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Home My WebLink About00-9922 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09922 Date 11-14-00 BUILDING ELECTRICAL PLUMBING $30.00 MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Nina Humphries 38032 - 7th Ave. Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: AIC Change out Radon Gas: NO OCCUPANCY BEFORE C,O, FINAL J- 2..<J - 0 (!) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector ~B City License Registration # 60 State Certified License# CAC 042667 Permit Signature Company Address Telephone# Valuation or Contract Price $1,895 BUILDING ELECTRICAL PLUMBING Coles Air Condo #60 MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ~/1rA f/ulKtJht(~ I JOB ADDRESS 380:J ^ 7 ct.. A- () b. PHONE 7f{ d.. - (f'G 78, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL Os I GN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ ?~-- ,9- r;;#' Af cJ W.'+( ~ S-Kv 4f2J-- BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W,R,E,C, o PLUMBING o MECHANICAL $ / B'1r:~ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUI LDER 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 SI * ************************~~*?*~*pt~~~ COMPANY ~ ' 7~ STATE CERT OR REGIST # I" fit.!.L;J?/~~~ 1 CITY PROCESSING # ~o ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** . CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE 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 or 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 (or:: 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 document and promise in good faith to deliver it to the "owner" prior to commencement. E, CONTRACTOR' S/OWNER' S A!,'!,'lUAVIT I certify that all the information in this application is accurate and that all work will be done incompliance 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 ~ermit 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 Ii 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 "compeIl.sating volume" will be submitted 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 $2,500 IN VAIJUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19_ STATE OF FLORIDA COUN'rY OF The foregoing instrument was Before me this _day of by acknowledged , 19-=- (name of person acknowledged I Dwho is personally known to me, or (name of person acknowledged) Chho is personally known to me, or D who has produced (type and whoD did Ddid not of identification) take an oath. D who has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped (;.,LI:'S AI~ (;"~I)ITI"~I~t; ~I) t1l:An~t; 37338 Kossik Road Zephyrhills. FL 33541 (813) 783.3723 PROPOSAL No. Date t \ - l "3 - .2.~C'C Sheet No. \.. Work To 8e Performed At: St Cert 'CAC042667 Name Street City State Phone Proposal Submitted To: 1M (,,/m 3eO~L ?~ /'}-,/I- 7,4-P//Vj)J"~/J.,, -'" ~ ~.&1~ / , '~ ~ 1::< -/? ~ '7.9 Street .517n6. City Date of Plans Architect \. We hereby propose to furnish the materials and perform the labor necessary for the completion of _.~~"'I""lc;J.. d ...;z:;v.,' o;,e;~ ~IVL- ::J..7::.:f4J ~, ;:~, ~~ :~,,-, .1f~ ~:'~2h;5~~SB ~~.c.~ . ' I ~fBr (~/lUMJt/tf 7. A;fJ;1 frlV 56-rl- I t!l, 0 [) PIP€- (y~ fJ~" ~P/L ~ &/t::-J #, 1fd(J' ;,.~:;!Z/::> /Ad< a>~ LElH,t-L c1t All material is guaranteed to be as specified. and s~aa~d for ~~d with payments to be made ~ the above work to be performed in accordance with the drawings and omp' eted in a substantial workmanlike manner for the sum of '- ;~:.:?5!- Dollars ($ 189J'~ rCb Any alteration or deviation from above specifications involving extra costs. will be executBd only upon written orders. end will become an BXtre charge over end above the estimate. All agreements contihllant upon strikes. accidents or delays beyond our control. Owner to carry fire. tornado and other IlIICB8Ury il18uranceupon above work. Work- man's CompensatIOn and Public Liability Insurance on above work to be taken out by Note- This proposal may be withdrawn by us if not accepted within :JP days. 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. ~Jl /1- /3- ~ Date ;' ()""V"" ' Signature VtA<:IY ~,,-f1 ~ Signature