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Home My WebLink About98-7406 BUILDING PE^RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7406 11 d-5~VV BUILDING CC~TR~ PLUMBING Property Owne" '- if~ ~ <V1- Job Address: JJ-.;2.~ - / l:) ~ / Parcell.D. # ) l- ~ - ~/ - 6'-0/ 0-- / crd.-O 0-- ..3 tJ, o-i) ~CHAN~ Date /~ 02/-7 y- Sewer Conn Water Conn: Water Meter: T.I.F.'s: 006D Zoning: Energy Code: DescriPtion of Work L./l ~A.l.JI A-p \:T~':P~~~ /'"t:J7-?~~ Radon Gas: , ~4-'1.J-r';'.1. yrJ~ ~:~S- NO OCCUPANCY BEFORE C.O. FINAL C.O. /-2'1_~.sl- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee ~~ Signatur~ .P'-- Company Address Telephone# Inspector eL / / . U Valuation or Contract Price ~J. 9~'-... ~ t,() City License Registration # State Certified License# BUILDING ilyaJ ;)-0 ~,6 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 ($+5-:ee) shall be made for each trip for each trade: ~-, (/7;) Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE ;::: 12ft /Vel ~ ?~ tv '2 f:- (2. OWNER'S ADDRESS ~~ OJ.. 5 I () rJ..,.. S r JOB ADDRESS ~~e6 /0<..1. ST PHONE 7g~-L '5/ "2 2&/I(~?h;/( ~) r:-( / ' LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' //-d-..b-:l./ - 00/0 -1l?d.OO D Cl0 'D. (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration --.Jtepair _Install _Sign _Hove _Deaolish PROPOSED USE: vSingle Faaily _H/F _, of Units _H/H _eo..ercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: J/l/fMt:.L Ck-,A(Lu4C A/r C 1*-/1"(: I BUILDING SIZE: x Square Feet. Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS" PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING -LELECTRICAL hEGHAlfICAL AMP Service Valuation of Total Construction ,; Florida Power Corp. W.R.E.C. Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlITSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ***....................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist" , City License Registration , ...................*...*..........******.* Signature ==;2 COMPANY State Cert. or Regist. # an 0--- ~ ~ ~ City License Registration' ***.....*............*........*...*..*.*.* PLUMBER. COMPANY State Cert" or Regist" , Signature City License Registration . ~...7..;. ..... ........................*..... . ~ ~/ / COMPANY &ks4(CI /I~ 1'-1, State Cert. or Regfst. ,. . Y;t(, ~7 Signature .' . City License Registration , ~ D ............................*............. OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # .............*.*.......................... 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 aay be lOre restrictive tban City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions" B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to underta1e wor1, 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 lay be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended wor1, t'ley are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner bas 'Iired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber tban tbe 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Plorida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is sOIeone other tban the .owner", I certify tbat I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to conenCelent. E" CONTRACTOR' SjOWNER' S AFFIDAVI'1' I certify that all tbe inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. , Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction" I also certify that I understand that the regulations of otber goveCRIental agencies lay apply to the intended work, and that it is IY responsibility to identify wbat actions I lust tale to be in cOlpliance. Such agencies include but are not 11lited to: t Deparllent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Arl' Corps of Engineers - Seawalls, Doc1s, Navigable Waterways t Deparlient of Health & Rehabilitative Services, EnviroRlental Healtb Unit - Wells, Wastewater Jreatlent, Septic Janks t US EnviroRlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Plood Zone "An or "A,etc"., it is understood tbat a drainage plan addressing a "colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of Plorida prior to per.it. issuance. . A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the tecbnical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code" Every.perlit issued shall hecOie invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced" One 90 day eztension of tile, IIY be allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official" An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR PAILURE TO RECORD A NOTICR OF COHHENCKllKNJ MAY RESULT IN YOUR PAYING RICH FOR IHPHOVEllBlIt'S TO YOUR PROPERTY. IP YOU IlIt'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEfORE RiCORDIKG YOUR KOJICI OF COHHENCEHRNT" JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RRCORD AND POST A "NOTICE OF COHHKNCEllBNT"" SIGKATURE: OWNER OR AGENT . I SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OP The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath" who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~()LI:'~ 41~ ~()NI)ITI()NINt; ANI) tiI:4TINt; 37338 Kossik Road Zephyrhills. FL 33541 (813) 783-3723 PROPOSAL No. Date J - 'J-~ -<"-)8: 51. Cerl. 'CAC042667 Sheet No. Name Street City State Phone Work To Be Performed At: Proposal Submitted To: Street .'> .'- it; I c' rl, ~ r, City 2. ~ ,f')-/7 ,t.; J Is. J Fl. Date Df Plans Architect 30 -r ~" Ir f=r' . .'J'~/'7. ~ . . 7 tfg , .~ S I J.. -' ~ (-1, V I S We hereby propose to furnish the materials and perform the labor necessary for the completion of ~~..l.. {fi:~" ":f r:: ~'. To" -. 1(;';'f e;~ Sf-I," Sy~~ " "K I ,,-~ 0. ,--e,k. . - ,~r "'..::':.... .: a1- , S ~I'f '7 j)~;,; u - {L fA.. - .re... \> 1>";' C ~~~,f I ~. l~~ ...~~~ I t. , "'<- ."-" V';:' ;;8. L. c>. ~ ~:" q.(\ ~.;.. I I:. ~~~. to..". ~ Of p '--". :.., /../ 'JL V / (. ,J - ..,L. 1 t"I . ~ t &L. . {..- HfJriLM,J~ OV6 '(c.-7f7{. jJ I'1"fl/s ./ ~o(LA r GIG; 'VC if fk;1l, ~ n (J,.L J oJ I'Y (. rJ'1 ,: N I....., I F .Jc-\ t '1l7t-/t 1-11\ 1l~~..P~ - U,f"' c...,~1k ~S(J(\ VV\ 6.~,l All mater.al is guaranteed to be as specified. and the above work to be performed in accordance with the drawings and specifications submitted for above work a d completed in a substantial workmanlike manner for the sum of ~ 7lv~$I~ ~c/~~-- ~ ~-~... DoJJars($;L/CjS'~ 1. with payments to be made as follows: j.' ,",0. t>. .::..~ 11 1 ~ 5.~':': ~- ~'7"~~ eo" C ~ ". / c.;:. Any alteratIon' or daviation from above specifications invOlvmg extra. costs. will be executBll only upon written orders. and will become an extra charge over and above the estimate. All agreements contingant upon strikas. accidents or delays beyond our control. Ownar to carry fire. tornado end other necessary insurance upon above work. Work- men's CompensatIon and Public liability Insurance on abova work to be taken out by : Respectfully submitted ~~ Per .Note- This prop~al may be withdrawn by us if not accepted within ..f 0 ctays. 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 made as outlined above. Date I I ~O / I I Signature -.1./UtA.v~ A..v Q-~ F .~ Clo Signature