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HomeMy WebLinkAbout98-7657 .. BUILDING PE^RMIT 7657 /1 CITY OF ZEPHYRHILLS (813) 788-6611 Permit BUILDING :J..--S~UO ~CTR~VJ PLUMBING .30. ~ ~~~'~ Sewer Conn Water Conn: Date '1- g-- yy Pmperty own",- ~~ Job Address: ~~ Parcell.D, # 1t~~ ,"fi l' '/ Water Meter: T,I.F.'s: Zoning: Energy COde:~ DescriPtion of Work '--/7 ~ ~ c:..--- Radon Gas: FINAL DATE NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application, C,Q, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Dg City License Registration # State Certified License# -- JO~ Permit Fee ..:)~......- de) Signatur~ 7/-w-'A...... Company Address Telephone# Valuation or Contract Price /. t:., ~ ~ C/, 0-0 , BUILDING ..drh-.a4;:)- 01:. ELECTRICAL .>~~ PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($+ft.'OO) shall be made for each trip for each trade: ,;J..J..... #V a. b. c. d, e. f. g. 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, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. r=~'~ -l~rllll1l1ud Page No, of I 'ago.s _,__.." Hm". 1$0'::'" P,o LI)/I~;\IITlOf Cordon' . 10% Post-Consumer COllhmt SONNY'S DISCOUNT APPLIANCES, INC. 10L $" South Highway 301 UAUE CITY, FLORIDA 33525 (~M>> 567-6224 f'1l0P05AI 511R"THD TO '" ( b ' ) ~ f ,..ey 1[-, ') (' N' _._ ",,_,_" .lJ...___,-____ 51R T ~', I fJ' _.__fl t..-( ~IJ/I fV ~ i~L__ CIlY, 5T,' ArE AND ZIP C09E \.' ,_ ...2 C. fl rt'1.,t .I"~ 1- ARCltlTfCT ~ PHONE ...'_H C~--JDAH 7 8"6--- /L2(]- 1/ ,- (., lOR NAME -7~' " 1 JOB LOCATION We hereby submit specifications and estimates for' L'~' / ! J' -6- 0 z. jJ 0 ~ 'I (() ~l~' A Lv' !(t~1 ( I) j C, Y<i ( f d ~ rJ i::: y -f \J 4 iJ }-o/1 / l /tv ~1 jd I!.f (t ~Y .1' IIrl1Jlll1lt h~reby to furnish material and labor - complete in accordance with above specifications, for the sum itl _..__ dollars ($ -L-~JY t,-- 01: ---Payment 10 be made as follows: _____n __. Authorized ' _-;-_no , -- "-f'- Signature ___ ,J'2'U~~_C:~r1 . (' ... ,. /' No\(\~ lhi,; \llOll(\o;al may be ' withdrawn by us if nol a(u,pted within All lI1aterial is guaraflteed to be as specified. All work to tJe completed In a workmanlike manner according to standard practices. Any alteration or deviation hom above specifit:a. liulls involving extra costs will be eKecuted only upon wlltten orders. and will become an ...\11 t,\\illl!.' Q~'( 'lid llbo.~, Ih' ,0Im\lI\e, /\1I1I&"lImlllllo ~Qnlinl!enl upon olrl~es, accidents 01 delays beyond our control, Owner to carry '.re, tornado and other necessary IOSm8nc.e. Our workers ale fully covered by Workmen's Compensation Insurance. day' J ~] !\ccrptUttcr nf JrnpulIul - The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specilied, Payment will be made as outlined above, Signature _' no, Signature Oate 01 Acceptance: ... -"'RIfllIHII'; ~ 1^.i:h,'':~I'lt.G.oton~Ma~~ 01411 lolkdrl PIKlNf HII fRlII. Boo 1}'J &~-.:-.:=:-_:. - / ;/ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKIl {2 ~ '7LiIAav ~ /~~~~~ OWNER'S ADDRBSS 3 0 ~ ro /br ~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL LD.' :2'f--.2(;, -2./-0000 - () 0 /D 0 - ~ Lj (OBTAIN FROM PROPERTY TAX NOTICE) ~"h! ( PHONE '7 f'O .-. '12 J 9' --~~ ~ -Z7/lt. WORK PROPOSED:_New Construction -^ddition _Alteration _Repair _Install _Sign -"ove _Deaolish PROPOSED USE: _Single Family _M/F _' of Units ~/H _CotDIIercial - Indust. _Swim, Pool _Other ~estaurant & ~ealth Depsrtaent APPro:al __ ~~ DESCRIPTION OF WORX'~AI'~~./ - 7.5 -1jw;, > BUILDING SIZE: X, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, PERMITS REOUESTED _BUILDING ~LECTRICAL .t--'MECIIAlfICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E,C. $ ,/~ '3 f, ~ D Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. . City License Registration , ****************************************** BUILDER Signature =~~ ~' ~ COMPANY . D ~ ~ State Cert. 0 'RegiS~O ...-- 1"-.L3 ~ City License Registration' R. 0 ~ / *************************************** COMPANY State Cert. or Regist. , City License Registration f **************************** ************* PLUMBER Signature Signature COKP ~ ~ State Cert. or egist.' AA 0 /1 City License Registration' ;2.0.r / ****it********************************* / MECHANICAL OTHF.R COMPANY State Cert. or Regist, f Signature City License Registrati~n t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PEI~IT AFFIDAVIT A" NOTICE OF DEED RES'1'RICTIONS rbe und.rslgned und.rstands that this p.rolt oay be subJ.ct to 'deed rantrlctio..' .bieb oay be ..r. rantrlctl,. tbao City regulations, The undersigned assUles responsibility for cOlpliance with allY 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 lay be cited Cor a oisd"....r 'Iolation uod.r stat. I... IC tho oon.r or Intended contractor are oocorlaio as to .Iot llCODBIng require.ents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furtherlore, if the owner has llired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wllich they wUI be responsible, If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes JOU 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 I ~' , D. CONS1'RUC'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 _ HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUlBr Affairs. If the applicant is SOleODe 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 couencl!.lent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in colpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all work will be perforted 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 other goverDlental agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to: * Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and Bnvirolllentally Sensitive Lands, Vater/Vastewater Treatlent * Southwest Florida Nat~r Hanagetent District - NeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways * De artlent of Health & Rehabilitative Services Envirolllental Health Unit - VeIls, Vastewater Treallent, Septic lanks * US Envirolllental Protection Agency - Asbestos abate.ent I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "colpensaling volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance, , A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery'perlit issued shall hecOle 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 81tenslon of tile, IaJ be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. NARNING TO OVHER: YOUR FAILURI TO RICaRD A NOTICH OF COHHBHCIHRNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIBKrS TO YOUR PROPIRTY. IF YOU INTEND TO OBTAIN FINANCING, COHSULT VITH YOUR LENDER OR AH ATTORNEY BEFORI RICORDIHG YOUR HorICE OF COHHHNCRHINT, JOBS UHDER $2,500 IN VALUE 00 NOT NEED TO RHCORD MfD POST A "NOTICE OF COHHBNCKHINT", s~~~-i= s~~ STAR OF FWRIIlA _~ COUNTY OF ~ The foregoing i~tpuD~t before me this ~~ STATE OF FLORIDA ~ COUNTY OF ~.s(;O The foregOing tb~rJllll~t was acknowledged before me this ~-6 , 19 1," by (Sign , I was acknowledged , 19 5/' by to me or who has (Name Ty NOTARY