HomeMy WebLinkAbout93-3728
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Parcell.D, #
BUILDING PERMIT
Permit N~ 372Sg
-~
Date /d -;20 ~?S
CITY OF ZEPHYRHILLS
(813) 788-6611
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: . Energy Code:
Description of wo;;- ~<P ~ Z ~-'f}
Radon ~LA1-d
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FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Permit Fee ~ 0-0
SifJnature ,_ 2-. /2.-:::4"
Company
Address
Telephone#
Valuation or
Contract Price
~ 'If-I?: rv
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City License Registration # I; l)
State Certified License#
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PLUMBING
MECHANICALi
Ftr.
Pre SLB
Lintel
FRM. 12-27-93 RTT.T.
Insul. CL 12-27-93 BILL
WL 12-27-c}1 RTTJ'.
Breakers
Ducts Insl. 12-27-93 R1R
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In 12-27-93 RnR
Meter Can
Canst. Pole
Pool
Pre-Meter
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 ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e, Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
SEMINOLE FORM S96
PROPOSAL
Page No.
of
Ten Brink & Assoc.
35512 Chester Dr.
Zephyrhills, Fl. 33541
1
Pages
Lie. CGC 043422
Ph-813-782-9138
PROPOSAL SUBMITTED TO:
PHONE: I! DATE:
813-782-6430 12-20-93
NAME:
John & Patti Bissett
JOB NAME:
Remodel
STREET :
39144 Heights Ave.
STREET:
SAME
_I STATE:
CITY:
CITY:
Zephyrhills
STATE:
Fl. 33540
We hereby submit specifications and estimates for:
Remodel work
.4
(FIBER MESH)~
Scope of work;
Pour 4" cap on existing concrete
Close in screen room
Install bay window
Install door to garage
Install door to back yard
Replace existing doors in kitchen and living room
Remove interior den walls
Replace existing garage door, replace with overhead
Install vinyl siding on frame walls
Re-arrange electrical plugs to code
Place AC vent in new room
Remove existing windows to create arch way into
new room
We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of:
Four thousand four hundred eighty-eighkollars ($ 4488.00 ) with payment to be made as follows:
$1500.00 when slab is poured exterior walls built, $1500.00 when dry-wall
is installed, exterior siding installed. $1488.00 when completed.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration 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. All
agreements contingent upon strikes, accidents or delays beyond our control. This proposal subject to acceptance within
thereafter at the option of the undersigned.
30
days and is void
Authorized Signature
G~ZkT~ ~
,
ACCEPTANCE OF PROPOSAL
Date :;2..0 AlC-c' c? ,3
Signatur
SignatJe )
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,
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The above prices, specifications and conditions are hereby accepted. You are autho i
as outlined above.
ACCEPTED:
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APPLICATIOII fUR PERllIT
CI'IY OF ZlwHIKH 11.'-<=
BUII.DI.IIG DEP.AKllulBr
0WlIER. · S lIAIIE
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q. :j)/l-!h J5,J J' e/I
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PfJOlfE pi :5 --- 7 f" 2 - t:, Y3 0
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0IIlIER' S ADDRESS . 19 I s? '/
JOB ADDJl&C)S --5:""7'41 e.-
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LEGAL DItSCRIPl'IOII: I.OI'(S)
~SUBDIVlSIOII
PARCEL I.D.t
.,..,
MJKK PROPOSED:_,X..Jiev Construction ---...Addition -KAlteration _.Repair _Inst:all
Sign .,1
/1; /'If i --Jr-cU ~/
PROPOSED USE: X Single FamJ.y
_lIove
c? /1/ )a 4'?- c"
~lish
~4LlS
_fl/F
_' of Uni.t:s
_fl/H
_~rc..ia1
_Indust.
_SWill. Pool
Other
--t:aurant & Hea1t:h ~t Approva1
BUlLDIIIG SIZE:
x
~e Feet.
Height
RESIDEI1'IAL:
mtmERCIAL :
A'lTAaI (2) PLOI' PLAIIS &: (2) SEIS OF BUD.DDIG PLAIIS & (1) SKI' ElIERGY F'ORIm. **
ATrAaI (3) SEI'S OF BUllDI.IIG PIAIIS & (1) SKI' EIIERGY FOJUIS. **
**mpy OF mtrmAcr RIIQUIRIID.
PIl1IIIT'I'S KEOIIR.<=Tm
+BUlLDIIiG
)( RI.F.ct'RICAL
$.
~~Jcf: ~p
Va1aation of Tota1 Construction
Aff.P Service
Florida Power Corp.
W.R.E.C.
~CAL
$. /)0.
',;.7,e7
Va1aation of ff.echanica1 Inst:a1lation
-YLUfIBDJG GAS IIOOFDIG
dTYPE OF mIlSTRUCl'IOII: _Block -LL.~ _Steel
SPECIALTY
Ot:her
FIIIISIIED FLOOR ELEVATIOIIS:
FI' .
IS P'IIO.JECI' III FLOOD 7.OIIJE AREA. T -k.-
YES 110
**********************************....****
aJWI'.RACIOR SECl'IOIJ
fDlPAIIY ,*/'/ &/..,4- :;c #-croc..
SI:a~ Cert. or Regist.' c: & c. D Y3 j/2.. 2-
City License Regist;ration. . / J 0
******************************************
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BIITT.DF.R
Sigoab1re ~ Z ~
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PI.DIRF.R
Signab1re
1/;1
COPIPA1IY
Sl:al:e Cert. or Regist. "
City License Registration t
******************************************
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fDlPAIIY ~M~; ~~/<A'...e
4}f.~ State Cert. or - pst;. 2/.'1(,
City License Registration t
. *********......***************************
O'I'IID
Signature
#4
fDlPAlIY
Sl:ate Cert. or Regist. .
City License Regist.ration "
*********............*********************
1/ aM... ~ . xr .v\.<Iw- PIlIDIIT OFFICER.
APPLICAnOIl APPROVIl:D BY
'''. ....v.:.:.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RE_STRIC"pONr3
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS ~.ND_._CqtHfi.ACTOR RE;.Se.ONSIBILITIES
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 IaN. If the owner or intended contractor are uncertain as to "hat licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
7BB-MII .
Further.ore, 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 indic~tion that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION H1PACT FEES AND UTILITY .cONNECI)ON FEE.9-.
D. CONSTRUCTION LIEN LA~ (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 so.eone other than the
"owner", I certify that I have obtained a copy of the above described docn.ent and pro.ise in good faith to deliver it tD the
"owner" prior to COllence.ent.
E. (,:ONTRACTOR ' S/mJNER ' !:L_AFF:..I.D(!~Lr.
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.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a per.it and that all work "ill be perforled to .eet standards of all laws
regulating construction, City codes, toning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not li.ited tD:
, Departlent of Environ.ental ReQulation - Cypress Barheads, Wetland Areas and Environlentally Sensitive Lands,
Yater/Wastewater Treat.ent
I Southwest Florida Water "anaQelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Hatercourses
J. Ar.v Corps of Enqineers - Seawalls, Docks, Navigable Waterways
, Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environ.ental Protection AQenev - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" ~r "A,elc.", it is understood that a drainage plan
addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errDrs in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such periit is cOltenced within six tonths of issuance, Dr if work authorized by the perlit is
suspended Dr abandoned for a period of six .onths after the tiae the work is coatenced. One 90 day extension of tile, lay be
allowed for the per.it 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 .onth period, Dr the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCltfG, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCE"ENT".
SIGNATURE: OHNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc,re me this
"Ias ac kno,,1l edged
, 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 Dr who has
pl-odLlced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
~.QTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC