HomeMy WebLinkAbout93-3473
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit Ne.? _ 34738
(813) 788-6611 Date CJ- /f-93
~ N ~~'N~ ~,CO""
Water Conn:
Property Owner: _..a~. ~ >' ~~:.<~ ~ Water Meter:
Job Address: J.J ,tltJQ;~;~ ~()/+6Z1i~ T,I.F.'s:
, ~ M'1 II /J
Parcell.D, # ~k'.</1t' /"t , ~
.
~/~
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O. ~f\,' '
1 . I
J ~. /~
Inspector
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Permit Fee
Signatur
Company
Address
Telephone#
r
Valuation or ~
Contract Price
City License Registration # ~ if "I
State Certified License# a. At!. 0 L/ /! /~b
~~f3:~~~
~f) (t. -;110'E UI/IITJ:P{
BUILDING
ELECTRICALif /1
~ ~;? {,JljJiF~
PLUMBING 'I/O
MEC~
./
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
HANDICAP RAMPS 01/26/94 BILL
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.
APPLICATIOJJ FOR PERKIT
CITY OF UPuIKfllT.I,.s
BUII.DIIiG DEPAImIEIO'
OWNER · S RAtIE
City of Zephyrhills
PIIOIiE
813-788-2313
OWNER' S ADDRESS
5335
8th Street, Zephyrhills, FL
JOB ADDRESS
Shepard Park - Highway 301/6th Avenue
LEGAL DESCRIPl'IOlIII: UJI'(S) 9-11
0010-01600-0000
PARCEL LB.'
~SOBDIVISIOII
(S 14 T 26 R 21)
-
WRIt PROPOSED:_lIev Construction _Addition _Alteration _Repair _Install
S.
- I.gD.
_tIove
_ne.olish
X Relocation
PROPOSED USE:
Single Fam.ly
_KIF
_, o.f Unit:s
X Modular
_~rcial
_Indust.
_Swa. Pool
Other
Rest:aurant &: Health DepartJEnt Approval
BUILDIIIG SIZE: 2 6
x 28
728
~e Feet. 10 '(MOL) one storYHeight
RESIDEIITIAL:
COIttIEKCIAL :
A'lTAaI (2) PUJI' PLAIIIS &: (2) SEI'S OF BUII.DDIG PLAIIIS &: (1) SKI' EllERGY FORKS...
A'lTACH (3) SEI'S OF BUII.DDIG I'I..MfS &: (1) SKI' EIIERGY fORKS.....
".OOPY' OF COWl'RACJ' R.IIQUIRIID.
PI!RKIlS REOUESTED
-LBUILDING
$ Waived
Valuation o.f Total. Construction
-LELECTRIGAL
AftP Service
x
Florida Power Corp.
W.R.E.C.
---1tECllAllIGAL
$
ValuaUon o.f Kecbanica1 Inst:a1laUon
-LPLUtlBIIIG GAS ROOFllIG
TYPE OF OONSTR.1JC'I'IOII: ~Bloclt. _Fn:.e _Steel
SPECIALTY
Other
FHIISBED FLOOR. ELEVATIOIIS:
Fr.
IS PROJECI' IN FLOOD ZOIlE AREA?
YES NO
..............................................................................
aD'I'RACIOR. SECJ'ION
RIITI.DF.R ~~ ~~ aJ!IPAIIY EM Enterprises
-7 ' St:ate Cert. or Regist:. I
Signature ---. City License Registration ,
...............................................................................
RI.F.CTRICIAN ~
SiPn~~~ ~~----;f; _~Q
aJIIPAlIY Bob Winters
St:ate Cert:. or Regist. , I{
City License Registration ,
...............................................................................
.PLUIIBER. ~ Bob winters
~ ~ ~eT~rt. or Regist.' 70
Signature ~ h/"<:..- City License Registration ,
................................................................................
ftItCHAlIIGAL
aJIIPMY
State Cert:. or Regist:. ,
City License Registration ,
...............................................................................
Signature
0T'All:R ~ tJ & r= WllPAlIY
~ /Ja:;. Stab! Cert. or _to .
Signature r--" City License Registration ,
.............................................................................
APPLICATIOII APPIlOVIl'.D BY
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS .
The undersigned understands that this perlit lay 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 owner has hired a contractor or 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 or intended contractor are uncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3}
7BB-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 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 ZephyrhilIs.
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 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 lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cO.lenced prior to issuance of a per.it 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 governlental 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:
I Departlent of Environaental Requlation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
. Southwest Florida Nater ftanaqelent 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
I US Environlental Protection Aqency - 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 Nork 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 perlit issued shall becole invalid
unless the Nork authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOllented. 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"KENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYEftENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKftENCEftENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C~ENCE"ENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
was acknowledged
19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
PREMIER SUNCOAST ROOFING, INC.
37325 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
(813) 782-6094
RESIDENTIAL & COMMERCIAL ROOFING
LIC # RC 0061648
INSURED & BONDED
PROPOSAL TO:
/11' ~1fJ (j- r -.( r
fj (J Y 5 C dUt- if v"f
PHONE #: J 15;.. 155/
JOB NAME:
DATE: er-:J. 3 cf 3
------------------------------------------------------------
------------------------------------------------------------
WE HEREBY SUBMIT THE FOLLOWING SPECIFICATIONS & ESTIMATE
FOR THE COMPLETION OF THE FOLLOWING:
COMPLETE TEAR-OFF AND HAUL AWAY OF EXISTING SHINGLES.
BAD PLYWOOD REPLACED AT A COST OF $ 3 (J "0 PER SHEET.
INSTALLATION OF NEW 2X4" LUMBER @ $1.50 PER LINEAL FT
INSTALL
N/A
NEW VALLEY METAL.
a ~L NEW LEAD BOOTS THROUGH ROOF.
INSTALLATION OF
INSTALL NEW 15LB FELT.
INSTALLATION OF NEW DRIP EDGE AROUND PERIMETER.
INSTALLATION OF NEW '1 0 Yeo~ f RSSHINGLES.
ALL DEBRIS REMOVED FROM THE JOB SITE.
FIVE YEAR LEAK WARRANTY.
ALL MATERIALS AND LABOR FURNISHED.
TOTAL BID: $ / g.5 CJ, eJ"
PAYMENT DU~. UPON COMPLET~O~ OF. JOB.
I h5 fq /1 /VtW ve 11 f f(,'c/.J ~
J~Fi/~o~, CONTRACTOR
PREMIER SUNCOAST ROOFING, INC.
ACCEPTED:
O%~1~URE
DATED: q -1 5'-9 '3
DATED: