The URL can be used to link to this page

Home My WebLink About95-5179 BUILDING PERMII- CITY OF ZEPHYRHILLS Permit '.N! (813) 788-6611 ~-517!};5 ~-9-9&- Date ~,~ ELE~ PLUM~ MEC~wer Conn ;:::,~~~:~e'3f!i!!:~~~' Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work . Energy Code: C /) 0-..~ t1~"" AI. Radon Gas: U )'.1l.Ljrn_ cYfi/lL n' ~~ f2AJ akJ/AP- 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 Inspector Permit Fe~ Signature .. - Company A~~~ _ Telephone# ~~-()4l, f Valuation or "f:.. . ~ Contract Price 1-~ () City License Registration # lo~ State Certified License# (~L-~ - tf., j/ ~ ~LEC~- PLUMBI~ MECHANlr ".L Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECT ION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ALUM- TER 9635 Gray Fox Lane Port Richey, FL 34668 1-813-845-0465 LICENSED BONDED INSURED Order No. Aluminum Co. Sheet No. Date PHONE 99/- ~3 f: 6 DATE c5'-g --;7~ JOB NAME CITY, ST~TE AND?JP_co.cE /. JOB 70C;ATI~ V. &CJCI ~J? '- -J / ~ ,_) G )~y-~ t1..~~ ~ t~ t~/ :$ c; !j / pootC/ ,Iff ,x! /4 C !t.aAA-- !L~ (!/~ CD 0-2 /"'C . '-, A~ ,~~ Payment to be made as follows: ~~ 'ropOB~ hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: 40(), crV dollars ($ x 'dL !\rreptnnre uf JrupuBnl _ The above prices. specifications and conditions are satisfactory and are hereby Be. 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 material, 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. ~,. .)._. -R' _ c o c days, Signature / (/v Sign atu re- ~( -:? ~ ''1). a V ."2 ,- - 4:. l... J ~ 1-~ '" 'V N ~\Jl V)O '><- 15l -JI '-;t:: '?, .~ ::> A M - '><.0 \\) 1) ~ \.s ' ~ s~ ~.A s ~ M4' ~ ('1J +- 0 r V) J ~I ~ ':l~ l-a G- o-- \J\-L .-r' "- ,~ 7. '- C:E O\J"- ~:s: '::' 0- ~ ,_Vlrt ~:i ';>oG '\i_. \ ~ ~~N ~ \ ~<t ON~ . 1l1) - VI q- tD ~)< ~ '~ ~ ~ I ---- "'---" -j- ~ ), .~ ~ ~ \;1 ---J. ? '/,..( -I>~X 4~ ---.1'::;. '-o/..fI ~~ pc_ .~ ,~ -/ --- \)-- ----- 'r - --- w ~ I 'I " 10.)10.)10.) 10.)10.)10.) . . , ;;; 01>010.)- 10.)- OOUl 000 UIUIUI :z::z::z: ".." '" "''''''' -4-4-4 CIlCllCll -- f-- -t -, " .", -- j 1'-'-1 I ---. -' -'--- -- --. 1---. --'. -- --- --- -1 I - -.- - ---- -,_. l--- f-- -- ---- f-" -,- --pt ! e---.l--- I-- ! , - --- --,+--f- I i I i -+ : i . - I---q--t~ ------r - 1 I : - -- \--t-+-~ -- I -- -f-- -- - 1--- 1-- ,-- I-- -' 1"-1-- ! ~+ J- -- ! I ! I -i i -- -- -- -., -. - _.- .- ,- : 1 -+- 1 t .- -t , ,-- --- ,- -- -- - -- : i I I -+- - - --f I ! ",,--, I ! , , I :--t+1= j' ., - , I -,- I i , I : -+ --4--- - -- I ! f..--- --r I I I i I I I I I i i ! 1-- ! L- +- I, I \ I i I ! .- --1 : i I I ! ! ! I , 1 I i_ I----+-_+ I I ! I i [ I[ I ~ 1 I I I ! I I -~ " 1--... I i I -, ll- ! \ j I i T -f-~- ! I :-E\ I ! -r +-- I I \ I to',' -r- ! I ! : I! I ~--t- +----~ --i-i-- --, -r-rl--t- i \ T I _..___..___"..~.,.,_______.~"'u..__._"_._.___"_._...~_.__.,.- APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S __ 6ry (~ ~ OWNER'S ADDRESS l,~ ;?; . ~ vUrUS &~01 d~/;'"j)A/e ~NE . ~/'1'3 6<0 1/1--/<-/,01+- JQB ADDRESS ,l),e , LEGAL DESCRIP'l'ION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' 3. - Z, - 2 I - D I SD r- .e - Od s-v (OBTAIN FROM PROPERTY TAX NOTICE) I WORK PROPOSED:~New Construction -Addition --...Alteration -.,Repair _Install _Sign ---.JIove _Deaolish PROPOSED USE: ...J,;Q..Single Faaily ---1f/F _' of Units _M/H _ec-ercial _Indust. _Swt.. Pool _Other ---..aestaurant " Health Depar.....tz:rOVal DESCRIPTION OF WORK: A /(//.-1/ I'l/ U U4-tI 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 ~UlLDING $ 4~o~ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. V.R.E.C. ---1IEClWUCAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY, 1/ tJ M / ~iJ ,(/I'Other TYPE OF CONSTRUCTION: -Block _Fraae _Steel FIllISBED FLOOR EI.EVAnONS: Fr. IS PROJECT IN FLOOD ZONE AREA? ........................*.**************** YES NO BUTT .Dn COIlTIlAChlIl S~' COMPANY '/UN- 7e~ State Cer . or Regist. . City License Registration . ****************************************** /02_ RT.RCTRICIAII COMPANY State Cert. or Regist. . Sianature City License Registration . *.************.************.************** PLIDtBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** IlECIIAlfiCAL COMPANY State Cert. or Regist. . Signature City License Registration . *.**.*******************.***.************* OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # **.***.**************************.******** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit lilY be subject to Ideed restrictions" wbieb lay 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 (MIer bas bired a contractor or contractors to undertake lIOrk, 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 mmer and contractor lilY be cited for a lisdeleanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing requirl!leDts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) . 788-6611. FurtbeIlOre, if the mmer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sectionsl of this application for wbieb they will be responsible. If you, as the mmer 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 laY be an indication that be is not properly licensed and is not entitled to perlitting 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 IPlorida's Construction Lien Law - lIoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is sOleOne other than the ImmerH, I certify that I bave obtained a copy of the above described docuIent and pIOlise in good faith to deliver it to the "mmer" prior to COll8l1Cl!lent. 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, loning, and land developlt!llt. Application is bereby lade to obtain a peIlit to do IIOrk and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perlit and that all work will be perfoIlecl to leet standards of all laws regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUst take to be in cOJpliance. Sueb agencies include but are not lilited to: t Departlent of BnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllelltally Sensitive Lands, Water /Wastewater Treatlent t Southwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health i Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlelltal Protection Agency - Asbestos abatl!lll!llt I also certify that, if fill Iilterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan addressing a lCOIpeDSating VOIUlleI will be subJlitted wbieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A peIlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authoriled by sueb peIlit is cOll8llced within sil IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of sil IOnths after the tile the work is ~ced. One 90 day l!Itension of tile, lilY be allowed for the peIlit with fee charge of $15.00. Tbe l!Itension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sillODth period, or the project will be considered abandoned. WARRIIG 'fO QWHIR: YOUR FAILURE TO RECORD A HorlCl OF COIMIHCBIIII! MAY RESULf II YOOR PAYlHG fWICI FOR IHPROVEMmS fO YOUR PROPERlY. IF YOU I 'fO OBfADI FIIlAlfCIIG, COISULT WI'fH YOUR LBIIDER OR U BEFORE RECORDIHG YOOR 1000lCl OF COMMEICBHBN'f. J S HR $2,500 II VALUE 00 MO'f mD 'fa RECORD AHD POST A OF C<JOOOfCBHB)I'l". STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC