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Home My WebLink About95-4618 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4618A Date / -IJ-7-S- ~J ~. Pmpe<tv owne'~?!Jt~ ~-:: Job Address: s~ a/A;" ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: 10 CLv-L 1111 P T.I.F.'s: Parcell.D, # Zoning: Energy Code: Description of Work ~ ~ A 0 VA.....;--y:( .d-7~ Radon Gas: FINAL I-JJ}"q 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. DATE Inspector ~-- Permit Fee . ~ Signature ~ ,r. (h~ Company Address Telephone# Valuation or I "'J "- Contract Price .y);...5... cT[) City License Registration # P7 State Certified License# ...~~~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. 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. ~ U)(; . Z~ DO ,.. APPLICATION FOR PERKlT CITY OF ZEPIIYRIIILLS BUILDIHG DEPAR'l'ItEBT tN I<<Z-O p~ ~~ S'7f~ (Of 110/ A./ e./rL, e '("~if '? PHONE '(61 ~~3i> BLOCIL--.SUBDIVISION (OBTAIN FROM. PROPERTY TAX NOTICE) J. ----^ddition ---Alteration ---.-.Jtepair _Install _Sign ~ve ~lish PROPOSED USE: ~ing1e F_ily ---.Jt/F _' of Units ---.Jt/H _ec-ercial _Indust. _Swill. Pool _Other ---.-.Jtestaurant &: Health Departaent Approval DESCRIPTIOR OP WORK: ~ i3 VI L.-V 9 ~,J(':z3 , Sc,euy i?e0t1 BUILDIHG SIZE: x , :L ~ D Square Feet, - Height RESIDEIITIAL: COHHERCIAL : AtTACH (2) PLOT PLARS &: (2) SETS OP BUlLDIHG PLANS &: (1) SET ERERGY FORKS. AtTACH (3) SETS OP BUlLDIHG PLANS &: (1) SET ERERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTIOR. PERKITS REOUESTED ~UILDIHG $ . ri) /17~ Ii Valuation of Total Construction . RT.RcnuCAL AIIP Service Florida Power Corp. W.R.E.C. ----1IECIIAlIICAL $ Valuation of llechanical Installation -PLUHBIHG GAS ROOFING SPECIALTY . TYPE OP CORSTRucnOR: ______lock _Praae _Steel Other PDlISBED FLOOR ELBVAfiORS: Fl. IS PROJECT IN FLOOD ZORE AREA., YES NO .......................................... BUILDER " .' <:-/f/ ~~~~ "=:~~=. . ......................................... CONTRACTOR SECTION "'," ~if/-du~ 7,7 Signature RT,RCTRICIAII COMPANY State Cert. or Regist. f SianAture City License Registration . .......................................... PLlJIIBER COItPANY State Cert. or Regist. f Signature City License Registration . .......................................... IlECllANICAL COMPANY State Cert. or Regist. . Signature City License Registration f .......................................... OTRRR COMPANY State Cert. or Regist. f Signature City License Registration . .......................................... APPLICA1'IlIII APP1lllVBIl BY '11 ~ 1 !!1 tJ-b-~ PEIlIIIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that this perlit lilY be subject to -deed restrictions- wbich lily be lOre restrictive than City regulations. !be undersigned asSUle& responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they IIY be required to be lIcensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be cited for a lisd_anor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing requiruents lilY apply for tbe intended work, they are advised to contact tbe City of ZepbyrhUls Building Departlent, (813) 788-6611, FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the -Contractor Sections- of this application for wbich 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 be is not properly licensed and Is not entitled to perlitting privileges in the City of Zepbyrbills, 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 - HoIeoImer's Protection Guide- prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs, If the applicant is 8OI8OD8 other than the -owner-, I certify that I bave obtained a copy of the above described c10cuIent and prOl.ise in good faith to deliver it to the -owner- prior to co.encuent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is ,accurate and that all wort will be done in cu.pliance with all applicable laws regulating construction, loning, and land developll!llt. Application is hereby Iilde to obtain a perlit to do worl and installation as indicated, I certify that no wort or installation has ~ced prior to issuance of a perlit and that all wort will be perfOlled to _t standards of all laws regulating construction, City codes, loning regulations, and land develOpll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYeIDI8Iltal agencies lilY apply to the intended worl, and that it is IY responsibility to identify what actions I lUSt tate to be in co.pliance. Such agencies include but are not lilited to: t Departlent of InvlrOllll!l1tal Regulation- Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands, Water /lfastewater !reabent t Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArIy COlliS of Engineers - Seawalls, Docks, lavigable Waterways t Deparbent of Health' Rehabilitative Senices, InvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic !anb t US Invil'ODlelltal Protection Agency - Asbestos abatuent I also certify that, if fill literial is to be used in Flood lone -A- or -A,etc, -, it is understood that a drainage plan addressing a -COIp8D8ating vol.- will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance, . . A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, caacel alter, or Bet aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perIlt issued sball hecme invalid unless the wort authoriled by such perlit is ~ced within sil IODtbs of issuance, or if wort autboriled by the perlit is suspended or abandoned for a period of sil IODtbs after. the tile the wort is c-.mced. ODe 90 day atension of tile, lilY be allowed for the perlit with fee charge of $15.00. !be atension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IOnth PeriOd, or the project will be considered abanc1oDec1. IfARlfllfG TO (lOR: YOUR FIILURI TO RlCQRD l. lorlCE OF <XIIMDCIIIBIf lilY RESULt II YOUI PAYIlfG !IIICE FOR IIIPROVIIIII!S !O YOUl PROPIIm'. IF YOU IIDIID !O OB!IIJI irWClXG"COISULf WID YOOi LIIDIR OR II AftORIIY BI10RB RICORDIIG YOUIIorICE OF C(JtMIICIHIH!. 'JOBS UI..D.IR.. f2.500 II tILiIl DO IIll IBID 10 IIIIlllIID lID POIlI~~~ ..' ..~~ / . ..",.,,....-:,. ............ .' .:~--:~~,~_,/ ( .' ............T'~_:.>:::./ .' ~?:?',,- .............~ .--""...... . . .".........~ .-......." .-:.-...... . ....- ~' SIGII!URI: .ilr-i ..--.'. SIGllIURI:-=- COIIRAC'IOR STATI OF FLORIDA /) coum OF t' ifS C 0 The foregoing instrument was acknowledged before me this I 11/ , 19 q( I by I ....L.::F- ~~ O~F FLORIDA 1!t-;5"CYJ The foregoing instruaent was a~~ledged before me this I / II , 19 by I who is personally known to me or who has produced as identification and who did/did not take an ~< If G.-n.,: (Signatur K (I, c,( rn () /!.. /2. EA A- (Name Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or wbo has produced as ideotifi~.atiCD..and who did/did not take an oat~ . ~ ~~ (Signature~~ ~ / rtlo,&ec.IA. (Name Typed, Printed or Stamped) NOTARY PUBLIC t\. ~\\. ~~ ~ ~~ ~~ \~ v-. - ~ '- "'~ G;:- ~ ..i \ ~ lI\l S) 0~, ")- "... 'U' ~ \'~ ~, " \" ~., \.:0 ' \::: ~ ';) ':) vI \) , , ~" ~ _, 'ot // ," . ~' .... ,~ " ~v ,\4 ~ ..... ..,) ('\ .~ 'V '10" ~ 'f' ~ ~ ~~ ',"~ ~~ ~ ~( ~~ ~ I. ~ \-4.~V)~ ~ ~ ~ ~ r<\ ~- ~--- " " _.~,~ _______i ')I.. \..~ ~ \j , IfQ . , i' ,,~~ .{~ ";::) .c , "" \ j 1: t~ ~~ -.lI~ ~~ '0 '\ . -~ /'t, " ~', " " \.41";""' J<~ ~,~ r,~ ~~~ \J'l}^ \) Q-~ If\, I I ~--=._- _._.._~.: I I-__~_~_u ~~- --~] I ~ , ~~ . '~ ... 'i)~~ " .._.~_ . -':~ @~1',\i ~ , e .a ~ ~ ~~ ~\ ~~ .. . t\ g~ ~ '" ~ ... ~ ..~:l. , , :l~t.t~ :., ~'."'. . ~ ~ ~ U ~ /, -L r .. .....- I ~l Jdr . - ! ~ ". r.~ 0: i I ~HERWALL . A DI\l151on of METAO"ECH. INC_ ""'~!!l W, 5"'-COND cr. '......LE....H. FL. -i!>2>OI4 Rf1MMS' ENGINEEPJNG, INC. Yl7wCbl.t,,,/' ge.Jtl'ZL :2100 W 7G."'STI'<EET SUITE ~II ."'^l E.....H FlORIDA. 3:!.ortD f.l ~ 12 l!l _ -J~. .... :;0 f---'" -f ~ Is f!J-=r~ ~ IU rt"l} t- ~;71 I~~ ~ [!:J J~ ,..-, ITJ~} 't "'1 I~ ru -=- J.. ; 'roponul ~1Zt>- ~ SU"'~ ST.a:rE AL.UMINUM, 'N~ 37528 SR 54 West ,J'FHYF\HlLLS, FL 3j54} (813) 788.7308 PROPOSAL SUBMITTE;D'TQ I ':J' , y STREET .,., .....;-.;;, ~~ ~. CITY, STATE AND ZIP CODE t:-:' ~. rj ARCHITECT We hereby submit specifications and estimates for: LJ '.1 ,/ ~''i .~ .,,.J ~:4' Pt.., /"'::1"', ~" _ ~"o:; ...~""" .,. ~., ,"" ".. '. PHON E JOB NAME JOB LOCATION ,/ 1" ..-..:1. .." ...~ , < r () .~, _I' ~ Page No, DATE .J'.;> ..-~;'" " ./ of ! i ~'--"-~,,) \ "-'..1 Pages Br 'rnpnnr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: ~. (,' ~ ,_.. .\..... 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 specifica- tions 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. Acctptanct nf 'rnpn.aal- The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified, Payment will be made as outlined above, Date of Acceptance: '-:.:~ -;' ,,/ i'.J ,''-.,.'' I "') .",/ } .r/," ....j ...--t..r.,.-..... , j , '1 -'..... "./ C><,' ('):._ ,,_,>,- PRODUCT 118.3 iE!Y~elnc.. Groton, Mass. 01471. To Order PHONE TOll FREE 1 + 800-225.6380 .. / / f-' Authorized Signature ~".. ,/ dollars ($ i. Note: This proposal may be withdrawn by us if not accepted within Signature Signature " JOB PHON E ~.. ...:,....- / -. ;-----. ~ ). days, i:tA.1A rlJlUW (usmlNTw. USI nNLY) PARCEL I.D. tIr SEe 'l'W l' RNG SUBO. .BLOCl PROr~TY HEASUIlEKENT -5 -> >0 ,fll/ A/~(r6 6 i<- /kI t,. .. .. .. It) -fO , &(57?d7 fJ7J kF &. :3 LIt-6 .. .. /0 ,..~ .,*.",10' 70 BJ/cS> . 91#.>3 I . 5clUilItJ fdY( )-tJ .~it SHOW ALL EXISTIN~~Sm STRUCTURES ClVDG DDCBIf8IOU AND IB'l'BACU. ALSO, INDlCATI ANY IOUIES 0' WATER AND ROADWAYS (INCWDING tWIll) ADJACENT TO TIll PIO,an, lNDlCATI TIll SIZE. YEAl, AND NAME or MOBILE; SUCH AS 12' x 60', 1981. l1.UTWOOD, . . All "WIHDTS", "RICHT-of-WAY" aDd ~'JURISDICTIOIUL LIIIS", _at b, ahow OD all aiCe ,lau. DO NOT ENCROACH INTO ANY FAl:;F.HFNT WTTH _ c;TP""T"'"