HomeMy WebLinkAbout93-2951
BUILDING PERMIT
Permit
2951A
I - ell --93
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
Date
G~
EL~AL
PL~
ME~L
Sewer Conn
Water Conn:
Pmpe"y Owne, t1(l"p:;?~
Job Address: b ::L/ .
~t~
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning, ~ Code'
Description of wo~r. - d)At/A
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL ~ ..'\-
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,mit Fee t::i::e~~
Slgnatur~_. __'
Company
Address
Telephone#
Valuation or
Contract Price ~ o-/J(). tr7J
i'o ")
City License Registration # ~ L~
State Certified License#
~~'/~~.J?,/1A~~:O ~.
~UILDI~~ ELEC~L____
PLUM~
----
MEC~L
---
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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 ($15.001 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.
APPLICATION reR PERNJ:T
CITY OF ZEPllYK.liIU.S
BUTIJlIBG DEPA::,~'ll'fErRT
OWNER'S MAKE Mae Peters
PDOME(813) 788-2238
OWNER'S ADDRESS 6221 Pearl Street
JOB ADDRESS Same as above
LEGAL DESCRIPTION: LOI'(S)
BLOC::X
SlDBDIVISION Oaks ide Park
PARCEL I. D. f
WRK PROPOSED:_5ev Construction ~tion _Alteration _Repair _Install
_Sign
_ftove
____ne.olish --x-- Mobile Home Roofover
PROPOSED USE: X Single Faaily
_KIF
_' of Units
-2L..K/H
_~rcia1
_Indust.
_S~. Pool
Other
_Rest:aurant 5: Hea11:h Depart:aent Approva1
BUILDIHG SIZE:
45 X 12
Square Feet.
Height
_ RESIDENTIAL:
cottKKRCIAL :
A1TACD (2) PI.OI' PLMiS 5: (2) SEI'S OF BUILDUiG PLUS 5: (1) SEt' RliERGY FORKS...
AtTACH (3) SEI'S OF B1JllJ)I5G PLUlS 5: (1) SEt' DHRGY FORKS. **
**copy OF CONTRACT BIlQUIRED.
PERllITS Rm,.UESTED
_BUILDIHG
$
2,000.00
Va1uation of Tot:a1 Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Va1uation of Kecbanical Installation
_PLlDtBIHG
GAS
ROOFlliG
SPECIALTY
TYPE OF COHSTRUCTION: _Block _~ _Steel Roof Over
Other
FDiISBED FLOOR ELEVATIONS:
FI' .
IS PROJECT lli FLOOD ZONE AREA?
YES HO
**********************~~******************
9lft!IlTRACIOR SEC'ITON
D>>W~t Standard Home Service Corp.
St:ate c;rL or Regist:. #3CC045072
City License RegistraHon' 5'-~ :L
******************************************
BUILDER
Signature
Sismature
D>>WAIIY
St:ate Cert. or Regist. ,
City License Registration I
******************************************
ELECTRICIAH
D>>WMiY
St:ate Cert. or Regist:. ,
City License Registration I
******************************************
PLUKBER
Signature
COIIPlt!Sfl'
St:ate Cert. or Regist. I
City License Registration I
******************************************
MECHANICAL
Signature
COliPAiW
State Cert. or Regist:. ,
City License Registration ,
******************************************
OTHER
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject tn "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 ~~ coqtractors to undertake work, they lay be requir~d to be licensed in accordance with
state and local regulations. If the contractor is Jiot'licensed as required by law, both the owner and contractor aay be
cited for a lisdeaeanor violation under state IaN. If the owner or intended contractor 'are uncertain as to what licehsing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the'contractorls} sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the ONner 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 FEE~
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 - HOleoNner'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
"owner" 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 aade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlaenced 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 govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, W~tland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
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 ~ 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" Dr "A,etc,", it is understood that a drainage plan
addressing a "colpensating volule" 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 Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perl it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
susp~nded or abandoned for a period of six aonths after the tile the work is cOltenced. One 90 day e~tension 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 will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
~~~
NATURE: 'CONTRACTO
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF P/ nt> 1/ a ~
The foregoing instrument
befclre me th is 2 0'6 ;.,
J""t'lv.... 'I
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befol-e me this
\f'laS ackno\f'lledged
, 19...!1...L- by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally kno to me or who has
produced -1'>~AA~~ ,.,.....-.~ AAI\.(
as identification and who did/did not
take an oath.
c=Y' --.-/.-/ ?/)/ -<Y-'(~~
(Signature) .
70~'; J./6 vI fi ~ /<
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.****.
...~ ~~'. OFFICIAL SEAL
I _ \ TODD JOHN HAVLOCK
. i My Commission Expires
· I July 27, lit'
\~0Ii,~" Comm, No. CC 218010
".nt..
SIRNDRRD HOME SERU I CE CORPORRTI ON · MRNUFRCTURER OF MOB IlE HOME ROOF -OUERS
t 954 l.ke Avenue SE largo Florida 34641
l~st twin. Flrst I 14 It 'I ~~ 1-t' ~5 .
Addnss I '. ~ J.--;A I fl~1J- iR-). &J.
City I ;;?-e y;OARh )/:1
P.vk N..-ne/Prlv.t. Loti -&#;(-:;7./# /1J~t::..
,
Home Phone I (~i3 ) 7~ ~ - .7-d--3 'ZJ" ~ \rifo,.k Phone I ( )
Contract Oat.. I / //9 /0/3 t Circle Type I Real Rental It<ey No.1
owns hip Rall9i Subdiv. Block ot No. Plat Bk Pige
Call Toll Fr.. 1 +800-624-0150
I Job No.1
I Lot No.
I
~ Fl Zip 1~15~
. i Count~ I p~CD.
I
I
I
L.~l Description
I Parcel Numbe,.
Specifications And Estl mate
1) Furnish & Install Al uma-Steel Roof-Over with 2 inch thick CelloFoam i nsuletion on Mobile Home
Coach Approxi mete .size: Len~h ~. ft. X W. idth I /..z- i 11
2) Over hang AGaf-Over O~. Carport side ~ inches.
3) Over hang Roof-Over on Mobile Home Rai n Gutter side I (p. I i nehes.
4) Over hang Roof-Over on Mobile Home sides I . 0' I inches. if no existing Rain Gutters.
5) Over hang Roof-Over on Mobile Home front and rear I rp I inches. if no obstructi ng fascia.
6) Replace ex1sting exhaust fan extertor roof vents and se\ller 08S roof vents 'With new 81 uminum s~un vents.
7) furnish and Install 5 inch Fascia around Mobil Roof.. ver - Color: I W#~ r t
8) Circle t~pe of heatillQ s~stem: ~~
9) Special; natructiona or othor "ork, ~
~
STANDARD HOME SERVICE CORPORATION HEREBV AGREES TO FURNISH MATERIAL AND L~O~COMPLETE IN
AC~DAKCE (;:?V\rifITH THE ABOVE FOR THE SUM OF: '\ r ,~
t:;L &t9C:r Plus SiltS TiX S-- _b"i1f ,-ntil ~~d - {j(5)C T9tal Price
P'-'VMeNT TO BE M'-'DE '-'S FOLLOWS: ~#T' t)/Y' ZJ
AUTHORIZED SIGNATURE:
NOTICE TO OWNER. DO NOT SIGN THIS HOME I MPROYErlENT CONTRACT I N BLANK. YOU ARE
ENTITLED TO " COPY OF THE CONTRACT "T THE TIME YOU SIGN. KEEP IT TO PROTECT YOUR
LEG"L RIGHTS. THERE ARE ADDITIONAL TERMS ON THE REVERSE SIDE OF THIS CONTRACT.
CUSTOMER ACCEPTANCE. THE A80VE PRICES AND CONDITIONS ARE SATISFACTORV AND ARE HEREBY ACCEPTED.
STANDARD HOME SERVICE CORPORATION IS AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS
OUTL INED ABOVE: /:. r<~
SIGNATtlRE: SIGNATURE: ";h/tU 1/0j DATE :/- /7'--~
.~ (
STATE CERTIFIED SPECIRTY STRUCTURES CONTRACTOR - SCC 045072 COPYRIGHT 1992
STANDORD HOME SERUICE CORPORATION III MA'NUFRCTURER OF M081LE HOME ROOF-OUERS
Call Toll Fr@e 1 +800-624-0150
j Job No.1
l Lot No. I
I FL Z;p I '51i5L/ZJ
,I Countw I mco.
1954 Lake Av@nue SE Largo Florida 3464'
Liist N.m. First I 1-1 /) -I ~~ t~ ~ .5 .
Addnss I " t, ~ / ,?~IJ-,eA. :9f.
City I ;;;?-e '/?/;Rh )/~
P.,.k N~./Prlv.t. Lot I '&#;(--5./# n~t:..
.
Home Phone I (:?'b ) 7~ e - ,7.(f..3'2Y' I \alork Phone I ( )
Contract Date I I //9 /0/3 I Circle Type I Rul Rent.1 t Key No.1
ownshlp Ra~i Subdiv. Block Lot No. Plat Bk Pi9@
Llt~ 1 Dlit5Crlption
I Parcel Number
I
I
I
Specifications And Estt mate
1) Furnish & Install Aluma-Steel Roof-Over \oIHh 2 inch thick CelloFoam insulation on Mobile Home
Coach Approxi mote ..ize,: Le"!lh CTI:l!!- X Width " / ~ I ft.
2) Over hang Roof-Over O~. Carport side ~ inches.
3) Over hang Roof-Over on Mobtle Home Rai n Gutter side I f.p, ~ i nehes.
4) Over hang Roof-Over on Mobile Home sides I '0' ~ inches, if no existing Rain Gutters.
5) Over hang Roof-Over on Mobile Home front and rear I rp ~ inches, if no obstructlng faSCla.
6) Replace ex1sting exhaust fan extertor roof vents and sewer QIS roof vents 'With new aluminum s~un vents.
7) Furnish end Install 51 nch Fascia around Mob;] Roof.. ver - Color: I Wl/~,- I
8) Ci rele type af heati no system:
9) Special 1 nstructiona or other work:
~y
~~~
EI~ctric
STANDARD HOME SERVICE CORPORATION HEREBY AGREES TO FURNISH MATERIAL AND L~O~COMPlETE IN
'*-C~DAKCE OU'WITH THE ABOVE FOR THE SUM OF: "'(f ,~
~ &&c:r-- Plus SiliS Tax $"" _/"~::P! ';"ntil ~.,d - 6'JC, T9tal Price
PAYMeNT TO BE MADE AS FOLLOWS: r#T' V/Y'/. Z;
AUTHORIZED SIGNATURE:
NOTICE TO OWNER. DO NOT SIGN THIS HOME I MPROYEMENT CONTRACT I N BLANK. YOU ARE
ENTITLED TO A COPY OF THE CONTRACT AT THE TIME YOU SIGN. KEEP IT TO PROTECT YOUR
LEGAL RIGHTS. THERE ARE ADDITIONAL TERMS ON THE REVERSE SIDE OF THIS CONTRACT.
CUSTOMER ACCEPTANCE, THE ABOVE PRICES AND CONDITIONS ARE SATISF'ACTORY AND ARE HEREBY ACCEPTED.
STANDARD HOME SERVICE CORPORATION IS AUTHORIZED TO DO THE WORK AS SPECIFIED, PAYMENT 'WILL BE MADE AS
OUTLINED ABOVE: ;-:' ~~~ .
SIGNATtlRE: SIGNATURE: ';?-;7/~ /;r :z::ij DATE :/- /7"-7::3
.~ (
STRTE CERTIFIED SPECIRTY STRUCTURES CONTRACTOR - SCC 045012 COPYRIGHT 1992
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