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HomeMy WebLinkAbout00-9508 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit 09508 Date IJ? -5-00 ~~~ EL~ ~- ::::::,~:ne' fil}jji - YJ7~ ~_.. Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D, # Radon Gas: Zoning: Descriotion of Work NO OCCUPANCY BEFORE C,O. FINAL_ 6~/6-0 DATE Complete Plans, Specifications and Fee Must Accompany Application, C,Q._ All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Valuation or -1- 2 . Contract Price .. .If 0 0 ~ t5l ()~ v - City License Registration # d j(5 State Certified License# J?r#i#~ UI71;17J~ Add<~ ~ePhon~ f7~d--Q5?:XS BUILDING ELECTBLCAt- ' -~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLU~- --- MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ($ 25,001 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 PEmaT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVXEW FEE OWNER'S NAME1 ~:J~ JOB ADDRESS 3 ?9lJ7 (Y) () ~ CU\ ~ 7fV' 94~~ PHONE 77q -31& '5 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION D SIGN PROPOSED USE:~GL FAMILY DWELLING D COMMERCIAL (OBTAIN FROM PROPERTY TAX NOTICEl D ADDITION D MOVE DALTERATION ~EPAIR D INSTALL D DEMOLI SH DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER ~ DESCRIPTION OF WORK BUILDING SIZE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT 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. D BUILDING 1:1/ LIDO PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING o ME CHAN I CAL- D GAS ~ROOFING TYPE OF CONSTRUCTION: D BLOCK $ D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION D OTHER D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE " ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE JdJl:CBANlCAL * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** SIG COMPANY STATE CE OR REGIST CITY PROCESSING # OTHER ******************************************** \.:.U,':\'.!JJ-'!:.'.ON::; O,~ pr.;KM.l.'J.' M'E'lDAVIT ~'. ~OTICE OF DEED RESTRICTIONS ....The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed ,restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor lor contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 which they will be responsible. If you, as the owner signs as 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be suPmitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER ~2 DO NOT NEED TO RECORD AND POST A 'NOTICE~-::::H. ~~OwNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA' ~ /1/U ,'\ STATE OF FLORIDA '///J /r' A ~ COUNTY OF ~~~-J COUNTY OF ~~~ The foregoing instrument was acknowledged The foregoing ins ument was fckno~ledged Befol]?' m~ \:his -l5- da~f~, ~ ru. , ~O Before e his ' d f < - UA/"--f , 00 by :p...O A) I ^ ~ f.L..l~ 1_CY----/~ by' v 'l/L" /"'\ '~ (name of person ackn ledged) (name of person ac ~ho is personally known to me, or ~o is personally known o who of identification) ke a oath, 0L0 Owho has produced (type of identification) 'J:Ji.ld ~tak oath C75 '\. (.L /' <--J Si person taking . """ .. rleltnl M." Angela L Helms,miallonCCSO0247 Name t ;*'1V~1f1ni" tI"Jkl~~<red ~".",..... Expires January 3, 2003 ProDosal Submitted To: Work To Be Performed At: PROPOSAL ~ CONSTRUCTION, INC. ~ ( FING & ALUMINUM DIVISION) ,7325 SR 54 WEST ,,~ ZEPHYR:E:IILLS, FL 33541 PHONE:813-782-6094 LICENSE:~ Name, ,~.~,_.,S~~L~~--..----,----------- Street_3_~q,':fJ..,________~ --~--------------,., City _ ,~~~*~~\~---- ,. ,. __________ State", ff- Phone .',. ,_ _-:z._'JJ!_~3iJ.J..------------,--w -----Pa-ree-l---l,.- D-i"--"# Street __,____.. "--~~-- City __________._ State Date of Plans ',. ,______ Ar ::;hiteet_ We hereby propose to furnish the materials and perform the labor necessary for the completion of ___L--J-......c.o.Ir1p 1 e t P. t P.a.J.::: 0 f f o Lex i s t i ng s h.in-gl,e-S.-.-.-.-- - 2.) Roof dried in with 15 lb. felt. ___3~_).._ InstS'l J I 8] 1 new_v-a-LLa.y-_me.t,aLw.Lt,h__gaLv,an_ized,_metal. 4,) Installation of all new lead boots through roof, ____5.....-)---Lnsi-a.-Llatio,n--oLnew--dr-ip-...adge-.ax-o-un-d...p.e.r..ime t-e-f-_ -, - '...--- --- 6,) Installation of new ,')~ year fungus-resistant shingles.-- _______.._______,_.7~>--AlL-dehLilL-r-emOYed-Lr..clIIL-.Lhe-J-o-b-ait-e,.-..-- ' ,-- --r:~~o ,EL~.. ----, 8,) All materials and labor furnished. _,_______________q ) F j ve ye 8 r 1 e a k w.axr..anLY-~ ,____~_._.___~_,__.__,__.__.'.~.M...__~'____.__,.-.""--.._"~__,___"o>..__"_<.,.______"~_' ---.....-,,---~~---~-~-.--,-'-...--_....._... I I I, ------- ,---,---..-----..-----------..------' --- --..----'---'--.-----------'TOTAL-B I D :$ , --;;/'Jo e, [) 0._ --- -, ...- _____. -.________.____,_______..._______________'_______.________-c5t~1'~--e: ~--~t~-~. "'4 ~' -t ,~ -ClO ._OQ - -" _________,_________EXTRAS_: Bad plywood r~p 1 a ced a t a cost of-$-AQ,-DD--p-er- sheet_------,-- PAYMENT DUE UPON COMPLETION OF JOB. __________,_.EXTRAS: Ins tall a t ion of new -2-x 4" 1 umher ancL_l__x__~__J-ascLa-..O-J.:.-----___ any other wood work to be replaced on a time and lUa t eT i a 1 ha s is I a tal aboT cos t Qf $-.10..,00 per-b,our, ;perman. ' All material is guaranteedto;~e?~~}ipecified, and the above work to be performed in aceo'dance with the drawings and specifications' submitted for.<>.sbove" work and completed in a substantial workmanlike manner for thei,sum of , " , ~ DQllcWS [$ . ? "",, l. ,~~;;',~~~~Q;~ ~~:~ Respe~fully submitted j~~ ~~~ 'Rlli~,E;,~; .' 'extra charge over and above the estimat8.A1I'agreBIl)Bnts contingent ,.,',',.,~'. _..p },f.:.,_"" . G ,'rp..,: ;n',; ~'j;"'--?1 ~ " ..<' , ' upon 'strikes, accidents or deleys beyond our control, Qwner to carry .,.... \>;i~;';~f: fire, tornado and other necessary insuranca upon above work. Work- l?E:lr, menls Compensation and Public Liability Insurance on above work to be .;"..0 . ,: ;;":'~:-~' ~'., . :.,;Y; ; taken out by , Note-This proposal may be withdrawn by us if not accepted within days. .;