HomeMy WebLinkAbout92-2353
BUILDING PERMIT
Permit
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Pmperty Owne' (?/lA l,~ (i{ Jl n ,;tL.l/
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CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
Date
~A-L
Sewer Conn
Watl3r Conn:
Water Meter:
Job Address:
T.I.F.'s:
Zoning:
Description of Work
/~~
-.........
FINAL
NO OCCUPANCY B
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 -# ~f) I ~
~ ~.. ~)
Signatur, L "- ~---
Company
Address
Telephone#
.
Valuation or _.4. _ e
Contract Price I r~ 7 ~ 0 .
City License Registration #
State Certified License#
~~~~
UILDI ~.. _ . - _ . E~':"IC .~ . . ~u~
MliiCI><1MJICAL
Ftr.
Pre SLB
Lintel
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo '6.
Rough In 5-2b1l. ciS
Meter Can
Const. Pole
Pool
Pre-Meter
Final
FRM. ~21-~z.. ~
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.
v _, .~ -
Proposal Contract
~
Ry1'ntZn Construction Incorporated
37325 S.R. 54 W.
Zephyrhllls. Florida 33541
(813) 782-0825. cec # 035134.
I'
TO: Mr. & Mrs. Rhodes
4741 Rollins
zephyrhills, FL 33541
DATE: 5/12/92,
,
I hereby submit specifICations and estimates for: construction of 10 x 12 room addition as follows:
1.) Removal of 10 I & 12' section of existing screen room. "
2.) Frame in a 10' x 12' X 10' wall. Walls to be constructed of 2" x 4" studs
covered with 1/2" plywood, 15 lb. tar paper, and mobile home skin to match
existing as close as possible. There will be 1-3' 0" door in one wall and
2-37" x 37" windows with mull bar in the 12' wall. No windows in any remaining
walls.
3.) The roof above the room addition will be finished with 1!.i" foam and pan cover.
ApproximatelY 120 sq. ft.
4.) The interior of the room will be electrically wired, insulated, drywalled,
and trinmed. '
5.) The existing air duct will be moved cuJ.d added on to accomcx;late new Ale duct.
6.) There is no carpet allowance in this bid.
7.) Light fixtures provided by owner.
8.) Drop ceiling and R-19 insulation installed.
9.) Includes all materials and labor and permits.
TOTAL BID: $ 3,750.00
"B" ~. \5 _~ "'- ~ 1::, ~\L ~C~R
or framing as above with only installation of rough electrical, mechanical,
and all other by owner.
TOTAL BID: $ 2,760.00
I Propose hereby to furnish material and labor - complete in accordance with above specifications. for the sum of:
SEE ABOVE ~ 50 91'} dollars ($
--uPON 8SlfiBfION ~t>. ~
)
_~~~c&~.
Payment to be made as follows
Note: This pro may be
Withdrawn by us if not accepted
within 45 days.
All material is guaranteed to be as specified. All work to be completed
in a workmanlike manner according to standard practices. Any a1tera.
tion or deviation from above specifications involving extra costs will be
executed only upon written orders. and will beCOme an extra charge
over and above the estimate.
Acceptance of proposal - The above priceS. speclflC8110ns and conditions are
satisfactory and are hereby accepted. You are authorized to dO the work as specified. Pay.
ment will be made as outHned aboVe.
/f~
Signature
Date 01 acceptance
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT~0~M '~'It-l\f-..N ~"(M.~t>0 COf\JS~4L~C.-l1bl\J j-=~.0 C.
ADDRESS 4'1 ~.~ ~ '( ~\ -:s ~'\::) - ?-L~\\ '( a. \) I l \~ F LPHONE '7~ G -o8Z 5
OWNER M\2.- ~ Me::~ C h Q~~~"'D'bC?(~~
JOB LOCATION 4-V:~-l <20 \ll f05. LOT SIZE_X AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
WORK PROPOSED:____New Construction ____Addition ~Alteration ~Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____4F 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.
~UILDING
~ECTRICAL
PERMITS REOUESTED
$ LlloO Valuation of Total Construction
AMP Service Florida Power Corp.
_W.R.E.C.
I
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
.Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
'R r .. C . C~NTRACTOR SE~~N '>,
BUILDER Y f'J.-.('o<;~ Ot\)S-hl..lAC.~\(}lU Company "t'l~ (lo~'s.hz..,-^co.\-l";"
~ .' --T) State Cert. or Regist. # e.B.C."O'3.5l~
Signatur UAA)~ ~ . ~~ City License Registration iF ~~
. ****************************************
Silmature
~wt
Company
'"l-1/1 A!l- State Cert. or Regis t. iF
7).., I.~; City License Registration
*********~*******************************
f1Ikv~ Elec:1vl C/
4C!'(1)0 Ill' D
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
*********************#********************
PLUMBER
Signature
t,
f""l-.__...._.....
VVlIl}-'C1J.1J
State Cert. or Regist. iF
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration iF
OTHER
Signature
******************************************
PERMIt OFFICER.
APPLICATION APPROVED BY
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it ..ay be subject to 'deed restrictions' which .ay be lore restrictive than Citv
regulations. The undersigned assu.es 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.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) 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 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 - 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 prolise in good faith to deliver it to the
'owner' prior to cOI.encelent.
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 cOllenced prior to issuance of a perlit and that all work will be perforled to seet 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 governsental agencies lay apply to, the intended work, and that it is
sy responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environsentally Sensitive Lands,
Water/Wastewater Treatlent
. Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps of EDQineers - Seawalls, Docks, Navigable Waterways
. Departlent of Health & Rehabilitative Services, Environsental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environlental Protection AQency - Asbestos abate.ent
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 volu.e' 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 fro I 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 perlit is CO.lenced within six sonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cossenced. One 90 day extension of tile, say be
allowed for the persit Kith fee charge of $15.00. The extension shall be requested in Kriting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAVING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDft"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COM"ENCE"ENT'.
-----t-~- C- ~--~ ~ <
SIGNATURE: OWNER ~ SI~ CONTRACTOR
STATE OF flORIDA ] STATE OF FLORIDA J~
COIIIITY Of 11 S:l', D C1lIINTY OF - a.sr ,()
Th~,foregoing ins~~~t was a~~owledged . The foregoing inst7~~lt was aCq~ledged
before me this , 19~ by L- before K~ ~~ rOt/1Ft'
who is personally me or who ~s . who is personally known me Dr who h~
produced _ yt,{~uced y m ~'---'
as identification and who did/did not as identification and who did/did not
take an oath. take an oath.
(Signature,>!. / A
1\.4-12-1 U. AI N K.&; AJJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature) J I
'-A l{ 1
(Name Typed, Printed
NOTARY PUBLIC
-=ri", I N i QAN
Dr Stamped)
KARl MEGAN
State of FlorIda
My Comm. ExD. _ tl, t.
tee '37'.{O
~~ KARIANNEGAN
z . To State of FIorIcIa
IIrCollln.tCC~ 11,1995
....J...n UJ: ~lO"!HRHILLS BUILDING DEPARTM~N~ .
OWNER 1"1 (Z.. "Et M ~. .,1(' h (\ Cc.""S
JOB LOCATION ~,4 ~ .. ~O t \; N s. - .zcphytt.h', ( ! s -
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS.
o--/c;-.,z~
e c. L'~,L-o-
~()
35' '
,
~o~k-
Wit::.E
MO~i k hOME-
CA~t.1
\~c) r
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
-:~~:I~~ '-'-l~~~:i'~-
I
i
!r.:'
,I,. :>
(NOTE EXAMPLES 1 & 2)
FRONT PROPERTX LINE
-
STREET ~b\\ (j\:>~ -
2. SETBACKS FOR R3 ZONING
601
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
10'
10' EXISTING 10'
PROPOSED
20.' SGL FAM JO 1 DUPLEX
1 OJ
FRONT PROPERTY LINE
FOR CARPORTS OR LIKE STRUCTURE$ PLEASE COMPLETE THE FO~LOWING:
(1) DESCRIBE WHAT TYPE: FREE" STANDING O~TTACHE]v(CIRCLE ONE).
1/ II
(2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? 3/;1..- "SceC'ws-
~\ ~e:,~
( 3 )
DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT HANNER?)
tJ \'
T ~+(N~Q -\'u CotJCtl.~{-c:.. IN) ~(.2- - -,. - b~ \ \-s-
~ . (
, I. I
GIVE DIMENSIONS OF CARPORT LENGTH, W;IDTH, & HEIGHT: 0'( I Z. - e>
GIVE.AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: I'
. ~... , .~;:-.s. '~
COMPLY WITH REQUIRED SETBACKS A~~a~iN IN ~OVE REFERENCED PLOT
PLAN.
,
( 4 )
( 5 )
( 6 )