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Home My WebLink About95-4901 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit "' 4901/L-J BUILDING dO, u=u ~lcA0 Property owne,' /~r{ U-J~ Job Address: ~~, , ..eAv~---1 ""'-- Parcel LD, # / tJ -;26 -- ,;2/- / - /0 A PLUMBING ~;> tJ - LJ() ~~ewerconn Water Conn: Date !>~-;:2 - 9 _s- Water Me.ter: T,LF.'s: Zoning: Energy Code: Description of Work ~ /./f. J A, / c / Radon Gas: FINAl_s:L~ qT 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 City License Registration # State Certified License# PLj / :~;:::~~~~) Company Address Telephone# Valuation or Contract Price oS tJ ~O - cJ() BUILDING )~Ce~ - ELECTRICAL /.5>'1' ~~<<L NC- PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final S-~-q::s & Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. - _._-~ -'7'i'r...----nF,~".~...... ~~.'"..\-. ...............~.... -- ~....~ - ~ ~'...~.'.' -- -..... ~()LI:'i ... .~ ~()/IlllI()ITI()/IlllII/IlllIt7 4/IlllI() tiUTI/IlllIt7 37338 Kosslk Road Zephyr hills, Fl 33541 (813) 783-3723 PROPOSAL No. Date ~-/-q s-: Sheet No. St. Cert. 'CAC042667 Proposal Submitted To: WDrk To 8e Performed At: '7 {',;. ~b- yl!-I! I'-LS r/o,il(),.:}- W'13 - 783... 3?qe. Street <;; Jf7n 6'. City LoT 91. Date of Plans Architect Name Street City State Phone W~7 (J ;vt.... Lj &mt- f'~ it'?,1(J1it 4', e, /6-; ~C~ #e,q.l.'" ~ r:cf;/:()~'1 ~~ &-I'~O{C' A(~ All material is guaranteed to be as specified. and the above specificati~n, submittl}d h~WoJ:i.._afld ,c~ted 7WD rAUV.$.r~ -::::::.r-,~-'~ with payments to be made es follows: ~ ,~~~~, ' ~ OO'~~ ~: ~ . 7~, ~.~9-7, I ifJ'1!!J ....JoJ. ,. , ',' work to be performed in accordance with the drawings and in a substantial workmanlike manner for tl)&. sum of . Dollars ($ :Z038,l)"j!..). Any elteration or devietion from elxMt epecifications involving extra costs. will be eXBCutBd only upon written ordel'll, end will bBcome en axtl'B cherge over end ebove the estimate, AlIllllrBllments contingent upon strikes. eccidents or deleys beyond our control. Owner to carry fire, tornado end other _ry insul'Bnce!-lpon elxMt work. Work- men's CompenBBtlOl1 end Public Uebility InBul'Bnce on ebove work to be taken out by A~_tfu"Y.'bm;:7~~~ ' Note- T~iS, propoS8~ay be withdraw~ ,~~us; if not accepted Within t:1 jays. ':' '" ACCEPTANCE OF PROPOSAL The above prices. speCifications and conditions are satisfactory and are heraby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ' Date /J1to. I, 11''[.> Signature ~~~ Signature '"..... ",,- ". ~..,. ~.-..... "''l~,.....",~".... "",-.>r"'"">'!"~~':>"'''''-<':' APPLICATION FOR PERIIIT CITY OF ZEPIIYRBILLS BUILDING DEPAR'l'KENT OWNER' S RAHE PHONE OWRER' S ADDRESS JOB ADDRESS ....... LEGAL DESCRIP'l'ION: IDT(S) BLOClL-SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL LD.' WORK PROPOSED:~ew Construction --.Addition ---..Alteration -.Jlepair _Install _Sign -'love -Deaolish PROPOSED USE: -8ingle F8IIUy ---lI/F _, of Units ---lI/H _ec-ercial _Indust. _Swia. Pool _Other Restaurant Ii: Health Departaent Approval DESCRIP'l'IOB OF WORK: BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: COMKERCIAL : ATTACH (2) PLOT PLABS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET EHERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PEmnTS REQUESTED -BUILDING $ Valuation of Total Construction RT.RCTlUCAL AKP Service Florida Power Corp. W.R.E.C. --1tECBAIIICAL -PLUHBDG $ Valuation of lIechanica1 Installation GAS ROOFING SPECIALTY TYPE 9F mJlSmucnoli: -Block _Fraae _Steel Other FDIISBED FJ.OOll ELEVAnOBS: Fl. IS PROJECT D FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION _MI.DRR COIIPAIfY State Cert. or Resist. . City License Registration , ************************************ Signature OIlPANY tate Cert. or Regist. f City License Registration f ****************************** PI.IJMBRR cotIPANY State Cert. or Regist. . Signature City License Registration f ****************************************** IlECBANICAL COMPANY State Cert. or Regist. f Sigoature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** APPLICAnOR APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that tbis pecait laY be subject to 'deed restrictions' wbieb lilY be lOre restrictive tban City regulations. !be undersigned asSUIe& responsibility for capliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIIler bas hired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0IIIler and contractor lilY be cited for a aisdeJeallor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing requirlllellts lilY apply for tbe intended work, tbey are advised to CQJltact tbe City of Zephyrbills Building DepartJent, (813) 788-6611. FurtbeIlOre, if tbe 0IIIler has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe 'Contractor Sections' of tbis application for whieb tbey lIill be responsible. If you, as tbe OIIIler sign as tbe contractor, you are indicating that you, rather than tbe contractor, are responsible for tbe work. If tbe contractor lliabes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting pdvileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided witb a copy of 'Florida's construction Lien Law - lIoIeolmer's Protection GuideN prepared by tbe Florida DepartJent of Igriculture and ConsUIeI Iffairs. If the applicant is 8OIeOI1a otber than the 'mmerD, I certify tbat I bave obtained a copy of the above described dOCUJent and praise in good faitb to deliver it to tbe Nmmer' prior to co.enCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infoIliltion in tbis application is accurate and that all work ,ill be done in cmpliance witb all applicable lalS regulating construction, lOlling, and land developent. Application is hereby Jade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or installation bas CDleDced prior to issuance of a pecait and that all lIOrk lIill be perfoIJed to IIl!et st:andards of all laws regulating construction, City codes, zoning regulations, and land develOpEDt regulations in tbe jurisdiction. I also certify that I understand that the regulations of other gGYeIDJeDtal agencies IliY apply to tbe intencJecJ vort, and that it is Ii responsibility to identify what actions I lUSt take to be in COIPliance. Such agencies include but are not lillited to: t DepartJent of Bnvirolllelltal Regulation - Cypress Baybeads, Vetland Ireas and BnviIODJeDtally Sensitive Lands, Vater /Wastewater !reatJent t Southwest Florida Vater llanagelellt District - Vells, Cypress Baybeads, Vetland Areas, Altering Vatercourses t AIIY Corps of Engineers - Seawalls, Docks, Kavigable "atenays t DepartJent of Bealtb i Rehabilitative Senices, Bnvirouental Bealtb Unit - VeIls, Vastewater !reatJent, Septic !ants t US EnviIODllental Protection Agency - Asbestos abateJent I also certify that, if filllilterial is to be used in Flood Zone 'I' or 'A,etc.', it is understood that a drainage plan - addressing a 'COI1J8DSating volUlle' ,ill be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to pecait issuance. A ~it issued shall be construed to be a license to proceecJlIitb the lIOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official fnll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pecait issued shall becme invalid unless the IOrk authorized by sueb peIlit is ~ced witbin sillODtbs of issuance, or if work authoriled by the pecait is suspended or abandoned for a period of sillODtbs after tbe tHe the IOrk is ~ced. One 90 daJ extension of tille, IilJ be ' al101led for tbe pecait witb fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abandoned. VAIUIUG 'fO omR: YOUR FAlLURE !O RECORD A KOIlCE OF C<IIMDCBIIIH! MAY RESULt III YOUR PIYIKG !VICE FOR DIPROVIIIII!S 'fO YOUR PROPBm. IF YOU mmm 'fO OB'fAII FlIlAHCIKG, COHSOL! VI!B YOOR LIlIDBR OR III AftOBDY BEFORE RICORDIKG YOUB IIO'fICH OF COIIIlEIICBMBII!. JOBS UlDER $2,500 III VALUE DO IO! IIBID 'f0 RECORD AID POS'f I wlIO!ICH OF C(JIMBtICBMBII!.. SIGHA'fUHB: COIft'RAC!OR SIGJIl'l'URE: omR OR lGIH1 SUfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by StilE OF FLORIDI coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally know.o to me or who has produced as identification and who did/did not take an oct-th. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Ra.e Typed, Printed or Sta.ped) ROTARY PUBLIC (Signature) (Rame Typed, Printed or Stamped) ROTARY PUBLIC