HomeMy WebLinkAbout95-5253
BUILDING PERMIT'-
CITY OF ZEPHYRHILLS Permit ~
(813) 788-6611
7-5253A
Date
P-r2/-7~-
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Zoning: Energy Cod!)
Description of Work )1fL:l.A'1J.L~ ~
M')J!-~
aN!
Water Meter:
T.I.F.'s:
Radon Gas:
/)~ +- ~~
NO OCCUPANCY BEFORE C.O.
FINAL /'.~ r 2-b, 4 :;-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector W
Permit Fee
Signature
Company
Address
Telephone#
(?i~~a'
Valuation or
Contract Price ,L.,- ~ < c.J(:)
./
City license Registration # c2...:> ;Z
State Certified license#
-:J ~2. - L{ 2-(;; :l.
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
lintel
FRM. q.-;J'IrqS- BoB
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
l:::;>v~ lo~2(,. C;)" i3)~
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 ZEPHYRHILLS
BUILDING DEPARTMENT
rk f'J.sO ,tJ
OWNER'S ADDRESS 3 ~ I Cf J r;ttA Av e ( 2("17 ~y fA l'{/~, p,___
~ ~ (cr,( ~ Av~ / Z er ht, rIAJ!~, (:,
(
LEGAL DESCRIPTION: LOT(S) q ~ / 0 BLOCK (~7 SUBDIVISION
PARCEL 1. D. t I { - U ~)-I ~ 0 {/ I 0 - { 'J 100 -0 0 c; o.dI? (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration V'Repair _Install
OWNER'S NAME
So n,J
PHONE
-;7J ~ -C' ~ cf()
JOB ADDRESS
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_Swia. Pool VOther (}U ~c..
_eo..ercial
_Indust.
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP 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
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,
City License Registration # ~ '7 d
******************************************
Signature
ELECTRICIAN COMPANY
State Cert. or Regist. .
Si~Ature City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration .
******************************************
omRR COMPANY
State Cert. or Regist. #
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait lay be subject to Ideed restrictions" wbicb lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a 'contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections I of this application for which 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 lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOROne other than the
Downer", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"ownerD prior to cOllellcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a perait and that all work will be perfoIJed to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDIeDtal agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
WaterfVastewater Treatlent
t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone lAD or DA,etc.", it is understood that a drainage plan
addressing a uCqlpensating volUlel will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perait 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 shall issuance of a perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOle invalid
unless the work authorized by such perlit is cOllBDced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day utension of tile, laY be
allowed for the perait with fee cbarge of $15.00. Tbe utension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMDCEllEIft' MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEIIEIft'S TO YOUR
PROPERTY. IF YOIl IIft'EW TO OBTAIN FINAIICING, CONSULT WITH YOUR LEER OR All AnORIEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
v/. {)J- ((d),;,^,v--'
SIGIIAT : COIft'RACTOR
STATE OF FLORID~
coum OF 'j} X 0
The foregoing instrument was acknowledged
before me this 9'lcP/ , 19~ by
-5b hn b /-/UJ5o/Y
who is personally known to me or who has
produced
as identification and who did/did not
take an ~th. t1 ~~ ~~
~~ h
/y ,r.; 4t- ftj S.. /X~ IJL V If /V fr
(Name Typed Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
coum OF ~~
The foregoing instrument was acknowledged
before me this d.o~ , 19~ by
~\u-,'L ~ - ~N'\'()...:"
who is personally known to me or who has
produced ~~&.""" \J::~ ~~ '
as identification and who did/did not
tak~an o~th.
~ :--.(' \- ~ ~'L,.
(Signature)
\-- c' '':".~ ~ C\f\ ~~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~..,.1 '111.
~~~~
;.;
,.~ Df f\.~
NANCY S MCALVANAH
My CommiIIIIion CC488088
Explr.. Sep. 04,1999
Bonded by AAI
800-422-1555
lEIGH J. CLASS
NOTARY PUBLIC. STATE OF FLORIDA
My cQmmission expires Mar. 21, 19':! I
Commission No. C C 2 7 0 3 8 1
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AGREEMENT FOR DEED
T~IS AGREEMENT, Made and entered into this I ~ t day of /7 vi v J r
A. D. 19 ~-(,o ,by and between B rl a. AJ .t--. /l{d r9q~
r , whose address is
,'..'li.-. ,to ~ / J ~F 2.('" _~{ yrl.. , (. l. ,> /'::CG. ;]V.l-Y..J ,hereinafter called the
Seller, and Tol._ b. f{p",f'~V :..i,z,.o S-vSI"I-v~. ff4,,",.SclNk~'S' l../I'/~
whose address IS ~ / Pu ..$' /')c/e""t./i. e
'] y ~ y r ,hereinafter called t e rchaser.
"2 ... ;7' y ,-1. . L. L ~ . rLc-r\ 6. /?G...,
~ ,
WHEREIN IT IS MUTUALLY UNDERSTOOD, STIPULATED, COVENANTED
AND AGREED AS FOLLOWS:
AGREEMENT TO CONVEY AND DESCRIPTION OF PROPERTY - The Seller
agrees to sell and the Purchaser agrees to purchase the following described land lying
and being situate in PCl S c n County, Florida, to-wit.
Lo f s 7' q...."'b leJ I r.3 Lac. It /5'7/ C l (y 01' l (>,.o(Y"'~' u~
A \' pe.;- ~ L(L f C) I' 14 e {d(...J AJ (JI' '2 e"o{ Y' rl. < c.. L,j A- S
~cC.<:l.I'~<!;'J IN P<'CL..{ ~oc:/It I" i)q"j~ S~ /'l/'S(tL.
lCeco;i) ~ 01' Pq s~c cov.v/YI ;:::Cdi'lf.)G...
38/ 'Is
/It:. 4 ~ Sf-<' At./e"/<<./e I Zt>".-o(yr(Ll.L:'~' (~61,r//7~
l' l~vl V;:'HL
StJhl\1 c. f/C,vS()1'/
Pro[~sal Submitted TOI
78:2-0s-80
Phone:
'1-/2-95"
Date:
38/ tiS-
Street:
Pi f'f1... A- t/ ~ N r.1. e
.
Job Nane:
Citf:~':1~{1e CdJe: P t-
33 r-c.rj 5~ 6"
Job Location and Phone NlI100rl
-------------------------------------------------------------------------------------
We propose hereby to furnish material and labor - canpleted in accordance with )
specifications below for the sun of: C S G"6 A-~~tf ~f sr~.f- aI D t<./~
A1,f/ee,tft.-S "INti 7/m(!! c.~ArtJt'J- /yor r(x.etf ke.
HI! ~ 1ft (Jtlj A-f./oc; tv I-J ~ Dollars ($ St1110 '!f!. )
Puyrrent to be mcrle as follows:
UdE
.::T7:J /; 11 ;l. / S?J t:J 4 cJ ()
cU () tZ;:!<.
All material is guaranteed to be as specified. All work to be canpleted
in a workmanlike manner according to standard practices. Any alteration
or deviation frOll specifications belOW' involving extra costs will be executed
only upon written orders, and will becane an extra charge over and above
the estimate. All agreements contingent upon strikes, accidents or delays
beyond our control.
IIAL F
/t-r
C cJ#l#? E/l/Ct' /11 ('/V'T c)f
,t5tt9LAtVce clue .+r C(/A1~,Le7?i) af
I
Note I This Proposal may be
withdrawn by us if not accepted
within '10 days.
B & C Contractors, Inc.
.~~
Authorized Signature
------------------------------~------------------_._----~-----_. -~~------------------
------------------------------------------------------------------------------------
We hereby submit specificntions and estimates for:
Ke~ f-zi L/ JT O~ C{/d t? K.
After acceptance by all parties (by signature), this docunent shall be con-
sidered a binding contract. In the event that it shall becane necessary
to employ an attorney to collect any 8ITount due under this contract, then
Custare.r will be liable for attorney's fees and costs llUlCur-.l.eO in such
collection.
Acceptance of Proposal - The above prices, specifications and conditions
ar,e satisfactory and are hereby accepted. You are authorized to d0 the work
as specified. Pa}'l1\ent will be made as outlined above.
~Ur{ d.--
Date of Acceptance:
0_ I).. -'1 J
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