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Home My WebLink About01-0285 0285 CITY OF ZEPHYRHILLS (813) 788~6611 ~l.g BUILDING ELECT'CAL Property Owner: ~ a" e..+ 51"-:~ Job Address: '00"") (l;'dr;e ~ Av-~.. Parcell.D. # DJ~2b'2'- Df"JO- tJ - 05;>0 I ~O Radon Gas: --1' - PLUM~NG MECH~CAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: S c-- e p"" /OO~ Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. -0 I DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# Permit Fee 5 4. .lE _ Signature ~r ! ~~ Company Address Valuation or Contract Price ~J8S. ~ cr17 C?-/Q __ Telephone# AI I Ar-Jer ~c..C("'" Alw",", . BUILDING ELECTRI "AL PLUMBING MECH NICAL Ftr. ~J2~O I ~(( Tp. Servo SLB \ Breakers Pre SLB I Rough In Tub Set \ Ducts Insl. Lintel Meter Can Water \" Compressor FRM. Const. Pole Sewer T Final Insul. CL Final \ Pool WL Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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. '. , ALL 11-VV\~~ f)Luw\,r-JUN\. 0o~1 ~tD~~AJ~ OR. . Yt,/},-L...... I ~~ . SQ, FEET PRICS .. . MAIN OR UVING .a._.a $ OTHER.AREA UNDER I'CUUP $ -- VAL..UATICN $ '2. ~~~ ,.;,~ I::u II DNa:: $ rl )"0 ~ . CREDIT: $ NIIA a.s:TRICAL: $ tV/~ . PUJIEING: '$ ;JIlt IECHAMCAL.: $ ~/fr lfoi) ~pt $ /, 6e I TIF'S:I S ,J ItI . I l ~'TV}L. . i!s'-/ 10 ~ I All AMlhRlCA'N AllUMINlUM 907 Winchester Ct. Brandon, FL 33510 1-813-997-0210 PROPOSAL SUBMITTED TO: . "-C7 / NAME ~r JOB NAME STREET CITY STATE STREET CITY STATE We hereby submit specifications and estimate for: / n. IJ L /' / /7/ j~;~t . t- fw L. er (/ /16 J C /-~-, rN' '"h 0-1 fI, a c ~ C 1-4-7 e-I?L at J b " j(, e-/J/ L..>k ~'c-/l-.€'? /,A--l f'X v f " ;, L <; / ?ft j C/k. I<-.e- 0,;-11"/ d'''' ..e '" ;2-J-l ~ ]:'" ~h [i a 16" )"c __J?-R n ci~# r /A-I f'i, Cbv! u IpI f LlC?r~- / t!- 'J Ii, ~/~jp~ "'/5?c n;,f I ~ /J- If cl ul-c~ l6- f/' C'j;-....e.J?I"1 '1zJ.;{ L- 7-7 o5~ CI< ')rJ'i1 pfpvvn 19-~ ~ ~~ L- ?-.c'~~c/ - All materiat is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs. will be executed only on written orders. and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accident or detays beyond our control. This proposal subject to acceptance within days and is void thereafter at the option of the undersigned. AuthOriZedSignature~ ~ ~~ The above prices, specifications and conditions are hereby accepted. You are autho . above. ACCEPTED: Signatur DATE CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8tli STREBT ZBPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RBCBIVED PLANS REVIBW FBB OWNER'S NAME PHONE CONTACT JOB SITE ADDRESS u.-a \./ /? .?- / BLOCK cJ ~?-'V SUBDIVISION ~~ -fl?- A:~ ~. / . " LEGAL DESCRIPTION: LOT(S) PARCEL ID # <] ?-t:" <21 &//?o Ot'?c.t:o (OBTAIN FROM PROPERTY TAX NOTICEl O:>5Z) o ALTERATION 0 REPAIR 0 INSTALL WORK PROPSED: DNEW CONSTRUCTION 8"1IDDITION o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS G3-mBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 7 C:A--P<tJh r?1~~ BUILDING SIZE / /) 'f./6 SQUARE FOOTAGE /.6' 0 HEIGHT f? RESIDENTIAL: COMMERCIAL: ATTACH (2l PLOT PLANS & (2) SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. ATTACH (3l SETS OF BUILDING PLANS & (ll 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 $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL FINISHED FLOOR ELEVATIONS IS PROJECT o NO BUILDBR SIGNATURE ~ Jl ~ COMPANY 4-t.-~ ~A( C~ A-LtyhY/I ~ STATE CERT OR REGIST # )" t:. L~" 2 6'~> CITY PROCESSING # ! j'~ )'? ****************************************************************** BLBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** 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 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 AMENDEDl 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 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".~ ff77tJ 711-?7 CJ~6"o ~ -Z- ,?4~ SIGNATURE: CONTRACTOR ~~ ~ /~~ SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19_ (name of person acknowledgedl Owho is personally known to me, or o who has produced (type and whoO did Odid not of identificationl take an oath. Signature of person taking acknowledgement Name typed, printed or stamped STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) [1ho is personally known to me, or Owho has produced (type of identification) and who Odid [):lid not take an oath Signature of person taking acknowledgment Name typed, printed or stamped ----- ~~ ~ ;> ~ ... - <:3'-.... - ~ ~ J ~- .?::: ~ '"' '" 3 .:J1 ~ ~ ~- - ~ ~ ... ~, '\..1 ~" . h' . . , 11TK I'I.AN . (llP.SlDJr.NTIAL US! OHLY~ 1'^ItCI-:I. 1.11. , J Olb - S~: 'N~ rJl lUlU QO.X IDO I' _a l'IIOI'I~lIn' IIIU\S\JIII!JU.:tff (:"ltill~IH O\4I11!1tS ~fi I<>>A~IJ SK6~ < 10D f ~' 1 \q 1 lJ 1-/ . ~1l~{I~r fLA~OP,IVV M t-- l~ , . f-- \dv -7 C10 < -< ~~!fUrf ~~ WD4) sr\1U) ptr~t ~\l HziN' C~CT7Mr ? % ~g,c..rl- f- ~ ..?A.' &,007 ...."t. ~ SUbll OL9t?~ bLOCK t?$':"w Ltrr ?I (,t) Af ~ ",U,()~~ A!~ , . 1l^'I'! t:. -.;} -9? .., \ ! r ~lil.I..I.'i/ . . .r-~'l79 ~~ ~ ..' ... .. J.S. NAGAMIA, P.E. 11104 -61ST STREET TEMPLE TERRACE, FL 33617 TEL. 813-988-0727(0 & F) May 15, 2001 W.O. # 200114 City of Zephyrhills Zephyrhills, FL RE: ADDITION TO MOBILE HOME LOCATED AT 6007 RIDGEWAY DR., ZEPHYRHILLS, FL Gentlemen: This is to advise you that I concur with the Owner's desire to construct an addition to his 1998 Palm Harbor Model # 2849A2 mobile home and the accompanying plans have been prepared and sealed to that end. Please call me if you have any questions. Sincerely, r JSN/