HomeMy WebLinkAbout92-2318
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
2318 is
/ - 7'2
Date --5--
..~---..,
r--~~~~~-'-:= d. )
~
E~l.
PL~_
MEC~__ Sewer Conn
Water Conn:
pmp'rtYowne'=.~/N~Cf J}&AA LI~r>1~
Job Address: ,1 {;; 1- .
Parcel I. D. # / / - /) 6 ' ;11
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of wor;-y't7~' .I:"'" 0/'("'/1't,--,-~,g
Radon Gas:
~~1
It' /-Z
.;t .- "
~<'4'~'
NO OCCUPANCY BEFORE C.O.
FINAL~- ~V - cr..3
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
pe'm;t~: cro ~-"
Signat ~~r:~----
../ . --
Company
Address
Telephone#
Valuation or
Contract Price ~.3 -5 (,. c-v
City License Registration # '-? Ol~ ~
State Certified License#
~~~~~~r!Ii~M
C BUI~G/
'-
E~
---.
~G
--.,.,
~ICAL
----
Breakers
Ducts Ins!.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. 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 ($15.001 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 PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
ADDRESS
s~ ~~ Lt h.t l\s" 'F( PHONE ~ I ~ 7<02-7/33
OWNER E 5-J Cl(" +-e.- 0 ~ s +~ J( 4.. U. II ~ ~ ,::Y 1-:[: 1'/ Q. V k- &AJD ?.e ~~l Kap.
JOB LOCATION 5b~ I 'B f-h -sl- ;Z-epA'7yh;,{(~ LOT SIZE_X
5" 'i-/ l
~t-k
AREA SQ. FT.
,(:.
LEGAL DESCRIPTION: LOT(S)
11-- ?--/&:. - 2-/
BLOCK
SUBDIVISION
PARCEL 1. D. ~F
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____4F 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.,~'k
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_\\l.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
Si2:nature
Company
State Cert. or Regist. #
City License ~egistration #
******************************************
ElECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED
**,* * **** ***.**0/*,***** * ** ** * ** *,~ * * * ** * * * of, *
'--'~'/ ,', \'- .-'--? ~ '
BY / /d ;{~ I'~ {/'\A'I--z.." j .
'{
\J
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assuees responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lisde.eannr violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents aay 'apply 'for the intended work, they are adv~sed to contact toe City of Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION 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 - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler 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 cOllencelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
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 perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay 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 Iilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
I 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 "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
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 alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froD thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the Mork is cOI.enced. One 90 day extension of tile, .ay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, Dr the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY 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
CO"KENCE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST "NOTICE OF COM EHENT".
~ ~ J'.e1/~~e
GNATURE: OWNER OR AGENT ~~~~
STATE OF FLORI~
COUNTY OF \( C\ .s L 0
The foregoing instrument
before me this }or'.\ )..'\
,
was acknowledged
, 1 9..52:::... by
STATE OF FLORIDA"
COUNTY OF rA<ir.O
The foregoing instrument was acknowledged
before me th i s mA y I , 19 92. by
GlMfJ'!t. C cJ/IJ/t) J:JShAHl
who is per_onally known to me or who has
produced F/A J)L'~Je.t.S Lise
as id ification and who didJ.elid
take oath. U.
,ure) ....Dawn E. Woodward
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
l':OTARY !'U;,UC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: Jan. 25, 1995.
BONDED'THRU NOTARY PUBLIC UNDERWRiTERS.
'S. ~ Cl. \ \Z ~...." 'b
who is personally known to me or who has
produced \j ~ " -..I t. r ;.> L ~ L~ .1 e.-
as identification and who did/did not
~y~~.~', ~ '
(s;[ature!,) to ~
_Q....v ..)., \LJ(.}('\~
(Name Typed, Pr i nt~q'Q~:r-S~~P..,;~) '''__;.'
-",,) . rf c "~"~.V~ .......,'1,~~<. '-'~ :' "",".j..,r1
NOTARY PUBL I C My Comn;iEicn h;:kc~ AuO.1, 11)'-'5
Bund{;:d Thru Troy FOln - In.5Urc:nc~ Inc.
Cunningham Const~uction
:2C}(=)~~--'A F!:)~.t Kj,ng Rd"
Dade C: i t Y ~ F:-I....
'''', r-, C:" ...., 1::::-
,:) ..::.1 .....I.:~:. \...'
'?J r) .::\. :; ~_:.::.; ~:;~ :;. ...... (r ':::' !:;:=.i
********~,.~~.***~.******.~******~.**
:~~: ~::; "r I i~'l (':'j -r E
.************.~*.+***************
, ~...: u. ':::;. '~'. c: rn f:'!:! Y' ;~
.-..-...--"."'..-....--.......--.-...-...---... .....------...----....-..-..-.-.-..---------.-.-..--...---.--------------.....---...---.--------.-...-...-.-.--...,.-------
[) .:';~\ t E~ ~ ;) .4. ./ :2 .::1. / '::1 :~?
1"iS ~3TEL.,LPi HfiPPEF
C/D :--'1r'!F:i< EC:r'"ID
EXECUTOR OF ESTATE
5S~:!.1 8 S-rREE~~ 8( 11 AVEh
ZEPHYPHILLS,. FL 33540
~:813:) 783'-32"78 MAR~~
E '::;;, t: ::, rn E\ t ,;!! :!:l::: :L 0 (:; :L
C: 1 E\ :i. m r',lLi.fnb i=.~'(; J. 0-\/ ---00':1 1. ::~C
iESTIMATE DATE: 04/24/92
Reference; ROBERT WI~TERS
.__._-~._.----_..._-----_.__._-_.~-----+_._._.._.__._._._._---_...__._------_._---_._---_.__..._--_.._..._.._~
: (iDJL!~:3T!::r-;::::
Br:::Ci<\,' :::::(,',F:L'T':]r';
STATE FARM INSURANCE
F'" D" HCJ/ '3 ';:1 ":::!'::f
1 ~'4lJDSON" Ft.. 3457~~
;:: E{ () () ::: ~;:~ :~: (-:; .-. ~) 8 5 ~:3
(:813:) 859.'-455() FAX
PI:~iEI\IT ::
JOH!\! EvI I NCE!\!T
;Jt,.Ji"'!E::~::
VINCENT INSURANCE
573'] CJ?\LL BL\iD"
f Z E~F'H\{F:t-I:r. L..L_~:::; Y f
( E: 1 3 ) 7 ~::~:2 "'- 5 :.5 ':'4 :~~:
',' (:~;(},::l. .}
~5 ~3 t:::: ..- .::1. (:. ~:: .::j
(.:j(3Er'lCY
F:-I
!,~JC) P t<
HCW1E
~3::3!S ,::1. 1.
TREE DAMAGE DUE TO WIND
ALL ?E~AIRS ON ROOF AND ROOM AREA WILL BE LISTED ON THIS ESTIMATE
CONTRACTOR WILL FUPNISH ALL MATERIAL~LABOR AND PERMITS.
L.. H
DE'~:::,:::: Y' j, P t :i. <::Ci".
I?OOF'
,:~) I:;:: E:: (~'j D {-'! t.1 PI C::; E:
MAIN ROOF SECTION
TE(:iR (JUT 3/4" BOf~d:;::D DEC;< J t\.l!:3
~::.: / .::1. II BO(.iFW DEC:< I 1\1(3
REM/REP ROOF RAFTERS (2X4)
REM/REP 3-TAB POOF SHINGLES
FACIA WOOD 1 X 6 PINE
P P: I r.,j T ::::; / ,::1. " B C: 1::)1:;:: [) ::3 (] F FIT T
REFLASH CHIMNEY Galv. METAL
(SAW & FE SET FLPiSH" IN BRICK
FRONT ENT?ANCE ROOF AFEA
-'E:(iF: Ui!T :~;;' ,.L 1: BU(:ll:;::D DEC~< I N(~
:3/4" BDAPD DEC;:::r.f,!Ci
REM/REP ROOF RAFTEFS (2X4)
F'PI I iTr ::3/ ,::1. n EHJ(~RD :3CH.-;:- T TT
REM/PEP 3-TAB FOOF SHINGLES
r.::-
(::'
~:::
:Le,
:!. :~
:!. :~:
.;. ':'i
,;.C
.1 -,7
.f. !
PAI~~Mr ~~)(T~RIOR ~3IDING
-i c:;:
.i.'"..'
(CLEAN & DAINT FFONT AREA)
?EM/RESET ALUMINUM WINDOW
:t ':)
F"( :i. (~ E'
Ql_lantn u/lD ~er u/{n BLlilding
256
~3 C! !="' 'T
~~~ ~5 f:~
f.3DF'T
i:;C!FT
:30F'T
LNF'T
f.:;DF'T
'-:'1:::: ,'::
.=:"'_'L'
::,37C,
r'\.-,
.":;;.,;;.
1. 4,::j, " 72
1:::\
LNFT
J.68
H;8
:LC8
~:;C!FT
~3C!F-T
S(.)FT
'j()
SC!r7'"T
:251 n '7~3
::3DFT
~3CO" 24 SCFT
t::..
E~ P'i C: 1...\
(j;l 5~.:5()
1 " 25;:)
1.. :21 ()
- -- - '.
() <l U':J()
1 .. ~:jl:l()
() II f:.i-lCl
:I.,::!-. '.:570
(} &: ~S~;(:
::. u .;~~5()
:!.l::~:1()
().. B"7C>
() " E:i()()
() n ::~.~ EJ ()
:!.)'.. ::2::i)
:1. .::{.().. 8()
::3:;~::() II (}()
:jO'::j" 76
:L ::~~:~:.::!. II E,.::;'
4'3" 2~::l
:I. 2~5 . ']:L
8'7 " ,;~. :~~:
'32.4(:
:::: lei" <:)()
:;::~ () ~:3 If :2 E.::
~7[j:f ~:::()
:::~G:L" 4:::::
1 ::2 ';3 . f./3
::. ()3 " ~::8
!viS :3TEi_L.(:, H(~F:F'EF:
E'::::,t irn<::\tf.:! :It~ 10(~.,j,
F',;:;.C1P
.,:..
,. tr
DE' .::" :::: '( i P t :i. () r"i
__..___.______.........__.....>0.........,...._..............___...._...._._..._.__....__.____.._____....__....._._..__.___.--.--.--.---......--.-............................-.-............................-......-..--..--.-............----........--.----.
F"( iCE'
Qual'lln u/m Pey u/m Buil(:.lin~l
....-...............-...........................-....--..-.....,._............._........,.,.......-_.--_...__....~...._--...--....--..-----.......-----........-.............--.--.....--......---...........-......,.........--...-----..-....-.----.-.......
~"2 ()
REM/RESEl EXT. DOOR & FRAME
",";
..:...1.
ROOF AREA DAMAGE Subtotal
..........---.------------..-.---.---.---.---.------------.-.------------.---..-.--..-.-..-------------.-...----.--..-.-------.-.-
;:::3,:+(3" ,::1
:L
Er;CH
.:~:. ".:,.'
F)AINT C:EIL.ING -rWD COA-rS
( ::~:l. 1I C,:.1 , :'l.: '::1 r :'i~ ~3":;
.,..."':,.
FRONT ENTRANCE ROOM AREA
-,1:::-
.,::....J
COVER UP FLOOR/FURNITURE
PAINT INTERIOR WALLS
(RECAULK CRACKS & SCRAPE)
CLE:.(:1 I\! ~,.JODD FL,DDF:
FRONT GABLE END DAMAGE
REM/REPLACE GDARD SIDING
TEAR OUT CEMENTOUS SIDING
(:\ L. U IV! I i\J U I,ll :3 I D I 1".1 (3
...."..
,,::,t:..
.,::.\.)
:I;:~ 1::1
~3()
:]1
:l. '::i~S u ():~3 ~3c!~7-r
i 'j~;" 0:;; :::;Oi::-T
245. :3 E., 30FT
:L ':~5" ():?:: :3fJFT
-7::.;.. ():2 SC!F'T
'73" 02 :3CWT
:L 45" ()4 :3DFT
FRONT ENTRANCE ROOM AREA Subtotal
~::.I ...::.
T3.450
().. ::~8(:
U" Ut,U
() ..:~:~ f3 ()
0.120
1. .. ()'3()
(; II 3 1 ()
:;2.. '7S()
73" 4t~,
::::;,::~" b 1
11,,70
EJE:1.. 7ei
::::: ~3" ,:+ ()
'7'::1" ::,::.~':::j
::2:::::. (,.::1
'+01. " ::):1.
E. b 2 If ~~~ !.:.:.:,:
.-----.--.----.-.--......--.-----....--.--.------.-----.-.-...------.--.---.--------.
,"-,'-,
...J...:'
"-, A
,.:,~I'
DUMP FEES & GENERAL CL.EANUP
BUILDING PERMITS (2%)
::::::,;
~.:;t;)
Subtotal
SUBTDT (IL.
GRPII',JD TOT PI!...,
1.
E(~ICH
EPIC:r-'1
"
.,
1 '7~:,;" 000
1 ~5().. (}()(:
1.75.00
1. ~5C) .. ()(i
~:~;:5 A ()()
.::~ :::: ::: t7; " t~1':~1
m_ ..... .._ _ ._, "'., ._ ._, ~... ._. ._.._.
..._........"..._.._m_..........."........._.....
$
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-... _. -... - -_. ..". ..-, ,-. ..... ...., ..- .....
......._. ..m..... ..... .,... ..... ",_ ..... ..". ,._. .....