The URL can be used to link to this page

Home My WebLink About92-2536 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<? 253615, I Date 7-dO-?J- c9 ELremlCAL PLU~ Pmperty Owne' {~~. f:zf- Job Address:~_ _ _ /-~___,h~ Parcell.D. # Zoning: Energy Code: Description of Work '-;;?,/2 /l~ ME~_ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 3-- Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector ~I Permit Fee . . / Signature ;/7 Company , Address Telephone# Valuation or Contract Price ~? >>-0, t7V City License Registration # 7 /;, State Certified License# ~~~a ~ n BUILDI~G ~ : G E~ PLU~~ M~C~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, 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 to the person owning same, APPLICATIOllil FOR PHRHIT CI'IY OF ZJ!PIIYKIIILLS Bm:I.DDlG DEPARnIElIilT OWNER'S MAIfE LO V,j' Ev e. / "- I- ~- 2 (l} // L- ( )1- OWNER'S ADDRESS '/ p , ,/ "-J /'",..... r, If f/~ F , JOB ADDRESS ' ) L~:' r / !L L ( J r- LEGAL DESCRIPTION: tDr(S) BLOCK mon jYt) - ') g~)G' SUBDIVISION PARCEL I. D. t WORK PROPOSED:_l8Iev Construction ~tion _Alteration LRepair _Install _Sign _Move _DeIIolish r-----'-----,. PROm;/ID USE' ~ingle FaJLily) _!t/F -_/ _~rcial _Indust. _, of Ufnits _K/H _Stria. Pool Ot:her BUILDING SIZE: _Restaurant &- Hea1t:h ~t Approval /fOb r-\ , ) xJo, Square Feet. /016:; Height _ RESIDEIfTIAL: cottKKRCIAL : AT'fACII (2) PLOI' PlARS &- (2) SEIS OF BUILDING PLAJlS &- (1) SEI' ENERGY FORKS. ** ATTACH (3) SEI'S OF BUILDIBG PLAIIS &- (1) SEI' mmRGY' FORKS. *..... **COPY OF COIn"RACT RIlQmIUlD. PERlIIITS REQUESTED ~UILDING $ Z.)i()()7J Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECIIAlUCAL s Valuation of Mechanical Inst:allation _PLUKBIIfG GAS ROOFING SPECIALTY TYPE OF COIfSTRUCTION: _Block _Fraae _Steel Ot:her FIlIilISHED FLOOR ELEVATIONS: FT. IS PROJECT ]]I FLOOD ZONE AREA? YES NO ***~*********************.*******~**~***** RIDTJ)F.R <DI'I'RACI'OR SECTI?N . .'J 4 ,--- \ 1, .' . . ,...--"/1' .- '/'> - - _ ,,' -' .. c2/-.. W WIIF...... -' D t /; Jl, G , _oj /_~ St:ate Cert. or Regist. I < (: City License Registration , y **********************z******************* ) l~ L-; ootJ Y,j~' Signature SiPnature CO!tPMIY St:ate Cert. or Regist. j: City License Registration I ****************************************** ELECTRICIAN CO!tPANY State Cert:. or Regist. j: City License Registration I ****************************************** PLDKBER Signature CO!tPMiY State Cert. or Regist. I City License Registration I *********************************~******** KEClL\lfICAL Signature CO!tPMiY State Cert. or Regist. ,______ City License Registration , *******.*****~**************************** OTHER S ignat:ure APPLICATION API'ROVIrD BY )1 '" Aj A' (j s/j, (/lAVJ::. PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.itlay 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 RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake "ork, they lay be required to be licensed in accordance with state and local regulations. If the bSiiUactor is not.;Jicenseci as required byIaw, both the owner and contractor laY be cited for a lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat 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 contractor!s) sign portions of the 'Contractor Sections" of this application for which they will be responsible. If you,' as the ollner 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 .ay 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 pro.ise in good faith to deliver it to the "owner" prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this appl:~ation 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 cO'lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS 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 .ay 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 Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fiil .aterial is to oe u:ii:O ill ;:iouu 'i;'I.; ';;" or "A,fte.., it is understtiod that a drainage plan addressing a "colpensating volu.e" will be sub.itted 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six ,.onths after the ti.e the work is cOllenced. One 90 day extension of ti.e, 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 will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT 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 COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". U-dY /-<:::::~/-- /~ ./ ~_/:.' /. SIGNATURE. OW~/OR AGENT SI"AT~ FOl.."" t!6-OJ~ -7rJ-- tc</-.:J:<s-o ~~ t/S2'2.. -7J'4'- ~ tj-2....z-1-0 STATE OF FLORIDA ~ COUNTY OF .b ~....IJ The foregoing instrument was acknowledged before me this 3o~ 3~' 19..!l!:::::. by :\r67L Jd ~U~ 'i L)A IJ.")('/H/JC. who is perscnally known to me or who has produ~ed ,c/} L -#' V S-U - 71ft--"c{- .i1;}..s-{) as identification and who did/did not t~~~6tD.-c-a:; A~- (s~nat n2.l oa~ RIA' A. ~ € LV (~ _ (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA ,/j COUNTY OF if ~.B The foregoing instr~ment was acknowledged befol-e me this~4 30 , 19~ by S C-6 7' r JJ €. II) ~ ':i ( )fT f-J S co!:lK. who is personally known to me Dr who has produced FDL-Il z.}S2.7.- 7tf'II-bC/-.::J..:2.S-0 as identification and whD did/did nvt take a~'atp." ~A I .L;. t2 ~' ,~ ~--; (Si9Jlfl ,ure) lf61~~ fl.T~ J3. LE {-l.Li}__-,-__. (Name Typed, Printed or Stamped) NOTARY PUBLIC No~~~Y ~~~L1C, S~~TE a~ ~Lb~,BA My commission expires Jan, 28,1995 agnded thru Patterson - Becht Agenoy " NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 28,1995 Bonded thru Patterson. Becht Agency 'VVI" J t"V\'V J 'VVI'"' T ~?:~~~;~,< .,:,,~ JI, :-;::;.'~~ii_' './, ')r" "',.,' ,. ::- -~" ~ ~; SEARS; RO'EBUCK . AN6-c6~ NO. /~----~'r" "' SALESCHECK NUMBER 1\'" . , ~'." . . "1., '" .,<:'. ~ .. ..'. .f '..~7~ STORE NO, ZIP COOE .. ...,....', OIV. DATE O~ ESTIMATE .' STORE ADDRUS It> 6. rl.Ji . :,'" ,.::::', CUSTOMER'S NAME -;.; ':~ CITY ~C STATE PHONE '; . " ., , NEAREST CROSS STREET €Ve;-~t/ ~ n-,R. J::.. c:. A- ;s / INSTALLATION ADDRESS I~ DI~FERENT JpIIH~tN . j~?ONE . ~.:3~ ~#"? O~~ICE PHONE ADDRESS L&T4ID-:5 .:S ;;;... ~9 CITY ;z.e: STATE ZIP CODE ,4-&Je SKETCH Show roof measurements including rise. Shade out any part of roof( s) not to be covered . Show location of gutters. downspouts, overhang and trim. Show location of any roof leaks. Sears agrees to arrang.;j!1stallation of: c:: ;r-.. ~ . Type Roofing ~.:iJ ~ iT - "'- ~ hSs. Color: ~ - U>1ll b~..*A-# tvtr,q;d~~ tc.Jb-t7.Ib Blends show less variation in shade due to light reflection than solid colors, Black normally has some shade variation. / To be installed on a / story house. Rise~" IN 12", ~#>#~ ~~:: ~~ Type Roof: 0 Shingles 0 Plain, or o Cut~up o low Slope (2" Rise up to 4") o Built-up (Must be under 2") o Gable, or o Hip, or Rise o Mansard, or o Gambrel "IN 12" "IN 12" .lWJ.... . ..... . ..... . ..... . ..... . . . '. '.1 . . . Rise o Valley type LN. FT, h .J. ",l.'!' ok-v ." "L'--'- 00 VENTILATION per Sketch' T ,... uate ventilation consists of 1 Sq, Ft. Free Open Area for every 150 Sq. Ft. of attic floor space (50% located at ridge, and 50% at eaves). EXISTING ROOFING consists of / layers of .;;s~ dqLe- '--::1..l' ..,:) -, r . ....J. . _.1\ . .C;~. . , Contractor will o AJIIIIy over existing shingles, CAUTION: New, shingles will conform to unevenness of existing deck and / or shingles. or CUSTOMER INITIALS o Cut off and haul away tabs of existing asphalt shingles to provide a smoother more or even deck, apply shingl~ ."/.1 L ' %ar off existing ~ot ~ ~L . roofing to the deck, cover with No. 15 felt, apply shingles. ROOF lEAKS - 0 Existing leaks are indicated on sketch. ROffiN OR DETERIORATED WOOO - No charge has been made for replacing rotten or deteriorated wood, unless specifically stated under special instructions, If such conditions are found during installation, an additional charge will be made in writing using a separate form. o GUTTERING .' . ~ \ .\ . . I . i . ' I . I . , : I .. T .1. .. '\" . . ...... : I I '1 . . . : \ : : : I . : I . i (C:DLOR AND DESCRIPTION) Special Instr-uctions ~~IlIl"';-"t\I11IHI~ will be installed as shown on diagram. 4aJ~khJ. #~~ e- (COLOR AND DESCRIPTION) will be installed as shown on diagram. (Where applicable subject to contractor inspection) ( SH I ) ?-7.j~ CO Customer can at this price until: I understand that this is onlv an estimated date and I will be con- tacted prior to this date to schedule the actual installation date. For information regarding your installation call: INSTAllATION ESTIMATED TO BEGIN WE'EK OF o SC o SC/HIP o DISCOVER CARD o SC PLUS o POC SUBMITTED BY APPROVED BY (MGR.l (SALESPERSON I (ADDITIONAL PROVISIONS OF THIS PROPOSAL ARE STATED ON REVERSE SIDE.) ~-<;- ;'.' (SPOUSE'S SIGNATURE) (DATE OF THIS TRANSACTION) If sale is made in location other than Sears premises. YOU. THE BUYER. MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THE TRANSACTION. ~:~-o~~~v.~~~~:"~:~,, ~..~~!.:~ OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. _~_