HomeMy WebLinkAbout95-5247
BUILDING PERMIT~.
CITY OF ZEPHYRHILLS Permit If ·
(813) 788-6611
-;-5247-8
Date
9-/9- 9S-
8
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Parcel 1.0. # b " .J-I- tJ/3 D CJ <:) 0- D 73 0
Zoning: - Ener~ Cod'Tl Radon Gas:
De;!l:~~rY~~"'- ~~- /'~~. ~ /"'/-
Water Meter:
Property Owner:
Job Address: 6
T.I.F.'s:
Valuation or
Contract Price ~ '/ .~?J. crv
~
~
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Acco
All work shall be performed in accordance with C
DATE
City License Registration # ~
State Certified License#
5'" t.I JJ1a
. BU~LDING
Ftr. q-2o.~ -7 gilL- Tp. Servo
PreSLB Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
q. Zl-tj )" 61 i..L-
REINSPECTION FEES: When extra inspection trips are n~cessary due to anyone of the following reasons, 't 1
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. ''V
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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' 5 NAIIIl ;j 13/"0 li. "'7iy I1Z7?1 /"1/(,,: /Z "iZllrr PHONE
OWNER'S ADDRESS
JOB ADDRESS 10/'1/ 7Y115t:0ftj /Or:F7;G
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 1.D.' .3 -;;ll,~.J / ...0/30 - ()()(X)O - 0"73D
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
-.JIove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK(l,A.I(l~€7C.<~~s f61? '1>K2IVCiLil4--/; (ll'lr'Po,,"-'7/ 7/J77~...5i1EiJ 7?'k~~~tJIc51>JE((.?#(j(
, -.I--;Y frl5.€ /) 50 t. n: N 00 /77
BUILDING SIZE: X Square Feet, Height
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~LDING
PERMITS REOUESTED
$ CJV5ZJ,OO
Valuation of Total Construction
_ELECTRICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUT I.DER _
CONTRACTOR SECTION
COMPANY "]3.t II /J/ tl50 III K(:v'-Ce-IJ l g" /Vr I N ~
cIi &. k.- State Cert. or Regist. ,
'(f p. City License Registration' ~
******************************************
Signature
ELECTRICIAN COMPANY
State Cert. or Regist. t
SignAture City License Registration t
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration ,
******************************************
OTHF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
(7 /I.? ~--
DATE: - ~:.r 5/j
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT (I
No construction under ground or above ground of any facility shall be accomplished on any
City Rights of Way without written approval from the City Building Department. Any application
for approval of cQnstruc~ion operations on any City owned Rights of Way shall furnish a detailed
.drawing showing the. complete scope of the proposed work in triplicate to the office of the Build-
ing Official for approval prior to the commencement of any work. A copy of this permit is to be
kept readily available at the site of the work at all times.
Sec No.
City Road
Date
LOCATION (Legal Description) I . !oj 'II 7?J0JPI.J.JAj )...cFr;#Zq ~hlr rtr-0: P)
:j-cJ~-d-I-C.)I=IO-6UtYJt)- ()730 .
Permission is hereby granted to Gn-es ~,.,e.1c.
of 7,+H !lJAq,I\\u -t(\-j'Y' ~(\+ I nC:-
~ . \
J)rIVeLDQ~
for the construction and maintenance of
subject to the following conditions:
1. The construction and maintenance of such utility shall not interfere with be property
and rights of a prior occ~pant.
2. All work shall be done in keeping with the standards of the City Streets Department and
under the supervision of the City Building Official, who will be notified at least one day prior
to commencement of construction.
3. All materials and .eq~ipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the State Road Department shall be observed
and t~e City shall be relieved of all responsibility from damage of any nature arising from this
permit: Subject to the same terms and conditions, the permit holder may take such safety measures,
including placing and display of caution signs, as it may deem necessary in conduct of construction
and maintenance work hereunder.
5. All private and all City property shall be restored to its original condition as far as
practical in the opinion of the City Building Official.
6~ All underground CDmssing installations shall be laid at such depth as may be specified
by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit.
This permit is granted with the understanding that the applicant has notified all other utility
users in the area covered by the permit and takes full respollsibility for any damage incurred by
prior installations as a result of his operations in order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and
that the placing of f~~ilities upon public property pursuant to this permit shall not operate to
'create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way, any or all of said
poles, ~ires, pipes, cables, or other facilities and appurtenances authorized hereunder, shall be
immediately removed from said Rights of Way, or reset or relocated thereon as required by the City
B~ilding Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or
injuries that may occur by:reason of the construction, maintenance, and operation of said facility.
11. . The holder 8hall complete the requested work within days or this permit shall
become null and void. In the event the work requested is not completed upon the expiration date
of this permit, the City shall have the right to complete such work and to charge the holder of
the permit for all costs incurred in completi~g said work.
12. The holder shall post a cash or surety bond with ~e City Manager in the sum of $
dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the
right-of-way d~scribedherein for a period of one (1) year following completion of the requested
. installation. In the event a surety bond is posted, the said surety bond shall be made payable to
the City and shall obligate the surety to hold the City harmless in the event the holder of this
permit ahould fail to' meet lUly of its obligations hereunder. The bond shall also indemnify the
~ty for all court costa and reasonabJ~ a~torneys fees in the event legal action is required to
collect on said bond. l 6~
1. SUBMITTED BY, 6 r't{23eeh IiE
~ . (Perm ttee)
(1 :i?~(l / u- ~//:;;_Dt?-'~IZ~~S
S nature & Title
1/'/9</ <;h..jale~ '-~/ -;}JR,xk-sL!; Ik_ " r/
Address 3~t:;11
APPROVED BII
Date
Cj-/tJ ';"15
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ST i\.NDAI~D FORlYl0F AGREEMENT
BETWEEN CONTRACTOR AND OWr~ER
TlilS ACI\EE\I~'::\T lcad" Ihe'=rhu--A:~l-1::h-,-----._,---- -. . d:\v of, _Sr.~l.e_\~\~~,r _________in llie }P<lf
:<i"ctc!n Buntin 1 and...-N.iN~..n;.,_hu ~_n__hY 3~1d . vC'1L.b'\"~,-:-Bc:.:-e ~___,_,__,___m'_~__'___'
>r,.iloafler called the Contract"r, 3nd._li~/...2QH.-~J1!:,:1- .1.!..._t::Jjl~jt~'Q------_. __--11erl'inaftcr called the
r.:..',wcr, \" ,lnc~;ccth. that U',(, Co"tLlctor and the Owner for th" eo ,ideratitl!1S Il,ll1](',I 3grcc as follows,
,\:I'fICI.E 1. SCOPE OF THE WOHK
'J J", C"'j/.ll tor ,kill l\lrlll~h .11\ of tl,,' IIlll"'l.", .llld 1'",[01111 all of lh,~nrk ets1\\'1l 011 11ll' j)J:,'.villg' ;lilt! dn"11),' d in 11,.. Sp('eific'ili'Jl\~
"~llledC.bN{~t -r E.- 5jJf~ .J'Q/L))e/ Of-<PfJ1_; (]tfIZriJJZr'r~P!t~ KOOrf}_/7'lt.no, ?t+))&~~[JjJ-j57VQt;iR K
I'" 1'.1" d h~B;i17/ftisoNeN' Cf-~~/lIft'VT.-IN~ I 71, .. ~tf("f. .?~\~j't, th<'>('
, 1.11 II t ] ;,,, I'm"II1> ('111111. t! till' M, L,t" t, .llld ~h.1I1 dll c\('l}lhjll~ Jt'ljllile,\ hy thi, ngdTIl\('llt, th" ~:"'H'ral ('ondiliol\S 01 tlll' COlltr..ct, tl\<'
lll.. l,i!Il";Ilill\l'. ,111(1 th(' lJr~l\ving~
!,!:nCLE 2, ';'I1.1E (iI- COMPLETION
Ti,l' wOlk to be pcrfunllnIIlIlt!n Ihis (;olllr.l\ I "hall \", coml1l""I'\'t!//~; : L~'";Aj /L)
d.,t~llti~lly \,O)Il\:I1.:t,d _ !l./71t.//'L ,(f~!(..:' I:<X,:C'X
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'" I.:CJ I.: L'L..: I.' ,,~Ilt! shall be
J.!\T1CLE 3. TlIE CONTRACT SU~1
Tl.e OWlil'r s~,all p~): Il,e C:olltm,dor f'lf Ill" !){'I{ofm,IIIL'l' of 11it' C'lltract, oul-j,'\'1 to rll!diliuns :111(1 deuuction, provideu thelcill. in cunelll
!lI:.ds ao fulle,,,, (f;J!l5PS:.!- )-=7i<..)().7Jlp~rn../o, roUte:- dUN bJee~ /5./!';y__ ---------'"
lSL\tf' \It'r(' tIll' 1\ll:1p .\\:111 l\l1J.ll'llt. \l\lit prin"" or lll)th. us <t.-'ilrl>d) /-
.".lIlhuri".,! Ch:'..g,' Orders will be ~lJ1Jmillt'd Lv d\t' COlllractor for all work !lot sp<,eifil'allv inclllrl<-d in this C:ontr~('l.
/.i;TICLE 1, ('HO';m:Ss l'ABtENTS
(IL:.ert ~ll'a' UIIY j,r<l\'i.\i!lll 1,H,d(' tor the U;i1('~Ult Idn.inrd ultt-r tht' \, l'lK u'lldw'i 11 u'rtnin stuKl' 01 C11ll11'1f'lidll.)
AI\'JJCI.E J, 1\Cc\':IYfA:"oJCE :\:"JD FINAL l':H\II':l\l'r
-r../L- (IF
','i'lal payment "lLlll 1)(' ,1"". ._~ ..!.JLC... _ __.tlF" 8:ll ~1,j,~t"l1ti.d COllll'ktipll of tIll' wlIlk j1wvi,!e,\ the work be Uien flllly COIiJ!,lt-lltl
IlIltl the CO,,:!.1l I i uII]' [.CI:OI 1;""1.
.'\1\ lieU': G, Till: (():,<THACT Doet1\IE:'<TS
';'1." C;"'if'ral (;,)",]:tj.'I1.. uf ill(' (;,o],I,,\('t, Ik. Sjw. ,ii. Ili":,, Jlld lh,. lil.\wings 1(\\'\'1I1<'r wiih this Agreen,enl, form the Co"tr.iet. and the)'
~~II' ~lS fnny 3 part uf IIIf' (,IJlllLl('t as it IH'[('lq atL~~~lh~ll (If lWlcin Tl'llc;ttcd:' 'I he..: f()llo\"ill~ is 111l 1tt'lnizatioll of olher f'~sl'nti;il
:nf(\rIiutiOI) pl'rtHlf'nt
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? : My Comm. ExpIres t g
;: : March 8. 1996 : ::
S \ No. CC185307 ! ::
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