HomeMy WebLinkAbout92-2113
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
d-7,.~--Z;
GUM~
P,"perty owne, ~Af,A/ ~~~
Job Address: ,S- -6..:3.5 - / ~_ __,
Parcell.D. # //-f).t.. - ~/- 6 Oil) - /8700 - "0 rn
Radon Gas: J/.S-
a~~/Z-~
Perrnit
-yo
n.
21138 j
I
Date :2 -0 -7 ~
M~
Sewer Conn
Water Conn:
Water Meter:
T.I.I=.'s:
Zoning: ftY Code:
Description of Work /~d- A ~
NO OCCUPANCY BEFORE C.O,
FINAL - Z1- dt "2-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c,o,
DATE
Valuation or
Contract Price
-Y', t7ZTlJ - tT7J
./
Permit Fee
Signature
Company
Address
Telephone#
---""--'
City License Registration # .3;tS
State Certified License# C A CD LJ'3lJ t.~3
PLUMBING
//~-
Tp. Servo
Rough In ~." ,4 ...q 1- J,g
Meter Can
Const, Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM, Z ...-'H.,f -q1..- 13: 1\
Insul. CL
WL
SLB
Tub Set "2r-/fI",qz.., tJ; /I
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
F:inal
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
PHONE '7 5'2-- -5 '-/ q 0
C. A- Ll) !AI ELL
.
ADDRESS
OWNER ~R\ MICS, HERBERT
510 '"35' Ii tfI sTRLfI
I I BLOCK SUBDIVISION
I j- 2-b- 2-/- 0c910-1oCfO()- 006'0
JOB LOCATION
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I,D.4fr
-"C,~''''~~':~'..-.,; ~..;'.,',-;"';.",,,_.
WORK PROPOSED:____New Construction
/AdditiOn
____Alteration
____Repair
____Install
____Sign/Temp.
PROPOSED USE: ~ingle Family
_Sign
____Move
____Demolish
_M/F
____4fr of Uni ts
.____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
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_H.R,E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
G {J CONTRACTOR SECTIOtj(? 1. , n -1 --t-(
BlJILDER 1<A-o\.f l.:.Ut,V,v+Nl:r+tl}vv\... Company ( ~UII!I/JI{/JIrfJ4.M. ~s..L~Jfa~
/) . 1 ,:7 State Cert. or Regist. # CBJ::,C) Lj3b3~
Signature_ ..~ {~.J-?f!:h-- City License Registration # ,':? ::L__'
****. ************************************
~./
r: / / 'V~ tI ~rJf ~ompany
IJ /\ State Cert. or Reg1st. 4fr
r. ,{ ~.P~ ( (J ~ Ci ty License Regis tration lfr
******************************************
. ~PtltwltIJMs.
RT.FCTRTCIAN non ~
Iy
, ,
Signature 1\ {C.-t..__L/
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
1/-.5-
,
MECHANICAL Company
State Cert. or Regist, #
Signature , City License Registration iF
***~**************************************
OTHER Company
State Cert. or Regist. #
Signature City License Registration if
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit 'may be subject to "deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assumes responsibility for cDlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they aay 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 lay be
cited for a misde.eanor 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 Departlent, lB13}
788-6611.
Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls} sign portions of the
'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 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 lay be an indication that he is not properly licensed and is not entitled to per.itting 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 Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Department of Agriculture and Consu.er Affairs, If the applicant is sOleone other than the
'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner' prior to cOlmence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
applicable laMS regulating construction, zoning, and land development.
Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or
installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed to aeet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environtental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a "colpensating volute' will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance,
A per.it 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 perait prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is cOltenced. One 90 day extension of tile, lay be
allowed for the per.it with fee charge of tIS.QO. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned,
WARNING TO OWNER: . YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R .DING YOUR NOTICE OF
COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS A 'NOTICE OF COM" E
SIGNATURE: OWNER OR AGENT
- Z"f2..~ ~.,.., '( E- 94)
was acknowledged
, 19..>_..~_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befol-e me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
hRkD9 {!)J)JIJI!JOHAM
who is personally known to me Dr who has
produced F"L DR... LIC
as identification and who did/did not
take an oath. ~Jfu:tJ.o?
(Signatu~? S. J
L/ONA ~ _U'f{D~
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~~~r::m~S~i~~I~X ~TATE OF FLORIDA
Bonded thru Patt D~res Jan. 28, 1995
er.,on - Becht ARency
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Page No.
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33
Pages.
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2004-t, Ft. King RC'1d
DA)~~ Ci TY. FLORIDA 335')5
PROPOSAL
(904) 521-0955
PHONE
DATE
TO
i-'~, ;"1F":: !-~ET:;:n:.:'~:'''' 1)
'-,1:'1: STc.::'F.FT
.v r:: (','1..1".> >f'.l 'f t. _8 (:"j...J]F' ":: L)/: .~.'::.:::~.:.:;,:'l.):.';
. ~:':!, ::;':1 <.:, , ________1__
JOB NAME / LOCATION
!"r'-'
----
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r-. r
""I.:'"
"TF:rl
: f!
fl' t:' "
JOB NUMBER
I JOB PHO~--'-.
.;: ."::; <:',1 ~,:: c::~
"'? F{ ."::> ... ~~ .:l '~:,! ~':
We hereby submit specifications and estimates for:
~EW ~RAME 8ATHROOM ROOM ADDITION
INSTAl .ATION OF A 8AT~POO~ ONTO EXISTING HOME OF MR ~ MRS HEPBERT CALDWELL
-.- Tc~jv!E: L_ T ~::,rE:L: ,II'.' F~:T 1'1:T[ # ..::,~:;:-:; <: 1 'i',! ;~,\:r!rH I S F'F~:c)i-='O':3?:\L. L.J I L.t BE
':-'j!?i"i 1 HH[U" l,l'::T ?"~I. !....F)) ,"<I'll) '='Jt'IF"L.l-:TED8 ';' ,LIj';I'f I "1 I"iH PI I'j C:Uf'.iSTF.:! ..leT T ,Jr,) ,
,:.,..1 ': ;.lr,>\J':.E'::~ ~
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.~.q'" ': :._'() i, ()C' :,i 'TI;\i(
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~UNLRED DOLLAPS FOR OWNEPS CHOICE
'J' I... ,_ HF:: l: I'ST{\U.,r:::D B\ CDt,rrF (-,\cr UF' ) ,
:!'Ii 1:D(', r,; T I Oi'.i,~
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r!!'jIPLT'[. i~C:li.Ji"IDP,T(!"II')h.: FIEF<: lilIl
(.::CHICI?,.,: F >1;' ',< i: NL; r;~,i..;::d' T CWJ en
0F -ORMED AND POURED WITH
FO~NDATATICN STRAPS IN ~!ERS
I' :.,;". r-';fd1 I NC: I, FL '][ih-'
:J{,i' 'i:iF '. :::' :'3UL<Fi.DOP I ioJ(:;
U'!l":F:' (.'il'lD.]: ~;:r Li BE
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WILL H~ 2/4 SPP~CE
:;1 jJD::~ J !.Jt::;rp;i....,.. Fr,! 0, i !.,..! [:'1'
, HE I !,r:~ul_AT I UI\! H!:;,r"PD ~,! IH-! PI
{;:
HI i'flU Fc,rT:::,!,! "L.nT[, EXTEF.:TOF :::I.C'Tr\JC I,i
p',.::Ji:'I!.:C [!\J(::;T(iL!...ED Df'! i:=':XTEF<IDF: ~3UF:F"f.:"::C:.
II'TT!' T:.! F' I'J~ 1...1. '~:; ~'.! I I.... ' n E I tr::. U L (,n:r Ii I LJ..i 1:;,
:");::':...i..Cij',)f:.F :'. r'.F: ;,'.: J!.: ::Ie: (f.iF"'IC r ';TUFF r~'eDUF
'r F'IBEF~'-'GLASS BA1"T~
" DF:"/!,.J?:iL!.. TAF'FD (ir'!~) ., t:: X TUF.:FD,
c: E:.' :~. 1 i\J Cj ,~
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Bi:.
FS ~IBEPGLASS 80fTS
'!: :... 1: ;" ,! i::; ~': CJ \.) F:: I? I ~.J Ci t....l I L~ :... 'B E.
'::['I.rT" " eH) F'{\GF fl,.
INSTALLED BETWEEN
.'. 8" Df;::YL.j:~L: " '\!1:3H\L..FT:'
;;;, (; r- 'T' r?~ ):;~J :.~. t: J;.... I ~\I (:i .r C) I S'1
WIT~ DFYWAl.L TYPE SC0EWS
i,,::F:
'E:P[i
We /Propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
. -.."- .... -- ..... ..... ....... .. - -tlmlms ($ ).
Payment to be made as follows:
SEE PAGE ~ 2 DF :
Acce[p1t<Jlll1lce of /PropoS<Jl~ _ 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.
/;,; '-> / . /
S'n 'A" ..(,.'.10.(':_.\
19 ature _._.,.~:..L~__ __---+--. -----'---------.-------'-------.______=___
/"
All material is guaranteed to be as specified. All work to be completed in a profeSSional
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Worker's Compensation Insurance.
Date of Acceptance: ._____'_________ ____.._
Signature.
- --~. --- -- --- - -~ .-~-'-" ~- -" ---,- .-- -- .--- - ~ --- - -~. ---- --- ---~
Page No.
of
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2004-A Ft K:n;: ROed
DA'J[ CITY, fi Or:&IA 33525
PROPOSAL
(904) 521-0955
TO. '::).,:,,5,;:1 '::!i)
PHONE I DATE
I
. ".n:;' ; ,.,...1 r;" ~:'
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JOB NAME I LOCATION
) ,:,;: l~ ";1~ i', (~:;' ,:: E: j::' .
"? :::rHYF',! J!. ' '.
::"1.. Cirl '!.
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'..:',._1'.'; ~
'::' {,>F=: {\~: !. (FirED
L.. i _ ,! i :N t:\ ;:':: '::.i
JOB NUMBER-----~JOB PHON~---
I
::J 2 l:::.i ~3 5
)' f3 ~::: ..-. ~.~; .::!. ::':,1 (I
We hereby submit specifications and estimates for:
':":;_i!"IDINU~ ~:;rE:"/EI'.jE pi..ill-1E;Ii\iC, l',lHL BE THE r'LLlr-1E<~F: ON ';'HIP PF:CJECL HE li!Ii..!
FUF'i'.! I ~3i-'! Pll..!.. ':;'UIi'iIB!: l\Iei F T X TI!F:Eb l.J I H.' :::Dt"1F'LE:TE::. Hum:LIF' ~.. D\..-Jl\!ET' t.J J L.L. r"UI:;::N I <::;H
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WA~ER CLOSET WILL BE BRTGGS TVPE WITH SEAr ALL WATER AND SEWER HOOkUP
WILL 8E Tn EXTSTJNG ~INES. (EXISTING HOl WATE~ TAN~ WILL BE USED).
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BOARD 5HEpT;NG IN
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We PIropose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
FT'I JF'THUUS(il".iD, :3E:'jEhj"TY... ':::+:')E!.j ::::;"::' / 1 0(' .......... -. .-._....---uollars ($: , ')T/ . ::);1
Payment to be made as follows:
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3CHEDU;..F
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All material is guaranteed to be as specified, All work to be completed in a professional
manner according to standard practices, Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance,
Our workers are fully ~~)Vered by Worker's Compensation Insurance.
/ / ,/
Authorized 0. /L.cffi /,/ ~/~ / /
S'gnature........ 7--'-- / .L-.L-.v !. /
Note: This propo~y be _/
withdrawn by us if not accepted within
AcceptalJ1lce of PIroposa~ _ 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.
/: ' ,i--')" ,
Signature /' > X:~------,-~i__~:..--'--...0---'---'--~___
Date Of Acc~tance: .._n ______..__.,_.__.~..__.._____,_
Signature _'_.
Page No.
ot
Pages.
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:'C'O~.Il.. Ft. King Road
DADE CiTY, FLORIDA 33525
PROPOSAL
(904) 521-0955
PHONE
i DATE
TO
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I'IF' " :'1F:~:; HEF::BEF'i
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Ai, ()I\..Jr~'...I_
JOB NAME / LOCATION
c" ME AU L. T ~,~TEr'"
t. c~ T :ij ~::: 1'. '=1
JOB NUMBER
---~~~---- -----
JOB PHONE
., 8.:: _u ~~~; 4 '::l ':'
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We hereby submit specifications and estimates for:
f.~ -1i:".K, '~1:'';'i
F'(', Y'ME;jT '::.}I::HED i..!L.C
:~, 1'-:. -~. * ~t. *
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c,[" :-!' T T':=; F']STF:D eli'! TC/f{ ~:;'! T[ ,::~:i[)
::'.', :'~ :,)] :".1.... BE: DUE
~ 955 gSS AND THIS PROPOSAL
rART OFONSTRUC1ION A DRAW or
" " '" ",$ 1 ~ U 1 ":),3E/
D F,:' ( ; vi fl'
:...'PUN F.C.JI..JCJH I l',iA F'L I..Jr'1B T. N!~], F F'P,I,j I N(3" (",>-.1[) POOF OF'{ T !\~ ni~D :[ j-.i~;PECr I DI'.i
prM LOCA_ BUILDING DEPT DRGW OF 35% WILL BE DUE...$ 1~427. 10
'0 ~~~' (: t....; it ':::;
UF"DN ! r.rn:::F I C)f':: 'rJ(:i1_L '.::U'v'E:R Il'lei T '\lST t~L U; T I (]!\!, (',L '.. I I\IF;UL io,'l ION
fNSTALLED,WINDDW RESET AND EXTERIOR SIDING INSTA~LED,SHOWER STALL
')(Ii':: T T (.'d'.m \-'JAT[J~'i-LCl(:3ET I i,r:eTIY. '..~:D (, DPAl-J DF 20~<.,J I I.. L. BE DlJE.".""
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I J F'C) 1\: F' T N~\i. I !\I';F'I~: C r J DI..J FVLW: 13U I LD II"-Ie, DET'j:iF::-n'1EN T CIj;J LJ(JF::f.
COMFLE1ED So, CUNNTNGHAM CONSTRUCTION ON THIS cPOPOSAL AND
;'-<:;', I f'1(':' !T.:', () ~-, t\IP,:' [iF:(:;w CJF :::0:/: \-1 J '--I. ('1F DI.Jt:""""".,." '$ E~ 15" 18
We IPropose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
I :'J'Ii:;: 'i"ClJ<(\ND" ~:::E\'F:.r\r"/ ':3[','E!\! ::~i':),-'j 'i(; '--ooll'rs ($ .1,. OT7" :::~'p
Payment to be made as follows:
() E: !.,.}" E:; I" r::: [, (:i F~ C' \) L.'
All material is guaranteed to be as specified, All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate, AU agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance,
Our workers are fully covered by Worker's Compensation Insurance.
j" ~- 1/
Authorized ____~~/ lid( /././ ""r)',/
Slgnatur~____ --------;-_L-~
!
Note: This proposaL,,(.,y be
withdrawn by us if not accepted within
Aoceplt,dl1T1l0e of IPropos,dl~ _ 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.
// ,;J
. /"V'(..." . __
Signature -___=----------=--___------L _ ___
---'---'"-'='----s_ _
Date Of Acceptance:_ ____._____._____._____
Signature _.__