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Home My WebLink About95-5457 BUILDING PERMIT --- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 f~5457 ~ Date Jd- -/;2 -fS- ~ ELECTR'CAL PLUMBING P<operty Owne, (;;t!L ~ Ici 2t~, </ _ JobAddress:....~~ ~_ /___ Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of wore;- ./,1>( ~ ~ 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. Inspector Permit Fee Signature Company Address Telephone# .~~ C--- Valuation or _ r; (1.- Contract Price ~K t/:?'. (.,.,"'I-j) City License Registration # ...jJ!l) /1 b State Certified License# ~r<~j?+(j BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLjS Unt.1 _r>~ - FRM _ _ . ? Insu': CL 1-.;F i WL.l ~ \ 19/ Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final 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. .~_., _..._--"~..- .....................'-.,........,. ...-T.,..,.,.",._~~'...,'7,~... ... ~4 ~ ........-.~"':..:{.."'..;,::.."...,. . . APPLICAfiOR FOR PElUlIT CITY OF ZEPIIYRIIILLS BUILDDlG DEPARl'IIERT OWNER' S IWm (' ~~ A OWNER' S ADDRESS -:;?? 17 JOB ADDRESS 51} /:' C . LEGAL DESCRIPTIOR: LDT(S) G- boWeLL Jr' l.3:~ Ill/C. /1, PHONE .711 -/5'(/ '- BIDCL-SUBDIVISIOR PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Rew Coastructioo. ----..Addition --...Alteration bpair 4Install _Sign --.JIove ->>e8olish PROPOSED USE: ~ing1e Faaily ----1I/F _, of Units ----1I/H _eo-ercial _Indust. _Swill. Pool _O~er -.Jlestaurant Ii: Health Departaent Approval DESCRIPTIOB OF WOlDt: f~. - .2tJP'::" 1 "1 rI BUILDDlG SIZE: x Square Feet, Height RE8IDEI1TIAL: COMKERCIAL : A'l'TAQI (2) PLOT PLANS Ii (2) SETS OF BOILDDlG PLANS Ii: (1) SET ENERGY FORMS. ATrAQI (3) SETS OF BOILDDlG PLANS Ii: (1) SET ENERGY FOIUlS. PROPERTY SUllVBY REQUIRED FOR ALL NEW COBSTRUCTION. ~OILDDIG $ JI ""7 ({ A /I ,{J'. ~ UL', (..iT PERKITS REOUESTED ~ Valuation of Total Construction RT.RCl'RI.CAL AMP Service Florida Power Corp. W.R.E.C. ~CAL -PLtIIBDIG $ Valuation of llechanical Installation GAS . I !( . ROOFDlG SPECIALTY TYPE ()F COIIST.RUcnOB: _____lock _FraIIe _Steel Other FDIISIIED FLOOR ELEVATIOBS: FT. IS PROJECr III FLOOD ZONE AREA? YES NO .......................................... CORTBACTOR SECTION BIJTJ.DRR {7 . /J ,-'f( r't>~ {iIL~ /"" . . .j ..1/ ./ '. I' COKPANY {f}/lJtf/A-' /tv{Jr/I(/~v. State Cert. or Regist. . R L (, CI t/? 2-'1/ City License Registration ,30 .......................................... j)~Jl. Signature RT .Rl':'I'RTCIAII COtIPANY State Cert. or Regist. , City License Registration' .......................................... Si_ture PI.IDlBRR COItPANY State Cert. or Regist. . City License Registration . .......................................... Sigoature IlECIWllCAL COtIPANY State Cert. or Regist. . City License Registration. .......................................... Sigoature OTIIRR COtIPANY State Cert. or Regist. . City License Registration . .......................................... Sigoature APPLlCAnOB APPROVED BY PElUlIT OFFICER. 1.- ....~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perait laY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City regulations. !he undersigned iIS8UIIe& responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors ' to undertake work, they lilY 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 lilY be cited for a lisdl!lM!anOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireteJlts lilY apply for the intended work, they are advised to CORt,act the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas 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 inc1icating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lilY 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 - JIOII!OIIIler's Protection Guide" prepared by the Flori4a Departlent of Agriculture and ConsUlel' Affairs. If the applicant is 8OIeOIle other than the 'owner", I certify that I bave obtained a copy of the above described docUIent and p1'Olise in good faith to deliver it to the "owner" prior to COll8llCl!IeDt. 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, loning, and land develo~t. Application is bereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas w.mced prior to issuance of a perait and that all work will be perforteel to teet standards of all laws regulating construction, City codes, loning regulations, and land developlll!llt regulations in the jurisdictioo. I also certify that I understand that the regulations of other goveIDllelltal agencies lilY apply to the intended wort, and that it is If responsibility to identify wbat actions I lUSt take to be in coapliance. Such agencies include but are not lilited to: t Departlent of Envil"Olll8lltal Regulation - Cypress Bayheacls, IIetland Areas and BnviroDleDtally Sensitive Lands, IIater /Wastewater Ireatlent t Southwest Florida IIater Manageaent District - IIells, Cypress Baybea4s, IIetland Areas, Altering Watercourses t ArtY Corps of Bnqineers - Seawalls, Docks, Il'avigable Vaterways t Departaent of Health i Rehabilitative Senices, BnvirODleDtal Health Unit - IIells, Wastewater Ireatlent, Septic lants t US Bnvirouental Protection Agency - Asbestos abatellellt I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or "A,etc.', it is understood that a drainage plan addressing a 'coapensating volute' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A ~it issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official f1'Ol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall becme invalid 'unless the work authorized by such perlit is co.nced within six IODthS of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day 81tension of tile, lilY be allowed for the peIlit with fee charge of $15.00. !be 81tension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillOJ1th period, or the project will be considered abandoned. VAIUIUG '10 0VIl'ER: YOUR FAILURE '10 RECORD A miCE OF CCllMBlCIIIIRt MAY RESULI Ill' YOUR PAYIRG NICE FOR DIPROVEIIBIIS '10 YOUR PROPERTY. IF YOU IJft'DD '10 0B'l111l' FIlIAHCIIl'G, COHSUL'I' II11H YOUR LlHDBR OR All AnomY BEFORE RICORDUG YOUR ROIlCE OF llIlIlEIICIIIII. JlIIS IJIDBR 12,5GO II VAllJIlIlO IOf _10 RIIlIIIl :ZCl Ol' ~~ ~ e ~AJ..ft, ~~ SIGItA!URB: (MIIR OR AGIII'I SIGItA'IURI: COlI'IIlACfOR SIAlE OF ~A coum OF \--"CLO LU The foregoing instrument was acknowledged before me this 0 n r. \ , , 19~ by ~A e. ~LDeLL who is personally known to me or who has produced ~~O}.) ~ .I if tN Ot.u ~ as identifi ation and wh did/did not t~ oath. . ^ Olly... ~ ~A~ (Signature) D ( ~lE~EeJ-J (\'\. R-u '''.;"'-'11 (Name Typed, Printed or Stampe ) NOTARY PUBLIC S'I'AB OF FLORIDA coum OF The foregoing instrullent 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 OCf.th. (Signature) (Naae Typed, Printed or Stamped) NOTARY PUBLIC ~\~, triJ. ~Off\.-;- CLEREEN M BRUNTY My Commission CC383730 Expiles Jun. 15, 1998 Bonded by ANB 800-852-5878 ... -; ,.. ( l~ropunal----~---.---~-~-,- ~\ I GAVIN ROOFING I Lie. # RC 0046241 labor Guaranteed One Year (904) 567-5034 I PRe;ld;:/7rDTO---Mo~~LC- -- --=t:=-=-==--Ll)Ji~Y5 __ I STREET ~~ JOB NAME ~ I 3i?/? /~~ /It/C. _________Un ._______________ ICIT?2~f?; y/7/: L {~ ,.z C/). JJBI0CA1lOiJ- i I,"'",,,,, / _! __-~ om ""."" L .----- __u_ .--];,,'-;;,0,0:- I ~';; ~;~"~;;" eo~:J~ IZ~ ~~~ CIZ- -- eClt!;--:V: ~/-/ /} 2. "/ ;f:.. Ii I ;:;~l({;!t:fJ55 S)fJ#?t:.r{-, Oi(i /~J Wl7/1 ']1J d;C?t; ;f/ev ,] leu E f) flif -/- ~ 1'(( /"-/15// Jill r .s 7tJ IJ &- /A/ ..>"7/1-''' &.0 il I ~ XI 5 // /J?- tI <"/l/15 /c " t:- 0 E L ~ 7" eO /9 "./if) fr j!J/-./lc c-.:7 I I D I /jPf ~ 1/ (:;>1//'5. l{Joou V/1fi/H& ~ /J #5 g~tF /l/ Ii Ii A,t/~ -:t..5 ;/fJ iJ t:- /!.t!'n/Jc€'~ ;:JL-L "//2'.45/7" 7c; if II ~~~ r II II il Ii !I /: II II ! WI 7/-1 .;tJ vt-/V iJ J3t!- i r 11 II -~- ----.-----___.____.___... ____________ ___ ._.._ .__ -------------------------_____-.11 ------ -----------~----~---------------_.~~--~----._----------~-~--~-----_._----------II Jill' Jrnpn!il' hereby to furnish material and labor -- corr.plete in accordance With abovE specifications, for the sum of: I /-L- ~ /vtlO 7/! lt15/l/1/0 :t ~/ ~#J ).) u ~h:J /ZG ~___~._________~____ dollars (5; ~ZCJ tJ____~_) - ~;~,?~~a;;;~__~ .c_J/J 4 -' , I I _________u_______ ____un. n ----.--------------------------11 _______.______________n,-~ --- /7. -;;r--------~,-------n------~li ~~::;e:i:~oi:di~~a;~n:~::d~~d b;r::ti~~:C,;i~~a~~~r;t~~~ ~Or ~:v~~t~:~eft:~::~o:zr:p:~:;:~~e Authomed '--~fl~ thfJ<"':'- iJ6&. I tions Involving extra costs will be ,executed onlY. upon wrltte,n orders, and ~jll b..e.com.e an. Slg. nature -- --. .-~-_.----....---~--.----.- _..- .'.._-. ----.---. .--____________._.____.--.-----. -. _..-_. _. ~ extra charge over and above the estimate. All agreements contlrlgent upon stnkes. aCCl1ents . / or delays beyond our control. Owner to carry fire, tornado and other necessary Insurance Note: ThiS proposai m2r)' be /_ C j Our workers are fully covered by Workmens ComDensation InsurancE _~_:'~::.~Y~S-'t~ot :'c:ep~e~-;:~----;~~_:~o_--~~o:~~~:~==_~a~:~ Atttptautt of jtrnpo.aal- The above prices. speclflcat'ons. ~~ M..- /JrSJ) II :on~~~~:i~~~: aa::p:acti'f~:~ct~:~:,:;t :~I ~:r~:d:c::~~~1,~e;~~:::. authonzed Signature ~,;:)-------n--~h----j;-;n----------um u__ II Date of Acceptance: /2 /////:7 5- __-=~_~_ Signature ~~~~~==~=~~~-=~=-.-m~~---:::==~~:=J