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Home My WebLink About95-5131 BUILDING PERMII- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 -~'513113 Date 7-:La -9.s;- C9 ELECTRICAL PLUMBING MECHANICAL Pmperty Own., _71. -ML, T _ ~A' ~ .I ~ - Job Address: ...s /'..30 - /.;J. -4 ~-.f: Parcell.D, # Sewer Conn Water Conn: Water Meter; T,I.F.'s: Zoning: Z Energv Code: Description of Worr- ~/-o Z;-~~ Radon Gas; NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ~ &7/zJ. o---v ~'/(, Permit Fee Signature Comp Add Inspector City License Registration # State Certified License# ~~L, M~dl BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, Pre sLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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. APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT JV c:) ,r 6 ~('" I- OWNER'S ADDRESS L/ (J 0 I ~ L-- V .rl /l I JOJi ADDRESS ~-7 30 /;;2./h ? f "5 G j, /Aj/ 'f' z- /; ;001- dr ? S/-' fi lJ r /1)-/ ~ ( SUBDIVISION PHONE ? <j( <? - / 7 :::2 '2- z/rJ,L//' hl!~ ;::;;/;r/~ FJ !J 1/1 r) c." OWNER'S NAME LEGAL DESCRIPnON: LOT(S) BLOCK PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED :_New Construction ----!tddition ---..Alteration ~epair _Install _Sign --..JIove _Deaolish PROPOSED ~E: /s~e F_ily -"IF _' of Units --1t/H _ec-ercial _Indust. _Swia. Pool _Other -Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: j(~ J tA u' r7 /1 /C; f "J:O A err ;e G/f f e?L I , I /; {}.m L-- BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ '20 tJ r'J stil--- Valuation of Total Construction RT.ECrIUCAL AIIP Service Florida Power Corp. W.R.E.C. -"EClWlICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUCTlON: _Block _Fr~ _Steel Other FIllISBED FLOOR ELEVAnONS: FI' . IS PROJECT IN FLOOD ZONE AREA 'I ....................................****** YES NO CONTRACTOR SECTION BUTT.DRR COMPANY /, (',hdtl ~ J- Ire-boll.[' /110 50/} Y'j State Cert. or Regist. , Je.1!; tJ()d 13 Signature ~ City License Registration' L/ c/ b .**.*..*******..***********..****.******** COMPANY State Cert. or Regist. , Sianature City License Registration . .**.****.********************************* PLIDIBER COMPANY State Cert. or Regist. , Signature City License Registration . .*.......***.******.****.***************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration f .****.**.*********************.*********** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .***..**.********************************* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this peIlit lay be subject to 'deed restrictions" wbich lilY be lOre restrictive than City regulations. !be undersigned asSUleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIDer bas bired a contractor or contractors to undertake IIOrk, they lilY be required 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 lilY be cited for a lisdelleanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing requirl!lents lilY apply for the intendedllOrk, they are advised to contact the City of Zepbyrbills Building Departlent, (813) . 788-6611. FurtheIlOre, if the OIIDer bas bired a contractor or contractors, be is advised to bave 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 indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the 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 'Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is soaeone other than the "mmer", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "mmer" prior to COIIeDCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, Joning, and land developlent. Application is hereby lade to obtain a peIlit 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 perfoIlecl to leet standards of all laws regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI'Jlllental agencies lilY apply to the intendedllOrk, and that it is If responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not laited to: t Departlent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands, Water/Wastewater 'freatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic 'fanks t US EnviIOllleDtal Protection Agency - Asbestos abatelll!Dt I also certify that, if fill laterial is to be used in Flood Zone "A" or MA,etc.", it is understood that a drainage plan addressing a uCOIpeIlSating volue" will be subaitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perlit issued sball 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid unless the IIOrk authorized by such peIlit is COIIeDced within Sil IOnths of issuance, or if IIOrk authorized by the peIlit is suspended or abandoned for a period of Sil IODtbs after the tile the IIOrk is co.enced. One 90 day eltension of tiR, lilY be allowed for the perlit with fee charge of $15.00. fbe eltension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each Sil IODth period, or the project will be considered abandoned. "WING 'f0 OIlIER: YOUR FAILURE 'f0 RECORD A NorlCE OF COMMDCEIlBIft' MAY RESUL'f IN YOUR PAYING 'NICE FOR IMPROVEIIEJI'J'S 'f0 YOUR PROPERlY. IF YOU IIl'fElfD 'fO OBtAIN FllIIHCING, COIISUL'f WID YOUR LBIIDER OR All Af'fORIIY BEFORE RECORDING YOUR MorICi OF COMMENCIMEIft'. JOBS UNDER $2,500 IN VALUE 00 NO! NEED fO RECORD AND POS'f A "NotICE OF COMMENCEIIEM'l". SIGHA'fURll: COH'fRAC'f()R SIGJilfURE: (llJlER OR AGENT STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SIAD OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oil-tho (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC SEMINOLE FORM 596 PROPOSAL Page No. of Pages PROPOSAL SUBMITTED TO: PHONE: , DATE: I JO//y d.s, /97-6 NAME, , b + j IT '/I/o y ~. ., S' ~ t/v' ::z... STREET: ~ .v ~/ -3 h... Y /J 1/ rn tJ i.. D,.,- CITY: .tf f / ' J/ r:- J ~ jr- /"1/ /I~) r ((';l, STATE: JOB NAME:pe../1+ ~ I STREE~__7' q ./'l :/ /u /2. f"'h CITY: / .JI 2y?/1 ~/ /lIi/~ - ! ~ I~ .I STATE: r/^, We hereby submit specifications and estimates for: ;;~ r Jo i J-1~L~_Cd~.~ / ~~ ~Ld ~C~ --c;~-G~I _ ~~ (-1l~_--/-_L3Z_~tof' - ..... . / _<::CQ!<:"- f'/0u~?~-'7~-SC- -l:P_R {) Or) '3 :) 4/ I II ;Ore -h 07'1 g,../ (_Lt <eeL (/7 "5 CCC'J-_ ~I)-'J.51,-d / Q_'? () H I'lL ~ C,t<. / f;z. I/o C.J I 1-:. / I: ,I ,~ '. ~ /, ~ i. , / I' ~--L_-_~__.:-1____ ----LL.~ /rt a CL:__,L_L~_,.&ta r.J;:___tlj2___ -~_Ln -Jfi""-il.'---L/_ _~,~u, _______ l1y f~rJll!:, <r;y~ lion, .J- Ma./~L/q,L KJlh 2o~ h J f / ,-r-=--~-- /0 4.. u 0_,) C C05_L_ 0 -1_ ~ II. fa b L1Y. -1-.f1:1JZ.h L / a. L N1Yi. ~ci,-;-, J /}, (//kJr;A~ 5 q.6 Cr;;t-l-rau+c,.,:s, /ct. hew' /-'j 4.-t1o/c.- hr j/7/tj / We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of: dollars ($ ) with payment to be made as follows: All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard practices, Any alteration 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, This proposal subject to acceptance within thereafter at the option of the undersigned, days and is void The above prices, specifications and conditions are hereb as outlined above, pted, You are authorized to do the work as spedtied. 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