HomeMy WebLinkAbout92-2708
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2708 (j :
Date
/0- d- tl . '7::2...
PL~
Pmperty owne'_1; 1~~,t!J1~ ~~J'-L'
Job Address; --5:- _'
Parcell.D. # / / - 02 b --;;;./ - OL'J / 0 ~ /.5:500 - 0 cy .7-5)-
ELE~
~L
Sewer Conn
Water Conn:
Water Meter:
T_I.F.'s:
Zoning: Energy Code;
Description of Work--;? PA1.A~-~4
Radon Gas:
FINAL c1 -;;2)1- z.s
NO OCCUPANCY BEFORE C.O.
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;' FeEt. Jdri et ~
~;gna'u'e CJJi- : M/rJr - .
Company _
Address
Telephone#
Valuation or
Contract Price
9 ~? L"7ZJ .. dCJ
/
PL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT .~ 'f l~'\ t\~v~ eo ~~,t.Ru,(-..:\ i,c, ~ ':S=,,~~,
ADDRESS 3"1 ~J. S "'S ;\<' ~.::':I~ Y\\ e-;:, t - 2- "': \ \ ~
(j 1'3 f3 S ~ J1 c Jl LV AN A tJ I-f
JOB LOCATION SJ 13 t'o/A J/
PHONE
'Bl s-. 782.- 0<5 2~S--
OWNER
2-!/; uS '-7i- LOT SIZE_X
,
AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. 4F
/ (_ ,),L, - CJ-I - (){) / D - ;,:) 300 - or:) r;s-
~epair
_Install
WORK PROPOSED:_New Construction _Addition _Alteration
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_iF 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.
PERMITS REOUESTED
_BUILDING
$
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
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
y f1 t. CONTRACTOR SECT~ON
BUILDER "'j t(l..AI\..) \. 0 NS\. ~ (\J C ' Company - --y r---"\.A. N C (--.>, f': s,l . _I.. N_ <::...
~ ~ State Cert. or Regist. IF C g.(, -0 -S~ ~~~
Signat'l1~UY"\ "~LA.-A'" City License Registration #
( *****************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
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
-, '''::.?! ~ * * * * ** **,* ~~ '*.* * * * *~ * * * *** * * * * * * * * *
BY . . /71/ A~:1 .x.!J.v 1A) .'1/ ..
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay 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 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 Depart.ent, (813)
788-6611.
Further.ore, 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 .ay be an indication that he is not properly licensed and is not entitled to permitting 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 - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docutent and promise in good faith to deliver it to the
"owner" prior to COltenCelent.
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 develop_ent.
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 performed 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 governtental 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:
I Departl~t of Envir~nlenltl ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
f US Environ_ental Protection AQencv - 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 "co.pensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A per_it 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 periit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
unless the work authorized by such perlit is co._enced within six tonths of issuance, or if work authol lzed by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is co.menced. One 90 day extensioll of tile, lay be
allowed for the permit 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 tonth periDd, or the project will be considered abalidoned.
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_ ~O~ND POST A "NOTICE OF COMMENCEM~:'''~
SIGNAT~-OR-A~------------ SIGNA~~~T~~
DATE___~~_\1:~
MY COMMISSION EXPIRE
MY COMMISSION
KARl FINNEGAN
State of Florida
Co Exp.Auo. 18, 1995
CC 137140
NOTARY AS TO
OWNER DR AGENT___
NOTARY AS TO
CONTRACTOR
Proposal Contract
~
INVOICE
Rynron Construction Incorporated
37325 S.R. 54 W.
. Zephyrhills, Florida 33541
(813) 782-0825. CBC # 035134 FAX (813) 788-6773
TO: GIBBS & McALVANAGH / Century 21 (BIIL NYE) - Gloria Brown
37818 STATE ROAD 54 WEST
ZEPHYRHILIS, FL 33541
(813) 782-2002
DATE: 10-7-92
'-.";':'7-
RE: Law Offices
I hereby submit specifications and estimates for: repair of damage as follows:
1.) Excavate under North corner of building and in approximately 12' on Northeast
corner. Pour 3000 p.s.L concrete under existing' foundation to support "building.
Building to be raised on this corner as much as possible to eliminate any furthC'l~
settling. Tie beam also formed and poured on top of North wall. Includes 5/8"
steel rebar dowelled into existing building. All poured beams to include 3000
p.s.i. concrete.
TOTAL BID: $ 3600.00
2.) Remove and replace existing built-up roof. Replace with new 15 lb. 2-ply base
sheeting followed by 3-ply built-up fiberglass and hot tar rOOfing. Roofing
to ~ coat~d with fibered emulsion roof coating. followedfiwith Ka~.~~oof
coatlng. Flve year leak warranty. :..1 """-:;).E;CO ~ ~.'
TOTAL BID: . $ -6-700 _ 00 ' -L- .
3.) Replace and repair entire West interior wall as needed with new paneling, trim,
insulation, and base.
TOTAL BID: $ 2900.00
I Propose hereby to furnish material and labor - complete in accordance wi
SEE-ABOVE Jv\...L ~
Payment to be made as follows
~.
" 't-?l.?-j
--:::::::.-
All material is guaranteed to be as specified. All work to be completed
in a workmanlike manner according to standard practices. Any altera-
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.
- \ OUi:'/))
Acceptance of Proposal - The above prices. specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as specified. Pay-
ment will be made as outlined above.
Signature
~
Date of acceptance
Signature