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HomeMy WebLinkAbout95-4768 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4768S Date .3' -/)1-7-.5:.- /~ e ELECTRICAL PLUMBING ::::::,~,:~e~ /, rt/jCL!k::.. Parcell.D. # /'/ - ~. b - Q./- IJ a? 0-- (;)-CJ~ CJ 0 -- MECHANICAL Sewer Conn Water Conn: Water M!lter: T.I.F.'s: tJ cJ.. <f< 0 Zon;ng' ~y Code Description of wo~ ~C . ~ Radon Gas: FINAl3~~ 3~7~ DATE NO OCCUPANCY BEFORE C,O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. - All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector LA)~'d{ Permit Fee .-2s- rv Signature rr-~~ ~ Company Address Telephone# Valuation or Contract Price c3. CJ r~ --. dLJ -' City License Registration # &-"1 State Certified License# 0-/ (f~A ~~ ~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 PER!'IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Jf- / iJ u a/~ --f-;/ ADDRESS ,'3 f<f':. ~ 7 /77t:l r~.s C T OWNER I}r/eP1 ('> j?a 1/:S JOB LOCATION tb~7 ('~arfer J,.-H: JI.s pf., 3.35'1J /1 L t,.{ J"Yl: 'I /A .f'V\. . 2.p~j, //rJ..:W; FL- / PHONE ') d ::J-- (59 7" ~ LOT SIZE 60 X J- 0 AREA SQ, FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# /1-/- {}-6- ;)../- (')-;}..7rJ -O~O()O- OcM-O I WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units ._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x 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 FORNS, '1<* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H,R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BliILDE~ ~ SignatureC. , ~TRACTDE Company State Cert. or Regist. # , City License Registration ****************************************** ELECTRTCTAN Company State Cert. or Regist, # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. # City License Registration # ****************************************** Signature OTHER Signature Company State Cert. or Regist, # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS r The undersigned understands that this permit .ay be subject to "deed restrictions" which may b~ more restrictive than City regulations. The undersigned assules responsibility for compliance'with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor' or contractors to undertake work, they Day be r~quired 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 ~ay be cited for a Risde~eanor violation under state law. If the ~jner or intended contractor are uncertain as to what licensino requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Build'ing Depart~ent, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractor~, he is advised to have the contractor(sl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the orlner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. 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 - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the ipplicant is SODeone other than the 'owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all worK will b~ don~ in co~plianc~ with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a perait to do work and installation as indicated. I certify that no work or installation has co~~enced prior to issuance of a perlit and that all work will be p~rformed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governffiental agencies IDay apply to the intended work, and that it is /lY responsibility to identify what actions I must t,ake to be in CLl.pliance. Such agencies include bid ~,e iiOL li~ited tc,: I Department of Environ~ental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensl Iii! Lands, Water/Wastewater Treatment I Southwest Florida Water Manaqement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercou,ses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wast~water Treat~E~~. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flc,c.d Zc,ne "A" c,r "A,etc.', it is unders,t(<(,j IL.t " d, ainage plan addressing a 'coftlpensating ycolu!!ie" will be submitted which is prepared by"~ !T'\c.fesJional er,~nt:er rei}l~t"r0j irl the State of Florida pric'r to perlliit issuance." . .~ ','" ;. "\~. '\ i, 4,..1 .~ .1:.. ~,. ,\'.."")"'1 · ,. A permit issued shall be construed to be a license to proceed with the work and not as authority tt ~ioj~te, cancel alter, or set aside any provisic,ns of the technical cc.des, nor shall issuance c.f a ptmnit prevent the Building lJif;ci~J 11C'III thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issu~d ~hjJI become invalid unless the I'lCtrk authorized by such penit is ce'JUIenced within six months of issuance, or if Hc,rK allthe'! j,ed hi the perffiit is suspended or abandoned for a period of six lonths after the time the work is co~menced. One 90 day e~te~slo" of tiie, ~ay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be [Dn5id~red db61~oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRoPERfV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE ---------------------------------- OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE ----------------------------------- DATE_______________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR ----------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES ------------------ ---------------------- LAKELAND {J-tf J ~/~ PLANT CITY A-1 Quality Aluminum Improvements, Inc. 5050 Gall Boulevard Zephyrhilis, Florida 33543 Florida State License No RX0059085 (813) 782,5946 CASH SALES ~ CONTRACT cByof f1I ~ cA ,19 <3 5:: by and between THIS AGREEMENT is made aoo entered into this A-1 QUALITY ALUMINUM IMPROVEMEf'JTS, Inc. 5050 G~ Blvd., Zephyrhills, FL 33541 (hereinafter called "Contractor") and 4- R J.e i1 .e U A'i\ PI , (hereinafter called / /\\.-\... ~/3-7C.3 /3/7 "ONner'i, wrose a:tiess 5: L/. h ;).. ~ l /' Y'\ A R I =e-R Phone: o. , Contractor shall furnish labor and materials for the following improvements to be made at the premises located at: . /17 &ril2 H-vn Roo~~ WHERE~S, Owner wishes to retain the services of Contractor to provide the materials and workmanship more specifically described below, and , . ' WHEREAS, the parties wish to reduce to writing the terms of their agreement. NOW, TH EREFORE, in consideration of the promises and mutual covenants contained herein, the parties agree as follows: (List specilic improvements here) 4$ ~~ c.(~-i ) 'd-'f5'8- tno151-e H--m ~w~ ~ vv/ {5 ~~'0'>71 ArRD'/ ::?/I'~~ ~~~tAJ- ~ h ~ w / ~~ NQ.ofRe>n ';:j C, Q~ 4 ~ A/ C2A-u- <)'f ~) 4 R \9~ 0 ~ 190~~ (l;< nO# ;261 ____ ~~j)?, - ~ - 1 S ( 0 g e QV"'l~ ~ rt-~ ~ tr rJ FV-f TOTAL CASH PRICE: S LESS DOWN PAYMENT: S ~ 0 q~1 ~c) / 0 4S""", ~ ;:;;A 000 / o-v- BALANCE DUE ON COMPLETION: S 2. Work will beoin within approximately after credit is approved iI any amount 01 this contract is to be financed, Otherwise, work will begin within approximately of signing this contract. Work will be completed wllhin approximately worKing days, Contractor will not be liable for delays beyond his control. 3. It is agreed that this contract shall not become blndlno upon the Contractor until it is approved by an officer of the company, 4. Any representations or agreements not contained herein shall not be binding on either party. All of the agreements and understandings 01 each party are contained herein, 5. In the event it becomes necessary for the Contractor to employ an attorney to recover monies due under this agreement, or to enforce any of the terms and provisions hereof, Owner(s) will be liable for, and agree(s) to pay, all costs and expenses, including reasonable attorney's fees, necessarily incurred by Contractor as a result, regardless of whether suit is filed or not. 6. All unused materials shall, under any conditions, remain the property of the Contractor. 7, The underSigned warrant(s) that he is (they are) the owner(s) of the above mentioned premises and the legal title thereto stands of record In hiS (their) name(s), 8, "BUYER'S RIGHT TO CANCEL": ThiS is a home solicitation sale, and if you do not want the 900ds or services, you may cancel thiS agreement by prOViding written notice to the seller In person, by telegram, or by mail. ThiS notice must Indicate that you do not wantlhe goods or services and must be delivered or postmarked before midnight of the third business day alter you Sign thiS agreement. If you cancel thiS agreement, the seller may not keep all or part of any cash down payment. 9. In the event Owner attempts to cancel this agreement after the date and time allowed for cancellation under paragraph 8 of this agreement, Owner(s) will be liable for, and agree(s) to pay Contractor, all damages which Contractor sustains as a result of such cancellation, including loss of profit, Contractor's cost of any materials specially fabricated, and a 15%. re-stocking charge for all materials required for the work specifie bove. THE HE EB C N A COMPLETELY EXECUTED COPY OF THIS CONTRACT. CNE (2-~~..<- /. Lie, . ,,-L..,....., /"~ ~ APPROvED BY TITLE OWNER r- L[Nl,T... VAl' TO SllC ... i @ GUT TER Coo.TI"'lOuS OPT l[lkA, , ' O'/! P""'<C -----FfR'TFfRl ttTl' t-f.' , r-1--H I ~, ~-:-. ~- r- ~Il II ~ !f '. t !] !II. ! LI iff ~~"i. " ~~ : r, '.'~,: j / ~/ 1!11[';;i.:i1i!ll!il:I';:": (;;2~j~lJll~'~~Jim1~u;rt: .. '-'I! I ' , , ! I I, , ~ ',- -, Ill' J i I I I; " , I , I R5 " I I- ~ ....--W __.I.. h-"~' . . , -.-'" ILAY-DD\JN RDDFDVER DETAILSI RJ 1lG[ CAP .............. 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