& I . , (" r1.l- ~ I 'If D W, W . ..., . -SOOT \ \~~~:\__~~,~___ ~caL. E:N('Lo~UK~S .. ,. ... .. '. ~ . I . . . .~ . .' - "f ... .... '. '-J.. - I t?, - .--' :1"'~'11I '.. - JJB:;=";.":" -. -.-~"I I-/. :: .:-: .~ : ~ =.~ . :..:." " '- " 110 \,'-J, w.~.. ". . '~I~.i! '- I'-or '" oj> i<:e.p:>~~ E~ ., . r=. · .. I - c:. ). I n ole.. ) ,=:J ~ - : ..~ ~ ~ t.:c!>~rz.'1E:"T. &.~ ~ ~l". ~ ...-7 .. , L ~- ;'~)G. ~ ~ ~~ h t... ~ '= E:. t:? ' ~ A. E? ... . r I . .,J ".::j , ~" = ~. = '" · -:: .; . _ _:..:.A Oil/I":} ,-'h':= .,. ::: ~:}~'n,,::: Eo. ,WG.L L; B ^ e", Ie., CMU jll .~ t - __ I, - :..:;- -r--~J n II =.: .> ~ i III~ a J ~'.' c.' ,I. :JIll ((J! Wf . ~ .., ,:-- , r~l C.O~c" , I, 'l.e-::'{l r!e~l"tz.~ , .._-_:.:---... - '" , , I ",Jr j ~? ~ :'T:li' ~.;! ~T} -i'- ,~_.~..;. - ----.,1 r . .:.. .......... ._. .. . - . -::: .. I(~. .. )4 ,'. .. ".. . . :; '1z II d'J .:;~ .. ..... . .. ..0 .". .. .. . 5L$I~.~r....=.....~;',.. ~,: .:-. ---.;':' . · ~ :-:..'0:.- C. c.. _ ,=;Ia <:>> 'N. 'H./J.. . o. ':::r~.-;~iI1~....... 1-''' ~ ~ ~ci.C:A~ ' . , s ~r;o L rz.".:o:. :: l..l~=. -::) ~ Ii! 'J ':~ .r-' c.o~c:.... '~1 ' :: ! ~ . ~! ~ APPLICATION FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDING DEPARt'ItENT ~~'Y)/)'il~ . . ~If( ~11it OWNER'S lWtE ;.1.;11 IN-rc'ltt:S~ PHONE OWNER · S ADDRESS JOB ADDRESS &/// 2{-,>/]hYR_ IiI1Jv73/Ub LEGAL DESCRIPTION: toT(S) BLOCK SUBDIVISION PARCEL LD.' WORK PROPOSED:_Nev Construction _Addition _Alteration _Repair _Install _Sign _Hove _DeJIOlish PROPOSED UlSE: Single Fallily _M/F _' of Units _M/H _ec-ercial _Indust. _Swia. Pool Other _Restaurant. 6: Health Depart.ent Approval BUILDING SIZE: x ~re Feet. Height RESIDENTIAL : cotVIERGL\L : ATTACH (2) PLOT PJ:.MiIS 5: (2) SETS OF BUILDING PLABS 6: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORtIS. PROPERTY SURVEY REQUIRED FOR ALL lUl.W CONSTRUCTION. L~LDING PERIIITS REOUF.STED $ 9J..C() ,,")0 Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. ,_W.R.E.C. _MECBAIIICAL $ Valuation of Mechanical Inst:a1lation _PLlJtIBIBG GAS ROOFING SPECIALTY TYPE OF CONSnucrION: _Block _Fralle _Steel Other FIIIISHED FLOOR ELEVAnONS: Fr. IS PROJEct IN FLOOD ZONE AREA? YES NO .............t.t..tt...................... BUILDER CONTRActOR SECTION COHPAliY 7?+/I /fJ ~N ~/O;-{}-/llrNT / AlC-- L State Cert. or Regist:. , ~ Y.5v1l ~ City License Registration' Lj~1 C ............t.t........................... Signature ELECTRICIAN COMPANY State Cert:. or Regist. , City License Registration , ............t....t............t........... SiP11Ature PLutmER COHPMiY S tat.e Cert:. or Regis t. , City License Registration , .......................................... Signature MECHANICAL COttPANY State Cert. or Regist. , City License Registration , .......................................... Signature OTRF.R COMPANY State Cert. or Regist:. , City License Registration , .......................................... Signature APPLICAnOB APPROVED BY PElUlIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'lbe undersigned understands that this perlit JaY be subject to 'deed restrictions' wbieb Jay be lOre restrictive than City regulations. !be undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY 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 .y be cited for a lisc1eJea1lOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelleDts .y apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813) 788-6611. FurtberlOre, if the OIIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb they will be responsible. If JOU, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes JOU to sign as contractor that .y 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, bave been provided with a copy of 'Florida's Construction Lien Law - BcIIeoImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUle1' Affairs. If the applicant is 8OEOI1e other than the 'owner", I certify that I bave obtained a copy of the above described dOCUlBDt and pralise in good faith to deliver it to the 'owner' prior to COlleDCelH!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in COIPliance with all applicable laws regulating' construction, loning, and land developleDt. Application is bereby .de to obtain a Perlit to do work and installation as indicated. I certify that no wort or installation bas cmleDced prior to issuance of a perIIit and that all IOrt will be perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!l1lleDtal agencies .y apply to the intended IOrt, and that it is Iy responsibility to identify wbat actions I lUst tate to be in cOlpliance. Sueb agencies include but are not lilited to: t Departlent of EnvirOlllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Wastewater 'lreablent t Soutbvest Florida Water ManageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArIy Corps of Engineers - Seawalls, Docks, Navigable Watenays t Deparblent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'lreablent, Septic 'lants t US Envirouental Protection Agency - Asbestos abatl!lent I also certify that, if fill .terial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'COIpeDSating vol_' will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A petlit 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 perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCCIIl! invalid unless the wort authoriled by sueb perlit is COIIBIlced within sillOllths of issuance, or if IIOrt authoriled by the petlit is suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 day extension of tile, .y be allowed for the petlit with fee ebarge of $15.00. 'lbe extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned. "ARNIHG 'fO OWHER: YOUR FAILURE 'fO RECORD A NO'lICE OF C<IlIIDCEIID'l MAY RESOL'l IN YOOR PAYING 'lIfICE FOR DlPROVIIIIftS 'l0 YOOD PROPEm. IF YOU IIlmD 'fO OB'l'AIN FIUKCIHG, COXSUL'l WI'lH YOUR LBIIDIR OR AX A'l'fORDY BBP()RE RICORDIIG YOOD DICE OF COMMDCEHBM'l. JOBS OlDER $2,500 IN VALUE DO 10'1 IDD 'fO RECORD UD POSt A 'NOIICE OF C<ItMIJfCEIID!'. S1~~~ S'lA'lE OF F~ coum OF fJ:5m The foregoing in~trum~t was a~~owledged before me this 7' ~5 , 19.:J.:L by .~oL SIGII . COI!RAC'fOR S'lA'lE OF FLORJ~ coum OF 'St'/7 The foregoing instrument was aCkn~ledged before me this ;-:::1r' , 199 by brsJi '73e17A8 who i ersonally known to me or who has produced as id ification and who did/did not take oath. . ~