HomeMy WebLinkAbout92-2457
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2457 11
7-:2 -7;J..
DatE!
Grcrn-~ E~
Pmpo", Own", ~~M7 1/1 "l-
Job Address: ~ f-i - ,
Parcell.D. # ' JLj- d6 - ;)J - 0) {] 0 - t);;J...3 (/0 .. (/0 '=
~..
M~ Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: En:;.y Code:
D.,c';p';on of W?'T:;' 4.; L(j
"'7 4A~
r:-~:;~G~ -V ~~
NO OCCUPANCY BEFORE C.O.
FINAL
-?.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
City License Registration #
State Certified License#
.579
,
Inspector
Valuation or
Contract Price
~ -- croo, c7i:J
/~
Telephone#
~;-;~~L'~
~UILDIND ~1r.AL
~
MEC~
---.'.
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
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 to the person owning
same.
APPLICATION FOR PEIDlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~~~Q..~ \U\); ~NE3
ADDRESS 35c~-D el1A e,W&, TA-m,~~ ~L 331o\.~HONE
OWNER V~ u.Y'~-'-\ ~ t S~ A: <<-R.. . ~. (Otft ~
1\ ~ ':1. \ \ a'\t\: ST
JOB LOCATION' ::;> \ \. -\ - .
~
In a.la - c;}Ot{- ()
LOT SIZE
BLOCK ;(".~ SUBDIVISION
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.i~ l'-\ - ~~.;l..\ - C\Gk) - Q.::r~oo - ro~
WORK PROPOSED:_New Construction _Addition _Alteration _Repair
~n:tal1
_Sign/Temp.
PROPOSED USE: ~gle Family
_Sign
_Hove
_Demolish
_M/F
_i~ 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 FORHS.**
**COPY OF CONTRACT REQUIRED.
pF.RMITS REOUESTED
_BUILDING
IS; a0J:) c8
$ .
valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
_W,R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
<: T ~ c.s:.. <5)
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SEC~ .--:::> {\- \
}3U1LDF.R ~WEN D ~ C-oc>\:-e- . Company m. ~CA-.0 K~oQ)L~ ~ I\J 5
?~ '~ . State Cert. or Regist. itC-f>><:..<:>+8"'Iolo
Signat C\S( lD, C. City License Registration 1F ~qq
* * ****** ********** ** *f, *f, * f,* ** *f, ,', ,', ,', i: f: ,', 1: ,', *
Si!!nature
Company
State Cert. or Regist. n
City License Registration n
******************************************
f,LECTRTCTAN
Signature
Company
State Cert. or Regist. #
City License Registration n
******************************************
PLUMBER
Signature
Company
State Cert. or Regist, n
City License Registration #
******************************************
MECHANICAl.
Signature
Company
State Cert. or Regist, n
City License Registration n
OTHER
APPLICATION APPROVED BY
~*..******.~*****.*.**.*...********
r.:r /111 -<' ~ <7 A A"Jv,. "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 may b~ ~ore restr,ictive than City
regulations. The undersigned assules responsibilit~;for co.pliance 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 ~ay be
cited for a lisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3)
7BB-6611.
Furtherlore, if the owner has hired a contractor Dr 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 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 provi'ded with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is sOle(,ne other than the
"owner., I certify that I have c,btained a. copy of the above described dc,cullient and prc'~lise in gc,od faith to deliver it to the
'owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, 20ning, and land developlent.
Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
installation has CO.lenced prior to issuance of a perlit and that all work will be p~rfor~ed to ~eet standards of all la~s
regulating construction, City cod~s, 20ning regulatiDns, and land development regulations in the jurisdiction. I also
certify that 1 und~rstand that the regulations of other gDvernmental agencies ~ay apply to the int~nd~d work, and that it is
my responsibility tc. identify what actions I must take to be in cOlllplianc~. Such agencies include bllt ~l e nc,t lillited to:
.'"
I also certify that, if fill lat~rial is to be used in Hc,od Zc,ne "A. or "A,etc,", it is understc.c,d th~t a drainage plan
addressing a "colp~nsating volute" will be sublitted which is prepared by a professional engineer fegist~,ed in the state of
Florida prior to pertit issuance.
A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioJ~tef cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l frol thereafter
requiring a corr~ction c.f errors in plans; cr,nstruction, r,r violations of any code, Every pNlllit isslll~il "hall becc,.e invalid
unless the work authorized by such permit is cOlmenced within six months of issuance, Dr if work autho, lzed by the pertit is
suspended or abandoned for a periDd of six .onths after the tile the wDrk is co~menced. One 90 day e:tensiDII Df tite, aay be
allo~ed for the permit with fee charge of ~15.00. The extension shall be requested in writing to the Building Official, An
approved inspectie.n i!lust be lc.gged during each six lonth period, or the project wi 11 be cc.nsidered Clb61Ide.ned.
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".
_ _l.D~-~-- SIGNAT 'Qj,..QJ,1J
OWNER OR AGENT ~~~~-~ CONTRACTOR
DATE 1- ~ ~ q -;;:L DATE "'l -;;( ~ q.2...- --------------
--------------------------------------- ---------------------
NOTARY AS Tn ~ / /;J ~ /J/) fJ, if' OTARY AS ToJ / ;; tJ ~, d7 fl. uuffL
OWNER OR AG~~Lk. 'JILL-. CONTRACTOOftCc.~Lf:-llL--U
MY COMMISSION EXPIRES~iv~~i~~"Ji~~R: MY COMMISSION EXPIR~2Ifffm~r'!TIn'OW~"~OA
,~"::~:..ll~;;3~1. f"r:Mn,t,l" INS. UNO. Ii'; t.)(~'. OCC. If), 1994
eu,~II~' " ,..,,0_'" ~Q!lik.J TH:'W GF:,:r::i!},!. 1 MS. UNO.
~
f5(~t (l11'7\~B
SIDING '"
BY American Remodeling, Inc.
(a wholly owned subsidiary of AMRE, Inc.)
A Se.1'8 Authorized Contractor
3502.0 Riga Boulevard
Tampa, FL33819'
(813) 626-2040
Toll Free 1~767-2280
~
No' '
'Job: No.: 111.)9 -8?7S'-d
,~
::. ~~q~~r
f\A44 ~~~~)?;~.~:. '!>~';;;?: 17-1(
lIwII,the owners oI.1b1l premises described below, hereina ferred to as "Purchaser" offerto contract with AMRE(A SEARS AUTHORIZEO CONTRAC-
"JOR), herelnelter referred to as "ContractDr..,lO fur I 0 dell and arrange for Install~lon of all materials n~~~~ ImptOllethe ~~ IocaIed at
)";'n'.
'l't
",'".,.,."
'il\,"
. .;" '..~ . ~:I!:o ,f . :.; ,
.. 1, ": ."fn("',~, 1/t. :.
(City)
(Staie) , "
'J.i~I~~ t~~h~~~~~9~~~~:I~i,~~r.,rn ~~i!ql .~ VP'\
9,'11'"
~', : ,I-
<"", I, ," ,~, ....'
i~ ,',' .
, '9":'~ A(,I l' ,W,", ":'lltt t'''SPECI',CATlONS :"0 ~'\"~"'''''T' n~~h~!if't 10 ,ni ?\19'A. WI ':b(ir;;1 ...,;;,~ IISdt ~...!,;,
, ,-,.,1""'0,_"" "f",' "..q.tI1"',I'f"'rl'IjQpnk.ul'l[': 1.'01," -v'tI,,!(,', .......---1
The CASH PRICE for all. ll. bar & Material (including any applicable discounts.) is $
Terms: Cash 0 cred11t (Subject to the approval of the Credit Sales Oepartment)
If this Is a cash transaction, the purchase price shall be paid as follows: ",
10001. -
-'-"---_ Balance Payable $
:.'}-, " ~.' ,\
, / LjpcJn',.
Cash Oown Payment $
"this is a credit transaction, the agreement for credit is contained in a separate document which is incorporated herein by referllnce and mlde a part thereof,
l/we the undersigned are hereby authorizing AMRE (A SEARS AUTHORIZEO CONTRACTOR) to verify and review {11ylour credit record y.tIh an indepen-
dent credlll1lportlng agency and release them from all liability incurred from inadvertent omissions or errors, ". . " . I :
Verbal understandings and agreements with representatives shall not be binding, All understandings and agreementa must ba set fort" in writing In this
Contract, AOOITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT, I ' " ' ' ,
IN WITNESS WHEREOF Purchaser(s) have hereunto signed their namels) this ~day of .:::J'" U-Vl ,p . " '19Gt L., and
acknowledges receipt of a true copy of this Contract, (PROV~S ARE ST,l\fED ON REVERSE)
UNLESS OTHERWISE SPECIFIED, IT IS UNOER READY FOR THIS WORK 10 BEGIN, THE PURCHASE PRICE QUOTED
ABOVE WILL BE HONOREO ONLY UNTIL
THIS MESSAGE APPLIES m DOOR.:rQ- OO~A~LES ONCY,Yo~' th~~;~h;~er('s)~~~ ca~~~lthi~ transaction
at any time prior to midnight of the third business day after the date of this transaction, See accompanying notice
of cancellation form for an ex lanation of this right.
~?-31
Authorized Slgnatura
For AMRE.
"AMRE is a seivlcemark of American Remodeling, Inc,
Date
Signature allixed below also acta as receipt that Pureheser(s) racelved
::~7o/ LJ.?, ~
"0"'0 y;;:ehh"!: ~ ~
ACCEPTED
BY
Co-OO rev. 7/88
~:.
CUSTOMER U("',\,.:Jej r. ~(L{'l (Y)<Pj ADDRESS 4~3 I /'1 fi-- ~t- DATEW d r-
I I I f Zeph~r:hlk, fIe\... sc(.) I f I
S~/E ~\ 18$1 GABLES - Horizontal - H X W ~ X l>o II RAKES - H X W~ ,40% S T F "GABLE - H + W
~JISIJI=I/flll ~} I Vertical. H X W ~ X 70 ,
lfLfLP~D1/D~~377Y
SIDING
Oz
I
B"'lld o..<t 'k,,<, ~l>
'[ve", v-f'
o
De~ott"'S Wthc/OJ,S
10 & I<cpkt<e"'cf
f pkoSe OoJeJ':
Dver fk~~
WIVl J 0 u,)
~
- BwIc1 Dv..t tJer.i To E..v...." ...p
~ 2-0
FRONT OF HOUSE
SIOING
H
V
FRONT- ~~'b_fr1______
20 ~ 8 I "3 Il:>l.:>
2D~'5"'~,b bo
LEFT SIDE- _~~_~f,_ ... _ ~~;? <) ____ _ _ _ _____
~q'{.q,-z.. 35"1
BACK- ____2.0)(.:Ii ~ ___ _ Lti'f_
Zc> 'X S '/- ,.k.........._ (;,0
RIGHT SIDE- 0> v.<-l-.'2.__.:l..S..____________
3c! ~ C\, 2. 351
SUBTOTAL , 32- 7-
OPENINGS (50
TOTAL 1172-
5% WASTE + 5'1
TOTAL SQ. FT = H 12.,31 V
TOTAL SQUARES H IJ.,S- v
=i
WALL HEIGHT
~ 1 STORY [1 2 STORY
ADDITIONAL COMMENTS
o OTHER____
INDICATE NORTH
IJ SOFFIT & FASCIA
o FASCIA ONLY
FRONT-
__~.Q-L Z:.S--___._
LEFT SIDE-
4)'
BACK-
'2 5:_ __
RIGHT SIDE- ....Bs==-____.______
SUBTOTAL
CORNERS + I Z-
TOTAL RUNNING FT =b..nz-
DIMENSIONS SOFFIT- I 2 "
FO
711
PORCH CEILING
41" - 50" ~ 4,2'
51" - 60" ~ 5'
61" - 70" ~ 5.8'
71" - 80" ~ 6.7'
81" - 90" = 75'
HORIZONTAL WALL HEIGHT TABLE
91" - 100" ~ 8,3' 141" - 150" ~ 12,5'
101" - 110" ~ 9,2' 151" - 160" ~ 13.3
Ill" - 120" ~ 10' 161" - 170" ~ 14,2'
121" - 130" = 10,8' 171" - 180" ~ 15'
131" - 140" ~ 11 7' 181". 190" 158'
191" - 200" ~ 16T
201" - 210" = 17.5'
211" - 220" ~ 18.3'
221" - 230" = 19.<~'
231" - 240" 20'
VERTICAL WA. LL~ H". .TABLE
12.2'
Y;<f/ ~'
-q",...,......-'"r-'""-_..,..,,~... ,,. ......-....-...'.,.........~.. ~~~..,._ ~"""-W-' .41"r~~"'~"""""'''''''''"'':'';-;~ ~ ""'" ....At" .l.. 1~.".P'll""~'- ~ ~...,.~:~,~\lUitr~~~~.._
. '
409
SIDING
TRIM
CUSTOMER NAME
SPECIFICATION SHEET
4' .(-'
c'.- ,'){,
-1 ""S
/ 1-.,/
i/l1o ' J
L e (2....
SALESMAN
SIDING, TYPE \') - \" COLOR \ :) L .[' # OF SQ. I J I (--
# OF OIS CORNER to _;9LO~OF CORNERS' vi ,I f' COLOR OF CH~."NEL ? I d f
TYPE OF INSULATION )['"'/ TYPE OF PRESENT SIDING "} ( U ((' v
, .
ROTTEN WOOD Yes _ No J.- VERTICAL SKIRTING Yes _ No L
GABLE VENTS:J Yes X- No _ FOUNDATION VENTS Yes ___ No'L
TYPE OF SOFFIT: VINYL
FASCIA COLOR I. ,~)I
WIDTH OF OVERHANG
ROTTEN WOOD
COVER FRIEZE BOARD
USE VENTED SOFFIT
F-:A.~CIA ONLY: FOOTAGE
---.......,~
! J
#OFDOORS 'z. COLOROFTRIM l.1..-/.,J (
Yes _ No ~ REMOVE WINDOW FACINGS Yes _ No.k-
Yes L No _ WRAP DOOR FACINGS Yes.,k- No_
Yes~ No _ WRAP GARAGE DOOR FACINGS Yes _ NOA
YesLNo_ OTHER
-" /.i iJ " , .) , i i ~
WINDOWTYPE '; I f ' I r GLASS Of, :\.i COLOF! '>.,.J
]' J-, I Vi I (
-
WINDOWS HOW MANY l~
& DOOR TYPE(S) {\.;' iJ GLASS .'-
DOORS i. '
. I
COLOR j\ In HOW MANY ;- I l"
, .
./
CEILINGS
#OFWINDOWS I ()
JUMP FACINGS
WRAPWINDOW FACINGS
WRAP SILLS
WRAP MULLS
I,i i
, I
/' ALUMINUM SOFFIT COLOR Lt. i i I -I "-
# OF FT. OF SOFFIT & FASCIA J 7 j
WIDTH OF FASCIA BOARD -} /
\,
Yes _ No.L- R & R OLD GUTTER
Yes _ No L WIDTH OF FRIEZE
YesLNo_ PATTERN f I,WI I uU-f1 j){i VI,,,/
SOFFIT
&
FASCIA
FASCIA
ONLY
I ).
Yes _ No...L-
! i i-'}
WIDTH
COLOR _____
.---
COVER POR~~YeS No COLOR _---------;~ZE
WHERE '---------- - --------c~VER BEAMS/POSTS Yes No
~- - -
COL~""""___ SIZE
------
SHUTTERS SHUTTERS: # OF PRS,
/---
.--'"
GUTTERS GUTTEFls<-#6F FT,
-~
~-"--""
DO NOT DO!
I
Ii, } ,
-- I '_ \: J i Jd i ,... S
--
-~--
.."..-
# OF DOWNSPOUTS
--,
(~
--.....
i
( I {/ 'I (j f (, JC
, 1'''/
/\/J t~ ~)
,)O{ ( f\
,-J 0 ,l)t? >/ e f:tppt,J ,
(' . .1 LJth-{ U t..); 1') /r'" )
I., ;
-~.".