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Home My WebLink About96-6295 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 - ..6295S Date I / ~ ~ 6 -9 & ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn f' 79- ~ /1 Water Conn: kl/..;J..0 jJ-/ Water Meter: T,I.F.'s:->.JO.u--:' f1 ,( Pmp,rty OW"'" ~ Job Address: "- -;I; ?, 7' 6..3 Z) Parcell.D. # Zoning: ~?gerg:& Code: Description of Work _ ~ ~ (~'7?f Radon Gas: 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 pe'm;tFe~ Signature l1A Company Address Telephone# Valuation or r~ Contract Price ~ c2.3 (J'" tr-tJ City License Registration # ~X-- State Certified License# '--:t? c:. b 50 I ~ /.1" J7J~cJ BUILDING Ftr. ~~ Pre SLBt /. 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 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 fO,r each trip for each trade: I ~ 1 ----# /J -ft (). /1-.2 t -9--1:. a. Wrong Address ~~ ~ ~ b. Con~emned work. resulting from faulty. constr~ction. YJ. /J 1/ - ;;;. '-7..b c. Repairs or corrections not made when Inspection called. r c{ 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. ri ",..' is CfJM(J !'oI~~ CD c ~ . 8 ~ ~ "'aso~ P.O. Box 1 003 Crystal Springs, FL 33524 (813) 782-5657 TO ~ R\ffiPJ~.LD POINTE 39530 CHI\NCEY RD. ,:EPi-fYRHTLL~3, F:,;. JOB SPECIFICATIONS: > LABOR & MATERIAL > '/')' Cif"fl' ,/r , / . ,- ,I fo, ~ ~ liT'r" " "-i?rJU For the sum of $ Page No, ___ of - . Dages ~. ... ~. . ... ... ~ubcontract ~greement ~, ij JOB PHONE 'I DATE" ~ __ ": I ,l/Gt)/9h - JOB NAME/LOCATION iOT .~:o ~..i .J ,- ,.-' " ::' .~ : JOB NUMBER I ARCHITECT " , ./' dollars ($ -2 2=~8 " {~lO ), The above specified project is to be completed in strict conformance with all specifications and conditions relating to this agreement. In addition, the project is to be performed in compliance with OSHA regulations and local, state and national building codes, Although the contractor has control over the quality of all work relating to this project, the subcontractor is an independent contractor in all respects; the subcontractor is responsible for his employees, his subcontractors, materials, equipment and all applicable taxes, benefits and insurances, The subcontractor is responsible for coordinating his activity with other trades and promptly Cleaning up any surplus or refuse which was created by his work. Payment will be made as follows; compl ('!t ion of j oj:, Contractor r-" t ("ry ,...r...._ C J ";.,.;,,;>;;..-.,~ Authorized Signature ".., -~ ... ' ,~, ~:j .~,~ h\ .~ lj' <5-' [" ,-, Date '\\ i I ~. \- ; r-o, \,..:0 Subcontraetor:.2}1CI ..... ...J__.) Authorized Signature ,8 , {--:- Date 11/26/96 ~'1. <-(8' ~ ~ ~ APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME V t 11- foV'l OWNER'S ADDRESS '5'=J(P3o Cbt.OO')~~. PHONE -JJ- 'S 0( JOB ADDRESS SaYYl<- LEGAL DESCRIPTION: LOT(S) 54 BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECIIAIlICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY l.ephuY' llAil$OflYt.-j &l4.sfruf:hoVl 111 State Cert. or Regist. , (!R.. 001../<:;/7:J... Signature -f ~ City License Registration t ~8 ****************************************** & n(:rde.- BUILDER .-- .uc... RT .RCTRICIAN COMPANY State Cert. or Regist. t SiDnAture City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration t ***********~****************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay 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 owner has hired a contractor or contractors to undertake work, they lay 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which 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 contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the "ownerll, I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to cOlJenCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoflation 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 hereby lade to obtain a peflit to do work and installation as indicated. I certify that no work or installation has CDIIeDced prior to issuance of a peflit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other governJeDtal agencies JaY 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 liJited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDJental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone NA" or "A,etc.", it is understood that a drainage plan addressing a IIcOlpensating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A peflit 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 peflit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOJe invalid unless the work authorized by such perlit is COIJenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day extension of tile, lilY be allowed for the peflit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIfMEBCEHBNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU InEMD TO OBTAIN FIIWICING, CONSULT WITH YOUR LEHDER OR AN AnORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCBMBNT". SIGNATURE: OVNER OR AGENT SIGNA'fURE: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument 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 oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC -~- -'-' -----_.------.....~.-._..--.~-_.-_.---------.- -.~- .~.; .-----..".--:-:....~.- ~ - - - - .-. - - .-... - -~'.- '" f";''-':'~'~ ... CUtnT\;;':CT;J:~' fr. ~ NI:~1'1F: C l.j(.)f;::..E:':: {iDDF:;: Cf,j.:~!!\!CEV C: l.r~::;'T;; Z t...~ I L"L_ r E N 1 R ALP E R M I T[ [ N G DATE: 11/27/96 P,:;:::,('O CCH,II\iTY, FUJF.r Lin f"{jUf:-'.:: 1. OF .'1 I ::<>JE OFF ICE: D '.j.l NTC.!;I nECE T PT r,IU"1BP: l)1)3\).f.'L:~';,;: RD IT.59 OFFICE: DADE CITY Fe,P;: CHf C!<rt U;';::H (\f,:CNT ; I '! reI r ?\L {if'lCUrn: CCWIP!\!Y ?'iC:C:ClIJr.jT :':ENTf::]~' D (l!:;C, .... :::I(.::::r)(J(,... 4. ;::::,,;~ AMOUNT DESCRIPTION/PERMT DATA DRieR 4.82~****~ SOLID WASTE FEE 60 HEC:E I\'ED by' ! .I ,,,/ // ,/ , yi--- . / / ,.'. ,. , ( ?-- / I r (/'0 (I' ( ._..;._..,....,,~-:_4._,__J;...~ L _..._~ _ _~..,_ ,_... ;..;.,...z.o. ..._ ,,~ ."-.....-