HomeMy WebLinkAbout91-1694
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit )f~
1694 ;}
Type of Permit
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(~BUIL_~I~G '
Date ~rr-.6'-- 9' /
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Property Owners Name: \ ,cC ~ A....;.J\ - 'v (2f.~ /'1.-'
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Job Address: ,,\ / D'o.. '" C ' -_
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Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
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Description of Work
Energy Code Readout:
~
10 -" ,q 1
lp
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ? ,:)-{/2). (/""'7)
Fee:
SIGNATlJRE
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # 7'" t1r;..",( ~I;.t-
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If+ ' i1.l.} l"
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(/ BUILDING ';
'--
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
'?l.~NG
-,
~~~L
M~ICAL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ~t~
dollars shall be made for each U@. TRADE 15.00
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called,
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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PROPOSAL
. ...,
CONTRACT
No.
196
H.W. Aluminum & Concrete
Date
7-26-91
38430 South Ave.
Zephyrhills, Fl.
Shee': No.
33541
Proposal Submitted To:
Work To Be Performed At:
:;..
Name
Street
City
State
Phone
Vander_Meule. L-~ ~ fJ/....fc..-e
5721 20th st.
zephyrnills,Fl.
782-1232
I/-~"-~ /
Street
City
Date of Plans
Architect
(.'0/0 -0 /' ?OO -C>O
State 1= L .(. ,
We hereby propose to furnish the materials and perform the labor necessary for the completion of
81' 5" K gutter and downspouts
Aprox. 230' of soffet installed with vents
Aprox. 230' of fascia installed
take down chimney and frame in
square siding installed covering
.r -~
t{Jw?>L>
all wood
," !)
jU"! .
/: '...1
fOA.-'
Approx. 18' to 20'
around house.
."
.w,.
Approx. 1800' denny board insulation inst,alled
;VI FJ t.V . ! . /), ~A tl"
~U~~ sets 0; shutt~rs L{)r; / I.~ ~. U/(/1.YL~ Lr) ~ff:7h .
/~ - ~ri XYI? /" l'1~y W.u-,t"~ ~- /~r
hiq 8' post repla);ed for front porch. (Alumium 3x3 ,post) .
. W. <<J 4tP ~ ~ ~~ I CLV\.. C.OI-" d f,b VJ "Y ..ak!.R-~ ~, .
50 year non-prorate~ warranty fr~ alcan and aleo transferable
All material IS guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
, , ":2 (;'J:1'f!'1 c / P A _ ~ Dollars ($~$ao.. DOl.
wit~Yments to be made as follows: ...;;; 00 0 q ~ 0 ~ -. r_ _ ., t
if~ ~;p c /;;:{ (~ --'--e) ~.;J ';'~-'-1
Any alteration 01' deviation from above specifications involving extra
costs. Will be executed only upon written orders, and will become an
extra charge ovel" and above the estimate. All agreements contingent
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 above work to be
taken out by
Respectfully submitted
,
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Per
Note- This proposal may be withdrawn by us if not accepted
within days.
"'\
ACCEPTANCE OF PROPOSAL
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. .... . /it.. ()
p, ~/~t/\ p?7 --0 -Ld// ~ '//'~
f) ~~g;/ DL.)~,.1.'1Signature o{~-p"!M... ,':M'
Date "/ - Z b - 9 I / ~O (' O. tP Signature {:(~~ (,/'2-" \ cL-..J;/L!~/;~L-v---
TCJPS~FORM 3850
DUPLlCA TE
LITHO IN U.S.A
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
till At,' /J /"'.. f) I/:'e~,
~ l.J. {/Yi;nU.t/YJ :1.. ~U~~
ADDRESS 38'--130 &u'-/11 A v~~ 0 PHONE ~ 8 f:.3 - BaL-I'-1
OWNER I-tLt-nhJ~rl f/ 4/l'cr::, V()nd~r (Y)(4j llFJYl
JOB LOCATION 612J 2~, C{f;,
~
--H4LUo
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.~F / /- 2G7'~ 2/
BLOCK
SUBDIVISION
enlC) -O'78CD -CC1'75
~epair
_Install
WORK PROPOSED:_New Construction ----Addition ----Alteration
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_~F of Units
,_M/H
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
V/BUILDING
$, ? S . C--D, C,--'
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_\-V.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBIN'G
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR ~ ~ ^ Cnl
Company . W . A I urn kr)~~ <$ (I vefe
State Cert. or Regist. iF .>t 0 /tlf J
City License Registration #- 9
******************************************
BUILDER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. ~F
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
******************************************
'-/1 ""'<< 'c~ ;Y ,A ",""- ,
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictiDns" whicR may b~ IDre restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictiDns.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a cDntractDr Dr contractors to undertake work, they lay be required tD be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, bDth the owner and contractDr lay be
cited for a .isdeleanor violation under state law. If the owner or intended contractDr are uncertain as to what licensing
requirelents lay apply fDr the intended work, they are advised to cDntact the City Df Zephyrhills Building Department, (813)
788-6611.
Furtherlore, if the owner has hired a contractor Dr 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 Dwner sign as the cDntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor wishes YDU to sign
as contractor that lay be an indication that he is not prDperly licensed and is not entitled tD periitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's CDnstructiDn Lien Law - Ho.eowner's PrDtection
Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOleDne other than the
"owner", I certify that I have obtained a copy of the above described document and prDmise in good faith to deliver it to the
"owner" prior to cOlmencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all wDrk will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
installation has co..enced prior to issuance of a perlit and that all work will be perfDrmed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulatiDns 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
IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not limited to:
I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
I US Environmental Protection AQency - Asbestos abatement
1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
addressing a "cotpensating volule" will be subtitted which is prepared by a prDfessional engineer registered in the State of
Florida prior to perlit iss~ance.
A perlit issued shall be construed to be a license tD proceed with the wDrk and nDt as authority to yiol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issued 3hall becole invalid
unless the work authorized by such perlit is cO'lenced within six months of issuance, Dr if wDrk authorJzed by the perlit is
suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~tfnsioll of tile, lay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be cDnsidered aballdoned.
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".
c.f) -kj} I fU1_ f) J ~~// L# ~ (l.. ~ r=
SIGNATURrt;X~.JLQ:n..~.J/~ SIGNATUR~__,", '/ --_'::~~--~~;L-~--~.:..
OWNER OR AGENT- , ONTRACTOR .
DATE__~_~_~_r_lq_~j________________
NOT ARY AS TO r\ ./'\
OWNER OR AGENT_~~~
~An'l P"~' rr ('""G~E ",... FLORID'
MY COMM I 55 I ON EX PI, VrY'~~~~;:.::....E.!~~-f~~.-H;-H~--
BC1:~ED "i::'.U 'cE ;5:i,:' L::. U:,Q.
DATE
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9__Q:-~-
flOTJl.RY PUSUC STP,TE (; FLO::iIDI\
~~..,,".:.- ",', (,..., lTP ')1 1095
EX ' l'l.:.,'c,,:"l:"",', L.'\!"" I":-:..."~ "..:J
hLt. --ft~ij-"'€e;€-R~..:-+'~-tH,:e'i"-
NOTARY AS T
CONTRACTOR
MY COMMISSION