Loading...
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, # ~/ P~ ~~~/0J1t-TL! 0$-' /:< - cRt:, -..21 - 0 . ~AL Sewer Conn ~.-._..._-~ '--.~ 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# ~'~.1M (!hdJ"f< ~ 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 ($15.001 shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d, Work not ready for inspection when called, e, Permit not posted on job site. f, Plans not at job site, g. Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . Proposal DUKE CONSTRUCTION 6134 7th Street Zephyrhills, FL 33540-2500 _ ~ . 813-783-3817 78/5 s ~ 00 Lie. # 08432 . Pasco # 009340 . Insured & Bonded Proposal No. ! Sheet No. Dale 1}. Name Street City State Telephone Number -;8'8, ():3:JCj We hereby propose to furnish and perform all the labor necessary for the completion of Work To Be Performed At Street City Date of Plans Architect -);1/11 L State iDS ~ ,:JDOsr- ( \ ~~,~Jo~;~;:/O:l- / If I C fc 3 3 ~./::l ~;ZOiB YG L '-I :-90 f1t5Y//?1 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submifted for above work and completed in a substantial workmanlike manner for the sum of La ~5.1 ,)U 4}; (. r e yl, Dollars ($ 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 . \ 't ~ I I I I I I r i 4 ~ \ L , I n soN' (})~/0c Ie- OOKE CONSTRUCTION 6134 7th Street Zephyrhills, Florida 33540-2500 813-783-3817 66 I \ t-- ... I I \ \ , \' ".'.".-', ------- C- ,~~l \ _~.\I \"'" 1\ 1'*\\ .~ :.'l.......... I" I r ," ....~-_..~.~-~--t--~'~--~.-'---~--- I \ I ! i i \ I ~ ~\i~ -1- -\-,.1, . /' .1> .', / / -I \ . 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