HomeMy WebLinkAbout93-3382
BUILDING PERMIT
DatE>
_3382~
/?'~:l1- ~ 3
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
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Pmperty Owne, I Sf f}_~~t-'; 12 (?k5L
Job Address: ~ ~ 33 'l:!- ~ '
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Parcel LD. #
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
C1~ c~eGf~i)
NO OCCUPANCY BEFORE C.O.
Radon Gas:
$r?d~;2)--
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a5 ~.b?
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FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or .1:>L -: / alJ
Contract Price ~ 1 - 7--
~
City License Registration #
State Certified License#
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
DATE
Inspector
Permit Fee ~'
Signature~'
Company
Address
Telephone#
~
PLUMBING
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
J)o0~ .g~6--<7 3
UpJ!tb {t- .-tc> ~. G:J~iJ--f:<- 1>..Ufe.cJ-UnJ due.. tt .k~t~ ~~
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.
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CARBON LESS
FORM 3850
()
CARBON
REQUIRED
...."~..."'__M..
TRIPLICATE
....
y:
PROPOSAL
,r
No.
PREMIER SUNCOAST ROOFING, INC.
37325 STATE ROAD 54 WEST
ZEPHYRHILLS, FLORIDA33541
Date
6-15-93
Sheet No.
Proposal Submitted To:
782-2264
Work To Be Performed At:
..
PirstChurch of Olrist Scientist
Street: 383345i:h Ave.
CitY~hills State Fl.
Date of Plans
Architect
Name
Street
City
State
Phone
Dave Rigall
38435 4th Ave.
Zephyrhills, Pl.
We hereby propose to furnish the materials and perform the labor necessar~ for the completion of
Install. new . insulboardon existing flat ".roof rmop down
Sfngleply 43lb. :baseshsetingand3-ply fiberglass system
with l-coat emulsian,and l-coatsilver coating.
Install new 90 Ibrooffng an walls with galvanfzed cap QI1top.
Tear OffappraximateJ.y 6.sqs flat roof, add new:fnsul. board to
take out low spot.Ory in and mop down.new 3p1.y fiberglass
to be ..tied into ex1sting.roof..
All material is
specifications
recoatapproximate1.y,900 sqft, of fiberglass roof with new
Aluminumsflvercoating.Any woocLreplaced..will be at an extra
cost of $1.75.,per.1ineaLft.
guaranteed to be as specified. and the above
submitted for above work and completed
work to be performed in accordance with the drawings and
in a substantial workmanlike manner for the sum of
00/100 Dollars [$ 5,190.00 L
FIVE 'IHOOSAND ONE Ht1NDRED NINETY
with payments to be made as follows:
$2,595.00 "... du~upon completion
$2,595.00 - due 30 days after completion
Any alteration 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. All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to carry
fire, tornado and othar necessary insurance upon above work. Work-
men's Compensation snd Public Liability Insurance on above work to be
taken out by
Res_t'"y subm;tt'" ... M. hr--
Per rrt;'(f11/tP' (!~~rrfnJ,
Cot11 Yu c/~~
Note- This proposal may be withdrawn by us if not accepted
within..70 days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified,
Payment w;U be mada aa au";ned above. . S;gnatu," j)~ 7 4v'/ J~~<4~
rV".)2{)_:" ~
Date Signature \\F......L;'1)t.. - .
APPLICAnOB fUR PERllIT
CIn OF ZII:nIIKHILI.S
BUII.DllIG DEPAR'IIIEIIT
OWNER I S RAIlE
r It" 5 -I
C h I.J VI 4
if 1'-1
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C hr/, r
PIIOIIE
1?;l-22b'tj
F/t
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OWRER I S ADDRESS 12f if J ~
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JOB ADDRESS J?f;J J If <(' j t;
Ai/I!--
2 -e ~ h r"'l/~ '1/<;
Z cPt; yJ/ f-J l //5
lIut..
LEGAL DESCIUPI'IOIII: lOI(S)
PARCEL 1,:0.# J/- 2 t'-2/ - (JrJ//J
WORK PROPOSED:_Bev Coost:ruct:ion ~t:ion _Alterat:ion _Repair ~Install
S'
- 19B
_lIove
_~lish
PROPOSED USE:
Sing1e Fam.ly
_fl/F
_' of Unit:s
----1f./H
_~rcial
_Indust:.
_Swill. Pool
Ot:her
_Rest:aurant: &: Hea1t:h Depar~t: Approval
BUILDIIIG SIZE:
x
~e Feet:.
Height
RESIDEIITIAL:
COHItERCIAL :
A1TAm (2) PI.OI' PLAIIS &: (2) SEIS OF BUIlJJIBG PLAIIS &: (1) SEt' ERERGY FORKS.......
ATrAm (3) SEI'S OF BUII.DIBG PIAIIS &: (1) SEt' EIIERGY ~.......
....ropy OF roIrrRACI' RIlQlD'IIUI:D.
PIr.RIfITS REOUESTED
_BUILDIIIG
$ 1/)"/ '1t7.lJd
Valuat:ion of Total Const:ruct:ion
_ELECl'RlGAL
Aff.P Service
Florida Power Corp.
W.R.E.C.
,/
---1fEGIWUGAL
$.
ValuaUon of ff.echanica1 Inst:a1lat:ion
_PLUttBIIIG
GAS
X ROOFIIiG
,
SPECIALTY
TYPE OF oollsmucnON: _Block _F~ _St:eel
Ot:her
FIIIISHED FLOOR ELEVAnOllS:
FI' .
IS PROJEct IIi FLOOD ZOIlE AREA?
YES 110
......................................................
aJIIIRACIOR SECI'IOII
BUTT J)O
aJ!IPAIiY
St:at:e Cert:. or Regist:. ,
CUy License Regist:.rat:ion ,
..................................................
Sigoat:ure
RI.F.r.TRTCIAII
aJIIPAIIY
St:at:e Gert:. or ~gist:. #
Cit:y License Regist:.rat:ion ,
..........................................
S1 IPIUllture
Pl.DIIRO
lDIPAIiY
St:at:e Gert:. or Regist:. I
Cit:y License Regist:.rat:ion #
..........................................
Signat:ure
Sigoat:ure
OOIIPAIIY ~ )'~I ~~_~-t~.
St:at:e Gert:. or Regist:.--'--
Cit:y License Regist:.rat:ion # ~ 8
..........................................
flECBARIGAL
OTIIF.R
" . lDIPAIIY K Y /VI d..4/ C dFJ) ,-r.
~#-Ib:. ,.. '. ~ State eert: or Regist:. ,
--
v. -..,.~, Cit:y License Regist:.rat:iQO #
'............................................
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Signat:ure
APPLICATIOII APPROVED BY
~ PERff.IT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay 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 ONDer has hired a contractor Dr 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 lisdeleanor violation under state law. If the owner Dr 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 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 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 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 Departaent 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 lade to obtain a perlit to 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 perforled to leet standards of all laNS
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 lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
Mater/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Mastewater Treatlent, Septic Tanks
f US Environlental Protection AGency - 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 "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 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 becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension 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 CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"E JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCE"ENT".
~
STATE OF FLOR~.4-
COUNTY OF <) cO
The f.reg.In6~~ent ..,s a. cknowledged
before me thi v, ~7 '. 19ft$-- by
<TJ!~V I 'J c!- ,AI}! /I
who is perso ally ,known to me or who has
produced
as ident"fi
take an oa
STATE OF FLORIDA 1C7
COUNTY OF -4.J CD
The foregai~g'i~r~m~nt was ack~owledged
bef~re me thi.....::L:::::!J~ Z 'J, 19~ by
L ( ,
r'C0 tt0 ~~ll (flJ
who is personally ,nown to me Of" uti... has
pradu...el:t-
as identifi
take
<Sig atur
~~ Dee. 29.199'
(Name Typtid, ~tr"M"'~~d)
NOTARY PUBL)C ^ ,