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HomeMy WebLinkAbout94-4582 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N.~ 45828 Date /;1.. -;2.9- 9 y @ P,"perty Ownec tb-~Jf~ Job Address: 6 ELECTRICAL PLUMBING MECHANICAL Sewel' Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: tZA~~ Radon Gas: / NO OCCUPANCY BEFORE C.O. II )} 7 o ./ FINAL DATE 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 ...s II - i7ZJ Signature 7 /l a-..,~LI. ~J2 Company Address Telephone# 0'1 - J.. 'l.r -:J... r y L Valuation or Contract Price /; ..5 '0-0 - &-0 ./ City License Registration # ,-;2 '7/ State Certified License# UA j~ I2~J BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo 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. APPLlCAnON FOR PDKIT CITY OF ZEPIIYRBILLS BUILDING DEPARTMENT OWNER'S NAHE I /J.r r~ r RC/ -f--I-Ol" PHONE /,yO~ Il.o c) OWNER'S ADDRESS JOB ADDRESS c,,,y ~ f' JJo-t/ IlMrl LEGAL DESCRIPTION: LOT(S) B~SUBDIVISION PARCEL I. D.' (OBTAH. FROM PROPERTY TAX NOTICE) WORK PROPOSED:---..New Construction ---.Addition ---^lteration ~pair V'Install --Jign --Ifove -1)eaolish PROPOSED USE: -5iog1e Feaily Veo-ercial --1t/F _' of Units --1t/H _Indust. _Swia. Pool _Other --Restaurant lr Health Departaent Approval DESCRIPTIOR OF WORlt: 1lJ.sfd' L.. c.cI'.....) Atunh.S' Td p"..,,., ~ 0 f il. rh./..;W ... - BUILDING SIZE: x Square Feet, Height RESIDEIITIAL : COKHERCIAL : ATTACH (2) PLOT PLARS i (2) SETS OF BU1LDIHG PLANS i (1) SEr EBERGY FOBHS. ArlACB (3) SETS OF BUILDING PLANS lr (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTIOH. PERMITS REQUESTED ~UlLDING $ ~S(jO, 0'0 Valuation of Total Construction RI.RCTllICAL AIIP Service Florida Power Corp. W.R.E.C. -1IECllAlllCAL ~UHBING $ Valuation of Hechao.ica1 Installation GAS ROOFIRG SPECIALTY . TYPE OF CORSTRUCT:lOIi: _Block _Fraae _Steel Other PIllISBED FLOOR ELEVAnORS: Fl. IS PROJECT IN FLOOD ZORE AREA' YES NO .......................................... COIiTRACTOR SECTION .. BUn.DRR , COtIPANY A,..,jj Afvh/.; e ... d ~ State Cert. or Regist. . City License Registration . ~......................................... ..:I:1t:- ...7 7 J Signature ~ RJ.1/ RT.RCTRICIAIiI COMPANY State Cert. or Regist. . SianAture City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... IlECllAHIGAJ. COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... APPLICATION APPROVED BY PDKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pemit lily be subject to 'deed restrictions' .bieb lily be lOre restrictive than City regulations. !be undersigned assU1e8 responsibility for COIpliance .ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance .ith state and local regulations. If the contractor is not licensed as required by law, both tlIe owner and contractor lilY be cited for a lisdueanor violation under state la.. If the owner or intended contractor are uncertain as to "bat licensing requirl!lents lily apply for the intended work, they are advised to contact the City of ZepbyrhiUs Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb they .ill 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 "ishes you to sign as contractor that lily be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided .ith a copy of 'Florida's COnstruction Lien Law - lIoIeolmer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsUEI' Affairs. If the applicant is SOl8Oll8 other than the 'owner', I certify that I have obtained a copy of the above described docuIent and prolise in gool1 faith to deliver it to the 'owner' prior to COll8llceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOIlation in this application is accurate and that all work will be doBein COIpliance with all applicable laws regulating construction, loning, and land developaent. Application is hereby Jade to obtain a perlit to do .ork and insWlation as indicated. I certify that no vork or installation bas CDlencecl prior to issuance of a pemit and that all vork will be perfOlll!d to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDJelltal agencies lily apply to the intended vork, and that it is Ii responsibility to identify uat actions I lust take to be in cOJpliance. Sueb agencies include but are not lilltec1 to: t Departlent of BnvirolllellW Regulation - Cypress Bayheads, Vetland Areas and BnvirolllellWly Sensitive Lands, Vater/Vastewater !reatlent I Southwest Florida Vater "anaglllent District - VeIls, Cypress Baybeac1s, Vetland Areas, Altering Watercourses I Arty Corps of Engineers - Seawalls, Docks, lavigable Vatenays I DepartJent of Health' Rehabilitative Services, BnvirODlBDtal Health Unit - Vells, Wastewater !reatlent, Septic lanks I US InvirOJlllental Protection Agency - Asbestos abatl!lellt I also certify that, if fill IIterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpensating voluae' will be sublitted "bieb is prepared by a professional engineer registered ill the State of Florida prior to perlit issuance. . A perlit issued sball be construed to be a license to proceed with the vork and not as authority to violate, c:anc:el alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beeme invalid unless the vork authoriled by sueb perlit is co.enced within sillOntbs of issuance, or if vork authoriled by the perait is suspended or abandoned for a period of sillODtbs after the tile the vork is ~cecl. One 90 day 81tension of tile, lilY be allowed for the pemit with fee ebarge of $15.00. tbe 81tension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb ail IODth period, or the project will be considered abancJoned. WARMIIIG to OVIIIR: YOUR FAILURE 10 RlCORD I 1I0lICI OF aJIIIDCIIlBIf lilY RlSULr III YOUR PIYlIG "'ICI FOR DIPROVIIIIIIS 10 YOUR PBOPmY. IF YOU IJIDIID 10 -OB'IIII -Fll1A1CIIG, COISULI'VIIB YOOR LBIIDIR OR U AnORllY BIFORI RICORDIIG YOUR 1I00ICI OF _" ',',/:-Jl1JS _, ~'2. 0 U ,_ ~.1IJr IIEIII !O BIClIIIIIIIIl POlIr I '1IJrlCl OF _'. . ;:;1 tW~ ~ A'~ r;t..Q SIGJII_~ OR AGm ,.. SIGllIURI: C / ,- StArB OF FLORIDA coum OF The foregoing instrument was acknowledged before IDe this , 19_ by. SfllB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced ' as identification and who did/did not take an oiJth. (Signature) (Rame Typed, Printed or Sta.,ped) ROTARY PUBLIC (Signature) (Rame Typed, Printed or Stamped) NOTARY PUBLIC ~ Jrnpn.aul ~RD.~ AWNING & UPHOLSTERY, INC. 503 FIFTH STREET, S.W. . WINTER HAVEN, FLORIDA 33880 Phone: (813) 293-2442 FAX: (813) 299-6655 PROPOSAL SUBMITTED TO: PHONE: ;78(J- /70~ . ~,:flf' G.--z....- JOB NAME: NAME. STREET. STREET: CITY: STATE: DATE Of PLANS. (;;- IJ.~ 1;<1..J-- JIU fO))) (J4u fe/V flOU ./.:t..v bJlu.r;4v (rfC.i.,,) S ul if) yJ L ,l}:x Ii 71M u:,j ~# L~ ct,,~ We hereby propose to furnish labor and materials -/mPlete in accordance with the obave speciflcatians, far the sum af, ,~ dollon 1$ t:: 97', Z-<J ) with payment to be mode os follows. 71d~ /'l ~ - ~/~b All malerial is guaranteed to be os specified. All work to be completed in 0 workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs, will be e.ecuted only upon written orders, and will became an e.tra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner 10 carry fire, tornada and ~h.< ..,.,~<, ;......... 0.. ..<.." ... 1.11, ....... II, W........ C..p....,;.. '~ (j ~ _~, Authorized Signature ~ ~.L..-. NOTE. This proposal may be withdrawn by us if not accepted within day.. Attrptul1tr of Jroposul The above prices, specifications and conditions are satisfactory and are here work as specified. P e made as outlined above. Signature re authorized to do the Attrptrb: ~ Date Signature '7 ~",",; ~ The Awning Design and Standards Manual Page 140 H~a CCOCl.1.fi ':<.WI ,0-,0 t w ~ <! a::: LL 1.9 r. ~ o Ila: 0:::2 1.9 ...J...) r.. .; -"J- ~ ~~...J ~ () lO~~ a cr. II.vl:- g ~ ~_9~ z:. 4 o<(~ll -4 0: a:~:J ~ ~ ... in .,.. I{ o .0 I:-' '" " " (f ~ .(l () ff t- O ti J: 0: II ----\ r o r- <! 0.. ~ 7- ~ :J --' o u ~ '0 ~ ~ "Q "0 -~ .0 '* \1:. u:. ..fl ~ ~ ...;f 0 :S: '<f ~ ~ -$ 0 ~ ~ ~ ..n ~ ~ ~ ~ ~ ~ '" - .. ~ .,... " ~ . - ..,J "0 cL ci ~ .0 -~ -II' - ~ <;::-0 - - - '" <t') ~ ~ ~, ..; o 0 .0 -0 -ll' .0 $~ '<f cO .0 .~ .0 ~ ~ . ~ () ~ '<f b ~ ~ uj ~ ~ ~ ~ - - .. 0 ~ ~ " ~ ~ ~ . " <0 ~ "0 -1Cl 00 -", ~ 0() ~ in - - - 00 ~ "" ~ ~ '0 -If' .0 "If'l .0 ~ .,.; .. ~ "S ~ '<f ~ I<i ~ ~ ..j 'iE ~~ - , " - - . 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