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 '..' ,
~~---,..