HomeMy WebLinkAbout95-5296
BUILDING PERMIT -
CITY OF ZEPHYRHILLS . Permit JT!
(813) 788-6611
1~529QB
Date
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ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~rgy Code:
De:;~~ ~ ~
-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with ity Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
City License Registration #
State Certified License#
~(.,
Inspector
Valuation or
Contract Price
I rO"O. cro
"
Permit Fee ~J ':. c/z..J
Signature { I~ 2../ ~o I ~
Company
ddress
/i~ iJ ~ttM~
BUILDING
Ftr, 1c:?-r3.~ ') BILL-
Pre SLB lo-il.ltS i61L........
Lintel
~
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp, Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway ID~/~ .-',-0; ~L'
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 PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
~) ,//
1,.Y)<..e-U,Z 10 -~ -9S-
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OWNER'S NAHE.....:tta.(TU A- be-. ~J'5\ S. '\\1 \.. --:>eX\ N\.l \ \e..r
\
PHONE
OWNER'S ADDRESS
JOB ADDRESSJ..dJId-. ~\J.3/<"jr:::.,Ui 'bC' .
LEGAL DESCRIPTION: LOT(S) D30 BLOCK(Y:CO'1iUBDIVISION ufhyrWid:je.
PARCEL LD.' <~-~ -dJ../ ..... Of =30 - hODr;(') - O~I D (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction -Addition _Alteration _Repair _Install
_Sign
~ove
_D~lish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _M/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK, (10<!lp.A'A'E.5LI'lfl.'5 fbR I.lh /, I-f '&my (P&z.f'ORT -V "/) 12U)E "'~
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 FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~LDING
$ /?!/y)"oO
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
-"ECHAIflCAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
BUILDER _
Signature
~
&01&
ELECTRICIAN COMPANY
State Cert. or Regist. ,
SianAture City License Registration ,
..........................................
PLUMBER COMPANY
State Cert. or Regist. f
Signature City License Registration #
..........................................
KECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration t
..........................................
APPLICATION APPROVED BY PERKIT OFFICER.
."
DATE: 9/~tu./ 9~
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 construotion operations on any City owned Rights of Way shall furnish a detailed
.drawing Showing the compiete 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 ~Ot../;). 7ID9e-/.i)/~( ~/Z..
3 - d:lt, - ~/ - 0130 - ODOOO - O~I D
permission is hereby granted to
of "3..;-# n1ft,'50IV1 o/-t!emIT/I.!f lIVe!- ,.
))/2 IlJ&1'Hj ,; /l-l2jJtJIC1'/5/6Ewll-l k -.r L[I-d, 1'1
6RE0 ~F.I-1E...
f
for the construction and maintenance of
/2oom
S/rrl15 t:)Nly
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 tqe 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 SUCJl safety measures,
including placing and display of caution signs, as it may deem necessary in conduct of construction
and maintenance work hereunder.
s. 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 ~ssing installations shall be laid at such depth as may be speoified
by the City Building Offioial.
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 responsibility 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 fac;: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, ~ire., pip~s, 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 br.-reason of the construction, maintenance, and operation of said facility.
11. ' The holder shall 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 8hall post a cash or Burety bond with ~e City Manager in the sum of $
dollar. to guarantee performance of the obligations herein, and to guarantee maintenance of the
right-of-way d~scribed.herein 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 should fail to. meet any of its obligations hereunder. The bond shall also indemnify the
City for all court costs and reasonabl~ attorneys fees in the event legal action is required to
collect on sald bond.
SUBMITTED BY: 13l-ll/7lH5?'/lI,/2.V+&/I1E'NT/NL
(Perm~t.tee)
~ ~k /O/~~-/~S
s gnat)i~e J T~t e
JIt/9~ ..:Uda:6 , (J.;f--.
Address
APPROVED Bia
Date
STl\NDAI~D FORlY! OF AGREErvlEr~T
BETWEEN CONTRACTOR ANI) OWI\JER
niiS ACnEE\IE:\T IDdc the~J.L:JE..N_~__5LJ?1]-t--- _ d,IV pC ?t'l'rCIPJ3.E~ ------- __in the ~ear
:<iL2tCtn Ilunt!rcl amL_ Ivm~7Y--:.l~'1 _L_-- ____by and bet\\('I.IL_ &,/~?-- .Ii{t-eL1&------ -- -------
dn,.iJ.after c~lled tlle C()ntract(~r. an~Jj~- .;;>1!...h.J'111IIEJ!:=---------- - --- -- -- ___~ereinJ.ftcr called the
Cp"er, V, ,tne,'cch, that the Co::lI.\ctor -am} tic Owner for the comidcrati"ns 1l,nl1eJ agree as fo\10\\5:
f,:\fIC!.L 1. SCOPE OF TilE \VOltI'
'11.,. C"I~"c"r ,lull ~u"'i,h all of .a" lIl.llcli:ds ""d 1'<'lfollll a\1of th,' wl)rk 'h~n on tIlt' DI:IWill}!.s .,1\11 ,lncll1>.,1 in lh,. SI~Tifi,.ali,\n';
I :,:,lled _~N&G!;f"1;?-:ifgb;}2----n'ILhIL6ti-f~/&LfJLJLeL"!:- __~ilE.~/----------
i"'I'""d h:;l3.tJf_/YJ~N,e.l/ +:ceme..l'/r/AJ.t!.... - _ _n -- --, actin,: ,I'; and in these
( ".IL,d j;,)( '"[H.lIls ('111111,.<1 th" Kr< I.,lcd, al1d shall do cverythil1/l "''IlIiTe(1 hy this l~g"T\1lCllt, 111l' f:ent'lal comliliLlns or tlll' COlilr"ct, the
:'1.1 ,d""tir.>J'" :tIlJ the j)lawing~._
/.!\TlCLE 2. ';T,\E (iF COMI'LETWN
'1 L,.. W'Jlk If) he !'e,r"rnlC,]'II\l!r-r this COlltral I ,.hall \". conllnrlllT,I//_j :cl:^/ILJ
_.'IL,tanlially cU1l\l'lckll ___ ~';'JIM'lLnDVE~-- l(~c<L:!._ u_ ------
,
I.;)'J!}/T' /~l
'/-,... ,_~ '.r: \
'" <-<'L"'l ~ L'c": 1)__._ _ !llIl! shall 1",
!,IITleLE 3. TIlE CONTRACT SUM
Tl.e OWlIer sLall p~y tJH~ ConlrJfor for the p<'rtonnallce of the CO\1 tract, ~,ubieet to fllldilions and deductions provided thCIl,ill, in current
JII:,C!s as fnl\,,\\s {!;%at2~J~.#~/lIfJf!,6I'?:He.-8)9~lluH~lli11- H~;;tJQ n --- ________u_u___
lSLltC Ilcrl? the lump ~lIm 8m,wIlt, IIlIll pnlT". or buth, as (I,o'i1H'(l)
A-,:tllt,rilU! C",,-,;e Orders win he submittcl! l.v Ihe Contractor for all wOIk nol spceifinllv illcl\1clcd in this C,mlracl.
/.LTICl.E 4. l'I\O';IU:SS l'AY\tENTS
llt.,>t'rl lH"~l' UIl:' j;ro\'ISlllll 1,~U.J<." lor the UiJll'aHt Jl'lainrd niter the "'{lrk [('nelli" n cntain stU"C 01 cCllllplt'tion.)
AIITICLE 5. ACCEIY[ANCE AND FINAL 1'1\ \'\mNT
Fi:lal pJYll1l"\1t shall I", <1\1<,____ u __7J!.f:~--__rla\''' g
alld the CO:lcf,11l fully I,criml"t'l!.
sl\hslal\ti.ll l'ompl,.tio\1 of tIll' work pruvilled the work be then flllly complet,d
,'\lIT1CLE G, Till: LO;'-;THACT DOCl'MEr-.iTS
':he G'.llt'ral CllllcL:i-,ns of tlll" CIJI,tlacl, the' Spt',.lfi,.llio,IS aile! the Drawings, tt>.;ethcr with this A"ITcn,cnt, form the Coutr.lCt, and tht'Y
'lfI' as f\llly a part "f II\(' C"ulud :IS if hndll attaeh"ll or hl'lt'in ft.peatc(!. .1 he' followillIT is HIl ilt-lIlizatioll of olher e,sentl.'ll
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