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Home My WebLink About97-7050 BUILDING PE,RMIT 7050 ~ CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date ) 0 - 1-.3 - 7' '1 G:D~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn ~o..rty Own., ~f~ 717)lfl tIf{ Job Address: J ..3 - Parcell.D. # //-{}...6 -:lJ ... 0 tJ/O ... 0 oclC) 0 ... 0 cJ yO Zon;ng' ?!: ~9VCod" R.donG." , ~ O~}J::xE; ~ 1--~~'-J- .AR -<4~ - - -~ Water Conn: Water Meter: T.I.F.'s: .-z- ~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ;17'7 , Permit Fee ~- cJ-z..} . ~< Signature ..c:.~ ~-R Compan{" Address Telephone# Valuation or Contract Price / r b I. c.r-u /' CJdM /...?~ 44 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 ($~I shall be made for each trip for each trade: .JS: P"O a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d, Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. / ~./ i 1 }O OWNER'S NAKE~ !OOIJ<fr 7<J;f'F'/7. ~ PHONEJ(g13) '7!3;l..S-LJos- OWNER'S ADDRESS,( 7?o.;Bo$/ 57'8 ZEP/lYR)./ILl.S IN.. 33s3Q- os '78 JOB ADDRESS)( AI~r {tF.~ ~ leA L/ L E- ~ ~ .p- L9 .1 J ; 6 -r ~ 11 u ~ 'z (h _ / (5'" LEGAL DESCRIPTION: LOT(S) q~ 10,11, 12.. BLOCK .2 SUBDIVISION C'rrtJ et)F ZGP/{tJJeJ-I ILLS , , APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT PARCEL 1.D.# X //-2t.-2'.~OI()-00200-0t:>Clo (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration --..Repair _Install _Sign -",ove _Deaolish PROPOSED USE: _Si~leF~ily ~ercial _KIF _' of Units _K/B _Indust. _Swia. Pool _Other " {.f _Restaurant Ii Bealth Departaent Approval DESCRIPTION OF WORK: r 1'-/ _\ .,c ~ / fife IC- <t l ~ ~ C? JI.( t/ f~ E- W & /C /C 6 6 ~/, Ie d t!I ~~, I- 0 , '- -t-- let. y:- /7< c I~ If? ? Ll :.e-tJ. BUILDING SIZE: X Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ /P6/~ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. -1fECHAIlICAL $ Valuation of Kechanical Installation _PLUMBING GAS ' ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~e _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUTT JlER Signature ~ /' A /L/ J., S' ~-0 /';/ 4 {] I tv -r /, ~'7";.l / d ~,. RI.RCTRTCIAH COMPANY State Cert. or Regist. , City License Registration . ****************************************** SiRnAture PLUMBER COKPANY State Cert. or Regist. # City License Registration # ****************************************** Signature MEGBAHICAL COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay 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 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 tay be cited for a lisdel8anor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing require.ents lay apply Cor the intended work, they are advised to contact the City oC Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the IIContractor Sections' of this application for which they will be responsible. If you, as ~ OIIDersign a8 the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~ { D. CONSTRUC'I'ION LIEN LftW (CHAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HoIeoIner's Protection Guidell prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is SOJeORe other than the lIowner", I certiCy that I have obtained a copy of the above described doculent and prolise in good faith to del1ver~Jt ta the "owner" prior to cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and tbat all .ork .ill be done in cOlpliance with all applicable laws regulating construction, loning, and land de~e10plent. Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or installation has COIIenced prior to issuance of a per.it and that all work will be perforled to l8et standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certiCy that I understand that the regulations of otber govefnlental agencies aay apply to tbe intended worl, and that it is IY responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: I Deparllent of BnviroDlental Regulation - Cypress Bayheads, Netland Areas and BnviroDJentally Sensitive Lands, Nater/Naste.ater rreallent I Southwest Florida Nater Hanage.ent District - NeIls, Cypress B~yheads, Netland Areas, Altering Natercourses I ArlY Corps of Bngineers - Sea.alis, Docks, Havigable Naterways I Deparllent of Health' Rehabilitative Services, BnvirODlental Health Unit- NeIls, Wastewater rreatJent, Septic ranks I US BnviroDlental Protection Agency - Asbestos abatel8nt I also certify that, if fIll laterial is to be used in Flood Zone IIAII or IIA,etc.", it is understood that a drainage plan addressing a "cOIpensating volUle' .ill be sublittedwhich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official lroa thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued ahall becoIe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the til8 the work is cOllBRced. One 90 day 81tension of tile, lIy be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. IIARHIHG TO OIIIIIR: YOUR FAILURIl ro RIlCORD A HOrlCK OF COHHBICRHHHr HAY RBSULT IH YOUR PAYIHG !lUCE FOR IMPROVIlllftS TO YOUR PROPllRTY. IP' YOU INTIHD ro OBrAIH FIHAHCIHG, COHSULr WITH YOUR LBHDBR OR AN AnORIIY BIFORB RBCORDIMG YOUR NOTICE OF COHMBHCIHIlHT. JOBS UHDIR $2,500 IH VALUE DO HOT HBBD TO RICORD AHD posr A 'HOTICB OF COHMKHCRHHII1'II.. ~~~/Jf~ KGII~cm:;;-~ srArK OF FWRIDA R COUNTY OF (19 n The foregoing instrum~t was acknowledged before me this Dtt. LR , 19 Cj1 by rnlc.hae.1~ r f('~lLtfY\CU') ~ho is persona !! bluw~o me or who has produced as identification and who di~~o~ tl"~~~ V, bnalJL;= - (~gnature) / QS~()rYt VI;(. F L~[)D/~ (Name Typed, Printed or St ped) NOTARY PUBLIC STATK OF FLORIDA () COUHn OF rt2:Jl?cJ The foregoing instrument was a~OWledged before me this ttT. g , 19 by oh L. Srn~ o 18 personally tOo me or who has \. (SI nature) .c:- /'~ . { . . n'"c', C:JDD S1ot. (Name Typed, Printed or Stamp d) NOTARY PUBLIC 'ii.tJi if '!'Ii. OASSONDAA'; ~ *My~ * filq)lre8 Apr. 30. 2000 , !f --"" ~ "}<t Of ,\.Ii #w -_.~ My QomrnilIeIon CClS511'37 * * Expiree Apr. 30, 2000 "1, ~.... '>~nr."t Proposal Date Oct. 7, 1997 John L. Smith Construction 4240 Coats Rd. Zephyrhills, Ft.. 33541 (813) 782-0470 RB 37321 Proposal Submitted To Work To Be Performed At Name Linda Young Reffit, Trustee Street P. 0. Box 578 City Zephyrhills , FL. 33599 - 0578 Telephone # 782-5405 Street 38033 16th Ave. City Zephyrhills, FL. 33540 Date of Plans Architect We hereby propose to furnish all materials and labor for the completion of install handicap ramp and re-work bathroom to meet handicap requirements . All material is guaranteed to be as specified, and the above work to be completed in accordance with the drawings and specs submitted for above work. All work and materials to meet local industry standards and existing codes in effect at date of this proposal. The above work to be performed for the sum of Eighteen hundred sixty one and 001100 Dollars ($ 1861.00 ) with payments to be made as follows: when complete. Any alterations or deviations from the 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, wind and all other necessary insurance required upon above work. Workers Compensation and Public Liability Insurance to be taken out by builder. Respectfully submitted ~ ~. ~~ Per John L. Smith Con~ction This proposal may be withdrawn by us if not accepted within 10 days Acceptance of Proposal We, the undersigned have read this proposal and do agree to the terms and conditions as listed above and to any attachments, if included. We authorize you to do the work as specified. Payment will be made as outlined in this proposal. /1(~~. a~ ~?hC?~/~I11~ Date