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HomeMy WebLinkAbout95-4755 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 No Permit '. 475515 Date r.3 - :7.- 9.s- c~ BUILD1N ~~'~ Property Owner: Job Address: tJ~-::l- -.J. r / ,. Parcell.D. # ~ - at, ,-/}-/- tJ eJ;to - ~ &S----cJ 0 ,- tJCJ.2. 2-- ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: 2 Energy Code: Radon Gas: Description of Work, .' A ()o.k!. J2.A.1...lI ..tl ~,/ A ~ ~L ~ -t?-r.rf NO OCCUPANCY BEFORE C.O. FINAl~7-9S- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector Permit Fee Signature Company Address Telephone# ~T() ~, ..... 6i,,1 Valuation or Contract Price '" ~ I tJ7J.- o-v / City License Registration # 9~ State Certified License# 4 '/J~ 4K~(fQ- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLBC Lintel -r \f.)~ FRM. ~--=ic; InSUI.~~~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter 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 DEPARTKENT OlillER'S IWlIl ~o.b ~VJ '4 k OWNER'S ADDRESS 19 '" ~- L I 2 ~ ""- ~ 'I d'~ PHONE '7 t) 7 - 77) S--' 21 H-\\\ s JOB ADDRESS LEGAL DESCRIPTION: LOT(S) ;;\ a. B~SUBDIVISION 2/ H\U~ Cc.I\)~'1 (OfY\~ PARCEL I. D. fd -d- b - ~ \ -<>0 dO'- COSOO- be) d-- ~ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction --A-Addition ----1Uteration _Repair _Install _Sign -.JIove _Deaolish PROPOSED USE: ..f--SiDgle Faaily _M/F _, of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: 3 S f I' S; c... (' "€. -e..1t""\ Q cO \ C~ BUILDING SIZE: ~,_bb5 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 FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED PUILDING $ 3 (oD ~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. -.-MECHANICAL $ Valuation of Mechanical Installation _PLUHBDiG GAS ROOFING SPECIALTY TYPE OF OOliSTRUCTION: _Block _Fraae _Steel Other PDISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .................**..***..*******.******** CONTRACTOR SECTION RIITI.DRR COMPANY ~S~;\) ~\v...W'\'\:^-t.-""",, 6"f'<:"-~~ State Cert. or Regist. f ~Cc... c> s6 6, \ Signature City License Registration f q t *******.********************************** F.T.RCTRICIAII COMPANY State Gert. or Regist. , SignAture City License Registration . ***************************..************* PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****.************.************.*********** HECllAlUCAL COMPANY State Gert. or Regist. t Signature City License Registration . ..**.****.*****.********.***.************* OTRRR COMPANY State Gert. or Regist. , Signature City License Registration , ****.*.*..***********.****.**.*.********** APPLICATION APPROVED BY PERMIT OFFICER. Tbe undersigned understands that this perlit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City regulations. fbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance w:,th state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensin~1 requireJents lily apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the RContractor SectionsR of this application for which 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 work. If the contractor wisbes you to si.gn as contractor that lay be an indication that 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 that I, the applicant, bave been provided with a copy of RFlorida's Construction Lien Law - lIoIeoImer's ProtecUon GuideR prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJIl!OIle other than the Rovner., I certify that I bave obtained a copy of the above described docUJent and prolise in good faith to deliver it to the "ownerR prior to COIIeDCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perli t and that all work will be perforted to Ieet standards of all lawll regulating construction, City codes, loning regulations, and land develo(llent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlleDtal agenCies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in coapliance. Such agencies include but are not lilited to:: t Departlent of Envirolllel1tal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllel1tally Sensitive Lands, Water /Wastewater !reablent t Southwest Florida Water Managl!Jellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArtY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fants t US EnvirODJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "AR or "A,etc.", it is understood that a drainage plan addressing a RCOJpensating volUJeR will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit 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 sball issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall becme invalid unless the lIOrk authoriled by such perlit is COIIIeIlCed within six JOnths of issuance, or if work authorized by the Perlit is suspended or abandoned for a period of Sil JODtbs after the tile the work is COII811ced. One 90 day utension of tile, laY be allowed for the perlit with fee charge of $15.00. fbe utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six JODth period, or the project will be considered abandoned. WARMING '1'0 OIlIER: YOUR FAILURE fO RECORD A NOIlCE OF COHMDCBIIIN'l MAY RESULf IN YOUR PlYING DICE FOR IIIPROVIIImS fO YOUR PROPBR'IY. IF YOU IIft'BHD fO OBfAIN FINANCING, CONSULf WlfH YOUR LBNDER OR AN AnoRDY BIPORE RECORDING YOUR DICE OF COHMBNCEMBNf. JOBS UJmER $2,500 IN VALUE DO NOI NBID fO RECORD AND POSf A 'NOIlCE OF CCJOIBIfCBllDf'. SIGJIA!URE: OOBR OR AGB1ft' .~.....---.e 6'~('1 po~ SIGJlAfURE: COJlfRlCfOR SfAfE OF FLORIDA ccum OF The foregoing instrument was acknowledged before me this , 19____ by Sf An: 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 o~th. who is personally known to me or who bas 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 7000-B Bryan Dairy Road . Suite #8 Largo, Fl34647 (813) 545-8413 (813) 544-6161 Facirnile DES1 '" 'E:X~({:~"A"'~E SC C056671 SALES CONTRACT Post Office Box 236 Mango, Florida 33500 (813) 621-9208 (813) 621-9308 Facirnile 1-800-582-8532 Florida Toll Free D.t"~ Job', J:?"-Olb Sold To: :s;.)/Nfe. Street: 6I1tJt ~ 6A77le 1-800-252-8413 Nationwide Toll Free SW/~j/e-Jl3o~ 0/ rMe;J Home Phone #: M3 - 7Ds7Work Phone #: -ll...sI:- Homeowner: statll_zIP: j()/J1- / DESCRIPTION OF WORK TO BE PERFORMED ~POOLENCLOSURE o PATIO ROOF ,DSCREENROOM o SOFFIT I FASCIA o Bronze Metal ~ Charcoal Screen )(lOne Door 03" Pan 1)t White Metal 0 Grey Screen 0 Two Doors 03" Pan (Insulated) tJ Flat Roof 0 Florida Glass 0 Three .Doors 03" Structural Roof o Gable Roof ." 0 Shade Screen 0 Small Pet noor 0 Color: JIt Hip Roof (fd.b/e.l 0 16" Klckplate 0 Large Pet Door 0 Gutter & Trim Color: o Mansard Roof 024" Kickplate 0 Extra Lg. I'd Door 0 WALL HEIGHT: 11!3 I I SPECIAL INSTRUCTIONS 7:'0. 8''/.. /81 17tod-!fr,'1I tJdl . . ct R.)f 6vI/t.e c( $4v'e- ,fk ;-,6,n~ City: City: State: FL Zip: '33S~D Company Phone #: Lot: Block: Folio: DRAILING DFENCING o Basic Railing o Fancy Railing, Welded o Fancy Railing, Interlock o Lattice Trim Railing Color: 036" 042" 048" 060" 072" Directions To Job Location: ~42- A~~1- cJJl,fu)~.4J (b * .HvI\--eOt~-e(L wi {( ~ff Jy US w',J-L rJoJ- p/~ {}otYl ~-rIO Ipco rs, o See Attached Map Please Sign & Return With Survey Sheet ~ C'l' METHOD OF PAYMENT ~ Total Sal!JA'P.~nt : 'i~ - fAll Balances Due Upan Campletim, Unless Specified) Deposit: _ <<. Terms :l/Id:i:;~ 6I-~ _ .~ ~ at.l~otlOn Account o MastercardIVisa: Balance Due: ~ "f.~ILV- ,. In Ihe event thaI amount(s) ..peclfied above are nol paid when due, interest al the highe.;llegal rate applicable ..hall accumulate on all unpaid balance.". All co.,ts af collection of,mpaid balances, including inleresl shall be paid by Ihe customer, including rea.wnable aIlOrnty'.r fer.r and 'or colltction agency fers. 2. A ucurity intertst in material delivered (IT installed pICrsuont to thi.' order i.' hereby rt...rwd to the seller only for the purpose "f assuring payment of purchase price of merchandise and materials sold hereunder, excepl Ihal all other indicia a.r to merchandiser described herein .,hall patr to purchaser upon delivery or 10 in."allalion by .reller pursu<l"t to this order. 3. Seller .,hall nol be rtsponsiblt for delay in delivery rtsulting from slrike.', labor difjicICllie.r, firt, rainstorm or ather di.raster beyond his control. 4. This contracl shall bt construed according to the laws of the State af Florida, and venue of any action brought hereICnder shall lie in tht County of Pinellas. State "f Flarida. 5. ....11 material i.r guaranteed to be as .,pecified. All work is,o be complettd in a sub.<lantial workmanlikt manner according In specijicalions submitted, "er .,tandard praclice.,. Any altera,ion or devialionfrom above specifications or a bona-fide change order which may involve extra co.<ls, will not be eucuted, and will become an extra chargt 0"" and above Ihat .<lared amo"nt. Owner In c!/rry firt and wind.<lonn insurance on said property. Our worker.' art fully covertd by Miorkers comptnsalion. SUrtty bond and liabilily insurance. 6. Owner's rtsponsibillty includes. bill is nO/limired to, providing adequa,e acee.'" to the job site, providing adequate and stahle .,ource of electric current from exi..linll outlet.' a' the job .,ite and rtmoval of any and all debris andfoliage which may hinder, or O/Irerwi... make the jobsitt unsafe for <lur worker.'. NOTICE: Do not sign this contract before you have read It, or If It contains any blank spaces. You are enlltled 10 an uact copy of Ihls contract. Your slgnalure below acknowledges receipt. Buyer hereby authorizes Design AI inum to perform work a, specified In WITNESS WllEREOF, buyer(.,) have hertunto .rigned ,heir name(,j . ':<0 . .~L ,~_ X /1, tJIIS_ day of..L!:::Q. 199...,L SALESMAN: BUYER! ~/l;t/ __(~./ COMPANY: Je5lq~ Alum. &" /'Ma€-_ v J - . BUYER: WHITE COpy * OFFiCE G!\NARY COpy CU8'n.:)MEFf PiNt( COpy - SALES Job Name Add-re.. 6w1V1CJ Ie 1005;< i2 .,I. fYk c33o~O r'-:":" "T1Tf, :ITT.f' ..I...1.Lr.I"TTTr::n~rr. jjlL 'HHli::.:tt.tt:ttLL.J'l j.tJ.ttJ . . .................-+-;- . i' . -++-i-+ ,.J.'4-J...L ..,I....L+...i" . . , 't :J.:1,;..::I,::.-j-j:.i:'.J"':LLLi: :!tJ J .1.[ ~'J U#" ,:1' I'i' :1,'1: EIJ I~u 11IT ~Un irt1u 1 ~ ,WH I . '.: f . , I .,. ..., ..l. ,. . ,...1-- 1..1. .... .,. :. ,.. J- ,. j. ....:. 1". 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