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Home My WebLink About97-6420 -. BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt? - ~~ 64201.1 1- .;1..8- -7 '/ Date BUILDING ELECTRICAL PLUMBING ...--- ., 6CHA~ Sewer Conn P.aport'( Qwno" -f!J:!s. ~ Job Address: .... ~ ' 0 '- ~- --s". a~ Parcell.D. # 10 -;)6 -;)./.... {) 0/0 - 1?;-7t:JO - 60~ 0 Water Conn: Water Meter; T.I.F.'s: Zoning: Energy Code: Description of workC-/f..LA.-U ~ ~nG~s: _ ~ f!A ~. .Jh::k-/""~ NO OCCUPANCY BEFORE C.O. FINAL d-rJ~ '7 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 p~'m;tF~'~' ~ Slgnatu ~___.:..~ Company Address Telephone# Valuation or Contract Price .;L. ;;J. -.s --- O. o--v I City License Registration # ~ 0 State Certified License# (~~ /1-;/2. BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. InsuJ. CL WL 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 ($15.00) 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. , , APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAME '--'. /) do.!.) mfl/alel, PHONE 5' I 3 - 780 - 7 a 9'- ' OWNER' S ADDRESS P, D .l? 0 't. JOB ADDRESS 3 If I 5')' 39lf S~ AcJc.. 2E:-?hyRA; 1\.5) F-J S ].~y-- / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' 10 -;;J.-f.:, -J.-L -00100 -o87DO-Do7'0 (OBTAIN FROM PROPERTY TAX NOTICE) ...,. WORK PROPOSED:_New Construction _Addition ---....Alteration _Repair _Install ... _Sign ~ove _Deaolish . PROPOSED USE: _Single Faaily _M/F _' of Units _M/H ~~ _eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: ~dcJ2 .i") F>-.fc. I( ~7,~ <;;'1{\e~lV). .:2 1/-;... /O/V 5rf2-<~Lf C.l 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. _KECHABICAL _PLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: F'l' . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** F.T.R.CTRTCIAN COMPANY State Cert. or Regist. , SignAture City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration . ************************************** COMPANY (~&-; Ifjc //r:-fr,7/~ State Cert. or Regist.. ell COC(;J-G6 7. Signatur City License Registration , ~. 0 . ****************************************** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perait lay be subject to "deed restrictions" which tay be lOre restrictive than City regulations. rhe 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 wort, they tay 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 tay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813) 788-6611. FurthertOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions uf 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 'r as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting 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 - H(lM!(JWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is soteane- 3ther than the .owner", I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the "owner" prior to cOllellcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cotpliance with all applicable laws regulating construction, zoning, and land developteDt. Application is hereby lade to obtain a perait 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 leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverotental agencies tay apply to the intended wort, and that it is If responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater freatlent t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freattent, Septic ranks t US EnvirODlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cOlpeDsating volnte" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perait. issuance. .A pertit 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 perait prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every perait issued shall beOOle invalid unless the work authorized by such perait is coaenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tite the work is cOlleDCed. One 90 day extension of tite, tay be allowed for the perait with fee charge of $15.00. fhe extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sixlOnth period, or the project 1Iill be considered abandoned. WARMING TO OIfNER: YOUR FAILURE TO RECORD A NOTICE OF C(JfMENCIMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEIlmS TO YOUR PROPERTY. IF YOU IJlTEND TO OBTAIN FIlWfCING, CONSULT WITH YOOR LENDER OR AN AnORDY BEFORE RECORDING YOUR NOTICE OF COMMENCEMBH'J.'. JOBS UNDER $2,500 IN VALUE DO NOT NEED 'l'0 RECORD AND POST A "NOTICE OF COMMENCEMBH'J.'''. SIGlfAfURE: OWIfER OR AGEH'J.' SIGNA'fURE: COH'J.'RACfOR SfAfE OF FWRIDA coum OF The foregoing instrument was acknowledged before me this , 19__ by SfA'l'E OF FLORIDA COUH'J.'Y OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC t' ~. .~-,...~ . . C()LI:'~ AlID C()~()ITI()~I~t; ~() I1I:ATI~t; 37338 Kossik Road Zephyrhllls, Fl 33541 (813) 783-3723 PROPOSAL No. Date j- Z y,- c;7, 5t. Cert. 'CAC042667 Sheet No. Proposal Submitted To: Work To Be Performed At: Name ~ IJ ~/ZltJo{.al Street --p 0 {l.-..../" .J 9 <i City "7-. l-tJ if, tt-k lis.. f State F I"'t<-(-~ 1'9.. Phone . .<;;'1'"1 -7KI;J-'lO 12.. 38'/~!7 ;j~e;, /J1/i;-. Street City Z~H'/Iy/2L ~//"" Fi. ~ Date of Plans Architect \ We hereby propose to furnish the materials and perform the labor necessary for the completion of fVLt2..r~.L. t :r~ ~ /;...-C ( o!:>.-./r:- ~)- Tc ,J 51 t..'J U Co>'" ( lA,..r" t- ~ j' K IOKw G{(:.ht.,-c.,""'(. .....,.,.;.+ 07\<'"'~CL..'-" f)L4...c1Wl:d_f 0..o1l- G s'-'pe~~~ O,..,6~ t...~ I Ff-hJ L...J~ .rliUh';.- L,....e: J"hHtI In.J ",'"l~(; ......,~L,.vj) T.:dft I, (f-f:-fl 10, DO o ,Iv L- - {ole...; ~ .r.,'::'j Ir-JJ .- I.~ #',..-.<-' f-" "'-^- '1 t- 1+< M I'r 0/ Il. f--.-7k.Uo , . c .,......" it -s~C>(!- M" t; d , IV~ L1~, All material is guaranteed to be as specified, and the above specifications submitted for above work and completed (;;., ~~/ ~~ '<<'--JlA-.~ fcPo~;'if: - with payments to be made as follows: work to be performed in accordance with the drawings and in a substantial workmanlike manner for the s~m of --. Dollars ($.2.2.5'0 -3-- J. ji. .~ Of)' ~/ . I I ~} Sa .', ,,~ :;''1......1 i:,~ ,,J C CJ '-^f ,,- ;I':>~. ' ?t:l-...J L-, lIt J- (') I ~ @ '. """"':'" Any alteratIon or daviation from above specifications involVing extra costs. will be executed only upon written orders. and will become an extrs charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to cerry fIre. tornado and other necessary insurance upon ebove work. Work- men's CompensatIon and Public Liability Insurance on above work to be taken out by , f ~;, ~ Respectfully submitted ~j<<;jv- Per Note- This proposal may be withdrawn by us if not accepted within fb I days. ACCEPTANCE OF PROPOSAL The above prices. specifications and conditions are satisfactory and are hereby acce Payment will be made as outlined above. I Flf /91 Signature ii " Date Signature ii tl J