HomeMy WebLinkAbout93-3646
"BUILDING PERMIT
Permit Nt?
CITY OF ZEPHYRHILLS
(813) 788-6611
_36468
/1-/7-M
~~ :;uJ.lTiJ
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Pcop,rty Own" I/:t: ~~L:lit &_M-/
Job Address: S _..", _ _._~_
Parcell.D. # /0 -;;26 --;;2./- /) ZJc::Ly- 0 CJ b 6 0 - L'O Y- D
Date
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'5:
Zoning: ~ Energy Code: Radon Gas:
D,se';pt;on of Wo,k" n ;;. A '(J e A.P ~ /" .f :;
-R
j/b>
NO OCCUPANCY BEFORE C.O.
FINAL
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
City License Registration #
State Certified License#
65-
Permit Fee _ ~ c!'J p :=>.
Signature~~ ~~-_--------
Company '~
Address
Telephone#
Valuation or
Contract Price
;L 9 ?s-, tTb
,/
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 12-06-93 BOB
SlB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. Cl
WL
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.
APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~ l.f M A,() CO (\j~.\-tC-1.A.C.A-6o tD :r 1\)<L-
ADDRESS 3 -, -~~6 5 . e ' 54:- "'" \C"'~+
1V\l!;~~(O(\..\.A<<-L( C v, ~~J\
"
JOB LOCATION 56~ \. - c;).~j(3. ~-
PHONE ~ \s -782" 682-b'
OWNER
~~ b\~
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL LD.!,' \0 -- 21.0 - 2.... \ ~OC)Z-S -()C:J40
SUBDIVISION
00000
____Alteration _~Repair
WORK PROPOSED:____New Construction ____Addition
____Install
____Sign/Temp.
PROPOSED USE: ~ingle Family
____Sign
____Move
____Demolisll
____M/F
____IF of Units
_____M / H
____Commercial
____Indust.
____Swim. Pool
Other
'1
T
____Restaurant & Health Department Approval
BuiLDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S.""
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
~UILDING
PERMITS REOUESTED
$
~~DOce--
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_\\l.R.E.C.
..f
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
'x' Block
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
____Frame ____Steel
Other
.-
"'cC
FINISHED FLOOR ELEVATIONS: (5 ,,) FT.
******************************************
OJ _ CONTRACTOR SECTION
BlJILDER\\l[""""P',,0 @c>~.s-C ~ v0 .- Company QI..{VV\r>-,v C<:.~s~- -S r'-1 c:., .
~~~ State Cert. or Regist. iF eBC-O~S\~4--
Signature""'"'"~ ~ City License Registration if 8S
******************************************
SiQ'nature
~1:t- /n~~
Company 'in QA.~ e.J29-(Ii1L-
State Cert. or Regis t. iF ~U)dt, \0
City License Regis tration 1F \ ~~B-
.,
******************************************
ET.ECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
**********************~*******************
PLUMBER
Signature
Company_ _________
State Cert. or Regist. #
City License Registration 1F
******************************************
MECHANICAl
Signature
Company
State Cert. or Regist. ~
City License Registration #
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
"'_-"""""".-.~..".~...':'Yl..... ""
CONDITIONS OF PERMll A~~lU~Vl I
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it.ay be subject to "deed restrictions. which lay bs .ore re$trictive than City
regulations. The undersigned assu.es responsibility for co.pliance 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 what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
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 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 Departlent of Agriculture and Consu.er 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 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 develop.ent.
J
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleneed prior to issuance of a perlit 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 li.ited to:
f Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water KanaQelent 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 Aoency - 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 prep~red 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 8uilding Official froD thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall beco.e invalid
unless the work authorized by such pertit is cOllenced within six Bonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is cOIDenced. 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 tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "N COMMENCEMENT".
STATE OF FLORID~
COUNTY OF ICJ 5 e-e )
The foregoing instrument was acknowledged
before me thisflbV/!fJtfid..17 19~ by
,STATE OF FLORIDA fj
COUNTY OF n <;; c- 0
, The foregoin~ instrument was acknowledged
befol-e me this )J;Ie#M /7 19~ by
who is personally knDwn to me el "he ha~
.pn;.eluEee
,..a-3 idl!ntific:at~ufl dllJ who ~did nc,t
tak~Dat . ~;2
1./..--1 . iLl1 Lh..t.h<..J
(Signa ure) D... ...........1
J.< fJT1-l L ~ J.J J: -:is ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
who is pel-s(.nally knnwn to me {;.r i!hE F,a:s
p3rEH:luEed
a:s idEmtifiE!.tio" and WhD~/did not
ta~ D~}h il '~d..
~;r/(CJ:_CJ~~ ' t..2/~#-'OJ-~
(Signature) 7?.LJ.. AI
If /I ~~ I.. i 'CT C2Ed21 L.J fJL
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~,
~.~..--...::;....~
KATHLEEN "
St;'"~.G r:< .
My Cc.nm, ~',
~
KATHLEEN ,t. I'lr'"
Stale c'
My COfllln. CX~, /
Comm. , cc '. " . I
Proposal Contract
~
Ryman Construction Incorporated
37325 S.R. 54 W.
Zephyrhills, Florida 33541
(B13) 782-0825 · eBe # 035134 FAX (813) 788-6773
TO:
DATE:
preslie Kinkade
23rd street
Zephyrhills, Fl. 33540
November 9, 1993
") B2, '1'Of, ~
I hereby submit specifications and estimates for:
Closing in of Garage Carport as follows:
1.) Close in existing garage open walls with 8"x8"x16" concrete
block.
2.) Interior & Exterior concrete block to be painted to match
existing block walls. All block to be finished with struck
joints.
~ 3.) Includes installation of 1-3'0" steel door, 1-37" window,
\:;f;l ~4\\~nd ~-5jYwindow in block walls. These windows will be
~,;~~ installed, match existing windows and have a marble interior
w/ si 11 .
4.) Includes porch stoop where new door is added.--'f.Ncl",o~ s\oew~l
5.) Includes new switch and exterior light at door area.
6.) Includes all materials, labor and job site clean up.
TOTAL BID - $2,975.00
I Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
TWO THOUSAND NINE HUNDRED SEVENTY FIVE--00/1 nn dollars ($ , . q71:l _ 00
Payment to be made as follows I..
~, ~\Lw
All material is guaranteed to be as specified. All work to be completed
in a workmanlike manner according to standard practices. Any altera-
tion 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.
Note: _ Thi" be
withdrawn by us if not accepted
within 41:l days,
Acceptance of Proposal - The above prices, specifications and conditions are
satisfactory and are hereby accepted, You ~re authorized to do the work as specified. Pay-
ment will be made as outlined above.
Signature
Date of acceptance
Signature
,
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