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Home My WebLink About02-1588 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 780-0020 1588 Date /V' -c? /- t7,t? (~ ) ~ Property Owner: Job Address: Parcel 1.0. , Zoning: Description of Work EL~--'-' PL~-- ~p~ //v~ ME~--' Sewer Conn Water Conn: Water Meter: T_LF.'s: Ene,.. 1r? R~- I Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector )lTO City License Registration # State Certified License# ~fMiff ~~ BUILDIN ._, CT~- - co p.~rm;t Fee ~ - ~Ignatur~ __?J4- Company Address )trelephone# J,J. 7 't f er~ ~ 1 ~.7 Valuation or Contract Price c:< u rSO "~ / 5Pyt: PlUMBINo..----- ~ M ECl::iANtCAL 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 twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. P" R. .0 PO". . '5 A"I j . 1.. i""\,,- Harlan Johnson Roofing ,nc. ?ROPOSAL SUBMITTED TO: NAME i "'- ADDRESS 229 Vefma Drive Large, ;=L 33770 727-586-3480 - Office 727-409-8944. Cell 727-469-6341, Psger Stare Cen .~ 'ns ~ cee -JS784~ WORK TO BE PERFORME!J ,<),T: ADDRESS 'pRC'Fr""\I~ ; , . ..............,.....L:.l... I i 0;C;':;=7 ~,IO I~'-~' - relATE ,"" '7'-~./ ./== / .1'".1_ -..:> ,/ ...... ) - /;..:=' i Cln, STATE L I Cln, STATE DATE OF PLA,NS ~:j .:;- ie-x "-/ / L / ~ -r .::- /~ II ARCHITECT PH~ N~" ' Vb /.3. _ ""7 f:: ," _I I I We hereby propose to furnish the materials and periorm the labor necessary for the completion of .: 1..(. , -4 r:: '-/ ...... j.-;/'- J ,/( .Y';;~ ~ .:> ./ -- , f? "'- ../'\ ~ ~ ..:=: " A'L / ,k:::::- ." .:) ~ /'! .:. /.-- r;> /<". -~' .' ~ ,/.~" ,.,,/' fL;.4 ~ --- /l c:J . , .~. ~ //{/ f~;: _., ._,-~ -"~ . ~ .-'lL I'; r - ,;- . . ~:.,.,. 'L L 8E .(,/ ,J / /.1- / ,::--: 11. .:. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifi,cations submitted for above work and completed in a substantial workmanlike manner for the sum of: .r .---r _ ..'_ ,. , -, '''- ./_ Ii; ~ _. __~ _$ - j ,~.., I",:, -(, t Z,_ "",.,~ L- r :-,'~ c , "-<--'-"-' Dollars ($;/~ i ~ ....'...1 with payments to. De as follows Any alteration or deviation from above specifications involving extra costs will be executed only upon written order. and will become an exira charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. ~ .;1 Respectfully submitted /<.-/ -'.-.:~ / Per / 5/L~~~ Note - This proposal may be withdrawn by us if not accepted within days, ACCEPTANCE OF PROPOSAL I I I DATE at- The above prices, specifications and conditions are satisfactory and are hereby accepted_ You are authorized to do The work as specified, Payments will be made as outlined above_ ':;;:;or.. . <:-=. c.... . -'l' (~<~7 . ' SIGNATURE ,C~.~/ j , / ~:;.' ,-,' ~ I -<: ./ ~ ~~ /' '//~/" ,.' ./ ",' "/ c/ SIGNATURE ,. 9450 L:J..'!'Y OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DSPARTMIIlNT 5335 filth S'rRIIlET ZIllPHYRHILI,S, FL 33540 Jilbonilla13-760-~020 FllXI813-780-0021 /h__ -7/-0--;7 .. nA'l'S RBCliIIVJIlD --L_l/.?- "-----_ PI,ANS RlIlVIIllW JfBIll-=====~==-= mINElR I SHANE ~ c1{L / /-1 /-::: /-1 c /; y- e 5- - / JOB SITE ADDRESS 22&-01 /le)/v~v-l2- df---1;l0 LEGAL DESCRIPTION: LOT(S) BLOCK PHONE CON'l'AC'I' -~ --..~._~..----- SUBDIVISION PARCEL ID # (OBTAIN PROM I?ROI?ERT\f TAl{ NCl'l'tCE) WORK PRlJI?Sl:illJ: ONEW CONSTRUCTIOl~ Os IGN o ADDI'l'ION []ALTERATION ~PAIR o W8TM,!, o MOVE 0 DEMOI,ISH DMUL'1'I - FAMIlJY 0# OF mUTS [J MOIHl,E HOME o INDLJS'1'R I AI~ oSWIMMING POOL rJ O'!'UER PROPOSED USE: ~ FAMILY DWELI,ING o COMlYIERCIAI, CJ RESTAURANT &. HElU,TH DEPARTMEN'r APPROVAL llESCRII?TION OF WORK -;r t? if( O(Jl/r-" BlJILDUK:l SIZE SQUARE F'OOTAGE HEllmi'r RESIDENTIAL: COMMERCIAL: A'rTACH (2) PLOT l?I~AN8 Co (2) SETS OF BUIJ,nIl'iG PLANS & (1) BBl'r ENI;ilJiCfV F'ORMS. A'l"l'ACH (3) SE'rs OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o 13Un,ilING $ .;) y ,.)D / fE~I~S REQUESTJD bV -- VALUATION OF TOTAL CONS'fRuc'rWN D ELECTRICAL AMP t9ElRVICE D FLORIDA POWER o W,R.E,C, o LJl,[JMB ING D IIJElCHAN WAL $ VALUATION OF MECHANCIAI, INSTALLATION o GAS o ROOFIlW o SI?EOIALTY o O'l'HER '1'YPE OF CONSTRUCTION: lJ BLOCK o FRAME! lJ STEEL o OTHER FINISHED FI,qOR EI,EVATIONS IS I?ROcJECT IN FLOOD ZONE AHEAD YES D NO BUILOBlR SIGNATUR~)~~~__ . " 1$"'j''''~ STATE CElRT OR REGIST # _Co c? . . -7 ~<' CITY PROCESSING L-l-4J...- . ~ **.._'********.***.***************._*********..*-*-.***-_**k*..... illUIC'rRICrAN SIGNATURE __________ COI'IPAHY STATE CERT OR REGIST # CITY PROCESSING # ---.,..--.~ ._------........_------~--..-.--. *.*.****._***.*..*****.**._.*-********************,**.***.,-..*'.. ------ l?LUWUIlR COMPANY STATE CERT OR JiEGIST If CITY PROCESSING # SIGNA TORE: SIGNATURE '********'.'.*.*********'*********.**********************.**.*..,. COlvJl?ANY STATE CERT OR REGIST # CITY PROCESSING # MlIlCHANICAL **************************************~*****************.*i*,_.** OTHilR SIGNATURE COMI?~~Y 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 restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIIJITIES 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 SectionsH 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 Zephyrhi1ls. 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certity 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. App1idation 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 "AH or "A, etc.", it is understood that a drainage plan addressing a "compensating vo1umeH 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. mvery permit issu~d shall become invalid unless the work authori~ed by such permit is commenced within slx 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day or by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid []::Ud not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ;/