HomeMy WebLinkAbout93-3157
BUILDING PERMIT
Permit
_ 3157 .8
Jf-/~-73
,.
CITY OF ZEPHYRHILLS
(813) 788-6611
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(~DING.J
Date
E~-'
P~- M~--"sewer Conn
Water Conn:
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Parcell.D. # /c::2. - d..& - ~I - DOt) 01)- 0 J DO
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Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C.O.
! \,\!<6
Inspector
DATE
<<L Permit Fee
Valuation or .Ji -'!J J I I .
Contract Price rr ~ ,/"'f I () Signature'
Company
C;ty Ucense Reg;s',at;on' 7 ~ /'1 J1/~,,' ddress
State Certified License# I '. ~~ )Telephone#
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F'.. J}214J~ If
Pre SLB __ U
Lintel
FRM.
Insul. CL
WL
ELEC~-
PL~-
--
ME~L
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.
I ,
H. W. ALUMINUM, ~
I Since 1973
527 · . 602 South Avenue
Zephyrhills, Florida 34248
(813) 788-3044
70 7 ...., r;,- ~1 rY
. 0"":> ... c..:) 7 t7" 6 Date
Phone
CONTRACT N~
Sold ToR .1hcf"'~ J9 (~1'1"O..-Q
Street :--:.: (;;2 yy 6 -:" l~ /II~ _
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Zip
E.timated In.tallation Date
Par~ ~ l'""~-" <. [."'" County
"5"") -;2 4'-&
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Lot
Block
Unit_
Section
Township
Range
Pan~...
Extrusions ~ronze DAnodized Owhite Color
. / /~
Screenroom / -' XI. 8' :::2 n A--/ <.1r~Rais.d Deck
Kickplate 20" 16" White Ivory Bronze
In.ulated Double Roof Pan S~" ~ ~
Wraparound T...ll.-:.!I..L..... /- S....../..U~ _ r~.{
.."OR~f;gXd-h/ -3/'~=~~fR'~ ~. .
Concrete / 0 . ~)( cJ. Si / ~Uj-{kli LA,4A..A'1 .' ~ 'Yh /'~. ~
. /
Siding Vynl Alum Bug Shield L/r
~ Clean Q "c" Skirt I Color
Extrusions ronze DAnOdi~~.::::eJWhite . Block Skirt. ~ Color
I' , t-:.. I-52::'" > ~ r"3.J Y'.tj' 3" '-- ~ 2.
_4-Track ~Glass _Sizes lY\..)Yy - V'~ W:t&ow Awn ' "".J F ~
S&- ~ I9YOI1.:I?'"
7Y# ~
Custom Glassroom x x Awn. Harz. S. H.
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Woodwork
, - C ~/t'.,cY
{,iJ..." -L- u< .::. ~ /) (}I.....!.JV\~
p~/
El.ctric Work
Doors
Plumbing Work .
J~~~6// ~~v.A4~.~.
~ Gutter Color
St.ps
Handrail
lactory Pric.........
Sale. Tax ____X......
Permit.............. .
Total Pric...........
Deposit. . . . . . . . . . . . . .
$ ? <y / (}", () V
Due on Compl.tion....
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$ J ~?// tJ... OZJ
/ 7",$"'0- t:l~
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Approved By
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- Paid Deposit d ~~.x~ Ch. No. /".) ~ D
NOTICE: Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the
time you sign. This proposal may be withdrawn by us if not accepted within thirty (30) days. We hereby propose
to furnish labor and materials - complete in accordance with the above specification, for the .um of $
dollars, with payment to be made as follows:
If paid within ______ days after completion, there will be no interest charge, otherwise a charge of llx per month
(annual intere.t rate of 18%) will be added.
All material is guaranteed to be a. .pecified. All work to be completed in a workmanlike manner accordina to
standard practice.. Any alteration or deviation from the above specification., or price changes involving extra
co.t, will be .x.cut.d only upon written orders, and will become an extra charge over and above the estimate. All
aar....nt. contingent upon strike., accidents or delay. beyond our control and acceptance by home office. Owner
to carry fir., tornado, .nd other n.ces.ary insurance. Our work.r. ar. fully covered by Workman'. Comp.nsation
in.uranc..
PAYMENT TO BE HADE UPON COMPLETION UNLESS OTHERWISR SPRCIFIED. IN THB I!VENT THAT AMOUNT HERRIN SHOWN IS NOT PAID
WHEN DUB, ALL COSTS INCURRED IN COLLI!CTION SHALL BE PAID BY TIll CUS'l'(J(IR INCLUDING RlASONABLE ATl'ORNEY'S FEE.
Licens.d, Bond.d and Insured. Stat. Certificat., RX 0049667, linanc. Licens., HR 0044182
Pa.co County: 1269 & 1270, H.rnando County: 0247604, Rillsboroulh County, 7704, aarde. County, 74
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Notice to all contractors concerned with concrete for the design,
fabrication, and erection of Aluminum Structures Only.
Patio Slab's: Minimum 8"xI2" footer w/2fJ 5 rebar.
Effective November 15. 1990 concrete shall be installed as required
1n detail below.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT J("t-U, A({;~. ./-C~
ADDRESS '3PV10 .:5nJf[ 'Ifv..e
OWNER R, l{O~ ~ "
JOB LOCATION -.3 9 z <I- ~ ~..?{ ~
LEGAL DESCRIPTION: LOT (-S) ('0 BLOCK
PHONE 71'/(/">.30 Y"cf'
PARCEL 1. D .IF
('7..-.
L-.-{,
2-\
J0'OucJ
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
____Commercial
____Indust.
____Swim. Pool
__M/H
~/5l:~Other
/!"'v---
PROPOSED USE: ____Single Family
____M/F
____l~ of Units
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$57"00 ~o
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.
******************************************
CONTRACTOR SECTION -
Company 4. VtJ. /!/c,.~--
.
State Cert. or Regist. #
City License Registration iF ; "7' r ..#"7'
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cprt. or Regist. #
City License Registration #
********************************~*********
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PERI-lIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which may b~ ~ore restrictive than City
regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor' or contractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the ollner and contractor ~ay be
cited for a misdefteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departf.ent, (BI3)
7BB-bb II.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the c,wner 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 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 - HOieowner's Protection
Guide' prepared by the Flc,rida Departlllent of Agriculture and Consumer Affairs. If t.he applicant is SC'IIN,ne c.ther than the
'owner', 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 cOimencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all \lork will be done in co~pliance with all
applicable laws regulating construction, zoning, and land developfient.
Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has co~menced prior to issuance of a pertit and that all work will be performed tc, IDeet standards Df all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governffiental agencies IDay apply to the intended worl:, and that it is
IIY responsibility to identify what adie,ns I tIIust take to be in cc,[,pliance. Such agencies include bllt ~,I' He,l li.lited tD:
* Department of Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sens! tii~ L~nds,
Water/Wastewater Treatment
. Southwest Florida Water ManaQe!ent District - Wells, Cypress Bayheads, Wetland Areas, Aitering HatercOUfses
I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Department of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatIE~~. Septic Tanks
I US Environmental Protection Aqency - Asbestos abatement
I also certify that, if filllliaterial is to be used in Fle,c,d Ze.ne "A" or "A,etc.", it is undN5.tc,c,d tldt a d!ainage plan
addressing a 'colpensating volUMe' will be sub.itted which is prepared by a professional engineer fe4i5t~,,:d in the State of
Florida prior to permit issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to viDj~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffjci~1 fro~ thereafter
requiring a correction of errc<rs in plans, ce.nstrudic,n, c,r vie.latic.ns c.f any code. EVHY per<<lit iS5Ud "hall beCC'lie invalid
unless the wc,rk authc,rized by such perlllit is cC'lIlmenced within six iIIc,nths of issuance, Dr if \'IC'l f; allth,,, j,~d hi the perlllit is
suspended or abandoned for a period of six lonths after the ti~e the work is commenced. One 90 day 0~1~~5JD1' of li~e, ~ay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in \'Iriting to the BlIilding Official. An
approved inspection must be logged during each six month period, or the project will be consid~red dbalJdDned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERry. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE__________________________________
OWNER OR AGENT
SIGNATURE______________________________
CONTRACTOR
DATE
---------------------------------------
DATE___________________________________
NOTARY AS TO
OWNER OR AGENT_____________________________
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSION EXPIRES
MY COMMISSION EXPIRES
------------------
----------------------
SITE PLAN
<':>,
"'f I I.
LD(~.'.
'cJ
(RESIDENTIAL US~ ONLY)
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PARCEL 1. D.
(L
SEe
PROPEHTY MEASUREMENT
~c
TWl'
ZJ
RNG
SUllO
o O(D
llLOCK
i~
LOT
CUIUU-:NT OWNEUS
DATE
be drawn to scale for all parcels or lots five acres or less.
All drawings sball
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIKENSIONS AND SETBACKS. ALSO, INDICATE
M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE
THE SIZE, YEAR, ~ND N~~E OF MOBILE: SUCH AS 12' x 60'. 1981. FLEETwOOD.
All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
.c.......r.: .-. .ot
"'DBIL.E HOME SETUP
It ALl : ,.. 10'
HOUSE CONSTRUCTION
""~l: '.'.0'
PROPOSED ADDITION
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ROAD NAME
sitep];m:rp.
315'
NOTICE
OF
ADDITIONS or CORRECTIONS
DO NOT REMOVE
JOB ADDRESS
31Z'I4 t, -It.. vi-, rc-/7-t'f ~
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be
made before the job will be accepted
DATE
6ubM.'+ ~ WJ 60 Ii C I Flc8'-HCJt\.~
:SC.V2L~,J r?M,,"",-- '~-:~+
+n <"ub^""/~ ~ F, o;Js.
" is unlawful for any Corpenler, ConlroClor, Builder, or olher persons, 10
cover or Couse 10 be covered, any port of Ihe work wilh flooring, lalh, earth
or olher mOlerial, unlil Ihe proper insPector has hod ample lime 10 approve
,he ."0110';00. ~
~ddlliOnt .0 correcliont ha"e been made, ce Building
ment f n I ~tion. Field Intpectora are i t office from_
to' Monday through Friday. PlUMBING
B-4
flEe
PRESS HARD-USE BAll POINT PEN
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