HomeMy WebLinkAbout93-3137
BUILDING PERMIT
Zoning:
CITY OF ZEPHYRHILLS
(813) 788-6611 ,..,
)0 /" )J2
~~~~HAN~
Permit
N~
_3137~
11- ;2-93
/'
J-D
~
Date
Sewer Conn
,Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
Signatur.
Company
Address
Telephone#
FINAL
DATE
NO OCCU
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Valuation or
Contract Price
c
Breakers
Ducts Insl.
Compressor
Final ..y--~ /-93 8dr
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 4- 2) -9~ ~,-
~ li ~.I'i; Bot-
SLB
Tub Set
Water
Sewer
Final "-J -:lJ-q3 g~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
Housing Rehabilitation Project
Community Development Block Grant Program
city of Zephyrhills, Florida
unit: 5128 Ridge Street
Zephyrhills, FL 33541
Project Number: ZH-5.82-1
OWner: Mrs. Barbara Straka
Proposed Improvements:
1. Replace windows (21) w/ single hung
2. Install gutter along rear of house
3. Upgrade electric service to 150 AMPS
4. Install central heat/air with heat pump,
provide disconnects for unit
5. Install electric smoke detector
6. Install GFI in kitchen/bathroom
7. Replace tub, siding with shower stall
and new siding
8. Provide R-19 insulation (blown-in)
9. Provide access/ladder to upstairs in
central hallway (by bathroom)
,TOTAL BID:
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
$
~
AP"I>!~ICAT.rOiNl FOR PERtUT
CI.'IY OF ZEPIIYRIULLS
BllTInn:.NG DEI"ARIHE.wf
d.. 7- 31? 3 Z- , \rW..' ,1,///
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OWNER'S
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PI10~F.
9 7lJ~~76
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O\oi"'NER ' S
.1OB ADDRESS
LEGAL DESCRIPTION: LDT(S)
B.LOCK
SUBDIVISIO~
PARCEL LD.'
~~RK PROPOSED:_____~ew Construction ~dition _____Alteration ~Repair _____Install
_____Sign.
_____Hove
_____Demolish
PROPOSED USE: >( Single Faaily
/
_____CoImercial
_KIF
_____, 0:E Units
_M/H
_____Indus t.
_Swim. rool
Other
~estanrant & llealth DepartlDlen.t Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COHHERCIAL :
ATIAGII (2) PLOT PI.ANS & (2) SEI'S OF BlT,ILDHIIG PI,fu~S & (1) SET ENERGY FORMS. U
ATTACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOm'IS. ~~
~~COPY OF CONTRACT RHQ1llRED.
PERKI'TS REOUP$TRD
#-BUTLDING $ )?-::;r.
--K-ELECTRICAL ' /50
c'JO -;J if
t=~ $ G\S
TYPE OF CONSTRUCTION: ~nlock
FINISHED FLOOR ELEVATIOnS: Ft'.
Valuation o:E-Total Constnlction
AMP Service
y
Florida Power COrp.
\i.R.E.C.
Valuation of Hechanical Installation
ROOFING
SPECIALTY
_____Frase
_____S teel
Other
IS PROJECT IN FLOOD ZONE ARR~?
YES
NO
~~~~~~~**~~************************~~*~*~~
CONTRH\CTOR SF-CT'TON
=~r~f:.,~~J;;c~~ ff1
City License Registr:ation #:
*************~*****~***~~**~~*************
ET.ECTRICIAN
Sim-tature V fz..J-e..;tJ
c:c:m:PANY (1/f Gf. r f- ~ "\
1 I . ');" L State Cert. or Regist. 4#
foe I~ . City License Registration
**********~**************~***************
r: I~-I-('/~G-
E/(OO/[IIO
f ) ~J1
PLUKRER
Signature b.. /
".
COHPANY A <L~ p/U)4<..f/J1,,}
~ . State Cert. or Regist. ~ (
.,.~ ____ City License Registrat.ion if
***********************************~*~****
HRCIIAIflCAL ... c:tmPAIIY~~~ .
"--7"J / ~ StaCe CerL or jt.:. - sL # (,' M DO
Signat:ureV .-6--c~ _~L- l . City License Registrationl ~ 2-
~ ~ *~****************************************
fyl/fb /
0T1TER C:OHPANY
St.ate Cert. or Regist. *
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PER."fIT OFFICER.
.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it ~ay be subject to .deed restrictions' which may be 50re restrictive than City
regulations. The undersigned assules responsibility for cOlpllance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRHCTOR RESPONSIBILITIES
If the ONner has hired a contract~~ or contracto~s to undertake Hork, they may b;-;~quired ~icensed in accordance with
state and local regulations. If Uiit cblifractor is not"licensed as required by law, both the owner and contractor may be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Department, (813)
788-6611.
Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor ,Sections' of this application for Hhich they Hill 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 FEE~
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Hith a copy of .Florida's Construction Lien Law - HOleowner's Protection
Suide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SO!EOne other than the
'oNner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
~owner' prior to cOleencelent~
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 cOlpliance with all
applicable laws regulating construction, zoning, 'and land developeent.
Application is hereby lade to obtain a perlit t~ 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 performed to seet 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 governsenfal agencies may apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
'Water/WasteHater Treatlent
f Southwest Florida Water ManaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ,-
f Departlen, of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abateDent
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 volulle' will be subsi tted whicb)s pr~p_ared by a professional engineer registered in the state of
Florida prior to pereit 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 rode~, nor shall issuance of a perllit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall beco.e invalid
unless the work authorized by such per.it is cOI.enced within six Donths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six tonths after the tiee the work is coo~enced. One 90 day extension of tige, lay be
allowed f?r the perait with fee charge of ~15.00; The extension shall be requested in writing to the Building Official. An
approved 'inspection Dust be logged during each six Donth period, or the project will be considered abandoned.
WARM INS TO OWNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE'OF
COMMENCEMENT. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEHT'.
SISNATURE: OWNER BR AGENT
_.,.......-:....
SIGNATURE: COHTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc,re me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me th is , -19 by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
~~~ is PQ~Gc.l~all~. ~(~o~/rj to me or who has
produced
as identificatfon and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
ty_OTARY PUJ3L r~
~'oW-~',"'" r~",,;"'i '<''''-Rf--' ~1T1r~"plfTjJ '""['!r"
i"!lHF~_
Housing Rehabilitation Projec~
Community Development Block Grant Program
City of zephyrhills, Florida
unit: 5128 Ridge Street
Zephyrhills, FL 33541
Project Number: ZH-5.82-1
Owner: Mrs. Barbara Straka
Proposed Improvements:
1. Replace
~~nstall
~Upgrade
0nstall
/rovide
vi. ystall
~ I;1stall
~ePlace
~d new
~ y:fovide
~ Provide
central
.TOTAL BID:
windows (21) w/ single hung
gutter along rear of house
electric service to 150 AMPS
central heat/air with heat pump,
disconnects for unit
electric smoke detector
8FI in kitchen/bathroom
tub, siding with shower stall
siding
R-19 insulation (blown-in)
access/ladder to upstairs in
hallway (by bathroom)
Cost ~$
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
$
-:.
F d _'?I P !:::,~'