HomeMy WebLinkAbout95-4850
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N.~
48508
:21> ~0-0
Date -9- /.J-Y-S.-
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Property Owner: / / ( d'L/. A.A...1o .J2 _ r../ .i2A~~_
Job Address: ~-? '1'0.- / YQ -/'/"
Parcel 1.0. # I/-;;lb -:;)/ - 0010- (I 7? 0 0 -
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
o ;J.. CJ U
Zonin~: . A~Y Code: Radon Ga.s:
Description of Work . A.47~ '/).L~~
-
FINAL
S--Jf~q5
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.
City license Registration # .3 ~!:.-
State Certified License#
P~rmitFee[\.....~GJ- cJc)~
Slgnafure ~ Y
Company
Address
Telephone#
Valuation or
Contract Price
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BUILDING ELECTRICAL .;t3 /
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. ~',,1l4 -'15 6 t..i 1
Insul. CL
WL
Tp. Serv. I g-
Rough In tj- jJj-Cj5 801r
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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.
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APPLICAnON FOR PERHIT
CITY OF ZEPIIYlUIILLS
BUILDING DEPAR'l'KENT
.
OWNER'S NAME fJLL~ U f)LL\ 0.
OWNER'S ADDRESS 51~o r <34!- S'lJu~
JOB ADDRESS ~~
JJ ') r DOlO ~ 0'7c;D7)~ O'2D 0
LEGAL DESCRIPTION: LOT(S) - d-(p-91 BLOCIL--.SUBDIVISION
~
PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Coastruction --^ddition /Alteration ---.Jlepair _Install
PHONE
'7 <6 2- ~ 30Q ()
_Sign
-.JIove
--->>eaolish
PROPOSED USE: _Single Faaily
---.J{/F _' of Units ---.Jt/H
_ec-ercial
_Indust. _Swia. Pool _Other
--Restaurant Ii: Health Departaent Approval,
DESCRIPTION OF WORK:jJtt+~ 150rr- ~V--A)\) cLt,L~J...--./
BUILDING SIZE:
x
Square Feet,
Height
RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORtIS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
-BUILDING
$
Valuation of Total Construction
RT.RCTlUCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---'lEmABICAL
$
Valuation of lIechanical Installation
.-PLUllBING
GAS
ROOFING
SPECIALTY
TYPE ()F CONSTRUCTION: _Bloclt _Fraae _Steel
Other
FDISIIED FLOOR ELEVAnONS:
Fl.
IS PROJEcr IN FLOOD ZORE AREA?
YES NO
..........................................
BIITI.DRR
CONTRACTOR SECTION I ,
CDlPAIIY rAA- "-"'- ~ ~IL;'---'~ ~ctL n-~
State Cert. or Regi .. ('j'J · ?~
:\'1 City License Registration t (:? Q..~
...................................
COKPANYj(o 1 frJ7.r ~(l C.
State Cert. or Regist. . El106122 z ~
City License Registration t z..:a i
......................................****
Signature
PLDMRRR
COMPANY
State Cert. or Regist. t
City License Registration t
................**..*.....................
Signature
1lECllANICAI.
COIIPANY
State Cert. or Regist. .
City License Registration f
.................*...*................*...
Signature
OTRRR
COMPANY
State Cert. or Regist. t
City License Registration t
..........................................
Signature
2Z. '. 1
APPUCATIOB APPIlOVED BY 11:<u' ~ )Jj {1 ~.~
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perait uy be subject to "deed restrictions" wbich uy be lOre restrictive than City
regulations. !be undersigned assUIeB responsibility for capliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the Dlmer bas bired a contractor or contractors to undertake work, they DY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the 0IIJIeI and contractor uy be
cited for a lisdeleaJlOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!l8Dts uy apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
PurtheIlOre, if the Dlmer bas bired a contractor or contractors, be is advised to have 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 inc1icating that you, rather than the contractor, are responsible for the wort. If the contractor wiabes you to sign
as contractor that uy be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbil1s.
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 "Florida's COnstruction Lien Law - lkIIeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOI8OJla other than the
"owner", I certify that I have obtained a copy of the above described docIJIent and pmlise in good faith to deliver it to the
Rowner" prior to COlll8DCl!lleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in this application is accurate and that all work win be done in COIPliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas CDlenced prior to issuance of a perai t and that all work will be perfoIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llental agencies uy apply to the intended wort, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of BnviroDlel1tal Regulation - Cypress Baybeads, Wetland Areas and Bnvirollllentally Sensitive Lands,
WaterjVastewater 'I'real:lent
t Southwest Florida Water Managell8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArIy Corps of Bngineers - Seawalls, Docks, lavigable Watenays
t Departlent of Health & Rehabilitative Smices, BnvirODll!l1tal Health Unit - Wells, Wastewater 'I'reatlent, Septic !ws
t US BnvirODlental Protection Agency - Asbestos abateJlellt
I also certify that, if fill uterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan
addressing a "COIpeDSating VolUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A ~it 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 shall issuance of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becaIe invalid
unless the work authorized by such perlit is ~ced "ithin sillODtbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the work is coamced. One 90 day utension of tile, uy be
allowed for the perlit "ith fee charge of $15.00. '1'be utension shall be requested in "riting to the Building Official. An
approved inspection lUSt be logged during each sillODtb period, or the project will be considered abancloned.
WARRING '1'0 (JflfER: YOOR FAILURE '1'0 RECORD A IO'I'ICE OF COIMDCBIIIlf'l MAY RBSUL'I' II YOOR PAYIIG '!'IIICE FOR DIPROVBIIBlf!S '1'0 YOUR
PROPER'1'Y. IF YOU IJI'1'DD '1'0 0B'1'111 FlIIAlfCIIG, COlfSULY WID YOOR LlllDER OR lJI A'1"1'ORIBY BBFORB RECORDIIG YOUR IO'I'ICE OF
COMMEIfClMD'l. JOBS URDER $2,500 II VALUB 00 10'1' mD '1'0 RECORD AID posy A "IO'I'ICE OF ClJlMBICIMD'l".
SIGlfAfURI: OOIR OR AGII'1'
SIGllAfURI: comAC'lOR
SYAfE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SUR OF FLORIDA
coom OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who bas
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 o~th.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
MR & MRS PIERCE
RENOVATED BATHROOM
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*** ELECTRICAL NOTES *****
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MR & MRS PIERCE
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EXISTING SA THROOM
I, 513 '11, 516 '1
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*************************** CONTRACT ************************
CONTRAC:T
This construction contract is entered into on th
23 rd.~day of MARCH, 1995, by and between CUNNINGHAM
CONSTRUCTION, hereinafter called Contractor, and the party or
parties signing below, hereinafter called Owner
The above specifications, conditions, and job materials are
satisfactory and are hereby accepted. You are authorized to
purchase materials and proceed with this job as specified in
thi',:: pr'opot::.al
Contractor shall furnish ell labor and materials to do the work
described in the above specifications and Owner agrees to pay
Contractor as follows
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C:ONTRACT PR I CE. . . . . . . . . . . . . . . . . . .~_~_~_2, 201. .85 __ / I
--~._-,._----_.._"--------~
DRAW # 1. UPON ACCEPTANCE OF THIS ESTIMATE A DRAW OF 1.5% WILL BE
[)lJE::.. .. . .. .. .. .. .. .. n .. .. . .. .. .. .. . .. . .. .. .. .. .. .. .. .. .. .. .. .. . $. 3:3().. :;;:~.7
DRAW # 2. PERMITS POSTED, NOTICE OF COMMENCEMENT, DEMOLITION
C:oMPl...ETED, A DRA\.-J OF 251. \.-JI Ll... BE DUE.... $ __550. 46 ___..____.....
DRAW # 3. ALL INTERIOR WALL FRAMING, ELECTRICAL PANEL RESET &
I Nf:;PEC:TED, A DPA\.-J OF 251. lo-JI LL.. BE DUE..... $ ......550. 46....._...._____._
OPAW # 4. ALL INTERIOR DDORS & INTEPIOR WALL COVERING
INSTALLED A DRAW OF 251. \.-JILL BE DUE...... $__550. 4E,____._______...
DRAW # 5. UPON COMPLETION OF ALL LISTED WORK ON THIS ESTIMATE AND
ADJUSTI'1ENn; (+ 0'( .....) $ ____..._...._......_......_.... AN FINAL I NSPECT I ON FRO
BUILDING DEPARTMENT, A BALANCE DRAW OF 101. WILL BE DUE.... ....
ATTENTION: Contractor will do only that work which is written in
the above specifications for the above agreed amount
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IDate
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