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Home My WebLink About96-6120 BUILDING PERMIT N<<1 Permit CITY OF ZEPHYRHILLS (813) 788-6611 6120/1 BUILDING ()o. J?) --::::::::::----. ~CTRICAO Date 9- ~---96 PLUMBING S() .00 ~ANlcvsewer Conn Water Conn: :::::~,~:~:i tal- ~~.A > ~ Parcel I. D. # Water Meter: T.I.F.'s: Zoning: Description of Work EnergY~de: Radon ~: A ;tlr... \. . _~7;://.n ~ ~ J~.r--.j ,/~~u": - NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Perm;' Fee 0'0. UD ~ SignaturU..yt- fr---- Company Address Telephone# Valuation or Contract Price ~<jn.tID / City License Registration # M ..b State Certified License# BUILDING r-~'"r~ ~- ELECTRICAL c__/~A- PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. . t?~-# ifJj-q-13 APPLICATIOII FUR PEFlfI"!' CITY OF ZEPIJ:tRBILL5 BUILDDIG DRPAKnIlEXT OWNER'S RAIfE ao-e- LEGAL DESCRI.Pl'IOlIf: WI'(S) BLOCI( OWNER'S ADDRESS JOB ADDRESS q-. PARCEL LD.' WRK PROPOSED:_5ev Construction ~dition _Alteration _Repair _Install S. - 19J1 _!!love _Deao1ish PROPOSED USE: Sing1e F:aaily .' _KIF _, of Units _K/H _<=<<-ercia1 _Indust. ___Swia. Pool Other _Rest:auran.t 5: Hea1t:h ~t Approva1 BUILDIltG SIZE: x Square Feet, Height , RESIDENTIAL: cottIIERCIAL : A1TACD (2) PLOT PI.AlIS 5: (2) SEIS OF BUlLDlliG PLUl'S 5: (1) SEI' ENERGY FORKS. ** ATTACH (3) Stmi OF BUII.DllIG PLUI'S ~ (1) SEI' ENERGY FORKS.*"" **COFY OF CXlITRACT HIlQUIRED. PERI!IITS REC'c;1J.ESTED ~UILDIltG $ Va1uation of Tot:a1 Construction _PLUKBDIG Corp . W.R.E.C. _ELECTRICAL ~CAL Installation SPECIALTY TYPE OF CONSTRUCTIOR: _B1ock _Fraae _Stee1 Other FTIII.SIIED FLOOR ELEVATIOlIfS: FT. IS P.RO..JECT III FLOOD ZONE AREA? YES NO ****************************************** lDII'RACIOR SECTION S igoat:ure COIIPAJJY State Cert. or Regist. # City License Registration , *****~************************************ RmT .DF.R ELEC'l1UCIAN COIIP.DY ~~ Stare Cert. or 1< .st.' SiPnatur ... ~ City License Re stratioo / ****************************************** COIIPMY State Cert. or Regist. # City License Registration I *************************** ************* I' t KECHANICAL ~ aJ!IP. /J 1.._ State Cert. 0 egist. f Signature C-. ~ CHy License egist:ration / ****~.********************************** PLUtlBER Signature COIIPBY State Cert:. or Regist. ,,_no _ _._.._ City License Registration , ~~*~*"".k*~~~.**************************** omF.R Signature APPLICATION APPROVED BY ___ PRRl1:IT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitlay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If"tl'ftftotltractor is, not licensed as required by laM, both tile ollner and contractor lay be cited for a lisdeleanor violation under state law. If the olln~r Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the OMner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be re~ponsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than t!J~ contractor, are responsible for the Mork. If the contractor wishes you to sign as contractor that lay be an indication that ne is not properly licensed and is not entitled to perlitting privileges iri the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~, D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided Mith a copy of 'Florida's Construction lien law - HOleollner's Protection Guide" prepared by the Florida Departlent-Df Agriculture and Consuler Affairs. If the' applicant is sOleone other than the 'oMner', I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the "oMner" prior to cOlaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance lIith all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to he in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Water"~V5 I Departlent of Health L Rehabilitative Service~, Environaent;,l Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environaentul Protection Aaencv - ~sbestos abateient I also certify that, if fill laterial is to b~ sed in Flood Zone "A" or "A,etc,", it is understood that a orainage plan addressing a "coepensating volule" will be suba.tted Mhich 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 Mith 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 froe thereafter requiring a correction of errors in plans, construction, Dr violations of any code., Every perli t issued shall beeole invalid unless the work authorized by such per.it is coa.enced within six lonths of issuance, or if work authorized by the permit is suspended Dr abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The exten~ion sha!l be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCEMENT "AY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS,.CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS ~NDER $2,500 IN VALU N . NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. STATE OF FLORIDA # . COUNTY OF t2l1( 0 The foregoing in~rument was ~powledged before me this ~~ , 19~ by ,6<J~4 .__ who is ~rso y k wn to me or who has produced as iden take STATE OF FLORIDA ~ COUNTY OF ~~(~ The foregc. i ng i ll~rum~nt before me this ~~(2 was ac~~~ledged ~ 19...2::L- by to me or who has e) // . .vrO'!.(~.;? r (Name TYPl?~:, ~'r'lntE'd Dr NOTARY pUI?L.r; '\ .... ~~ 4(!% Pre-Consumer Content . 10% Post.Consumer Content 'rnpnnul Page No, of .. Pi;lg,eS SONNY'S DISCOUNT APPLIANCES, INC. 3399 South Highway 301 DADE CiTY, FLORiDA 33525 (904) 567.6224 // ,f-L? ~'>._.{;/(,f'__-r -;2 1-1 - 7 b PROPOSAL SUBM~ TO . /' -' /t2-~ STREET -'7-:::? ..... ___ ;(~1., '):'" /';, DATE OF PLANS w. h.~.by~~~PO.'~d .'5~~U~.t~/~'}'L:V /' ~ -d- __. . V, " ~?'- ~V," . ~~-c". , . ~ / a v 1"'0 ~p 0 ,] {,: ...-L / ' -t-;,.~ / 0 I}~ /V "9/"'/~/ / '/ ' , '/ /;CftlfA- AI F 0 2-'/ /) _ 1!-~ / ~; ~<<..I.. ). / -'1/ i' '"? ry- r''''' /.' 0::;2 ',I .J '6 ,",-, " I ~/ j- /~~....' ,.cq__ /V /, ' ~ ,. /; -: 1.....!J:::t.~'A....,., </",....(.,~ . -/" / /) /I'~ ' , J "'} q--,,/ /""'7, IJ () \.~.i)~~// ~ I'~ ~ 'I II 1 ...{;'1- . / / /. C. (j ..,....... ... / ~ / <V~ '._ .__-.-.. . "-'l..I'" ';"'-j:--'" C;~6:'-' () Z <u./ :.~~ t:~' ~, ) ./ ! 'fP ,,/7}VJ:./-. '~2 (,1 j .... ~ {;' /? , '-I; l,:,,(;,;A.A/ .n- ",. ;2 (; (p Db 'rllplllir hereby to furnish material and labor - complete in accordance with above ications. for the sum i / dOlla~; ($2. r'~t:. , () ;2.... J of: ) . Payment to be made as follows: _All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. ..... ..... .~,/ AuthQfit8dM .~. ~ Slgnatu~(l :'". .-- r.' . - ,-.~ /". . Note: ThiS prop&.sal ii1ay be withdrawn by us if not accepted within !\tttptuutt nf 'rnpnsul- 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 X , "'. ~-~-r--~"'/-.' /' /' Date of Acceptance: Signature PRODUCT 118.3 INEl!fSJ.lnc., Groton. Mass. 014lL To Order PHONE TOll FREE 1+800-225-6380