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HomeMy WebLinkAbout03-1739 BUILDING PERMIT Permit N~ Property Owner: Job Address: Parcell.D. , Zoning: Description of Work ".. Ji5,'~. -. ,.......... ~ CITY OF ZEPHYRHILLS (813) 780-0020 I/~ - . Date 1-,.5 -0 ~ ~ Sewe, CO"" '.. Water Conn: 1739 B~ Water Meter: T.I.F.'s: FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or :rI- Contract Pric ,co ;;. ~ Cf5 ,- > tJ~ ~~' ~O City license Registration # State Certified license# ~ Ftr. Pre SlB lintel Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Finall/I-~x- 03 R( 11~H3i) 5e..-1I1 ('e c/~ 1-10-03 RL7 ~// J 3 -M. t!. .A:n !,J:V 5 f(;f- tr -/V-O ff(LY(/Yvut- 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: FRM. Insul. Cl Wl SlB Tub Set Water Sewer Final RL l( J /ltTt) Breakers Ducts Insl. Compressor Final ! /1- ;l [f-'D) Driveway 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. C()Lt:'S 4I1J C()~().T.()"".~t; ~I) t1t:AT.~t; 37338 Kossik Road Zephyrhills, FL 33541 (813) 783-3723 PROPOSAL No, Date I - 2- -0.3 St Cart #CAC042667 Sheet No, Name Street City State Phone e-~ ~ (V..::~ i.j B 2. c:; 5"Wo- .51. z;t:-p J+y 0 .- I JJ, H "V'. Oill,. , 7 ) '7 9 1. f~ Work To Be Performed At: /' Proposal Submitted To: ~~6-~ Street City Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of h.t. ,l.ji.h -; I.., 'I. I:,.; t~ L.':- c. ~r e 2.~....J "}/ J. . 1- > J J J-~ 5Hl.') M ~ ~.11 u;,~ l,,~~,&k!;:;';::;. .:-;::~.? i5=1:.:7~';,.'~ f-::t;}I:t K r={un--i" ~.~,~ L...AL.. C~J..Je-I... ~ f).h}*",- ,~. 1.1. ~ 87 - ~ ,*" 2::.tz:~ i c. 0 E:.d..c. h1" ~ $'kl-uu ~ ~'J! D~ ..,;, I' :>-;j ~.(O. ,Pete ,~o J, ~ 8""+ '""' ~ ~)~iLl1f1-Jt; ~t'r. 7~ ,P",-~ "[;>.(lOlL f, c.~ =--..1 /... e.- t": j +/r: 0 v )'1 ( ~4,'he.y-d"r~ ~ jJA-r-A ~.4./-/7 L.':", 'I-:" {J 1 ,-r ;+-Lry - -r;;. -' , All materIal is guaranteed to be as specified, and the above sp'~s;t:::;:;;~;:Jo;tl~ed with payments to be made as follows: work to be performed in accordance with the drawings and in a substantIal workmanlike manner for the sum of 11.- ~ c. Dollars ($.J3r5..'!::-~ l. lO~ -4 Any alteratIOn or deviation from above specifications involving extra costs, will be executed only upon written orders. and will become an extra charge over and above the estimate. All agreements contingant upon strIkes. accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance upon above work. Work. men's Compensation and Public Liability Insurance on abova work to be taken out by Respectfully submitted .7~ ~ ;If &/~ pe~ ~~,;1 Note- This proposal may be withdrawn by us if not accepted within.:J"D days. ACCEPTANCE OF PROPOSAL The abolte pr'ces, speCIficatIOns and conditIOns are satisfactory and are hereby acceP.i1' You are authorIzed to do the work as specified, Payment won be made eo outhned at"we. . #/I'~ /) ! A Signature ~:t 4- ~ ~ ,,1'L0 J-.- J-,~- /i 7 Signature Date \. ./ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33S40 PhoneI813-780-~020 FaxIS13-780-0021 IH\.TBI RIllClllIyJiJo ----.--- .~....... ,:...-...."'-~.. PJ,ANS RIlIYIBlW B'BlIli_o_____'Ud OWNER' 8 IIA".----6C:Rdld;>~~? ~lS (} E-1Yr;- ~ c _~ _~_ ~__ _ _ ~~ _~_, ~_ P 1I0N8 "ON'j' A"',_2 ;ZCf-9~1"f ,J08 8 ITHl ADDRESS .. -.~-l8--:;).....'7- .--2..c:;t-'_M.:.______.___.____..______.______ . ..________.__ LBl(]lIL J)Jl]SCRIPTH)/o), LOT(S) B U)(~ K SUBD IV I 8 lotI ---.--..-.------- P AR'lIDL rn '1_ / <( - :A \,: d- '-=. Q ~oLq-",ill 'f 0 0 ~ 1Lo ~ 'i)~~O~ :",nl_~ROM--",,~ P8R"_'I_ ~':.K ..~":~H"_I ~.. HURK PRnpSEfll [JNBlH C'ONS'I'RlJCTION [] AflDI'l'ION o AUrERATION [) RBlPAIR ~ INSTAJ,!, --.--------.--.~..----....--._-_.__...,._ 0__- []SHm o MOVE [J DEMOI,ISII PROI:'OSFJIl USEJ I p\fs r:H , FlIMILY DHEl,IJI11G f:.J Cot'1MEJRC! lA r, [J ~1tJI,'r I . F At>1 I I, Y 0# UF lINl'I'S [J SHn1~HNG POUL {] M08 II.El IfOf11ll f] OTHER o INDUS'l'R1AfJ C:J RE18'fAlJRANT & HElAI,TII D@PJ\RTf1ENT APPROVAL !JBJ8CRIP'I'rON OF NORK ---_._--._--_._--~-- J N~7":.~_.2-~r Cer-lll..~ 4-/c---'LIi.~dt~_.~.!t~ ' __._____....__ '______ SQUARE FOOTAGE ___.______ HEIGH'r -"..___._____ BUILDING SIZEl RESIDENTIAL, COMMBlRCIAf, : A'I"rllCH (2) pI,o'r PI"AI18 & (2) SElTS OF BtJIftlJING Pf,ANS & (1) 8El'l' ElNElRrn FORMS, A'I"l;A(!!l (J) SElTS OF BUILfJING PLANS & (1) SEl'r ENElR(N FORMS, PROPElRTY SURVEY RElQUIRElD FOR ALL NEW CONS'I'RUCTION, ~ERMITS REQUESTED r:J B I J TI./JI Nc3 $ -.. - ~------------ VALUATION OF TOTAL COHS'rRlJC'rION ik1 BlLBlC'l'RICAI. [] P LIlt/18 1NG - --------------'.. A~1f P S El R V Ie EI [) FIl.1RlfJA POHER [J W,R.EJ,n, ~ HBlUHANH.!ATJ [J (3A8 [] ROOFING $-_.?- '39~~__ VAI,UATION OF ttlE:C'IlANCIAI, INSTAI1IJATTON [J SI?ElC!1AI/l'Y Cj OTHER 'l'Y'PEl OF' CON8'1'RUC!'fWN: 0 BLOCK [J FRA1t1El [J STEEL [J OT!lER FIN ISHBln FLOOR EJIJEVATION8 --------- IS PR(XTElCT IN nOOf) ZCJl-TEl AREA. [) YElS [) NO BUIUH!lR Blr.J1Cl'rRlc:r: ****************************************************************** C()r1PANY_~'~n_____ STATE CERT OR RE(HS'l' liE ~ CJo CJ ~.s- 70 --'--..-- ....---------- CITY PROCESS IN(~ II__?~~~---=-.~-~~.~-.--=~=..~.______ COftl PAN Y---..-.-__.__.______.__.. '_'_d__.__ .. _.___.__.____.____ STATE CEJRT OR RElf3IB'I' # --.-.--.----...-_d________, .______ CITY PROCElSSINf3 L..___._..__.__._______._____._______ 81lJNATtJRE ~...._-_._-'-~_.._--".._---_.----_........._----- 8 JC3lTA'l'tJREJ PI,UMBER ~*~**~~**~***********"'************************~******** --- ._'---_.--~-"--"-_...._-- ----- _.---_._-~._--_._--- COM PAN Y -.-..--..-----.--..----.,---___n____....._. "__'__. ._____________..._ STATE CElRT OR REJf3IST # ________..._._______.._____.. CITY PROCEl8SINf3 # S WHA'I'tJR EJ ------.- ~--_.----..._--~----- ... ............. .................. ;!~~~;;,~'..:..~L11~~-.-~-~_"'~-~.. __ " STA'rEl (!ElRT OR RElGIS'r # -----.-.-fI2.6~_?:.._____.._._ CITY PRUC'ESSINc3 # /..@. ....---..-------- /" --~....:._--~._-_.__.~_._-_._- -_.__..._~_.- * '~ * * * * .. .. * * * * * '" * * '" * * * '" * * * '" '" .. ~ * '" * '" * * * * * *.* * * II ~* r * * * * * * II * ~ * * .. * * '" (.!OIvIPANY '--- S'l'lI'I'E CElRT OR REGIST # CITY PROCESSING # _.._.__.._-------~._----_.- -----._._-_.~.._---..- OTUlllR S WIIATURE n---..__.._.____._.___~.n ~_." ._... .___ __ -------------- --'-- ._-"_.._------_.~._~-_._- --.. - *************************************************"'*************** ----------..-.-------.-- ~.,----.."--------. CONDITIONS OF PEFNIT AE'E'IDAVIT A. NOTICE OF DEED RESTHICTIONS 'l'he undeJ::signed understands thqt: Lhi;~ p~nnit may b'3 subject eo "deed restrictions" which may be more restrictive than City regulations. Th~ Ilndersigned assumes responsibility for aompli,mce wi tb any applicable deed t>=st:r:ictiotll:l. B. UNLICENSED CON'I'RACTORS AND CON'l'RI.\CTOR RESPONSIBILI'l'IES If the OHner has hired a contractor or contractors to undertake work, they may be required to btl Ii aensed in accordance ~1ith state and local regulatloIls. If the contractor is not licensed as required by .law, both the oVlner and contractor llIay be cited for a miadellleanor violation under state laH. If the owner or intended contractor are uncertain as to vlhat licensing requirements may apply for the intended work, they are advlsed to contaot the City of Zephyrhil1s Building Department, 813-788-6611. Furtherlliore, if the ovlller has hired a contractor or contractors, he ls advised to have the oontlactor(s) sign portions of the "Contractor Sections" of thls application tar Hhich they will be responsible. If you, as tlle owner signs as the contraotor, YQ4 are indicating that you, rather than the contractor, are responsible for the Work. If the contractor wlshes you to sign as aontl:"actor that may be an indication that he is not properly licensed and is not entitled to permltting privlleges in the City of Zephyrhllla. c. 'rRANSPOR'l'ATION IMI?AC'l' fEES AND UTII,I'l'Y CONNECTION E'EES D. CONS'l'RUCTUION LIEN LAW (CllAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) 1 certlfy tllat I, the applicant, have been provided with a copy of "Florida's Construction lien l,aw - Homeowner's Protection Guide" prepared by the Florida Department of Agrlculture and Consumer Affairs. If the appl.icant is someone other that the "owner", 1 cerify that I have obti:lined a copy of the above described Qocument and promise in good faith to deliver it to the "owner" prlor to COllunencement. E:, CON'rRAC'l'OR' a/OWNER'S AFFIDAVI'l' I certify that all the information in this application is accurate and that all Hark will be done in compliance with all appllcable laws regulating constructi.on, zoning, and land development. Application is hereby made to obtai.n a permit to do work and installation as indioated. I c.:e~ti fy that no Hork or installati.on has cOllunenced prior to lssuance of a permit and that all work will be performed to meet standards of all laws regulati.ng aonstructlon, City aode.s, zoni.ng regulations, and land development regulations in the jurisdiction. I also certify that I undel:stand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I IlIlISt take to be in complianoe, Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Area::> and E:nvlronment.ally Sensitive Lands, Water/Wa::>teHater Treatment *Southwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alterlng Watercourses "Anny Corps of Engineers-SeaVlal.1.s, Docks, Navigable Waten-Iays *Department of Health & Rehabilitative Services, Envl.ronmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.8. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,eta.N, it is understood that a drainage plan addresslng a "compensating volume" 'will be submitted Vlhich 16 prepared by a professional engineer registered in tile State of Florida prior to permit j SSUcHlce, 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 l.ssuance of a permit prevent the Building Official from thereafter requirlng a correction of errors ill plans, construction, or violations of any code. Every permit is~ued shall become invalid unless the work authori:lled by /:Such permit is oOllulIenced Vlithin six months of issuance, or if \~ork authorized by the permit is suspended or abandoqed for a period of sllt months after the time the work is commenced. One 90 day extension of time may be alloVled for the permit with fee charge of $15.00. '1'he extension shall be requeli~ed In writing to the Buildi.ng Official. An approved inspeotion must be logged during each six month period, or the projeot wlll be considered abandoned. WARNING 'ro OWNER: YOUR FAIJ~URE TO RECORD A No'rIcE OF COMMENCEMENT MAY RESUW' IN YOUR PAYING TWICE FOR IMl'ROVEMEN'l'S TO YOUR PROPER'l'Y. IF YOU INTEND TO OB'1'AIN IfINAlH':;INq,G(!,NeUL'I' WITH YOUR LENDER OR AN AT'rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'!' NEEEl '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT", --.------.-..------------- S 1 GNA'l'lJRE I OWN ER OR AGENT SIGNA'l'URE: CONTRACTOR acknowledged ,19_ STA'I'E OF nORIDA COUNTY OF --------- The foregoing instrument w~s aoknov/l edged Before me this --sJay of-----, 19 _:.._ by....-..- (name of person acknowledged) [1ho .is personally kno\'ln to mCl, or o Vlho has produced_. (type of identifioatlon) and Vlho Ddid DUd not t.ake all oath S'I'ATE OF FLORIDA CDUN'rY OF- The foregoing instrument was Before me thls __ day of by_ (name of person acknOWledged) DVlho ls personally known to me, or [1 who has produced (type and who[] did []did not of ldentification) take an oath. Signature of person taking acknowledgement Signature of person taking acknowledgment Hame typed, printed or stamped Name typed, printed or stampt=d