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Home My WebLink About94-4282 BUILDING PERM~e! ~4282 vi CITY OF ZEPHYRHILLS .". _ /-r (813) 788-6611 Date 9- 1-7'1 BUILDING ELECTRICAL PLUMBING GCHANIC~ Sewer Conn Water Conn: Pmpeny Own", 1;-:; fr~ # ;) Job Address: S "-- _ _ _~~ Parcell.D. # Water M~ter: T,I.F.'s: Zoning: Description of Work Energ~e: -11 C d/h-f! ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 9...-~ ~- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. c.o. DATE Inspecto~ Permit Fee Signafure Company Address Telephone# de~""'" c7D -/1 J -;;/7 ,;C.L.4..! ~ C-JC,-~_~-~.- , Valuation or j Contract Price ? 7 tIV ' tJ<J City License Registration # J '19 State Certified License# '7'// -- 7/Y-~)'o jl#Aw/~AIul&l ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . Jrnpnsal DEVELOPMENTAL AIR 28241 International Court Wesley Chapel, FL 33543 (813) 991-4955 STREET / -/ , , -?: ' -,.-- 7" / U/'<;.' /:::lid,,' CITY. STATE AND ZIP CODE ..-r- I' ~,,;n C -.' ARCHITECT /:? '7" 0(/,.''/ We hereby submit specifications and estimates for: ;!"0h' /?c /;' <? PHONE \1'''';;' - J'. 30 L / {, (}fO ,", t. -I JOB NAME ""'./' / ./.,~/ .c.,oi!,,/.1 V "/,.,,,1':1 JOB LOCATIO S-';-/' DATE OF PLANS ,- ./' . i.. ..-<- /0.-1"'/ ... 7 I ',..1 JOB PHONE ':::"-:A../ / ,/ C"'A;" ,.v c;~... f(" L _ ~ '~.~.9 d I, ",' L. /., ,~ A't""":7ct/ ),~ '7'" /'\~.~c:..'c: J ,;7 " ,)... _1 _L ,,/':' ,/ ~,/ ._;~/ ';... 7-- 9/' / ';. ,'\'(.-'4,/ A? - - ',,'/'> ~~ o.y'r- 9" / .c Jlrupusc hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: ..} -,:;( / ,. //' /. / .I - ~O 00 C./tl,- / r c '-"591./ ,y _.j~{/e A/ /'1"V,Uc7.-t'e r/ dollars ($ .r / C:7 ',~ ). A YMENT TO BE MADE AS FOLLOWS: ., ('0-'1 . - .",' " . , --7' - _ -7l_~ ...// ~...:: ,<~./ I 'r-!' ,/ - ':; y; ;,. ,'- ..,. -. u'- -". \..'l~"'''' ,;.,,( ..G' Ta c:' ...~ (..~;.-' - 7" C-t'-,' r) ~ L ,,0 /.....f'n ,.- :;,~./{- ~ ;('Q ,v,r- I k--'~" ?/t~ 0 -,<_,J~' ,. / .' " " All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. J'rrcptanrc uf Jlrupusal - The above prices, specifications and conditions are satifactory are hereby accepted. You are authori,zed to Jk> the work as specified. Payment will be made as outlined above. '-1-'. /' :: .~... ~~; t /',.. Date of Acceptance: j ,," : / /..... I I ... .~ L:?9 ~ ;-<~ .~ ,..<..' / "./ , /0.60'-(> ,) ,e{~j~,-r O/'('~ Authorized Signature \ ..~. ;J' /~4..# a /;;;/ -;~.J1 _ \'~~_.~~ /' NOTE: This proposal may be withdrawn by us if not accepted within ,:ro days. Signature / Signature APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT OWNER'S IWtE ,.ft;,.}'( /Rt/OJr/'j PHONE ff'/3-6'C};;- 7707/ OWNER'S ADDRESS 1/708 %<./N ~ (~G/,ynV A'%'/ -;0;/1'//'7 . /~. __~?k:/>- / / ' JOB ADDRESS Z:;LJA'-<I/~;//; /~A!/5T 5:J77 C..?;/ /?~/ ';~.-f-p'~y'-t;1j. / / LEGAL DESCRIPTION: LOT(S) BLOCIL...-.SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ----Addition --..Alteration --llepair ...LInstall _Sign -.JIove _Deaolish PROPOSED USE: _Single Faaily ---If./F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant It Health Departaent Approval DESCRIPTION OF WORK: ;I;0H ~cMqe UN"/- C~,vqe QI'Y ./ .....,,/ BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATl'ACB (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. COMMERCIAL: ATl'ACB (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --L:.JmCBAIIICAL $ 170)0 Valuation of Mechanical Installation _PLUHBIIIG GAS ROOFING SPECIALTY TYPE OF CORSmUC'llON: _Bloclt _Fraae _Steel Other FIllISHED FLOOK. ELEVATIORS: PT. IS PROJEC'l III FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION RIITI.DRR COKPARY State Cert. or Regist. . City License Registration . .......................................... Signature RT.RCTRTCIAR COMPANY State Cert. or Regist. . City License Registration . .......................*.................. Sionature PLlDIBER COKPARY State Cert. or Regist. . City License Registration . .......................................... Signature Signature COKPANY L7e.v""~..z?/-'T",..#h/ _,0~ ~ '/ P . .?' State Cert. or Regist.' /~co 1/.7';77/ ~?~~<-<' ?/? C~'h.- City License Registration' .... ..................................... IlECBANICAL OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATIOR APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perait laY be subject to 'deed restrictions" wbich lilY be lOre restrictive than City regulations. 'l'be undersigned asSIlleS responsibility for cu.pliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wort, they lilY 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the nContractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting 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 'Plorida's Construction Lien Law - HOIeOlfJler's Protection Guide" prepared by the Plorida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is sOftOne other than the 'owner., I certify that I have obtained a copy of the above described docUleDt and pIOlise in good faith to deliver it to the "owner' prior to cOlleDceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIJation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perait to do work and installation as indicated. I certify that no wort or installation has cOlleDced prior to issuance of a petlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: t Departlent of Envirolllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater 'l'reatlent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Aray Corps of Enqineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks t US EnvirODleJltal Protection Agency - Asbestos abateJent 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 'co.pensating volllle" will be sublittedwhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait 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 perait prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid unless the wort authorized by such petlit is cOll8llced within sil IOnths of issuance, or if work authoriled by the perait is suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 day IlItension of tile, lilY be allowed for the petlit with fee charge of $15.00. 'l'be IlItension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned. WARMIMG 'l'0 0IflI1R: YOUR FAILURE 'l'0 RECORD A MO'l'ICE OF COIIHEMCEIIEtf'l' MAY RESUL'l' 1M YOUR PAYIMG nICE FOR DIPROVBIIEITS 'l'O YOUR PROPERtY. IF YOU IJIDMD 'l'O OB'l'AIM FIIWICIMG, COMSUL'l' WI'l'H YOUR LBllDIR OR All A'l"l'ORMIY BEFORE RECORDIMG YOUR MO'l'ICB OF COHMEMCEHEM'l'. JOBS UlfDER $2,500 1M VALUE 00 MO'l' MEED 'l'O RECORD AMD POSt' A 'MO'l'ICB OF COMIIEIfCEm'l'". SIGJIA'lURE: (MIIR OR AGEIi'l' ;7 SIGIfA'l'URE: COII'l'RAC'l'OR S'l'At'! OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by St'A'l'E 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 o~th. (Signature) (Namt! Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC