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Home My WebLink About94-4220 BUILDING PERMIT P . N'O ermlt -. CITY OF ZEPHYRHILLS (813) 788-6611 4220/3 Date -4-/ tJ-Y'! ~~N~ Pmp.ctv Own., ,dJ;'j 17_ ~ 5P=d/h Job Address: ~ -'l :.s -? ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D, # Zoning: Energy Code: Description of wo;;-~ ~4---' ~ Radon Gas: ~Al ~ _7) A7 FINAL~~ /L~"'- 9 DATE NO OCCUPANCY BEFORE C.O, Complete Plans, Specifications and Fee Must Accompany Application. C,Q, All work shall be performed in accordarr::e with City Codes and Ordinances, DATE Inspector Permit Fee Signature Company Address Telephone# "j ~ ,-'~ . - ~ . Valuation or Contract Price ~/,;( / L cr1J City License Registration # 02.7? , State Certified License# ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr, Pre SLB Lintel FRM. Insul. CL WL '8.-/14 tf ~ 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 PERKI.T CITY OF ZEPHYRBILLS BUILDING DEPARTMENT (' . L' :::>&;/j I IV Q...u OWNER'S NAKE /fl r (')(") '(de"" Eo S'rYh <1 yU PHONE(SI1) 7(; 7- / S 07 OWNER'S ADDRESS JOB ADDRESS .5 S I Q LEGAL DESCRIPTION: LOT(S) j' JI k s 7. BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ~lteration ~Repair ____Install ____Sign ---'love ____Deaolish PROPOSED USE: ...i:..siogle FSllily ____KIF ____, of Units ---'l/H ____eo..ercia1 ____Indus t. ____Swia. Pool _Other ____Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: Tt-cc !,) , 1\CPClI r BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERGIAL : 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 CONSTRUGTION. PERKITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AKP Se"ice Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLtIKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: --..Block ____Fraae ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA'l YES NO .......................................... CONTRACTOR SECTION' BUIWER ~~jr ji)]~jJ cotIPANY Be7fcr IAITT ,; ,-, (. /'/ -/;;){~ State Cert.. or Regist. , Signature ~ ~ City License Registration , .......................................... rvvc, ELECTRlCIAR COMPANY State Cert. or Regist. , SiDnAture City License Registration , .......................................... PLUKBER COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit laY be subject to .deed restrictions. which laY be lOre restrictive than City regulations. The undersigned assOles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tbe contractor is not Iicensed as required by law, both the owner and contractor laY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguiretents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the IContractor Sections. of this application for wbicb tbey will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlltting privileges in the City of Zepbyrhills. ' 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 - HOIeOWDer's Protection Guide. prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is sOleone otber than the lowner., I certify that I bave obtained a copy of the above described docUleRt and prOlise in good faith to deliver it to the .ownerl prior to cOllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlPliance with all applicable laws regulating construction, loning, and land developtent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perlit and that all work will be perforted to l8et standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveIDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOIpIiance. Such agencies include but are not IiIUed to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnviroDJentally Sensitive Lands, Nater/Nastewater Treatlent t Southwest Florida Nater Managetent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t Departlent of Health , Rebabilitative Services, Environtental Health Unit - NeIls, Nastewater Treatlen~, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify tbat, if fill laterial is to be used in Flood Zone IAn or IA,etc.", it is understood tbat a drainage plan addressing a .cOJpensating volute. will be subtitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance, A perlit issued shall 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 shall issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid unless the work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is co.enced. One 90 day extension of tite, lay be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned. NARNING TO OIfNER: YOUR FAILURE TO RECORD A NOTICE OF C<>>lHBMCEMlNI MAY RESULT 1M YOUR PAYING niCE FOR IMPROVIMBIft'S TO YOUR PROPERTY. IF YOU II'JEMD TO OBJAIH FIHAIICIHG, COHSULT NITH YOUR LEHDER OR All AnORRBY BEFORE RBCORDIHG YOUR HarlCE OF o jUIDIB ?7'~ ~~~ MIl 11IO 10 BIlW AID m A '. LOP ~.-:;'rl! '/ltut- ft{G; ~.At:Vr~J'y0 SIGHATURB: onBR AG~ SIGIfATURE: COIfTRACTOR STATB OF FLORIDA COUNIY OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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 :I'yped, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC PROPOSAL BETTER BLJILT CONSTRUCTION INC. P,O, BOX 552 CRYSTAL SPRINGS, FLA. 33524 (813) 783-2414 DATE AUG, 3, 94 LICENSE # RR0059931 SPECIFICATIONS FOR THE MR. GORDEN EASTMAN JOB: JOB LOCATION: 5512 17TH, ST, ZEPHYRHILLS, FLA, 33541 (519) 767-1569 WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR THE COMPLETION OF THE FOLLOWING: ROOF: REMOVE AND REPLACE 420 SQ, FT, OF ROOF SHINGLES, $630 REPAIR ALL DAMAGED, ROOF FRAMING AND ROOF SHEETING $285 (NOTE NEW SHINGLES MAY NOT MATCH THE EXISTING SHINGLES EXACTLY) INTERIOR: UTILITY ROOM:7' X 9' SEAL, THEN PAINT THE CEILING $63 REMOVE THEN REPLACE 1 32" BIRCH INTERIOR DOOR $125 PAINT THE DOOR JAMB, POLYURETHANE FINISH ON THE DOOR $65 USE EXISTING HARDWARE ON THE DOOR, KITCHEN -DINING 8' X 18' REMOVE AND REPLACE 96 SQ, FT, OF DRYWALL CEILING, $185 REMOVE AND REPLACE ALL DAMAGED INSULATION, $144 SEAL THEN PAINT THE WALLS, $144 ADJUST AND REFINISH 1 EXTERIOR DOOR, $65 FORMAL DINING ROOM:9'7" X 15'6" SEAL THEN PAINT THE WALLS $180 LIVING ROOM: CLEAN CARPET $45 GENERAL: TEMPORARY ELECTRIC SERVICE PERMIT COST DUMP FEE GENERAL CLEAN $65 $45 $40 $40 TOTAL HOUSE DAMAGE $2121,00 REMOVE AND REPLACE 1 DAMAGED (SIDE BY SIDE) REFRIGERATOR $925 RESPECTFULLY SUBMITTED DATE ACCEPTANCE OWNER DATE OWNER DATE ~ .. .