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HomeMy WebLinkAbout94-4461 ",.- JI~..- Q BUIL~!t:~~HY~L~RM!,! m _4461P (813) 788-6611 Date, /1-- /t:J~7~ Property Owner: Job Address: Parcell.D. # ~c PL~-.. M~'SewerConn ,!Jf)}7/}/~~~ji e~tfts ,~ Water Conn: Water M..E!jer: T.I.F.'s: Zoning: Description of Work FINAl~?. - / tf'-l DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C,O. _ All work shall be performed in accordarce with City Codes and Ordinances. DATE Inspector Valuation or A ~ C- .., / ' o~ Contract Price ..ll-- ~ 7 ~~r.a C;ty Ucense Reg;s"at;on' & 'I ?o~~ State Certified icense# !JV Permit Fee Signature Company Address Telephone# ,~~ ~ AL G Ftr. P,e Sl~ 5 Lintel - l..\ FRM ,; , Insul:~~~ i Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 APPLICANT ---..b\.\t~a.V"" Ct'l~trl1c+~V\ ~ \~.\(,.. . -Dad~ . f~ j FL 33sz.s-PHONE ~)4\ 5u1. (d)\-1 I ADDRESS \'5~\\ . U, S. 3D\ OWNER ~IfI(lr(. \VLL JOB LOCATION ,)<6t DD \OWV\v\e l.A.) b\~ tt-1.. LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # 3t;;.z-r::,- 2...\. I)llll1' 1')9'1[)f)' Ou\U WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair ____Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Uni ts __M/H _Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ET.ECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** SilZIlature PLlJMRER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature ~-/!. !II-~ Company ~\\\ \ \) d( ( 6ltS. +. \ \ I'\. L State Cert. or Regist. 4F . if Rc...oo~S2-l<;" City License Registration # '37 OTHER '- ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit .ay be subject to .deed restrictions. which lay be .ore restrictive than City regulations. The undersigned assuaes responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be cited for a tisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to ~at licensing requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. "", Further.ore, if the ONner has hired a contractor or contractor~l he is advised to have the contractorlsl sign portions of the .Contractor Sections. of this application for Nhich they Nill be responsible. If you, as the owner 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. 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 Nith a copy of .Florida's Construction Lien LaN - Hoteowner's Protection Guide. prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is so.eone other than the .0Mner., I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the .0Nner. prior to cottencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work .ill be done in cotpliance .ith all applicable laMS regulating construction, zoning, and land developtent. Application is hereby tade to obtain a pertit to do Mork and installation as indicated. I certify that no work Dr installation has cottenced prior to issuance of a pertit and that all work Nill be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is IY responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not litited to: . Departtent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaqetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departtent of Health ~ Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks . US Environtental Protection AQency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a .cotpensating voluae. will be subtitted Nhich is prepared by a professional engineer registered in the state of Florida prior to per.it issuance. A pertit 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 pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid unless the Nork authorized by such pertit is cottenced Nithin six tonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six tonths after the tile the work is cOllenced. One 90 day extension of tite, tay be alloNed for the pertit ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six tonth period, or the project will be considered abandoned. WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ~T. JOBS UlmER $2,500 IN VAlUE no NOT MEED TO REcnRD AND POST ~.OTI E OF CO""ENCEHENT". ,~ ~ II1dJ .. · i #/d- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR to me or who has STATE OF FLORIDA COUNTY OF ~,5CO The foregc' i ng in~tr;'tment before me th i s/t)!!> IIJdtL. ()I4P1~~ t- /{1/0-. who is personally known produced as identificatiol take was acknowledged , 19~ by STATE OF FLORI~ COUNTY OF . 5C' .) The foregoing in5tr~jP~ was acknowledged before me this /O'lL/)(J, 19~ by to me or who has who did/did not did/did not (Name Typed, Printed or Stamped) NOTARY PUBLI C GAIL Y. GRINDLE Notary Public. State of Florida MV oomm, expires Mar. 25. 1888 Comm. No. co 8888eO (Name Typed, Printed or Stamped) NOTARY PUBLI C GAIL Y. GRINDLE Notary Public. State of Florida MY oomm. explr.. Mar. 25, 1888 Comm. No. CC 8S8&eO /~ -~ I Mer:fmber. FloriOa AoQfing and he8t Metal u.s. Intec .tied Platinum installer ~ 'lMJ ~rn.pnsal Page No. 1 of 1 Pa~c' MilSar Construction, Inc. Roofing. Concrete. CornmerdaJ . Residenlial 1719 Hwy. 301 North. Dade City. Florida 33525 C>c 9041567-6947 · 8001562-2393 . FAX: 904/567-4454 Statlit Cer1iti4ild Builder #CBC023Z21 State Certified Rooter ICCC051562 State Registered Rooter'RC005S215 PROPOSAL SU8MITTi;O TO DAH 11/01/94 lbwnview APartments ~\1, ~ JOB LOCATION =----1 .~ . OATE OF "LANS e . Is ... .~~ h~~b~ SU~~~~ Specifidtoo~s a~d.~stimates lor:.. ...... RE-RXP _ _~.J.~ . :t',~~~~,!~~~::if~~~~~Y; : ~':"-~dS 'aiK3j instaif60' 'of ne;jp%-8::fin1Shed -aiuminum'ridge vent. .4-':--PiWide' ami inStallnewOO'-Jlsen8."nel" '2oi8ai fiberglass shingles; owner to chooSf ..eoJ.~~_~I_~~les ha,ve a_2.0. .Y~~~~y~. lab?f,~ materials. :: ::~::: =~: .:~~:: :~~lasldng). ;;:;~_."--~~~. ~l install new ~~~~~~-'~~um eavedrip; owner to choose color - whitt 3>-'-:::="1.,.. ,damaged -, (~.~,.fasc1a, or trim) will be replaced on . 9:-- ==~~:; :~ ::=:::~anty on ~r~p; e=lusion. -.--.storJU damage, work.. or ~ ,done by others" tree damage, and/or stxuctural dama..., : to roof deckj. - , '10~'..' cMn~.: 1,;" ~*i&-;~~s fof--deiiWry trucks to allow roof - loading/unloading for thE' , ., ,., fmwe rQO~ C:.,:: . . . '~"~"~~f,t~~~~:"~=i~:.~~~~;~~'~~tl~ '~. .'. ..' , '. "Iii' JrnpDsI hereby to furnish materi~.1 and labor' - complete in accordance with above specifications. for the Sum 01 ., ,i ve thousand fi J h.uOOred twant -six and 00/100---------_________ dollars ($ 5,526.00 ~) . . yment to lit mad. 1$ to 10 $: I , . letiOn. l . AU materiil Is ,uarantMcl to b4 I lpeeilied. A" wotk to be completed In a workm..nllke , man..... ~oIcIin. CO 'tandal'd pr;actlcn. Any altelalion or devialion from above SpeCi1lCil' ticN!$ inYOlVin8 extra coats will ~ f1"cuICd only upon wrlttell OI'dCf$, and will beCOonfl 1111 tlCtril cn..... OVtr and alia... tl1a ..timlttv. All all_m..nta continllent llpotl lltri...... accidents . : or de. beyond our control. Ow~'" to cerry fi.... fOmMO and otn.r nec:...;uy in"''''ne.. , Our woridor'$ e,.. fully cOYtred by I rflmfln's Com~n"lj"" '"llIrene.. )" I . , ... . ' I ,Atttptaut, .of ',U.pOSal-The above prjce~. Specifications :.an(ll;Ondition$ a,. Sltisf.cto and are hereby .cc:.ptcd. You are authorj~ed to do the WO:rlc as'specifie<!. yment will be made: itS outline<! abovlt. -9 Authorized /./.- '-?" Y)1"'//5F2.", ~'J Signatl.lre - f/4#L/V ~"..~_~/. Note: This proposal may be: withdrawn by us If not accepted within _, 30 days. Oilte of AccePt.nce: \.. ' ' ~ J