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Home My WebLink About94-4469 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 No Permit ". 446913 Date II __/..5- -71 ,r c9 ELECTRICAL PLUMBING MECHANICAL :~::~:,~:~e~;;::'/i/ (f:1f~ -J!I, Sewer Conn Water Conn: Water Mejer: T.\.F.'s: Parcell.D. # Zoning: Energy Code: Description of workrx.JL . ^~ Radon Gas: 9~ ~ "I ~ / FINAL 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 Permit Fee J I) ,. ~ Signature /!t~ c/ eM ~ Company Address Tel~photie# (i? /3) 9~6 1~&J Valuation or Contract Price ;2. 3 oc}, e?-i) ./ City License Registration # 9Y State Certified License# ~~~-+->>1"J/h. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. 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. " JA). / \t~' ~J// Trombley & Miller, Inc. P,O. Box 959 .1:1)41 M6....ili Bd~~ Daa.," 818 Thonotosassa, Florida 33592 (813)986-4663 R503 '\:":\\'\\'\'~\\"~I..I~:\~:\\III,II,I,i~:.\\:\\\ Name Street City PROPOSAL SUBMITIED TO ~i 8r,~ I ==..;!:z;tr- State '7Z:.L Zip..3 :3 !.i J () Phone @ Home It, f"" / - ,-=r 0 ~ 3 . Work WORK TO BE PERf'ORMED AT Street City State Phone @ .5rj;;Jj:ltd7U ~t- -;z::-e, ip Name Home Work We agree to furnish all the materials, equipment and perform all the necessary labor for the completion of the following YES NO 1. Remove and dispose of existing roofing. ------------------------------------------------------------------------------------------ 2 , Install one ply of #15 felt V or #30 felt --------~---------------------------------------------------------------- ~ . 3 . ReP:~;:~dge w1t\::;;.:.-:::~:;::-----.~~:;;:.-;----=--.---.- - ~ ... . 4 . In::~;:~:~~[J i-.--;.:~;.~.~-;::;.:;.~~;:;-;:;;-;,-;;;ji::;;;---. ...- Fungus Resistant: ----------~------------------------------------------------------------------------------------------- / ~ 5 . Install vent ridge: colorl7l2"V~ Linear Feet:?' /J Connectors: ------------------------ 1:::.- 6 . Replace metal boots on vent stacks. No. ~ 2 inch ; ~ 3 inch; 4 inch ------------------------ V 7 . Other work to be performed: v- If this Proposal does not include the entire roof of the structure, specify areas to be reroofed/repaired and number of paragral)h applicable to each area, e,g. (rear addition _ 3 & 5). Lumber or other repairs are not included in the below quoted price. If it is neces- sary to replace lumber, it will be charged in addition as an 'extra' to include the cost of materiuls used plus $20.00 per man hour re- quired. All workmanship is guranteed for 1WO(2) YEARS from date of completion. The owner will carry fire, tornado and any other necessary insurance for the above work and property. Trombley & Miller, Inc., will carry Workman's Compensation and Public Liability Insurance on th~ve work. . ,. I . j-1/S:OtJ:: ~3DD.OO The total cost of the material and labQr for. the ab~ve work will. be ~ J 8' 5' ,0 lJ with payment to made as follows: Cash on completion unless otherwise specified hereWith in: - . THIS PROPOSAL VOID UNLESS ACCEPTED WITHIN - ? L? DAYS. SUBMI'ITEDBYI?-~;/~~. ..- ACCEPTEDBY:vU~ ~~ /5 It) t3tL Tes SI', 6r-~h dOh. FJ-. .33S-1r; DATE: 9-~7- }\V .- , DATE: 10 - J1-9Y , FORM TM.CPOOl b~ J,.. 30.<.3 APPLICATION FOR PERKIT CITY OF zEPIIY1UI1LLS BUILDING DEPARTKENT OWNER'S ADD1lESS ISIO 8 Vt. L-L (;) CJrC-. D~'7"E ~/ OWNER'S IiAHE \I/Yo E. JOB ADDRESS 5"~ / 5 - S-S? i 7 LEGAL DESCRIPTlON: LOT(S) I') Ut BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction .-Jddition .-Jlteration _Repair X Install _Sign ----ll<>ve _Deaolish PROPOSED USE: 2:!:......Single Faaily ---Yt/F _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other ___estaurant Ii Health Departaent Approval DESCRIPTIOli OF WORK: 'T Efli<- C) FF ,,/-f) M"f:-,...-..r 1- , /,IV<;/'t1'-I.- ) f 18 ea tf-/...IJ5 S S If I/V 6-- t.E a. 0 d" p.. BUlLDlliG SIZE: x I :2.. J {) () Square Feet I Height RESIDEBTIAL: COMMERCIAL : ArrACK (2) PLOT PLANS Ii (2) SETS OF BU1LDIliG PLANS Ii (1) SET EliERGY FORMS. ArrACII (3) SETS OF BUlLDlliG PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED _BUlLDlliG $ .2.5 00,00 Valuation of Total Construction JU,F.crRICAL AIIP Service Florida Power Corp. W.R.E.C. --1IECIWI1CAL $ Valuation of Mechanical Installation _PLUMBlliG GAS x ROOFING SPECIALTY . TYPE OF COliSTRUC'fiOli: _Block _Fraae _Steel Other F1BlSBED FLOOR ELBVAfiOI1S: Fr. IS PROJECT lli FLOOD ZONE AREA? YES NO .......................................... coNTRACTOR SECTION cOKPARY State Cert. or Regist. . City License Registration . .......................................... BUTl,mm Signature SianAture COMPANY State Cert. or Regist. . City License Registration . .......................................... 1U .R.CTR.ICIAII COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUMBER. Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... MECHARICAL Signature Signature ,/~ ~ /h/L, COMPANY fA. 0 ..-vr ~ U j' J, /L11 L. '- J;/<... / /V C-. State Cert. or Regist.' c.el:. O~I f~6 City License Registration' #- '1 ...............**.**********.************* flTRF.R APPLICATION APPROVED BY PERH1T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS the undersigned understands that this pemit Jay be subject to "deed restrictions" which lily be lOre restrictive than City regulations. the undersigned assUJes responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has 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 .y be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!leDts .y apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheI'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they Ifill 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 Ifisbes you to sign as contractor that .y be an indication that he is not properly licensed and is not entitled to pemitting 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, have been provided with a copy of "Florida's Construction Lien Law _ BoIeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOne other than the "owner", I certify that I have obtained a copy of the above described dOCUJent and prlllise in good faith to deliver it to the Howner" prior to coaenCeRllt. 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 cOlpliance with all applicable laws regulating construction, loning, and land develoPIIeDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation has ~ced prior to issuance of a pemit and that all wort Ifill be perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land develO(JEDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!llllental agencies .y apply to the intended wort, and that it is .y responsibility to identify what actions I lUSt tate to be in cOlpliance. Such agencies include but are not liJited to: I DepartJent of EnvirollleJltal Regulation - Cypress Bayheads, lIetland Areas and RnviroDlentally Sensitive Lands, lIater/llastewater freatJent I Southwest Florida lIater HanageJent District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses I AllY Corps of Inqineers - Seawalls, Docks, Xavigable lIaterways I DepartJent of Health & Rehabilitative Services, InvirODleDtal Health Unit - lIells, lIastewater freablent, Septic fants I US Invil'ODlental Protection Agency - Asbestos abateJent I also certify that, if fill .aterial is to be used in Flood Zone HA" or "A,etc.", it is understood that a drainage plan addressing a "cOlpeDsating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. . A pemit issued shall be construed to be a license to proceed Ifith the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCOle invalid unless the wort authoriled by such perlit is cOlleDced within sillOllths of issuance, or if wort authoriled by the pemit is suspended or abandoned for a period of six IOnths after the tile the work is m.enced. One 90 day extension of tile, .y be allowed for the pemit with fee charge of $15.00. the extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project wi11 be considered abandoned. IiARNING fO 0'iIIR: YOUR FAILURE fO RICORD A Xorle! OF CXIIIDCINDf HAY RlSULf IX YOUR PAYING fIIle! FOR IHPROVIIImS fO YOUR PROPIM. IF YOU IIImD fO OMAIN FllAIfC'tIG, COXSULf IIIfH YOOR LllfDIR OR AI AnoRm' BIPORB RICORDING YOUR IfOfICl OF COHHIXClHEIft'. JOBS UlfDIR '2,500 IX VALOR DO xor XIID fO RICORD AID POSf A "XorICl OF COHMDClMlJlfH. - .. SIGNAfIJRI: lIfJfER OR AGm SIGJfAfURB: COIft'RACfOR Sf An OF FLORIDA coum OF The foregOing instrument was acknowledged before me this , 19____ by SfAfR 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC