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HomeMy WebLinkAbout93-3640 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 _ 3640 IJ Date 1/ - / b - 73 . Permit N <<? ~ ELECTRICAL PLUMBING MECHANICAL /;;}J ~. I. i 1 :::::,~,::?1}~~:1:#-~ 1; ~/~d/ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # ~:::~~t",n of wo;;-~ E~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 12-01-93 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector W.A. IlJRGESS City License Registration # State Certified License# s-~ Permit Fee Signature Company Address Telephone# "'!:'o~. a-o jtfl ~~- Valuation or Contract Price ~ ~-CJ # p-o 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. ,....~,.!,,',..~, v.c,\ ,;.;;,.~..,.~~:".-i\,~ ~ .~ j .... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~ (1) l' ADDRESS "] q J. 41 d- (-:- ? rt7 / LI J 'r7 C (,-111 IJt/c c.- t' ~:~/ c <," PHONe OWNER .s~( J II r c:' 7 Cl /1'/ -t , LOT SIZE x AREA SQ. FT. JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4t 11-- 2 t: -- 2/ - e7fti j (7 - (7) :3 :2(1} tJ - (?')/!;J (J WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install ____Sign/Temp. ____S ign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Uni ts .. ,____M / H 4commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval . BUILDING SIZE: ;. x . Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. I _MECHANICAL $ _PLUMBING GAS Valuation of Mechanical Installation /' ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER Signatur~ CONTAACTOR ~. S, -- L I<.otr-ft. Company reM.lf I ltNtC.Oa:YT ~ ~ State Cert, or Regist. # 1<c.~ ti-51 ~ City License Registration # ~ ****************************************** ELECTRTCIAN CQmpany State Cert. or Regist. # City License Registration # ****************************************** Signature < .~ PLUMRER Signature Company State Cert. or Regist.# City License Registration # *********************~******************** f, MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ...,...~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay 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 RESPONSIBILITIE~ If the ONner has hired a contr~ctor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulatiDns. If the cDntractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the ONner 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 Nork. 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 Nith a copy of 'Florida's Construction Lien Law - HOleowner's Protection 6uide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'oNner", I certify that I have obtained a copy of the above described doculent and pro~ise in good faith to deliver it to the "oNner" 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 laNs 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 Nork or installation has cOlllnced prior to issuance of a perlit and that all work will be perfor.ed 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 coapliance. Such agencies include but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Mater/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,elc.', 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 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 requirinq 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' or 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 char~e of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection ,lUSt. be logged during each six lonth period, or the project Nill be considered abandoned. WARNIN6 TO OWNER: YOUR'FAILURE TO RECORD A NOTICE OF CO""ENCE"EMT "AY RESULT IN YOUR PAYJN6 TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YDU INTEND'TO OBTAIN FINANCIN6, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. .~~~~ l#~/- was acknowledged , 19'13 by STATE OF FLORIDA COUNTY OF , The foregc1ing i I1strument before me this ~~ \l'laS acknc,wledged 19~ by STATE OF FLORIDA COUNTY OF Th~,foregoing ins~r~ment before me this ~ ~ me or who has who is personally known to me or who has produced as identi and who did/did not take- (Signature) (Name Typed, Printed or Stamped) NOTARY PUBL rc ~..~ ,,,. , .. b<to KEVIN L P.YMA~I * "'f:i:iJf * My Commission CC320125 . ,~. Expires Sep, 30.1997 '4 .AJ.\.<:>~ , ItOft\oV" (Name Typed, Printed or NOTARY P.lJSlLIC ~~"..i,;. * i/~ -k' ~-,~;:~'_'~~~-'~~ '4/t o~w1'$;' PROPOSAL ,..-' No, PREMIER SUNCOAST ROOFING, INC. 37325 STATE ROAD 54 WEST ZEPHYRHILLS, FLORIDA 33541 Date 11-2-93 Sh' 'It No. \.. . ;'1[' " ':.; tJl..ttu'.: To' ",",orl< To Be Pe, i~l"med At. . ~ 1 ;i ~ Kurt Geddes I -___ __ J Crystal Bar . ; ~-:i:': Stl'f::HL Cjty L.};.iCP- Df Plarlie AI'dlltf:CL ~-3ta t,:-, \ "fir", ..- ..-- _.'._.~-,_."-,--_.~--~~ _____.~_A___._..__.___ ..._ '~,..___'__.._____ ,- '''.'1 "" 'pu",;" ftJrl1isll the materials and perform the labor necessary fur the com! :etion of Complete tear off and haul away of existing galvanized roof materials. Replace any bad Ix or 2x perl on strips. Install new galvolume metal roof, to be full sheets and screwed down, gable trim included, no gutter. Replace shingles on northside with new. Install new flashing and 2 roof vents. ,(,~O year warranty on metal roof tr2~year warranty on shingles. f1. : n 1. ' II ~ I : r-~ ,c ,:'JdI'Hnteed ,,0 be as specified, and tne ahove work to be pr,r'torm'ld in acel donee with the dr3wlnqs one: uh" itted fOf' aboVf: work and completed in iJ substarltlaINorkman:,:" maimer fOl' the sUll' :)t SIX THOUSAND EIGHT HUNDRED FIFTY------OO/l OO________________Doll,ws ($ 6,850.00 I '),", U: he rnfldp as follows: ":", HL'cVi: _~)e..::ttic.atIOn' invoiving extra 'nd c)on Wf'iUt", i 'cwtJers, an(1 will become [in [Ie i:-;~~lflY' t:dl 3gr'eelrif:nts cnntingent ':"_'yu; I,; c(lfll~-nl (]wrH:'-~1 ~.J CUd'Y ,~ I.; ;!:~.t~ 1/-'01 VIICH'k- Rec;p"ctfully 51H ,inltl ull ~ 1 <i ' II ;dJU'J-',\._wk to ue r; . _oj .I'ci :.Jr: '.r~ /\!~( 't_-': i I ~ ) i '..' , ~~---,..