HomeMy WebLinkAbout92-2491
BUILDING PERMIT
~
.~
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<! 2491~
7-;4-92.-
Date
E~-
~~.-
M~L.
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Water Meter:
T.I.F.'s:
FINAL_
.~)h'
C.O. --J
ATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or ~ ...c- -::? 0 ~ di)
Contract Pric .. ~ J 011 . ~ ,-
City License Registration # :E SO If<-s
State Certified License# t!!..l<(!oSCtl/3y
".
ELECT
t.--
PL
-~.,.
MEC
AL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway7-)D .12 ~R
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
APPLIC~.~OR FOP PEP.KIT
CITY OF ZEPHYImILLS
BUII.DIIiG DEPARJ1!IE'.N1'
OWNER'S HAItE ~~~O, Spee~
OWNER'S ADDRESS '3'7 '7 'J .;z Iv) ~..I1l::> ~ ~D
moNE
7f55~ 't~~1
JOB ADDRRSS
'-SC)7 '7 .~
11'1 C5ADbW lA)~~)\)
J-OOD
(
.)...Ocrp
LEGAL DESCRIPTION: UJI'(S)
BJ..OGK
SUBDIVISION
PARCEL LD.I /3 - :;;; (;, - c2 / -,I 4 - 0 ,- Lf
~RK PROPOSED:_l!iev Construction _Addition _Alteration _Repair _Install
_Sign
_l!Iove
_Deaolish
PROPOSED USE:
Sing1e Faaily
_K/F
_, of Units.
_K/H
_~rcial
_Indust.
_S.n.. Pool
Other
_Restaurant 5: Hea1t:h Departaent Approval
BUILDING SIZE:
x
~e Feet,
Height
, RESIDENTIAL:
cottHKRCIAL :
AtTACH (2) PLOI' PLARS 5: (2) SEI'S OF BUIIJ)ING PLUS 5: (1) SET ENERGY FORKS. **
ATI'ACII (3) SEI'S OF BUII.DDIG PLARS 5: (1) SET ENERGY FORKS...
..COPT OF CONI'KACT IUlQUIRED.
PElmITS REQUESTED
_BUILDIRG
$
"'5""5 ~,'3
Valuation of Tot:a1 Construction
_ELECTRICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
~CAL
$
Valuation of Kechanical Installation
_PLUKBIWG GAS :ROOFING
SPECIALTY
TYPE OF CORSTRUCTION: _Block _Pralle _Steel
Other
FTInSHED FLOOR ELEVATIOl!iS:
FI' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..................**............*..*......
COIlI'RACIOR SECl'ION
BUILDER CO!IPANY
St:ate Cert. or Regist. ,
Signature City "':..icense Registration ,
......*....****..***..*.*............****.
ELECTRICIAR CO!IPMY
State Cert. or Regist. ,
Si~t:ure City License Registration I
........**....**..**......*...*......*....
PL1JKBER CO!IPMY
State Cert. or Regist. ,
Signature City License Registration ,
.........................**....*..*.*..*.*
KECllANICAL CO!IPANY
State Cert. or Regist. ,
Signature City License Registration ,
...........**.**..........*...........*.**
OTHER CO!IPARY
State Cert. or Regist. ,
Signature City License Registration ,
.......*......~.......***..........*......
APPLICATION APPROVED BY PERKIT 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 assules responsibility for cOlpliance with any applicable deed restrictions. '
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~
[f the owner has hired a contractor or co~tractors to undertake work, they aay be required to be licensed in accordance with
state and local regulations. [f the coni?actor is not -licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor 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, (8131
788-6611.
Further.ore, if the owner has hired a contractor or contrac ors, he is advised to have the contractor(sJ sign portions of the
'Contractor Sections' of this application for which they wi be responsible. [f you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, a e responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not pr perly 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 Departlent 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
'oNner' 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 per.it 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 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 co.pliance. Such agencies include but are not lilited 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 Departlent of Health L 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 subaitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit issued shall be construed to be a license to proceed with the Mork 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole invalid
unless the Mork authorized by such pertit is cOleenced Mithin six lonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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, or the project "ill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS 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 RECGRD AND POST A "NOTICE OF COMMENCEMENT".
A ~ut. ~O.A--
SIGNATURE: OWNER OR AGENT
./
,~ q~;;
SIGNATURE: CON~OR
(Name Typed, Printe
NOTARY PUBLIC
-
la.s aC~~lledged
, 19 (I bv
. .
STATE OF FLOR~
COUNTY OF ~Cb (' 0
The foregoing instrume t waS~Wledged
before me this 0\ , 1 by
- -~~~.~~ --.-.
who is Ee~allY known to me or who has
produced~'Je{~ \ -4 \. c. Q 'f\~-<2-
as identlfication and who did/did not
take a~o~~~ ~~ ~
(8:'.g atw-e')
~nV\~ WlV\~(eV
(Name Typed, Printed or Stamped)
NOTAR'{ PUBLF-I'~'AtIY PUBLIC. STATE OF FLORIDA.
!:::tfh COMMISSION EXPIRES: MAR. 20, 1994.
.O,NOED THRU NOTARY PUBLIC UNDERWRITERS.
HOTARY PUBLIC, ST.\TE OF FLORIo'\'
ftiv l;OMMISSION il<PIRES: OCT. 2. 19Ua
.Oflg.g THltl,l HOTAln PUIIUC 'INO.._.....MJ;
..
....ter
IIlEl NEIIIW 1M.
1~918 CARLESIMO AVENUE
SPRING HILL, FL 34610
."'-*....
JLWle:,~, 1992
Dick
{iuto
Thompson
U\.lneps
.. .......... ....--
-_._..... ...- "-
. .. .... .. ... .". ..
.- -.. -.. --'
Bl~(jC;: "i'.' i lIe, FL
34601
Telephone:
(813) 856-9448
Re: Carol H. Speer
:;9T72 l''1f2ac:h.:il;1 t,jDod Loop
Zepher'h i 11 s,; ;::L
Claim# 4213-21-92
'796 1 ~0C(
Tns:; -f~}llcJl..;ing __ "'''n- estimai:;e to repair' da(T1ag€'~ CiH.l.SE'cl by
S i :'i~d-'.:c: l~:-.
0'
SOUTH ELEVATION 52 X 8
neiIlUV;:!~ and pe~:;et 3 sets Sr-'ILltt€.'H'S
Wi I',:'" 1 a 1:11 a s net~ded
CCJJ.C!i' stucco \.,all
(was originally stuccp brief)
Reillov!::! and r'eplace si,de .w.a--l"l::
EAST ELEVATION 26 X ~
Wir'~ lath as needed
Cola stucco wall
WEST ELEVATION 26 X 9
Wire lath as needed
Cola' stucco wall
RelftU t.:.' a rid l-ep 1 ace s i del.,a 1 k
NClFl."T i i E:l.E~iAT I ON 6~ X 8
\'.J i i;::. J d. th as needed
ColG stucco wall
H.epi::. , j' 'f loor in pOI-c:h
INTI~ '\ 1 OF!.
L LV Ili3 HDot1 18 X 12
Repi::' j' LPaCf::S in ceiling
Seal and paint ceiling
DIt.l.t Wi HOm1 13 X 9 + 10 X 3
Hep.(I.i' cl'ack in ceiling
Beai3rld pai.nt, ceiling
HP,Li.. 1.0 X :~
Sea.: and ~Jairlt ceiling
l::!(iR(:;C3E: :21. X 13
Repair tape joints
Seal and paint ceiling
i ~~;O. 00
~j 0 .00
4.16 s.f.
1 40 5.f.
E:~~-:;2 . 60
.<14.8.00
::~3'1. '::j" f II
'::,0.00
':j.6B . 00
'Ii
"
2:34 ~:;.f.
10::\ -:-:;.. f .
;:,0.00
'16B . 00
::~.~::;6 . 00
:5 1 2:h1" ..
,:::,:) . 00
1 O~?4 .00
/'::,.00
4:', .00
216 ~:;, f."
....r:: l_. "",
.I ,_, 0: '..Jl_i
147 '~'., i'..
'l~j . 00
:~) 1. . 45
:~:o s. f .
:1.0.::,0
273 ',;;. T .
6~! . 00
t,5;a;S::5
..rar
.II"N'''., /114
16918 CARLESIMO AVENUE
SPRING HILL, FL 34610
i-Ii 'c'oiC ,
Pressure clean exterior
. Telephone:
(813) 856-9448
"
Permits 50.00
~.. I. :.\0.00
Overhead and Profit
Thank YOLl,
~?,~
ti ~.
SUBTOTAL
~1''.1... :169.70
i3Cl'~~ II 9.i.l
TOT(:iL
:i<., , :,; L :': . c:..+
, ,