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Home My WebLink About96-6346 BUILDING PERMIT Permit NC! CITY OF ZEPHYRHILLS (813) 788-6611 634619 Date /J -17~f'6 GJ Pmperty Qwne" tJw~ ti ~ Job Address: J~'.' . .hi ~ ~ Parcell.D. # ~:::~~tion of Work i?!::Jode: -~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL / .....3... /' DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ e ~ Signature jD 1 Q ^ Company Address Telephone# Valuation or Contract Price J IY-.5-r-. 0-0 / City License Registration # ~ State Certified License# b.lf Y;1~'(J BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB 1.... ~- q'1 ]"1) 3 Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway )-'3~qlJ 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. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. J.J t1- ~/ /-/6 -7'? The payment of inspection fees shall be made before any further permits will be issued to the person owning same. '/;I <=bAte> rv ~~ ~) 8 ~ ~ "'aso~ P.O. Box 1 003 Crystal Springs, FL 33524 (813) 782-5657 Page No. ___ of ~'Pa~S" ..... <., ~ ~ubcontract ~greement TO f nti, V cdJ -PO; kLIL -3 cr(;;, :3(.) Cl/iQy)(P L.(.... R.J -Ze ~k)(~,. hdb I [I. 5' 35" 46 ,f"' -.JOB PHONE i DATE ~ I '786 - 'J 11./ ( I I' /. i ":l d'- ... I ,,,)" . /l.;;--1 '''/ l',c -.JOB NAME/LOCATION lot 8K -.JOB NUMBER I ARCHITECT /- JOB SPECIFICATIONS: > LLil10y -t {Yla.!x.V:t.cJ (I {'. L,U > .1' j For the sum of $ dollars ($ 14 ')~, /.c.O ). The above specified.m;:oject is to be completed in strict conformance with all specifications and conditions relating to this agreement. In addition, the j>roiat1t i~Jo(be performed in compliance with OSHA regulations and local, state and national building codes. Although the contractor has cohtrolove('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. i: . I . t' I Payment will be made as fOllows; ( P (j ntp leA" n;/) 0 r Ju 10 <hiJ f\.C'i- _.J . C""\ 4 (\ n-..O I ..cpptr"~tQr~ . fl~ ~.L..,1J.< ~ "\, ~ .t~1 ' Authorized'''' '. ( r~-- . "j I ~ Signature \ IIL,-v('-E.V'-._.........~--\ )..k. .'\.,I'~ Date , l--( f if <1 b Subcontractor 7... VlA C ~ -~'\ " / Authorized l' / /7 r1 i Signature / / " ,p . /. / h " / '" 4,.- r;; ;> Date 1d-IJ~\q(, '. L1J T ~~ -y~ ( 3~ J IX) ~ 1,0 t' gl- 3-~ ~ ,- ~y--t../,-A.--' /-l"tf~ 1 - c... if Lx f...-; () I ? 1 E: 10 - ~ C / "' () , ~ ~ ~ ~ '-0 \ ...J ;.b, '- ( \ Uo )( ~ ~\ ~hr ... "~ r i ~ \) - , ,~~\ . \ tit ~ ,,t LL,~...y ~) vJ : -to ~\. ..0 iyL~ SnLeeT . . l APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE_ri1Ura~cJ fl.) I ~fp OWNER'S ADDRESS 39lo~O (!hQJ!(P4 rcJ, JOB ADDRESS 71 fhl.(Y htllS LEGAL DESCRIPTION: LOT(S) Jw. g g PHONE 7&8- :J.fl/S Lot g a BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _H/F _' of Units _M/H _~ercial _Indust. _Swta. 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 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 _ELEC'l'RICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF COBSTRUCTION: _Block _FrOle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION COHP~~ht{r lMQ~v\Vt.f (11}. Lie. State Cert. or Regist. . ~ ~ City License Registration' ~~ o ****************************************** ELEC'l'RIClAN COMPANY State Cert. or Regist. , SiRn~ture City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** OTHRR COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which JaY be lOre restrictive than City regulations. fbe 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 wbat licensing requireJents lay apply for tbe 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, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber 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 perJitting privileges in the City of Zepbyrhills. 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 - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeOne other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to coaenceJent. 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 developllent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perJit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developllent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other goverDJeDtal 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 lilited to: * DepartJent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArIY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rebabilitative Services, EnvironJental Health Unit - Wells, Wastewater freatJent, Septic Tants * US BnvirODJeDtal Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone WAn or "A,etc.w, it is understood that a drainage plan addressing a .cOJP8Dsating volUle" will be subJitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perJit issued sball 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 tbe technical codes, nor shall issuance of a perJit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after tbe tile the work is c~ced. One 90 day extension of tiM, JaY be allowed for the perlit with fee cbarge of $15.00. tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RBCORD A NOTICE OF COMHDCEMElft' HAY RESULt IN YOUR PAYING !VICE FOR IHPROVEMEMl'S YO YOUR PROPER'l'Y. IF YOU IN!'END TO OBTAIN FIMAHCING, CONSULt WI'lH YOUR LENDER OR AM AnORMEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDBR $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHDCEMEIft'''. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR StATE OF FLORIDA COUH'l'Y OF The foregoing instrument was acknowledged before me this , 19____ by StAtB OF FLORIDA COUH'l'Y 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