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=~'~
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Page No,
of
I 'ago.s
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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 &~-.:-.:=:-_:. -
/
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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