HomeMy WebLinkAbout93-3422
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 342215
Date fr- /...1 - 2.3
~DI~)
PwpectyOwo", _ iA~~L_L
Job Address: ..5 t :2 ~
Parcel 1.0, #
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
if
Water Meter:
T,I.F.'s:
ZOO'090 ~ Codeo
Description of woik R,. ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price t:2 07J. ern
City License Registration # ~ '"-9;;L
State Certified License#
Pe,m't Fee ~ctU ~
S'9oatu,~ q ~
Company ~,
Address .
Telephone#
g-f2;
Lf ltie f< J 91'
4-.]~~~ F~-e~.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
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.
STRNORRO HOME SERUICE CORPORRTlON · MRNUFRCTURER OF MOBilE HOME ROOF-OUERS
19:54 lake Annue SE largo Florida 34641
LOlst~IFirstlA?-p~ ~~( 4J~)
Address I 5~?-!2--: /2#@/Y c/4 ~/- . .
C;ty 12-c '7~/T<~?~///4 '
Call Toll Free 1+800-624-0150
;'I\JOb ~.I'
, Lot No..
I FL Z;p, I
I Count" I~~ '
P..rk NOlm"/Priv..te Lot I
Home Phonl~ I (~~ ) ~ -!?/;;;. ~~
Contract Date C,;zt2- Ckell' Typl'
I ~ork Phonl' ,'I (
Leg..l Description
I<l'Y No, I
ot No. Plat Bk POlge
IPOlrcel Number
I
I
I
)
Specifications And EsU mate
1) Furnish & Inst811 A1uma-Stee1 Roof-Over wHh 2 inch thick Cel1oFoam insulation on Mobile Home
Coach Approxi mate size: Lengh CITJ, f ft.t. ) )( Width I ~ I ft.
2) Over hang Roof-Over On Carport side ~ inches.
3) Over hang Roof-Over on Mobile Home Rai n Gutter side I / ' 'i nches.
4) Over hang Roof-Over on Mobile Home sides I ~ I inches, if no existing Rain Gutters.
5) Over hang R,oof-Over on Mobile Home front and rear I ({7 t inches, if no obstructing fesci8.
6) Replace existing exhaust fan exterior roof vents and se\oler gas roof vents with ne\ol a1 umlnum s~un vents,
7) Furnish end Instell 5 inch Fascia around Mobile Ho Roof-Over - Co1o.r: I V/-~ --r: I
B) Circle type of heatillQ system: Gas
9) Special instructions or other 'Work:
STANDARD HOME SERVICE CORPORATION HEREBV AGREES TO FURNISH MATERIAL AND LABO~LETE IN
M:~AHCE. 19crITH THE ABOVE FOR THE SUM OF: /-{P~
$ 7 f7'" cPV --- Plus Sa les Tax $ ,--- -, ,,( If Renta lLand) =.$ 7e:: , . Total Price
PA....MENT TO BE MADE AS FOLLOWS: - ;;/1
AUTHORIZED SIGNATURE: :P
NOTICE TO OWNER. DO NOT SIGN THIS HOME II1PROYEMEIIT COIITRACT IN SLAIIK. YOU E
ENTITLED TO A COPY OF THE CONTRACT AT THE TI ME YOU SIGN.' KEEP IT .TO PROTECT YOUR
LEGAL RIGHTS. THERE ARE ADDITIONAL' TERMS ON THE REYERSE SIDE Of THIS CONTRACT.
CUSTOMER ACCEPTANCE, THE ABOVE PRICES AND CONDITIQNS ARE SATISFACTORV AND ARE HEREBV ACCEPTED.
STANDARD HOME SERVICE CORPORATION IS AUTHORIZED TO DO THE WORK AS SPECIFIED. PAVMENT 'WILL BE MADE AS
OUTLINED ABOVE:' , ........"
".. '
SIGNATURE:
ST.flTE CERTIFIED SPECIRTY STRUCTUI} RRUMIAt. it(l 045012 COPYRIGHT 1992
.4~ A <i-- ~ ~l .' oobJJ04fN tK1f'v1.lIcK of ~ I'('J
e1~./ ~ ~~ \ : My Commission Explres./ ,_ _'/' ,
- " .."" l JulY27,1996 'f")Il/.'-l() -A/~ -:;.':)O;'x(,b-f)
T ",('1 Ht., v I (I c. /( ..;:"to,f\.~' Comm. No. CC 218090 tL/. 11")0<, I f - -
..,.,....
Al'~LICA.TIOD!ll FOR PERHIT
CITY OF ZEPllYRDILLS
B1J1IIJHJlG DEPAlr:DIED!IIT
OWER'S IWfEJ 1'"[/. fjrock (P.-e l\ irJIYlr,,)
OWNER'S ADDRESS 5 (" J 1. R h. {) n 01 " G_/JU v +-
PIlon (8/3) 7frff- 0 l.f 1
JOB ADDHFSS
'i(..~l
RkondOt
t () u r -t
LEGAL DESCRIPTION: UJI'(S)
RT.OCI(
SUBDIVISION
PARCEL I. D.'
WORK PROPOSED:_Nev Construction _Addition --0:tteration _Repair _Install
_Sign
_!!love
_DeIIOlish
PROPOSED USE:
Single Faaily
_a/F
_, of Units
~H
_~rcial
_Indust.
_Swi... Pool
Ot:her
_Restaurant &: Heal.t:h ~t Approval
BUILDING SIZE:
f"y X LH J
~ OJ '111. 00
Square Feet.
Height
, RESIDENTIAL:
cottIfER.CIAL :
ATTACH (2) PL.OI' l'I.ANS &: (2) SEIS OF BUILDING PLOlS &: (1) SET RHERGY FORKS.,u
A1TACB (3) SETS OF BUIIJ)DG l'I.ANS &: (1) SET ENERGY FORKS. **
......COpy OF CONTRAct REX!1J1IRED.
PERKITS REQUESTED
~BUILDING
$
l..-I :2 0 0 , 0 ()
..
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECHAlUCAL
$
Valuation of aecbanical Installation
_PLmtBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _F'raIIe _Steel
Ot:her
FINISHED FLOOR ELEVATIONS:
FI' .
IS PROJEct IN FLOOD ZONE AREA?
YES NO
......................................................................................................................
CON'I'RACIOR SECTION
BffiT.DER
Signature
~~
CDlfPANY c,-fGf '" cl Qvd J-/a i'l<.t .5 .u.J: c '
/? / State Gert:. or Regist:. , .5<...' 0'-1,"0 7 L
::A ~ City License Registration I .5-q 1..
, ...... ............... ............................................*.................................*......
Cor-
ELECTRICIAN
c.a!lPARY
State Gert:. or Regist.' I
City License Registration I
....................................................................~.............................................
Sismature
PLUttBER
CDlfPARY
State Gert:. or Regist. 4#
City License Registration I
........................................*...........................................................................
Signature
ttEClIAIIICAL
r..tliItPAlIY
State Gert:. or Regist:. ,
City License Registration I
...**..............................~...*.......*............*..................**...*...*.........
Signature
0"I'1IF.R
aMtPJ-liY
State Gert:. or Regist. ,
City License Registration ,
.............................*..................***...~**.........*......****...............
Signature
APPLICATION AI'PKOVED BY J1 ~ ~_~
PERKIT OFFICER.
CO"'''ITIONS OF PERMIT {~FFIDA'.jIT
A. NOTICE OF DEED RESl ~TIONS
The undersigned understands'that this pertit .ay be subject to 'deed restrictions" whicn lay be lore restrictive than City
regulations. The undersigned assu.es 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 aay be required to be licensed in accordance with
state and local regulations. If thetori\tactor is not$1icensed as required by law, both the owner and contractor lay 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 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 contraetor(sJ 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 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 Depart.ent 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 promise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIL
I certify that all the inforlation in this application is accurate and that all work Mill be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all laMS
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 co.pliance. Such agencies 'include but are not lilited to:
f Denartaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas', Altering Watercourses
f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environaental Protection AQency - Asbestos abateaent '
I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "coapensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of
Florida prior to perait 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every per.it issued shall beeole invalid
unless the work authorized by such perait is cOlaenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six aonths after the tiae the work is cOI.enced. 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 aonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEHENT "AV RESULT IN YOUR PAYING TWICE FOR IHPROVE"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".
~~~ ~ /2:~/
. .. ~." . ~ /
SIGN'TURf, DIIHER OR AGENT . - GNATIINE, CONTRACTOR )'
STATE OF FLORIDA
COUNTY OF -p, ~ -<1 <....a..- --
The foregoing instrument was acknowledged
befol-e me this rn~. 13 If.., 19~ by
~_..
who is pel-sonal mown to me Dr who has
produced
as identification and who ~did not
take an oath.~/ ~ ~
~~./, ~.(~
;:,ignature) ~
/oc/r/ I-!OJulncl<'
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF -J2 ~ <1 ~
The foregoing instrument was acknowledged
before me this 1A"7' 13-1-1.., 19-1.l.. by
Q fI 11 eLEs (2, 2.eoc K-
who is personally known to me Dr who has
produced
as identification and who did/did not
~n oath., /
(~~I ...,,-'~
(SignatLll-e) r
,,,del l-I~vloGI<
(Name Typed~ Printed Dr Stamped)
NOTARY PUBLIC
.....~~.. OFFICIAL SEAL
1 ~;. TODD JOHN HAYLOCK
i : My Commission Expires
" i July 27. 1996
'~Q:f~!." Comm. No. CC 218090
*....ltlt...
.t**...
.....~~. OFFICIAL SEAL
I ~\ TODD JOHN HAYLOCK
ii ~y Commission Expires
\ :, July 27. 1996
"::'''eQ::~.. Comm. No. CC 218090
............
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