HomeMy WebLinkAbout94-4258
BUILDING PERMIT
Permit N.'?
CaTV OF ZEPHYRHILLS
(813) 788-6611
4258/3
-~
Date
8-- :l<;-7Y
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pcope<tyOwne' 4~~-11::ts'/~'L
Job Address:St::F- -
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of Wor;-- j(~ (/)~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
/(J)- ~7- 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
~;(
Permit Fee ..s-tJ ' cr:t)
Signature ~ II.-r;;;~~
Company 0 -0
Address
Telephone#
Valuation or
Contract Price ,6 7 '/ b. o-v
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ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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 ($15.001 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.
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;1 11250 South HiGhway 98, Dade Cl ty, Flot'ida. 33525
Ii Phone # (904) .567--8.580 :1
q Banded a.nd Insut'ed il
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!INAME: IVI~:. JAI\iE:r i31:_LL~ IJ08 NAME: IEPHYRHILU; NEWS I
Ii ! :38333 5 TH. t=\VE 'I
ii I 2. EPHYRH ILLS i
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RESIDENTIAL & COMMERCIAL
he~l~tereo BUlldlng Contrac~or'
F;:.;:!g 1 '::, t e t't'.::'C Fi:oo fln.:j [;01-, t I'ac t c! t"
F<B
RC
(H)32524
0056763
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ExISTING ROOF AND INSULA110N BOARG
t'1ECHAr\l 1 CAL L \ F'::'S TEN NEloJ 1" I ~:';U F 1 E:RE INSULA T I ObI BOI:~Fd':;'
hEI"IO'.....E EXI';:.TINC:" '4TTIC FAN ~1ND FU~SHIN(3. REF'AIF I"IETr:Ii_ r~:DOF, DEC.';
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Fl. FIBRE CANT STRIP
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- INSTALL 75 LB. FIBERGALSS BASE SHEE'r DRY-IN
- riOT MOP 3 PLY'S FIBERGLASS FELT
'p L 'Y ~ t 1j)<l-
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IN~TALL ROOF VENTS AS PER NRCA SPECIFICATIONS
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NEW METAL DRIP EDGE AND GUTTER
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ll'~~:n {~LL
MOF' GRADE W{4LL, AND CAP SHEET ON S I DE WALLS
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- PE1NGTALL PERIMETER GAL. METAL CAP
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.-, ,.[. ._. '"-ILl" HOOF St,JRF ACES 2 COATS ALLUM HJl ZED ROOF COAT
--l~ '~:EAF.: HWDUCT WARRANTY FF\lJI1 GPIF'
-" 10 YEAR CONTRACTOR LEAK WARRANTy
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- CITY PERMIT INCLUDED
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TOTAL COST $ 6,746.00
PAYMENT IN FULL AT COMPLE1ION
CONTRACTOR
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APPLICATION FOR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~ ~ fLili l : '- fi f!,lJo ~a ~ (
ADDRESS ~8 .3:)~ S 1-' A.(.M\.U... . L' ~ \ \ S
PHONE
'l8a-~ JSS8
OWNER
JOB LOCATION So..lML---
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D,#
WORK PROPOSED:____New Construction ____Addition _Alteration ____Repair ____Install
____Sign/Temp. _Sign _Move ____Demolish
PROPOSED USE: ____Single Family ____M/F ____iF of Units ,_M/H
____Commercial _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 FOR~S,~~:
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S,**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
'!1
_MECHANICAL
AMP Service
Florida Power Corp,
_H.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert, or Regist. #
City License Registration #
******************************************
BUILDER
Signature
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ElECTRICIAN
Company
State Cert, or Regist, #
City License Registration #
******************************************
PLUMBER
Signature
Signature
Signature
Company
State Cert. or Regist, IF
City License Registration #
******************************************
co:~:a~e~~i~';;~ C"'<-<-~
City License Registration lJ: _ifd-.,
MECHANICAL
******************************************
APPLICATION
PERNIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject to "deed restrictions" which lay be aore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliance 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, bot~ the owne~ and co~tractor lay be
cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents aay apply for the intended work, they are advised to contact the City of 2ephyrhllls Building Departlent, (BI3)
7BB -bb 11.
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 aay 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 FEE9.,
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 Departaent of Agriculture and Consuler 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 cOlaencelent.
}
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
a~plicable laws regulating construction, zoning, and land developlent.
I
Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no worK or
installation has cOllenced 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 developaent 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 liaited to:
I Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treataent
I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I De artlent of Health L Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial 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 prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A periit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte" or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violatiDns of any code.. Every perlit issued shall becole invalid
unless the work authDrized by such perait is cOllenced within six lonths of issuance, Dr if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, ~dY be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. ~n
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Y RESULT U PAYING TWICE FOR IHPROVEKENTS TO ':OUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN OR AN ATTORNE BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD A ST A OTlCE 0 COMMENCEMENT".
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SIGNATURE: NER OR AGEN't
STATE OF FLORIDA
COUNTY OF PrlRr.O
The foregoing instrument was acknowledged
before me th i s ~l1gJ1Rt- ?q , 19 --9.4 by
STATE ilf FLORIDA ~
COUNTY OF Ta..s..~'D
The foregoing ins rument
before me this
was a:1(~f'wledged
, 19~ by
Janet Gillis
who is personally known to me or ~
~
as identificatio~a d who did/did not
ta~ oath.
~~~ /l.-tC-~.-/
(SiIjp3MYM~llc, State of Florida at Large
My Commission Expires Nov. 30. 1995
! Na~nqto/Pth!~ ~f'lltfilt~BlaE~-Bgi'a~~d)
NOTARY PUBLIC
who i~~n~~\o me i:.r \jf;-,( h,:t':~
13' c.du\-ed
as identification and who did/did not
take a oath.
(Name Typed, Printed Dr Stamped)
NOTARY P IC
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SU:,AN M ALMY
NolaN f'u:,nc. Stote of Florida
My Co,,,rn EA;). Mar, 28. 1998
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