HomeMy WebLinkAbout95-5119
BUILDING PERMIT -
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
~~51i~ ~
Date
/I'" /7-72.>-
.
_.--~
~
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
~. P~ ~~<3IGAL
~~~~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
!).rgy Code: ,
~~~f~./~
Radon Gas: ~
~<l.AL;.-J lL)d.l~ _./
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Z-J- 95"
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
f) i.)
Valuation o~ {J- 9 {? 10 ....--.
Contract Price
{
Permit Fee
Signature
Company
Address
Telephone#V'
City License Registration #
State Certified License#
IO~ (/dLl____ '
.
OL~l)ii
G~~
~EC~-
PL~
-
Mf,04AWCAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp, Servo
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,
Arrlt.l.\iA.l'LUfI I"UK PDKlT
CITY OF ZIPllYRBILLS
BUILDING DBPAR'I'MINT
_'S - '"fAy UVU"-if I?Lc~ P8OII~ ffr- ?0~e:
OWIER'S ~DD.Rq !<'xe.a-&- 15, PO w ,v..s
JO, ADDUS8~ ~ttJ~ q y~ j)~ _
LEGAL DBScUPllOR: lOT(S) BLOCK SUBDIVISION c~ L.- ~ cf) /tfCs
40
PARCEL t.D.' 3- - z..G:. ,- 7....( , 0 ((00,_ GetX>D OS-(O'J~N nOlI P.RQ1QTY TAX NOTICR)
WRIt PROPOSID:
fin Construction ----..Addition ---^lteration ---Jtepair _In8tall
---1Jian
----'love
-D.-oli8h
PROPOSED USI: ~t.Dale 'qily
---Jill _' of Units ---.Jf./B
_~r(:ta1
_lndust. -Swia. Pool _Other
Restaurant a Realth Deparblent Approval
DISClUPTIOI or wou: A/UtLll;c/U Se-reeJJef) iJ'M(S
IUILDDlG SID: ... I
J:
Square Feet.
Beiaht
USlOlIIl'W.: ATrACII (2) PLOT PLARS I: (2) SITS OF 8UlLDIRG PLAItS I: (1) sir BlaGY FORMS.
OOIItBRCIAL I AftAaI (3) SITS 01' BVILDlHG PLANS" (1) sir BRDGY PORtIS.
PaOPDTY SURvn lttQt11lt8O FOR ALL NEW COIISTRUcrION.
PDM1TS llIOtmsTED
~lIlLDDG
.
98600
Valuation of Total COnstruction
-ELBCl'IICAL
--1IBQWlICAL
---.l'LIIIBDIG
AMP Setvice
Florida Pover Corp.
".R.B.C.
s.
GAS
Valuation of lfecbani~l loatallat.ton
ROOFING IiUli.( 1JUtA StlCtAtTY
--'rue -8tee1 AllJUlU(}U oJvttother
TlPB OP OOWS'l"&UCDOII: --.Block
PD1SBID P.LOQI m.lVAnOIS:
~.
IS PROJBC'I' IN FLOOD zon ADA,
..........................***...**........
us
-
NO
mllTRACTOR SIlC'I'IOR
aml.nD (? CXIIPAII U t..I -' I e ~
--LA - l~ ~ State cert. or aeaiat.. .
SI8Utur~rw~ ~ Cit)" Llcaae llealatr.U.OIl f
................................*.........
Rt.RCTRTCT., COHPAWY... u
State Oert. or ReSist. .
Si8ftAturo City Licente R.atetration .
..........................................
i'I.-.p COMPANY
State cert. or "aist.. .
8l1nature City License Reaiatration .
..........................................
1IRI!II.lJII"~~, COMPAIY
State Cert. or "aist. f
StaDature ~ City Liceoae Re.lstration .
..........................................
0'J'IIItR COtIPANY
State Cert. or bsilt. .
SlIoature City License Registration .
..........................................
APPLlf;AnOJ AWIOVID IY PIRKlT OrrlCIa.
. - - - - - - - - - - - Jl..lL:'ii:'; 80- ;-LIF-- i4~ 4;=,- Trl~ - - - - - - - - - - - - - - - - - - - - - :;.;:..;- ~ ;-,::"~ - - - _.. - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.,
CONDITIONS OF PERMIT AFFIDAVIT
A. Ncn.I~ OF DBBD RB8'1'ftlCTX0N8
Ibe undmlga UDdIrItm!s tllat tJala pera1t lay be subject to 14814 restriction. I .bieb .., be lOre fIIulcUv. thBD City
regulaUCIIlJ. lilt _.mglld ..... .rupoDlllbllltf for ~lbnC8 with aDY applicable 4ee4 rllulctlou.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tile ower b.. blte4 . coatrattor 01' contractors to wtclertake tIOrk, the, lay be rellUite4 to lit l1C8J18ed III accordance "ltb
state and local regu.ltt10111. If the contractor 18 Dot licen8ed as required by law, botll tile 0IIlU aDd c:ontr.elm la, be
cited for a .l~r violation under .tate la.. If the orner or intended contractor are uncertain II to wblt lIC8ll8ing
requlr~tlllIJ apply for tile intent1ed lIOrt, ther ate advised to contact the City of Zepbrrbllla Bu114.lDg ~t, (813)
. 188..6611.
E. COH'l'RAC'l'OR' S/OWNER '8 AFFIDAVIT
I certlfr that III tbe lntollltJon in tbi8 application ia accurate and that all work viiI be done In COIPllaace .Itb all
IppUcable 1_ regulating CODItr\lction, lOlling, and 1ll1d a"..1o,.lIt.
ApplicatlOD I, bereby lIde to obtaiD . pmit to do work and installation a. indicated. I cerUfr th4t r-j IOrk 01'
lDltaUaUOIl baa ~cea prior to iuuanee of a perllt and that allllOrk will be perfoned to w:: 1tuaard. of all In.
regulating CCIGItruct.iont eltr codes, lOlling regulations, an4 land de,elOplent regl1latlOlll In the '~td.dictiOl. 1 1180
tertii! tJIIt I unc1tr.UDd that the regulations of other go,elDllDtal Igenele. Ii' apply to tb8 lIlt8D48l1 .It, and that It 1.
If r'lpoII8lbUlt, to id.tif, Ibat actions I lUSt take to be In COIPllancl. Sucb liganei.. include but lrt .1IJt Ibllt84 to:
t DeDar_t of BD'irOlll8Dtal Regulation - Cyprus "yhsada, Wetland Area. anG Ittvirolllentallr Balli'(C it-I
lIateI/1Iutevater IreatleDt
I 8oU.tMat rloridllfatu Jlaua.,.mt District - Welll, Cypress Baybeads, 1letland Areaa, Alterino lfatercourlSl
IItIY COrDI 9f _~"f1 .. a....u., Docb, "'igable Waterways
I ~t of IIIaltb &,1Ibab111tatlJe SmiclI...r. InvlrOJlltlltal Health lblit - Well., 11l8tnater Irll_t, septic !WI
t l!f ,luinllllatal Protectll1lla1DcJ .. A8be8tol abat_t
I also certif, tbat, If fill IIterial i8 to be used in 'load ZODe IAI or IA,.te.l, it is UDder.tood that a 4t.lnege plan
ac1drUllng a .....Uog tOl.' ,ill be euhlitted wbich il preparec1 by a prof_joMl enylDeer regl.terec11a tile State of
Florida prior to petitt illUilftCI.
A penit iuaed 1hil11 be coDltrued to be a license to proceed lith tile IOrt and not as authority to ,lolate, CIDCIlalter, or
ut ali48 IDJ pmhlQ118 of the technical codes, nor sba1l1sIuance of a pen1t prevent tlIe Building OfUelel fa ther.aUlr
rllJUirlng . correctloa of errora In pIa, construction, or Yiolatiou8 of anJ COde. herr pemlt 1med aba11 beeme iDvalid
001811 thla IOrk autbariled bl IUch petitt Is cc.enced ,dtbln 811 JOIltlll of lUlIIDce, or if IOrk lutharlle4 by the pel'llt 18
8uapeDOed or ebIIII1oIIII1 for a pul04 of .1& Jontha anII' the tile the VOlk 18 cx.eDce4. Ooe 90 tal ut_ldD of tble, ., be
allOMec1 for lbe pmit lith fIe cbarge of $15.00. tbe ealenalOll sball be (8lJIl88ted in "dUno to the Bullting Official. An
approve4 lupect1aa _t be logged duril1g each Iii .nth pBf'iod, or the project wIll be CCDi4erll1 "'Id.
IWUIIIG to MIll: YOOI '11_ to IBCOID I IOIlCl 01" CCIIIICIIIII! MAY RESUL! II YOUR PAYIIG ftflClIlOll UIrIlORUU8 '0 YOOR
PROPIIIY. II YOU IIDlD ro onlll FIIWtCIIIG, COIf8ULIlfIIH fOUR LI1IDI1l 01 AI AnoRQY ..,. RICORDIIG IWR MICI OF
0IfMI~. '2,500 II VILUI 00 1l0l0lD fO RICOllD AID POSI I · OJ: ~..
81
BUI. 0' PLCIlDA
coom 0'
Tbe foregoing in8t~t was acknowledged
before.. thi8 , 19_ by
stlrE OF FLORIDA
COUII't1 or
Tbe foregoing in8t~t was acknowledged
before me thil , 19 by
..
who i8 perlODaIly known to m. or who has
produced
18 identification and who did/did not ..
take 8ft oath.
(Signature)
(Kame TJped, Printed or Stamped)
ROTARY 'UBLIC
who 11 perlonally kDo.n to .. or who has
produced
a8 identification and who did/did Dot
take au oath.
(8igneture)
(R.me Typed, Printed or st88P8d)
NOTARY PUBLIC
02/20/1994 06:43
-813-9738'370
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ALUM- TER
9635 Gray Fox Lane
Port Richey, FL 34668
1-813-845-0465
LICENSED
BONDED
INSURED
Order No.
:Sheet No.
Aluminum Co.
Date
PROPOS~2SUBMITT;:T ;0 /
('-A v (,; LeA..- <?p
STREET f. M
&.f./ c e '(5 .
CITY. ST~B-i!:IP CODE
/ A/<-( /,,:>'/1
,.
We hereby submit specifications and estimates for:
7~ ICI/lS
Do~JJ
PHONE
I DATE
JOB NAME
JOB LOCATION
(7) 5i'
~:;c: re eJV' e D
fA) / / ;)OO/Z
I
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~G t( xL; f'~
J 4 ~ ~~LClp 14fe
ll.-\/. I ~ {.. I 4
(!~h AiLeD ft1
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Payment to be made as follows:
~e Jropo.e hereby to furnish material and labor - complete in accordance with above ~ications. for the sum of:
dollars ($ "98(; \ .QQ. )
!\rreptllnre of Jro}fo9111 _
The above prices, specifications and conditions are satisfactory and are hereby ac-
cepted. You are authorized to do the work as specified. Payment will be made as
outlined above. After 90 days 8 (15) Fifteen Dollar service charge, plus materials
will be charged for service work.
Any alterations or deviation from above specifications 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.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
days.
Date of Acceptance
Work Accep
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