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Home My WebLink About95-4601 BUILDING PERMIT No Permit '. CITY OF ZEPHYRHILLS (813) 788-6611 4601-8 Date / -t -7~- G ELECTRICAL PLUMBING :::::~,~:~'~ ;Y~~:~4j- MECHANICAL Sewer Conn Watel" Conn: Water Meter: T.I.F.'s: Parcell.D, # Zoning: Energy Code: Description of wor("j?..:> ~A./-./l 1/ ~ Radon Gas: FINAL 1- I ?I" S DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. c.o. Inspector (l DATE L p~rmit F~~ Slgnatur _ _ ~ Company Address Telephone# /!; 3-- 2C.~J '3 Valuation or Contract Price f/7b. d() City License Registration # -9'<- -5 7 State Certified License# J/; AU) . )\ Q./ LA1. AA - /f71(j ELECTRICAL BUILDING PLUMBING MECHANICAL Breakers Ducts Insl, Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~'- -~"' - -' --- '- -- -- - --- ~._' ',--' ----- - -- - '- - -- _.---- --- --,-- PROI!OSAL 4-) r" - " (::'(0) {J v' l /' -', :-':'. t L ti"1 j~ ""--'~ -; . ( ...--/1- -.. ..... ,- r~ /~fl ~.L. - -l t--.... ( v ) ......---...., r', '."w ~7 ...,) /- ("'jl,/l3iv,r .. , " ~~ iJ !- / .;- JATE /... /.., Co r / f::- . 7.:;;: '/ '8 J.. '. sf 'L 5)' i ;2. WORK TO BE PERFORMED AT: ADDRESS DATE OF PLANS ":a;~C; ) ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of. II"! { 1'-<;/ r:'" All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of ....-:::; ,,/ - 1,,>/ - <../r .... A Dollars ($-2', / Co . 6' 0 with payments to be made as follows. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, ac- cidents, or delays beyond ou r control. ,.,--'/? Respectfully submitted p~. C-.= Per ~e&-?'- L~ .,,'.;. c~ /) A ,'1..::; / f/ ,rj, /.'.J/C ("..,.' .. ,/ T' Note-This proposal may be withdrawn by us if not accepted within":::::::: days. are Signature //:~., , i-"-:.? .-",j <:.--(" l.._/, " // /"/-,~) /~i' ,~.. ,(J /,-_/ (c'<~c:Y'4 .J' , Date /-6- 79 Signature ~Adams NC 3818.50 MADE IN USA Proposal APPLICAnON FOR PERKIT CITY OF ZEPlIYRBILLS BUILDING DEPARTKERT OWNER'S IWtK 1& 2,-: / D aJ/-e 51 PHONE OWRER'S ADDRESS {; r :3 G ~c;if'/ <7 r JOB ADDRESS ~// (yY)~. '/ (c:; .p- f..- LEGAL DESCRIPTION: LOT(S) BLOCIt.....--SUBDIVISION '?32~3;>?2. Oa4/:RL B/~ PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---"ddition ~teration XRepair _Install _Sign --1k>ve _Deaolish PROPOSED~E: _S~eF~i~ ~/F _' of Units ~/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTIOII OF WORK: --.-:Restaurant Ii: Health Departaent Approval Flot3r re/J(/f. /1 , BUILDIIIG SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLAIIS Ii: (2) SETS OF BUILDING PLAHS Ii: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDIIIG PLAHS Ii: (1) SET EIIERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. PERMITS REOUESTED -----BUILDIIIG $ Valuation of Total Construction _ELECTlUCAL AIIP Service Florida Power Corp. W.R.E.C. -1IECllAllICAL $ Valuation of Mechanical Installation _PLUHBIIIG GAS ROOFIIIG SPECIALTY . TYPE OF OOIlSTRUcnOIl: _Block _Fraae _Steel Other FDlISHED FlOOR ELEVAnOIlS: Fr. IS PROJEct III FlOOD ZOIlE AREA T YES NO .......................................... RIJTl.DRR Signature pS CONTRACTOR SECTION COHPAIIY G~..,<.. fMYI~ BtA,'JjJ</s ____ c::::;:::::::> "State Cert. or Regist. . aco 1,/ > 9' /' g ~ City License Registration . .......................................... SiooAture COMPANY State Cert. or Regist. . City License Registration . .......................................... F.l.RCTlUCIAII COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... HECHARICAL Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... OTRRR Signature APPLICATIOII APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that tbis perlit JaY be subject to Ideed restrictions I wbieb Jay be lOre restrictive tban City regulations. the undersigned asSUles responsibility for co.pliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be cited for a .isd_anor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing reguirl!lents lily apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe IContractor Sections I of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, ratber than tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor tbat laY be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, bave been provided witb a copy of IPlorida's Construction Lien Law - HoIeotmer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and COnsUler Affairs. If tbe applicant is sOl8One otber tban tbe lowner", I certify tbat I bave obtained a copy of tbe above described docUIent and prOlise in good faitb to deliver it to tbe "owner. prior to COlleDCl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in coapliance witb all applicable laws regulating construction, zoning, and land developllellt. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or installation bas co.enced prior to issuance of a perlit and that all wort will be perfoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber goveruental agenCies lily apply to tbe intended IOrk, and tbat it is .y responsibility to identify wbat actions I lUst take to be in coapliance. Sueb agencies include but are not lillited to: t Departlent of EnvirollleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands, Vater/Wastewater freatlent t Soutbwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Ifavigable Waterways t DepartJent of Healtb & Rehabilitative Services, EnvirODJental Healtb Unit - VeIls, wastewater freatlent, Septic fanks t US EnvirODJental Protection Agency - Asbestos abatl!lent I also certify that, if fill laterial is to be used in Flood ZOne "A" or NA,etc.", it is understood tbat a drainage plan addressing a .cOlpell8ating volllle. will be subaitted wbieb is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A petlit issued sball be construed to be a license to proceed witb tbe wort and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball issuance of a petlit prevent the Building Official fIOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOll! invalid unless tbe wort authorized by sueb perlit is cOllllDced witbin sil IOntbs of issuance, or if work authoriled by the Petlit is suspended or abandoned for a period of sil IODtbs after tbe tile tbe IOrt is ~ced. One 90 day l!Itension of tile, lily be allowed for tbe perlit witb fee charge of $15.00. fbe l!Itension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOntb period, or tbe project will be considered abandoned. WAIUlING 1'0 omR: YOUR FAILURE 1'0 RECORD A 10rICE OF CCIDIDCEIIIMf HAY RESULf IN YOUR PAYIIG DICE FOR IHPROVIHEIfS 1'0 YOUR PROPERft. IF YOU IJI!BID 'l'O OBfAllf'FlMAlClIlG, COIfSULf vIm YOOI LEIDER OR All AnOIlDY BEFORE RECORDIIIG YOUR 1f000ICE OF COMHEIfCEHBIt'. JOBS OlDER $2,500 IIf VALOI 00 1f000llEED 1'0 RECORD AIfD POSf A 1I10'lICE OF COMHEIfCEllEJl!II. SIGJIA!URE: OIflIER OR AGEJII SIGJlAfURE: COIt'RACfOR SfAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SfAfE 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 Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC