The URL can be used to link to this page

Home My WebLink About95-5311 . , BUILDING PERMIT --- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 5311 Date /0 -/tY-9--S BUILDING .).b - cTV ELECTRICAL PLUMBING .30. tT0 MECHANICAL Sewer Conn Water Conn: Pmperty Owne' ,~-1.d~ ~ Job Address: 0 _'6 - _ _ ~. Parcell.D. # / / - t12 b - :2/- tJt:J/lJ - 0 7/ tJ () - 6/ ::> D Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work '---#~.r A / G Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# ~o Permit Fee Signature Company Address Telephone# Valuation or Contract Price :L!:> ~"'V. tTu / _~A\ ~ /~I'I (~; k/e- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final /0 21.q5 ~B SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final lo'21.~) ~f? Driveway 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAME G ~ e A L.. t\ \iLl. G L(t S OWNER' S ADDRESS 5 7 3 b I J- +4. .! r JOB ADDRESS 5" 7 3 G:. 1.;2. t /l S-r: PHONE ~/3-?8~,,9 7a LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' 11- ,;1.,,- ;2./- 0010- 0710D -0170 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---.A1teration _Repair -A-Install _Sign -'love _Deaolish PROPOSED USE: ~single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: INSft4-Ll Ne..r....> Ale L /+~T.#~ . -.J 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 _BUILDING $ Valuation of Total Construction _ELECTRICAL AHP Service Florida Power Corp. W.R.E.C. _HECIIAIIlCAL $ 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 BUTT.DER COMPANY State Cert. or Regist. , City License Registration , **************************************** 7 I Signature COMPANY. ~ State Cert. or Regist. t City License Registration . ****************************************** Signature ~~~e~~.'~~A City License Registration t ****************************************** .> PLUMBER COMPANY Ie.$- State Cert. or Reg st. t 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 The undersigned understands tbat this pertit laY be subject to .deed restrictions" which lay be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtberlOre, if tbe owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe 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 pertitting 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 .Florida's Construction Lien Law - Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOJeone otber than the "owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation 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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleOt regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agenCies laY 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 EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirOOlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood ZOne "A. or "A,etc.., it is understood that a drainage plan addressing a uc~pensating volDleR will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such pertit is cOlleOced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the pertit with fee cbarge of $15.00. The extension sball be request n riting to the Building Official. An approved inspection lUst be logged during eacb sixlOnth period, or the projec~ il e considered abandoned. WARJlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEMCEHENf HAY RESU~!IH PAYING twiCE FOR IHPROVHHEn'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIM FlHAHCING, COMSULT WITH YOUR LENDER OR A1f ~. CORD IMG Y MOTICE OF COMHENCEHERT. JOBS UNDER $2,500 1M VALUE 00 MOT HEED TO RECORD AND POST /~ " . I I , X ~-n-4~~- ~~~~ , SIGMAfURE: OWHHRORAGERT Gte~c/ i<J cll/5 I 'areA STATE OF FL~. COURTY OF The foregoing in~ent was acknowledged before me this /R , 199 ~ by ~a1d W [://1.5 who is personally known to me or who has produced h J:?/ l- as identification and who did/did not ~~~ i~e) I 0 . fOY1 L, \:::xu t:Je,r (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLO~A coum OF UlE:>CO The foregoing instrumen~?was acknowledged before me this 0 (!;/- ( (5 , 19 9 S- by /2; ic/zOfd (1) e!)/e who is perS~allY knljWD to me or who has produced /-- '11 '--- . as identification and who did/did not ~~ I igna~e) .L ~..b \. n~((Y)' U (Name yped, Printed or Stamped) NOTARY PUBLIC ........... sHARON L. BARBER EXPIRES l~:&I!'~.r~.. MY COMMISSION' CC443613 ~*: ':~ MaIClI i. 1999 1'-:. ~";.,......il aoNOED THRII TROY FAIN INSIJRAHCE, '1F"p,rl'~"'" SHARON L. BARBER MY COMMISSION' CC443613 EXPIRES March I. 1999 BONDED THRU TROY FAIN INSURANCE, INC. (;()LI:'S 4I1J (;()!lili()ITI()!liliI!lili(7 ~() 1i1:4TI!lili(7 37338 Kossik Road Zephyrhllls. FL 33541 (813) 783.3723 PROPOSAL No. Date ,- (\.- I~-\""'-- J. 51. Cerl. 'CAC042667 Sheet No. Proposal Submitted To: Work To Be Performed At: s~e. ,. Name G~-~~L~ w. f:~ Street . 4:t I a..""'I--, M City ::Z~ftf'fR-"'; t\~J State \..:- I Phone ~J3~ ? .t-H3.. q f).?. ~ , Street City Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of t:-~ I.H''''''' :r~7rA({ D,..Je- '~ T;; I,J S' ~\.,' \-.1 c.'c...."c ,,..~~., ~ '^',.,..~ ",k\-" /0. l<-W f:(~fj'l.l(.'()-(' i~Jt.c:o...:\ , t>v...c...1 (.Ab:1..\(,. c,l~c-1\.. ~c.~~~ r.t)~, '7 5~r{\ L.y e:,I't..l.L ~............. H,,~,-, ;;.11) ~vt'r-S ~~~~. c(~ ~vlH; slA-P. ~I-- ~, /""'0....,>"':' )H,,":~{'" V~1LE,.J~) TlS'f",-t. /+-~ JDl\-.^jbIJ"lZ.~0 ' (f'J~~, ot-lG 1(:,.".,./L 4)/HL6 (. ~~tL g'{ Qt> l~~ ^Ie:.. (.. ~U J....l...tv,'~~ ~ tJ~S~}./ Mt... pt')-4...~~ 01 Mft.IoJ.....~t\,f;ce All material is guaranteed to be as specified. and the above work to be performed in accordance with the drawings and specificatioG,s submitted for above work and completed in a substantial workmanlike manner for the sum of ~ '-,' \ r" - '- I ( f (' -t~ .. ""..~ "\ b~ \ \,,0...0 ,t" o-\.S ~t--'~. ~ \T........... 11-- ~>.T"'~' - -Dollars [$"",550' r- ). with payments to be made as follows: ~ S 50' "'.;' .. ODU~~~ {If' <;; 'u"" D f Gl'-flMJf, p.....;O~~i= <l 5'6 ~ ~ 0.'-' (" v ^f {~ . . Respectfully ,ubm-:::;4ftl(L 3 Per '1({< /..ff(JJJ /fJ, (}-<.,!e-- Any alteration or deviation from above specifications involving extra costs. will be executed only upon written orders, end will become an extra cherge over end above the estimste. All agreements contingent upon strikes. eccidents or delays beyond our control. Owner to carry fIre, tornado and other necessary insurance upon ebove work. Work- men's CompensatIon end Public Liability Insurance on above work to be taken out by Note- This proposal may be withdrawn by us if not accepted within J i::- c days. ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature ~~~ d_./'/' . ~(/ C:.-/(;v -.-.&'-7~ a '--~~ I . V _ . .,./ '" -"'" - .--1'_c.--o. Date /d ,/ / c~ / '1~ 5 .- Signature