The URL can be used to link to this page

Home My WebLink About97-6915 BUILDING PERMIT ;).-s-.n CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 6915 )~ Date g>I~--77 BUILDING PLUMBING MECHANICAL Sewer Conn :::::,::~et M ~ Pamell.D. . .:;I-db ~/ ' n;LjO tlo u'" 0,_ /.)3 0 Zoning: _E~rgy Code: Ra~on Gas: . / Description of Work ~ f.A...-LA- ;:t;; A'A ~ ~ ~ ~ Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL 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 go~ Valuation or Contract Price f/6 Permit Fee Signature Company Address Telephone# City License Registration # ;1/ ..s-.;L State Certified License# 7Rf-971f7 - ~~ M~.>!I~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ~ar( ~WlaS h631 ~n/~tf. ".-:- . ~,.P- JOB ADDRESS (1 ~ "3 7 J u n l fJP r (A. ( LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' 02--- U. 'l....1- 01-10'" 0 DODO" /1--3 D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration _Repair LInstall OWNER'S NAKE PHONE ;7 f?JS #qq/8 OWNER'S ADDRESS _Sign -'love _DeIIOlish PROPOSED USE: ___Si~leF~ily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: j)lttr ~ ~ 10 W/.:u IJ1fcf dvifJ I'rt/! ohtvA 8ta/krs I BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING V ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. -lIECBANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~e _Steel Other FIllISBED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ..........................*.************** CONTRACTOR SECTION BIJII.DER COKPANY State Cert. or Regist. . Signature City License Registration . ****************************************** URCTRICIAII COHPAIIY Pn~ m(ff~ ::::-~ ~ State Cert. or Regist. . OOI'/SS" :ii ' ~- City License Registration . 2L S- z., / ** *************************************** PLUMBER COMPANY State Cert. or Regist. . City License Registration . ***********************.****************** Signature IlECBARICAL COMPANY State Cert. or Regist. . City License Registration . ****.****.**.*.*************.*.*********** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration # **.***.***.***************.*************** Signature APPLICATION APPROVED BY PERMIT OFFICER. . t CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'On RESPONSIlJILITIES If the owner bas bir'ed.a contractor or contractors to undertake work, they .ay be required to he licensed in accordance with state and local 'regulations. If the contractor is not licensed as require4 by law~ both the owner and contractor IaJ be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents .ay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. , Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections" of this application for whicb tbey will. be ,responsible. If you, as tbe~er sign as the contractor, you are indicating that you, rather than the contractor, are r~sponsible for the wort. If tbe contractor wishes you to sign as contractor that .ay be an indication that he is ~ot properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I ~' , D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HDIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs, If the applicant is SOIeDne other than the "owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to couenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all tbe inforiation in this application is accurate and that all. wort will be d&ne in cOlpliance with all applicable law8 regulating construction, loning, and land develop.ent, I Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a per.it and that all worl viII be perfolled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber govefDIental agencies lay apply to the intended worl, and that it is ,y responsibility to identify wbat actions I .ust take to be in co.pliance. Sucb agencies include but are not Iilited to: t Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater rreallent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Ar.y Corps of Engineers - Seavalts, Docks, lavigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Ireallent, Septic lanks t US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify tbat, if fill .aterial is to be used in Flood ZOne "A" or "A,etc.., it is understood that a drainage plan addressing a "co.pensating volUle" will be sub.itted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it_ issuance. . A per.it issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or set aside any provisions of tbe tecbnical codes, nor sball is~u~nce of a per.it prevent tbe Building Official ftOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIJit issued &ball heCOll invalid unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if vorl authoriled by the perlit is suspended or abandoned for a period of silllOnths after the ti.e the worl is c~enced, One 90 day eJtension of tile, ., he allowed for tbe per.it witb fee charge of '15.00. The extension sball be requested in vriting to the Building Official. An approved inspection .ust be logged during eacb six IOntb period, or tbe project will be considered abandoned. NAMING TO OIIIIR: YOUR FAILURE TO RICaRD A 10TICK OF COHHERCHHlNT HAY RESULT IN YOUR PAYIIC nICK FOR IHPROVlllBUS 10 YOUR PROPERTY. IF"YOU IN'lEID TO OBTAIK FINANCIIG, CONSULT WITH YOUR LEIDER OR AI ATTORIEY BIFORE RiCORDIIC YOUR lallCE OF COHHEICHHEIT. JOBS UNDER $2,500 IN VALUE DO lOT IEED TO RECORD AND POST A "NOTICE OF COIIMIlCEMlN'l". _ : I SIGIATURI: OWNER OR AGENT SIGNATURE: COITRlCTOR STArE OF FLORIDA COUDY OF The foregoing instrument was acknowledged before me this , 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 8S 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 . . .. -:,~"'" -', , - -.. ",. ,'~~. .'~~. ~ .,..J, .......... .- .':-..:.-.........':..--, '-- . - J 1I WillI( , ~c ", ../' 1 f I 1 d'~~ 10 ~N-r ~r/~ Ai SALESMAN I .!; \ If) l> Lo 1;- ESTIMATED TIME OF INSTALLATION ' ~ CUSTOMER NAME Z4R-I., f Et/SI.'1N ~Jt1AS':' ADDRESS t.~ 39 ::];N/F''F~ &. CIlY. ~H't~HIL~ STATE fL~J>FI JOB'ADDRESS- .. ~&..r lyS'~" "1 f.€./l/~tS I:[ '"33J1'1 NATIONAL HEADQUARTERS and MANUFACTURING FACILITIES 10597 Oak Slreel N.E., SI. Petarsburg, FL33716 :: I I, l! SI. PatalTarnpa 576-1143 Toll Free (600)683-9505 FLORIDA SALES OFFICES - Fl. Myars - 3800 Fowlar Ava., Fl. Myars, FL 33901 Naples _ 4910 Tamlaml Trail North. Suita 210, Naples, FL 33941 Pompano Baach - 3750 Park Cenlral Blvd. North. Pompano Beach. FL 33064 , ',I'" Jacksonville. 4850 Collins Road, Suite 102. Orange Park. FL 32073 ,: I.'; i': "Ii I ; FLState L1c."SCC049534'-ECAOOO1435 , ,i! ,I:i\.i.- ~'.'. :.I.t...")6 ,',; '. : I. A PRODUCT OF PRIME MARKETING GROUP,' d II :':~ I I '.: ',~l H.Il, Vi! lie" / SALES AGREEMENT. iT! I,.' \ '. :/.~'1:1.'. .,\ '{)r1~ tJ, ~7 :i PAGE 'I ,I ~,'.of /""11'" ;' WEEKS I ORDER NO 1::li'~: ;'!:;.:I.1<:; (II-VI DATE I' \: :! , , i. HOME PHON~.v '1!!lJ..qt:I,? WORK PHONE 8:S. #"J{)if 'y6 ZIP 3~~t/o "NAME OF CONDO ~ i ~'. \- \ .: , ELEVATION ,ill I:,' oJ,s"j- # ,',,' ,': :./' t .:/:..- . It',) 1 ,j '~l .,:,,' \' P '..J I; <:li,1 Shutter Classification: 0 Solarshade 0 Security 0 Hurricane Protection . . . Manufactured and installed in compliance with all local building codes.' I L,. ,': "', ~:; : j ;: I (. 'Standard Colors for Tracks and Valance are: (WH) White; (IV) Ivory; (BZ) Bronze; Special Color I, ~. ~ ..: t,j :' i; S' ~ . SlatsttlJl Mulls/Angle~, Bulldout/Angle_ Track WII Valance II.. Back Panel~ Btm. Slat Uf/,: purlin~ SHUTTER OPENING NUMBER TYPE OF SHUTTER TYPE OF SLAT PROFILE ~IDTH (TRACK TO TRACK) TRACK HEIGHT' OPERATOR TYPE ~ #'5" ,,' ,#"'," 1 'v h OJ' : t:;\ . 1 . I ""I' j ,: .\ ~ ,. I j .!. ~' , i '"~; :' ~ :;., . .("' 'V iF '3. 'Yr . h'!, .. 0 '," , ,,' . cs I 1,' .l C/ Of t!/ <1/ ...., I OPERATOR LOCATION (ISLO) MOTOR OVERRIDE (YES/NO) . PURLlN CODE AND TYPE . BACK PANEL (YES/NO) ~ ,"(1 , ./ , " I . i . : > "~ '". .' , I, 'j,',!:,i 1,'1 OPERATORS SPECIAL INSTRUCTIONS , ~..i 1 ; II I '... > 't !1.,.Ji , :.:1 ,I: i ;j I" 1) Pull Strap 2) 3:1 Crank w/Strap 3) Gear & Crank Handle 4) Motorized ".1 '. I' I h~va ~an lurnished a~opy ollhe Consumer RlghlS Nollce a~d a Nollca of com~encemenl'r~q~lred by St~lu~ 7~~. -:= / '(I~'I;lal) .': Execullon ollhis Sales Agreemant by Buyer constilUles authorization for Prime Markallng Group \0 obtain Buyer's credit reporllrom . a credit reporting agency. . ! . . I : I l!:./; ,I TERMS: 01/3 DOWN, BALANCE ON COMPLETION o FINANCING o OTHER CONTRACT PRICE $ LESS DEPOSIT CHECK NO. .; .i . ,. BALANCE DUE AT INSTALLATION I., .j CIRCLE ONE: ACCOUNT NO. MC VISA DISC AMX EXP. DATE MAKE ALL PAYMENTS TO ROLL-A-WAY ... PAYMENT IN CASH, ALWAYS REQUEST A RECEIPT. BUYERV' .!t~~J A . -J./J~ t /. BUYER ", I lHlS ORDER BECOMES A CONTRACT ONLY WHEN ACCEPTED BY PRIME MARKETING GROUP , AT ITS HOME OFACE. AS REFtECTED BY lHE ACCEPTANCE AND SIGNATURE OF A COMPANY SALES . . MANAGER. AN INTEREST CHARGE OF 1.5% PER MONTH WILL BE ADDED TO ACCOUNTS NOT PAID AT INSTALLATION. ADDITIONAL TERMS AND CONDITIONS ARE ON THE REVERSE SIDE OF lHlS CONTRACT. .,..r~ IL =..10 .a.WCI . rw... 'STORM AND SECURITY SHUTTERS' @ . .,..,., .1 : "il\':' NATIONAl HEADOUARTERS and MANUFACTURING FACILITIES 10597 Oak Slreel N.E.. SI. Pelersburg, FL 33716 :.; r.. !,.; I SI. PetW1"emp8 576-1143 Toll Free (800) 683-9505 FLORIDA SALES OFFICES.. FI. Myers .. 3600 Fowler Ave., FI. Myers. FL 33901 Neples- 4910 Tamlaml Trail Norlh, Sulle 210, Naples. FL 33941 Pompano Beach .. 3750 Park Central Blvd. Norlh, Pompeno Beach, FL 33064 'i' . , .... Jecksonvllle.. 4850 colllns Road, Sulle 102, Orange Park, FL 32073,," II.; (,(! , i . i i FL Staiallc:.'SC C049534.. ECAllOO1435 ..) i if : il~ ..",. ". . '! ! i:.l I:; ',;.. h.i ["; I APRODUcTOFPRIMEMARKETINGGROU~. '., ',: ,.' "fll\.:.~;!H,I\\j\i I':" i SALES AGREEMENT! i: '! ' ,I~ li,>!~l,\\A' .' DATE ~N~ 7-1" /r'1'? P~GE ':WEEKS; ORDER NO: h'.ll !~;{'.:i :1'.-1 UH", I' SALESMAN '" tJ t.. F ESTIMATED TIME OF INSTALLATION. . CUSTOMER NAME .. ~ 9' 4U...t(N 7ii>MAs" ADDRESS CITY JOB'ADDRESS . '-"', Ame'rica's Yof'"1/: I -' J. , . ~ I : HOME PHONE.; .;., WORK PHONE I I S.S. # i ,\ :. ~ i : ~; ~ ".. ' STATE ZIP I NAME OF CONDO If :!'. ":'11'., '/ ELEVATIO'N' . .. # :' .~: ,,)[.1'" j \ t , ' i I ~:. ",...', .: ....,..':kdl :,'ll Shutter Classification: 0 Solarshade 0 Security 0 Hurricane Protection , Manufactured and installed in compliance with all local bu'i1ding codes: I:J 'I I. ..,:i .,01 Standard Colors for Tracks and Valance are: (WH) White; (IV) Ivory;.. (BZ) Bronze; . Special Color ., .! I: ..: ' Slats~ ..Mulls/Angle-----:., Bulldout/Angle~ Track_ Valance_ Back panel_ Btm. Slat~', Purlln~ SHUTTER OPENING NUMBER TYPE OF SHUTTER TYPE OF SLAT PROFILE WIDTH (TRACK TO TRACK) .TRACK HEIGHT ;. OPERATOR TYPE OPERATOR LOCATION (lSLO) MOTOR OVERRIDE (YES/NO) PURLlN CODE AND TYPE BACK PANEL (YES/NO) # # r # If! # # # # I., # '1.'/1, ;1. i . _ ~ \ \ ; ,I : . ~ '-c" I,'.' , ,i tl'. ..' ' : :'.:' i ~. . ~ .~ <co \ : I' ',j-, i: ,l(,':.,t Iii OPERATORS SPECIAL INSTRUCTIONS r' ,i! 1) Pull Strap 2) 3: 1 Crank w/Strap 3) Gear,& CrankHandle 4) Motorized . ' I .n , r I have been furnished a copy of the Consumer Rights Nollce and a Nollce of Commencement required by Statue .713. _ (Inlllal) .. i Execullon 01 this Sales Agreement by Buyer constitutes eulhorizalion for Prime Markeling Group 10 oblain Buyer's credit report Irom ' a credll repOlling agency. . " TERMS: 01/3 DOWN, BALANCE ON COMPLETION o FINANCING o OTHER CONTRACT PRICE LESS DEPOSIT CHECK NO. BALANCE DUE AT INSTALLATION. $ 7'1/.$"/)' 1/t{tJ () ! .. I. I .: 'I , I ./. , Y <i!;Oo' i CIRCLE ONE: MC VISA DISC AMX MAKE ALL PAYMENTS TO ROLL-A-WAY PAYMENT IN CASH, ALWAYS REQUEST A RECEIPT. BUYER 'I Cudr ,(;. ~?'J''''-L.-/'''' BUYER ACCEPT THIS OROER BECOMES A CONTRACT ONLY WHEN ACCEPTEO BY PRIME MARKETING GROUP, AT ITS HOME OFFICE. AS REFLECTEO BY THE ACCEPTANCE ANO SIGNATIJRE OF A COMPANY SAlES' . MANAGER. AN INTEREST CHARGE OF 1.5% PER MONTH WILL BE ADDEO TO ACCOUNTS NOT PAID AT INSTALLATION. ADDITIONAL TERMS AND CONDITIONS ARE ON THE REVERSE SIDE OF THIS CONTRACT.