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Home My WebLink About96-6345 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 --6345B Date li9. -j 7- 76 ~~. ELECTRICAL PLUMBING MECHANICAL Property Owner: &-e1. /7.P~~ . JObAdd,ess,?7i.3-o ad-M~ '7( --t ~d- '77 Parcell.D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work dl:C Code: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. -77 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# .2r ....... Permit Fee d-S M. UD Signature .fJ~1 ~ a.A-- Company Address Telephone# Valuation or Contract Price J d- 0/. (j--p / :r~A >>t;~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB }-3... 9 7 &8 Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway j-- 3 ....~1 6c'J{j 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. " C{,Mc t!ti *'~ \), J ? ~ ~aso~~ p.o. Box 1003 Crystal Springs, FL 33524 (813) 782-5657 , . " TO iVlf V(l) d ~() i'V\ te. ~'). c! ~1 '3 () gd 33<;4U "J nc~",u m../. i , L' '-I /' eptHjli' VII i, S,r- ' JOB SPECIFICATIONS: > ",., "'. L'71/ I It, I.~ I "-. .+ I~j. "'I'~ , U".\~. '1 t \. i IV ~ "'.' I ~-w..._ ,...l<, i . ... ... - Page No, ___ of Pa~e'll$ ~. ..~.l.,. ~ubcontract ~greement JOB PHONE I DATE, ~ .-, ., \!. I I (' I t -, t ) iCfl, , 66 -:;;, ".r ,j I 1")<.,10 JOB NAME/LOCATION 51- f'l t;i- .~....{ {I !. i JOB NUMBER I ARCHITECT h > For the sum of $ dollars ($ /20L 00 ), The above, s~i~cI p~je~ is to be completed in strict conformance with all specifications and conditions relating to this agreement In addition, me ~(o]e"ot i$.'tr0f)>e 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. :1/. /,' ". 1. " . (: . ' Payment will be made as follows; \~, ~ Y I r t i I v ,') fJ r ~ () b tL...i,J.-,\.. .~.... j r (i ('''' .,.. , " ,",--_ """- I ~'.J ,.J~~ vomraclor....<.. - ........~> "~" A~thorized '. \ ::1, \:-(~----- Signature ,,_ ~ ~- \ ~ . I -." Date I 2-/ i 7 r '1 1.:.-:. (.JI-t:; , if -",,-,/f-' Subcontractor Z,'V!( 1- Authorized Signature Date 1.J11~jq(,:, (.,~~/-.- ( "'-.; \.'.J.jJ~./ tE . '.,"--- -- -~-----""'''''~/ . /~ \ \ \, ~ (::) .~ ~ .l -~ ~ ~ ~ ~ - \.t\ @Vl \/ 2- 51?le~ Sc of I ~ -....... ~ / ;/ f/ON~A- 4f fiiY 71 I -1~ 7i\ -~ ~ - ?'-?) , -~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE S. ru.ra ~ d OWNER'S ADDRESS "3 c:r (, ~ f6; 41" (' kV}~J PHONE ?g g ~ ;).J 4. f' lbt (g JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 19 BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FR.OM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ~epair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _H/F _' of Units _M/H _eo..ercial _Indust. _swta. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: 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 AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _FrOle ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO ****************************************** Signature CONTRAC'l'OR SECTION COMPANY Zephyr fHlSbl1Y'1 (10,.,. Inc. State Cert. or Regist. . City License Registration t ****************************************** ~ nvu1L Jlun .BHR ELECTRICIAN COMPANY State Cert. or Regist. , SianAture 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 . ***********~****************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERHlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" whieb 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 laY be cited for a lisdeieanor 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 Zephyrhills 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 whieb 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 peIlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the Downer", 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 couencl!lellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the 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 hereby 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 aeet 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 govl!I1llelltal agencies lilY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in coapliance. Such agencies include but are not lilited to: * DepartJent of EnvironJental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Environlental Protection Agency - Asbestos abateJeDt I also certify that, if fill laterial is to be used in Flood Zone DAD or "A,etc.", it is understood that a drainage plan addressing a DCOlpensating volUle" 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 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 frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, Jay be allowed for the peIlit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEKCEMEKT MAY RESULT 1M YOUR PAYING TWICE FOR IMPROVEMEKTS TO YOUR PROPERTY. IF YOU IKTEKD TO OBTAIK FINAKCING, CONSULT WITH YOUR LEKDER OR All AnoRMEY BEFORE RECORDING YOUR IfOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMElff". SIGNATURE: O'IfIIER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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