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Home My WebLink About96-6210 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 6210(3 Ijj'......... ~./ ~ ~ P~-'._' ::::,~.:~~~fd~Z6~~4r' " Date /0- ~lJ-% M~wer Conn Water Conn: Water Meter: T.LF.'s: Parcell.D. # Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C,O, FINAL Complete Plans, Specifications and Fee Must Accompany Application, C,O, All work shall be performed in accordance with City Codes and Ordinances, Inspector DATE 31LG - 47.6 Permit Fee ~ Signatur~~ Company Address Telephone# Valuation or ~ ~ e; Contract Price ~ :3:3:::J, - MECHANICAL Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,001 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, -~ Ja~s -.. .,. '~--=.~':" ." ----_I!.... -=-~' J,. ~ ~ARBONLESS .,w .~ FORM 3850 "'-,-_. PROPOSAL' rHIPLlC/1,TE HYMAN CONSTRUCTION AROPOSAL (ROOFING DIVIS_TON) 37325 SR 54 WE.(~;T ZEPHYRHILLS, FL, 33541 PHONE: 813-782-6094 LICENSE: RC00616 [1---- ~~,j~ () 1.:5 No. Date ...;, U~' "_J" j V 8 Sheet No, Proposal Submitted To: Name iX~~ W. C, Shimp Work To Be Performed At: ------.--, .L~ L .c\. ',,; ~._.l ~ : ". ">_ I. . \...: Street liv'JY 20.1- SLt (O Cf'Y'U- e!\lt Street City ZEl.JliYI<lilLL0, State .F.L ..;:,;;);? City State Phone 782-67'<30 \. Date of Plans Architect We her'eby propose to furnish the materials and perform the labor necessary for the completion of .1) CQ~pl(; Le l.eaJ:--vfi of "";~_s isci.l>j ";:..)'_'''' ,J'~~';':J-,-._.;i, 2) Root ueied. ill \ViUi is ID. te.L..... 3J Install all ne.\i vulley liletal ~Ji u. LoO" g.ll V<.lJlJ..zed L;l0Ldl 4Jlnstallat.i.on of allne\/ drip 2uye a...OI.ElU j:,'""l:l.l.ic.~.el.. SJ lnsL,lllati0n of ll(;~v Gi.F V:(;2i.~L:.;.c"C0J 2:.: ./Ce_-'.. J;' "'''9:''., l~esi.l.J_..t~~l~-L ::';;ilil1~31~.;s. G) ,,111 f1hL,).~'_-4-~~ J~~E:l"l.l'.,J-V\.,;(." ~~~-~14~ i...-... ; \;.; ,:..; .... j._,~' ,; ,,. ....... ..~ 1;:.-_ " 7) Five yed~ l~ak Wdrr~Dti b) lil,lli.l.u te:c .ictls alJ.c~ lciD0c i U 1." l' J.~ ~:;.;. ~t.:i'~_ . ~FiiYl.1i~L/11 DLJ1~ L'l)L;t-~ ,,-~)l'.ir;.L.s'~'....vl:~ ,--'1. v ()L. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of 'l'\VO 'rllOU:jAND 'l'HImE llUlWi.Um 'l'HIK.l.'Y-'j'h(.; niJL (jU/IJC*********"lJollars [$ ,:., J..L:. ,-.'..' ] with payments to be made as follows: Any alteration or deviation from above specifications 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 upon above work. Work- men's Compensation and Public liability Insurance on above work to be taken out by Respectfully submitted /:.:.J.;j / /,.J1...,;_},..~ < ..C~#?::;,;.---z, ~Pk -4-~ / Per Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSi-,\L The above prices, specifications and conditions are satisfactor'y and are hereby accepted. Payment will be made as outlined above. You are authorized to do the work as specified Slgnatur'c: 0 c::: ~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE LAKELAND FAST FOOD, INC. /W.C. SHIMP PHONE 782-8780 OWNER'S ADDRESS 1944 E. EDGEWOOD DRIVE, LAKELAND FL 33803 JOB ADDRESS---56] n (:;AT.T. RT.VD. ZEPHYRHILLS. FL 33540 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' 11-26-21-0100-05700-0255 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install _Sign --..Hove _Deaolish PROPOSED USE: _S~e F_ily --..H/F _' of Units _K/H _ec-ercial _Indust. _Swill. Pool _Other --.:Restaurant Ii: Health Departaent Approval DESCRIPTION OF WORK: RE - ROOF BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIIIG PLANS Ii: (1) SET EIIERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET EIIERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ ~,~~,DO Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. -1IECllAllICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: .-Block _Fr_e _Steel Other FIlJISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION BUILDER COKPANY State Cert. or Regist. , City License Registration f .................................********* Signature RT.RCTRICIAN COMPANY State Cert. or Regist. f City License Registration . *.....................................**.. Simullture PLUMBER COMPANY State Cert. or Regist. . City License Registration f ................*...............*.....*... Signature KECHANICAL COMPANY State Cert. or Regist. . City License Registration f ......................................*... Signature OTHER COMPANY RYMAN CONSTRUCTION, INC ROOFING DIVISIO ~~te Cert, or Regist. , RC0061648 City License Registration f 275 ...............*......*....**..**..**... Signature APPLICATION APPROVED BY PEBKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'lhe undersigned understands that this peI'lit lay be subject to Ideed restrictions" wbich lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS ANn CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake wort, they .ay 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 lisdeJeanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have 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 the contractor, are responsible for the work. If the contractgr) wisbes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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 - HOJeowner's Protection Guide" p{epared by the Florida Departlent of Agriculture and ConsUJeI Affairs, If the applicant is sOIeone other than the 'owner", I certify that I have obtained a copy of the above described dOCUll!J1t and prOlise in good faith to deliver it to the "ownerl prior to COJJeDCl!lent, E. CONTRACTOR' SlOWER'S AFFIDAVI'r 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 developllent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a peI'lit and that all work will be perfoI'led to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1llental agencies lilY apply to the intended work, and that it is ,y responsibility to identify wbat actions I lust tab tr: be in c:llpliance, Such agencies include but are not liJited to: i: Departlent of BnviroOlental Regulation - CyprelJs BaY?leads, Wetland Areas and BnviroOlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * AIly Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative ServicP.s, EnvirOlll8J1tal Health Unit - IIe11s, IIastewater !reatJent, Septic Yanks * US EnviroDlental Protection Agency - Asbestos abGteJeDt I also certify that, if fill aaterial is to be used in Flood Zone nAu or nA,etc.u, it is understood that a drainage plan addressing a "cOlpensating volUle' will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to peI'lit issuance. A per.it issued shall 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 peI'lit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOJe invalid unless the work authorized by such peI'lit is CaDenced within six IOnths of issuance, or if work authorized by the peI'lit is suspended or abandoned for a period of sillODths after the tile the work is cOllenced. One 90 day utension of tile, JaY be allowed for the peIlit with fee charge of $15.00, Theutension shall be requested in writing to the Building Official. An approved inspection lust be logged during each sixlODth period, or the project will be considered abandoned. WARNING TO OVlfER: YOUR FAILURE !O RECORD A NOt'ICE OF COHMENCEMm MAY RESUL! IN YOUR PAYING !VICE FOR IMPROVEMEJITS TO YOUR PROPERlY. IF YOU III!END TO OUAIH FIWCING, CONSULT 111m YOUR LEHDBR OR 111 A'l"fORm' BEFORE RECORDING YOUR HOIICH OF COMMENCEMEH'l, JOBS UNDBR $2,500 IN VALUE DO NOt' HEBD fO RECORD AIfD POST A "NOt'ICE OF COMMENCEMEII!" , ~~U~_. fi~~ SIGNAtURE: ,~~ II! SIGNATURE: CONTRA STATE OF FLORIDA ~ coum OF {.---/~ The fo..~goiny instrument was acknowledged before me this 10/'::>-7 ' 19 <<9 (p by / ~~o bb~~ r ;?,(,( rl<~ who is personally known to me or ~hu~ produeed as identification and who dilidid not take an oath. (Signatur~~ ,~L' (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC .o<<tI\Y p~ ....ti-t< *.... '\~ Of R.o\"<>~ StATE OF FLORIDA '" COUNTY OF \~ The foregoing instrument was acknowledged before me this ~~~, 19~ by ~~,6IC- I. 6(..( rk~ who is personally known to me or whn hAR produced -.-... as identification and who dEI/did not take an Oij,th. (Signature~ '--1n---J~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ! .<):'~r I;i, M SINCLAIR >" ,; :lrnission oo3820t8 '-= T.pjlres Juri. 14, 1998 ';~lIe<t. *~* '-r,WfIIJ ~ ~Of R.~fl DONNA M SINCLAIR My Commission oo3820t8 Expires Jun. 14,19G8