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Home My WebLink About96-6347 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6347A Date I(~ -/ 7'~ 7' b ~ ELECTRICAL PLUMBING MECHANICAL ::::'~:~;}7k~~~JJ7~ ??J Parcell.D. # ~ - Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work 'f-::J Code: ..~J Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL J- C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# ~ Inspector Pe,m;t Fee ~ ifi) Signature ~ ~W./L..... Company Address Telephone# Valuation or Contract Price / J> () y: I'Jl) ./ }!'1A tJJ." BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB 1-3~9'" &6 Lintel FRM. Insul. CL WL Driveway k3...Q,.., e>>.o Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. KOEPP Lor/Lor 1'0 En/cRilL) fOINrt::. IN 'R~~T kr,;v, Scale I"~ ~ /o!---- A' ~ , fl ----;';or TlJ SC, I /-.G- .. (,'--i'> . .. S-c ref t ~ rol"l t , CONCK.ETt. ~LA8 19() sf" of' EiitnMce: 121,>,ZO = zso Ig~ 30 :' .rig II 'j( I() ~ 1# 1"o~!! L ~ l-IN€ 85 t !<U" tI r"7 r<<:t -:ee-ha.rl KoeFr /31/8 oh.'O LA. ne. SanIOtJ., N C ,;2.7~?(} (C;lq) 4rf-CJ3Sg l CbM(} ~~~ ~). J ? ~ "'aso~~ Page No. ___ of Pages , P.O. Box 1003 Crystal Springs, FL 33524 (813) 782-5657 ~ubcontract ~greement TO .:'" , i t- rYlf yOld ") . . YO:vlJe 0/ JOB PHONE ! DATE ": '7 ~~- . . I r.... 1~)I!lofq~ ,;> /'-1 ) I .- JOB NAME/LOCATION lor q6 JOB NUMBER I ARCHITECT ~ 39 k '30 Ch a ocr:L( Rd, zY.ph~V h,'II" , +=1 33 S 4.0 JOB SPECIFICATIONS: > i ~ r- Co.Lx.>? -+yYiQ.[tYi Q-Jo) ('I . + " ~,,(l 1/\0ll \~tr.~t .'" I'r. ! ....d......,.{r > For the sum of $ dollars ($ I )(1'-1. (c 0 ). 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.) '. .j f. .' . . Payment will be made as follows; ( (. lit V Ie. r II) V\ ( \ f j () ~ ..":h) , ".... 'r'1 t', J ,...J..... ~r \ \-'~~ .....,..."'.-....~....t- l~,.P \ 1,..'1~' (?~-..,-::g' Subcontractor Authorized Signature 7 v)"l ( I. Authorized \ ..,.\ '. ,~~-~ Signature'_>t..i...- '-. -J .-- Date \ L / 1 / 1'1 (. Date I )-\ 'llD \ 9lo APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S N~ lM...2. ra.OcLfo; Yl1i: OWNER'S ADDRESS ~ ltJ 3-D (' ~l (J n U=..LJ JOB ADDRESS 2e ~ (l y ~ 1'1 Ls . ~ ( LEGAL DESCRIPTION: LOT(S) Jot qo PHONE 7&8 -' ;).1 r.t c:: eel , 16 f- 90 BLOCK SUBDIVISION PARCEL I.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 _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 _ELEC'J"RlCAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fr8lle _Steel Other FlNISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Q6/lQ..rm CONTRAC'l'OR SECTION BUILDER COMPANY U'fhtJ! maSOn rLj f} ~ urt State Cert. or Regist. . Signature ~i.J1.l!4 K 11./\ City License Registration t ****************************************** ~0Y1. LPlc. d5J. RT.RCTRTCIAN COMPANY State Cert. or Regist. . SianAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ***********~****************************** OTRRR 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. whieb laY be lOre restrictive than City regulations. 'he undersigned assllles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 lisdl!leanor 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 Zepbyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be 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 tbe 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 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, bave been provided with a copy of "Florida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeQne other than the "owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to couencl!lent. 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 with all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perlit and that all work will be perfolled 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 governJental agencies JaY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill latedal is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating volllleu will be subJitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perJit 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOJe invalid unless the work authorized by such perJit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the work is c~enced. One 90 day extension of tile, JaY be allowed for the perJit with fee charge of $15.00. The 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 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENt'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIIIAIICING, CONSULT WITH YOUR LENDER OR All AnORIIEY BEFORE RECORDIIIG YOUR lIO'flCE OF COMMENCEMENT. JOBS UIIDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICE OF COMMENCEMENT". SIGNATURE: OWIfER OR AGENT SIGNATURE: CONt'RAC'lOR STATE OF FLORIDA COUNt'Y 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