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Home My WebLink About95-5223 BUILDING PERMII--- CITY OF ZEPHYRHILLS permitN! (813) 788-6611 ~~522~g p,- ~ 1-9~ Date ~ E~. ~. M~erConn Property Owner: Job Address: Parcel I. D. # ~;g ~~~/v~~~ Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work FINAL -q~ DATE NO OCCUPANCY BEFORE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE City License Registration # /0,;2.. State Certified License# ~y~ /2Jd;;:: -BU~~DIN __ ElE~TR .. - . Permit Fee Signature Company Address Telephone# toO Valuation or il.J../~'- Contract Price ~ . PLUMBINc.: ..- ~ - MECH~ Ftr, ~ P,e Sl~~ Lintel 1 ~ FRM ~/ Insul:~~ ~~ Tp. Servo 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~-x.:.-r e e rJ e.D l~J.t}--d -5 l3 ' !' II II ~ r rl I I ~ ~ci~ Wf'\t\ '. ~' 3(." I I i I I I / D' c;, t X Z k per-liletet~ 1nttIINr ZIly:.Zit 1~~-(l:.CJ~ (A:{ dAri- f}rrl 1- peoe.- .3 0 ' Y " f 9 .. tilO /2- I( :'SL-f-e,v) S 4 , 2/4 t( Qo,GKsffS A ({ ~h1s tetJ<?rs ~ I( 4 , {B ~./4 C:hl\<<WA-1 Sc.reej /(> / Lt\.) ee. ( Woo]) ,;,. (;, -4 3> .~ ALUM- TEK 9635 Gray Fox Lane Port Richey, FL 34668 1-813-845-0465 LICENSED SONDED INSURED Order No. Sheet No. Aluminum Co. Date PHONE ~-9S- JOB NAME JOB LOCATION We hereby submit specifications and estimates for: (fJ z~ f ~~~ J~( wI/I) ~/ 3& " U/.Jf( ){/q 60 /C... ~~f (i2 r!tdCJ~ g~- ~e 'ropOl!le hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dollars ($ He: .{2) Payment to be made as follows: !\cceptance of Jropo9al - The above prices, specifications and conditions are satisfactory and are hereby ac- cepted. You ar8 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 ~ill 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. / 0 ,.--- Date of Acceptance rf~c/S' /S 1:0" A~'9,{ 4: , - ,. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within days. Signature C' I ". .. -~, Sign atu re APPLICATION FOR PERMIT CITY OF ZEPIIYlUIILLS BUILDING DEPARTKERT OWNER'S IWIIl lJy dUa-(j 2t~ OWNER'S ADDRESS ~. 2? - t>,,~ JQB ADDRESS If""?;! Ut//2.e/ tc..J019C> PHONE fJf /- ?3 ~(', .- I fb't'P4 LEGAL DESCRIPTION: LOT(S) BI.OClL--SUBDIVISION ;; /v~r O,f /Cs PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ---...Alteration _Repair _Install _Sign --'love _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other --...aestaur~ H~th Departaent Approval DESCRIPTION OF WORK: W/,Vv,q d/~ BUILDING SIZE: / () ;;13 X . Square Feet. Height RESIDENTIAL: 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 FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ 41'S:: sU Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. -"ECBAIIICAL $ Valuation of tlechanical Installation _PLUtlBIHG GAS ROOFING SPECIALTY TYPE OF COIISTRUCTION: _Block _Fu.e _Steel Other FIllISBED FLOOR ELEVAnOIlS: Fr. IS PROJEC'l IN FLOOD ZONE AREA? YES NO **..***....................*.............. BUTT.DER CONTRACTOR SECTION COMPANY dlv~-7eC l(v'L{/~c/0 State Cert. or Regist. . City License Registration . / t:)..:L .........*...............*................ Signature SiA'nAture COMPANY State Cert. or Regist. . City License Registration . ..**..*....*................*............. PLUtlBER COMPANY State Cert. or Regist. . City License Registration f *.......*....*...........*..*............. Signature tlECllARICAL COMPANY State Cert. or Regist. . City License Registration . .*..*....*..*.....*.....*................. Signature OTIIRR COMPANY State Cert. or Regist. f City License Registration t *...*.*.*..**..................*.......... Signature ~ APPLICATION APPROVED BY PERMIT OFFICER. ~ ., CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that tbis perlit lilY be subject to 'deed restrictions' which lay be lOre restrictive tban City regulations. the undersigned assUJeS responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe mmer bas bired a contractor or contractors to undertake workr tbey lay be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be cited for a lisdeteanor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing reguiretents lilY apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building DepartJent, (813) . 788-6611. Furtbe11lOrer if the OIOler has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe .Contractor Sections' of tbis application for which tbey will be responsible. If you, as tbe OIOler sign as tbe contractor, you are indicating that JOur ratber than tbe contractorr are responsible for tbe IIOrk. If tbe contractor wisbes you to sign as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicantr have been provided witb a copy of "10rida's Construction Lien Law - HoIeoImer's Protection Guide' prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant is sOll8One otber than tbe 'mmer', I certify tbat I have obtained a copy of tbe above described dOCUJent and protise in good faitb to deliver it to tbe ummer' prior to COIIeDCeJellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating constructionr loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no IIOrk or installation has C08enced prior to issuance of a perlit and that all work will be perfoI'led to Jeet standards of all laws regulating construction, City codesr loning regulationsr and land developleDt regulations in tbe jurisdiction. I also certify that I understand tbat tbe regulations of otber gOYeIllleDtal agencies lilY apply to tbe intended workr and tbat it is If responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to: t DepartJent of Envirolllelltal Regulation - Cypress Baybeadsr Wetland Areas and EnviroDlentally Sensitive Landsr Water /Wastewater !reatlent t Southwest Florida Water Managetent District - Wellsr Cypress Bayheads, Wetland Areasr Altering Watercourses t ArtY Corps of Engineers - Seawallsr Docksr lavigable Waterways t DepartJent of Healtb , Rebabilitative Services, Environtental Healtb Unit - Wellsr Wastewater TreatJentr Septic tanks t US Envirouental Protection Agency - Asbestos abatl!ll!Dt I also certify that, if fill IIterial is to be used in Flood Zone "A' or "A,etc.'r it is understood tbat a drainage plan addressing a 'COJpeDSating vol.' will be sub8itted wbich is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A pemit issued shall be construed to be a license to proceed witb tbe work and not as authority to violater cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter reguiring a correction of errors in planar construction, or violations of any code. Every pmit issued sball beCOle invalid unless tbe work authoriled by such perlit is COIIenced witbin sillODtbs of issuancer or if work authorized by the perlit is suspended or abandoned for a period of sil IODtbs after tbe tile tbe work is c~ced. One 90 day eltension of tiler lay be allowed for tbe perlit with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODtb period, or tbe project "ill be considered abandoned. wmING ro OIlIER: YOUR FAILURI ro RECORD A lorICE OF aJIIEICBIIIl! MAY RESULr II YOUR PAYlIG !VICE FOR IMPROVEMEI!S ro YOUR PROPIRTY. IF YOU II!BIfD '10 OB'I'III FIWCllGr COISUL! WI'lH YOUR LllDIR OR All Ana HE RECORDIIG YOUR DICE OF COMMEIfCEMEl!. J ,500 II VALUE DO 10'1 liED ro RECORD AID posr A' ICE CEMEI!.. srATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by srArE 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