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BUILDING
(813) 780-0020
PLU~
M~CAL
ELEC~L
P'opertyOwns, tJ7~ ~~
Job Addres~~ ~ 3 8' ~\...... 1/-'.
w~w-vJ v.Jtl-l'c/.
Radon Gas: ) .50
Parcell.D. ,
Zoning:
Descriotion of Work
Energy cOd-
{i~O
I
1788
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
DATE
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P",m;, Fee ~o ~
~ignature _ ~ t
Company
Address
/telephone# r17 ~ J-Itl
ill! I!mY/~ fJ/VfhtJ.
BUILDING
Ftr. 01 - :H- 03 fL'I
Pre SLB .//-3/-0"1, 1(,L Y
Lintel
FRM.
Insul. CL
WL
Driveway
h -5"-'0; 1+-'1'0
Tp. Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
F al
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins.
Compr ssor
Fina
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.
l,( L- !'l<A fi-f.JJ...J ~ (- ;JH' J b
,I'-r-J7 fAo.A'fW/Yli) (~IIJJ)J
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
15i~tp
I ADDRESS DATE PERMIT -#
3~03~ ~ (1J-L, f~3{-(!) S 11~f
THIS JOB HAS NOT BEEN COMPLETED. T~e following additi<?ns or corrections shall be made before the job
will be accepted.
~~~~~lt vW~ btl4_ !.All~
DO NOT REMOVE
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
::::.cnOOllmpact
Fees:
AFTER CORRECTIONS ARE MADE CALL
INSPECT~:O~ON
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
Connection
Fees:
Trans. Impact
Fees:
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII,DIl:'lg DEPARTMElNT 5335 8th S'rRElBl'f ZElPHYRHII,I,S, FI, 33540
PhoneI81]-780-~020 FaxI813-780-0021
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PI,ANS RBlVIBlW rJllIC.~_~.U:. ~.'-- '_'_h
CMITER I S ITAM8 -.------'-~~t:~--6 -oL-14/::2[)...f.!J...._____ __. ...__.__ PHONEJ C:ON'l'1\f!'r.. ___ u__ __ ____ ._
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IJElrJ1\L DEJSCRIP'rIoN: LOT(8) .____..~~__ BLr)(;K ___._____ 8tJBIJIVI8JON -L:b:LL-r:-~r-::~!~!:!_:z.':'~
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HORK PRO!?SEIJI UNI1JN C'oNS'I'RtJCTION [J ADDfTICHl [JAL'I'ERATION Ll REJPAtR J,d-+NBTAY,l,
[JSH3N
[J MOVE
o DEMOI,ISII
PRO!:'08E]n USE: I Clsr.3I1 FAMny DWEI,l,um
[h1lJL'I'T. FM1U.Y
[J# OF {INI'l'S
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llESCRIPTlON OF NORK
o REJ8TAURANT & HElAlmJ DEPARTt.1ElNT APPROVAL
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--L.lLi:::.~______ SQUARE FOOTAGE -./..s:J2___ HElIGH'r _,_~______
BUIT,TlIN<3 81 ZEl
REJ8IDElNTIAlJ I
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A'r'I'1\CH (2) PI/o'r PI"Al18 & (2) SETS OF BUUDINC] PI,AN8 & (1) 8E1T E1NElRny FORMS,
A'r'liACH (3) sElTS OF BU!LIJING PIJANS & (1) SElT EJNElRC~Y FORMS.
PROPElR1'Y SURVEY REQUIRElD FOR ALL NEN CONSTRUCTION.
fr'9lTrI,IJINr~
FERMITS RmQUES~ED
-,.-- -.
$------LtJ '15____~ALtJATro1'1 OF '['01'1\lJ CONSTRUC'I'ION
L1 Ell ,ElC'l'RlCAl,
--------______ AMP ~ElRVICEl
o FIDRIDA PONER
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----. VAI,UATION OF t1ECHANCIAI, UlSTAI,lJATTON
o G1\8
LJ ROOFING
[] 8I?EC!tAI/I'Y
[) OTHER
']'YPE OP' COH8'I'RUC!TIDN I [) BLOCK
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Cot1PANY -/1-~'-:..-A-~_'!:t'!!L_~It'l;L.______..___.___ ._.
ST1\TEl CEJRT OR REGIST # ----f:--L?cc:!..5~M_~h-
CITY PROCEJSSING #...-_L15.______________.____._..._...__
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STATE: CERT OR REGIS'!' If
CITY PROCESSING #
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STATE CElR'I' OR REGIST # __________..__.._______._.__.__
8 Il3NA'l'tJRE CI'I'Y PROCESSING #
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MBl(!HANICAi I Col\1PANY _______.__________ ____.n_.____.____ ..._____._ _.__
STA'rEl ('EJP.T OR REGrST #---.-----------_____._n___.._
8 I GW\.'I'tJREl Cl'l'Y PROCESSING #
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STA1'E CmRT OR-REGI8T~#------'~.-.~~'------ .--...---...---..........--
CI'rY PROCESSING # --.---------------.___.__.
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co~~!.)~.r!.lIONS O~ PEP..~lr:.l P.~FFI;)AVlr:-:
A. NOTICE OF DEED RESTRICTIONS
'rhe undersigned understands thqt U1.li3 p~,nni t may bt3 :n(oj eel co "deed restriotions" which
maY be more 1.estri eti ve than City 1:"39U1 cl tions. '1'11.= lll1j'".rsJ':1ned assumes responsl uill ty for
compliance I"ith any applicable de",j ct:stTicti~n::;.
B. UIUJICENSED. 'CON'I'AAC'I'ORS AND CON l'HAC'l'Of( RESP~)N~ili3rr.I l' IE:S
If the OHner has hired a contractur or contractors to undertake Hork, they Illay be required
to be licensed in accordance with sl:ate and local .cegulations. If the (J(mtractor is Iwt;
licensed as requiLed by lav", both the ovlneL and contrac~or way be oi ted for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to wllat
licensing requirements may apply for the intended work, they are advised to contact the
City of ZephY1Jlills Building Depal:tment, 613-788-6611.
Furthermon., it the ovmer has hin::d a contractor or contractors, he 1.s advised to have the
contractor{s) sign portions of the "Contractor SectionsU of this appl1.cation for which they
"Jill be Lesponsible. If you, as the owner signs as the contractor, YQl,! are indipat1.ng that
you, l:ather than the contractor, ar:e responsible for the work. If the contracto1.' wishes
you to s1.gn as contractor that may be an indication that he is not properly licellsed and is
llot ellUtled to permitting priv1.leges 1.n the City of Zephyrhi.lls.
C. 'l'AANSPOR'l'ATION IMPAC'!' ~~EES AND U'l'ILl'I'Y CONNECTION E'EES
D. CONS'l'RllC'l'UlON LIEN LAW (CHAprl'ER '713, FLORIDA S'rA'l'UTES, AS AMENDED)
1 cert1.fy that I, the applicant, have been provided with a copy of "Florida's Construction
11.en Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that: the "owneru, 1 cerify that I
have obta1.ned a copy of the above described document and promise in good faith to deliver
1 t to the "owner" prior to OOITUl1encement.
E. CON'l'RAC'l'OR' S/OWNER' S AFE'IDAVI'I'
I certify that all the information in this application is aCCurate and tllat all work will
be dOlle in compliance with all applicable laws regulating constl'uction, zonillg, and land
development.
Applioation is hereby made to obta!.n a perm!.t to do work and installation as indioated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work 1'/111 be performed to meet standards of all laws regulati.ng construotion, City
oodes, zoning regulations, and land development regulatJons in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended wor;'k, and that it is my .t'esponsibility to Jdentify what actions I lllllst take to
be in compliance. Such agencies include but are not limited to: *Department of
Environnlental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest E'lodda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
'Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
*IJepu:tment of Health I< Rehabilitative Se1.'vices, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Frotection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
ullderstood that a dra!.nage plan addressing a "compensating volume" 'will be subnli tted I'/hieh
is prepared by a professional engineer registered in thE! State of H'lorida prior to peunit
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 provislons of the technical codes,
not shall issuance of a permit prevent the Building Official from thereafter requiring a
cQr~ection of errors ill plans, oon~truction! or vio~ations of any code. Every pe~mit
iSliued shall become invalid unless the work authorized by such permit is cOllullenced within
six months of issuance, or if work authorized by the permit is suspended or abandoijed for a
period of elx monthl3 after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
ill writing to the BuildJ.ng Official. An approved inspection mlll~t be logged during each' 131 x
month period, 01 the proj ect vlil1 be considered abandoned.
WARNING 'fO OWNER: YOUR FAIWRE 'ro RECORD A NO'fICE OF COMMENCEMEWr MAY RESUL'I' IN YOUR
I:'AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. H' YOU IN'rEND TO OB'l'AIN b'INANqrw~, t:qN~UI/l'
Wl'l'H YOUR LENDER OR AN A'l"!'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. JOBS UNDER
$2,500 IN VAI,UE DO Nor!' NEED TO RECORD AND POS'l' A "NOrl'lCE OF. COMMENCEMEN'l'" . .
1-17'/?i "7 7 1-7/'0-1' 60
~ ~- --/
/'~ /~ //~..,., .-
SIGNA'l'URE~ CONTRA, R -
~J{ . <7~
-.,-...../ . ~ /---
SIG1~A'l'URE: OWNER OR AGEl .,
S'I'A'I'f; OF FLORIDA
COUNTY OF
'l'he foregoing instrument was
Before me this ___ day of
by.
o who has produced
{type
alld who[] did []did not
STA'I'E OF nORIDA
COUN'rY OF
The foregoing instrument wa,s aoknovlledged
Before me this _,----Slay af----, 19
by
(name of person acknowledged)
C1ho is personally known to lIIe, or
o who has produced _,__
(type of identifioation)
and Hha Ddid DUd not t.ake all oath
acknowledged
_, 19....-
(name of person acknowledged)
Owho is personally known to me, or
of identification)
take an oath.
Signature of person taking acknowledgewent
Signature of person taking acknowledgment
Hame typed, tJriuted or stamped
Name typed, printed or stamped
All AMERICAN ALUMINUM
P.O.BOX 765
Lacoochee, Florida 33537
1-813-997-0210
PROPOSAL SUBMITTED TO:
PHONE
NAME
'-, -e'-C -!&....p ~{
L t .f- 'f-J-
~ /1- l4..a vvJ'lL-- I v-v<
JOB NAME
STREET
CITY
STATE
STREET
CITY
STATE
We hereby submit specifications and estimate for:
II/}..~ LL.r<.- /b'f-/~ (/9--~?~
./
I &'1) a=-
We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of
dollars ($ ) with payment to be made as follows:
Note: Attorney's fees, if necessary to collect contract payment will be paid by Contractee.
All material 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 delays
beyond our control. This proposal subject to acceptance within days and is void thereafter at the option of the
undersigned.
Authorized Signature ~ ~. ~.
.
The above prices, specifications and conditions are hereby accepted. You are authorized to do the wort< as specified. Payment will be made as ouUined
above.
ACCEPTED:
Signature
~. .-'
~~
DATE
Signature
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