HomeMy WebLinkAbout94-3838
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 3838S
1l5-:t7D
0u~~
Date ~ -7-ff
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
Job Address:
Parcell.D. #
Zoning: Energy Code:
Description of wor;-n .s:?-41../\/-U-~
T.I.F.'s:
Radon Gas:
Inspector
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
P~rmit Fee ~
Signature W_ _
Company
Address
Telephone# g'7b - 0 8 ~ 8
Valuation or
Contract Price
". ~ ,9/. rtJ
"
City License Registration # ,,'?:J2
State Certified License#
sJj4-~~~
; .
ELECTRICAL
?
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel 02/25/94 [ff5
FRM, ~~q4 ~
Insul. CL~ ~
WL ~ tj"-Ij';
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv, blr-
Rough In:3-Cf~r.Jj(f5.
Meter Can
Const, Pole
Pool
Pre-Meter
Final/'
SLB
Tub Set
Water
Sewer
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.
APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
OWNER'S NAME
ChiDe 5 c.-udde 12-
63d-Y t/+~ St
d rJd "5-L
PHONE 7~~ - J fo~3
2eFh'ji2-~: 1\5; FL .3 3s-tJD
2-~t) h ~ f2-h: J (~) F { ~. 3' 3 ~-y L
SUBDIVISIOIf
OWNER'S ADDRESS
JOB ADDRESS
5d'd (p
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.'
WORK PROPOSED: New Construction _Addition _Alteration -.'L.Repair _Install
BLOCK
_Sign
Move
_DeIIOlish
PROPOSED USE:
Single Family
_M/F
_, of Units
_M/B
_Commercial
Indust. _Swill. Pool
Other
_Restaurant &: Health Department Approval
BUILDING SIZE: dO x....!i.J2,
"8" cc;:;
Square Feet,
/'0
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
-t-BUILDING
LELECTRlCAL
_MECHANICAL
PLUMBING
$
9' OtX:) q9 Valuation of Total Construction
AMP Service Florida Power Corp.
_V.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: -t-BloCk _Frue _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
BUILDER
COIfTRACTOR SECTION
~ ClIIPAIIY /lAa.-j! CotU?/n-J./c---r;'bAJ
State Cert. or Regist.' (oj!> C. DS-~-~~
City License Registration ,
********* ********************************
Signature
J
COMPANY ;l4wK,'fV.s J3't-ec;-/ /2-;C,4 L-
State Cert. or Regist. , ~
City License Registration'
**************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License RegistratioD .
******************************************
!meBANlCAL COMPANY
State Cert. or Regist. .
Signature City License Registration'
******************************************
:n'BER COMPANY
State Cert. or Regist. ,
Signature City License Registration'
******************************************
lPPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Ibe undersigned understands that this perlit laY be subject to 'deed restrictiOl18' wbich laY be lOre restrictive than City
reguJaticms. ,he undersigned asSUJe8 responsibility for CCIIpliance with any applicable deed restrictiOlJl.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OImer bas bired a contractor or contractors to undertake IOrk, they laY be required to.be liceD8ll1 in accordance with
state and local regulaticms. If the contractor is not licensed as required by law, both the mmer and cmtractor laY be
cited for a lisdeEallor violation under state law. If the OlDer or intended contractor are uncertain as to what licensing
reguirl!l8lJu .y apply for the intended work, they are advised to contact the City of Zepbyrhills BuilcUng Departlent, (813)
788-6611. .
Furthenore, If the OIlIer bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
'Contractor Secticms' of this application for wblch they will be responsible. If you, as the OImer sign as the amtractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wi_ you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to pmitting privileges in the
City of Zepbyrbi11s. . .
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 'Plorida's COnstruction Lien Law - lkIIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUlU Affairs. If the applicant is _ other than the
'OIlIer', I certify that I have obtained a copy of the above described docuIent and prcEse in good faith to deliver it to the
'OlDer' prior to co.enCl!l8llt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
. I certify that all the infomtion in this application is accurate and that all IOrt will be done in COIpliance with all
applicable 1_ regulating construction, loning, and land develo}IIeDt.
Application is hereby llade to obtain a perlit to do work and installation as indicated. I certify that no IOrl or
insWlation bas ~cec1 prior to iB8uance of a perlit and that all work will be perfoDllll1 to _t staDdarda of all _
regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisclictiCll. I also
certify that I understand that the regulations of other goteruental agencies laY apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt tate to be in CGlpliance. Such agencies include but are not luitec1 to:
t Departlent of InvirODlelltal Regulation - Cypress Baybeads, Wetland Areas and InvirODlelltally Sensitive Lands,
Vater/lfastewater lreat:lent
t Southwest Florida Vater 1Iana!ll!l8llt District - VeIls, Cypress BaybeacJs, Vetland Areas, Altering Watercourses
t AIIY COlliS of Inqineers - Seawalls, Docks, Javigable Vaterways
t Departlent of Health' Rehabilitative Senices, InviI'ODl8Jltal Health Unit - Vells, Vastewater Ireatlent, 8eptlc Iws
t US InviIClllleJltal Protection Iqency - Asbestos abatl!l8llt
I also certify that, if fill I8terial is to be used in Flood lone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'COIp8II8ating vol.' will be saitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perllt issuance.
A petlit i88ued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor shall iB8uance of a perlit prevent the Building Official fa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit i88ued sball becme invalid
unless the worl autboriled by such perlit is co.encec1withln iiI IODthe of i88uanc8, or if IOrt autbodled by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the work is ~ced. ODe 90 day eat_ion of tile, laY be
allowed for the perlit with fee charge of '15.00. Ibe eatension sball be requested in .riting to the BuUlIing Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abanc1oDed.
WADIIG ro (IIIR: YOOR FII_ ro RICORB I IOIICE OF cmIDCIIIIII MAY RESULt II YOOI Plnll' !VICE FOR IMPIlOV&IS ro fOOl
PROPIRIY. IF YOO IIDIID ro OBIIII FIIIICIIG, COISULT IIIB YOOR LIIDIR OR D IIIORDY BBVORB RBCORDIRG fOOl IOIICE OF
OJIIIICIIIMI. JOBS UIDBR',2 0 III VALUE DO 101 11110 10 RmD DO POST A 'JOIICE OF aJIIIIIICIIIDIl.
{f. 7h~~
SIGD!IJRI: CODRACIOJI
81AR OF FLOR~A
coum OF 1-15 cO
The foregoing instrument was a~kpowledged
before me this 9~ ~, 19.!tf:- by
(! . L. .sCAA...!>lJ ER
who is personally knmm to ~ 'or who bas,
produced
as identification and who ~did not
take an 0
~
SfAfl OF FLORIDA J I,. I. b
COOllY OF tII ('.5_0(7)UtP#
The foregoing i9~trumept was aCf~ledged
before me tbis~. !Th , 19 by
.he ~~~to ...or lObo bas
produce ..- U
as dentification and who di~did not
an .. .
( gnature)
L ~E... M. Rm~...'''''''''~~'\\''''
(Hue Typed, printer!.--~~'b~f"
HOTARY PUBLIC :...~ )..... '"
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State Farm Ins. Companies
7615 Ja:::qlJe Road
F'OB 5999
3ayonet Po\nt, FL 34667-0000
(813) 869-4660
1l-1~-93
G/llkl f A
Est\mate: VOI0-892
Insured: Chloe Sc~dder
Addressl 5226 2nd St
I Zephyrhills, FL 33541
Phone:(813) 78B-1683
Operator: STN
Estimetorl Greg 5co~t
Cleim Unit: 88
Cl~im Rep: 884
Agerlt Code: 1871
Phonel(913) 869-46~3
Claim Number
10-1)010-892
Po 1; cy t-bmber
90-26-6416-3
CaU5e of Lo::,::.
AUTO DAMAG
DedlJctible
250
Date Entered 11/10/93
Dete of Loss 10/28/93
Date Inspected: 11/02/93
~rAR-r- 6-9-9f
Pr.ce List: FLHURR2B
~
ZOO~
J.NIOd J3NOXV8
TO:ST t6/SZ/TO
t'
~
.! ~ .
~
Ch Joe SCIJdder
State Farm Ins. Companies
11-10-93 Page: 2
Rooml LIVING ROOM
Subroornl: Off~et
Subroom21 Offset2
Subroorn31 Offset3
DESCRIPTION
LxUxH: 19' 0" x
LxWxH: 14' SD x
LxWxH: 8' 5" x
LxWxH: 12' 0" x
UNIT
QUANTITY COST ReV
8' 4" x
6' 0" x
3' 5D x
8' 0" x
8' Oil
8' 0"
8' 0"
8' 0"
--------------------------------------------------------------------------------
R&R Fyrring strip - 1" x 2.
R&R Rigid foam insulation
board - 1/2"
R&R Blown-in lns~la~ion _ 10"
depth - R30
R&R 1/2" drywall - hung,
taped, light texture, ready
for pes i nt
Texture drywall - light hand
texture
R&R Acocstlc ce' ling (popcor~)
tex~Yre
Fini~h carpentry - Mlnimum
charge
Palot acou~t1C ceiling texture
Pelnt the wa:ls - tuo coats
R&R W~ndow s;ll - tile on 2ux
4" l./al1
Paint base~oard - t~o coats
Paint door or ulndo~ opening
(~er :.ide)
Ceiling fen & light - Detach &
reset
R&R Windol./ bl~nd - horizontal
or verticel
R&R Cerpet ped - Standard grade
R&R Carpet - (material end
labor)
R&R Door hardware & deadbolt _
exterior
R&R 110 volt wiring run, box
and plug or switch
208 SF
146 SF
129.8 :F
416 SF
432 SF
371 SF
1 EA
371 3F
791 SF
4 L.F
98 LF
4 EA
1 EA
1 EA
41. 2 5'1'
47 S'I'
1 EA
4 EA
0.~2
0.45
0.88
:>.98
~.23
0.57
62.37
0.51
0.26
1. 91
0.44
14,63
3:'.27
54.66
2.65
16.42
56.10
28.18
108.16
65.70
114.26
407.68
99.36
211.47
62.37
199.21
205.66
7.64
43. : 2
!'is.52
35.27
54.66
109.24
771.74
56.10
DEPREe
5.41
7.B8
1.3.71
22.71
24.68
5.17
7.02
27.32
192.93
ACU
102,75
57.82
100.55
407.68
99,36
211 .47
62.37
1~6.50
lEO.98
7,64
.37.95
51.50
35.27
54.66
81.92
578,81
56.10
~Total For LIVING ROOM
---------------------------------------------------------------------------------
112.72
too Q!J
J.NIOd .I.3NQ,\V8
112.72
2,712.88
306.83 2,406.05
Tn:CT .~J~~~T^
~
~
-. ',..
Chloe Scudder
Room' KITCHEM
State Ferro Ins. Compen\es
DESCRIPTIOM
LxWxH: 9' 4"
UNIT
QUANTITY COST
x
11-10-93 Page' 3
8' on X 8' O.
Rev
DEPREC
ACV
--------------------------------------------------------------------------------
Cabinetry repair - Mi~imum
cherge
Paint acoustic ceiling texture
Paint the ~ells - t~o coats
1
75
213
EA
SF
SF
72.81
0.51
0.26
72.81
38.25
55.38
4,59
6.65
72,81
33.66
48.73
--------------------------------------------------------------------------------
Totel For KITCHEM
165.44
11 .24
155.20
exterior
DESCRIPTIOH
QUANTITY
UNIT
COST
RCV
DEPREe
ACV
--------------------------------------------------------------------------------
Framing repair - Minimum cherge 1 EA 350.00* 350.00 17,50 332,50
R&R Block - bond bearn - 8- x
8. x 16" - reinforced 26 LF 6.99 181.74 181.74
R&R Block - 8. x S" x 16- -
i rl place 213 SF 6.03 1,284.39 1,284.39
R&.R A 1 urn in IJr,. lolindo~ (12-23 sf) 1 EA 127.59 121.59 127.~9
R&R Metol 10th & :stucco 208 SF 3.73 775.S4 93.10 6B2.7J.
Specialty o}um;rlum ~indol.l IJn i t
- Detech & re~.et 1 EA :>0.~4 ~0.54 ~O,54
R&R Exterior door 1 EA 195.50 19~,50 23,46 172.04
R&R Shutters - ~im'Jloted uood
(poly,=.tyrene) - Lor~e 4 EA 54,41 217,64 2:7.64
c:-acks no. -:r.o ~ije 1 EA 2~7.25 237.25 28.47 208.78
Paint ~tucco 1.192 SF 0.42 500.64 60.08 440.56
f'ain1: door - exterior (per
side) 2 EA 15,79 31.58 3.79 27.79
--------------------------------------------------------------------------------.
Totel For exter~or 3,952.71 226.40 3,726.31
ROOF
DESCRIPTIOH
QUANTITY
UNIT
COST
RCV
DEPREe
RCV
--------------------------------------------------------------------------------
tJo: R&R Sheath; rig - plywood - 1/2"
COX 104 SF 0.85 88.40 4.42 B3.98
R&R 220 lb - composition
shingles - 4 SQ 82.72 330.88 49.63 281.25
Ridge cap - composition
shingle:s 35 LF 0.88 30.80 4.62 26.18
---------------------------------------------------------------------------------
Totel For ROOF
450.08
58.67 391.41
'"00'"
l.NIOd .l3Noxva
ZO:Sl t6/SZ/IO
..
. .
Chloe Scudder
MISCELLANEOUS
DESCRIPTION
fI'.
~
State Farm In~. Companie~
QUANTITY
UNIT
COST
RCV
. "-
11-10-93 Page: 4
DEPREC
ACV
--------------------------------------------------------------------------------
Dump~ter load - Small
General clean-up
1
5
EA
HR
155.85
11.41
155,85
57.05
1~5.85
57.05
Total For MISCELLANEOUS
--------------------------------------------------------------------------------
2!2.90
212.90
** Grand Tetal - Item~ **
-=--------=-c==~==========~====__.aQ==a_z===============~==========aa_._==_====:
6,891.E7
~-=
soo 1'l
.lNIOd .I3NO..\V9
7,495.01
603.14
CO:ST t6/SZ/TO
,....
~
. .
Chloe Scudder
State Farm Ins. Companies
11-10-9'
Page: ~
Summery For AUTO ONMAG
SlJbtota 1 Items
Overhead
Profit
@
@
lO~
10~
7,495,01
749.~0
749.50
Replacement Cost Value
Less Depreciation
8,994.01
'<72'.76>
Actual Cash Value
Less Deductible
8,270.25
<250.00>
Net Clairn
$B,020.25
=====a===__=_==Z
Grand Total Areas:
1,004 SF Walls
446 SF Floor
446 SF eei 1; rig
57 SY Flooring
1,451 SF Wall~ & Ceiling
125 LF Base
Greg Scott
C 1 a 110 S pee; a 1 ; s t
900~
J..~IOd .l3NOXVg
to:Sl t6/SZ/10
. .
..- . '"'-- ... -_.
.'
-...-........ ...........
f'"
~
eh 1 oe SCIJdder
State Farm Ins. Companies
PROPERTY CLAIM AGREEMENT
11-10-93
Page. 6
TO: Chloe Scudder
5226 2nd St
Zephyrhitls, FL 33541
INSURED: Chloe Scudder CLAIM NUMBER: 10-VO~0-892
_State F arn. F ; re and Casua I ty CoruparlY
__St~te Farm General Insurance Company
The terms and conditions of your insurance policy, number 90-26-6416-3,
provide replacement cost benefits.
To obtain these benefit~ fo~ the AUTO DANAG loss occurring on 10/28/93,
you need only to:
I: Notify us w;th~n 180 days of the 1055 date of your intent
to repair or replace damaged building property, or actually
repair or replace personal property within one year of the
date of 1055, and
2- Confirm completion of repe~r cr replacem=~= by submitting
invoices, receipts or other documentation to your Agent or
locat claim office.
We will then pay you and/or your mortgagee ~he smeller of:
Th= amount that exceeds what ~e
amount was necessarily spent to
::op;rty. ~~:l~~uct;ble
have a 1 ~eady ~Ia i d you, ; f that
repair or repiace the damaged
wi:l ce subtracted from the loss.
.~
Note: For your protection, the law cf your state requires the
following to appear on this form:
Any person who knowingly, and with intent to injure, defraud, or
deceive any insurance company or other person, files a statement
of claim containing any fal~e. incomplete, or mi~le~d'ng inform-
ation, may be guilty of a felony and subject to criminal and ciuil
penalties.
California only. Any
fraudulent cla\m for
and may be ~ubject to fines and-confineme
Florid~ only. Violation of thi~ prouisi
third degree.
LOO~
J.NIOd .l3Noxva
to:st
t6/I1Z/10
..
. .
C~loe Scudder
I"'"
~
Description
11-10-93
Recap oy Category With Depreciet\on
RCV Depree.
---------------------------
CABINETRY
CLEANING
GENERAL DEMOLITION
DOORS
DRYWALL
ELECTRICAL
FLOOR COVERING - CARPET
FINISH CARPENTRY / TRIMWORK
i='INISH HARDWARE
FRAMING & ROUGH CARPENTRY
INSULATION
LIGHT FIXTURES
MASONRY
PAINTING
ROOFING
SIDING, PATIOS, & AWNINGS
STUCCO & EXTERIOR PLASTER
TILE
WINDOWS - ALUMINUM
WINDOW TREP.TMENT
State Farm In~. Companies
---------------- ----------
72,81
57.05
847,12 41,71
183.57 22.03
592.59
104.04
818.19 204.55
62,37
52.S5
500.80 25.04
117.32 14.08
35.27
1,229,05
1,122.36 134.69
309,76 46.46
208.9~
954.85 114.58
4,12
171,61
50.32
Page: 7
RCV
------------
72.81
57.05
805.41
161.54
592.59
104.04
613.64
62,37
52.85
475.76
103.24
35.27
1,229.05
987.67
263,30
208.96
840.27
4.12
171.61
50.32
€I
------------------ ---------- ------------
Subtotal O&P Items
Overhead
Prof\-:;
r.-
""'
1 o:~
10%
7,495.01
749.50
749.50
603.14
60.31
60.31
6,891.87
689.19
689.19
------------------ ---------- ------------
Total
8,994.01
723.76
a,270.25
-----=*=====z===== e~c====~=. ---.C~~E_~_E
"0;:
soo~
.L.'1IOd .I3NO,W9
~O:~l tF;/~7./TIl
,
SOYtheastOffice
"P,Q. Box 260473
Tampa, Florida 33685
(813) 876-0838
Fax (813) 876-5881
1-800-741-7638
~Jf\RI\
CONSTRUCTION CORPORATION
Northeast Office
P.O. Box 203
Spring Valley, N.Y. l09n
(914) 352-2044
Exhibit B
The fOllowing items will be included in the state
Farm estimate dated 11/10/93. (Note: the pourthrough at
window will be supplemented to state Farm.)
Detach and reset AC register
2 ea.
Detach and reset chandalier
1 ea.
Plumbing repairs - minimum
1 ea.
Window blind (Dining Room)
1 ea.
Vinyl floors minimum
1 ea.
Exterior light - average grade
1
House numbers
1 set
Aluminum window (Dining Room)
1 ea.
Electricals - two runs
2 ea.
Megameter check
1 ea.
Post construction clreaning -
construction area.
1 ea.
..
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