HomeMy WebLinkAbout97-6713
BUILDING PERMIT N! -6713!<1
CITY OF ZEPHYRHILLS Permit . 't/
(813) 788-6611 Date /r- 9 - 9 7
Property Owner:
Job Address:
Parcell.D, #
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~~~/0J1t-TL! 0$-'
/:< - cRt:, -..21 - 0
.
~AL
Sewer Conn
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Water Conn:
Water Meter:
T.I.F.'s:
I
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
C,O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
V I'~ DcJ
a uatlon or", . / K"U--- ...---
Contract Price (Q d -
CitY license Regis,,"'ion # IS :3 J
State Certified License#
Inspector
,fi~
Permit Fee
SignaMe _ ~ iJ
Company
Address
&'
Telephone#
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BUILDING ELE~.
......-
PL~--.
-
. MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const, Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d, Work not ready for inspection when called,
e, Permit not posted on job site.
f, Plans not at job site,
g. Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.
Proposal
DUKE CONSTRUCTION
6134 7th Street
Zephyrhills, FL 33540-2500 _ ~ .
813-783-3817 78/5 s ~ 00
Lie. # 08432 . Pasco # 009340 . Insured & Bonded
Proposal No. !
Sheet No.
Dale 1}.
Name
Street
City
State
Telephone Number -;8'8, ():3:JCj
We hereby propose to furnish and perform all the labor necessary for the completion of
Work To Be Performed At
Street
City
Date of Plans
Architect
-);1/11 L
State
iDS ~ ,:JDOsr-
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/ If I C fc
3 3 ~./::l ~;ZOiB YG
L '-I
:-90 f1t5Y//?1
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings
and specifications submifted for above work and completed in a substantial workmanlike manner for the sum of
La ~5.1 ,)U 4}; (. r e yl, Dollars ($ Ji / :s-D ~ () ).
With payments to be made as follows: 11 (0 ,
--~bjj(Jti /J -;1 b '.;JI- O~ 10 -0 (!Ida 0 ,0510
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders,
and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tornado and other necessary insuran,ce upon above work. Workmen's
Compensation and Public Liability on above work to be taken out by ()/./ /(e-
Respectfully submitted ,LJtJ~v 7li~OA.1
[)IL)~ ~~
/
Per
Note-This proposal may be withdrawn by us if not accepted within days,
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment will be outlined as above.
: - /
SIgnature /~lXl Jl ~ ~
Signature
Accepted JJ; d If ( 9 7
Date
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OOKE CONSTRUCTION
6134 7th Street
Zephyrhills, Florida 33540-2500
813-783-3817
66
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Duke Tyson
Lie, # 08432 · Pasco # 009349 · Insured & Bonded
"7
APPLICATION FOR PERMIT
CITY OF ZEPIIYIUI1LLS
BUILDING DEPARTMENT
OWNER' S _ 7C!) J Ij /! c...
I f-"
OWNER'S ADDRESS ~ 93;;( / ~ 1+ (/ <-
JOB ADDRESS S .4-/11 c
PHONE
778'-{)3f).9
LEGAL DESCRIPTIOR: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' tJ -)c:, -d I, () 5//) ...()()()OO - (),s /0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_Rew Construction _Addition _Alteration ~epair _Install
_Sign
--1Iove
_Deaolish
PROPOSED USE: _Single FUlily
_M/F
_, of Units _K/H
_~ercial
_lndust.
_Swill. Pool _Other
DESCRIPTION OF WORK:
/It) ()
& Health Departaent Approval
j)rlUc. {))/fV
(
77J
g/ f.-. .J S I
_Restaurant
BUlLDIRG SIZE:
x
Square Feet.
Height
RESIDERTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLARS & (2) SETS OF BUlLDIRG PLANS & (1) SET ERERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDIRG
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
~CBARlCAL
$
Valuation of Mechanical Installation
_PLUMBIRG
GAS
ROOFING
SPECIALTY
TYPE OF CORSTRUCTIOR: _Block _FrUle _Steel
Other
FIRI.SBED FLOOR ELEVATIORS:
Fr.
IS PROJECT IN FLOOD ZORE AREA?
YES NO
******************************************
CONTRACTOR SECTION
J\\IlTDllR , COIlPAIIY ' /f,Sl'Jd C" Jl/Crvfc:--
n~ State Cert. or egist.' /
Signature 1/ V City License Registration' IJ~..'2(/
, ****************************************** ~
F.l.F.CTRlCIAR COMPANY
State Cert. or Regist. .
SionAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
KECHANICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
OTRF.R COMPANY
State Cert. or Regist. .
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
rhe und.ceigeed under.tood. that thi. POceit .., b. .ubject to 'd.ed c..tcicti.... >bieb .., be IOC. resleictive tboo Cit,
regulations, The undersigned assUles responSibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tb. ....c bas blced · cootc.ctoc oc contc.ctoc. to nndert... ..cl, th.,.., be cequIced to be Ilc...ed in accord.... .iti
.t.t. and loeal cegal.tions. If the cootc.ct.c i. oot Ilc"'ed as cegaiced by I.., both !be ....c and contractor lOp be
cited f.c · .iol......c oiol.tion ned.c .t.t. I... If tlo ....c oc int..ded cootcactoc .ce ,""Ctalo as to wIot li""'1ng
c.qnlreoonts '" .ppl, foc lb. int.nd.d NOcl, tb., .c. adoi'ed t. cnet.ct tb. Cit, of r.ph,chill. Building Depacboeot, (BII)
788-66U.
Fnctheconc., if the ....c has hiced · contc.ctoc .c oo.tc.ct..., he i. .doi.ed to have the contractoc(.) .iga portions of tho
'Cootc.ctoc S.ction.' of !hi. applic.tion loc >bich lb., .ill be ceoponsihl.. if fOU, as tho ..... .ige as tho contractor,
you ace indic.tlng that you, c.thec tl.. the cootcactoc, .ce ceoponsihle foc lbe lOCI. If tbe contractor .Iob.. fOU to olga
as contc.ctor that .., he .. lodic.tioe that he i. ..t pcopocl, li.....a and i. not entitled to IOCalttiog pci.ilegoo 10 lb.
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U1'ILI'rY CONNECTION FEES ,.<
D. ~ONSTRUCTION LIEN L1IW (CHAPTER "113, FLORIDA STATUTES, AS 1IMEllDED)
I cectif, that I, tho appliea.t, h.ve heen pcovided .lth . c.py of 'Flocida'. Coesleuction Lien La. _ .........'. Protection
GUide' prepaCed by the Flocld. Depactleet of Agcicuituce awl COneuoec Aff.ic.. If tho 'pplicant I. ....... oller lion tho
....ec., I cectif, that I hao. oht.ioed · CDpJ of tbe .booe deoccihed dncu...t .nd pcnol.. io !ODd faith to deliver It to tho
Rowner" prior to co"encelent.
E. CONTRACTOR r S/OWNER r S AFFIDAVI'r
I c.ctif, tb.t .il tbe iOfoc..tion io thi. application i. .ccuc.te .od tb.t .11 NOcl .ill he done io onopli.... .Ith .11
applicable laws regUlating construction, loning, and land developlent.
1
Application i. berebr oode to obtaio . poc.it to de "cl and install.tion .. indicated. I certify liot no sorl or
l..t.ll.tloo has cnooenoed pcloc to I....... of . poc.lt .nd that .11 "cl .ill he peef",", to ...t .tandooio of all I...
cegulotlng coo.truetion, City cndos, .onlog cegui.tion., awl land de,elopoent Cegul.tion. 10 tbe !uclodlctlon. I alon
cectif, that I oedec.t.od that the cogul.tion. of otber go'ecnoentol agenci.. '" appl, to tbe loteoled sorl, and that it i.
., ce.pon.lhillty to identify .hat .ctions I .u.t tale to he io c..pliance. Sucb ageoci.. iocinde hot ace not Ilsdted to:
· DejO<tleet of lo'ic.....t.1 Regul.tion - C,pces. Bnyheois, IOtland Aceas and RO'ironoeolall, Sensitive land.,
Water/Wastewater Treatlent
I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arl' Corps of Engineers - Seawalls, Docks, Navigable Materways
· De ortleot of Heallb , Relabilitative Sec,ices Ro.i......t.1 He.lth Unit - Weli., WOsb!sater ,...toent, Septic rants
I US InviroDlental Protection Agency - Asbestos abate.ent
I .i.. cortlf, that, if fill ..teci.1 i. to be used in Flood Zen. 'A' oc 'o,.tc.', it i. underolood that a drainago plan
'ddcesoing · 'COOpen..tleg ..I.... will he 'oboltted wbiob i. pcepaced bY a pcofeselonal engineer ceglotered In tha State of
Florida prior to per.it. issuance.
. A POCOit I..ued .hall he coo.trued to be a lice..e to PCOCOed .Itb the woel and not as .ullocitr to .iolate, CIDOIl aiter, or
oOt aside anI previ.i... of the technic.1 cod", nor .bali i.,u,"ce of . pocoit pcevent lbe Rullding Official /coo tbeceafter
ceqo!ciog · corcection of ecroc. io pi..., con.truetion, oc ,iol.tl... of anI code. Bvecr pecoIt iasued 1ba11 hocooo In,a(ld
onieo. the ..cl ..thnci'ed bY .uob poc.it i. caooenced wilbin .t. onnlb. of i......., or if woel ,ullor1sed IJ the pecoIt I.
"'pendei oc ahanlloned foc · period of .ix ...ths .fter the !be the ..cll. __. 1m 90 dllf ..tensi", of !be, 0IIf he
.llnoed foc the pocoit wilb fee cb.cge .f $15.90. rhe ext...ion shali be cequ"led in .citing to the BnIiding Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
_IRG 10 00RIl: - FAlWR1 10 IIRCWlD A /IOfICl or ClIlIlRJiCmJI, IIA' IIISUL' II '11III PAflRG TWICI PUIlIllPllOVlllilrs 10 _
PROPERTY, IP YOU INTEND TO OBTAIN FINANCIHG, COHSULT WITH YOUR LEHDER OR AN ATTORBHY BEPORB RBCORDING YOUR BarIC! OP
COHHEHCEHENT. JOBS UNDER $2,500 IH VALUE DO NOT NBID TO RECORD AND POST A "NOTICE OF COHHBNCBIIDI".
SIGNATURB: OWHER OR AGENT
. I
SIGHATURE: COHTRACTOR
srArE OF FLORIDA
CooHfY OP
The foregOing instrument
before me this
was acknowledged
, 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