The URL can be used to link to this page

Home My WebLink About92-2119 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit No , . 2119/1 Date d- -/0- r :L... ~~~ ~ Pmperty owne,;!!;~nI ~ Job Address: ...5 ~ - - - --~. - Parcell.D. # Zoning: Energy Code: Description of wo~";';-' ....A.J.rz~ ~L Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: FINAL '2-- 21 - q 2- NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Signature Company Address Telephone# :fl~~~ Valuation or Contract Price '-3 y ? ..5 - tr1) City License Registration # 7 J State Certified License# ~~ __ BUILDING EL~L ......... P~G ~ M~AL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 tel the person owning same. APPLICATION FOR PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT v--of\ (cl ADDRESS )0 ooJ rr,ora..R)~ yjf.iJCj~ (101 J L ; 17 /J.. )17/1 57 fh:JF APPLICANT PHONE 710 - I,/]L/ OWNER -r lieD OCJAe c"'- -, 7 JOB LOCATION oJ C1 0{ LOT SIZE_X AREA SQ,FT. ~~oo ;X~f1 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. If WORK PROPOSED:_New Construction _Addition _Alteration Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: bingle Family _M/F _IF of Units __M / H _Commercial _Indust. _Swim. Pool Other , _Restaurant & Health Department Approval BUJLDING SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S. ,,,', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*~ **COPY OF CONTRACT REQUIRED. _BUILDING $ y?i'7s ~ PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL '.t _MECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION? Company /f (!;(i /:: ~~ ~~ State Cert. or Regist. !F City License Registration ****************************************** ~ot1' { c-I c <.: '- 6 Cl S Y77 iF -7/ , BUILDER Si!!nature Company State Cert, or Regist, # City License Registration ~ ****************************************** ETFCTRIC1AN Company State Cert. or Regist, 'F City License Registration # **********************t-******************* PLUMBER Signature Company State Cert. or Regist. IF City License Registration # ****************************************** MECHANICAl Signature Company State Cert. or Regist. # City License Registration .# OTHER Signature APPLICATION APPROVED BY ~********~************************* a~tr- .o/l~J PERMIT OFFICER, CONDITIONS OF PERM ~ AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to .deed restrictions' which may be &ore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictioos. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they Illayb~-~-~q~-i-~-;'d-t;-b;-iicensed in accordance "i th state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to "hat licensina requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, (213) 7BB-bb 11. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ sign pe'rtions of the "Contractor Sections" of this application for which they Mill be responsible. If you, as the owner sign as the contracte,r, you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes vou to sion as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privil~ges in t~e City of 2ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONN~CTION FEE~ 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 - Hoeeowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is so~eone other than t':2 "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tD the 'owner" prior to cOllencelent. ~ E. CONTRACTOR'S/OWNER'S AFFIDAVI~ f'." , I certify that all the inforaation in this application is accurate and applicable laws regulating construction, zoning, and land developaent. that all work will be done in co~pliance with all i i Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has coalenced prior to issuance of a perlit and that all work will be perfor~ed to seet standards of all Ie'S regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governf2ntal agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited tc,; t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands, Water/Wastewater Treatment t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Waterc(,urses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t De artlent of Health ~ Rehabilitative Services Environmental Health Unit - ~ells! Wastewater Treat~ent! Septic Tan~s t , Environ.ental Protection A enc - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,ete.", it is understood that a drainage pIc addressing a "coepensating volute" will be sublitted which is prepared by a professional engineer registered in the St:. e,f Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alt . or set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froe there '\er requiring a correction of errors in plans, construction, or violations of )ny code. Every periit issued shall beco~e ; ,311d unless the work authorized by such perlit is co..enced within six months of issuance, or if "Drk authDrized by the per:, IS suspended Dr abandoned for a period of six lonths after the tiDe the work is cOffiIDenced. One 90 day extension of ti~e, be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Offic!;: An approved inspection lust 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 jR PROPERTY. IF YOU INTEND TO OBTAIN FINANCI~G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 1I0TICE OF COMIIENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMI1EliCEMEIH". /?~ r....._ _ SIGNATURE: OWNER OR AGENT KEV I JJ t1. SM IrH PI.. Df:<. SG3DS/37 0 42-2 .. 0 SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The fc.regoing instl-umhlt was acknowledged befcq-e me this /017-1 ~ 19 q-z... by P-4-5 CO STATE OF FLORIDA COUNTY OF The foregoing instrument befo\-e me th i s ,')25 ae k no,.J! ed fJ, , 19 bv kevlN M. ~M 111-1 who is personally known to me or who has pH.duced r:=t.. DR Lie as identification and who did/did not take75an oath}'. C" . ,J Ola \_' ~ -t-ftJ1'1 (Signature) DQAJA- ,I. ~U -rr oAJ (Name Typed~ Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 28, 1995 Bonded thru Patterson - Becht Agency I'Jho is pel-sc.nall'y kno\.m to me C'I- ,'Jhc. he:, pl-oduced as identification and who did/did not take an oath. (Signature) (Name Typed~ Printed or Stamped) NOTARY PUBLIC . ~""" -# t .~;. " ~ j CQ oOb CUJ oltQd ~ HiIlsborough . Pasco . Hernando . Pinel/as . Polk . Manatee . Sarasota 150 Whitaker Road. Suite A . Lutz, Florida 33549 . (813) 949-1434 or 1-800-875-1434 ... SALES CONTRACT Roof World agrees to furnish all materials and labor necessary to do modernization work on the premises located at the following address: 7J;.? (Jcj':JI"e ..t-/.v.l:- e Ie. /c. .t-/of/k Phone -7 fJ ~ - h 9'YO Address !J~;) 7- /9 ,h'l -5't--/..t fCity ? -fJ1))j /)1// St 17 I REROOF ENTIRE HOUSE IN ACCORDANCE WITH THE SPECIFICATIONS GIVEN BELOW: Name Date ;< /r)9~ , Zip '3 3.:.>7;:; SHINGLE ROOF 1) Remove old roof to smooth workable surface. 2) Replace any bad wood tor cost of time & material ($1.50 per foot. $35,00 per sheilt of plywood) 3) Install FHA/VA eaves drip~brown, grey, or galvanized (circle one) 4) Install / S- lb. base felt and seal down. 5) Install new valley metal and flashing as required. 6) Install new lead boots over vent pipes and reseal all vents. 7) Install ~() yeaC,~bergI9ss shing!e,s.. ~anufacturer (!;>[Ui;.-"..I5 UI"/-I/I")f Color S/IJI5"t?I /-//'/;, -L5:- Fungus Resistant~Yes or 0 No 8) Clean up all work related debns, haulaway, leave job site clean, special instructions: clo -- L,/"', ?,.f-- ~. J((J , I/L=-~7 7) ,;1 Iv) /1) d .iZ rT7 t.' So' <- # <./)-'C _3 (.? /l /7 0~,.7J l f"-J 1"'6;/7-(5 - J..;. //~'-J- ~ 9/r/V'r 1. Conlract Documents: This contract consists 01 this document. extra work/wood authorizations.. II any, and iI payments hereunder are to be financed. alllinancing documents. No promises other than those specifically set lorth in the contract documents shdll be recoynized by either party. The entire understanding and agreement 01 the parlies is conlained in tne contract documents, Total Cash Price 2. It is understood and aUlCed thallhis contract shall not become binding upon Root World untilll is duly approved. Accepted. ~Iunod and wltno~~olJ by an olllcor or 0lhcor5 01 the Soller. I- L 3. Work on the lOb descflutJO In thu conlrdc,' do~u,m';t'1'~~ommunce on apl>,oxlmatoty ___..d, _2, -g1..., and be complet~d on appro....lm<sluly ~__ _ . 3/--71 7 l....-..----.. the recited dates are apro.ll.im81ions und are autJj~cllO bchtHJuUny lJilllcullict; of Sollur.labor and/or muturlalshort8yea. acls 01 God and othttr e....unla not laruseen by S611er. Scllor fe:survfJS lhu 'IUht to employ uny tJutJ-conlructor for Ihe complaliun of tho work dU6crltJod In the contract documunts 4. Interest at the fale of t'ighteen (18%) ~er cenl annum will ue charged on all balances not paid as per the terms specilied abovo. Reu~onaulu attorney's teas will be charyod 10 the Purchaser il it Is nocessuryto place this contract In the hands of an attorney IOf collection, and this churUtt uecomes a part of this contract and obligation to thtll Purchaser to pay. 5. Parties agree that this agreement shall be construed according to the laws of the State of Florida. and any aclion brouuht thereon may bu tJrouuht in the Salu 01 Florh.1a. Vonue i:i hereby agreed to be in Hillsuorough County, Florida. 6. BUYER'S RIGHT TO CANCEL: ThHi Is B home solicitation sale, Bnd It you do not went the goods 01 services, you may cancel thIS agreement by providing wrlt1en notice to the soller in porson, by telegram. or by mail. This notice must indicale Ihat you do not want the goodS or services and must be delivered or postmarked before midniuhtof lhe thIrd business day after you sign thiS agreement. II you cancel this agreement, the seller may keep all or part 01 any cash downpayment. not to exceed (he lesser of 5 percent of the cash price or $50.00. 7. Both worker's compensation Cind publiC liability Insurance are carried by the Soller and they are applic8lJl~ 10 Ihe work to be performed. 6. The unpersigned warran1(s) that he Is (they are) the owner(s) of the above menlloned premises and the legal title lhere~o stands 01 record in 1hls (their) name(s). $ :;) ?) 3, 6 (, Less Down Payment $ o Cash Balance $ d if )3~ cro (Plus Total for Wood from Item #2 Above) Upon Completion Make Checks Payable To: "Ronald M. Smith" Executed In Dup/,c ale. one- copy 01 which.... as delil/ered la, and receipl is hereby acknowledged by Buyer. thl, dayot J..:0- /o/,~;/"" r. 19 ? 'I' , ~ . Approved and Accepled NOTICE TO OWNER ao 00 not algn thla home Improllem..nt contract In blank. b. You are entllled to a copv althe contract .t the tlmo vou algn. K..p 1\ to prolecl your l.gal rlghla. (SEAL) (Xl . _/ /J" ?y ._.f) i? {~V7<? (_, L--~' t-- ,.?tt(SEAL) (Purchaser Sign Her'e) (Dealer-Seller) /1 C(..../L-----'- SALESMAN (Titlel (X) ~ . .' '. f/ -. L.7'/ -'VL(;-oltf-2 t OLL-.h-~EAL) (purchaser Sign Here) CCC 025477 or RC 0028209 ROOF WORLD LICENSE NUMBERS