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Home My WebLink About02-1388 BUILDING PERMIT CITY OF ZEPHYRHILlS Permit N~ 1388 (813) 780-0020 Date 8-8--tJ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. D. , '[:te -tJtT 6-crf SfpllL blv/I . Water Meter: T.I.F.'s: Zoning: DescriDtion of Work ~er~jY Cod~: Radon Gt1s: '-rhSTfiU,dto" ~ ((f--t Sp ("IvJGl.e-r '~h;foV'1 ~ ;r s; 5ti.>~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Pe,m;' Fee';;:::' ,p..D )(signature _ ~ Company Address ').1relephone# I.... 86 1... Z. ~ 3 - J 0 f'f3 Valuation or Contract Price .~ 5 CjO . p.-() ~ 91 ~ - City License Registration # State Certified License# ~ ~il';';, t!;. BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL // / I , Tp. Servo Rough In Meter Can Const. P e Pool Pr Inal SLB Tub Set Water Sewer Fin Breakers Ducts Insl. Compressor Final 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION (~~-~~ BUILDING DEPARTMENT 5335 Bth STREET ZEPHYRHILLS, FL 33540 ____ _ PhoneIB13-780-0020 FaxI813-7BO-0021 DATB RBCBIVBD __________ PLANS RBVIBH FBE JOB SITE ADDRESS ~Il\V<- JO,(C) ; OWNER'S NAME f:.../4 II ~~ S;-i:;>- 2-~ ;5 I ,,' .,J PHONE CONTACT 35.2. -.5'16 -.:)1<)3, 4 'u"'-- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PIWPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR o INSTALl, DSIGN o MOVE D DEMOLI SH PROPOSED USE: OSGL FAMILY DWELLING o MULT I - F'AMI 1, Y 0# OF UNITS D SWIMMING POOL o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL DESCRIPTION OF WORK -:Ir-s T14' 14'i7 0..... D;: ;.:..- S,tO--r Ai< 6>-v /t-'1-c tot , nJ n "',. ~JR_~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. C'0OMMERCIA~ ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING r-;"'" f:>J:./"" o ELECTRICAL $ J i 5YD.~ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D FI,ORIDA POWER o W.R.E.C. [J PLUMB ING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALIJATION o GAS ~ SPECIALTY 'I'YPE OF CONS'X'RUCTION: D BLOCK D FRAME o STEEL o OTHER o ROOFING o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUlLDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTHBR ***********~******************************. ********************* r (P'L.. /}Iq.."yv/ COMPANY 7lu.. 4milroP"/ CtJ . //1/1 STATE CERT OR REGIST # ~F 000 002- 7 /F (, CITY PROCESSING # ,lo,G/ 'ff ok. ' ., w, WC:"\ ';.,.,;: ~~' ~., (i ~~)' 3';; i'~" io'~~t 1Pzj SIGNATURE CONDI'1'IONS OF PErMIT ^FFIDAVI'J:' A.' NOTl~E OF DEED RESTRICTIONS The undersigned understands that this penni t may be sub}ec.:t: 1:0 "deed restrictions" which may be more restrictive than City ~egulations. The u!lde~signed assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CON'l'AACTORS AND CONTAACTOH RESPONSIBII,I'rIElS 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 cont~actor 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. TAANSPORTNl'ION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUC'rUION LIEN LAW (CHAP'I'ER 713, FLORIDA S'rATUTES, 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 carify that I have obtained a copy of the above described aocument and proloise 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 jurisdlction. I also certify that I understand that the regulations of other governmental agencies may apply to the Jntended 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 certJfy 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 subm.ltted 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 iseued shall become invalid unless the work authorized by such permit is coltllllenced within SiK 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 thue 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 FAII,URE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUT,'I' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN FINANCING, CONSUL'l' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR S'l'ATE OF FLORIDA COUNTY OF '1'he foregoing instrument was Before me this _ day of by acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or o who has produced (type and whoD did Ddid not (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment! Name typed, printed or stamped Name typed, printed or stamped \-' ~ fp j. tv ,hi 7 DV t' - .",-....uV{hHLLS fi\{' QEP.1. ~0)..'U GA-Il .911f~ LJijJh'1" h. II\..> ; t=L- ..". V S^"'O~ ~~~"\!>'""'" ~,,_,..~ ~ """~,' ."..."'JiI\ii..,.... v j:lc.~ S.....;.,.~c.... jl1vA p;Zr S i....-- ' ("C:-L- @ ~ QJ S ,'Yb~~ ~'3J""'- f-k,-n '.;...-- i i" .5 ,YLp;L l..<lt',,~ Ii; .'?~ l~ -w 14.-(.... -.:;h......-,~.......... Ej~ UIIITIl CIJCIJ l1IIIII1 ~Gl Page No. 1 of 1 Pages. THE HAMILTON COMPANY P.O. Box 2059 WINTER HAVEN, FLORIDA 33883 IPIROIPOSAl (863) 293-1058 FAX (863) 293.2786 State Lie. #EF 0000027 TO ATTN: TIM CANOVA SAVE-A-LOT 6020 GALL BLVD ZEPHYRHILLS, FL 33541 PHONE 352 598-5103 DATE 8/02/02 JOB NAME I LOCATION JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: INSTALLATION & PURCHASE OF A FIRE ALARM SYSTEM AS FOLLOWS: 1 - 8 ZONE F.JRE ALARM CONTROL PANEL 1 SMOKE DETECTOR AT FIRE ALARM CONTROL PANEL 2 - PULL STATIONS 2 STROBE HORNS 2 - STROBE LIGHTS (RESTROOMS) J CONNECT FLOW & TAMPER SWITCHES PROVIDE RELAY OUTPUT FOR AC SHUTDOWN PERMIT & CERTIFICATION ** SEE ADDENDUM ** w.1rJ1 IPlI'iD>jpliD>l1SrJI hereby to furnish material and labor - complete In accordance with the above specifications, for the sum of: Three Thousand Five Hundred Ninety and 00/100 Dollars dollars ($ 3,590.00). Payment to be made as follows: $1,200.00 DEPOSIT AND BALANCE IN FULL UPON COMPLETION $24.95 PLUS TAX PER MONTH PAYABLE QUARTERLY IN ADVANCE FOR MONITORING OF FIRE AL 30 days. All material Is guaranteed 10 be as specified. All work to be completed in a professional manner according to slandard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreemenls contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necassary Insurance. Our wori<ers are fully covered by Wori<er's Compensation Insurance. A<C<CrJljplll&.ml<CrJI iD>jf IPnjpliD>l1Snll - 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. 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